HomeMy WebLinkAbout4095 Balsam Streeti CITY OF WHEAT R1DQE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: X54/ o
Job Address:
Permit Number: -2-0 LIVE> I
❑ No one available for inspection: Time'—'I�AM/D'M
Re -Inspection required: Yes' No i
When corrections have been made, call for re -inspection at 303-234-5933
Date: C -5�- Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 201901887
PERMIT NO: 201901887 ISSUED: 09/05/2019
JOB ADDRESS: 4095 Balsam St EXPIRES: 09/04/2020
JOB DESCRIPTION: Replacing a new water heater 24K BTU, 16 seer, and 2 ton A/C.
*** CONTACTS ***
OWNER (720)413-8119 SAYLOR BRIAN
SUB (303)407-7967 STEPHEN LANYON 017835 BLUE SKY PLUMBING
SUB (303)407-7967 STEPHEN LANYON 017835 BLUE SKY PLUMBING
*** 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: 3,948.60
FEES
Total Valuation 0.00
Use Tax 82.92
Permit Fee 109.20
** TOTAL ** 192.12
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
I, by my signature, do hereby a t that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, an all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the pro erty od am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I ant legally) authorized to include all entities named within this document as parties to the work to be
performed and that all ork. o be''per or d is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of""' OWNER or NT CTOR (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 originalpennit 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, any violation of any provision of any
applica41e code or any c-cginance 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.
w V City of
Theat id
COMMUNrry DEVELOPMENT
Building & Inspection Services Division
7500 W. 29°i Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(@ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Z� C) / 7 0 / oo'fq
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: y OCIS F AISAIM t> _%CR_t R CND
Property Owner (please print): VT .% 1JQ kAN S*i UY Phone:
Property Owner Email:_l{Od�A�k00-CO(�
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: yko(� *n (0 -�_ t4__xmL1(L
City of Wheat Ridge License #: OM8S5 Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):i�YL,��TY�t l�llE� Phone:.ZLI .L{ `l .`-ii L4 ^%
CONTACT EMAIL(please print): K�clSllr��bltS�[Ct9r��ll�co CSM
.fib Contractors (Must provide Wheat Ridge License No.)
Electrical: *&„ �_ Plumbing: Mechanical:
W.R. City License # o`7�(r j' j W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
❑ COMMERCIAL RESIDENTIAL
Description of work: For ALL projects, 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.
IA L-t.5My-
Commercial Projects Only: Occupancy Type:
Sq. FULF
Amps
BTUs
Squares
aL( K T, -Tv t t 1(0 sEb�_' a -n iv A C
Construction Type:
Gallons
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
19 '1 F)�
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 arc
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CON,jfRACTOR) or (AUTHORIZED REPRESENT9TIVE) of (OWNER)CONTRACTOR
Signature (first and last name): e /� DATE::
Printed Name: fNt1. i t
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION.
CONSTRUCTION TYPE:
Building Division Valuation:
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: t
Job Address:
Permit Number:;
❑ No one available for inspection: TO
Re -Inspection required: YesN�o
When corrections have been made, bgff for re -inspection at 303-234 5933
Dat _( �� ' Inspects ------ � ��
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Electrical Service Upgr PERMIT - 201901185
w
PERMIT NO: 201901185 ISSUED: 06/10/2019
JOB ADDRESS: 4095 Balsam St EXPIRES': 06/09/2020
JOB DESCRIPTION: Electrical upgrade, 200 AMPS.
*** CONTACTS
OWNER (720)413-8119 SAYLOR BRIAN
SUB (303)422-9219 J. David Doherty 018046 Piper Electric Co.
*** 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: 2,250.00
FEES
Total Valuation 0.00
Use Tax 47.25
Permit Fee 93.35
** TOTAL ** 140.60
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermIt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanyingdans 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 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 shal not proceed or conceal work without written approval of such work from the Building and Inspection Services
Div Eb
.
6. T M isan e or gra g of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
a 1 . ' leI ode or nce 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.
Dina Kem
From:
Sent:
To:
Subject:
no-reply@ci.wheatri dge.co.us
Monday, June 10, 2019 2:01 PM
CommDev Permits
Online Form Submittal: Residential Electrical Service Change/Upgrade Permit
Application
Residential Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
4095 Balsam Street
Brian Saylor
720-413-8119
Wheat Ridge Piper Electric Credit Card form 1.pdf
CONTRACTOR INFORMATION
Contractor Business Piper Electric
Name
Contractor's License 18046
Number (This is a 5 or 6
1
digit number for the City
of Wheat Ridge)
Contractor Phone 303-422-9219
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address cpilcher@piperelectric.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this an electrical
service upgrade or
change?
Number of Amps
Location of
upgrade/change (garage,
house, etc)
cpilcher@piperelectric.com
Upgrade
200
house
Provide additional details, n/a
if needed.
Project Value (contract 2000 0
value or cost of ALL��
materials and labor) �1 `
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
z
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Rich Garcia
Permit
Email not displaying correctly? View it in your browser.
_Z-
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
�,�ions mINSPECTION REQUEST LINE: (303) 234-5933
i,o, n ellatust be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/'F VD
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
Initials
Comments
Pier
Concrete Encased Ground (CEG)
Mid -Roof
Foundation / P.E. Letter
Lath /Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath /Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors , ,
')L
;
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L- W I
Job Address: -40015
Permit Number: 2a 1-1 0U bZ2
❑ No one available for inspection: Time 9 Aw
UPM
Re -Inspection required: Yes No
When corrections have been made, call f re -inspection at 303-234-5933
Dater Inspector: 4�c_
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201706822
PERMIT NO: 201706822 ISSUED: 09/01/2017
JOB ADDRESS: 4095 Balsam ST EXPIRES: 09/01/2018
JOB DESCRIPTION: Permit to replace (1) window in living room U factor will be .30 or better.
*** CONTACTS ***
OWNER (303)915-9777 SAYLOR F J LIFE ESTATE
SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,271.00
FEES �..,
Window Replacement 50.00
Total Valuation 0.00
Use Tax 89.69
** TOTAL ** 139.69
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
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 t �e legal owner or have been author,
zed
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 le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of ' OWNERS, or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offial 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, 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 Building Official Date V
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat I _90
COMMUNITY DEVELOI'MENT
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
FOR OFFICE USE ONLY
Date:
Plan/Permit # /j
Plan Review Fee:
— Please complete all highlighted areas on both sides of this form. incomplete applications may not be processed. —
Property Address: 4095 Basalm St Wheat Ridge Co 80033
Property Owner (please print): Brian Saylor Phone: 303-915-9777
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Eng1neer:
Architect/Engineer E-mail: Phone:
Contractor: Matthew Seiler
Contractors City License #: CL3-130206
Contractor E-mail Address: rnseiler@renewalcolorado.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone: 303-945-1519
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION [ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft.ILF
Amps
Replacing 1 window in the living room. U factor will be .30 or better.
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
S 4,271
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 1 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) o
PRINT NAME: Matthew Seiler
ZONING COMMMENTS:
Reviewer,
BUILDING DEPARTMENT COMMENTS:
Reviewer;
PUBLIC WORKS COMMENTS:
Reviewer
r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
SIGNATURE: d r� L,� 1�" ' n _ DATE:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
Building Division Valuation: $
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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: /?'-'
Job Address: /Qr/� 6%qe S/j/A _')—
Permit Number: /�7 0 -,// 7 2-
1_J
❑ No one available for inspection: Time 7�f/' AM/PM
Re -Inspection required: Yes ./No=!
When corrections have been made, call for re -inspection at 303-234-5933
f
;7
Date: ('`" ��` Inspector:`:
DO NOT REMOVE THIS NOTICE
4rP0r7 6 q17g:PL-
4fjq!�- (3-o.1sA^ S -P_ INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occu anc /T e
- 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
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall thing
id-Roof-rMWTVF
all Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
('("Roof
`%
i 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
Proter-t This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201704172
PERMIT NO: 201704172 ISSUED: 07/17/2017
JOB ADDRESS: 4095 Balsam ST EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 26 sq.
*** CONTACTS ***
OWNER (303)915-9777 SAYLOR F J LIFE ESTATE
SUB (303)758-0505 Gordon Sessions 160209 All Angles Covered, 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: 9,324.00
FEES
Total Valuation 0.00
Use Tax 195.80 ti
Permit Fee 204.30
** TOTAL ** 400.10
*** COMMENTS *** 1-1
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201704172
PERMIT NO: 201704172 ISSUED: 07/17/2017
JOB ADDRESS: 4095 Balsam ST EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re—roof to install asphalt shingles with 26 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 her attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed nd t a work to be performed is disclosed in this document and/or its'4gwmpanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date "q
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, po Flans
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 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, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of vu 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.
Dane Lovett
�d( 7 0 x// 72
From:
no-reply@ci.wheatridge.co.us
Sent:
Saturday, July 8, 2017 4:26 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
4095 Balsam St
FJ Saylor
303.915.9777
Property Owner Email say40@comcast.net
Address
`f'00. to
0.
I
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
All Angels Covered
160209
970.389.4182
Contractor Email Address keith@aacroof.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
keith@aacroof.com
No
asphalt shingles
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the, 26
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
Yes ✓
not replacing flat roof
TOTAL SQUARES of all 26 ✓
roofing material for this
project
Provide additional detail house and attached garage installing Owens Corning Duration
here on the description of
Pi
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 9324
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 Gordon Sessions
Email not displaying correctly? View it in your browser.
3
lia X10101=1
'rdallAion of en OwEns Coming Tn.�F Def Daztion roof soem - Your Choice in oDlor 7—zo, /�
A. Teer-off & hc-d edsting IW aphelt!�hinglEs
B. Replamenydarnagad decking@ $551 Jx.�d with 7/16 OM(crtyifraoro
C. I nstall pr&peinted rrdd drip edge at the ea/Es
D. Roam any roof Jhcks or caps, -B needed.
E. Rzmverzola pand, will not rdnstdl a -d cliqoowaf A am-KrsaWaa
11. All A rrjesCe, 6dqffanteEsworkrnaiship for five (5) yws
I!!. omscarinc
TM-^
IV. All ArxjesCaa6dwill pro\AdebWding perrnit aid c-pplicableinqpections
V All A n*sChaR3dwil I deer Lp all debris
V 1. All AnImCaagadca-ries Liability I naffaiaa-
V11, Rioefor housa $9324.00
-went:
ZA
qoecificationsovEr and ovethearnount of thewntract \mll !Si! edrachagato thehorneowner. ThisContract isaAbject
41-
b
Owu�- .
MAngles Cove -ed L L C
3001 Sowhllwiroe Street
Denver, CO 80210
Cd I Phone (970) 389-41 E2
Fw- 3M,,757.6340
MKO���
Customer 1 nitials, ,0
THE CONTRACT BETWFEN ALL ANGLES COVERED, LLC ("AAC") AND THE PROPERTY OVV,4ER
("CUSTOMER') ISSUBECTT0 THE FOLLOWING ADDITIONAL TERMSAND CONDITIONS
1. AAC may order excess materials Excem materials will not be charged above the Contract price All excess materials belong to
A,AC. If to be mocked or reordered due to acanoellation by the Customer, Custorner will be responsible for sin
additional RESTOCKING FEE of $500.00.
Z All rrzterials ae guaranteed as; specified. All work to be completed in a Workmanlike manner according to industry standards
jn
warranted by the manufacturer pursuant to manufacturer's written warranty. AAC will supply a CorToetion Certifi(;Ae acid
manufacturer warranty information upon receipt of payrrient in full.
4-r •Cr � , -, C., -
3. Ai A 4 A� 1 #6 it I "It t r k
-*f'sobligation
U" L�,!AiV 44a aid Cu4ori
will not belimited tothearnount of insurance deductible All agreernentsand service dates contingent upon strikes aocidents, or
7
4. Thc Ct
property), for all-risks, i nd udi ng fire, smok� tornado, hail, wind and rain, and all other i nsurance appropriate for the Customer.
ROOF REPAI R'SOR REPLACENIEN TS REQUI RE THE I N I'ERI OR OFTHE STRUCTURE BE EXPOSED 1 0
TH E ),7,;k_F"1�'.',A " 7, Nl - F �S� J i N G D, I E 0 0 rR t_ 0 F T! I E- R K P�A C W L L U SE 00 I'Vit M E R C I A L L Y
N AND
TO PROTECT THE ROOF AN DS7RUCTURF WRI Nl(-TH F PR0(,,PFC,'1ZnC TH F '�A
NO LIABILITY FOR ANY DAMAGES CAUSED BY WEATHER OR OTHER CAUSES AAC shall have no
perq?n operty lc-v,#P-,d therein and
,,+,ir of 0, pr!:_ry c{,rt; rts or 1 pr
the cuaonity ti ll berEspunsiblefor properly %:[eWadi rig (a-td re-noving if nervy) itspropEfty from ihejobsite
A n.{' %411 nrtt U qhje
fnr �fn!(fR_irA on, tcrngnt p, �jry ly-4j, Cr drhfe: mw
dkdp to the
perforry-rr,y, of th('+"n, r,r 7-
& The Customer shddei—le an, arem for AAC to pla:r_ trei le-rF, dOMpt-Iff, S, or stored meteriels,
7. The doper crnnc lint of the, Conlr�:r! isthp,imt m. nvmi by the,� ic-tomers, insifP mm
r) ROV"he crrt
. Pr I . I ) for the _ re of q��
j o�
plusoverheadarid profit (if applicable), and any agreed upgrades or extras ANY reply osimentof darroged or deteriorated decking.
flashing, roof jackets fascia boards, vents or other malterialsor components, unless otherwise stated in this Contract and approve]
by the Property Owner's I rise franc Company are EXCLUDED aid if such work is requested will be charged to andper id by
& _%pplernentd amounts pad, by the I nw,:ZfCc-mr,' j
be paid directly to AAC.
9. AAC i s not respon-1-31i bl e f or pra exi E'.1 ng,-a-,
9 JF1 Y
problems it may observe, but AAC has, no such obligation or responsibility.
qov(-31111KEiiid' ajthuiliie�ui Witis, Any a-tvjuntstiol, pelt within fifteen (15) days shJl a;:Auein1Ci'u4 4 the rdeof eighie�l
percent (180%) per annum from the due date, until paid. Customer shelf be responsible for all attornEys' fees,, costs, and lecrifilirig
proceeding arising out of this Contract, the prevailing party shall be aAaded their ettorneo fear,, end costs
11. The Cortir ad is binding on the 0-i1omer for all purposm upon exertion on the reverse side of this Contract, so long the
exc�)i f rriandAeJ b y at U-1 •_ i �!r ill wf i ip, i a tue wi 1,; 1 10' �rK'.,S Zz 1 b i 4jp:
,
12. By signing this, Contrarj, Oki,< epr
Customer r c *,01W q- he is the of thr-= prO; �,7ty on whi(:11h the work ishEing p�_Tfog a-HCl
i
i,'—VIA 'y
— _J f, j t1
iffn1mcrIft-tely upon receipt, aid to oth.mvi—,,pa-yt10AAC d1 other axncunnts, i,,-.dL.idingth--deducti,'-,,'--port;,on, if Tpliable, or for
m approved and sz_mif ied, by the Property Owner's I nwrana� Company ideritified on the reverse- -side of this Contract, and not
pa lig All prior nt-v-o-Alicttions, or be d merged herein and shelf not be relied on and do not
irWiv,-+hP4wPn die) of thi,,(nntr;r4 I f pnv rvrmvicirw r)f thicz (`,rtntrq-f chnt f1rJ ±�hc,!H tri 1-o intArAiH nr i mr-nfrwn e, the ty
'n M,
1r), r
15. Customer V, ecs to provide a copy of I nsurance Clairn R€ rt to AAC PrO1171pily upon r" pt,
110 If Othe e)([Erit @f1VtdTri or condition uoi IhisiC,;ontral is void, Hilegal, or uner;1ofceA)1eund0 any eft.' cit, ieda,a i&v of,
such void, ill eo or unenforceable provision shall bedeEmed stricken, but the balance of this Contras shall remain in effect.
17. if Property Owner's mortgage lender requires that all or any portion of the payments issued by Property Owner's Insurance
Comp x -.y be pad to or retained by the mortgage lender, Property Owner shall re Ii-ctlefor payor. of such amount diro^tly
to AAL
18, Property Owner representsthat Property Owner is current on all mortgage payments owing on .11 mortgages on the Property.
PLIANDA TOR YCOL ORADO DI SQL OSJRES
0^ :+k 1- 0 Q jz
gra rrt
AAC shall hold in trust any payment received from Customer until roofing materials are onsite and work has begun
2. AAC cerries both general liability aid workers compensation insurance General liability insurance is produced by Sgnature
S�Iect LLC., '17nr, 1-:71h -a r M
I -- .. .. SAte 1 (X), D enver, CO K202 (30-3) 534-45 , Pol icy * C-3 L 0-529701-22- r
3, REM SSI ON. Customer may caicel this contrast and receive a full, refund of any amounts paid at Customer's sole discretion
within 72 hoursof execution of thiscontrac;t- In witnesswhereof purdhaser(�) each acknowledge receipt of a completed copy of this
contract, and all disdosttreson the d-1 and written below. if you plan to rare vex a property _nrld Casuchu inch ir!x Ce
-1 1`1 _11 .11-1-1 _
policy to pay for the roofing work, you nWresdnd this contract within 72 hours after you receivewritten notice from the property
and cmAty insurer that your claim has been denied in whole or part. I n the event of rescission, AAC is entitled to retain payrriients
or deposits to compensate AAC for roofing work actually performed in a workmanlike manner consistent with standard roofing
industry practices
4. DEDUCTIBLE. Your deductible isthe portion of your claim that isnot covered by your ingurancecompany. You. the insured,
ereq 1* -11, 1-M
—,onsible for p ng your deductible amount mo AAC. Exarnp�-- Your cleim —L ---As $10,000, if your de—duc-fible is S5 -T-. the
insurance provider Wil pay $9,500 in total. Leaving you, theinsured, to pay thedifferenc;,- to AAC. I n compliance with Colorado
lace, AAC cannot pay, vrive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the
in,�;rev,ce U`ain i fow P-qy.-F-Na-it Q-1 1-ocif, ing work on property. your por'Lion of p-:iy-inent vvill beyour dm4ut-tible, ph is
the col of any upgrades or options you choose that are not included in the ape of Work.
5, Rat date will be no more than 180 days after contract date. Once the contract is executed and color chosen, AAC will orri(-.T
permits aid mate,iaistalo be delivered to the above listed home. Thispro?- is cxpecticd to 'Lake up to 2 wv ia "Vii/bi k is expected to
be completed in a few daysthereEfter,
,ALAR PANEL AND ACCESSORY1 TEM ADDENDUM
Custon, zgroomio tzkei)'�,y aepsto re -cove protect and reinstall all solar panels, conduit and satelfiteanteinas(" Accessory
Items') in order to properly protect and safeguard than during performance of the work.
2. The Accessory Items must be placed at a mutually agTeeeble storage location that will not interferewith the work of AAC.
3
LACshall have no rt--j-x-,n§ bi l'or ity Aca--3sory item damaqp
UH I , lossor perii,
4. AAC shall have no liability for loss damage or theft, or damage to driveways or other areas caused by the placement storage
of such items
SDECIAL C.R DER MATERIAL SADDENDUM
1. If Customer selects materiziswhich requirea special order from AAC's customary supplier, payment of 50% of the contract toter
vvill be required when the materials are delivered to the location of the work.
2. Customer Will be responsible for Jl costs of q)ecial order rrderiaiinciuding arry ancountsAlt, ,-.
cancelation or termination of the contract,
3. Customer is responsible for all costs beyond the amount of the RCI associated with impa-1 resistant shingles which, may be
t s
not
'7.' "- -; 'm, AAC dcx--; warrant the dur2bi I ity -of imparl resistarf,,,k ql(---
y s; o ca -T f o"�%l na algal 1 dJ
Y
A CCEPTAN CE OF CON TRACT"
The dxj\te priaa,,9DedficAions tmrs a -d ardtionsa-esafidaJory a -d ae hEreby wmeted, Al! LL G ish9-d?y
,Pate
Customer I nitids.
i6. 71 cj ti -le extent ar-iv,-Lan-i or condition of this Uoiltra1 is Void, iil%ral, or unenlorceWle unde- ea nv age: or iedd'a ON OfStaiuile
such void, ille:0 or unenforceable provision shall be damned stricken, but the bdance of this Contract shall ren in effect.
17. If Property Owner's mortgage lender requires that all or any portion of the payments issued by Property Owner's Insurance
Company be toad to at, retained by the mortgage lender, Property Owner shall roman floble for payment of --ich amount directly
y
to AAG
18. Property Owner represents that Property Ow7ier is current on aill mortgage payments owing on ail mortgageson the Property.
AIANDA TORYCOL OR4DODIXL OVRES
1 AAC shal I hold intrust any payment received from Customer until roofing materials are onsite and work has begun
2, AAC carries both general liability and workers compensation insuranca General liability insurance is produced by Sgnature
SjLLC, 'I7rF 17111 -14 9—lite 100, D enver, C) 8M()2 (30-11" 531&A-5671 --WDjic-y # CK -3300592701-22,
3. RESCISSION. Customer rrW cancel this contra:t and receive a full refund of any amounts paid at Customer's sole discretion
within 72 hours of execution of this contract, In witnesswhereof purchaser (s) each aicknowledge, receipt of a completed copy of this
mntraEt, anrl nil tji<zHncs trciQ nn the de- aid yea written bdo f
w, 1 f 'you p 1 an t o 1 ise t h a r-r-eed is o a p roperty and cmL4ty i n su r alcm-
policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the property
and casualty insurer that your claim has been denied in whole or part. I n the event of rescission, AAC is entitled to retain payments
or denosits to cornDensate AAC for roofing work a-,tually performed in a workmanlike mariner consistent with standard roofing
industry practices
4. DEDUCTIBLE. Your deductible is the portion of your claim that isnot covered by your insurance, company. You, the insured.
ae respo -us 10,000. If your d
$erl, ldible is S50-0 , the
n si b 1 e for ping ,fur d ed uct i a-ficunt t a AA C. E xam p I e Yo:#r r d Jm —
insurance provider will pay $9,500 in total. Leaving you, theinsured, to pay thedifferencf-- $500to AAC, IncompliancewithOolor2do
lav, AAC cannot pay, v.,aivei rebate, or promise to pay, waveor rebate ell or painsurance t of aiy inrance deductible applicable to the
,
!?-1-,-4jr.auce d1ji-i-I f of ,pay? --toit Of roofli ng work on 'your prope-ty, As Vie insurad, your pofll ion -,)f pa -F, nen 1 W11 be Tour udmedjutcti 101�, P! Us
the coq of ainy upgrades or options you choose-thet are not included in the ape of Work,
Rat dates
ate will be no more than 180 days after oDntra:t date. Once the contract is executed and color chosen, AAC VAN ord K.
his pro is 'CIN't; UO 0', W 4 4 -
per mi I si aid n -d a- ft civ be cid iver W-' tO, 't he zk; e i ist ed horne. expec�cd 'G ,,N3rk !<, 0-cpa�-ai tic
be completed in a few days thereeafter .
SOLARPAIVEL AND ACCESSORY /TEM ADDENDUM
-1 1CU
" re-norve protect and reinqall all solar pandsi conduit aid seteiiiteantennas(" Accessory
t 4
I tems'') in order to properly protect and saifeluard than during performance of the work.
2. The Accessory I tans must be placed at a mutually agreeable storage location that will not interfere with the work of AAC.
3, e,,AC shall have no resi-)onsil-jility for Aooesmry Item cia loss al- peril.
4. AAC shall have no liability for loss clairaje or theft, or den -We to driveways or other af eas caused by the pliacem ent or storaje
of such iterns,
t,RDEvIATERIALSADDEIVDUPI.I
1, If Customer selects materials which requil re a sl--edal order from AAC's custorray supplier, paflnent of 5011/o of the contract total
vill L
o =e required WhKi the material sere del iverEd to the location of thework,
2. Customer Will be responsible for all cc -is of special order m-c-terids, indudmg may -an--Unts, Ere,
r,-rioelation or termination of the contract.
3. Customer is responsible for all costs beyond the amount of the PCV associated with impar,1 resistant shingles whi&, may be -
a f o� 1 lo v4i r � g a h a i 1 4, A A C d oes n a t v%a r E r t t h e d u r a b i I i ty ref i m P z 0, r, st e n t s h i a P—�
JI
ACCEPTANCE 0FC01VTR4CT
Thedmveprim,cpedficzfioiis, tErrrsa-d aordtionsa-c-sAidalay aid xehErebyacxy-pted, All A.rTj0-rCh;1*-- _LC ishErdhey
11 A n? -
Customer lnitials4 �/
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE '
Inspection Type: _
Job Address:
Permit Number:
41
❑ No one available for inspection: Time i`i AM/PM
Re -Inspection required: Yes No`
When corrections have been made, call for re -inspection at 303-234-5933
i �
Date: �% ��� Inspector:
DO NOT REMOVE THIS NOTICE
`
•' CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 237 -8929 Fax
INSPECTION NOTICE p,lp`}
Inspection Type � — I e.-
Job Address 4 PQ .
Permit Number
e �
r L �T
red: Yes Ai
" , City of Wheat Ridge
]�� Faxed Mech. Permit PERMIT - 110224
PERMIT NO: 110224 ISSUED: 03/09/2011
JOB ADDRESS: 4095 BALSAM ST EXPIRES: 03/08/2012
DESCRIPTION: Replace 90,000 btu furnace
* ** CONTACTS * **
owner FJ & Grace Saylor
sub 303/421 -2161
01 -7835 Blue Sky Plumbing
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0804
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,800.00
FEES
Permit Fee 40.00
Total Valuation .00
Use Tax 86.40
** TOTAL ** 126.40
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED. Work shall comply with 2006
IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed
in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure. Carbon Monoxide detectors are required to be installed
within fifteen(15) feet outside the entrance to each sleeping room.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to afee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provisiog, of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to f'el in tion.
Signat e o hief Building Offical Date
INS CTION 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.
� e) -
INSPECTION RECORD Occupancy /Type
"V'INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
yy Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
TION INSPECTIONS
MI IV 41,1
126.40
Electrical
COMMENTS:
Caissons
Use Tax
86.40
/ (CEG) Concrete Ground
ng or Monolithic
WWate rSe�ice
M: 'INITIALS
INSPECTIONS TO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE
03/03/11 8:10 AN Cobb
Plue Sky P2umbinu 8
Rough Electric
roof / French Drai
Rough Plumbing
ALtth Cade:
Gas Piping
rvice Lines
Rough Mechanical
ABOVE
rvice Lines
126.40
Insulation
-------------'-------------------------
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
INSPECTIONS FOR PLANNING & ZONING. FIRE AND PUBLIC WORKS SHOULD
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing -
MI IV 41,1
126.40
Electrical
Permit Fee
Lath / Wall tie
Use Tax
86.40
Mid -Roof
Electrical Service
ANOUNT
INSPECTIONS TO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE
03/03/11 8:10 AN Cobb
Plue Sky P2umbinu 8
Rough Electric
126.40
Rough Plumbing
ALtth Cade:
Gas Piping
Rough Mechanical
ABOVE
Framing
126.40
Insulation
-------------'-------------------------
Drywall Screw
R.O.W & Drainage
FINALS
BPSP Re lace 90,000 btu f
110224
MI IV 41,1
126.40
Electrical
Permit Fee
40.00
Use Tax
86.40
Plumbing
PAYMENT RECEIVED
ANOUNT
Mechanical
NC 4619
126.40
Roof
ALtth Cade:
009535
Building Final
TOTAL
126.40
Fire Department
-------------'-------------------------
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING. FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping 1 1 BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS
* 'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
06/28/1997 22:19
3034240495
N* 4
BLUE SKY PLUMBING
C crf
PAGE 01
at �
Date:
�1��
COMM'UNLTI DEvnopMENT ~y
Building Division
7500 W. 29'' Ave., Wheat Ridge, (30 800
Office: 303 - 235 - 2855 - Fax: 303 - 237 -892
Inspection Line: 303 - 234 -533
Permit
3
Facsimile Building Permit Applicatio
Property Address; L-OQrj GLI `JQ-M Sf. .
Property Owner (piease print); o ja S)a T'
'
i
I Phone:
Mailing Address; (if different than property address)
Address;
I
City, state, Zip:
Contractor. G,a St 9 �h
Contractor License #: �`t Phone;
Sub Contractors:
Company Name: License #- Expiration Date:
TradeA
rofession• ADoroval
Use of space (description):
Description of work:
De
I " ` octinto wiGace—'M'C' + Plan Ra aw (due at
/me ofsubmiffsQ: $
(� yy
Sq. FY./L added: Squares BTU's R 0 P Gallons i Amps
OWNSWCONTRACTORSIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application ere s
rules or regulations of the City of wheat Ridge or covenants, easements or restrlGt
allegatlons made are accurate; that I have road and agree to ablde by all conditions
= responsibility for compliance with the Wheat Ridge Building Code (1.8.C) and all ath
permit . permit. Pians subject to field Inspection.
rate, and
ns of recor
rinted on this
pllcabl@
do not vlolate applicable Ordinances,
; that all measurements Shawn and
application and that t assume full
Wheet Ridge Ordinances, for work
C/PCCE ONE: (OWNER) (CONTRACTOR or PEP30NAL REP R ENTATIV
PRIVY NAME: C SIGNATU
O R)
( CONTRATOR)
DEPARTMENT US L
ZONING COMMENTS:
Zoning:
Reviewer;
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS i
Revlewar.
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required
Bldg 1�alDatlOn;
OCCUPANCY:
$
Credit Card Payment: Use credit card listed on file.
Print name: }eS- 's
te:
I
le
�J
I
\
1
A
INSPECTION RECORD o ccupancy /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.
rI` C -) �, i i
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB
FOUNDATION INSPECTIONS.
DATE
INSPECTOR NITIALS
I
COMMENTS:.
'
Footings /Caissons
Mid -Roof
Stemwall / (CEG) Concrete
Encased Ground
Rough Electric
Reinforcing or Monolithic
c:
Gas Piping..
Weatherproof / French Drain
y
':-
Sewer Service Lines
-
Water Service Lines
Drywall Screw
INSPECTIONS FOR PLANNING. & ZONING, FIRE AND PUBLIC. WORKS SHOULD
BE CALLED AT LEASTONE WEEK PRIOR. TO FINAL INSPECTIONS.
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
nn Mnr oni m ai nno i wni An 1= unc Qc=M cIrMCn
n -;I..
r
�r
C.
Ir
FINALS
ROUGHS
Sheathing
-
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing -
c:
Gas Piping..
Rough Mechanical
y
':-
Framing
Insulation
Drywall Screw
INSPECTIONS FOR PLANNING. & ZONING, FIRE AND PUBLIC. WORKS SHOULD
BE CALLED AT LEASTONE WEEK PRIOR. TO FINAL INSPECTIONS.
n -;I..
r
�r
C.
Ir
FINALS
Electrical
-
Plumbing
Mechanical
Roof
/
Building Final
-
Fire Department
R.O.W & Drainage
-
INSPECTIONS FOR PLANNING. & ZONING, FIRE AND PUBLIC. WORKS SHOULD
BE CALLED AT LEASTONE WEEK PRIOR. TO FINAL INSPECTIONS.
Parking & Landscaping
"`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ I i CITY OF WHEAT RIDGE
� ] � %0 3) Building Inspection Division
(303) 234 -5933 Inspection line
235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: L AWd
Job Address: L/6Pl?5
Permit Number: 101
.�Pft
❑" No one available for inspection: Time 31`.25 AMA
Re- inspection required: Yes to
When corrections have been made, calf for re-inspection at 303 -234 -5933
Date: Inspector
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
r 0000r (303) uilding Inspection Division
(303) 234 -5933 Inspection line
235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 4(_ - t
Job Address: aIbi`5_
Permit Number:
icn Ul /��/
❑ No one available for inspection: Time AM/ M
Re- Inspection required: Yes No
"When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: !: - —// 1 Inspector:
DO NOT REMOVE THIS NOTICE
r
City of
Wheat j�jdge
- COMMUN [TY 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
PropertyAdilress �� �� {� 5l"
Property Owner (please print): F / y— S� /
t' O lam Ph(
Mailing Address: (if different than ro ert add
Date:
Plan #'
Permit #
3- f15 �j 7
p p Y ress)
Address:
City, State, Zip:
G✓ G � �
Contractor: /� leU p ii.
Contractors City License M
3 3
Phone:
hiectrical: Plumbing: Mechanical:
City License # City License # City License #
bescrin #Ion of work; ��
^ s�r
eD p tf_ S S� $ ontract ValueS. C )
Review Fee (due at time of submittal):
Squares / �J 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)
PRINT NAME: / /fi v7 /� /. lf�� SIGNATURE: DATE:
..? . r ,ii..l ✓.c. ✓, , ,,;- u ' ��r'�:,�.�Z^t�/.��TMF�I�r� "IISF ONI�iY F>✓ c..,. z >., �,. .., r ;✓ ✓.,�,.,, ,'
Bldg Valuation: $
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: &I-0.014Z Scz �,.1 a f^
Property Address: 4/69,i- 6g1ra,_, 1— Phone: j(Dj- Vxj_Cwz
Contractor License No.: /W7,iG
Company: All, � � S hy, �c �ec� IK� Phone: 3 Y4 c)-777 d
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value
I hereby certify that the setback distances proposed by this permit application are accurate, permit Fee
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this Use Tax:
application, and that I assume full responsibility for compliance with the Wheat Ridge Building _
Code (U.B.C.) and all other applicable Wheat Ri ge ordinances, for work under this permit. Total
(OWNER)(CONTRACTOR) SIGNED DATE `rY I Y
Use
i
Description :
Rerfaev eAlAi�' la.J„ Sr4 ,,k lee sy o`f e,
ke1J s ,
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Ft.
Approval:
Zoning:
�I7iPf t�CaRts�
Approval:
P.QH1aWa dMimen
Approval:
Occupancy: Walls: Roof: Stories : Residential Units
Electrical License No:
Company:
Expiration Date
Approval:
Plumbing License No:
Company:
Expiration Date
Approval:
Mechanical License No:
Company :
Expiration Date
Approval:
F.1 11
(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 (8) 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 arhounl 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.
(6) Contractor shall nobly the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on Inspection card before
proc eediing with successive has o the lob.
(6) TT issuance of a permit or the approvals d2wings and specifications shall not be construed to be a permit for, rwr 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