HomeMy WebLinkAbout4115 Balsam StreetINSPECTION RECORD °ccupanw/Tvpe
"--INSPECTION REQUEST LINE: (303) 234-5933 ISL
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector CommentsInitials
Pier
Electrical
Mid -Roof
Concrete Encased Ground (CEG)
Sewer Service
Lath / Wall Tie
Foundation / P.E. Letter
Plumbing
Rough Electric
Do Not Pour
Concrete Prior 10 Approval UT i ne Huvve nwIJCI+LI V1 I.,
Underground/Slab Inspections
Date
Inspector CommentsInitials
Electrical
Mid -Roof
Sewer Service
Lath / Wall Tie
Plumbing
Rough Electric
. 1-_ __ o..l,...,!I C1-11% \Ahrlr Drinr Tn &nnrnval Ut I nE Anove InsDectlons
Lit) NUL %-#VVCI %J11%A1 1
Rough Inspections
Date Inspector
CommentsInitials
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
V
V
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.
r__.— c.,.,rl IMA/ vnitnnP
*For low voltage permits - t lease ue sure uiaL 1L)uy11�NV.,V u- _Vby the Building Division.
**For Inspection Time Window - Please email insptimerequest@Ci.Wileatridge.Co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOT CE A
Inspection Type: -J
Job Address: !!Dle S
Permit Number: -a0/ 70 %5g0'
❑ No one available for inspection: Time
Re -Inspection required: Yes�1V'
When correct77�
a been made, call for re -inspection at 303- 34-5933
(911
Date:Inspector:
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: A A r; -_ D
Job Address: 4///S- 13 A C _S 4M 40/.
Permit Number: 2.(r) / 0 / 57 &:�:!J
❑ No one available for inspection: Time ),L;LU ),L;AM/0
Re -Inspection required:�e:_'.) No ``•✓�
When corrections have been made, call for re-inspe ion at 303-234-5933
01V /V
Date: a` Inspector: /
/ DO NOT REMOVE TH S( ,NOT/ E
V
City of Wheat Ridge
Residential Roofing PERMIT - 201701580
PERMIT NO: 201701580 ISSUED: 06/06/2017
JOB ADDRESS: 4115 Balsam ST EXPIRES: 06/06/2018
JOB DESCRIPTION: Redeck, Re-roof,modifed bitmen, Tamiko shingles Dimension
*** CONTACTS ***
SUB (303)246-0766 WIKSTRAND GARY D TRUSTEE 170171 Colorado Builders Corp.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,818.47
FEES
Total Valuation 0.00
Use Tax 164.19
Permit Fee 172.60
l
** TOTAL ** 336.79.0 `
*** 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 A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&€ -s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201701580
PERMIT NO: 201701580 ISSUED: 06/06/2017
JOB ADDRESS: 4115 Balsam ST EXPIRES: 06/06/2018
JOB DESCRIPTION: Redeck, Re-roof,modifed bitmen, Tamiko shingles Dimension
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 e property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit.l. est that Ian legally authorized to include all entities named within this document as partes to the work to be
performedfid th work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signatuw-'of OVINER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in L permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
Official Chief Building Oial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or re ulation of this jurisdiction. Ap roval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
®• City of
Wh6at ldge
COMMUNITY DEVELOPMENT
PAID
Building & Inspection Services Division
J
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits Qci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
l.p
Plan/Permit # 2 i
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: 211 S & AA 01 4
Property Owner (please print): ,,.�,� 6, �I j`ra N d Phone: 30'3 -Z' -1C -67(o6
Property Owner Email: C
Mailing Address: (if different than property address)
Address: AIA
City, State, Zip:
Architect/Engineer: MA
Architect/Engineer E-mail:
Contractor: CS joy �•
Phone:
Contractors City License ; : i ^i 0Phone: 303—
Contractor E-mail Address:
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 1q" RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION g'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 material to be used, etc.)
pp r C
e. ti✓C,l� , (,�` Qi• `ej '.r '„�'�h� 7'a•K1 ko Ski. cs
4 �
•
Amps
Squares
Gallons
a .3 3 Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not viofa &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) (CO TRACTOR) or (AUTHORIZED RE�RESANTAoff TIVE) (OWNM wgXTRACTOR)
w
RP INT NAME— �' . SIGNATURE: /(/ DATE: (7
• . '. r.; ... s, < Dj PARTIVI,kNT U$E PP4, Y,
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANTLOAD:
PUBLIC WORKS COMMENTS: `y 2 7� 1 Z� 7C G— -
1 I
Reviewer: G J i TQ p'I f
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ® Received ❑ Not Required
Building Division Valuation:
Sanitation District ❑ Received ® Not Required
r
Inspections will not be made unless this card Is posted on the building site
Call by 11 59 P.n receive Ins da y.
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Mlilllll� � �
W. a
C ity of at Ridge
07/14/2014 4 Gae B l
Install 88,800 btu f.
CDA@10171 AMOUNT
BPSP 4115 Balsam ST BH
*CCUPANCY AOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUC-Y)
PR OTECT THIS CARD FROM THE WEATHER
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Phons.30 221
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CIRLCE ONE (OWMMQCONTRAOTOOt or PER$ONAL REPREWNTATIVE of =OWNER) (COW(PATOR)
_PMNAME =&js Date:
p7 4F
Credit Card Payment Use cmdff card 11sW on file. Date:
Print name: &412 S� Signature:
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City of
Date
Plan Of
ij
Permit
x .. Ji . •.- ..E
Address:
City, State, Zip;
Contractors City License #: 12-o
. .
Phone: `
Mechanical:
City License
g 1E I lic 1 a w
Review F (due at time of sxbmitt tf:
Squares BTU's {gallons Amps Sq Ft. 11
"M "e NE. (Gi ' ER) (CONTRACTOR) er (AUT fORIZE ► P " " t: '"ATIVE) of (OWNER) (CONTRACTOR)
x
05/17/2010 MON 17 :06 FAX
"�' City of Wheat Ridge Building Division
a ..
„ 7500 W. 29`" Ave., Wheat Ridge, CO 80033
Office: 303- 235 -2855 x Fax: 303 -235 -2857
2 p6��="-p o Inspection Line: 303 - 234 -5933
Property Address:
Property Owner (pie,
Mailing Address: frf different than property address)
Contractor.
License #: C3
Sub Contractors:
Electrical City License #:
Company:
Exp_ Date:
Phone:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date:
9002/002
Date:
Plan #:
Permit #.-
Exp. Date:
Use of space (description)L lei` f OCR V Construction Value: $
Description of work: 'v z - p c ,y,� (as calculated per the srrifdrnp aluatlon rata sho at)
Plan Review (due at time Ofsubmltta!): $
FtJL.Ft adds - 8\ Sauares/i1'a J11 alinn_Ft� a \Amnc —�
OWttERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances pproposed by this permit application are accurate, and do not violate applicable ordinances.
rules or regulations of the City of Wheat RUdge or covenants, easements or restrictions 'of record; that all maasumments shown, and
allegations made art accurate: that I have read and agree to abide by all mndltlons printed on this application and that I assume full
responsibility for compliance with the Wheat Ritltlgg Building Code (I.1 C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field Inspoctfon.
CIRLCE ONE:: (OWNER) f (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) ( NTRATOR)
PRINT NAME; I SIGNATURE.( g„ Data:
ZONING COMMENT$:
Zoning:
Reviewer.
DEPARTMENT USE ONLY
PUBLIC WORK$ COMMENTS
Reviewer. '
X
'V
..BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Revlswer:
FIRE DEPARTMENT:! O. approved w / comments 0disapproved ❑ no review mquiretl Bldg Valuation:$
Building Permit Application
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: C A 1 /�Si /Z l /v D
0 V W 3G_.-7
Property Address : // //,)- / Phone : --/
Contractor License No.: / 7/ f-2 ( 3 e3�
Company : .0" C_is � Phone : o 9'
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed dY 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 20 measurements shown. and allegations
i made are accurate: that I have read and agree to abide by all conditions printed on this
appbpdon: and that I assume Pull reaponaard)N r compliance wan the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances. for work under this pemM.
(OWNER)(CONTRACTOR)
Construction Value: —
Permit Fee : 2 a
Use Tax ,Sv-o ^s sr� o, Sy
Total: 2 a —
Description : r-V /c E.� �ra �.�- i ra� I`o/ i`n �P� ,,/O
Electrical License No Plumbing License No: Mechanical License No:
Company• Company: Company:
Expiration Date : Expiration Date: Expiration Date:
Approval : Approval Approval
Ip!Ws'Rr qufred= 3 : -Pans Requfred:"
- (i) This permit was issued in accordance wnn the provisions set forth in yopur application and is subject to the laws of the state of cojoratlo and to the Zoning
Regulations aria Building Code of Wheat Ridge. Colorado or any otner applicable ordinances of the city.
(2) This permit snail expire if (A) the wad aumonoed a ril commenced within sixty (60) days from issue date or (B) the builtllng authorized is suspended of
'- alu{pdo -, , apeppQ�of _t2o days:
(3) If this pertnrt ezp °a ne`w'.tff'tmlt May pe acQUlraa for a tee of on"d the amount normally reouired. provided no charges haw been or win be made in Iris
ongmal plans and apearabons and any suspension or abandonment has not exoewed one (i) Year. If enarges are made a d iuspenson or swroonmem
exceeds one (1) yew. hull fees Shan be wld for a new Demon.
(i) No work of any manner shall m done trial wolf Change me natural now of water causing a drainage problem.
(5) contractor snail nobly the. Building Inspector twenty-four (24) hours In advance for all inspections and Shan race" written approval on inspecapn card before
proceeanng with successive phases of the fob.
(6j The issuance of a permit or me approval of drawings and speahations snail not be construed to be a perms for. nor an approval of. any violation of the Provisions
of the omldingcodes of any other ordinance. law. ruse or regulation.
1 464
Chief Building inspector For Mayor
TrtilS PERMIT 'VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 2145933 24 HOURS PRIOR TO INSPECTION