HomeMy WebLinkAbout4125 Balsam StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Monday, August 16, 2021 1:32:41 PM
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 4125 balsam st wheat ridge co 80033
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
david heil
303-421-1553
permits@fixmyhome.com
CONTRACTOR INFORMATION
Contractor Business fix -it 24/7
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 Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Chad E. Caruso
Permit
Email not displaying correctly? View it in your browser.
Name
Contractor's License 180142
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
3036593400
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@fixmyhome.com
Address
Retype Contractor
permits@fixmyhome.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
60
What is the efficiency
80
(%) of the unit?
Is the unit GAS or
gas
ELECTRIC?
Where is the furnace or
crawispace
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
6975.00
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
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The A a$3ectio�'s/
Underground/Slab Inspections
^ "
Date Inspector y Com nwa
Initials
Electrical
V*( Sheath ing
Sewer Service
Plumbing
Do Not Cover Underground or Below/in-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date Inspector
ligitiols
Comments
V*( Sheath ing
✓ i -1
Mid -Roof
Lath / vVall 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
Z0,5/7
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
p � �
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: 2710V � �
Job Address: 6zSa^ 57�"
Permit Number: 2L%7i�-Myll
❑ No one available for inspection: Time -SAM%PNS,!
Re -Inspection required: Yes �No
When corrections have been made, call for re -inspection at 303 -234 -
Date: * 3'/ 7 Inspector: 6/41?4-f __
DO NOT REMOVE THIS NOTICE
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: r , ,�/rb
Job Address: Ll 1 CPS7Llerc ISal"L 5-t__
Permit Number: Q/70 r_q u
❑ No one available for inspection jime ! r } AM/PM
Re -Inspection required: Yes ,No
When corrections have been made, call or re -inspection at 303-234-5933
Date:_ 7 Inspector: i r
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTIC �^
Type:
Inspection T e:
p
Job Address: 611 S S�
Permit Number: 2 C,/ 70 37ycl
❑ No one available for inspection: Time E.M/PM v)
Re -Inspection required: Yes No"`
_ c'l -S H
When corrections have been made, call forre-inspection at 303-234-5933
Date:?- lq') f Inspector: `)OO Ci �C 4'�__
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
%=
.Y
Inspection T e:
p Type:
Job Address:
INSPECTION NOTIC
Permit Number:
-- U 70 -3Y (-1
0
❑ No one available for inspection; Time cl- `J �M/PM
Re -Inspection required: Yes No�"
When corrections have been made, call for re -inspection at 303-234-5933
Date: ?" lq' ) 7 Inspector: �� r; /
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
4 �
® Residential Roofing PERMIT - 201703844
PERMIT NO: 201703844 ISSUED: 07/12/2017
JOB ADDRESS: 4125 Balsam ST EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 40 sq (36 sq pitched
/ 4 sq flat)
*** CONTACTS ***
OWNER (303)421-1553 HEIL LIVING TRUST
SUB (303)424-7663 John R. Emrich 170179 Reroof America Contractors
*** 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: 16,000.00
FEES
Total Valuation 0.00
Use Tax 336.00
Permit Fee 299.40
** TOTAL ** 635.40 r
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201703844
PERMIT NO: 201703844 ISSUED: 07/12/2017
JOB ADDRESS: 4125 Balsam ST EXPIRES: 07/12/2018
JOB DESCRIPTION: Residential Re—roof to install GAF asphalt shingles — 40 sq (36 sq pitched
/ 4 sq flat)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications=
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. 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 wor tie perfcrme l is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
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 %J Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett e7,0 J I I
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 29, 2017 9:47 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
a
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
Q
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.
t�
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
4125 Balsam Street
David Heil
3034211553
Field not completed.
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
Reroof America Contractors
3034247663
Contractor Email Address jpowell@reroofamerica.com
Retype Contractor Email jpowell@reroofamerica.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing GAF Shakewood/Golden Cedar
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 4
on the flat roof?
TOTAL SQUARES of all 40
roofing material for this
project
Provide additional detail Reroof home/Garage roof
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract $16,000
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 Brian Boake
Email not displaying correctly? View it in your browser.
3
303-424-7663 IMCU
ML
A&REROOF 303-456-4013 Fax1jjUs
AMERICA 6820 North Broadway
�ON
Suite H&I CO Lic #: 232269
CONTRACTORS Denver, CO 80221
ACCESS AND AUTHORIZATION
Insured: Q,4V-Tt--') 1-1 F�T L --
Address: LA 1 �-- 5 [3 -44- 5A iA 57��
LSH EA r 1Z 370 6 E r, -O, h 62 (2 3 3
Policy#: V C `3 3) q 7 5 13
Insurance Co: A A Ak
Claim#: 100,)-- 10 — '3 Li 11
This agreement is for FULL SCOPE OF THE INSURANCE PROCEEDS and does not obligate
homeowners or REROOF AMERICA CONTRACTORS CO, LLC. unless the homeowners insurance company approves
repairs. By signing this agreement the homeowner authorizes REROOFAMERICA CONTRACTORS CO, LLC. to pursue all
repairs at a price agreeable to the insurance company and REROOF AMERICA CONTRACTORS CO, LLC. at NO COST
TO THE HOMEOWNER EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final price agreed on between the insurance
company and REROOF AMERICA CONTRACTORS CO, LLC, shall become the final contract price of the full scope of the
insurance proceeds. Payment will be made separately after work is completed for roofing, siding, gutters, or other repairs.
Signature of Insured:
Date:' -7 " /q - /7 Service Consultant:
ARA -Amari.
2 it O f Inspector: € t
DO NOT REMOVE THIS NOTICE
's
LVF.x ST�if 5 +, �i .'P Fes'
1 fP
I' 'IA P
�
❑ No one available for inspection: Time : 6 A M t
Re- Inspection required: ryes, No
When corrections have been made, callFfor re -ijspe lion of 303-234-5933
Date: ~ /,�` Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
f Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 61 CA y P� P55u✓ "� — � l
Job Address: lffa; Y UA0IM e "4
Permit Number: /02 7-!5L?
❑ No one available for inspection: Time A IPM
Re- Inspection required: Yes [ No
When corrections have been made, calf for a - ins ectio at 303 - 2345933
F Date: �d ` �r 3 - f Inspector:
DO NOT REMOVE THIS NOTICE
r 0000r-
City of Wheat Ridge
Residential Mechanic PERMIT - 102759
PERMIT NO: 102759 ISSUED: 12/20/2010
JOB ADDRESS: 4125 BALSAM ST EXPIRES: 12/20/2011
DESCRIPTION: Install tankless hot water heater and extend gas line
* ** CONTACTS * **
owner 303/421 -1553 David Heil
sub 303/975 -8809 Gary & Kimberly Neal 07 -0008 Elkhorn Htg. & Air Conditionin
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0325 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,206.00
FEES
Permit Fee 109.20
Total Valuation .00 �gL
Use Tax 57.71 ri
** TOTAL ** 166.91
Conditions:
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.
Subject to field inspections.
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 a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all 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.
/v2 oZ0 4d
Signature Building Offical Date
INSPEC ON EQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REOUE S MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
F 1J f
City of
�Wheatd �e
COMMUNITY DEVELOPMENT
Date:
Plan #
Building & Inspection Services Division Permit #
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
i� o� rt Aild s
1&5 - B Ct ( S Q' vvl f
Properly Owner (please print) - �Y)GL V i d 40 j ( Phone: I4a l - I S i s �
Mailing Address: (if different than property address)
Address:
City, State, Zip: p
Rio` tract- : CIK hoc n �o in1 I��r� () 1 jlr^,
Contractors City License #: Phone: 3)G S- sp y
Electrical: Plumbing: Mechanical:
City License # City License # City License #
OR ;x &k
�Descn utlon'of�wor"k ^;
re e lJCLR'r ne-otJe, ��4- Ct'(Lk2 is
$ontractValue:
Review Fee (due at time of submittal):
Squares BTU's _ Gallons Amps Sq Ft. l n
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: 1 (OWNER) (CON ;R) or (AUTHORIZED REPRESENTATIVE) of
�' of (OWNER) (CONTRACTOR)
PRINT NAME: '1� ` I o, 60'r � t� eeA SIGNATURE: ° NX�( y �C _RI / DATE:
Bldg Valuation:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303- 234 -5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303- 235 -2855)
Building Permit Number
Date
77838
10/5/2004
Property Owner: DAVID HEIL
Property Address: 4125 BALSAM ST
Contractor License No.: 17835
Phone : 421 -1553
Company: Blue Sky Plumbing Phone: 421 2161
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 re onsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable W heatEUdge ordinances, for work under this pprmit.l
(OWNER)(CONTRACTOR)
Valuation :
$2,692.00
Permit Fee :
$108.30
Plan Review Fee:
$0.00
Use Tax:
$32.30
Total:
$140.60
Use:
Description : INSTALL N€WFURNAM. 125,000 BTU
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Ft.'.
Approval:
Zoning
Approval
b�;� orks °C mi
Approval
Occupancy:
Electrical License No
Company:
Expiration Date
Approval:
Walls: Roof
Plumbing License No:
Company:
Expiration Date
Approval :
Mechanical License No :
Company:
Expiration Date
Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The r or the approv drawi ngs and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
odes er ordinance, law, rule or regulation.
Chief Building Inspector
Stories: Residential Units :
Please sign Terms and Conditions on reverse side of page.
BUILDING INSPECTION DIVISION - 235 -2855
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address
Contractor License No.
Company:
yia5 �t;l5
Ski r
OWNER/CONTRACTOR SIGNATURE OF
Phone : 4;0 — 15'j3
Phone : 36) - ;_� - 1 0 . I - a 1 (2 f
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 sponsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applica e Whe t Ridge ordinances, for work under this pe it.
(OWNER)(CONTRACTOR) SIGNED _DATE 1 s Use:
Description : , ()�;+ (6��
BUILDING DEPARTMENT USE ONLY
SIC
Approval:
Zoning :
Approval:
RUM [c�W bGR2LGpmmen37
Approval:
Occupancy: Walls
Electrical License No :
Company:
Expiration Date
Approval:
ction Value:
Permit Fee:
Use Tax:
Total
$0.00.
Sq. Ft. :
Roof: Stories: Residential Units :
Plumbing License No: Mechanical License No
Company: Company:
Expiration Date: Expiration Date
Approval: Approval:
(1) This permit was Issued in accordance with the provisions set forth In yopur application and Is subject to the laws of the Stale of Colorado and to the Zoning
Regulations and Building Code of Wheal Ridge, Colorado or any o0rer applicable ardinancEs of the City.
(2) This permit shall expire d (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-1161f 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 lob.
(6) The issuance of a permit or a 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 of 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
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303 - 234 -5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303- 235 -2855)
Building Permit Number
Date
9781
11/15/99
Property Owner:
Property Address
Contractor License No.
Company:
4125 Balsam Street
18992
Kegley Roofing
Phone: 303 - 421 -1553
Phone: 429 8890
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 Whet Ridge ordirtance0or work under this permit.
(OWNER)(CONTRACTOR) SIGNE ) DAT
Construction Value :
$3,561.00
Permit Fee:
$97.25
Plan Review Fee:
$0.00
Use Tax:
$53.42
Total:
$150.68,
Use
Description : Remove shingles from house, one layer from garage, Install 3 -tab shingles.
Electrical License No:
Company:
Expiration Date
Approval:
Plumbing License No:
Company:
Expiration Date:
Approval:
Mechanical License No :
Company:
Expiration Date
Approval:
(1) This per was
Regulations and
(2) This permit shall
abandoned fora
(3) If this permit exp
(4) No work of any , nii
(5) Contractor shall ni
promedung with s
(6) The issuano"f a
=d 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
ling Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
re if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
A of 120 days,
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
scifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
full fees shall be paid for a new Permit.
the natural flow of water causing a drainage problem.
our (24) hours in advance for all inspections and shall receive written approval on inspection card before
and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
r or regulation.
Chief Building I
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 APPLICATION
Property Owner:
Property Address "a..5 ice,\ Phone: (I a _ `SS3
Contractor License No.: /Yc� "�--
Company: K Phone: o _ c
eG� \ i2 cx l n' I c �(2 I SS /b
OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances -for work under this permit.
(OWNER)(CONTRACTOR)
Construction Value :
Permit Fee:
Use Tax:
Total :
use
Description: 2enY -fie .315 ran vSe ohm 1C�j.� Fors oCe�
3 -- NG b 531` e5. J
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Ft.
Stories : Residential Units `.
Electrical License No : Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date
Approval : Approval : Approval
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building code of wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This perk shall expire d (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.
r (6) Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before 1 '
proceediing with successive phases of the 1 "ob. j
(6) The issuance of a permit or the approval l 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