HomeMy WebLinkAbout4135 Balsam Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: r"
Job Address: L" J� - �'?�"
Permit Number: �� �7 r
❑ No one available for inspection: Time ;`ice AM/PM
Re -Inspection required: Yes 'NQ'
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge.co.uslinspection
�a
Date: - I i - j Inspector:
®O NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: ,: \ �� �!3 bl
cv
❑ No one available for inspection: TimeAM/PM
Re -Inspection required:s. No
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge, co. usrnspection
Dater, b ,'-D 1 • V c Inspectors 'Q
DO NOT REMOVE THIS NOTICE
e
City of Wheat Ridge
E -Res. Furnace Replacement PERMIT - 201902050
PERMIT NO: 201902050 ISSUED: 09/30/2019
JOB ADDRESS: 4135 Balsam St EXPIRES: 09/29/2020
JOB DESCRIPTION: Replacing gas 60k BTU, 80% efficiency furnace in crawl space.
*** CONTACTS ***
OWNER (303)319-6735 CONNOR PAULINE F
SUB (303)232-6611 JOSH WARD 018236 APPLEWOOD PLMB, HEAT, & ELEC.
*** 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: 8,253.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 173.31
** TOTAL ** 213.31
*** 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 authonzed
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
thispen It. 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 accompanyingplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
apphc�arl5t�ecode or any 44mance or regulation of this jurisdiction. Approval of work is subject to field inspection.
a
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Cay 9 Wheat Ridge
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PAYMENT RECEDED AMOUNT
PP Z:GB 213.31
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SIAL 213.7
--------------------
Dina Kemp CP o/ �O c�, o D
From: no-reply@ci.wheatridge.co.us
Sent: Friday, September 27, 2019 4:08 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Residential 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
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
4135 BALSAM ST
PAULINE CONNOR
3033196735
, $ '1 /'3 i 3-1
PERMITS@APPLEWOODFIXIT.COM
WHEAT RIDGE CC.pdf
CONTRACTOR INFORMATION
Contractor Business APPLEWOOD PLUMBING HEATING AND ELECTRIC
Name
1
Contractor's License 18236
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3034585988
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address PERMITS@APPLEWOODFIXIT.COM
Retype Contractor Email PERMITS@APPLEWOODFIXIT.COM
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs 60000
What is the efficiency 80
(%) of the unit?
Is the unit GAS or GAS
ELECTRIC?
Where is the furnace or CRAWLSPACE
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 8253
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 work Yes
may not begin on this
property until a permit
q
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.
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 LACEY MABE
Permit
Email not displaying correctly? View it in your browser.
27 `f
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupanc /y Type
0
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
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
Sewer Service
c
Floodplain Inspection (if applicable)
Plumbing
Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date Inspector
Initials
Comments
'Sheathing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
Mid -Roof
c
Floodplain Inspection (if applicable)
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
contact the Fire Protection District for your project.
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
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
inspections call 303-235-2861. For fire inspections
Fire Inspection / Fire Protection Dist.
contact the Fire Protection District for your project.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. 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 -
201705224
PERMIT NO:
201705224
ISSUED:
08/02/2017
JOB ADDRESS:
4135 Balsam ST
EXPIRES:
08/02/2018
JOB DESCRIPTION:
Residential Re -roof to install GAF
ArmorShield II
asphalt shingles with
ROOF DECKING 18 sq.
*** CONTACTS ***
OWNER (303)319-6735 CONNOR PAULINE F
SUB (720)708-4126 Terry Marks
130138 Home Guard Services LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2406 / BEL AIRE,HILLCREST HEIGHTS,
ME BLOCK/LOT*:
0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
6,032.25
FEES
Total Valuation
0.00
Use Tax
126.68
Permit Fee
156.75
-- -- — —
* * TOTAL * *
283.43
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. 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.
It, ► 14 f City of Wheat Ridge
r
®� Residential Roofing PERMIT - 201705224
PERMIT NO: 201705224 ISSUED: 08/02/2017
JOB ADDRESS: 4135 Balsam ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re—roof to install GAF ArmorShield II asphalt shingles with
ROOF DECKING 18 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this,permrt. rther attest that I am le ly authorized to include all entities named within this document as parties to the work to be
performe nd that all be per fg ed is disclosed in this document and/or its' accompanying approved plans and specifications.
Af
Si of ON—ER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans
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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable.cpde or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
2a 17GS
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, July 25, 2017 1:44 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4135 Balsam St
Pauline Connor
303-319-6735
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.
Attach Copy of Contact
Field not completed.
CONTRACTOR INFORMATION
Contractor Business
Homeguard Roofing and Restoration
Name
Contractor's License
130138
Number (for the City of
Wheat Ridge)
Contractor Phone
7207084126
Number
Contractor Email Address
fernl@homeguardroof.com
Retype Contractor Email
fernl@homeguardroof.com
Address
DESCRIPTION OF WORK
Are you re-decking the
Yes
roof?
Description of Roofing
GAF Armorshield
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
18
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
/
TOTAL SQUARES
18 v
(pitched + flat) of all
0)
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
Replacing the roof and re decking on the house. Pitch 5/12
2moo— C 032.2 ��-
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 Fern Lytwyn
Email not displaying correctly? View it in your browser.
3
S4JRETY AND LIABILITY INSURER INFORMATION
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//TIME PR40R TWf4MWf+T OFTNE/,THIRD B '6A;i�l� DATE CF THIS TRANSACTION
�,S� 3, YO BUYER, MAY CANCEL
T,44fS"T%A*SAC,TJON', AT"/ 6SC4E �S SEE,
ATTACHED NOTICIEDFCANCELLATION FORM FOR AN EXPLA14ATION OF TRIMS RIGHT,
RIGHT OF CANCELLATION PURSUANT TO,00L. REV. ST, 4 6-22-104'. YOU. THE BUYER, CANCEt_ AT ANYTIME
DE QR PAY FOR THE GOODS AND
WITHIN 72 HOURS AFTER YOU HAVE IFE N-'-NOT-IFIF-D.,T.KAT,-V(-)��INSURJER R; i1r, I
SERVICES TO BE PMWIDED UNDER THIS AGREE ME/NTysMATTAC��t4o-TICED F/,tANCELLATION ORM 0.R AN EXPLANATION OF
T141S Rl"T.
Comfy "t how in trust any payment from Customer until Company has to your property or has performed a majority of the work on the proper—
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: 1Z b _F
Job Address: ��)
Permit Number: ' ? csl7G 'L 2 Z j
i l
❑ No one available for inspection: Time I M/PM
Re -Inspection required: Yes; I,
When corrections have been made, call for re -inspection at 303 -234 -
Date:— q �/ ��� Inspector: �' {
DO NOT REMOVE THIS NOTICE
;j
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION N / 1
Inspection Type:
Job Address:
Permit Number: 2
❑ No one available for inspection: Time f A p
Re -Inspection required: �)s
No �j /D UP'When corrections have been mde, call for re -inspection at 303
Date:_ ,A__,/ 3/// r Inspector: 1r A
®O NOT REMOVE THIS NOTICE
4"7 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: /M Z
Job Address: 3a /J 9
Permit Number:
❑ No one available for inspection: Time
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date:
q l// 7 Inspector:f
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I U —
Job Address: Lf/35'
Permit Number: 2-o l -7 6 01 q 7
r 04e-
❑ No one available for inspection: Time I�� &/p M
Re -Inspection required: Yes
* When corrections have been made, call for re -inspection at 303-234-5933
Date:� � 2-14/-1 nspector:
DO NOT REMOVE THIS NOTICE
-41 h n I --I r)d-\ I I( _-1
-fl _235 PW) sq iY . 5+, g, ,1 WS P g eT 6h 'RECORD
W i�A-l'NSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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 Comments
Initials
Pier
Floodplain Inspection (if applicable)
Concrete Encased Ground (CEG)
Fire Inspection I Fire Protection Dist.
Foundation / P.E. Letter
Final Electrical
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
Date
Sewer Service
ROW & Drainage / Public Works Dept.
ROW
Plumbing
Floodplain Inspection (if applicable)
uo not cover unser rouna
or tswownn-blao vtrorK ii -nor i o P
Rough Inspections
Date
Inspector
Initials
ROW & Drainage / Public Works Dept.
ROW
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection I Fire Protection Dist.
Mid -Roof
Final Electrical
Lath / Wall Tie
Final Mechanical
Rough Electric
Roof 2--/Y-/7
i3L
Rough Plumbing/Gas Line
Final W Indow/Doors
Rough Mechanical
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.
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
roval Of The Above Inspections
Comments
City ofWi?eat �,zd g
I/O 1/2017 16:8 C111P 1
Ierraot r`OMP"Ote tear
CDA01 +915 iii UNi
PPSP 41a� Yal5am ST
PPUPERMIT NO: 2 17H,147
PAYMFNT RPUTUH1 GM slid l
Final Inspections Date
Inspectort1J
Initials
11 9
AUTii gill;,[:: x'9136
TOTAL
---------------------------
Inspections fro -------------------------------
one week in ad
inspections call
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
ROW
Floodplain Inspection (if applicable)
Fire Inspection I Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof 2--/Y-/7
i3L
Final W Indow/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.
'For Inspection Time Window Requests — Please email insobmerequest(d)ci.wheatridae.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
41 CITY OF WHEAT RIDGE
?;O
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
11, Inspection Type: p '
Job Address: ._.
Permit Number: o L -j
❑ No one available for inspection: Time M
Re -Inspection required: Yes No
*When corrections have been ma ,all for re -inspection at 303-234-5933
Date: �¢ qtr Inspector: t
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
000orBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
M _V
Inspection Type: I
Job Address: q8.5 -
Permit Number: Zol-7001q-7
.2
42,
jv
&k one available for inspection: Time I 0__ M/PM
Re -Inspection required: CY__?s) No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700147
PERMIT NO: 201700147 ISSUED: 02/01/2017
JOB ADDRESS: 4135 Balsam ST EXPIRES: 02/01/2018
JOB DESCRIPTION: Reroof complete tear off and replacement; Replace with Owens Corning
Duration Storm impact resistant shingles; Synthetic underlayment, all new
drip edge eaves and rakes, replace pipe jacks, turtle vents, and step
flashing
*** CONTACTS ***
OWNER (303)422-5245 CONNOR PAULINE F
SUB (303)728-9402 Mark Janney, Tom Ross 170025 Concise Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00
FEES
Total Valuation 0.00 1
Use Tax 99.00 Dr,"OL
Permit Fee 140.90
** TOTAL ** 239.90
*** 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 k/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&Oms 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.
A City of Wheat Ridge
Residential Roofing PERMIT - 201700147
PERMIT NO: 201700147 ISSUED: 02/01/2017
JOB ADDRESS: 4135 Balsam ST EXPIRES: 02/01/2018
JOB DESCRIPTION: Reroof complete tear off and replacement; Replace with Owens Corning
Duration Storm impact resistant shingles; Synthetic underlayment, all new
drip edge eaves and rakes, replace pipe jacks, turtle vents, and step
flashing
1, 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 partes to the work to be
performed and that all work to be performed is disclosed in this docwment 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
receivedprior 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 originalpermitfee.
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 Budding Offcial and is not guaranteed.
4. No work of an 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.
I
Signature of Chief Building Official Date
REQUESTS NUST 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.
_LL ('� 1r\ I -n n,r, i i 1 -1
'q) �5 Bch lsqhk�+. I I'SPI T16 RECORD
Or— 05'J -'S rpt_&'6LC SPECTION REQUEST LINE: (303) 234-5933
Occupanc ype
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 Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Anoroval Of The Above Insnectinns
Underground/Slab Inspections
Date
Inspector
Initials
Comments
Electrical
Fire Inspection / Fire Protection Dist.
Final Electrical
Sewer Service
Final Mechanical
Plumbing
Final Window/Doors
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date Inspector Comments
City of Wheat Ridge
02/0112017 16:18 CDBA
Reroof romolete tear
CDA01391.5 AitOUHT
BPSP 4135 Balsam ST 239.90
APPLIPEROIT NO: 201700147
r1nv4f['677 Dr r„rxt
Inspector
Final Inspections Date Initials
US :6014 -� 239.39
RUTH CODE: 049836
TOTAL 2.±9_90
Inspections frc--------------------------- ___ -----
one week in ad
inspections call JVJ-LJJ-GVYV. 1 VI r -,,/vv q„U U. p11 ,Gy1
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Initials
ROW & Drainage / Public Works Dept.
Wall Sheathing
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
Final Mechanical
Lath / Wall Tie
Final Window/Doors
Rough Electric "
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.
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
City of Wheat Ridge
02/0112017 16:18 CDBA
Reroof romolete tear
CDA01391.5 AitOUHT
BPSP 4135 Balsam ST 239.90
APPLIPEROIT NO: 201700147
r1nv4f['677 Dr r„rxt
Inspector
Final Inspections Date Initials
US :6014 -� 239.39
RUTH CODE: 049836
TOTAL 2.±9_90
Inspections frc--------------------------- ___ -----
one week in ad
inspections call JVJ-LJJ-GVYV. 1 VI r -,,/vv q„U U. p11 ,Gy1
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
ror fow voitage permits — r-iease oe sure tnat rougn inspections are compimea rrom the rire district ana electrical low voltage
by the Building Division.
"For Inspection Time Window Requests — Please email insptimereauest(a).ci.wheatridge.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of
W heat Ij gie
COMMUNITY 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
Email: permits .cimheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # % GO
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: 4135 Balsam St, Wheat Ridge, CO 80033
Property Owner (please print): Pauline Connor Phone: (303) 319-6735
Property Owner Email: pauline.connor@dhha.org
Mailing Address: (if different than property address)
Address: Same as Above
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: Concise Construction
Contractors City License #:
170025
Contractor E-mail Address: mark@conciseconstruction.com
Sub Contractors:
Phone:
Phone: (303) 667-7823
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL [RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ 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.)
Re -roof, complete tear off and replacement of roofing system. 34ab coming off. Owens Corning Duration Storm
impact resistant shingles going back on. Synthetic underlayment, all new drip egde eaves and rakes, replace
pipe jacks, turtle vents and step flashing.
Sq. FULF
Amps
Btu's
Squares
17
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
5500.00
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): DATE: 9/1/17
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
,.EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95 -835
BUILDING INSPECTION DIVISION - 235 -2855
CITY OF WHEAT RIDGE Date :4/27195
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 N o
/
Property Owner:
Property Address:
Contractor License No.
Company:
ZEMAN MATTHEW F
4135 BALSAM ST
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 I Idge ordi�n for work under this permit.
(OWNER)(CONTRACTOR) SIGNED LM DATE I f Z - q5
Description : NEW FURNACE
Phone: 422 -5245
Phone:
Construction Value:
$800.00
Permit Fee:
$21.00
Plan Review Fee:
$0.00
Use Tax:
$20.00
Total:
$41.00
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date : Expiration Date: Expiration Date
Approval: Approval: Approval:
1 : ' IN EMNINNIVIVE It
(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
promediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes�or any other ordinance, law, rule or regulation.
Chief Building
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION
)EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235 -2855
CITY OF WHEAT RIDGE Date : / //1 _
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: C22 (///
Property Address: ���� & l5&e r!YL
Phone: Z 2 2 L{
Contractor License No.
Company:
Phone:
OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
>
Construction Value :
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
permit Fee
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 Wh t Rid a or r work under this p rmit.
(OWNER)(CONTRACTOR) SIGNE % Cam/ ✓ ATE
Total
y 271x5
Description
Electrical License No : Plumbing License No: Mechanical License No
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date
Approval: Approval:
Approval:
2 �1ufresJ .: Psrfitra9 t IN
(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
proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
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