HomeMy WebLinkAbout4275 Balsam Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
119SPECTION NO-TICE
Inspection Type: /
Job Address: �L�2
Permit Number:.t
❑ No one available for inspection: Time
Re -Inspection required: Y fl.
o*When corrections have been made,rte spection at 303-234-5933
Date: Y Inspector:
DO NOT REMOVE THIS NOTICE
` City of Wheat Ridge
Residential Mechanical PERMIT - 201901930
PERMIT NO: 201901930 ISSUED: 09/11/2019
JOB ADDRESS: 4275 Balsam St EXPIRES: 09/10/2020
JOB DESCRIPTION: Replace 75K BTU furnace in crawlspace, replace 2 ton 15 SEER AC
*** CONTACTS ***
OWNER (303)424-7951 KOSTER MARNA
SUB (303)757-5661 LARRY D. BELL 017174 BELL PLUMBING & HEATING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,460.00
FEES
A/C Replacement 60.00
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 198.66
** TOTAL ** 298.66
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authoriz d to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally auth zed to include all entities named within this document as parties to the work to be
performed and that all work to be performed 'a tsclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER qfr i O6NTRACTOR ,(Circle one) Date
I . This permit was issue tbasyed"On the information provided in the permit application and accompanying plans and specifications and is
subject to the compliancewith 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 orizinalpermit 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
Diviston.
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 ordigance or regulation of this jurisdiction. Approval of work is subject to field inspection.
9
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat fZ, dge,
COMMUN Y DJ .vt.tcWMEN t.
Building & Inspection Services
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
H9� 30
I FOR OFFICE USE ONLY
Date:
1
Plan/Permit #
910
� , 1100
0
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 4275 Balsam St Wheatridge, CO 80033
Property Owner (please print): Marna Koster Phone: 303-424-7951
Property Owner Email: None
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: Same as Above
Citv, State, Z
Architect/Engineer:
Architect/Engineer E-mail:
Contractor Name: Bell
c!
City of Wheat Ridge License M
Phone:
Phone: 303-757-5661
Contractor E-mail Address: bt�y rl\a1�._w. �' ply , (Lcvy\�
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): \A -k \V-- Phone: J a0 - aV5 - QLSSO
CONTACT EMAIL(please print): _�, x w.k VS e\\l�.�v�
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
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 highlighted fields.
[—]COMMERCIAL ® RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Replace existing furnace with 75,000 BTU 80% furnace in crawlspace.
Replace existing 2 ton 16 SEER AC r
[�, " k ( uok-
Sq. Ft./LF
BTUs 75,000 / 2 Ton Gallons
Amps Squares For Solar: KIN # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
0"'NER/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. fJ
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AMORIZED
Signature (first and last name):
Printed Name:
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
ATIVE) of (OWNER) (CONTRACTOR)
DATE:
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
► ' City of Wheat Ridge
� r
~� Residential Roofing PERMIT - 201707939
PERMIT NO: 2017-07939 ISSUED: 10/03/2017
JOB ADDRESS: 4275 Balsam ST EXPIRES: 10/03/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles with ROOF DECKING - 20
sq Pitch = 5/12
*** CONTACTS ***
OWNER (303)424-7951 KOSTER MARNA
SUB (303)955-5348 Michelle Wilkendorf/Bryan Stil 170250 Elevation Restoration 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: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
I* ► ' 4 City of Wheat Ridge
Residential Roofing PERMIT - 201707939
PERMIT NO: 201707939 ISSUED: 10/03/2017
JOB ADDRESS: 4275 Balsam ST EXPIRES: 10/03/2018
JOB DESCRIPTION: Residential Re—roof to install OC asphalt shingles with ROOF DECKING — 20
sq Pitch = 5/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codesqandall, plicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the d a authorized to obtain this permit and perform the work described and approved in conjunction with
t rmit. I further atteseg authorized to include all entities named within this document as parties to the work to be
er o ed and that all worfo ed is disclosed in this document and/or its' accompanying approved plans and specifications.
y -
Signature of OWNER or CONTRACTOR one-) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermitfee.
3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable cod por�dinanncce"or re ulation of his jurisdiction. Approval of work is subject to field inspection.
ice"
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
7� 1-� C,7
From: no-reply@ci.wheatridge.co.us
Sent: Friday, September 29, 2017 12:08 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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
�L
Property Address 4275 Balsam Street
Property Owner Name Marna Koster
Property Owner Phone 303-424-7951
Number (enter WITH
dashes, eg 303-123-4567)
1
S
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
bryan@elevationrestoration.com
Yes
Koster Contract. pd
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Contractor Email Address
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
Elevation Restoration LLC
L
17050
6126553056
2093 Montane Dr E
bryan@elevationrestoration.com
bryan@elevationrestoration.com
Pitched roof (2:12 pitch or greater)
z
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof`?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof.-
Type
oof:
Type of material for the
PITCHED roof.-
Provide
oof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
5/12
20
Owens Corning Duration Laminated Asphalt Roofing
Asphalt
Tear off and re roof home
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
3
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.
Name of Applicant Bryan Shiltz
Email not displaying correctly? View it in your browser.
ELEVATION RESTORATION
GENERAL CONTRACTOR
2093 Montane Drive East
Golden, CO 80401
303.955.5348
B+ B ♦-MURANCEPROCEEDSAGREEMENT ♦ ♦ ` '
Date: 964117 E.R Project #.
E.R. Rep:
Property Owner # 1 /f Property Owner #2
4,2'7,, � 1�yVc, 303. Ll? -V, 'l9s/
Street Cell Phone
"d - (p �Od33
City, State, Zip —�
Home Phone
S pexins?99���5�9i�33-I
Date o Loss Type of Loss Policy # Work Phone
�.,,) , sAIV3k f 7,901 #
Insurance Carrier Claim #
Email
SUBJECT TO: This Insurance Proceeds Agreement is contingent upon insurance carrier approval and will be NULL and VOID if an agreement
between Elevation Restoration and the Property Owner(s) insurance carrier cannot be reached. However, Elevation Restoration will invest it's time and ex-
pertise in assisting the homeowner with.their insurance claim. This process will determine the cost of the work to be performed including all scope of work,
supplements, and any additional overhead and profit including the final claim amount. The homeowner's out of pocket expenses will not exceed the
deductible amount unless Property Owner(s) contracts with Elevation Restoration for additional work over and above the insurance claim. This agreement
does not obligate the Property Owner(s) or Elevation Restoration unless repairs are approved for payment by the Property Owner's insurance carrier. Upon
signature of this agreement Property Owner(s) gives Elevation Restoration express permission to work directly with their insurance carrier if applicable.
Items to be completed by Elevation Restoration: Items NOT to be completed by Elevation Restoration:
- r -A(4
PRICE:
INSURANCE PROCEEDS PLUS SUPPLEMENTS PLUS OVERHEAD AND PROFIT
Insurance proceeds shall consist of entire dollar amount on the final insurance paperwork that includes all supplements requested
by Elevation Restoration including any overhead and profit, less any items not completed by Elevation Restoration.
Upon signature of this agreement it is not only reasonable and/or likely, but certain, that the property owner has hired Elevation
Restoration to perform repairs per the insurance scope, entitling Elevation Restoration to the Contractor's Overhead and Profit.
RETAIL. AND/OR OPTIONS PRICE
Authorized Client Signaure: K Date.
/1
i
Elevation Restoration Signature: Date:
Elevation Restoration shall hold in trust any ayment received from you until EI ation Restoration has delivered roofing materials at the site or
has performed a majority of the roofing work on your property.
Page 1 of 2
`�01�07`139 41"15�w15a,rr�fi �I�i=
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler/ Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof i
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
PERMIT: `1 ���/ G� ADDRESS: Z 1�! 1 �u �►'' �1 JOB CODE: j�
INSPECTION RECORD I L
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
J
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
J
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
J
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
IN
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: `-) 0 q -
Job Address: -75-- 'v_3 A i _5a , S -)-
Permit Number: O 1-7 o-7 g 3 9
�12 Clio
❑ No one available for inspection: Time ` = N I (AM)/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: I 3 v / s Inspector:
DO NOT REMOVE THIS NOTICE
t
CITY OF WHEAT RIDGE
Building Inspection Division �E
1 (303) 234-5933 inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 356/
Job Address: '
Permit Number:
❑ No one available for inspection;_ Time g1111jpM
Re -Inspection required: Yes (NO
When corrections have been made, call for re -inspection at 303-2345833
Date: /L�) '//' / Inspector: jI f—
DO NOT REMOVE THIS NO
Building Permit Application
Property Address,*
Property Owner (please print) Phone::'
EzMMzMM9M=
Address:
City, State, Zip:
1 1-1 cl
Contractor: U>'C'm �
t
Contractor License #.\;) \ Q �)iA P h •
Sub Contractors: I
Electrical City License #: Plumbing City License #:15+ - Mechanical City License #:
Company: Company Company:
I
ZONING
, Zor)Jnq:,
Advigw&r:
FIRE-,DEPARTMENT:: 0 approveo;wldom $a u fired
, ments Z 0i pproved 0 no review re
Bldg Valuation: $
INSPECTION RECORD
Occupancy /Type
' INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
rvaetc I curt IvwS T JIGN ALL SPACES PERTAINING TO THIS JOB
�FOUNpATITIONS
-1 1
DATE
INSPECTOR COMMENTS:
NITIALS
Footings /C
Stemwall / crete
Encased G-
CLines
Reinforcing thic
Weatherprh. Drain
Sewer S er
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
Heati (Underground)
hRoug S
ng
all tie
of
al Service -
Electric
Plumbing
Gas Piping
Rough Mechanical
io
Framing.
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
-
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
'Building Final
Fire Department
RO.W &.Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
ParlCing:& Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
` ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS- ISSUED
�� - PROTECT THIS CARD FROM THE WEATHER
i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION (NOTICE'
Inspection Type: Job Address: S~ r .,yam
Permit Number: 1!IDC_-~ 3
❑ No one available for inspection: Time AM/PM
Re-inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: J Inspector: 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
INS ECTION NOTICE
~ 1fnbv, i
Inspection Type: 6~
Job Address:
Permit Number: b(D-?
No one available for inspection: Time l 2~ S A /P
Re-Inspection required: CYe~ No
When corrections have been made, call for re-Inspection at 303-234-5933
Date: ` i
Inspector:
10
DO NOT REMOVE THIS NOTICE
t CITY OF WHEAT RIDGE
Bung Inspection Division
~r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ,&242r 2L
Job Address: S'27.5' 8lLY a7'
Permit Number: _-es>J
7-
1 1 No one available for inspection: Time % .x?3 Amdl~
Re-Inspection required: Yes No -
*When corrections have been made, call for re-Inspection at 303-234-5933
Date: 4149 "Lo Inspector: r?
DO NOT REMOVE THIS NOTICE
yoF w"E'?R, City of Wheat Ridge Building Division Date:
> m 7500 W 29th Ave., Wheat Ridge, CO 80033
U Office: 303-235-2855 ' Fax: 303-235-2857 Plan M
CO(ORA~~ Inspection Line: 303-234-5933
Permit
Building Permit Application
Properly Addt'ess~ y ~ ~ I~~A Yt'1 ~-J-
Property Owner (please print): 1y-~crn c- K 65 r Phone: -l2-- "7qJ
Mailing Address: (if different than property address)
Exp. Date: Exp. Date:
Approval: (j Approval:
Use of space (description): K`2_YY, DyL ~ ~y-ers
Description pfwork I Y1StGtt~ 60-F/871 K
Sq. Ft./L.Ft added: Squares A/7-57 BTU's Gal
Exp. Date:
Approval:
Construction Value: $ '-7 i 991. 'STS
(as calculated per me audding vatuatfon oats sheet)
Plan Review (due at time orsuhmrftall: $
3byr.
Ions Amps
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 1 have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CON RACTOR) or PERSONAL REPRESENTATIV of(OWN R) CONTRATOR
PRINT NAME: C,WI(a y /ww _ SIGNATURE: ate.,
Sub-OontraeEti'rs'~ '
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
��
,,EW
Application Number
D
6/ 2004
W heat Ridge Building Department
A ed
DING CIAL DATG
'alidity rmit: The issuance of a permit or approval of plans, specifications
and computations shall not be a permit for, or an approval of, any violation to
any of the provisions of the building code or of any City ordinances.
Permits presuming to give authority to violate or cancel the provisions of the
building codes or other ordinances of the City shall not be valid.
L A,d --�PJ4L,� O c-,/,o 9lo�z
DEPARTMENT OF PLANNING AND DEVELOPMENT Application Number:
BUILDING INSPECTION DIVISION - 235 -2855
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: Larn G1 f i 0 S 7 c/ L Phone:
Property Address : 4 5 (moo 1 5Lhm S4'
Contractor License No.: 77,
Company: C �� 19121 UI`lll ��lP4 Phone 757
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 r ord: that all meas ements shown, and allegations
made are accurate: that I have read an a ree to abide by ondrtions rioted on this
application, and that I assume full res ns tlity for comply a with the heat Ridge Building
Code (U.B.C.) and all other appiicabl h at Ridge drill ces for wo under this,pepnl�
(OWNER)(CONTRACTOR) SIGNE
Description : 4 A A 4)r r— RI s� I w^ < tLj c !k & l
Z3_ n_ing_Ccmments:_
Approvall :
Zoning:
BgRilidgp mtenfs
Approval :
P ubIF"cWork s Ca "mments
Approval: Y
Occupancy: Walls
Electrical License No
Company :
Expiration Date :
Construction Value: atn �
Permit Fee : rid /O
Use Tax : 2G • .q6
Total : 111 ,56
BUILDING DEPARTMENT USE ONLY
Roof
Plumbing License No:
Company
Expiration Date :
Stories: Residential Units :
Mechanical License No:
Company:
Expiration Date
Approval: ADproval : Approval :
J TWxRegdifnB Plans Required
(1) This permit was issued in accordance with the provisions set form in yopur application and is subject to the laws of the Slate of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) Th is permit shall expfe if (A) the wom 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 cne -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 mat will change the natural flow of water causing a drainage problem.
(5) Contractor shall nobly the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with sutsxssrve phases of the lob. -
(6) The iss uance of a permit or the appro v of mils and speuECahons shall not be construed to be a permit for. nor an approval of, any violation of the provisions
of the building any Omer v�reguiat.c-n
n
C uil ' Inspector For Mayor
THI ERIMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303- 234 -5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303- 235 -2855)
Property Owner: MARNA KOSTER
Property Address : 4275 BALSAM ST
Contractor License No.: 18146
Building Permit Number: 17845
Date: 10/6/2004
Phone: 424 -7951
Company: McBride Electric Pho : 303- 761 -6176
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 w�o under this permit. y
(OWNER)(CONTRACTOR) SIGNED 6l ��3�-f b4 t
Description : 200 AMP SERVICE CHANGE
Valuation :
$1,450.00
Permit Fee :
$70.25
Plan Review Fee:
$0.00
Use Tax:
$17.40
Total:
$87.65
BUILDING DEPARTMENT USE ONLY
Zonnt gComments
SIC: Sq. Ft.:
Approval
Zoning
ul111
Approval
Nablic W oKs Corom eh#s
Approval
Occupancy: Walls: Roof : Stories : Residential Units
Electrical License No : 18146
Company: McBride Electric
Expiration Date : 2/28/2005
Approval: OK/KS
Plumbing License No:
Company:
Expiration Date : Expiration Date
Approval : Approval :
Mechanical License No :
Company:
(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 issuan pf a pe e0pprovalof drawings and specifications shall not be construed to be a pen for, nor an approval of, any violation of the
provisi the ing codes or er ordinance, law, rule or regulation.
Chief BBUilding Inspector
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
a
of wHE P BUILDING INSPECTION LINE - 303 - 234 -5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
c o WHEAT RIDGE, CO 80215 - ( , P
3 303 - 235- 2 ��
CORAO AP
Property Owner.
Property Address: 42:-1
Contractor License No.:
Phone : - (C 3 — 424 ' S I
Phone: .303 -7( j -
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 "l
I hereby certify that the setback distances proposed by this permit application me Construction value: l ` o
accurate, and do not violate applicable ordinances, rules or regulations of the City of Permit Fee:
Wheat Ridge or covenants, easements or restrictions of record; that all measurements plan Review Fee:
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 Use Tax:
compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable
Wheat Ridge Ordinances, for work under this permit. Total:
(OWNER)(CONTRACTOR): SIGNED ,U✓ DATE
Description:
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS: -
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: q I (p Plumbing License No:
Company: l�n�Qj t \rCtY fL- Company:
Date:
Expiration Date:
Mechanical License No:
Company:
Expiration Date:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire 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 permitmay be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in
the originalplans andspecifications and any suspension or abandonmenthasnotexceededone(1) year. lfchmgeshavebeenorifs pensionorabmdonment
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 nott" eBuildinglnspectortwenty- fom'(24) hours in advance for all inspections and shall receive written approval on inspection card be fore
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
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 14900
BUILDING INSPECTION LINE - 303 - 234 -5933 Date : 12/9/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303- 235 -2855)
Property Owner: KYLE KOSTER
Property Address: 4275 BALSAM ST Phone: 898 -5119
Contractor License No.: 19312
Company: Deer Creek Plumbing Phone : 697 5883
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 :
$300.00
Permit Fee :
$23.50
Plan Review Fee:
$0.00
Use Tax:
$3.60
Total:
$27.10
Use:
Description : INSTALL 30 GAL GAS WATER HEATER
BUILDING DEPARTMENT USE ONLY
.. "ffi� SIC: Sq. Ft.
Approval
Zoning
Approval :
Approval
Occupancy: Walls
Electrical License No :
Company:
Expiration Date
Approval :
Roof : Stories
Plumbing License No: 19312
Company: Deer Creek Plumbing
Expiration Date : 4/9/03
Approval: OK/KS
Residential Units :
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) T suance of 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
:rov si uilding codes or any other ordinance, law, rule or regulation.
Chief Builds g Inspector
DEPARTMENT OF „PLANNING AND,DEVELOPMENT Euildjng Permit Numper.
BUILDING INSPECTION,.hDIVISION =2855
f CITY `OF WHEAT RIDGE 1.. I i
' 7500 WEST 29TH AVENUE �: j
! Date
WHEAT RIDSaE, CO 80215
' APPLICAx1 om
property owner: F
Property Address : -jS ! i I I
I�R jis � !Phone.'•
Contractor License No, ,Q3iZ ', ; � I
C hone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Constructign value
1 hsroby arflly that ttta uibad db!"a PropoaW by thib Permit appibation iro aceurato, � d �'
and do not trblate applkabb ordbanaa rubs or ropubtbna tN tha Cky of Wheat Rkgi er Permit Fee: 3 5 6
txrvenatda eaaemanta or Metrktbna Of ra con('Viet ant maawromanta slrown;`ind albyapaq
made aro ttearrata tlul 1 haw road'and
that l a rh roe to 'tilde by aN eoedNlons printed on efb Use Tax appllatbn, iAd utna h roaPena�O "Po? ” liana with tho Wheat Rk1pi Btilldina , .
Code (y.B.C.) and aA otMr
OP ii ... art) �"" 'tor work iiiidu this permit
t -
Use T
Description:
BUILDING DEPARTMENT USE ONLY r '
SIC: Sq. FL
Approval: 1
Zoning:
Approval:
x
Approval
Occupancy: Waft : Root: Stories: Residential Units
Electrical License No: Plumbing License No: Mechanical License No
Company:
Company: Company
Expiration Date : �— Expiration Data -- - Expiration Date
Approval: Approval
Approval:
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Raau4tbm and eu p YYd v dk a k qa code � w�,mat Hqa. Cakrado «erry edmr WIr�bN wd anoas a IMM wok (2) a Th
wWw" fo as pa of 120 dwfL rMOdzio is na canmaricsd wttltN acir (00) deri 5om Ww daw d'(a) the bWIS�+O m+awrtrW Y wapMyN ar y •. e'
(3) n dda pw" exWrti, a naw pw mey M as K*W br a faa a «shelf Ina wotmt =rwNy tagdrad, PnwKed no dunpea Mve Men w we M made lkw!
WOW Wane ant aperJtleaerna W any 0497bn «aMWwnw+t h" not axesaded am (1) yew. if dwVw am me" ar a auaparbn w e Made yr,+t•
t( +)) O ( 1)yaar.R.Ale"uWMpaldbranewponft
(a) Catuaebr ahi roomy n(1 M done t Me aoerge m. n.MSa Ilorr otw.ar owrq a dreYUpe poG. m. ;
'°�� uq w a, n m„w. Q `ro trr ea.mr at. [z +) nour. m.dv.ne. a w mona.nd.ner the wnpr,.Ppew.n U+eraean aa� Mlei' f
(a) a "° oo0u "wuwry °" > ant t�popy ahY nIX M oonf4ved b M e pmmit 1w, n« an a"
d. anI WoleYart d1M
•, .: - k1
Chief Building Inspector • ,F
4
Y