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HomeMy WebLinkAbout4510 Balsam Street�� �' � � f 1 ► �� INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type F 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 Initials Comments Pier Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail �� ' Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors 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 — Please email insptimeregLjest@ci.Wheatridge.CO.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Untii A Certificate of Occupancy Is Issued Protect This Card From The Weather , J# P CZ/7oo0/9 Inspector Mut,, sign ALL Opace:s p%;, unern to tines 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 Initials Comments Electrical Comments Sewer Service Fire Inspection / Fire Protection Dist. Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wali sheathing Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof Final Mechanical Lath / Wal; ie Final Window/Doors _ Rough Electric MOTE: All items must be completed and approve" Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Bul ding inspection does not constitute authorization of occupancy. Rough Plumbing/Gas Line Rough Mechanical Rough Framing r4 &Cje,<P CA1`&Jt,<% C,ETT�c-t �jl2 insulation -� Drywall Screw /Nail Final Inspections 7 Date InsInt ecalt r 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. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building - MOTE: All items must be completed and approve" Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Bul ding 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 insotimereauest(j�ci.wheatridae.co.us by 8:00 A.M. the day of the. INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 4 5`0 615CL lfy�ECT N REQUEST LIN - 303 25933 SKI '�ih t714�A 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 Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Annroval Of The Ahovp IncnPr-tinnQ Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing UO Not cover Underground or Below/In-Slab Work Prior To Annroval Of Thp AhnvP Incnpr+innc Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric " Z% Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection /Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors 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. --±!:-;:Laye permini — Rease oe sure that rough inspections are completed trom the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: INSPECTION NOTICE Job Address: NS 1 V 9,443.4P.-, Sr - Permit Number: Zc�- cy 9 N 3 Z ❑ No one available for inspection: Time —G Z 5 A Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Z ,`' 1 1 � Inspector: ZO°M DO NOT REMOVE THIS NOTICE PERMIT: Rlfl7tl)�?�31 ADDRESS: YZk�dm JOB CODE: -Ir-WIS INSPECTION RECORD ���� �5/18t Inspection online form: http:/www.cl.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 'r 103 Footing / P.E. Letter 104 Foundation Setback Cert. 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 'r 202 Sewer Underground Int. 203 Sewer Underground Ext. 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� Ini, ` Is Comments 301 Rough Framing 'r 302 Wall Sheathing 303 Roof Sheathing 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 SEE OVER FOR ADDITIONAL INSPECTIONS .� 1= 0& / V� 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 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 I 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. City of Wheat Ridge Residential Electric PERMIT - 201702475 PERMIT NO: 201702475 ISSUED: 06/23/2017 JOB ADDRESS: 4510 Balsam ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Install power and lights in the entryway *** CONTACTS *** OWNER (303)423-8469 TAULLI PEGGY J GC (303)901-6233 Christopher Muniz 021359 Noble Electric Company Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: ~ UAB / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Total Valuation 0.00 Use Tax 31.50 Permit Fee 60.50 ** TOTAL ** 92.00 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. 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, an all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the pro rty and am authorized to obtain this permit and perform the work described and approved in conjunction with th' e mit. Irer attest I am legally authorized to include all entities named within this document as parties to the work to be p rfo ed ant a71w be performed is disclosed in this document and/or its' accompanying approved plans and specifications. t e O VVCONTRACTOR (Circle one) Date 1. This permit was issu based on the information provided in the permit application and accompanying plans and specifications and is subject to the compl' nce with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall ex re 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. ApbyrrsrMyf work is subject to field Jinipection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat jjdgie COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(@ci.wheatridcie.co.us FOR OFFICE USE ONLY Date: T Plan/Permit # 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: �ter} [L 2(� �/� 611-1 Property Owner Property Owner Email: Mailing Address: (if different than property address) Address: , State, Zi Architect/Engineer: Architect/Engineer E-mail: Contractor: Al b l e Contractors City License #: Phone: &,�/&._ Phone: Phone: ,SD3— Contractor E-mail Address: t/i ) VC (Z& 11pud6j- (C Sub Contractors: �iectdcaI.— W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form -:_975� ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ,/❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. Ft./LF Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE. (OWNER)(O RACTOR) )or (AUTHORIZ PRES6V�TATIVE) of O NER) (CONTRACTOR) PRINT NAI V V l S !/ 6 (� SIGNATU DA 4 % i ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: INSPECTION NOTICE Gt% ❑ No one available for inspection:— ' e AM/PM r�" Re -Inspection required: Ye No When corrections, die een made, call for re -inspection at 303-234-5933 Date: f r / t Inspector: f ��D0 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: F,1 Z q All 1 1,ve Job Address: % 5—/0 1319 Permit Number: 1-2 0/ `/'D V/',1 e1 j ❑ No one available for inspection: Time . / } AM/PM Re -Inspection required: Yes No When corrections have been made, call for Date: - -' r Inspector:/t at 303-234-5933 City of Wheat Ridge Residential Roofing PERMIT - 201700946 PERMIT NO: 201700946 ISSUED: 05/30/2017 JOB ADDRESS: 4510 Balsam ST EXPIRES: 05/30/2018 JOB DESCRIPTION: Replace roof with asphalt modified bitumen shingles - 41 squares *** CONTACTS *** OWNER (303)423-8469 TAULLI PEGGY J SUB (303)988-1912 Julie Comstock 019468 L. F. Comstock, Inc. *** 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: 12,115.00 FEES Total Valuation 0.00 Use Tax 218.07 Permit Fee 251.85 ILW ** TOTAL ** 469.92 *** 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 manufacturera€ms 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&#39;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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201700946 201700946 ISSUED: 05/30/2017 4510 Balsam ST EXPIRES: 05/30/2018 Replace roof with asphalt modified bitumen shingles - 41 squares 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, nd applicable building codes, and all applicable municipal codes, policies and procedures, athat 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 workbe performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signacre 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 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 eoor' 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of V�hea�t �c�e COmmuteiTY Cit=�ft:t_e l�teriF Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: _ " FOR OFFICE USE ONLY Date: 5.1 I PlanlPennit # DI ( I I Plan Review Fee: Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: 14" Owner Property Owner Isnn�, Sf . Mailing Address: (if different than property address) Address: �h V"p City, State, Zip: Architect/Enaineer• Architect/Engineer E-mail: _- Phone: Contractor:L f'' --- C MS Phone: Q3 - 7 .�3 __ yy�cl Contractors City License #: L1, g Phone: - / a� -/V/ Contractor E-mail Address: rbm k [ t� 6__6 � /�Ia�O�� Sub Contractors Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL E�€SIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITIONESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION [] WINDOW REPLACEMENT Q 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.) :1zpl�nlf Sq. Ft./LF� Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ UWNER/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 renditions printed on this applicationand that I assume full responsibility for compliance with applicable City of W'heat Ridge codes and ordinances for work under any pennit issued based on this application: that'] am the legal owner or have been authorized by the legal owner of the property to perforin the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER)COh'TR9CTO�nr (4UTHOKIZEUREPRF,SF_NT,lTILE) of (Oii'NFR) (CO:M1'TR.fCTDR) RIN. T NAME: SlGNATC �Z�A DATE: S �- ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS; Reviewer PUBLIC WORKS COMMENTS; Reviewer - PROOF OF SUBMIS21ON FORMS Fire Department 0 Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received 0 Not Required USE ONLY OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLEREM OCCUPANT LOAD: Building Division Valuation: $ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE �� Inspection Type: � I Job Address: L1510 9A LS AM Permit Number: Z0) 0 Z (4-715- 6 roy ❑ No one available for inspection: Time %S 2 0 AMI Re -Inspection required: Yes I� When corrections have been made, call for re -inspection at 303-234- Date:- 612 7/ /7 Inspector: 6A P DO NOT REMOVE THIS NOTICE City of Wheat Ridge Faxed Misc. Permit PERMIT - 201706943 PERMIT NO: 201706943 ISSUED: 09/20/2017 JOB ADDRESS: 4510 Balsam ST EXPIRES: 09/20/2018 JOB DESCRIPTION: Enclose 16 ft x 40 ft patio; 640 sq ft total *** CONTACTS *** OWNER (303)423-8469 TAULLI PEGGY J *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00 FEES Total Valuation 0.00 Plan Review Fee 60.68 Use Tax 52.50 Permit Fee 93.35 ** TOTAL ** 206.53 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present.Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.All work shall comply 2012 International Codes, 2014 NEC iif applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Landscaping removed or damaged during construction must be replaced prior to final inspection. City of Wheat Ridge Faxed Misc. Permit PERMIT - 201706943 PERMIT NO: 201706943 ISSUED: 09/20/2017 JOB ADDRESS: 4510 Balsam ST EXPIRES: 09/20/2018 JOB DESCRIPTION: Enclose 16 ft x 40 ft patio; 640 sq ft total I, by m si nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applica ilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal ner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this pe'mrt. I rther attest that m le all, authorized to include all entities named within this document as parties to the work to be per ed d that all work ek p�iuedMcln this document and/or its' accompanying approved plans and specifications. Signature of O(oi1 CTRACTOR (Circle one) Date 1. This permit wa issue CZ n 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 andprocedures. 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, anew 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 an 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 re uired 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 applicablecode 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. ` a City of Wheat �dge COMMUNITy DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(o)-ci.wheatridge.co.us �i FOR OFFICE USE ONLY Date: Plan/Permit #A 76 6 W -3 - Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** ,r Property Address: Property Owner (please print): PE C� 4-- i L L_L- I Phone: ]�D Property Owner Email: D4 �_" L.-L_.'I tP CSL% i 'Lnc. Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor) 4 0 l 1'i Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMER,CIAL 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) L-,) 1:j C. (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.) L C) Sq. Ft./LF Amps IL/ )� 14L)I P()-71 6 Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ r— OWNEWCONTRACTOR 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 air 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) (CO RACTOR)- (off AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): I DATE: 5 ZONING COMMMENTS: Review�e)r BUILDING DEPAgTMENT COMMENTS: Reviewer: J ; q I ylcr) 1.ONN-, DEPARTMENT USE ONLY 021 `OCCUPANCY CLASSIFICATION: sqa O> GLo = -;�, ?6o Zd� x ttRz q. x(64a) -z Building Division Valuation: $ Z v N " i City of COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property : CC�(G P Y Owner(s) y J v a 0 L -L- Project Property: Notarized sig A u Ap icant State of Colorado } County of JC�'4'�rScn } ss The foregoing instrument was acknowledged by me this ._� day of -7 7 by ecc.► 5 T��.II; TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires q z,,07.b Notary Public 3011ON SIH13AOW3hf ION 00 _V07 I PN :aoloadsul % '� a��4 .5 EE69-bEZ-EOE ]e uotjaadsu►-aa aol ileo `spew ueaq aneq suoi;oaaaoo uegM, r ON,, SGA :paainbaa uoilaadsul-aa Nd/INV quail :uoilaadsui aoj apepene quo ON r (2z o :aagwnN I!wJOd S :ssaippd qof :. SO Iq 33IION N01133dSNI xeJ 6069 -LOO (000) • 9q/40 5-990--9Oz (OOE) aull uo/hadsul MS-VEZ (COO uoisinia uoil3odsul 6uippq 3Jala 1v3HM =iO Alla 10 y 1 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number- �r ❑ No one available for inspection: Time % �AM/ M Re -Inspection required: Yes�No When corrections have been made, cdl_l fb�� re -inspection at 303-234-5933 �AZ 6 Date: o`� �� Inspector: ,t 1L -4 - DO NOT REMOVE THIS NO TIC i A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /3 Job Address: Ll ?Xi Permit Permit Number: 0"/ 0 Re -Inspection required: Yes When corrections have been made, call for re-insspc ion at 303-234-5933 Date: (J "�` Inspector: 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: Ault- Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes �N_N �, When corrections have been made, call for re -inspection at 303-234-5933 A� /—Inspector: 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 Inspection Type:" Job Address: �/ Si U i ( S i1 A, ; CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Fyc Job Address: Lis i (D eA L SA M .T Permit Number: ob 1 -� COQ 101 /, #,ETRdr 1 D VJJ (r-WWr t46_)7%0-_ DN ❑ No one available for inspection: Time �3 AI�/PM Re -Inspection required: YesNo) *When corrections have been made, call for rhe -inspection at 303-234-5933 Date: � �i Inspector: i o"v",If f� DO NOT REMOVE THIS NOTICE 1* 6 4 41 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 N Job Address: Li SI 6 f -S A / S a rvs Permit Number: C) Y 4Pr-:�)/�-0U1Cn ❑ 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: t f Inspector: DO NOT REMOVE THIS NOTICE ®®® s 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 � b Job Address: 1-) 5 / A 13A /S of r �7 Permit Number: O 17 a 6 7 y L ❑ 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: Inspector: DO NOT REMOVE THIS N ZICE 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: P ,! 4 2 Job Address: 3/ F Permit Number: / ? 0 0 _6 / i n R tR e t 17 r prt l r2(-' ❑ 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: Z ' % Inspector: DO NOT REMOVE THIS NOTICE 000 1 Lf�510 sa Wt /INNOVATIVE � INC. STRUCTURAt, SERVICES 13719 W. Amherst Way, Lakewood CO 80228 Phone: (303) 359-4678 Fax: (303) 948-1949 March 16,-2017 RE: Report for Residential Property (4510 Balsam St., Wheat Ridge, CO 80033) ATTN: Owner, Construction and Real Estate Professionals. To All Concerned: I performed a visual evaluation utilizing non-destructive testing methods at the property listed above on March 14`h, 2017 and in my professional opinion: The owner is currently adding an attached porch roof cover to the rear of the structure. The condition of the existing framing appeared adequate. The municipality inspector asked for clarifications on a few potential issues witnessed during a framing inspection. The attachment to the rafters to the existing roof appeared adequate. A bay of the outer blocking was removed prior to the evaluation so the inner ledger could be visualized. The inner ledger is connected to the exiting rafters with 1/4" lagscrews, which provides a shear and bearing connection to the interior timber framing. The other issue witnessed was that the new porch cover columns do not bear on frost depth foundation caissons, but rather a continuous and reinforced four -inch slab on grade. Expansive soil exists throughout the Colorado geology of which, the majority has low to moderate swell potential. Itis common for structures in this geography to experience around 1 inches of heaving or settling action as a result. However, differential movement action historically occurs within ten years of initial construction and usually tapers to a halt over time as the system comes to equilibrium with a new drainage pattern. The porch slab consisted of an original slab patio, whicAas been retrofit with a new section of perimeter slab. This new slab was reinforced with welded wire fabric and showed a consistent positive drainage profile when compared with the original slab. The original slab showed no evidence of significant movement due to expansive clay soils and the amount of excavation for the new slab area was minimal. Therefore, the drainage profile should not have been negatively affected during construction. it is unlikely that the lack of a frost depth foundation will create significant movement issues in the future and the slab has adequate stiffness to reduce downward soil bearing pressures to below 1,500 psf. Therefore, I believe that the structure should perform adequately to meet the design wind and snow load requirements of the 2012 IRC as required by the municipality. Finally, I did a visual surveillance of the landscaping next to the porch cover foundation. The landscaping generally appeared to slope away from the foundation. Water is the catalyst for soils movement; therefore, the owner should also add any required downspout extensions and make every attempt to keep water from penetrating the soil within ten of the patio slab in order to minimize the chances for future movement. I believe the risk to the longevity of this structure is minor. It is typical for these foundation systems to reach equilibrium over time. It is also impossible to give a time frame on this potential, but historical data indicates that most issues occur within the first ten years after construction and remain constant for the remainder of the lifecycle of the structure if water is not allowed to penetrate into the soil immediately next to the foundation. Page 1 of 13 "T" ATWE _L NNOV STRUCTURALcSERVICES 13719 W Amherst Way, Lakewood dCo 80228 Phone: (303) 359-4678 Fax: (303) 949 March 16, 2017 tems ove and is not a This report was limited to the present condinO the visible componentstt No guarantee obwarranry explicit prediction of the future behavior of the structural or implicit is offered as part of this review. requiue to red regarding member conditions ctive and in-place investigation, certain assumptions areq configuration in order to ascertain a profsignificant esp fican nal Pexpenditu einion on s questionsn ti e and involved. coupled with assumptions cannot be verified without g the destruction of building components that aree cosely in sound lig condition nce on the part sign. Due to the nature of these facts, the client agrees that pt for against any engineer, the client will hold harmless, indemnify c sdpro� provide bydefend the ethe engineengineer r. If cond tins not and all claims arising out of the professional identified in this report are discovered during and recommendations. ons or pair work, this engineer should be contacted for appropriate re-evaluations sincerely, Darren Dowell P.E. President Page 2 of 13 ---------------- T F' NNOVAT _SNC. STRUCTURAL SERVI 13719 W. Amherst Way, Lakewood CO 80228 Phone: (303) 359-4678•Fax: (303) 948-1949 March 16, 2017 I At least five feet I it l`i Downspout i (from roof) Perforated/raised and extension edging made of ' plastic, metal or Decorative � .�`—i.f/i< wood gravel Jam= F7 Weep hole or 1/2 -inch v t space L__ Soils backfill) Soils Geotextile fabric membrane (below gravel) Figure 28. Properly designed runoff slope next to a house foundation. Note that roof drainage is carried by a downspout extension to a point beyond the slope. (From Holtz and Hart, 1978.) i NC. A . N+'_._TSTRU 1f AL SERVICEIS 13719 W Amherst Way, Lakewood CO 80228 Phone: (303) 359-4678 Fax: (303) 948-1949 March 16, 2017 rl- Z Page 4 of 13 INNOVATIVE __._ NC. STRUCTURAL SER ES 13719 W. Amherst Way, Lakewood CO 80228 Phone: (303) 359-4678 Fax: (303) 948-1949 March 16, 2017 O i Page 5 of 13 0 T r- 0 0 U .J O i Page 5 of 13 0 T r- 0 0 U STRUCTURAL SERVICES 13719 W. Amherst Way, Lakewood CO 80228 Phone: (303) 359-4678 Fax: (303) 948-1949 March 16, 2017 !m 7 -�4 77 7 7, -7- z Page 6 of 13 I ----i -- V ATV _ -- INC. STRUCTURAL S VICES 13719 W. Amherst Way, Lakewood CO 80228 Phone: (303) 359-4678 Fax: (303) 948-1949 March 16, 2017 Page 7 of 13 I;;; v 7 N It V 0 0 W 0 0 v L 0 0 U V. 4 y n Z J J 7f' TJ, :l l LL E L .y LA n - t Page 7 of 13 I;;; v 7 N It V 0 0 W 0 0 v L 0 0 U .�O VAS __ ---- . I TT..�J C.'...J -L SERVICL 13719 W. Amherst Way, Lakewood CO 80228 Phone: (303) 359-4678 Fact: (303) 948-1949 March 16,,2017 J � r •- T r C �- O " � " c w .L. u � A � C 0..G -' 0. 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Amherst Way, Lakewood CO 80228 Phone: (303) 359-4678 Fax: (303) 948-1949 March 16, 2017 c 00'eM }o seLic-0 ash jaieM lenuuy 96eJany 0 U Fii- 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: r-,u.txi Job Address: kf/417111 1 45'� Permit Number:?/ f Vv'I Mw ❑ No one available for inspection: Time Cf".) ® A PM Re -Inspection required: Yes? No *When corrections have been made, call for re -inspection at 303-234-5933 Date: f ;` Inspector: DO NOT REMOVE THIS NOTICE Kimberly Cook From: Brian Tardif Sent: Thursday, December 29, 2016 2:06 PM To: Kimberly Cook; Brad Umbarger; Michael Arellano; Melissa Mackey Subject: SWO 4510 Balsam street Building patio roof system approx 400 sf. Also possible basement work Sent from my Phone City of Wheat Ridge Res. Accessory Struc PERMIT - 201700019 PERMIT NO: 201700019 ISSUED: 01/06/2017 JOB ADDRESS: 4510 Balsam ST EXPIRES: 01/06/2018 JOB DESCRIPTION: Building a roof extension to cover the concrete patio approximately 600 sq ft with a 1/2 pitch (flatroof); 6 squares for roof *** CONTACTS *** OWNER (626)274-0752 TAULLI PEGGY J *** 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:700.00 FEES Total Valuation 0.00 ` Plan Review Fee 122.49 Use Tax 156.60 g ® /y Permit Fee 188.45 _R Investigative Fees 456.15 ** TOTAL ** 923.69 *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections.All roughs to be done at Framing Inspection. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Res. Accessory Struc PERMIT - 201700019 _ PERMIT N0: 201700019 ISSUED: 01/06/2017 JOB ADDRESS: 4510 Balsam ST EXPIRES: 01/06/2018 JOB DESCRIPTION: Building a roof extension to cover the concrete patio approximately 600 sq ft with a 1/2 pitch (flatroof); 6 squares for roof 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 th eg caner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I her attest that I am le ally thorized to include all entities named within this document as parties to the work to be performed. and th t all work to e t isclosed in this document and/or its' accompanying approved plans and specifications. Signatur of O r TRACTOR (Circle one) Date 1. This permit was issued base 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 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 Budding 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. / 6 SignaturS of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.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. I FOR OFFICE USE ONLY I City of Date: Wheat j COMMUNITY DEVELOPMENT " Plan/Permit # Building & Inspection Services Division U 7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee: $3H.V Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application 66A-0-1 Yd, **' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Arch itectlEng! neer: Architect/Engineer E-mail: Contractor: LU) af f2 Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Phone: Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING RESIDENTIAL 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.) (JL Cy,� � ��� ews `0� eVVe� ALc 10 ayr 2< 62 D o S� r4, G,i I - p- � ll� (:::7L� r J Sq. Ft./LF L E]�] ` Btu's Amps Squares 't L4 Gallons ! / (, Other Project Value: (Contract value Qyrj' the cost of all materials and labor included in the entire project) 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. or CIRCLE ONE. (OWNER) (CONTRACTOR) (AUTI�ORIZIEFPRESEN IVE� of (OWNER) (CONTRACTOR) PRINT NAME: Q UI t, TA;1 L L, I SIGNATURE: DEPARTMENT ZONING COMMMENTS �'\ �; Reviewer BUILDING DEPARTMENT COMMENTS Reviewer G 1�i6 ✓ / / 6 ` " PUBLIC WORKS COMMENTS. Reviewer, PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District I—I Received FI Not Required Y / . DATE: I — OCCUPANCY CLASSIFICATION* Building Division Valuation: $ STOP WORK ORDER You are hereby ordered to stop work located at: L� a 1 o -BCA5&ri-N S�- By order of the City of Wheat Ridge Building Department for the following reasons: nle�o CvveC c� m This notice may be removed ONLY by the City of Wheat Ridge Building Department! Date: rA 1 Building Inspector: Lax ICS_; r City of s wheat Ps.,id COMMUNITY DEVEL PMENT e g O Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Property: �) ( Z S i2'fYlr'r Notarized s77 i> State of Colorado Countyof licant } ss A The foregoing instru,men was acknowledged by me this _1 day of (xl It fG , 20 Eby MELISSA MACKEY NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20134042377 MY COMMISSION EXPIRES JULY 9, 2017 My Commission Expires —/L'�_20 l Notary Public 9/9/13 r V IFC\ IV IK'N so ildian Guide DA DATE: /-6 L �i Colorado Chapter of the International Mire ncill ll rZ How to Use this Guide Provide two sets of plans, drawn to scale and complete the following (hint. use graph paper with '/4" squares. Example: 114' =1'): Check with your jurisdiction for additional requirements. 1 Complete this Building Guide by filling in the blanks on page two, and indicating which construction details will be used. 2 Provide 2 Plot Plans (site plan) showing dimensions of your project or addition and its relationship to existing buildings or structures on the property and the distance to existing property lines drawn to scale. See Page 2 $ Hil out a building pepmit application. The majority of permit applications are processed , with little delay. The submitted documents will help determine if the - project is in compliance with building safety codes, zoning ordinances and other applicable laws. The Colorado Chapter of the International Code Council is a professional organization seeking to promote the public health, safety and welfare to building construction. We; appreciate your feedback and suggestions. To obtain a master copy of this building guide, please write to the Colorado Chapter of the International Code Council, P.O. Box 961, ` 4. Arvada, CO 80001.__ httpJ/www.coloradochaptericc.org Plops ominer This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. 5� g,1s� �' �a►rip�ations �'eimit or app►ovd d park coan de or to any CW th t beo oOrrrf br, a in oull>aHy to viofafe orManaOXV PePQ nh p1e�,Mbj00V Of msin Ill gifa 'Ztrc 11TI, Ir to 9/9/13 M N A 1"=20' Note: Dimensions are for reference purposes only 45.8 Proposed Addition I 28.0 o Concfete Slab for Garage Ln V1 131.0 Li Ln v; N a Walkwa Ln 3 30.0 E 0 concrete Drive ITS , 57 i This handout was developed by the Colorado Chapter of the &4v International Code Council as a basic plan submittal underthe ai,�V 4� ia Code. It is not to cover all International ci cumstances.sChetck lwith your Departmenintended of Building Safety for additional requirements. 121 9/9/13 1. Fill in the blanks with dimensions and materials which 0 will be used to build the structure. Please print legibly. 2. Indicate in the check boxes which details from page 4 will be used. Please note if any of the sides of your carport addition are closer than 5'-0" to the property line, that side of the carport must be enclosed with a solid 1 hour fire rated wall as shown in Alternate Details B and C. You must however, keep at least two sides of the carport open to conform to the building code requirements. Zoning approval is required. $. Roofing to be installed per manufacturer's instructions, including low slope application and required inspections made. Roof covering -1-614-.4 ti1 I Underlaymen (example: Class A 3 tab shingles) J Size a n Am�`f Lags Sheathing 1 0� l3 f C ample: 112"extenor p (example. Two 1!25x4 12'lags1C4Y 6°0. C.) 12 ! �J��r J t C ` pitch � afters spaced" O.C. (example: 2 x 6 rafters spaced 24" O.C.) Patio Section Note: Walls, posts, and overhangs closer than 5'to the ............Overhang property line to be i hr. rated L •.•• .......... No closer than 2 feet •to property line •..� Beam splices to occur over posts with 1 1/2" bearing Detail B •• etail A • • .....•• ❑ Alternate A ❑ Alternate B r t 3�, „ r, l�„ ❑ Other (provide detail (see page a) (exampl ; (2)X 1 ) /L beam Existing (seepage 4) building San Span � �rj" Maximum rise 7 (example: 12'0") 3/4" at top of door Detall C threshold ❑Alternate C (See page 4) s'-8" Siding 1 'Ir A Isolate from Slab minimum (for Alternateeony) Slope �• ..X..posts (ex mple. 4'x4 Concrete Slab 3,_0„ spaced apart (example: 6) • minimum Minimum Diameter Pier 8" '• ,' ' (size determined by load) �'` '- Footingt�X • F •._ _ _ •: (forAltemate C only) This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. 9/9/13 Existing roof rafters or trusses Lap under) ent a minimum of 18" under exi g roofing felts fthers Galvanized metal joist or ribrickveneer So' 2x bloddng on 2x12 or gr ter erlayment from Minimum 3 1/2" Galvanized concrete slab 1" column base f tie downs required minimum of 18" w/ 1" spacer to nto existing roof ,:;: �;. • :r: ; :;. concrete spacer to concrete Remove existing fascia Existing Cont. 2x ledger wallfisting Roof Secure ledger to wscrews @ 16" O.C. (re ve existing shingles Locate lag screwste top plate or studs Note: Remeneer at top of wall Cont. 2x6 secured to existing roo Existing wall before installing continuous 2x ledger fasteners at each rafter or truss Mliff Dim Alternate Detail B - I Hour Wall Solid 2x blocking on 2x12 or greater Solid 2x Docking on 2x12 or greater -� �- Roof tie downs required Roof tie downs required 2x facia 5/8" type "X" exterior gypsum sheathing Galvanized metal IFGalvanized post/beam connector No closer than 2 feet to property line Exterior siding Tw yers of 5/8" type "X" metal post/beam connector Infill betwe posts exteri ypsum board soffit w/ 2x4's @ 16" O.C. Less than 5' to property line Treated or decay Bottom pTa>,te shall Infill betwee posts resistive post be treated Wpod w/ 2x4's 16" O.C. Minimum 3 1/2" Galvanized concrete slab 1" column base Minimum 3 1/211 f�� Galvanized w/ 1" spacer to concrete slab 96lumn base w/ 1" ,:;: �;. • :r: ; :;. concrete spacer to concrete Isolate ;;: Isolate from Slab Anchor bolt from Slab_ Anchor bolt "� � �' 7" minimum '';` 7" minimum '. ` penetration Check local r;.''3" penetration 8 minimum ; •. 31-011 3'-0" diameter minimum building;r:.,: concrete department for ....:.: •,.: minimum caisso`�, y' swelling soils. `. caissons may, be required. -0;i�" Footing 811 10 This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It isnot intended to �yr� cover all circumstances. Check with your Department of Building Safety for additional requirements. 141 Sample Site Plan Please note that additional information is often required for a commercial site plan. To speak with a planner about a specific project and site plan requirements, contact the Community Development Department at 303-235-2846. U U) N .0 A, A* ). BUILDING I a) Property Line, _ft (lot width) ---------------------------------- Rear Setback, _ft I I 1 I I I PARKING I I I I I I I I � I Front Setback, _ft ----------------------- SIDEWALK STREET Sample Project Information Lot Area: _ sq ft Proposed Building: _ sq ft Scale: Landscape Area: _ sq ft Parking Spaces: _ spaces 1"= -ft Existing Building: _ sq ft N C c b p -1 � SIS �► � s � S �' (5P ao/-7 0 () 9 41:1E ITTM=!=1 NEW COMME S r a1 i SE U PGRA DE NEW yE R ESIDENTI A L wr r.. H O ♦ d.., R OOFING suA +♦ vv . >.. w+kxx rx�ee,.v wv wsvr xuxvwwap wxay.� g uYt 3 "t 3*&t tM a 9 ,,t S 1 $"x°4 LL ( . ' a" T asha F i' a tL t ? t� t ear' e a ) ° ~ Sq. FtJLF Btu's Amps Squares Project Vale (Contract value or the cost of a!l materials and labor included in the ftp I r project) ._._.._ q_w.aa_.m.._. Building Division 4� U INSPECTION TICKET �{ JOB �.5I© �bcnyn S ADDRESS DATE: BLDG. PERMIT # �✓ f PERMIT# BLDG. CONTR. "St / 00 F k p �` SUBCONTRACTOR o� DATE INSP. REO. �J/� -/� -J Iam TYPE OF INSP. �7 � INSPECTION MADE REMARKS f J - 7 <-2/ el W.R. 19 F;7 6- ��� 8� sz 1 INSPECTION TICKET /f JOB ADDRESS DATE: BLDG. PERMIT# Y 3 47 BLDG. CONTR PERMIT# SUBCONTRACTOR DATE INSP. REQ. A TYPE OF II INSPECTIO REMARKS { INSPECTION TICKET JOB ADDRESS le oz DATE: BLDG. PERMIT# f '7 1 - ' - 3 S PERMIT# BLDG. CONTR. SUBCONTRACTOR INSPECTION TICKET JOB � zzj ,�„ = �' ADDRESS T z DATE: BLDG. PERMIT# W Lr PERMIT# BLDG. CONTR. (QA Vl— SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. =g INSPECTION REMARKS e I INSPECTION TICKET JOB / n ADDRESS DATE: 4 BLDG. PERMIT# Q� PERMIT# I BLDG. CONTR. AJW- ✓ SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE '.. REMARKS l/lC i W.R. FORM 619 V DATE INSP. REQ. 4 /J TYPE OF INSP. 2 INSPECTION MADE �/ REMARKS 6 eiSG l /-r . W.R. FORM 619 / INSPECTION TICKET JOB � zzj ,�„ = �' ADDRESS T z DATE: BLDG. PERMIT# W Lr PERMIT# BLDG. CONTR. (QA Vl— SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. =g INSPECTION REMARKS e I INSPECTION TICKET JOB / n ADDRESS DATE: 4 BLDG. PERMIT# Q� PERMIT# I BLDG. CONTR. AJW- ✓ SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE '.. REMARKS l/lC i W.R. FORM 619 V JOB INSPECTION TICKET ADDRESS ��lG ley z DATE: �� . BLDG. PERMIT# (6J' PERMIT# BLDG. CONTR. i i i SUBCONTRACTOR DATE INSP. REO. "a - � TYPE OF INSP. INSPECTION MAD� `mod REMARKS INSPECTION TICKET JOB ADDRESS DATE: °� �---- BLDG. PERMIT# PERMIT# BLDG. CONTR. ./'ate., ��`°— 1 SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE !O REMARKS W.R. FORM 619 i m X O W m 0 z W Q N L N Nx ~ W N w v 3 0 v M !� N L Y J J Y J D NIW N W W 2 N WO m x O Z Y LL W _ N r W 2 z Z O Z � U W W W W 2 w U O m a 0 N W Z J } 2 a d U z zzr Q N N m W 7 N Q N W U N 0� 2� N X Z Z � O no az F W Z Z J 0 Y J r- �w m 6 2 p Q � wF o x rw 0 Z R Q LL y N o W � U N z a Fw N J H3 O 2 � m I g E 0 \I 3 N •I �i �I c m z d N�I c3 j 6 6 Z z z N H N N x X W W W } z z ¢ F z Z O W R � w a > O y z � x a ~ � m r O N W Z N O Q LL N LL z 0 O w z w y o a w z N Z N O w a Z m G H p W N W Y N w Z O N w ~ K K W m Z a w 1, O m r` N J J 3 J a w a 2 O K F x F N w O N M f N p O z w d i f� h Z I, M LLI oz O J OO . 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O a O R OZ O x v 5 m a O w a¢ a r `- w> w a o o m w o O Z w N O d m D J 2= y Z N w a N m J U O « ° m Z R z Z m LL C m N o w J N f F- N O W V Z J w a Z Z w w F N J a O z d J a w a O O V Q O Y Q F >. E „ O a m 0 U Z u r o o U d L 0 z LL m J LLO 0 wo U Z Q O F`_ o O N O 0 2 N Z W �� cr W Z Q Z J U x m O O m m O U t N h J J a LL F O? N K y o c Q r N m0 °z w o 3` E Z o 2 N O O d O 2 t o V x i U W 0 LL y W d Z_ N 2 K J w W W J W 7 O w° w w_ - E c r F- O Z O O W > z O V O O¢ N J K 2 v U O¢ O o w N aa N N= m a V O O W Z K Z J Z a �- O W J U �, O O w w Z a N W 2 N a z z w 0 o a w w m a a a w¢ m 2 u F o N N v x x 41 0 0 O O u m z a w o o m o J� Y Q S y oo g ¢ w Q y 6 vi Ym � 3 wup Q4 w ter- uo W rm iLL � aw °w wx V m > Y J y Wz o_ m ��ffi gw a� o �e C r WO ?o QO V > W W m N C W Q w z a a w o Z y f z s i ¢ o o r o � � r y ¢ a max Qiz3� n o y z o a o °e w ¢ a Y O 3 Z a O LL¢ aow V Z Z ¢ I y r U LL y F O Q N W r Q y N LL 6 Z K Y y U ¢ Q o 6 V N Q O 2 j O V w� Y a 3¢ °zzW _'a azn�owoo aa`LL 3awQin z J z r n z y a z¢ xo W ow= m ai�z¢�iz ° Z z a w a rc r e o n w z Wow aZ z ; z Uj r a r y V' m 2 O 2 O V RECORD AND RETURN TO: ARBOR INDEPENDENT MORTGAGE CORPORATION 6021 SOUTH SYRACUSE WAY, SUITE 210 ENGLEWOOD, COLORADO 80111 [Space Above Tbia Line For Recording Data] DEED OF TRUST 1674852 THIS DEED OF TRUST ( "Security Instrument ") is made on JANUARY 24 WILLIAM D. SULLIVAN AND CYNTHIA D. SULLIVAN the Public Trustee of JEFFERSON ARBOR INDEPENDENT MORTGAGE CORPORATION , 1992 , among the grantor, ( "Borrower'), County ( "Trustee "), and the beneficiary, which is organized and existing under the laws of THE STATE OF COLORADO and whose address is 6021 SOUTH SYRACUSE WAY, SUITE 210, ENGLEWOOD, COLORADO 80111 ( " Lender "). Borrower owes Lender the principal sum of EIGHTY SEVEN THOUSAND THREE HUNDRED AND 00/ 100----------------------------------- - - - - -- Dollars (U.S. $ 87, 300.00 ).This debt is evidenced by Borrowers note dated the same date as this Security Instrument ( "Note "), which provides for monthly payments, with the full debt, if not paid earlier, due and payable on FEBRUARY 01, 2022, This Security Instrument secures to Lender: (a) the repayment of the debt evidenced by the Note, with interest, and all renewals, extensions and modifications of the Note; (b) the payment of all other sums, with interest, advanced under paragraph 7 to protect the security of this Security Instrument; and (c) the performance of Borrowers covenants and agreements under this Security Instrument and the Note. For this purpose, Borrower, in consideration of the debt and the trust herein created, irrevocably grants and conveys to Trustee, in trust, with power of sale, the following described property located in JEFFERSON County, Colorado: THE NORTH 5 FEET OF LOT 21, AND THE SOUTH 70 FEET OF LOT 22, BLOCK 4, HILLCREST HEIGHTS, COUNTY OF JEFFERSON, STATE OF COLORADO. which has the address of 4510- BALSAM ;.STREET :'. lm l WHEAT RIDGE Colorado 80033 ( " Property Address "); PM [Zp code] TOGETHER WITH all the improvements now or hereafter erected on the property, and all easements, appurtenances, and fixtures now or hereafter a part of the property. All replacements . and additions shall . also be covered by this Security Instrument. All of the foregoing is referred to in this Security Instrument as the "Property." BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right to grant and convey the Property and that the Property is unencumbered, except for encumbrances of record. Borrower warrants and will defend generally the title to the Property against all claims and demands, subject to any encumbrances of record. c DORADO - Single Family - Fannie Mae /Freddie Mac UNIFORM INSTRUMENT - Form 3006 9/90 c-05/91 Page 1 of GN i:: t� P.O. BOX 103, LOUISVILLE CO 80027 FAX 666- 9405. 441 -7614 ' JicR: _w titan D. _nrw C;,•nth'_a J cI _ i rn o o•tvgr� LEN DER: 6sbozlbdop0ndentJ /ox: COMMITMENT NO: GERVICE FEE: S. 80.00 - — -- OATS ORDERED: 1 X6-92 Street Addieee1 4510 Belem Street, Nheatridge Colorado. Lcgw1 Description; Flood Certifications The North 5 feet of iot 21, end the South 70 feet of W 22, Block 4. Rilloreat Heights, '- The property in thia oertifieate is not s it ua t e d in the Countl <:. Of Jeffernon, State of Colorado. one hundred year flood plain (Zone I Reference Sourest 71M 065079 00050, Rsvised 2 -4 -08. I a J 47 3 X39.9 I ui y • o `� 4 Co.vu.me• A lJnivn..w y. , K A 0 paRtal� Yellow Prick Single. 1•y Family ROma 1J w•f. ' `4 Pita N t 1 V a J 47 3