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HomeMy WebLinkAbout4355 Iris Streett9 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: 3 T S Z /-"S S L Permit Number: '] 'l'7'c) 7(, / (� U 7 /( G u r f CL r /rw I /1 b�J, /% A4 I /J 9V f ❑ No one available for inspection: Time Re -Inspection required: Yes No When corrections have been e, call for re -inspection at 303-234-5933 Date: `I ` l % Inspector: / DO NOT REMOVE THIS NOTICE �C �C►� RECORD INSPECTION REQUEST,/LINE- (303) 234-5933 lix Occupancy/Type Inspections will not be performed unle his card is posted on the project site. Call the inspection request line before 11:59 p.m. to rec ' e'er=:}spcction the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Date Inspector Comments =oundation Inspections Initials 'ier concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Cv Underground/Slab Inspections .- I f e'l , ! t :'- �_ . .,,.� ns TNs Ahn%.n Incnartinns IRAMW rIwI 1v r. Date Inspector Initials ......1 - --- - - -- Comments Inspector Initials Comments Wall Sheathing Electrical Sewer Service Plumbing r,_ \I -L l-w.•wr I Amrnrnuntil nr RP_Inw/In-Slab Work Prior To Approval Of The Above Ins Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Roug Framing Insulation Drywall Screw/ Nail Inspector Initials Comments Final Inspections Date 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. Landscaping & Parking /Planning Dept. ROW Drainage /Public Works Dept. 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 constrt ut e auth orrzatn of occupancy. ro *For low voltage permits — Please be sure that rough inspections are comi�l�ted from the Fire District and electrical low voltage by the Building Division. of the **For Inspection Time Window Requests — Please email insotimerelluest@ci wheatridge.co.us by 8:00 A.M. the day inspection with the property address in the subject line of the email. r t Occupancy Is Not Permitted Until A CertiTlca Le of Occupancy Is Issued Protect This Card From The Weather PERMIT:: ADDRESS: JOB CODE: 1 `� INSPECTION RECORD q/ 2 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. 105 Stem Walls 106 Foundation wall Insulation uo Not rour 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. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground r1I IBJ_ -- •------.--..• . l—w—ullu w, L.7 1- , ni-oiau vvorK rnor i o Approval UT i ne Above Inspections Rough Inspection Date Inspector Initials Comments \ 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 051��(aton id -Roof 30 Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 10 310 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 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 CommentsInitials 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 49.8-Final-PI,umbing Commercial 409 Final Roof 41.0 Final Wind oor 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. Page 1 of 2 The City of Wheat Ridge Third Party Form Check List Property Address zt35- S - Permit Number Permit Issued Date Owner Information Property Owner Information Property Owner Address Inspector Information Inspection Company Inspector Name Inspector Contact info- -:Z0vti,.Z� JBA Gary Manlove MAC -1 ng P.O_B.." 3 rJvMl Lzrlap­ CO 801 18 CeH: 720.443 82aO E—it ply­-I—g—d — 1021122ggr 21Al2M2nt and A&Kng&j2dg2Me0 I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept- * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC, and 2012 IBC as well as ACity of Wheat Ridge Policies and Procedure and Manufacturers recommendat*6 and s cons. Inspector: Date: Property Owner Statement of Acknowledoement "I hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection company to perform my roof inspection in lieu of the City of Wheat R i ' ivn inspection. P pery Owner/Agent: Date: Z 0 A 7 This original document and permit card, as well as the roofing check list, must be submitted Ic theG hief Building Official wdhin seven days cit the final inspection he Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date, 7/26/17 The City of Wheat Ridge Inspection Checklist Notes MID -ROOF 'R � - T" sell� Page 2 of 2 The City of Wheat Ridge Inspection Checklist Notes INAL Company Name: JBIA C S U7 G Inspector Signature: Date of MID -ROOF Inspection: Company Name: JBA C NSJVILTII Inspector Signature: Date of FINAL Inspection: RootInspection U__3 W, A _Aeroo [74 Foo rIT"*7^ a E:j Fax Structural roof components 171 Fait Vefft that no more than 2 layers of shingles e.)cist L] U ra Flashing for roof and waus 0— M r7I U. If new sheathing is instailied verity that it is listed in the Permit desciiiption (Valuation must be adjustati) Fn VerffY sheathing nail pattern (See Policy & F�rchcedures) U;K11 D pats U rd CriMets and saddles where needed F3 W -A Ver* B vent must have boot same gauge as pipe L-1 wA M Verify vent caps 07 PoA El fa Velft no ffaShfts are damaged or rusted 01 WA F-] Fae= Step flashing shall be min. of 4x4 piece per shingle PIR/A M e. C rd; Verft scuppers allow for proper drainage Ll %iA L3 W Ice and water shield 2* in heated wall spaces 171 iv..% M rail Undenayments most follow 2012 IRC / 2012 1130 13 41A, n r -*i Vel roof slope. W proper drainage Ej U reir, Dripedge shatl have min of 2- overall C tv'4 0 Fa,-- Dripedge should extend down min 2' past roof deck 0 Pa.� Dripedge shallshbe mechanically fastened 12- OC 4iA 171 P.I'fn 1:.-1 90 LB tell roofing shag not be alnMed to roof slopes few than 2.-12 slope-, Exception, detached garages, Patios, carports, open ort three sides with min, slope of 1-12 UAVA 1:1 paw [A Fj9"' Modified Bitumen, EPDM, TP O min slope 114--12 slope V.,ft/A ILi V'*A& Ll ed, 1 Above roof insWation, R-25 ri wA !—;[ 0.*" 0 ro Below roof residential R-38 0 0 Fay-, Below roof commercial R-32 F1 Fai-5 Modified Bitumen, EIRDW TPO min slope 1/4--12 slope - must be Instatted in accordance vath the rnanufavatifers spe.cMeations- Must have manufactures loner of warranty w4h the address On file letter Tor final inspection I R(>of Shingles r1rA Fa HggUin= Metal roof shingles shalt not be installed on slope less 312 V Metal valley flashing shall be the same material as roof 177, roa Metal vallery flashing sh,aff extend a min of 8' from the centedine, with a m Wt of 314 " high splash dlivefter rib buift-4n at the ft w kne with sections overlapping a a min. of 4" T�lf a Fto�W�a Fie quirear ants .-J la Q10Y and coriV 'ol[0 file shall have a min. 2-1/2:12 slope Slopes 4-12 and under require double undeflayment Company Name: JBIA C S U7 G Inspector Signature: Date of MID -ROOF Inspection: Company Name: JBA C NSJVILTII Inspector Signature: Date of FINAL Inspection: INSPECTION RECORD 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 n c i bef "e (MIGHT (11:59 M) to receiv n inspec i n the following business day PERM( ADDRESS: C JWCODE: /«_ l j %�J) Foundation Inspections Date � ' W Inspector F Comme I Comments 201 Electrical / Cable/ Conduit Initial 102 Caissons / Piers ° 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls-' 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections '7W Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 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 Initials Comments 301 Rough Framing 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 PERMIT: 1-70 ADDRESS: !i'/'J��_--r--Sj JOB CODE:�DE Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 7Z�, 7 318 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 7Z�, 7 404 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 '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. INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 I ®°�rx vie 1 J 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) �# Foundatioj/ P.E. Letter Z(,7 uo Not Pour Concrete Pribr To Approval Of The Above In ti Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service `t/ Plumbing 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. Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of Thp Ahnvp Incnpr--tinne Rough Inspections Date Inspector Initials Comments Wall Sheathing `t/ 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. Mid -Roof Fire Inspection / Fire Protection Dist. Lath / Wall Tie Final Electrical Rough Electric Final Plumbing Rough Plumbing/Gas Line Final Mechanical Rough Mechanical Roof Rough Framing 71211 00 /�f� 0 V Insulation j Drywall Screw/ Nail 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. Finallnspections Date Inspector Initials Comments Landscaping Parking/ Planning Dept. `t/ 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/ j 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 — mease oe 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 insr)timerepuestC�ci.wheatridae.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 4 .,�-, .�:tLxes,�ory strue PERMIT- 201700424 PERMIT NO: 201700424 ISSUED: 03/30/2017 JOB ADDRESS: 4355 Iris ST EXPIRES: 03/30/2018 JOB DESCRIPTION: New garage 28 ft x 35 ft 6 in. ** CONTACTS *** DWNER (720)218-1621 BOGGS TIMOTHY L *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY ** ES'T'IMATED PROJECT VALUATION: 12,000.00 FEES Total Valuation 0.00 Plan Review Fee 153.40 Use Tax 216.00 Permit Fee 236.00 ** TOTAL ** 605.40 *** 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. LM: 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. For one- or two-family dwellings, the first twenty-five feet (25&#39;) of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right. -of -way permit may be required; contact Public Works Department at 303--235-2861. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Res. Accessory Struc PERMIT - 201700424 201700424 ISSUED: 03/30/2017 4355 Iris ST EXPIRES: 03/30/2018 New garage 28 ft x 35 ft 6 in. *** CONTACTS *** OWNER (720)218-1621 BOGGS TIMOTHY L *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00 FEES Total Valuation 0.00 Plan Review Fee 153.40 Use Tax 216.00 Permit Fee 236.00 ** TOTAL ** 605.40 *** 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. LM: 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. For one- or two-family dwellings, the first twenty-five feet (25&#39;) of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. City of Wheat Ridge Res. Accessory Struc PERMIT - 201.700424 PERMIT NO: 201700424 ISSUED: 03/30/2017 JOB ADDRESS: 4355 Iris ST EXPIRES: 03/30/2018 JOB DESCRIPTION: New garage 28 ft x 35 ft 6 in. 1, by my si mature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable wilding codes, and all applicable municipal codes, policies and procedures, and that 1 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 thispermrt. I further attest that I am legally authorized to include alt entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OMNtR or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable c 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 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.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. Y City of Wheat Midge 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-ki.wheatridoe.co.us FOR OFFICE USE ONLY Date: Plan/Permit # �U 00 cl, Plan Review Fe0 e: Building Permit Application " "1 -111 I 1� *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: E'_ C Ci Property Owner (please print): j ,rn �:� 1 1 Phone: 73 `1 y Property Owner Email:(��cr �� (� 1 ��G / [� t�t�t C� ` C Ca J, Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/E nai neer: Architect/Engineer E-mail: Phone: Contractor:�— Contractors City License #: Phone: Contractor E-mail Address: Sub Contractors: Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL �i 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.) Imo , 9 cite �'_, x'/36' 6 Sq. Ft.ILF Amps Btu's Squares Gallons 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) n Electronic Signature (first and last name): �/ i � DATE: ✓1 0 � l� DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: 9--z vyvr d, BUILDING RTMENT COMMENTS: Reviewer:�; ru� OCCUPANCY CLASSIFICATION: �- 3,13) // 3 - Building Division Valuation: $ 4 wmrx offirn - — - ; A ry fi t. ow tY 4 wmrx offirn - — - ; A 44 A 01 q o 44 A City of Wheat Ridge Res. Garage/Carport PERMIT - 201700167 PERMIT NO: 201700167 ISSUED: 02/23/2017 JOB ADDRESS: 4355 Iris ST EXPIRES: 02/23/2018 JOB DESCRIPTION: Turning Garage into Shed, building foundation 240 sq ft *** CONTACTS *** OWNER (720)218-1621 BOGGS TIMOTHY L *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,580.00 FEES Total Valuation 0.00 Plan Review Fee 60.68 Use Tax 46.44 Permit Fee 93.35 )f " ** TOTAL ** 200.47 /33-7 *** COMMENTS *** *** CONDITIONS *** MM: Approved per plans and red -line notes on plans. :dust comply with 2012 IRC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Electrical is not included with this submission. Amendment to this permit or new permit will be required for electrical. MR: 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. Structure cannot exceed 15' at mid -roof. No new driveway allowed with this permit. 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. Garage/Carport PERMIT - 201700167 PERMIT NO: 201700167 ISSUED: 02/23/2017 JOB ADDRESS: 4355 Iris ST EXPIRES: 02/23/2018 JOB DESCRIPTION: Turning Garage into Shed, building foundation 240 sq ft I, by my signature, do hereby attest that the work to be perfonned shall comply with all accompanying approved plans and specifications, applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am fhe legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTR CTA OR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the original permit fee. ;. 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, an violation of any provision of any � applic de 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. 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. J�__3 FOR OFFICE USE ONLY City of Date: o �Wheat j dge ' COMMMLJNITY DEVELOPMENT Plan/Permit # CAVI �% 00�� Building & Inspection Services Division ( 7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee: � �i Office: 303-235-2855 * Fax: 303-237-8929 l Inspection Line: 303-234-5933 Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: 'V 55 ;;rP- I Sa A� Property Owner (please print): "'� L #, .� 1 Ey Phone: 30 `-�7_5_73� Property Owner Email: 60G( Cj S Corn y -t Mailing Address: (if different than property address) Address: z-13 5 5 __Z7 (c�, '3- '_ City, State, zip: 4M'8r'j.-1 (Zi c� �j ®_ Y o ® 3-7 Arch itect/Enaineer: Ebro\ e.oLo >n "eb Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: b 0c/65 50 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: ©,3" 7 - —_73 M Other City Licensed Sub: City License # 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.) yzs S14A Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ -7 0(1 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 1 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. CIRCLEONE. (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME:- % trA �„ tY t� _ ►J ©G O.S SIGNATURE: TE: ZONING COMMMENTS: /V Reviewer i "T" BUILDING DEPARTMENT COMMENTS Reviewer: P �� (. � � I �'��-� I C'� � t✓Vd�ii.`1 S PUBLIC WORKS COMMENTS. Reviewer. PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION ���arl7�E��11)lEtii �� 41Is.�)��r�l Water District ❑ Received ❑ Not Required Sanitation District 11 Received n Not Required Building Division Valuation: $ City of wheat i e 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 Owner(s):CJ�' Project Property: Y J �� ' <�`� � � t ¢ /Z �o C W003:?, Notarized signatu?e of Appl"rcant State of Gplorado } County of -U- C n } ss Th foregoing instrument was acknowledged b me this .� t g �, g Y_ day oftll.f0LI by BREANDA APPLEHANS NOTARY PUBLIC NOTARY ID STATE OF COLORADO / MY COMMISSION EXPIRES NOVE819 f NOVEMBER 25, 2019 r L �� My Commission Expires 20 RESIDENTIAL Buil fing Permit — Plan Review Worksheet Address:��' J J it s Zoning: f -. Lot Size: 10 f 2 - sq. ft. Lot Width: �J ft. Property in the flood plain? Gt ? If yes, add surveying condition FLD. Type of project (applicable survey conditions in parenthesis): `;..Accessory ISP, ILC or site plan none ❑ Addition ILC and site plan if w/in 2' of setback or in floodplain (FND) ❑ New ILC and site plan yes (FND) Maximum Lot Coverage: 40 % Existing Improvements: House: 1 5 0 sq. ft. Sheds_ 4 0 K sq. ft. Detached garage: 1y0 sq ft. Other: sq. ft. Total Existing 2 2a sq. ft Lot Coverage =r `'� Lot Coverage 9 "%b `-f ZO 1 sq. ft. Rev. 06/2014 if in floodplain (FLD) if in floodplain (FLD) if Win 2' of setback (INRs) if in flOodn6in MY rV% Proposed Improvements: House/addition: sq. ft. Shed: --10 Detached Garage: sq. ft Other: sq• ft' sq. ft. Proposed+Existing `' 3 sq. ft Lot Coverage 9 "%b % Required Setbacks: FR S R U Provided Setbacks: FR ' S 5 _ S > �— R _ 10 For additions or new construction, is the structure within 2 feet of minimum setbacks? If yes, add surveying condition FND. Maximum Height: f 5' ` ft. Maximum Size: ft. Proposed Height: C 5 s ft. Proposed Size: q sq. ft. Parkland: If the permit is for new construction, have parkland dedication fees been paid? If no, add condition PFEE, notify owner, and notify building division. Streetscape: Does the permit result in any of the following conditions? Q Construction of new roads Q Platting of new lots Q New development Q Additions that increase floor area by 60% or more (see formula) (proposed floor area — existing floor area ) / existing floor area = o /o inc. If any box is checked... SF/DUPLEX—Is there existing Q Curb Q Gutter QS -foot sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Rev. 06/2014 Other notes/considerations: Accessthe first 25' of driveway area from the existing edge of ❑ For one and two-family dwellings, pavement into the site shall be surfaced with concrete, asphalt, b ick anacer oro exits maybe closer ❑ lar materials. For all uses other than one and two family dwellings, n than 25' to any property line, except when usedas t least 10 feet and not more than 24 feet in width. ❑ In residential zone disint access for two or more lots. tricts, curb cuts shall b provided that the street accesses Ll One and two-family dwellings may have horseshoe driveways, are at least 30 feet apart, measured from the interior edges. ❑ For all uses, one access point per property is permitted. Landscaping L) For one -and two-family dwellings, one tree for every provided:ret of street is required. Street trees required: Street tree ❑ dcaed prior to issuance Of C-0- 100% of the front yard and 25% of the entire lot must o n lemsenpweather prior to the issuance of Li in the event that landscaping cannot be installed duto may allowed to ensure future a C.O., an escrow agreement with financial guarantees installation. 125% of the cost of the proposed improvements owner or ill b contractor e the with the agreement. These funds will be reimbursed back to the property are in place. Property appraisal system Property Information GENERAL INFORMATION PIN/Schedule: 300043369 AIN/Parcel ID: 39-222-11-004 Status: Active Property Type: Residential Property Address: 04355 IRIS ST WHEAT RIDGE CO 80033 Mailing Address: SAME ADDRESS AS PROPERTY Neighborhood: 2002 - KIPLING, I-70 & CLEARCREEK AREA PROPERTY DESCRIPTION Subdivision Name: 739600 - TALBERT Owner Name(s) BOGGS TIMOTHY Page 1 of 1 Block Lot Key Section Township Range QuarterSection Land S ft 0002 OOA 22 3 69 NW 8388 0003 OOD 22 3 69 NW 2135 110523 Total 0 Death Certificate Assessor Parcel Maps Associated with Schedule pmap39-222.pdf PROPERTYINVENTORY Property Type RESID Design: Ranch Item Quality No. FULL BATH Fair 11 MAIN BEDROOM 2 Adjustment Code Adjustment SgFt WALL/FLR HEAT 1750 SALE HISTORY Interactive Map Year Built: 1952 Adjusted Year Built: 1952 Improvement Number: �1 Areas Qualit Construction1209 Sqft FIRST FLOOR Fair F 750 DETACH GARAGE Fair F Sale Date Sale Amount Deed Type Reception 06-23-2010 0 Warrant Deed - Joint Tenancy 2010052731 11-26-2012 0 Death Certificate 2012126112 08-14-2014 0 Quit Claim Deed 2014069844 09-29-2014 150,000 Warranty Deed 2014082975 04-22-2016 245,000 lWarranty Deed 12016037996 TAX INFORMATION 2015 Payable 2016 Actual Value otal 166,230 Assessed Value otal 13,232 Treasurer Information View Mill Levy Detail For Yearr 2016 2015 Mill Levy Information Tax District 3105 County 24.2120 School 47.4870 WHEAT RIDGE 1.8300 ARVADA FIRE DIST 14.7760 CLEAR CRK VLY WATER & SAN DIST 2.7910 REGIONAL TRANSPORTATION DIST 0.0000 URBAN DRAINAGE&FLOOD CONT DIST 0.5530 URBAN DRAINAGE&FLOOD C SO PLAT 0.0580 ALLEY WATER DIST 0.0000 otal 91.7070 2015 http://ats.jeffco.us/ats/displaygeneral.do?sch=043369 02/22/2017 T`+T` Hype Fr'�-"z.,�. i'hi:aik .s %'Wsii.}�:�'.WiW e, c.!4'.,:. ,.d2.r vF� f ...- A.T<.� $«.ec k."3.,r"... -,. . 3n ry w 4rx.?.du:^ ne ,3 "4...i� a .. >;' »sia,. s.4•v�R4" 'Qy d: sv.i'ax �E. ` �s 'x �vs qi� tt a. d „:, � � mss,„t_ a”„ ,:m �,+-r sv. €�.�a', , f . .,; k, a � . �.�n.r•�, _+;. e: q% i€e ,; � {.. ' z..+• �a �°t K , ,, ,. s..h $ S+ ft i i 7 r. _ }. [[ E . ��nr.,•-3 1�.$_'s:'�*?Cm+ndm& , : ?'Wfza'-^,:ry .d 3v� k - ..s,va •"m, /{ryw 5a s%w.c>C+.F t,^ax4tr-�cs.mx Ev. � v.R s�vss�, .ivf ,d' _ x ......}fie Y � � e .i„ 2 }ry i t e Ally ro: i S ,i�q t:. tom" z�• � h W.F� , i 5 v - ' H € � w. N j- ry 3 } �r }E It t 1 z r �f v _..r Vis- ..• x" • ..:�x;< ,:.ve.v . ,--,r,�....... .w.;:..s.2.,; .. .a F" 2 : .._...-- — _. ...—:_.__....—.... .. .--- - — - '� k1 !w�'*-3.�.z�..'.!#-+Km'a r... 4.^�Cr^.$r... .ma,� - �= „ ., w.�a. E d: aSJlOOJ IP -10 110 U00 uT k t � v s vu ��. o , ;R 1 a MITIS . , .. Sp 3 � ` • _ , �':�srt,,, £e,H&a:.. b*v�z� z:F t'NAk trtS+$ s � , � T`+T` Hype Fr'�-"z.,�. i'hi:aik .s %'Wsii.}�:�'.WiW e, c.!4'.,:. ,.d2.r vF� f ...- A.T<.� $«.ec k."3.,r"... -,. . 3n ry w 4rx.?.du:^ ne ,3 "4...i� a .. >;' »sia,. s.4•v�R4" 'Qy d: sv.i'ax �E. ` �s n .R`,.•S..A+x:.vav,=mow ,.a':xn. a. ;.Qu,u ra.r..m. a-'*c.�s r.*,,.e �.;-,Y .;ss�,+6'r: �4 i ° hsdt w µ 1 lx?v .F4AFuwa me o I 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� Job Address: 5 S Permit Number: (i i � uo Z 4 ❑ No one available for inspection: Time 9- : q '-)61/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:_1 1 ,i Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201707616 PERMIT NO: 201707616 ISSUED: 09/25/2017 JOB ADDRESS: 4355 Iris ST EXPIRES: 09/25/2018 JOB DESCRIPTION: Residential Re -roof to install IKO asphalt shingles - 10 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)875-7394 BOGGS TIMOTHY L SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,700.00 FEES Total Valuation 0.00 Use Tax 56.70 Permit Fee 93.35 ** TOTAL ** 150.05 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 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. City of Wheat Ridge Residential Roofing PERMIT - 201707616 PERMIT NO: 201707616 ISSUED: 09/25/2017 JOB ADDRESS: 4355 Iris ST EXPIRES: 09/25/2018 JOB DESCRIPTION: Residential Re -roof to install IKO asphalt shingles - 10 sq Pitch = 4/12 I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfo ed and that alll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of O NSR or CONTRACTOA (Circle one) Date I. This permit as issued based on the information provided in thepermit application and accompanying plans and specifications and is subject tot e 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 originalermit 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 Off-cial 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. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 7t 7 � From: no-reply@ci.wheatri dge.co.us Sent: Wednesday, September 20, 2017 9:20 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. ry Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4355 Iris St Property Owner Name Tim Boggs Property Owner Phone 303-875-7394 Number (enter WITH dashes, eg 303-123-4567) 17 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 thackbarth@comcast.net Yes Tim Boggs.pdf CONTRACTOR INFORMATION Contractor Business T.Hackbarth Roofing Name Contractor's License 020443 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) 303-433-6762 9751 w 44th ave Contractor Email Address thackbarth@comcast.net Retype Contractor Email Address DESCRIPTION OF WORK thackbarth@corncast. net TOTAL SQUARES of 10 the entire scope of work: Project Value (contract 2700 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or No r' Pitched roof (2:12 pitch or greater) 18 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 any additional detail here on the description of work. (Is this for a house or garage? Etc) 4/12 10 iko dimensionals Asphalt house 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 19 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 Todd Hackbarth Email not displaying correctly? View it in your browser. 20 -WWI ACCREDITED B1151NE55 9751 W. 441h Ave. Ste. 103 Wheat Ridge, CO 80033 T. Hackbarth Roofing Residential & Commercial Since 1990 Office: 303.433.6762 Fax: 303.679.3072 ThackbarthRoofing.com Customer Name:__41M 6C -,S4 5 Date: Contact Info: Phone #: 3o 3- k%S' 9 3 9% Cell #: E-mail: Property Address: Street#: 4 3��r .Q'v'! S S-4- City: LLZ&e4L State: zip: Insurance Company: V"NP-1 A=f-C- Claim #: e) C, i Date of Loss: :0 1 Type of Loss: A L r Company Rep: Q,9 11,9e K&ar-4-L Phone #: ,3e) 1 " ' 3 3 �n U fie!! - 30 3- 40 - z.5-163 I authorize T. Hackbarth Roofing to work directly with my insurance company on my behalf and to furnish all material and labor as listed below Total Amount of Estimate $ (Agreed upon price with the Insurance Company) The owners out of pocket expenses will not exceed their insurance deductible in the amount of $ tT + (Unless upgrades are added) Process payments of Contract price shall be made as follows: r'Y)�i.►• �/'!� "��' 8A f Av&,- L,,,tor; Policy Specifications: Non -Recoverable Depreciation Recoverable Depreciation �4_ Code Up -Grade Coverage x Your project will begin once T. Hackbarth Roofing receives the initial down payment check. Final payment is due to T. Hackbarth Roofing once received from Insurance Company. All insurance supplement payments invoiced to insurance company to correct shortages in Original estimate will be paid to T. Hackbarth Roofing. We will furnish the following materials and labor as listed below: Tear off all layers of existing roof material: 4- (layers) New Shingle: �7- KU Initial Shingle Color: 81 OndlL'_ Initial Install felt paper to match existing:151b 301b�C- Install Pipe Jacks __)�,3/1 4/1 Install Furnace Vents 30x5° �5°x7D 711x9° Special Instructions: n h be- com p i der J Fascia color: Protect all landscaping, pools, a/c units Paint vents to match roofing material Haul off trash/debris and magnetic sweep Other Terms and Conditions: If deductible is more than stated above, customer agrees to pay the difference. In the event that Insurance Company only agrees to pay for repairs, neither party is bound by this contract. Customer agrees to provide a copy of Insurance Claim Report to T. Hackbarth Roofing upon receipt. A cancellation fee of 20% will be charged if customer cancels contract after insurance company has agreed to replace the roof. ** IF FOR ANY REASON THIS CLAIM IS DENIED THIS AGREEMENT SHALL BE VOID** By signing this contract you are authorizing T. Hackbarth Roofing and their affiliates to do the work as specified, and payments will be made as outlined above. Plea for additional Terms. rope ized Rep. 5i . re Date - T. Hackbarth Roofing Rep. Signature City of Wheat Ridge r Homeowner Electrical PERMIT - 201708544 PERMIT NO: 201708544 ISSUED: 10/23/2017 JOB ADDRESS: 4355 Iris ST EXPIRES: 10/23/2018 JOB DESCRIPTION: Homeowner electrical installation of electrical wiring of new garage. 1)0 amps. *** CONTACTS *** OWNER (303)875-7394 BOGGS TIMOTHY L *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 200.00 FEES Total Valuation 0.00 Use Tax 4.20 Permit Fee 26.50 ** TOTAL ** 30.70 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field 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 compler`on :�t 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. 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this I further attes�that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of Ow or CONTRA Circle one) Date 1. This permit was issued based on the information vided in the permit application and accompanying tans and specifications and is subject to the compliance with those documents, and all a licabl p pp a statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anyy violation of any provision of anv applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to tield inspection. Signature o le Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of WheatI 'ge 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(a-)ci.wheatridge co us FOR OFFICE USE ONLY Date:f�)� Plan/Permit #C�j 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: !%t ;; SS' s,z , s —z,--4-- Owner Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer E-mail: Contractor: 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 n - 5 233y ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) Z 6:4-/ 2 4C`Lg 1c ,r > l Zt0rj 4jaA5 (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.ILF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) CEJ 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last nitDATE;/G'? ( / ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ v � A 4 IV .� City of "f W heat io' d e ;t� COMMUNITY DEVELOPMENT Official Certification of Property Owner for Trade Specific 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): t4 -o L. Project Property: 1_/3 Notarized signature of Applicant State of Colorado } County of ss The foregoing instrument was acknowledged by me this day of (i(*be , 20/ 7 b 77Mt'� S Y Not y u is JAYMESUE MCRIMMON NOTARY PUBLIC STATE OF COLORADO NOTARY ID # 20154009457 ML Y COMMISSION EXPIRES MARCH 06]20]19 My Commission Expires _L 20_ 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: r7 K I /L -,A11 sNc /ti'o. p S/jL Job Address: 4-13 55 Ix S 5 7 Permit Number: 2 o /'7ao yZ cy ❑ No one available for inspection: Time Uys AIVt% Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-2_ 34-5933 Date: -7/7//7 Inspector: 6,410 DO NOT REMOVE THIS NOTICE y i CITY OF WHEAT RIDGE, _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r R I _ Job Address: 3 5 4-9 Permit Number: a D l 7 (j 0 �4 a y 4 N �P C-/"0 ) r6 N L) L) GAP V AJ a ,o Ws rr tj 511 ❑ No one available for inspection: Time Re -Inspection required: es No When corrections have been made, call for re -inspection r3D3-234-5933 Date:�� Inspector: DO NOT REMOVE THIS NOTICE 3011ON SIH13AOM13H ION 00 �A :aoloadsul ££65-ib£Z-£0£ #e uoi;oedsui-aa ao{p7S-1A ueaq aney sugi;oaaaoo ua4M, oN:paainbaa uoi}oadsul-aa awil :uoiloodsui aol agep-AU auo ON IM ' , -.L-) 01/ ) Pv ') /7, A�1-2 /1) �,)4 1,-))/ L n r 1) I', L :aagwnN lluaaad :ssaippd qof :adA1 uoijoadsul 331ION N01133dSNI xeJ 6068-200 (EOE) • ajr-40 9590-9E0 (000) au!j uoijoadsul EE69110 (900 uolsinla uoiloadsul 6uiplin8 , 39ala lV3HM =10 A113 "* i CITY OF WHEAT RIDGE b ?, Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Fou Job Address: d-/355 1 K l S Permit Number: 2 01700 L/ 2 V ❑ No one available for inspection: Time A Re -Inspection required: Yes J *When corrections have been made, call for re -inspection at 303-234-5933 Date: S76 Inspector:r��`, DO NOT REMOVE THIS NOTICE 3� CITY OF WHEAT RIDGE' J 1 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: R .F .7:j -- Job Address: 1-4 4 ❑ No one available for inspection: Time A Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector DO NOT REMOVE THIS NOTICE Y d ` 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: 14,..SS Z,? i S S -C Permit Number: J�-•D /"? % C, U XI -1 l Q T- l�flsvp1`111 nVs1C e 4b ry-\ P. S r-- 't� & -6 >h ❑ No one available for inspection: Time 4LL AM/PM Re -Inspection required: Yes No * When corrections have been made, call fo spection at 303-234-5933 Date: '�t_ I / Inspector: DO NOT REMOVE THIS NOTICE 1* A City of Wheat Ridge �w Res. Accessory Struc PERMIT - 201700424 PERMIT NO: 201700424 ISSUED: 03/30/2017 JOB ADDRESS: 4355 Iris ST EXPIRES: 03/30/2018 JOB DESCRIPTION: New garage 28 ft x 35 ft 6 in. *** CONTACTS *** OWNER (720)218-1621 BOGGS TIMOTHY L *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00 FEES Total Valuation 0.00 Plan Review Fee 153.40 Use Tax 216.00 H Permit Fee 236.00 ti ** TOTAL ** 605.40 co—RO%= *** 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. LM: 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. For one- or two-family dwellings, the first twenty-five feet (25&#39;) of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. City of Wheat Ridge Res. Accessory Struc PERMIT - 201700424 PERMIT NO: 201700424 ISSUED: JOB ADDRESS: 4355 Iris ST EXPIRES: JOB DESCRIPTION: New garage 28 ft x 35 ft 6 in. 03/30/2017 03/30/2018 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 1 ame 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 l am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performes disclosed in this document and/or its' accompanying approved plans and specifications. Signature of 07VVT R or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanyingdans 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 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division, 6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable cg�or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date REQUESTS MUST BE NADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.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. a ,s City of W heat I� ,e 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(a)ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # 01"v 00 0'_j Plan Review Fee: 0 Building Permit Application 62 larlwk PAN" *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): Iyy\ (b c-,2 � a Phone: ,W,!) '215- S - 73 c1 y Property Owner Email:_ 4 ct � <_� C7 ���/ C iM G 1 ` c G i ✓1 Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/EIng! neer: Architect/Engineer E-mail: Contractor: 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 ❑ COMMERCIAL �q RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE -9 NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. Ft./LF Amps Btu's Squares Gallons 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): / i ��t DATE: r � — R C) I I� DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: I --L tp BUILDING RTMENT COMMENTS: ReviewerruAl :--- OCCUPANCY CLASSIFICATION: 31 3 Building Division Valuation: $ _ i CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office • (303) X37-8929 Fax INSPECTION NOTICE Inspection Type: t"o N c MrF 0-, T= kA— Job Address: y'3 i 5 S"t' Permit Number: a o J 7 b 0/ (0 7 ❑ No one available for inspection: Time I% V AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: - �' Inspector:4�_l - f' DO NOT REMOVE THlb NOTICE City of Wheat Ridge ~ Res. Garage/Carport PERMIT - 201700167 PERMIT NO: 201700167 ISSUED: 02/23/2017 JOB ADDRESS: 4355 Iris ST EXPIRES: 02/23/2018 JOB DESCRIPTION: Turning Garage into Shed, building foundation 240 sq ft *** CONTACTS *** OWNER (720)218-1621 BOGGS TIMOTHY L *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,580.00 FEES Total Valuation 0.00 Plan Review Fee 60.68 Use Tax 46.44 Permit Fee 93.35 ClIX01 if 313-1 ** TOTAL ** 200.47 ji *** COMMENTS *** *** CONDITIONS *** MM: Approved per plans and red -line notes on plans. Must comply with 2012 IRC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Electrical is not included with this submission. Amendment to this permit or new permit will be required for electrical. MR: 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. Structure cannot exceed 15' at mid -roof. No new driveway allowed with this permit. 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. PERMIT NO JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Res. Garage/Carport PERMIT - 201700167 201700167 4355 Iris ST ISSUED: EXPIRES Turning Garage into Shed, building foundation 240 sq 02/23/2017 02/23/2018 ft 1, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 1. 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 Offial and is not guaranteed. 4. No work of anmanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit ho der 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 applic dpe�o�r� 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. 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. fl -b FOR OFFICE USE ONLY City of Date: oz _ Wheat] ge COMMUNITY DEVELOPMENT Plan/Permit#O %1�l Building & Inspection Services Division w` 7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee Office: 303-235-2855 * Fax: 303-237-8929 $: I Zl `p5 Inspection Line: 303-234-5933 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **" Property Address: L/3 55 ;;rp Property Owner (please print): "� „ � I c Phone: 303 _�%� 7j� y Property Owner Email: boot c4 S Q l60 G VVNq it, I r C o rvl Mailing Address: (if different than property address) Address: �/� j' _-X(Z L �, g" - City, State, Zip:y� /-� ;r�."� (2-1 d e e- ® p ® 3 Arch itect/Enaineer: Ho-yV\ e_ovu Y1 �o Architect/Engineer E-mail: Contractor: 1 C'' Phone: Contractors City License #: Phone: 3©3" 9-15- — % 3 GI Contractor E-mail Address: b0gC4S SO Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # 1 • LOM Other City Licensed Sub: City License # 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 0 NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION] RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) [� RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) TUC Y) I o 6W 0-) I DS n a) Jy-\ Sq. Ft./LF Amps T )'ACT) Btu's Squares Gallons 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 1 have read and agree to abide by all conditions printed on this application and that 1 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) (CONTRACTOR) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) or PRINT NAME: wt 1, P P _ G ®-A c..S SIGNATURE: TE: DEPARTMENT USE ONLY ZONING COMMMENTS: �/V OCCUPANCY CLASSIFICATION. Reviewer t !'-1- BUILDING DEPARTMENT COMMENTS. - I�-�,�, ( Reviewer: I l j y PUBLIC WORKS COMMENTS. Reviewer. PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required �IH,s Nix E)hu)'. ,ki�l�aY1d1 �11,I Ji `-Fails Water District ❑ Received ❑ Not Required Sanitation District n Received n Not Required Building Division Valuation: $ City of Wheat idge 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 Owner(s): IT Project Property: 41 Notarized signature of App7i­cant State of G lora0 } County df U } ss 003:3 Thi foregoing instrument was acknowledged by me this L day of�L)�����0L by LN ANDA APPLEHANS NOTARY PUBLIC TE OF COLORADO r TARY ID 20154045819 ON EXPIRES NOVEMBER 25, 2019 MY Commission ExpiresLJ 20L/ RESIDENTIAL Building Permit – Plan Review Worksheet Address: q �� 51 Zoning: Lot Size: I 02W� sq. ft. Lot Width:/ ft. Property in the flood plain? iti. ' If yes, add surveying condition FLD. Type of project (applicable survey conditions in parenthesis): P Accessory ISP, ILC or site plan none ❑ Addition ILC and site plan if w/in 2' of setback or in floodplain ❑ New ILC and site plan yes (FND) Maximum Lot Coverage: 4 C) % Existing Improvements: House: ISO sq. ft. Shed:,5 H p g sq. ft. Detached garage: 1` 0 sq ft. Other: sq. ft. Total Existing -12 3 sq. ft Lot Coverage --T °f fZO g sq. ft. Rev. 06/2014 if in floodplain (FLD) if in floodplain (FLD) if Win 2' of setback (NRS) if in floodplain (FT Ill Proposed Improvements: House/addition: sq. ft. Shed: �2 q O sq. ft Detached Garage: sq. ft. Other: sq. ft. Proposed+Existing (0 3 sq ft Lot Coverage 9% % Required Setbacks: FR 5 S 5 S _ R Io Provided Setbacks: FR ? �` ` S S S > R 10 For additions or new construction, is the structure within 2 feet of minimum setbacks? If yes, add surveying condition IND. Maximum Height: 15' ft. Maximum Size: sq. ft. Proposed Height: l ' ft. Proposed Size: sq ft Parkland: If the permit is for new construction, have parkland dedication fees been paid? If no, add condition PFEE, notify owner, and notifybuilding division. Streetscape: Does the permit result in any of the following conditions? Q Construction of new roads Q Platting of new lots Q New development Q Additions that increase floor area by 60% or more (see formula) (proposed floor area — existing floor area ) / existing floor area = o /o inc. If any box is checked... SF/DUPLEX—Is there existing Q Curb Q Gutter 05 -foot sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Rev. 06/2014 Other notes/considerations: Accessthe first 25' of driveway area fr ❑ For one and two-family dwellings, om the existing edge of ck pavement into the site shall be surfaced with concrete, o pehic�le ent ances overs� exitslmay be closer lar materials. ❑ For all uses other than one and two family dwellings, than 25' to any property line, except when used as joint access for two or more lots. ❑ In residential zone districts, curb cuts shall be at leash 10 feet and not more than s LI One and twofamldwellingsuadfrhorseshoe feyp the street accesses are at least 3Oft apart, mLeom the interior edges. ❑ For all uses, one access point per property is permitted. Landscaping LI For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Street trees required: Street trees provided: ❑ l00% of the front yard and 25% of the entire lot du s� b landscaped enweather prior t the �ssuanan of ❑ In the event that landscaping cannot be installed future a C.O., an escrow agreement with financialproosed improvements will be ree allowedquired with the agreement. installation. 125% of the cost of the prop P These funds will be reimbursed back to the property owner or contractor once the improvements are in place. Property appraisal system IProperty ro nat on GENERAL INFORMATION PIN/Schedule: 300043369 AIN/Parcel ID: 39-222-11-004 Status: Active Property Type: Residential Property Address: 04355 IRIS ST WHEAT RIDGE CO 80033 Mailing Address: SAME ADDRESS AS PROPERTY Neighborhood: 2002 - KIPLING, I-70 & CLEARCREEK AREA PROPERTY DESCRIPTION Subdivision Name: 739600 - TALBERT Owner Name(s) BOGGS TIMOTHY Page 1 of 1 Block Lot Key Section Township Ran a OuarterSection Land S ft 0002 OOA 22 3 69 NW 8388 0003 OOD 22 3 69 NW 2135 Total 10523 Assessor Parcel Maps Associated with Schedule gmap39-222.pdf PROPERTY INVENTORY Property Type RESID Design: Ranch Item Quality No. FULL BATH Fair 1 MAIN BEDROOM 2 Adjustment CodelAdjustment SgFt WALL/FLR HEAT 1750 SALE HISTORY Interactive Mal) Year Built: 1952 Adjusted Year Built: 1952 Improvement Number: 1 v Areas Quality Construction Sq FIRST FLOOR Fair F 750 DETACH GARAGE Fair F 209 Sale Date Sale Amount Deed Type Reception 06-23-2010 0 Warrant Deed - Joint Tenancy 2010052731 11-26-2012 0 Death Certificate 2012126112 08-14-2014 0 Quit Claim Deed 2014069844 09-29-2014 150,000 Warranty Deed 2014082975 04-22-2016 1 245,000 lWarranty Deed 12016037996 TAX INFORMATION 2015 Payable 2016 Actual Value otal 166,230 Assessed Value otal 13,232 Treasurer Information View Mill Levy Detail For Year F2016 2015 Mill Levy Information Tax District 3105 County 24.2120 School 47.4870 WHEAT RIDGE 1.8300 ARVADA FIRE DIST 14.7760 CLEAR CRK VLY WATER & SAN DIST 2.7910 REGIONAL TRANSPORTATION DIST 0.0000 URBAN DRAINAGE&FLOOD CONT DIST 0.5530 URBAN DRAINAGE&FLOOD C SO PLAT 0.0580 ALLEY WATER DIST 0.0000 otal 91.7070 2015 http://ats.jeffco.us/ats/displaygeneral.do?sch=043369 02/22/2017 City ( ` 0 Wh6atPd COMMUNITY DEVELOPMENT 'k-PINA4 A STIFF! Propw�r Addre": Address: Mechanicat W.R. City License Complete all information on BOTH sides of this form . FtA.F .� _ _ _ #td's Ada _. � � �_. Squares ��,� wW M � Other ♦ i CITY OF WHEAT RIDGE` Building Inspection Division (303) 234 -5933 Inspection line (303) 235- 2855,0ffice • (303) 237 -8929 Fax 7 - INSPECTION NOTICE Inspection Type: Job Address: Permit Number: r�. *'• i - ❑ No one available for inspection: Time AM /PM Re- inspection required: Yeso= r When corrections have been made, call for re- inspection at 303 -234 -5933 r � Date w .` r. Inspector DO NOT REMOVE THIS NOTICE ` I �. . t, ! e CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line 00007 (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: V✓1 I Job Address: 6_5 r i Permit Number: /UCH 5 / ❑ No one available for inspection, Time MOM Re-Inspection required: Yes` No When corrections have been made, Gaff for re-inspection at 303-234-5933 Date: c~ I C~ Inspector: D NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspection: Time /Z,35,-Am/ M Re-Inspection required: CYe) No When corrections have been made, call for re-inspection at 303-234-5933 Date: 494///D Inspector: I DO NOT REMOVE THIS NOTICE Inspection Type: VY f _ Job Address:3 S ~r ~s Permit Number: If 001 9 ee"'"~r~ City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 U ~ r ' T Office: 303-235-2855 ` Fax: 303-235-2857 ~'4 _ a~ Inspection Line: 303-234-5933 ~<oRnO Building Permit Application Property Address: 4355 1 (z ( S S4 Property Owner (please print): Mailing Address: (if different than property address) Address: State, Zip: Date: Plan Permit Mav Phone: I aqD~ 14oS Contractor: Contractor License Phone: Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ s. OI Description of work: / (as calculated per the Building Valuation Data sheet) Plan Review :(due at time of submittal): $ Sq. FL/L.Ft added: Squares --A02_ BTU's Gallons Amps OWNERICONTRACTOR 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE(OWNER.) (CONT - f~ ) or PERSONAL REPRESEN TIME of (OWNER) (CONTRATOR) ~-I PRINT NAME: ~O✓`lNl0. /~t(A AV-V6 SIGNATURE: / Date: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning'. Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. OCCUPANCY: FIRE DEPARTMENT:: n approved w/ comments ❑ disapproved ❑ no review required