HomeMy WebLinkAbout10905 W. 41st AvenueA i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION) (-INOTICE
Inspection Type: -3)(3 / 0 3
Job Address: 010s, Vj t -j 1 ST A VC
Permit Number: 2--oJ RCDq ;�S'
I
❑ No one available for inspection: Tim M
Re -Inspection required: Yes No___
When corrections have been made, call f re -inspection at 303-234-5933
DakXZ iV Inspector
DO NOT RE VE 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: -310 / yO3
Job Address: Q 10 S W y j ST /_1VC
Permit Number: ZO) 2 011 Z �
F.
MM Mow It 1101
S
❑ No one available for inspection: Ti /PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Dat `, zz_, � lnspec
DO NOT RE VE THIS NOTICE
City of Wheat Ridge
Residential Solar PERMIT -
201800935
PERMIT NO: 201800935
ISSUED:
05/01/2018
JOB ADDRESS: 10905 W 41st AVE
EXPIRES:
05/01/2019
JOB DESCRIPTION: Roof mount, flush mount, grid -tied
7.41KW solar
PV including new main
service panel 200 AMP.
*** CONTACTS ***
OWNER (303)423-8884 BERTHEAUD JOHN E JR
.SUB Andy Nyman
070159 Sunrun
Installation Srvs. Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
13,856.00
FEES
Total Valuation 0.00
Res Solar Review 500.00
** TOTAL ** 500.00
*** COMMENTS ***
*** CONDITIONS ***
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.
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 ermIt. I further attest that I am legally authorized to include alI 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
I. This permit was issued based on the information provided in the permit application and accompanying p_Ians 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 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 shalllo; proceed or conceal work without written approval of such work from the Building and Inspection Services
Div o
-111
6, Th i anc or gra o a ermit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
ap or or regulation of this jurisdiction. Approval of work is subject to f eld inspection.
Signature of Chief Building Official I ----
Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of RECEIVED
Wheatj� dge ❑p p A
COMMUNITY DEVELOPMENT APR o `t 1018
Building & Inspection Services Division P�
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
I FOR OFFICE USE ONLY
Date: "
I /9
Plan/Permit #
maI 8
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: ((�(��
"7 �S'
AAEL
Property Owner (please print):
Ja r
Q�'97�14
(�
Phone: '30 __ q2,7,- ��L�
Property Owner Emai
Mailing Address: (if different than property address)
r_ISISTM
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: �-oj /'J
Contractors City License #: (� 7!' (.Sc7 Phone:
Contractor E-mail Address:i(/ �70.4-j
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
s u n r u n EXHIBIT A
SOLAR FACILITY ADDENDUM CONTRACT
PKKN1 D673LFL
THIS SOLAR FACILITY ADDENDUM CONTRACT ("Addendum") is made by and between Sunrun Inc. ("Sunrun") and Sunrun ("Contractor') for the
design, engineering, procurement, installation, and construction of the Solar Facility described herein. This Addendum hereby incorporates, in total, the
terms and conditions set forth in the Master Solar Facility Turnkey Contract ("Contract"), and all schedules and exhibits thereto, executed by Sunrun
and Sunrun in July 4, 2014. Capitalized terms contained herein have the meanings set forth in the Contract.
SOLAR FACILITY
TOTAL SOLAR CUSTOM
Contract Price: $15,575.00
Host Customer: John Bertheaud
Street Address: 10905 W 41 st Ave, Wheat Ridge, CO 80033
Rebate Level: $0.00 per watt
Utility: Xcel Energy
TECHNICAL SPECIFICATIONS
System Size
Description Rating
Standard Test Condition Direct Current (STC DC kW) 7.410
CEC Alternating Current (CEC AC kW) 7.336
Generation Equipment
Pholovo/hvlc co/lecimv
Manufacturer
Model number
STC DC rating
Quantity
Array 1
SolarEdge Technologies
SE7600H-USRGM
99.0
1
9 Array 1
_
LONGi Green Energy
Technology Co Ltd
LR6-60-285M
285.OW
3
Array 2
LONGi Green Energy
Technology Co Ltd
LR6-60-285M
285.OW
3
Array 3
LONGi Green Energy
Technology Co Ltd
LR6-60-285M
285.OW
11
Array 4
LONGi Green Energy
Technology Co Ltd
LR6-60-285M
285.OW
9
/nveifars
Manufacturer
Model number
Efficiency
Quantity
Array 1
SolarEdge Technologies
SE7600H-USRGM
99.0
1
Array 2
SolarEdge Technologies
SE7600H-USRGM
99.0
0
Array 3
SolarEdge Technologies
SE7600H-USRGM
99.0
0
mArray 4
SolarEdge Technologies
SE7600H-USRGM
99.0
0
Total Number of Panels: 26
Total Number of Inverters: 1
Meter Information
Meter Description
Manufacturer Meter selected from approved vendor list provided by Sunrun.
Model number Meter selected from approved vendor list provided by Sunrun.
2/28/2018 PKKN1D673LFL (Custom Lease) Page 1 of 2
SCOPE OF WORK GENERAL NOTES LEGEND AND ABBREVIATIONS TABLE OF CONTENTS
PAGE # DESCRIPTION
• ALL WORK SHALL COMPLY WITH NEC 2014, 2012 IBC, MUNICIPAL CODE, AND
• SYSTEM SIZE: 7410W DC, 7600W AC ALL MANUFACTURERS' LISTINGS AND INSTALLATION INSTRUCTIONS. SERVICE ENTRANCE SOLAR MODULES PV -1.0 COVER SHEET
• MODULES: (26) LONGI GREEN ENERGY TECHNOLOGY CO . PHOTOVOLTAIC SYSTEM WILL COMPLY WITH NEC 2014. RAIL PV -2.0 SITE PLAN
LTD: LR6-60-285M
• INVERTER(S): ELECTRICAL SYSTEM GROUNDING WILL COMPLY WITH NEC 2014.MAIN PANEL e— PV-3.OA LAYOUT SNR RL
(1) SOLAREDGE TECHNOLOGIES: SE760OH-US WITH • PHOTOVOLTAIC SYSTEM IS UNGROUNDED. NO CONDUCTORS ARE SOLIDLY MP
REVENUE GRADE METERING GROUNDED IN THE INVERTER. SYSTEM COMPLIES WITH 690.35. PV -3.013 LAYOUT SNR S100
RACKING: • MODULES CONFORM TO AND ARE LISTED UNDER UL 1703.
• • INVERTER CONFORMS TO AND IS LISTED UNDER UL 174'1. SP SUB -PANEL STANDOFFS & PV -3.1 ATTACHMENT DETAIL
OPTION 1: SNAPNRACK RL; FLASHTRACK COMP. SEE . RACKING CONFORMS TO AND IS LISTED UNDER UL 2703. FOOTINGS PV -4.0 ELECTRICAL
DETAIL SD -00708. • SNAPNRACK RACKING SYSTEMS, IN COMBINATION WITH i TYPE I, OR TYPE II � CHIMNEY
OPTION 2: SNAPNRACK SERIES 100 UL; FLASHED L FOOT; MODULES, ARE CLASS A FIRE RATED. LC PV LOAD CENTER PV -5.0 SIGNAGE
SEE PEN D01 • RAPID SHUTDOWN REQUIREMENTS MET WHEN INVERTERS AND ALL
CONDUCTORS ARE WITHIN ARRAY BOUNDARIES PER NEC 690.12(1). ATTIC VENT
• CONSTRUCTION FOREMAN TO PLACE CONDUIT RUN PER 690.31(G). SM SUNRUN METER
• MAIN PANEL REPLACEMENT: EXISTING 100 AMP HOT -BUS • ARRAY DC CONDUCTORS ARE SIZED FOR DERATED CURRENT. �j FLUSH ATTIC VENT
MAIN PANEL TO BE REPLACED WITH NEW 200 AMP MAIN • 9.59 AMPS MODULE SHORT CIRCUIT CURRENT.
PANEL WITH 200 AMP MAIN BREAKER. • 14.98 AMPS DERATED SHORT CIRCUIT CURRENT [690.8 (a) & 690.8 (b)]. PM DEDICATED PV METER kn
o PVC PIPE VENT
INVERTER(S) WITH a METAL PIPE VENT
INV INTEGRATED DC
DISCONNECT AND AFCI T -VENT
NAC DISCONNECT(S) City of
T SATELLITE DISH
wheat Ridge Q
DC DISCONNECT(S) E3 FIRE SETBACKS
Building Divison
Z) m
COMBINER BOX HARDSCAPE
F_ 7 INTERIOR EQUIPMENT — PL— PROPERTY LINE
o LEa SHOWN AS DASHED SCALE: NTS
M
A AMPERE sunrun
AC ALTERNATING CURRENT
AFCI ARC FAULT CIRCUIT INTERRUPTER
AZIM AZIMUTH
VICINITY MAP COMP COMPOSITION
DC DIRECT CURRENT
(E) EXISTING ELECTRICAL CONTRACTOR
EXT EXTERIOR 6040 WEST 91
ST AVENUE, WESTMINSTER, CO 80031
k d PHONE 303.577.6527
-`�- City of F R M FRAMING FAX 303.577.9629
Wheatge INT INTERIOR CUSTOMER RESIDENCE:
ComwumwDm oom,R-camT LBW LOAD BEARING WALL
JOHN BERTHEAUD
MAG MAGNETIC 41
10905 West 41 st Avenue APPROVED MSP MAIN SERVICE PANEL RIDG W OST AVE, WHEAT
RIDGE, CO, 80033
Reviewed for Code Compliance (N) NEW
_'�' NTS NOT 1"0 SCALE TEL. (303) 423-8884
OC ON CENTER APN #: 3921303016
Wheat F,,:PRE-FAB PRE -FABRICATED �f
PSF POUNDS PER SQUARE FOOT PROJECT NUMBER:
501 R-905BERT
ansE,ami .et PV PHOTOVOLTAIC
® TL TRANSFORMERLESS DESIGNER: 818.738.2318
TYP TYPICAL
oneco°w°t°iw%,3hO not be apemut/a@ran"Womfo% ony.,w ROBERT BUSTAMANTE
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o.othe.otdieonceso1ftCitythomowbeww. SHEET
REV NAME DATE COMMENTS COVER SHEET
REV: A.1 4/4/2018
W Colfax Ave
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SNAPNRACK
COMPOSITI❑N L FOOT
SNAPNRACK
STANDARD
RAIL
SNAPNRACK C❑MPOSI
ROOF FLAS
a' S,S, LAG SCREW
2,5' MINIMUM EMBEI
SNAPNRACK
L FOOT BASE
SEAL PENETRA
UNDER BE
APPROPRIATE ROOF
RAFTER TYP,
FLASHED L FOOT MOUNTING P❑INT FGR
USE ON C❑MPOSITI❑N ROOF SURFACES
WITH LOW TO MODERATE TILT
c;ay �
RAILS CAN BE LEVELED UP TO 3'
e
USING UP TO TWO LEVELING SPACERS
AS SHOWN IN 'SERIES 100 RAIL
LEVELING" ;I•,,d r,u. Di,rison
THIS INFORMATION IS CONFIDENTIAL AND REV
PROPRIETARY. ANY REPRODUCTION, DESIGNER G. McPHEETERS SCALE DNS PART # p E N DETAIL 01 FLASHED L FOOT
DISCLOSURE, OR USE THEREOF IS EXPRESSLY
PROHIBITED WITHOUT THE WRITTEN PERMISSION DRAFTER G. McPHEETERS DATE 120111 PEN-DO1
OF MAINSTREAM ENERGY CORPORATION.
S,S, BOLT AND
WASHER
3, FLANGE NUT
REVISION:
NOTES,
— 5/16' LAG BOLTS MUST EMBED
2.5' INTO ROOF STRUCTURAL
MEMBERS/RAFTERS
— TORQUE ALL 5/16' HARDWARE TO
THE FOLLOWING:
— SILVER S,S. 10-16 FT—LBS
— BLACK S S, 7-9 FT—LBS
— RAILS CAN MOUNT TO EITHER SIDE
OF L FOOT (UPSLOPE VS DOWNSLOPE)
STEP 3: PLACE L FOOT ON TOP
OF FLASHING AND TIGHTEN NUT
STEP 21 SLIP
ri Ac-IITKIr_ R
❑VE
ASE
P is BOLT L FOOT
;E TO ROOF WITH
i BOLT
TYP.
i CITY OF WHEAT RIDGE
_:�9�Building Inspection'' Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
S D .3 -
l%) ' sc - -
�° d1►n.7
Job Address:
I c 9 0 S-
to 9
Permit Number:
-D o 1 '7
C 3 -.� -7 �a
I Ci
❑ No one available for inspection: Timecj;� , 39 AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303 -234 -
Date: !9-/c-7 < 8 Inspector: _Tk5
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
f.
Residential Electric PERMIT - 201801127
Fop'
PERMIT NO: 201801127 ISSUED: 04/20/2018
JOB ADDRESS: 10905 W 41st AVE EXPIRES: 04/20/2019
JOB DESCRIPTION: Main panel to be replaced with new 200 amp panel and 200 amp breaker
*** CONTACTS ***
OWNER (303)423-8884 BERTHEAUD JOHN E JR
SUB (303)577-9628 Andy Nyman 070159 Sunrun Installation Srvs. Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00
FEES
Total Valuation 0.00
Use Tax 47.25
Permit Fee 93.35
** TOTAL ** 140.60
*** 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, 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 OBER or"ONTRACTOR (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 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or ranting of a it shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable co e any ordla 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.
City of
W heat Rjidge
C(�r�,MUNIIY DI VE 1_0 I'M ENI
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
FOR OFFICE USE ONLY
Date: q/acl
/ R
Plan/Permit #I ,wISM
11
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:
10905 W 41 st Ave Wheat Ridge CO 80033
Property Owner (please print): John Bertheaud Phone: (303) 423-8884
Property Owner Em
Mailing Address: (if different than property address)
Address:
, State, Zi
Architect/Engineer:
Architect/Engineer E-mail: Phon
Contractor: Sunrun
Contractors City License #: 070159
Contractor E-mail Address: andrew.nyman@sunrun.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone: 303-577-9628
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
❑ 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.)
MAIN PANEL TO BE REPLACED WITH NEW 200 AMP MAIN
PANEL WITH 200 AMP MAIN BREAKER.
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
1,500
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.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: Andy Nyman SIGNATURE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received
Water District ❑ Received
Sanitation District ❑ Received
❑ Not Required
❑ Not Required
❑ Not Required
DEPARTMEW(USE ( NLY
4/20/18
OCCUPANCY CLASSIFICATION:
n
Building Division Valuation: $� LJ
_ ty of Wheat Ridge
Residential Roofing PERMIT - 201702667
"r PERMIT NO: 201702667 ISSUED: 06/27/2017
JOB ADDRESS: 10905 W 41st AVE EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD Dimensional Architectural
asphalt shingles with 16 sq.
*** CONTACTS ***
OWNER (303)246-2595 BERTHEAUD JOHN E JR
SUB (720) 530-7258 Lou Busnardo
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,616.37
FEES
Total Valuation 0.00
Use Tax 159.94
Permit Fee 172.60
** TOTAL ** 332.54
*** 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 A4 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&€T"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
r
2101`7o2 � 7
INSPECTIORECORD �
NSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 I
INSPECTION REQUEST LINE: (303) 234-5933 0 Q -v:--
hispections 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
CommentsInitials
Pier
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Do Not Cover Under round or Below/In-Slab
Work Prior To Approval Of The Above Inspections
Foundation / P.E. Letter
Date
Inspector
Initials
A....... 1 rif Tho nhnva Incnecrnons
UO IVVI r-Vu1 \rVI1L,119
Underground/Slab Inspections
U
Date
r IIWO I w I'll..,.-. — - - ---
Inspector CommentsInitials
Electrical
Sewer Service
Plumbing
Do Not Cover Under round or Below/In-Slab
Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
f'
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 El,ctrical
Final Plumbing
Final P<<echanical
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.
• ..,...is,..J f. Oho Pira r)ictrict And P.IP.ctrlcal low voltage
*For low voltage permits — rieasc uG zu uia. ivuyj 1by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201702667
PERMIT NO: 201702667 ISSUED: 06/27/2017
JOB ADDRESS: 10905 W 41st AVE EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD Dimensional Architectural
asphalt shingles with 16 sq.
*** CONTACTS ***
OWNER (303)246-2595 BERTHEAUD JOHN E JR
SUB (720)530-7258 Lou Busnardo 080251 Centennial Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,616.37
FEES
Total Valuation 0.00
Use Tax 159.94
Permit Fee 172.60 ,
** TOTAL ** 332.54
*** 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 AIA -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€'"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201702667
201702667 ISSUED:
10905 W 41st AVE EXPIRES
Residential Re -roof to install GAF Timberline
asphalt shingles with 16 sq.
06/27/2017
06/27/2018
HD Dimensional Architectural
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 t%e legal owner or have been authorized
by the legal owner of the�,ppoIZcrty 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 and that all v�ork to lie performed is disclosed in this document and/or its' accompanying approved plans and specifications.
-z A r
Signatu _o OWNER or CONTRACTOR (Circle one) Date
1. Thispermit was issued based on the information provided in the permit application and accompanying plans and specifications and is
s hJect 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 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief ding Official's 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.
Dan Schultz c90 [76 -Z G67
From: no-reply@c i.wheatridge.co.us
Sent: Thursday, June 15, 2017 10:54 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
10905 W 41 st ST AVE
JOHN BERTHEAUD
303-246-2595
NA
332 . S�+-
Address
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
CENTENNIAL EXTERIORS INC
Contractor's License
080251
Number (for the City of
Wheat Ridge)
Contractor Phone
303-944-9380
Number
Contractor Email Address
mtnhighroofing(a)gmail.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
mtnhighroofing(a.gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
/
No
roof?
Description of Roofing
GAF Timberline HD dimensional arch
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
16
material selected above?
Does any portion of the
No t/
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
z
TOTAL SQUARES of all 16
roofing material for this
project
Provide additional detail Re -roof house / tear off one existing asphalt to deck/ repalace
here on the description of GAF timberline HD dimensional / 4/12 pitch
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 7616.37
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Jim Peters
Email not displaying correctly? View it in your browser.
3
`gas L1
NRIMAC
cbrinIAMUCS
CENTENNIAL EXTERIORS ASSOCKM JL#�
A venture company Mountain High Roofing
nrrud
BMITTEDTOE00F
(� 1,� AV. _ -
M-af. '0 co 30033*'
GTY, STATE_M4DZP
��a �`�Qmot�n C3�l5�p ULA
ADAM ED CLMMNO.
Mountain Rooting shall hold in fa any payer fivin you ufM Mounta n fth Rooms has
deftemd roofing wolwiais at the sfe or has perfb� a "Ise of work on your fir,
Appf=ftmWSftn DaW
snow ' lb. fee paw.. ../ Clea, uP and heal olt roofag debw-
Slyle rCalor t �. � ��
_ g.
Nw Mekat iiQV/&glpw� yv,.-4y P Sft ceQ damage (if ) at a cost of s 1Q per s
heeL
PropeAy owe is Jis not hdendingl to maim paymem
of a property and casualty bUMrdnM pO'y.
The 8*GfMe ll.VA become part ode ft
as scope et work
RCV stands for "Rent Cost
Value." ACV stands for "Actual Cost
Value_"
COWRACi IS ooPMNGasr UPM !OW
KWWTMV110W6PffWAB0VE.
ORTM Q* tesponsfrie for deduc@* and up
an HO Rooft reserves r* rw to ve for
used end prom to be 'suxrrea At no addMonai
eases due to to storm envkonmaiL It appicaW
be bftd to amaance sepwabely for overread and
WrAL
Appre • Totem
DqMft
U*=
AN matatt eawmbed to be VeCftd and above work to be pe ft nred In accordw= war moons submftd for above work and oonVieled in a s r*M
wortarrari mwnw*odobegradeupon rwWnotaftrReporraiBuftVD r"tmmbecion_AiirrwmrftsvddifpWmerttistwtv*endue.
-Any alwabo n or deu abon ffr abowspedtowbom avoNM extra cost ww be a wQftd upon wn t n crwerbai ofdm and wN becorrre an exaa araW ow
Old above estimate. Att agreenwft ooWmwent upon strikes, aero, wed or detays OW are beycmd Mwntam fth Roofing =*ol. owner to every fire,
tornado aad allm neoeseWwawarim spoor wart[.
Genera _ U&ft kmm= 1bf MWIbm HO_RwfiM is carried by Acetic Cwm ty - kwimmr, 1550 EVderW BW Ste. C, Derrarer, CO 80219
zt-�
ON, _: @*W01, W.P,0:
a..MOWAOM N10 ft&iQ Wn 5 Wime St. Ste. 3813 Laloewood, £0 SOM ihonc M Fair 3R3 -9224M
4;� ar1f t_n Wi v-cco
17
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTON N TICE
Inspection Type:
Job Address: t r� G161- t4/ q1 f j1 e
Permit Number:
-f I
❑ No one available for inspection: Time. �-F� AM/PM
Re -Inspection required: Yes No
When corrections ave been made, call for re -inspection at 303-234-5933
Date: -7/(, -Inspector: M /
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:&
Job Address: 0zqS IA / /I
Permit Number: O / ,'/p Z 6 6
❑ No one available for inspection:: Time !' l � AM/PM
Re -Inspection required: Yes//"'N9)
When corrections have been made, call for re-inspecyon 1303-234-5933
Date:` /Inspector:
�
DO NOT REMOVE THIS NOTICE
i . City of Wheat Ridge
VK
Residential Miscella PERMIT - 201703234
PERMIT NO: 201703234 ISSUED: 07/05/2017
JOB ADDRESS: 10905 W 41st AVE EXPIRES: 07/05/2018
JOB DESCRIPTION: Install 3 squares of vinyl 8 inch clapboard to left side of home
*** CONTACTS ***
OWNER (303)421-1775 BERTHEAUD JOHN E JR
SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,484.00
FEES
Total Valuation 0.00
Use Tax 52.16 s
Permit Fee 93.35
** TOTAL ** 145.51
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am Me legal owner or have been authorized
by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with
this permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
perfrmed and that all work to be perfonned is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWXR or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 grant'I go permit shat the c rtst ed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any o egu a i risdiction. 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.
City of
Wheat Pjdge
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@ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit# 0j(
M
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I
Property Address: 10905 W 41 st, Wheat Ridge, CO 80033
Property Owner (please print): John Bertheaud Phone: 303 421-1775
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State,
Arch itect/Engineer.
Architect/Engineer E-mail:
Contractor: Home Depot USA
Contractors City License #:
170102
Contractor E-mail Address: iamie(a�reedysetgo.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 801 710-2507
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc_)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
FLELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe) Siding
(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.)
Install 3 squares of vinyl 8" clapboard to left side of home.
Sq. Ft.1LF Btu's
Amps
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$_2484.Q0_- _ _.
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, Hiles 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 (AUTHORIZEDIEPRESENTATWE) of (OWNER) (CONPAACTOR)
�1 r
Electronic Signature (first and fast name): t DATE: 6/29/17
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIRCATION:
Building Division Valuation: $
NIONM
HOMMIM
(-Ity of
W CC he;i�t. f"�, j �cdl g3
mum,ry '�z7
MAMMY1 NNW My' IN
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will 1 11 M �11, 36
liplil 11!1111 Ill 1 111 � I!'!! � I in I i I
Property Address., 10905 W 41 st Ave Wheat Ridge, CO 80033
FOR OFFICE USE ONLY
Date:
Plan(Pen,nit#
Prope John Bertheaud Phone: 303-456-5938
Property Owner Email* �
nnot av
�
Address: Same as Above
Contractor-Thd at Home Services, Inc
Phone:
Contractors City License #: 070156 Phone: 1-855-712-8899
ElectricaL
WR City incense#
Plumbing
Complete all information on BOTH sides of this form
NEW COMMERCIAL s w:. ELECTRICAL wUPGRADE
NEW RESIDENTIAL STRUCTURE El COMMERCIALROOFING
COMMERCIAL ADDITION El RESIDENTIAL ROOFING
El RESDENTIAL ADDITION El WINDOW REPLACEMENT
EICOMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL
MECHANICAL SYSTEM/APPLIANCE
•i. REPAIR
M. 4 iIM or
REPLACEMENT
PLUMBING
B i YkMi REPAIR o
• i r.. REPLACMENT
ELECTRICAL irM i>.. r r i r. REPLACEMENT
mil •... * ...replace f M
amount(For ALL Orojects, please provide a detailed description of work to be performed, including current use of areas,
of 1 be
Replace
Sq, Fi.lLF �.�_.._..._. E3tu Gallons
Amps _ ____..�___..._.._..___ Squares �m _..__. _._.._ - Other
City ("A
)EVELOPMENT
IWAMUM. M
FOR OFFICE USE ONLY
M
Property Address: 10905 W 41 st Ave Wheat Ridge, CO 80033
Pro r (please prinO, John Bertheaud Phonw 303-456-5938
Address: Same as Above
City, State, Zip
� M
7 1 =MMFw;
Architee,VEngineer E-mail: Phone-
Contractor:Thd at Home Services, Inc
Ecuml
Contractor E-mail Address: copermitsCo)gmaii.com
Electrical:
WR CLtX Liceajg.�j
Plumbing:
ri-
Phone., 1-855-712-8899
MechanicaL,
Complete all information on BOTH sides of this form
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M •1 UNDERSTANDINO AND AOREMENT
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C®KD OCCupanCV/TVpe
t -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
Electrical i
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
„ INITIALS
COMMENTS:
-
Footings /Caissons
'Mechanical:
Stemwall / (CEG) Concrete
Encased Ground
Roof
..
Reinforcing or Monolithic
.Building Final
Weatherproof / French Drain
Fire Department
Sewer Service Lines'..
R.O.W & Drainage
- Water. Service Lines -.'.
-. Parking & Landscaping,
POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'CONCRETE SLAB FLOOR
Electrical; (Underground)
Plumbing (Underground)
Heating (Underground)
'.
Do NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
'ROUGHS
"Sheathing
'Lath /Wall tie
Mid -Roof
Electrical: Service
Rough Electric
Rough Plumbing
Gas Piping -'
Rough Mechanical
ABOVE
INSPECTIONS TO BE SIGNED.
PRIOR TO PROCEEDING
Framing
,Insulation
Drywall Screw
FINALS
Electrical i
Plumbing
'Mechanical:
Roof
..
.Building Final
Fire Department
J
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS `I
'SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
-. Parking & Landscaping,
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING: AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION By THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION :r
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: ,a",7
Job Address: Ilyrl ta, 11f b
Permit Number: 001 F,
❑ No one available for inspection: Time 1r-i /5 /AM/
Re- Inspection required: Yes 400_ --� ,,
"When corrections have been made, call for T- inspec at 30 33 - -5933
Date: inspector:
,. CTcS
��'•��
DO NOT REMOVE THIS NOTICE
♦ "i �" CITY OF WHEAT RIDGE
Building Inspection Division 5
(303) 234 -5933 Inspection line o�v
(303) 235-2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: I'lee"IN Mii4i h,4)/7z-
Job Address: IMP-5 /VL;,ST ,1115, Ac-
Permit Number: 1061
❑ No one available for inspection: Time L 'A
Re- Inspection required: Yes r No
*When corrections, been made, call forre- inspection at 303 - 234 -5933
Date: -12 -ID Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancyrrype
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL $PACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
1z_
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
UNTIL
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
= la�en�m o.l
ABOVE INSPECTIO TO BE SIGNED PRIOR TO PR
Framing —
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
1z_
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
* * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
P0r)T1=PT TUIC f-A Dn CDnrfi TLJC VI /CATLJCD
♦ j i CITY OF WHEAT RIDGE
f Building Inspection Division
( (303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: %Z
Job Address: //7 G�� )f ` Lr ),
Permit Number: /nn / 9
�� t�f? ": �/ �f / ' / ' ✓..../J �!�,i�r'd 's N .o /'JY
4
❑ No one available for inspection: Time ' ) AM/ CM
Re- Inspection required:( Yes No
"When corrections have been made, call for re inspection at 303
Date: a / Inspector: i, '
0 0 NOT REMOVE THIS NOTICE
RMIT NO: 100193 ISSUED:. 01/20/20
B ADDRESS: 10905 W 41ST AVE EXPIRES: 07/19/20
SCRIPTION: Install 95% furnace
CONTACTS
ner 303/456-5938 John Bertheaud
b 303/341-1900 01-9473 Custom Hea
ruc~.n u..uvrv ^ ^
'CODE: UA r
USE:
IVISION: 0189.
BLOCK/LO
EE SUMMARY
ESTIMATED
PROJECT VA
FEES
mit Fee
40.00
al Valuation
.00
:Tax
64.44
TOTAL
104.44
s
itions-:
act to field inspections,
shy certify that the setback distances proposed by this permit applicationa
ances, rules or regulations of the City of Wheat Ridge or covenants, easemen
cements shown, and allegations made are accurate; that I have read and agree
L0
L0
:ing & Air Condition
UATION: 3,580.0!
d Lll D1"'I"UIG
contractor/o 4 er date
it was issued in accordance with the provisions set forth in your app2
ions
C)
_ - _ OF WHEgr.~
COLORPOO
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 • Fax: 303-235-2857
Inspection Line: 303-234-5933
Date.
Plan M
Permit
Building Permit Application
Property Address;
Property Owner (please
Mailing Address: (if different than property address)
Address: . QfA-- r-
City, State, Zip:
Contractor: (2u g-i o m 14 rd ft-L
Contractor License Phone:( ~U e ~ Q
Sub' Contractors:
Electrical City License Plumbing City License* Mechanical City License
company: 0_0L.M9ji &6L. Company Company:
clomeqltlm
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction value: bS
Description of work: (as calculated per the Building valuation Data sheet)
ql~;` V•' .(2.F.3H1z= Plan Review (due at time of submittal): $
Sq. Ft./L.Ftadded: Squares 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 conditlons 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:: (OW/N~^ER~ti [J~-)~((,,C0Nr.T~RA,CTO~R•) or PERSONAL REPRES NTATIVE.of ) ONTRATOR)
PRINT NAME: F-.-4Fl V.tSCrIY7 SIGNATURE; Date: ' ~V-V
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: rrrr"> -
Job Address: IEiC.( tFl. ~/I f",r<_.
J
Permit Number: /)0//
>
F
❑ No one available for inspection~:- ~Time ??:tom AM/}
Re-Inspection required: Yes ~lN
L
"When corrections have been made, call for re-inspection at 303-234-5933
Date: - lei Inspector: R, . tJ'zo:c /Ib
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
YBE SUMMARY
ESTIMATED
PROJECT VALUATION: 3,080.97).
FEES
Permit Fee
126
50
n
Total Valuation
.
Use Tax
55.46
TOTAL
181.96
° Comments
Ui
1L"
Building Permit Application
Date.
Plan
Permit
Property Address: lQ~j`D 5 U) L14 S-FA„e
Property Owner (please pr": 70 h ~ &~J-h eet_L cy Phone:-JN.n-S-g38
Mailing Address: (if different than property address)
1.
Address: ' )A4V~
City, State, Zip: 10h e-ak I.1 of ~,6 L~D 90033
Contractor., Stak1I i~~n A, I I _
Contractor License 17 zo 2 Phone: 3~ a g9- ~50a
Sub Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: 3d ~C7.9~7
Description of work: (as calculated per the au/ldinfr Valuadon Data sheet)
T "'eouv o to cl GC k7, 1115kl t bt:.3e,. ICE +-uJctCJ6, Plan Review (due at time of submiftaq: $
I&-nd &14 drmensI"'O'l asphal-5°tiR
Sq. Ft.iL.Ft added: Squares 15,33 BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that 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 eldinspection.
CIRLCE ONE:: (OWNER) or PERSONALREPRE E TATIV of WN ) TRATOR)
PRINT NAME: (CONTRACTO SIGNA RE: lill/~c Date: 3
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS;
Reviewer.
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933 ,r a A-,~C
DEPARTMENT USE ONLY
OCCUPANCY:
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required I Bldg Valuation: