HomeMy WebLinkAbout8682 W. 44th PlaceCity of Wheat Ridge
E -Res. Electrical Service Upgr PERMIT - 201900899
PERMIT NO: 201900899 ISSUED: 05/07/2019
JOB ADDRESS: 8682 W 44th Pl EXPIRES: 05/06/2020
JOB DESCRIPTION: Service change on house - 150 amps
*** CONTACTS ***
OWNER (303)483-3670 BERGMAN MARK
SUB (303)210-1366 BOJAN RISTIC
170356 A&B ELECTRIC LLC
*** PARCEL INFO ***
ZONE CODE: R-3 / Residential Multi USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,250.00
FEES
Total Valuation 0.00
Use Tax 68.25
Permit Fee 109.20
** TOTAL ** 177.45
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by 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
thispermrt. I further attest that I am le�ggally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be pertbrmed 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 )Tans 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)ermrt 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, an violation of any provision of any
applicable codee°QL any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Monday, May 6, 2019 5:38 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit
Application
Categories: Kim
Residential Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
8682 W 44th pl.
Mark
303-483-3670
Field not completed.
CONTRACTOR INFORMATION
Contractor Business A & B Electric LLC
Name
4
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Bojan Ristic
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. Electrical Service Upgr PERMIT - 201900899
PERMIT NO: 201900899 ISSUED: 05/07/2019
JOB ADDRESS: 8682 W 44th Pl EXPIRES: 05/06/2020
JOB DESCRIPTION: Service change on house - 150 amps
*** CONTACTS ***
OWNER (303)483-3670 BERGMAN MARK
SUB (303)210-1366 BOJAN RISTIC
170356 A&B ELECTRIC LLC
*** PARCEL INFO ***
ZONE CODE: R-3 / Residential Multi USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,250.00
FEES
Total Valuation 0.00
Use Tax 68.25
Permit Fee 109.20
** TOTAL ** 177.45
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by 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
thispermrt. I further attest that I am le�ggally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be pertbrmed 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 )Tans 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)ermrt 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, an violation of any provision of any
applicable codee°QL any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Monday, May 6, 2019 5:38 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit
Application
Categories: Kim
Residential Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
8682 W 44th pl.
Mark
303-483-3670
Field not completed.
CONTRACTOR INFORMATION
Contractor Business A & B Electric LLC
Name
4
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Bojan Ristic
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
i Residential Sewer Repair PERMIT - 201900063
PERMIT NO: 201900063 ISSUED: 01/11/2019
JOB ADDRESS: 8682 W 44th P1 EXPIRES: 01/11/2020
JOB DESCRIPTION: 10 ft spot repair with cleanouts
*** CONTACTS ***
OWNER (303)278-0414 BERGMAN MARK
SUB (303)519-0240 R. Andrew Russell 120161 The Elite Pipe MD
*** PARCEL INFO ***
ZONE CODE: R-3 / Residential Multi USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,800.00
FEES
Total Valuation 0.00
Use Tax 58.80
Permit Fee 93.35
** TOTAL ** 152.15
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201900063
PERMIT NO: 201900063 ISSUED: 01/11/2019
JOB ADDRESS: 8682 W 44th P1 EXPIRES: 01/11/2020
JOB DESCRIPTION: 10 ft spot repair with cleanouts
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 1 am legally authorized to include all entities named within this document as parties to the work to be
perfor ed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
01 bc�
Signature of OWNER or ONTRACTOR Circle one) Date
I. This permit was issued base on n ormation 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 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 ordinan, e.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 age
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 291 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: J I 1 J
PlaniPermit # 0 V
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: Z- (N • G- t '' (7, , �, �,, f' 8 G/,/
Property Owner (please print): ACA• k 9 es -"- ` '-t Phone: 3 ZLI �7 - JG 7 d
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: 50 c A5 gi&c-
City,
State, Zip:
Architect/Engineer E-mail:
Contractor Name: V't'
t e. i V L /Vii,
Phone:
City of Wheat Ridge License #: Phone: 2 7-()
Contractor E-mail Address: t k C /p e 2 rK �..N
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print) .00-V v ' c z Phone:
CONTACT EMAIL(p/ease print):CSV �c�-e < < �c rl (%�"`� • C )A^
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
C (e'c.wOL/ ks o, ' '- ot '02
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ Z TGd �
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)
Signature (first and last name)
Printed Name: 01 .t'W 1 (
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
TRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
DATE: 1 L All Gi
CALVI
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _3
Job Address: I� .
Permit Number:i�j
❑ No one available for inspection: Time AMIRM" ,
Re -Inspection required: Yes
When corrections pave been made, call for re -inspection at 303-2345933
Date: % .mob
�i � Inspector:
DO NOT REMOVE THIS NOTICE
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 an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: �v1 ��� ADDRESS: c (����`��� JOB CODE: R reo
Foundation Inspections EDate Inspector
v
Initials Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
(Underground / Slab InspectionsI Date I Inspector I
Initials
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
1206 Water Underqround
Comments
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
SEE OVER FOR ADDITIONAL INSPECTIONS
ZV �5 ADDRESS: Li q" -'#l' JOB CODE:
PERMIT. C
Inspector
tough Inspection (continued) Date Init
Inials
06 Rough Mechanical Residential
417 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
402 Gas Meter Release
403 Final Electrical Residential
rr:
Final Electrical Commercial
Final Mechanical Residential
Final Mechanical Commercial
inal Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
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
Date
I Inspector Comments
Initials
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.
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.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
�41)400V.11/
Inspection Type:t%012-
Job Address: LI
Permit Number: %D t 2 ,5 1b
❑ No one available for inspection: Time AMO
Re -Inspection required: Yes No
When corrections have been made, call for e -inspection at 303-234-5933
Dated lcl Inspector: UM10 �fl 0— (a
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201708658
PERMIT NO: 201708658 ISSUED: 10/27/2017
JOB ADDRESS: 8682 W 44th PL EXPIRES: 10/27/2018
JOB DESCRIPTION: Permit to replace one existing basement window with egress window, same
width, no change to header, window located in basement.
*** CONTACTS ***
OWNER (303)278-0414 BERGMAN MARK
SUB (720)638-0678 Paul Kruse 160161 Great Escape Egress, Inc.
*** PARCEL INFO ***
ZONE CODE: R-3 / Residential Multi USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Total Valuation 0.00
Use Tax 52.50
Permit Fee 93.35
** TOTAL ** 145.85
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
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 pro erty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permtt. I further atte t I am le ally authorized to include all entities named within this document as parties to the workto be
pertormed an that all ork be perfo ed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature oC OWIs ,R or C16NTRACTOR (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
uil
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Bding
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all rectuired
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 o�regtt tion of this jurisdiction. Approval of work is subject to field inspection.
d u
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
�heat� e
ComNALIMT-y DEVELOPMEN1
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(aki.wheatrid-ge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application 'I H ' 1 S
` Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. —
Property Address:
Property Owner (please print): 1A p ,/� Phone: 730 (48;
Property Owner Email:
Mailing Address: (if different than property address)
Address: K ) �v--\ Sr
City,State, Zi
IV
Architect/Engineer E-mail:I Phone:_ A
Contractor:
Contractors City License #: I ((DI (.91 Phone: `% — — - t'� - C\(o'Z_E
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
NATAMM
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL 9 RESIDENTIAL
Description of work:. (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITIONRESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION Pq 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.)
�-P1o..l� ®►� 2�.is�i
VVI (;a" e riss Lk-)' i �i� -
1\0 l.v %d eA U-) I � � V\C, • dt S -,-C-b
0 U ( O V OA L'od I
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)
$_ I g�3�i7 add..._
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) j (OWNER) (CONTRACTOR)
Electronic Si nature (first and last name).
DATE:
ZONING COMMMENTS:
Reviewer_
BUILDING DEPARTMENT COMMENTS:
Reviewer
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $ r� �/ )
}x
in
1�.
G
s
LA
CL
G
z
A
oo
A
O �ro
i.
i
0
rn
0
o ��
R N
z
l C➢
•y�
R
}x
in
1�.
G
s
LA
CL
G
z
A
oo
A
O �ro
i.
}x
in
r
Neo
c fcs5 �&Id t�
li
A,,
�C c�
0
1�.
s
CL
G
z
A
oo
A
O �ro
CL
i
0
rn
0
o ��
R N
z
l C➢
r
Neo
c fcs5 �&Id t�
li
A,,
�C c�
0
A 4 City of Wheat Ridge
. r
—� Commercial Roofing PERMIT - 201708662
PERMIT NO: 201708662 ISSUED: 10/27/2017
JOB ADDRESS: 4085 Upham ST EXPIRES: 10/27/2018
JOB DESCRIPTION: Permit for a commercial reroof: Tear off 1 layer 4/12 pitch 144 squares
and replace with Owens Corning Duration Storm Ice and water on eaves and
new 301b felt on shed with OC Duration Storm.
*** CONTACTS ***
OWNER (303)421-5295 UPHAM STREET APARTMENTS LLC
SUB (303)660-9394 Guy Smith 090201 GBS Enterprises Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 102 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 88,450.00
FEES
Total Valuation 0.00
Use Tax 1,857.45
Permit Fee 1,043.50
** TOTAL ** 2,900.95
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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.
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 -roof inspections may be called in at the same time, 100 percent of the sheathing must
be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. 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.
City of Wheat Ridge
Commercial Roofing PERMIT - 201708662
PERMIT NO: 201708662 ISSUED: 10/27/2017
JOB ADDRESS: 4085 Upham ST EXPIRES: 10/27/2018
JOB DESCRIPTION: Permit for a commercial reroof: Tear off 1 layer 4/12 pitch 144 squares
and replace with Owens Corning Duration Storm Ice and water on eaves and
new 301b felt on shed with OC Duration Storm.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyinSJ approved plans and specifications.
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am [ie legal owner or have been authorised
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction ith
this permrt. I further attest that I am le ally authorized to include all entities named within this document as paives to thew of 10 be
perforr> e nat all work t b pert is disclosed in this document and/or its' accompanying approved plans and spccif ications.
Signature of OWNER 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 writill- 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 f3wlding
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 pennits 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 juri on. 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
Wheat j�dgc
CC) &A,�iuN1"1�( (7L\ EL01 MENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
I FOR OFFICE USE ONLY
Date:
Plan/Permit #
'V /o)I C) � k62
�-
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: 4085 Upham Street
Property Owner (please print): John Minshall Phone: 303.912.4631
Property Owner Email: minshallip@gmail.com
Mailing Address: (if different than property address)
Address: 2517 Taft CT
Citv. State. Zir): Lakewood CO 80215
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: GB5 Enterprises Inc.
Contractors City License #
090201
Contractor E-mail Address: info2gbsroofing.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 303.660.9394
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 GAC PGRADE
❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING A
❑ COMMERCIAL ADDITION RESID 1d1" --f
❑ 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.)
1 layer tear off, 4/12 pitch 144sq. Replace with Owens Corning Duration Storm,
Sq. FULF
Amps
color estate grey, ice & water on eaves and new 301b felt on 2 buildings. 1 layer tear off on shed behind buildinc
6sq OC duration strom
Btu's
Squares
150
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
88,450.00
ONVNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants. easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
r
PRINT NANIE: Guy Smith SIGNATURE: � DATE: 10.26.17
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT. COMMENTS:.
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer
PROOF OF SUBMISSION FORMS
Fire Department
❑-
Received
❑ N
Water District
❑
Received
❑ I`
Sanitation District
❑'
Received
❑ N
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Required
Required
Required Building Division Valuation: $
10/26/2017 4085 Upham St - Google Maps
P
G() qje [Vj' jfj� 4085 Upham St
Imagery 02017 Google, Map
a�
r� <-
4085 Upham St
Wheat Ridge, CO 80033
A
https://www.goog!e.com/maps/place/4085+Upham+St,+W heat+Ridge,+CO+80033/@39.7721782,-105.0771307,107a,35y,267.97h,45t/data=!3ml ! 1 e3!... 1 /1
6801. S. Emporia St. #103Email: info@gbsroofing.com
Greenwood Village, CO 80112Phone: 303-660-9394
www.gbsroofing.co ErrTEPZPFxfsEs• Fax: 303-660-1405
F=I PJ �
Submitted To: Phone: Home# (303) 421-5295 Cell # (303) 912-4631
John Minshall Email: minshallip@gmail.com
Street: Insurance Company/Claim #:
4047-4097 Upham St- UPHAM STREET APT LLC
Central Insurance #9752258
City, State, Zip: Lien Holder/Account #:
Wheatridge, CO 80033
E
Existing roof type: 50 Year Dimensional
Vents 57 RV,
21
Existing number of layers: 1 Tear Off: Yes
Galvanized nails, 6 per shingle
( l
Install felt: 30#
Patio or flat roof: N/A
Replace with: Owens Corning Duration "Storm"
Protect landscape where needed
17
Color of shingle: Estate Gray
El
Gutters cleaned of roofing debris
Manufacturer's limited warranty: 50 years
Clean up and haul off all trash from roof
Impact resistant: Yes Class: 4
Q
Roll yard with magnetic roller
F,71
Valley type: Closed
Q
5 Year guarantee on labor
U
Replace plumbing jacks ALL
Permit furnished by GBS Roofing Reimbursed by insurance co.
h
Metal edge size: 2x Color: White
0
Insurance papers provided upon request
v
Eaves or rakes: Both Eaves and Rakes
0
*Price includes all new plumbing jacks and roof vents all painted to match new roof color.
*Price includes new metal step flashings at rakes, chimney and where needed.
*Price includes all new 5" gutters and down spouts in the color of "30 degree white".
*Pricer includes ice and water guard at eaves per code.
*Price includes new modified roof on flat roof over garage in white.
• I (we) hereby authorize and/or instruct the insurance company and all lien holders to communicate with and include the name GBS Enterprises, Inc. as Co -Payee on
any subsequent loss draft checks after today's date as indicated below
• I (we) hereby authorize and/or instruct any legal representative and/or agent of GBS Enterprises, Inc. to obtain any and all information necessary to negotiate the
settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above
NOTICE: If the property owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to part 1 of article 4 of title 10, C.R.S., to pay for
the roofing work, pursuant to section 6-22-105 the roofing contractor cannot pay, waive, rebate all or part of any insurance deductable applicable to the insurance claim
for oavment for work on the covered residential property.
We propose to furnish all materials and labor required to complete in accordance with the above stated specification, for the sum or:
Deposit $0.00 Due upon completion In Full = TOTAL $176,918.00
Upon Completion of work the undersigned purchaser agrees to make payment in full the amount shown above.
411 material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to All Proposals are subject to approval by management.
stand practices. All interior damage to buildings is excluded 90 days after completion date and the owner is
notified that any damage to contents will be the responsibility of the owner and his insurance company. All
agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and APP R I T
E STA T /FINISH DATES
other necessary insurance. Scheduling will be done based upon date signed but limited to availability for
materials, crews and weather conditions. s�
ACCEPTANCE OF PROPOSAL: Thisproposal becomes a legal binding contract 72 hours from date of acceptance. CU O er Approval Date
Cancellation of this contract can be made with written notice within 72 hours of date of acceptance and will Note: This proposal maybe withdrawn by us if not accepted
allow the property owner to rescind the contract for roofing services and obtain a full refund of any deposit. The
property owner may also rescind this contract within 72 hours of notice from the insurance company for a claim within 30 days.
that is denied in whole or part if the work being contracted for is to be funded from the proceeds of a property
and casualtyinsurance claim. Interest at the rate of 1-1/2% per month (18% per annum) will be added on to all
accounts 30 days past due. In addition, costs and reasonable attorney's fees for collections may be charged on 08/09/17
any account past due over 30 days. Payment will be made as outlined above. Failure to pay can constitute a
mechanics lien filed against property. Cancellation of the contract may be achieved by paying a cancellation fee GBS Approval Date
m the amount of 5% of the contract price. All returned checks are subject to a returned check charge fee.
GBS Enterprises, Inc. is a Registered Colorado Corporation
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes e
*When corre bons have been made, call for e- inspection t 303 - 234 -5933
Date: G /6) Inspector:. ✓ i�
DO NOT REMOVE THIS NOTICE
F
G
City of Wheat Ridge
L
FEES
l` Permit Fee 108.30
Total Valuation ,00 a .
Use Tax 48.60_x•
TOTAL 156.90 _.....s)-
Conditions:
6.nail instal..intinn
ec
011-------- zu1L 14l urrl".: \.3u.5)2;SS 2bbb
,REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
s'
`►4~e
City of (d`~` n>w~:
COMMtJ~ DEVELOPMENS Porntif
Building Divlslion
7500 W. 29th Ave„ Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address:
Property Owner (please
Mailing Address: (if diffe
Address:
add/ass)
City, state, ZIP:
Contractor:
License U Z -
Phone:
Sub Contractors:
Companx Name' License M Expiration Date; Trade/Profession: Ap rn oval:
Use Of s Ce (descriptipn):
Description of work: ft o V
added:
OWNRR/CONTRACTOR
I hereby corthy that the a
roles or regulations of till
allegations made are am
reaDpOnalbtggr for compile
Unlix this permit. Plans f
AGREEMENT
pplication are accurate, and do not violate applicable ordlnarim.
rcnta Or rearacoons of record; that all measurements shown, and
W all conditions printed on this application and that I aeaume fug
9.ct and all other aaogoable Wheat Rldge Ordinances, for work
CIRLCEONE:: (OWNER) (CCTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: A/" tied 5 SIGNATURE: &'064704- 10/9-5 - -Date: _(W
ZONING COMMENTS:
Zoning:
Reviewer,
PUBLIC WORKS COMMENTS
DEPARTMENT USE ONLY
Reviewer.
RUILDING DEPARiIONT COMMENTS: OCCUPANCY:
Reviewer.
FIRE DEPARTwNr.: 13 approved w/ comments C3 disapproved 0 no review raqulmd aido Valuation: 5
Credit Card Pant: u e cmdlt card listed on His. Hate: _
Print name: Aa8 eki:5v/Ce5 Signature:
en Velus: S
Plan Review (dae nt t/me oraUbMAM): •
Gallons
E-cl r~ooss~eoe dN03ADOa wdaT'a 6002 BT das