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HomeMy WebLinkAbout12801 W. 44th Avenue� ► 44" City of Wheat Ridge '/� Commercial Roofing PERMIT - 202002049 PERMIT NO: 202002049 ISSUED: 10/09/2020 JOB ADDRESS: 12801 W 44th Ave EXPIRES: 10/09/2021 JOB DESCRIPTION: Re -roof with 14 inch snap lock with 1.75 inch rib of 20 oz. copper standing seam panels with batten cap over ribs metal, partial re -roof on existing metal areas. Squares: 14 Pitch: 10/12 *** CONTACTS *** OWNER (303)424-7785 MOUNT OLIVET CEMETERY ASSOCIAT SUB (303)426-7370 KIRK TILEY 021395 TILEY ROOFING INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 720 / Parking Structures BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 29,573.00 FEES Total Valuation 0.00 Use Tax 621.03 Permit Fee 499.55 ** TOTAL ** 11120.58 *** COMMENTS *** *** CONDITIONS *** COMMERCIAL FLAT ROOFS: In order to pass a final inspection on commercial elastomeric or similar type roofing, a WARRANTY LETTER 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. LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH. MIDROOF & SHEATHING: 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. REGARDING ROOF VENTILATION: Roof ventilation shall comply with Building Division Policy BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions, whichever is more stringent. FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the � ► 44" City of Wheat Ridge '/� Commercial Roofing PERMIT - 202002049 PERMIT NO: 202002049 ISSUED: 10/09/2020 JOB ADDRESS: 12801 W 44th Ave EXPIRES: 10/09/2021 JOB DESCRIPTION: Re -roof with 14 inch snap lock with 1.75 inch rib of 20 oz. copper standing seam panels with batten cap over ribs metal, partial re -roof on existing metal areas. Squares: 14 Pitch: 10/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 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 requ�ired 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, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: CommDev Permits TO: Dina Kemp Subject: Fw: Online Forth Submittal: Roofing Permit Application Date: Sunday, December 13, 2020 10:48:48 AM From: no-reply@ci.wheatridge.co.us <no -reply@ ci.wheatridge.co.us> Sent: Friday, October 9, 2020 11:02 AM To: CommDev Permits Subject: Online Form Submittal: Roofing Permit Application Roofing Permit Application THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this property Commercial Commercial or Residential? PROPERTY INFORMATION Property Address 12801 W. 44th Ave. Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Do you have a signed contract to reroof this property? Mt. Olivet Cemetary Association KI8xalz1r5.191 robert.seydel@archden.org Yes CONTRACTOR INFORMATION Contractor Business Tiley Roofing Inc. Name Contractor's License 021395 Number Contractor Phone 720-641-9239 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email mglenn@tileyroofing.com Address Retype Contractor mglenn@tileyroofing.com Email Address Attach City of Wheat Electronic Payment Form - Revised 5-1-20 Ridge Electronic Fillable 202005011620013849 202006081141368198 ndf Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" DESCRIPTION OF WORK TOTAL SQUARES of 14 the entire scope of work: Project Value (contract $29,573 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific 10/12 pitch of the PITCHED roof? How many squares are 14 part of the PITCHED roof? Describe the roofing 14" Snap Lock w/ 1.75' Rib of 20 Oz. Copper Standing Seam materials for the panels with batten cap over Ribs PITCHED roof: Type of material for the Metal PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) Partial re -roof on existing metal areas SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything stated in this application is true and correct and that falsifying information in Yes Yes Yes Yes Yes this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Michael Glenn Permit Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE f _��9�Building Inspection Division (303),,234,5933 inspection -line (303) 235-2855 Office • (303) 237-8929 Fax ❑ No one available for inspection: Time #r' - °° die PM Re -Inspection required: Yes -No' When corrections have been made, call for re -inspection at 303-234-5933 Date Inspector: �r DO NOT REMOVE THIS NOTICE City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: October 19, 2017 Reason: Permit pulled in wrong jurisdiction; permit #201706349, for 12801 W. 44th Avenue Please refund: Contractors License$ (acct 01-510-00-513) 100% permit fee: $ 442.05 (acct 01-510-00-516) 100% plan review $ 287.33 (acct 01-550-05-551) 100 % use tax: $ 509.48 (acct 01-500-02-505) Total: $ 1,238.86 TO: P&L Electric 5469 Water Oak Circle Castle Rock CO 80108 Thank You! " C1664 Permit Technician - _ city of lit r, e� i00 �COMMMUNny Wheat i e DEVEiAPMENT / ►--a of v- c s s Kd J t c_ cL City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.28 5 F: 303 23 .8929 C496.fil 010��1.�� _� r a Refund Application V�A Complete this application in its entirety, attach all co ies of erm�ts er-33 mit card i tY p , p (f issued d 7receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to):_� Address: City: 12) -� i' Dic-e- L%' State: Cc) Zip: Phone:- f jz;(�' Fax: Permit #:.0 ���% Permit Address: Reason for request: ,o Email: fly/����/�.��.�1�� G��Ct«'L Y-0, C-tb(-a � Printed Name: 4 ) �� b, Signature: For office use only This request has Approved by: Date: Denied Refund Amount: $ Date: /0 / 6W //'7 www.d.wheatridge.co.us i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION Nyy��OTICE Inspection Type: 34t L A Job Address: D qd Permit Number: 7D 63 q ❑ No one available for inspection: Time % AM/PM Re -Inspection required: YesNo *When corrections have been made, ca for re -inspection at 303-234-5933 Date: q Inspector: DO NOT REMOVE THIS NOTICE �. A City of Wheat Ridge Commercial Electric PERMIT - 201706349 PERMIT NO: 201706349 ISSUED: 08/29/2017 JOB ADDRESS: 12801 W 44th AVE EXPIRES: 08/29/2018 JOB DESCRIPTION: Commercial electrical upgrade to 200 amp (Total 600 amps) - 3 phase system 208/120 *** CONTACTS *** OWNER (303)424-7785 MOUNT OLIVET CEMETERY ASSOCIAT SUB (720)341-9770 Albert Lahaie 080237 P & L Electric LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 7 / Open Space/Common Area BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 24,261.00 FEES Total Valuation 0.00 Plan Review Fee 287.33 Use Tax 509.48 Permit Fee 442.05 tib ** TOTAL ** 1,238.86< *** COMMENTS *** *** CONDITIONS *** Work must comply with the 2014 NEC, 2012 IBC and other applicable codes and ordinances. Work is ubject 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, applicabble 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 1 t orized to include all entities named within this document as parties to the work to be perfor ed nd th work to b e inclosed in this document and/or its, accompanying approved plans and specifications. Signature of OWNER or NTRA TOR (Circle one) ate 1. This permit was issued based on the information provided in the permit application and accompanyingdans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 1.80 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. -of," IL o .--- Signature of Chief Building fficial ate REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Gty of W heat jji e COMMUNITY DEVELOPMENT FOR OFFICE USE ONLY Date: 7 /;?-/ l Plan/Permit #* o l7 6 6 3 q Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 8 �, Inspection Line: 303-234-5933 Email: Dermits(cD.ci.wheatridQe.co.us Building Permit Application PlIc& L6k)P-e-, *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 1 c94. I l T�-� ��1�1� i ���+✓uy�' Owner (please print): Mo,)N-t a, j V ( �pv Phone: �; .- � V� 71 � Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: a yr Ct'._& r 'J i C V7 ^✓-eer l Architect/Engineer E-mail: Gk V_ ei c_o4hone: 303-�.'5 aS �T Contractor: ��i (� c it t c l® L- C Contractors City License #: b' +✓ :7 Phone: 7 7,-9 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 # Mechanical: W.R. City License # Complete all information on BOTH sides of this form CJ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (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.) aCXD14 f 3p�,Gt-e z©�� Sq. Ft./LF Btu's Amps 4C 0 Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) CONT=RACTOR)or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) 1 Signature (first and last name): / DATE: _ % ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of' Wheat j idgbe CITY OF WHEAT RIDGE BUILDING AND INSPECTION SERVICES DIVISION 7500 W 29th Ave Wheat Ridge, CO 80033-8001 p. 303.235.2855.f 303.237.8929 Proof of Submission for Permitting/Plan Review A copy of this form must be completed by each agency indicated on the Permit Submittal Checklist for the project type and be attached to the Building Permit Application at the time of submission. Applications presented for submission without a completed Proof of Submission form from a required agency will not be accepted or processed. Date: AS 91 Project Address: 2 '6c,) Name of Firm/Individual submitting documents: Project Type/Description: SQd chi C.f�2� %9- %� Cx s -e Signature of Firm Representative or Individual: DO NOT WRITE BELOW THIS POINT - FOR AGENCY USE ONLY I, ,%� p�7 %i 'a , am a duly authorized representative of the agency indicated below and do, by my signature below, hereby acknowledge receipt of documents necessary for review and approval of the project indicated above. Agency represented: (Please check one) o West Metro Fire Protection Arvada Fire Protection o Wheat Ridge Water District o Consolidated Mutual Water District o Valley Water District o Denver Water Agency Notes: Signature: o Wheat Ridge Sanitation District o Clear Creek Sanitation District o Fruitdale Sanitation District o Westridge Sanitation District n Other /�y`l. Ft !'—L Date: ellgh 7 (Agency Representative) ' ♦ i CITY OF WHEAT RIDGE Building Inspection Division ` (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax A . �D INSPECTION NOTICE Inspection Type: /k/i, -Pa0� Job Address: J.2ab1 4& i /y Z/ A)c Permit Number: �93�f2 t7,�,d✓ZD veGt t -. F E ❑ No one available for inspection: Time AM /PM Re- Inspection required: DES No When corrections have been made, call for re- inspection at 303 - 234 -5933 Dater 12 -17- Ply Inspector: Bv DO NOT REMOVE THIS NOTICE INSPECTION RECORD OccupancV/TVpe 'INSPECTION LANE: (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 SPACES PERTAINING TO THIS JOB ON INSPECTIONS DArE INSPECTOR 'INITIALS COMMENTS: aissons - CEG) Concrete round *Reinforcing Roof �J' - or Monolithic I Fire Department .Weatherproof / French Drain R.O.W: & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Sewer Service Lines "'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 CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Water Service Lines - - POUR NO CONCRETE UNTIL ABOVE HAS BE SIGNED CONCRETE SLAB FLOOR Electrical (Underground) 'Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath tie ag 99 _- Mid Roof 7 <!ED O ✓�' al 13a:1Di o11i6e- Electrical Servi L z7H .G4u c n / Po ✓e Rough Electric ough Plumbin �. Gas .Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Et Framing -. I t. Insulation. i' =Drywall Screw r1; Y: r_ FINALS Electrical Plumbing Mechanical Roof �J' Building Final I 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 CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. ao r OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED %, RRC)TFCT THIR.CARrI FROM THFWFATHFR 1 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line _(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: A vim i~00G Job Address: 12961 U<.5; 'WLAJ(_ Permit Number: 093V25- ~/Yai /U/Zifa .~f~_d. DsUG-y ~i S./fPPl1 ra✓~ 1 - ~/G/oGL .ll~1c~ ,ivs~eriJSv~i' v e: ❑ No one available for inspection: Time 13Q NM Re-Inspection required: es No 'When corrections have been made, calf for re-inspection at 303-234-5933 Date: 1-21.-/o Inspector: DO NOT REMOVE THIS NOTICE ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: !{CC qql~ Job Address: 1 R7 ~vk~ Permit Number: ❑ No one available for inspection: Time Re-Inspection required: Yes ~N 'When corrections have been made, calf tqr, rE mr cr 6wpm Date: 2-Idi Inspector: I1, DO NOT REMOVE THIS N an ak303-R34-5933 7 r ICE City of Wheat Ridge Commercial Roofing PERMIT - 093425 PERMIT NO: 093425 ;ISSUED: 'r 10/16/2009 JOB ADDRESS:: 12801 W 44TH AVE EXPIRES: 04/14/2010 DESCRIPTION::. Reroof 24 sqs CONTACTS owner. 303/279-5570 Archdiocese of Denver SUB 303/287-3043 Robert McReynolds 01-7787 D &'D ROOFING PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:? UA BLOCK/LOT#: 0/:. FEE SUMMARY ESTIMATED PROJECT VALUATION: 26,931.00.. FEES Permit Fee 534.96 Total Valuation .00 e ` Use Tax 484.76 **.TOTAL 1,019 'Conditions: 6 nail installation mid-roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart 'requires plywood overlay on entire roof. Ice and water shield' required from eave edge to 21 inside exterior walls.` ***Contractor/Property owner shall provide-ladder(s) secured in place for. inpsections. Subject to field inspection'. 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 alleg ions made a e acc te; that I have read and agree to abide by all conditions printed on this application and'tha i a e full res sibi '.y for compliance with the Wheat :Ridge Building Code .(I.B.C) and all other applicable Whea id rdinances, wor der this perm4dat lans 'subject to S;field inspection. Sign of ntr act Q t Oct. 16. 2009 9:27AM No. 9283 P. 1 City of Wheat Ridge Building Division Date. 7500 W. 29Th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 . Fax: 303-235-2857 plan 00 0 0o Inspection Line: 303-234-5933 Permit 6q Building Permit Application 7697 RM properCyi;Addres5,; 12801 W. 44th Ave. Property Owner (please print): Archdiocese of Denver Mortuary phone: (303) 279-5570 Mailing Address: (if different than property address) Address: City, State, Zip: cenEacfor: D & D Roofing, Inc. Contractor License 17787 phone: (303) 287-3043 Electrical City License Plumbing City License Mechanical City License It. Company: Company Company: Exp. Date: Exp. Date: Exp. Dale: Approval: Approval: Approval: Use of s ace descri tion : Office Building Construction Value: s 26.93-1.00 p .----,p (as catcurated per the Bulydlnn Valuafron Data sheet) besc-1 th ;of;vuoik' ROOP Rep~eCCmEnLTCe/-0R6dSar~a PO tleG<. Pftsde& Wrilasbess. rnslellliwift Plan Review (doe at time of'subm/flaq:$ ruRyleperadks insuralionwi1r4'Mcrickcl5. Mop4 plies oTJM Type lvtglL Mop e2nulesurfacedm dblifashinga Pamlpeshing wralUaiieufn Cdeaa9. Grevel VdaA . sq. rt.IL.Pt added:' squares 24 BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT hereby canify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulallons or the City of Wheal Ridge or covenants, easements or restdUtons of record; that all measurements shown, and allegations made are accurate; that I have read and 8yme to abide byy all conditions pdnted on this appllrallon and that I assume full reaponslbllity for compliance with the Wheat Ridge Uullding Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field Inspection. CIRLCEONE:: (OWNER) 9NTRA0T0 or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINTNAME: Melissa Baumgartner SIGNATURE: Date: 10114/09 City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: October 19, 2017 Reason: Permit pulled in wrong jurisdiction; permit #201706349, for 12801 W. 44th Avenue Please refund: Contractors License$ (acct 01-510-00-513) 100% permit fee: $ 442.05 (acct 01-510-00-516) 100% plan review $ 287.33 (acct 01-550-05-551) 100 % use tax: $ 509.48 (acct 01-500-02-505) Total: $ 1,238.86 TO: P&L Electric 5469 Water Oak Circle Castle Rock CO 80108 Thank You! " C1664 Permit Technician - _ city of lit r, e� i00 �COMMMUNny Wheat i e DEVEiAPMENT / ►--a of v- c s s Kd J t c_ cL City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.28 5 F: 303 23 .8929 C496.fil 010��1.�� _� r a Refund Application V�A Complete this application in its entirety, attach all co ies of erm�ts er-33 mit card i tY p , p (f issued d 7receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to):_� Address: City: 12) -� i' Dic-e- L%' State: Cc) Zip: Phone:- f jz;(�' Fax: Permit #:.0 ���% Permit Address: Reason for request: ,o Email: fly/����/�.��.�1�� G��Ct«'L Y-0, C-tb(-a � Printed Name: 4 ) �� b, Signature: For office use only This request has Approved by: Date: Denied Refund Amount: $ Date: /0 / 6W //'7 www.d.wheatridge.co.us Y O w0 0 aW cc U) a-1 d r c� CL W J 01 N �_ C R.� co �a o4) =O U2 O a OJ O d M M D c ,a ro a ro o . . . a E N r m t a CN o d' N U1 v m w o 0a3 •.i C) -.1 a, w aa) x w a F U � C W rt N q a a D W N N W P4 uo a a m r r r q \ \ \ m ti m 41 N N N 11 \ \ \ ro ro 0 W a g o 0 0 N H N N 4-1 d' N dt ' (L lD lD lD +1 rl ri r -I U a" zo u u u M M M 11 l0 lO 1p •rl O O O H N 0 o 0 a N z N N N F 0 F Y O wU OY N m W R U) a� 4) Y M `^ Y Lh J m N R 0 L =a od ,%q =0 um d (D LL c 0 U) Cl v m