HomeMy WebLinkAbout3265 Balsam Streetr' µ
City of Wheat Ridge
Residential Roofing PERMIT - 201704730
PERMIT NO: 201704730 ISSUED: 07/25/2017
JOF,ADDRESS: 3265 Balsam ST EXPIRES: 07/25/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Mountain slta asphalt shingles with
ROOF DECKING - 24 sq.
*** CONTACTS ***
OWNER (559)707-9214 DAVIS DANNY H
SUB (303)750-4295 Seth Curry 170393 4th Dimension Concepts
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,043.00
FEES
Total Valuation 0.00
Use Tax 168.90
Permit Fee 188.45
** TOTAL ** 357.35
*** 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 one half 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
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
20i7Gg73o
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
kk" Ir
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation/ P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date
Inspector
Initials
Comments
Electrical
VSheathing C E.+� /`
//
Sewer Service
Mid -Roof
Plumbing
Fire Inspection / Fire Protection Dist.
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
VSheathing C E.+� /`
//
7
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath /Wall Tie
Final Plumbing
Rough Electric
Final Mechanical
Rough Plumbing/Gas Line
Roof
Rough Mechanical
Final Building
Rough Framing
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.
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
IVW'�(
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201704730
201704730 ISSUED: 07/25/2017
3265 Balsam ST EXPIRES: 07/25/2018
Residential Re—roof to install Tamko Mountain slta asphalt shingles with
ROOF DECKING — 24 sq.
I by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this,permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
�....
Signature of OWNER or CONTRACTOR (Circle one) Date
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 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 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 anmanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holdy er 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
Divisioll
6. The is anc or granting of a ermit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applica a ori a or gu tion of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
RLQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Roofing PERMIT - 201704730
PERMIT NO: 201704730 ISSUED: 07/25/2017
JOB ADDRESS: 3265 Balsam ST EXPIRES: 07/25/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Mountain slta asphalt shingles with
ROOF DECKING - 24 sq.
*** CONTACTS ***
OWNER (559)707-9214 DAVIS DANNY H
SUB (303)750-4295 Seth Curry 170393 4th Dimension Concepts
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,043.00
FEES
Total Valuation 0.00
Use Tax 168.90
Permit Fee 188.45 PAID
** TOTAL ** 357.35
i
*** 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 one half 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
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
Dan Schultz
2oOJ4-1`36
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, July 17, 2017 12:56 PM
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 and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof? A 1A M4 111
_W/6L� V W#11 I V 159 �r
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
Address
3265 balsam st
Dan Davis
5597079214
davis3113@yahoo.com
tp
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
4th Dimension Concept
_Atrrora t'7a3g3
7206970232
Contractor Email Address jcontreras@4thdc.com
Retype Contractor Email jcontreras@4thdc.com
Address
DESCRIPTION OF WORK
Are you re -decking the Yes
roof?
Description of Roofing laminated asphalt shingles, tamko mountain slta
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 24
material selected above? �-
Does any portion of the No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
/
TOTAL SQUARES of all
24
roofing material for this
project
Provide additional detail
house only, roof pitch
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
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 Jorge Contreras
Email not displaying correctly? View it in your browser.
3
01 Dimension Concepts,
St/ce 6&vdal
TOP RATED y
'} BBB
PROPERLY OWNER 0
PRIMARYPHONE
TREETADDAESS
326
S
SECONDARY PHONE
o"
CtiY, STATE, ZIP� I r
�n� � �
(&12, l/lJ
EMAtCADpRE55
a L,•,°31/ . c�
RANCE COMPANY CLAIM p
INSURANCE
`�6 7
C
PROPOSAL DATE
5-��-/�
ofWork: fIni
RXofing Manufacturer 70-1 + � • Roofing Product Pi 4 RR,loofing Color � C� L�►� `�cr� �%
S Roofing Labor Warranty
d4DC $1,000,000 Liability insurance [] Register_ / �� Manufacturer Warranty
DC - Year
djprovide City Building Permit
-
(]'Tear off Layer(s) of composition & Layer(s) of
�ptace
Ly Inspect Decking & Attic
Damaged Decking Where Necessary
Install=7me!n7ii
nstall Starter Course Shingles testa}- 4'" !.'!Istall Ice &Water Shield ong Eaves & all Protrusions
(y tnstail Drip Edge {Color, n C ) rtify valleys��sI i=<�� ���� Install Valleys— Closed Open— (W)
[] Install Upgraded Ridge Vent System
Install New Turtle Vents Instalt New Step Flashing (sldewall, chimney, skylights)
install
0 install Upgraded High Profile Ridge Cap
STAIIst111 Classic Style Ridge Cap New Vent Pipe Flashing (aka_ jack or boot)
❑ Install Design Course along Headwalls
move & Cover Q Detach & Reset —
Wclean
aweep Side with Magnetic Roller
Up Trash & Clean Out Gutters ❑ Other
Approximate Date(s) of Service: 8 -1 " t -� Payment Terms: Tr\ 5 a ✓"tkn c e Pre `,eed t,
(41" Dimension Concepts is not responsible for any property and casualty insurance carrier's delay or denial of an insurance claim, in whole or in part)_
WORK TO BE COMPLETED IN ACCORDANCE WITH THE SPECIFICATIONS ABOVE FOR T14E COST OF: $
ey approving this agreement, the property owner authorizes 4° Dimension Concepts, LLC to represent the best interests of the property owner for restoration of
damage, 4'" Dimension Concepts, LLC shall communicate with the property and casualty insurance company to come to an agreement for works to be performed.
Following apprevA of claim, 4'" Oimension Concepts, LLC will complete specified work for a price agreeable to the Insurance company and to 40 Dimension
Concepts, LLC with no additional cost to the property owner except for the deductible. This agreed upon price shat become the final contract price, and 4"
Dimension Concepts, =i 01 receive all insurance proceeds for work completed by 4111 Dimension Concepts, LLC.
The property owner is s not(]Intending to make payment from the proceeds of a property and casualty insurance policy. Pursuant to C.R.S. Section 6-72.10.5,
401 Dimension concepts cannot pay, waive, rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for
payment for work on the covered property. 41" Dimension Concepts shall hold in trust any payment received within financial institution untl the delivery of
materials. J,.-,
2
4u,
1730 S. Abilene St. Suite 204
Aurora, CO 80012
Signature
www`.�4thdc/�.com
4 elsva-we , h /�osrbdwa
-�
—Adeptance&
-z3-17
Acceptance Date
fOffice- (303) 750-4295
Fax: (303)459-5111
�e
jZ i_ CITY OF WHEAT RIDGE
fBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: gj,
Job Address: 3 T
Permit Number: f ��"�`� v
❑ No one available for inspection: Time'F:' A�VI/PM
Re -Inspection required: Yes �Noa
When corrections have been made, call for re -inspection at 303-234-5933
lr ,
Date: 2Z (
� � /� Inspector: Pl. �
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NO CE
Inspection Type:
Job Address: T_
Permit Number: C.. (rj, 14'7 3 $)
❑ No one available for inspection: Time 1, : AM/'
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date:! Jf Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M I P
Job Address: 32b 5 p: l� �l•.� �T
Permit Number: 'J O 1'! (7 41 7;p o
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: -b.
03 -234 -Date:%• 4. 1 Inspector:
DO NOT REMOVE THIS NOTICE
t,F
®� CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address:
Permit Number: / i
---� C
❑ No one available for inspection: Timed L/C �AM/PM
Re-Inspection required: Yes No
*When corrections have been made, call for re-inspection at 303-234-5933
Date:).---s`: Inspector:
f
DO NOT REMOVE THIS OTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201601774
PERMIT NO: 201601774 ISSUED: 11/09/2016
JOB ADDRESS: 3265 Balsam ST EXPIRES: 11/09/2017
JOB DESCRIPTION: Replace 9 windows and 1 patio door; like for like existing openings; U
value = .32 max
*** CONTACTS ***
OWNER (559)707-9214 DAVIS DAN
GC (770)779-1423 Marc Brogan 070156 THD At -Home Services, Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,656.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 245.81
** TOTAL ** 295.81
*** 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 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 __thlIatlIalll..work tobeperformed is disclosed in this document and/or its' accompanying approved plans and specifications.
`.�(Ntl� /lam
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying pplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This per
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
etion of
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole disci
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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Cli J(2~ LaA1'rWr-Date
REQUESTS MUST E MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat iclge
COMMUNITY DEVELOPMEN"r
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
J FOR OFFICE USE ONLY
Date: I qqll�
Plan/Permit k
�_moI )�
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: 3265 Ballsam St. Wheat Ridge, CO 80033
Property Owner (please print): Dan Davis Phone: 559-707-9214
Property Owner Email: not available
Mailing Address: (if different than property address)
Address: Same as Above
, State, Zi
Architect/Engineer: N/A
Architect/Engineer E-mail:
Contractor: Thd at Home Services, Inc
Contractors City License #: 070156
Contractor E-mail Address: copermits@gmail.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub.
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 1-855-712-8899
Other City Licensed Sub:
City License #
Mechanical:
W . City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESIDENTIAL ADDITION PI 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.)
Replace ( 9 ) windows and (1) Patio door. Like for like in existing openings.
U -value =.32 max
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)
13,656.00
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
accuratc: that 1 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) L r (AUTHORIZED 6 ) of (OWNER) (CONTRACTOR)
PRINT NAME:
Jules Landis
SIGNATURE: DATE:
ZONING COMMMENT&
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer.
PUBLIC WORKS COMMENTS
Reviewer
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION
Building Division Valuation: $
O
pN
O
CD
O
O
LA
O
O
0
od
`'
OC
J
c
0.
s
o
x
co
p
g
o
w
m;
3
m°;
3
aro
�
3
W°
3
°
••
N
°
..
N
O
••
N
°
••
N
°
•. N
0
RSo
o
L
gRp
o
o
C
v
0
R
4
g
b
b
A
g
g
g
a
x
a
�
�
a
,
,
'G
'O
a
o.
'S
0
y
v
(6
7
�
a
v
to
to
o
�
Y
O
S
r
O
CrJ
O
O
O
O
d
C�7
0
777
(A
0
W
•p
O
0
A
0
0
AC+1
G
ls7
A
``
G
Vf
R7
A
CC
C
W
Cif
A
cc
G
C!9
A
G
�
O
O,
F:
,
a
S
3
a
S
a
E
a
E
a
E
E
E
0
0
0
0
0
0
0
0
0
0
S
S
S
S
R
J
O
N
O
pN
O
pN
O
�
O
W
J
C
N
In
O
N
O�
O
N
Cn
O
N
to
O
Ji
pO
O
Vf
pOp
O
U
69
O
8
U
1
U
pO
8
�
VA
CD
8
—
W
C
p�
O
O
O
O
O
O
O
O
O
0
Q
O
0
o
0
0
0
0
0
0
0
0
0
0
O
O
O
O
O
O
O
O
pO
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
pN
O
CD
O
O
LA
O
O
0
od
`'
y
c
s
o
x
0
A
�
v
et
Ic
J
o
a
Z
O
A
CA
A
x
�
�
eb
a
o.
'S
0
y
v
(6
7
�
a
v
to
to
o
�
Y
r
CrJ
�
O
d
C�7
777
(A
rA
W
•p
O
eD
c7^y,
A
Vf
—
W
N
�
O
O,
O
0
N
4
F
G
O
0
r
,
A
a
A
h
iri
f7
.
C
c
0
e
e14
eO
e
c
g
�
A
��
G
S
SSSS
0
0
s
N
Z
k
A
x
f
x
n
cn
0
0
o
no
6�
w
m
A
N
R
N
a
.O.
A
^
'p
6A
O
IO
J
O
O
W
NO
C
�i
7
d
rt
c
0
0
o
c
o
sy
t,A
C
O
C
O
O
C
C
C
O
O
LA
C
C
C
C
O
G
O
0
,58/27/2015 r sJOSH-WARD
BuIlding e
#11 W. 291Ridge, Co i
33
i303-237-8929
fn�pecfion Une: 303-234-5933
„,,
PrOP.. tY fi . a.
Phone.-
d
cftyState, zip.,
contr8dor Ucense:
PAvyyy
YE NLV
iA YC �go
�+#FMit4NVf wry#^*:k!!#pIRF V'VM�#fl�V"1iRiAgb'1V"! a
1ta� eppnavcadd camn1clra¢tstsvet rem"requrrect . �+ valuation., $ —_.•
to receive inspection the followin
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
'COMMENTS: '
Footings /Caissons'
Stemwall /.(CEG)
Encased Ground
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.
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
f ROUGHS
Sheathing,`
Lath / Wall tie
Mid -Roof /710 ` I
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
^< Insulation
Drywall Screw
R
FINALS
Electrical
Plumbing
Mechanical
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 CONSTITUTE AUTHORIZATION -
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
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION ~OTICE
Inspection Type: ati
Job Address: 'w
Permit Number:
❑ No one available for inspection: TimeC
Re-Inspection required: Yes Na
"When corrections have been made, call for re-i
of t
Date: Inspector: !N
DO NOT REMOVE THIS
at 303-234-5933
NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Job Address: _7,9/S ,C kj_<.4�w ST
Permit Number: O9'�57e
AJO)ORO+ -
❑ No one available for inspection: Time / `�� AWED
k Re- Inspection required: Yes
'When corrections have been made, calf f or re-inspection at 303 - 234 -5933
Date: >7 ,V? Inspector
DO NOT REMOVE THIS NOTICE
092578
rnn ouiwu x
CJ 1'1P
Permit Fee
2]
Total Valuation
Use 'Tax
lE
l
TOTAL
3,
r
JECT;VALUATION: 8,633.00
r
"'"~w c
an
oFW"Egrp City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 . Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Property Address. 3 v~(~ S IJ SO y~
Date:
Plan
Permit
Property Owner (please print): I i W C Phone: 2
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: t 1~ M e n pry•~~vn" e` "-4-
Contractor License Phone: ~j (2)
3 1 2t ~~f S
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval` Approval:
Use of space (description):
De/pscription of works
✓
Sq. Ft./L.Ft added: 7 Squares 2 BTU's
Construction Value: $
(as calculated per the Builds q Valuation Data sheet)
Plan Review (due at time of submittal): $
Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) ONTRACTO or PERSONAL REPRES NATIVE of OWNER (CONTRATOR)
PRINT NAME: 12 Vj SIGNATURE: Date: Z I -
j;,11 Bldg Valuation: $