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3840 Nelson Street
From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Roofing Date: Monday, January 17, 2022 4:20:57 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Roofing THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this property Residential Commercial or Residential? How many dwelling units are on the property? Single Family Home PROPERTY INFORMATION Property Address 3840 Nelson St Property Owner Name Matthew Bencivenga Property Owner Phone 720-837-9604 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Do you have a signed contract to reroof this property? Field not completed. Yes CONTRACTOR INFORMATION Contractor Business Nationwide Roofing & Construction Name Contractor's License 210230 Number Contractor Phone 303-748-3866 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Bryan@shieldconstruction.net Address Retype Contractor bryan@shieldconstruction.net Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" DESCRIPTION OF WORK TOTAL SQUARES of 16 the entire scope of work: Project Value (contract 8000 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Pitched roof (2:12 pitch or greater) 4:12 M! Asphalt/ Architectural Shingles Type of material for the Asphalt PITCHED roof: Provide any additional Residential re -roof. 1 -story. 4:12 pitch. 16sq. detail here on the description of work. (Is this for a house or garage? Etc) 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 Yes been 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. Bryan Petty Person Applying for Pe rm it Email not displaying correctly? View it in your browser. 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 d o b MIDNIGHT (MPtoV`e nZqspectio'ry ie following busines y PERMIT 4 ADDRES JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERM ADDRESS: ADDRESS: ���0 /1.��'�-�/ JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 "For ROW and drainage inspections please call 303-235-2861 'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. - i CITY OF WHEAT RIDGE 837 -c/60 ` _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: '71C) p 1/0 Job Address: 3 _ 0 41e- 5-o-, 7- 5 t Permit Number: 0 1703, Y;q8 ❑ No one available for inspection: Time Ute_ AM/PM Re -Inspection required: Yesg%� When corrections have been made, call for re -inspection at 303 -234 - Date:— i Inspector: "T DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE 1�9�Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: y 1 0 F w d Job Address: 3 IK y© Permit Number: U 1 cz f\ v-� A c� heed � r� ,�'�a.a ( ��_•. ❑ No one available for inspection: Time U13 ( (&M-yPM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 3 r 6 Inspector�� ,�-,_ 71,7111 DO NOT REMOVE THIS NOTICE t 0 City of Wheat Ridge .. r Resid. Windows/Doors PERMIT - 201708488 PERMIT NO: 201708488 ISSUED: 10/20/2017 JOB ADDRESS: 3840 Nelson ST EXPIRES: 10/20/2018 JOB DESCRIPTION: Residential window replacement of 11 windows like for like and a bay sided in one of the openings no changes in structure, u -factor will be .30 or better. *** CONTACTS *** OWNER (303)809-3061 BENCIVENGA MATTHEW SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21,098.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 443.06 ** TOTAL ** 493.06 *** 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 thisermit. I further attest that I am lefgally authorized to include all entities named within this document as parties to the work to be performeand that all work to orm is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER `OT—CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans 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 any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or 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 f any inspection. t ntlf�.� Signature of Chief Bug Official Date i m REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat �gc COMMUNITY DLVELOI'MENT Building 8 Inspection Services Division 7500 W. 29`" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY Date: Id Plan/Permit # Plan Review Fee: � 417L — Please complete all highlighted areas on both sides of this form. incomplete applications may not be processed. — Property Address: 3840 Nelson St Property Owner (please print): Matt Bencivenga Phone: 303-809-3061 Property Owner Email: Mailing Address: (if different than property address) Address: same City, State, Architect/Engineer: Architect/Engineer E-mail: Contractor: Matthew Seiler Contractors City License #: CL3-130206 Contractor E-mail Address: mseiler@renewalcoloradoxom Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W. R. City License # Phone: Phone: 303-945 1519 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION Q WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FULF Amps We will be replacing 11 windows like for like and then placing a 3 sided bay in one of the openings. U factor will be .30 or better. Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 21,098 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that l have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) o ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS' Reviewer: PUBLIC WORKS COMMENTS_ Reviewer: r PRINT NAME: Matthew Seiler (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) SIGNATURE: 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: $ � -�■■_ � N�■■� � ■■■�■■- nun nus �� i����■���n� � � �::.:.:::: :: u�n�i � I�Un =� i�� �Y -� � I�I��IIIE!e•� m._._s�_..__._._o._�� ' � � I�"�1111�� 1��1�� � ��■�iiioi��i�i�� �'��� i�i��� ���eii ■:;.��::■� 11lIlin ��: ��.� ����.�a���m�W II 111111111��i: �I� ����� - - =������ii�i�'�iia � Bay/ Bow Window Frame Order Form Fax to Bay World - 419-522-8768, Phone 888-767-0010 Renewal of Denver A C Renewal by Andersen Location 1401 West Ba and Avenue, Denver, CO 80223 5 Address Jessica Whalin 303-217-4078 Contact Phone A d Last Name First Quantity of Units Order Dale Renewal y.� byAndersen_ 946 - 947- 948 - 949 25° Angle Bay Store 1:2:1 Ratio 1:1:1 Ratio Fax # Agreement R 35° Angle Bay ASAP X1:2:1 Ratio Request Ship Dato Window Frame Design Custom 17/8" Int. Stops, used with X� No Exterior Stops With Exterior Stops Universal Nailing Flange =Yes Universal Frames DB & PW Frames =1:1:1 Ratio 823/4 431/2 91/2 45° Angle Bay a Width Height Jamb Depth N Measure for Exact Frame Make Size, Width & Height =121 Ratio • Measure Total Well Thickness, from Inside Wall Surface to Edge of Exterior Face Trim 15 15 =1:1:1 Ratio Exterior Projection Limitation Specific Exterior Projection Desired 'a y Exterior Projection = Outside Projection (outside wall to outer most point) 1!ij T Oak Birch Four -Lite Bay F" =25- Style Seat Design Non Insulated Standard R-9 Deluxe R-21ri J i� s =35" Style R )�i Type Insulate to Wall Sheath FTIFullyInsulated, Entire Seat =45* Style Insulate to Specific Distance from Inside " Five -Lite Bay Wood Roof Style None F_X� Hip Style Concave Style j =25" Style Specific Roof Back Heightjl = 35" Style ow Note: Back Height will be approximately two-thirds of window exterior projection if not specified {i j Roof Off -Set ' =45- Style If ordering the Bay Frame with a dJferent Jamb Depth than the True Wal[Thickness with a Roof Four -Lite Bow Roof Clad Kits Copper Copper Painted Aluminum =10° Style with Incralac Applied =15'Style Masonry Flashing Specify Aluminum Color from Roof Color Chart Five -Lite Bow Interior Casing Edge Banding 2-1/4" Colonial 3-1/2" Colonial """-� =10° Style _'T 6" a 6" Stacked Col. Specify Fareboard Width if not 6" I'i �', =15- Style ti Factory Finish Painted Interior Stained Interior Six -Lite Bow =10- Style Specify Paint Color Specify Slain Color =15- Style Knee Braces Quantity Standard DeluxeCV F Specify RbA Color Two -Lite V Bay Seat Cushions Fabric Name & Color r =45- Style j 3" Std. Foam =2" Foam =4" Foam =Buildup to match cushion thickness =60" Style Avonite° Solid -Surface Seats Cameo White BeachO90" Style Sandstone Dusk Low Voltage Recessed Lights Quantity Specify 1, 2 or 3 ~/ l 090° Box Bay Fixture Finish = Brushed Nickel = Polished Brass White Plastic Laminate Light Oak Dark Oak Colonial Cherry 90° Hat Box Bay Interior Seat White Beige Other r' All Bay/Bow Frames include DuPont TyVek" Weatherization Wrapping. s' 090° Bump Exterior Cladding must be applied in the field Bay Comments I.' ' - _-� _ ___ /'' ' ' -''~ '� '~~^°^���*�.=u.=��~_~^�~. .___ . \ ! |� ' -�- ^~---� ~^ 41 CITY OF WHEAT RIDGE rj000V, Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: f� Permit Number: ❑ No one available for inspection: TimeAM/PM Re -Inspection required: Yes/ No`' *When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: t;( DO NOT REMOVE THIS NOTICE A< City of Wheat Ridge Residential Electric PERMIT - 201700143 PERMIT NO: 201700143 ISSUED: 02/01/2017 JOB ADDRESS: 3840 Nelson ST EXPIRES: 02/01/2018 JOB DESCRIPTION: Panel upgrade - 200 amps *** CONTACTS *** OWNER (720)837-4960 BENCIVENGA MATT SUB (303)775-0832 James Richard King 130219 JK Electric *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,300.00 FEES Total Valuation 0.00 Use Tax 41.40 Permit Fee 93.35 ** TOTAL ** 134.75 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. [, by n 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 tI er lit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit tee. 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 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 ordmarlce or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. sm K�ets,&� S- [IV WiC4%1 t p o�------ RECOR 2W aL� 2 vwJ 2�- AI JNSPECTiON REQUEST LINE: (303) 2345933 0 Inspections will not be performed unless this card is posted an the project site. Call the inspection request line before 11:59 p.nL to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this Project Foundation inspections Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pout Underground/Slab Inspections Electrical Sewer Service Plumbing Do Not Cover Underground Rough Inspections Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric • Rough Plumbing/Gas Line Rough Mechanical Rough Framing Insulation Drywall Screw / Nail Date I Initials Concrete Prior To Date Comments Of The Above or Selow/In-Slab Work Prior To Date •,.YrIVYN Initials Final Inspections Date Inspector Comments City of Wheat Ridge 02/01/2017 13:37 CDBA Panel upgrade - 200 CDA013911 AMOUNT BPSP 3840 Nelson ST 134.75 APPL/PERMIT NO: 201709143 PAYMENT RECEIVED AMOUNT VS / 7107 1.34.75 AUTH CODE: 020,366 TOTAL 134.75 Final Electrical Final Plumbing Final Mechanical Roof Final Window / Doors =final Building .andscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. 'Ire Inspection / Fire Protection Dist. 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. itOTE: Ail items must be completed and approved by Planning, Public Works, Fine and Building before a Certificate �f Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. or low voltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage the Building Division. 'For Inspection Time Window Requests - Please email insotimereauest aOci wheatridae.co.us by 8:00 A.M. the day of the spection with the property address in the subject line of the email. Occupancy is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather V, City of W hC' a:1L 1d� c/ C:OhVAUNInf DEVEL0I'NYLN-1 (—� Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: :aermitsQci.wheatridae.co.us FOR OFFICE USE ONLY Date: T Plan/Permit # Plan Review Fee: BuMing Permit App lUcation *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner Mailing Address: (rf different than property address) Address: City, State, Zip: ArchitectlEn in r: Architect/Engineer E-mail: Contractor. V� �- i er— 1 -rt Z. Phone: Contractors City License #: /��1 Phone: .?CS3--775--�Y�� 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 # Gc1 i Mechanical: W.R. City License # Complete all information on BOTH sides of this form 111 ❑ COMMERCIAL ,RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTUREPCOMMERCIAL LECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE 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.} per, e �j Sq. Ft/LF Btu's Amps a Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) a3 o0. 6�6 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 shoti%n 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 ov&ner or have been authorized by the legal ov mer of the property to perform the described work and am also authorized by the legal ovmer 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) (CONTR4CT0R) or (.4 ' UONZED RF.PRFSEN7 MVE) of (OWNER) (COA'TR4CTOR) Electronic Signature (first and last name): / DATE: .211 ZONING COMMMENTS' Reviewer BUILDING DEPARTMENT COMMENTS - Reviewer DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION Building Division Valuation: $ CITY OF WHEAT RIDGE Building Inspection Division r40000P (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection ,Type: Job Address: n Permit Number: ❑ No one available for inspection: Time( pM Re-Inspection required: Yes o *When corrections have been made, call for re-inspection at 303-234-5933 Date: InsN ector DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201700007 PERMIT NO: 201700007 ISSUED: 01/04/2017 JOB ADDRESS: 3840 Nelson ST EXPIRES: 01/04/2018 JOB DESCRIPTION: 60 ft yard repair on 4 in. sewer service line leading to the street. Install dual sweep c/o *** CONTACTS *** OWNER (720)837-4960 BENCIVENGA MATT SUB (303)519-0240 R. Andrew Russell 120161 The Elite Pipe MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,500.00 FEES Total Valuation 0.00 Use Tax 81.00 Permit Fee 125.05 ** TOTAL ** 206.05 *** 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.** A 41� City of Wheat Ridge AiP Residential Plumbing PERMIT - 201700007 PERMIT NO: 201700007 ISSUED: 01/04/2017 JOB ADDRESS: 3840 Nelson ST EXPIRES: 01/04/2018 JOB DESCRIPTION: 60 ft yard repair on 4 in. sewer service line leading to the street. Install dual sweep c/o 1, 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 m legally authorized to include all entities named within this document as parties to the work to be performed and t a o e performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signat f OWNER or CONTRACTOR (Circle one) Date 1. Th s 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 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 cod o any ordinatNe or regiulation of this jurisdiction. Approval of work its subject to field inspection. /N//7 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. i! City of /�/ Wheat�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY Date: ylt//7 Plan/Permit # I 170-7 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: ??40 Ke U' j ST Owner Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: -Th- Contractors T Phone: Phone: 7ZO -FSS7 - Contractors City License #: - Phone: _72C) - 3- 95-43 Contractor E-mail Address:@� lihT�ema. Cory-) 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 Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ,PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) (P-0' 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) MEN OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 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) ori AUTHORIZED REPRESENTATIV of (OWNER) (CONTRACTOR) PRINT NAME: ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS. Reviewer. PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS SIGNATURE: Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE bNLY DATE: / - y"/ice OCCUPANCY CLASSIFICATION. Building Division Valuation: $ FEB /09 /2010 /TUE 10:31 AM Seaback Roofing FAX No.281 345 2441 1L dG /1]]J G1.40 f1J11lf"4 W0M11] P. 004/004 rlrac GC INSPECTION RECORD p_ccupaneyRvoe w INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the Following business day- 3Xg11 Nglzun yam. _ _kArj-1- - - of U - / I V 12!r I- INSPECTOR MUST SIGN AL4 SP ACES PER - wNINQ TO THIS JOB FOUNDATION INSPECTIONS OATS INSPE CTOR INITIALS Commewa- Faotings/Caissons Plumbing — - ._� - --• Stemwall / (CEO) Concrete Encased Ground Reinforcing or Manollthle Mechanical Weatherproof I French Drain Roof V Sewer Service Lines Buiiding Fin 4 Water Service Lines ~~ POUR NO DNCRETE NTIL ABOVE HAS BEENSIGNED CONCRETE SLAB FLOOR Electdcai und} Plumbing (Underground) Heating (Underground) _ W " DO NOT POUR FLOOR UNTIL ABOVE H BEEN SIGNED ROUGHS Sheathing Fire Department Lath / Wall be _ R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONfN0 FIRS AND PUBUCE WORKS Mid - Roof "NOTE: ALL fTEMS MUST BE COMPLETED Amp APPROVED BY PLANNWG AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIF/CATS OF OCCUPANCY IS ISSUGO, FINAL INSPECITON eY THE BUILDING D/vISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION POR OCCUPANCY. Electrical Service Rough Ele Rough Plumbing Gas Piping _ —__- Rough Mechanical _ OVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Inulatlon Drywall Screw FINALS - Y. - El . Plumbing — - ._� - --• _. Mechanical _._ Roof V Buiiding Fin _ Fire Department _ R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONfN0 FIRS AND PUBUCE WORKS Iaarkinq & Landscapinp - SHOULD BE CALLED AT LEASTONE WEEK PRIOR TO PINAL INSPECTIONS. "NOTE: ALL fTEMS MUST BE COMPLETED Amp APPROVED BY PLANNWG AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIF/CATS OF OCCUPANCY IS ISSUGO, FINAL INSPECITON eY THE BUILDING D/vISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION POR OCCUPANCY. O CCUPANCY NOT PERMITTED UNTIL CERTIFICAT OF UGGUVANi:r 10 tsSUeu PROTECT THIS CARD FROM THE WEATHER 2010 -I ":27 281 345 2441 _ Page 4/4 ! s CITY OF WHEAT RIDGE Building Inspection Division j~ (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ~ZU\ Job Address: '39-4 S of Permit Number: C3`7 1 ❑ No one available for inspection: Tirne'~ 30 A Re-Inspection required: Yes When corrections have been made, caff force-inspection at 303-234-5933 f t Date: Inspector: t DO NOT REMOVE THI NOTICE ♦ i CITY OF WHEAT RIDGE �/� Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: AP - L u)_ Job Address: ac's L Adt,O p C Permit Number: IGrfl El No one available for inspection: Time s AM/#M ) Re- Inspection required: Yes (No J �/ "When corrections have been made, call for re- insp at 303- Date: _ !,�,t1t1 Inspector: �/`f/' OL --- r7V77 ..r1 DO NOT REMOVE THIS NOTICE C ok 4,4'1'0'rnt s: F` El No one available for inspection: Time s AM/#M ) Re- Inspection required: Yes (No J �/ "When corrections have been made, call for re- insp at 303- Date: _ !,�,t1t1 Inspector: �/`f/' OL --- r7V77 ..r1 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: ~lul- Job Address: > ~svu 5 Permit Number: 09 / hl~ ///iii. ✓y-~,xx- ~~,~~,IN ,,-1,->F,i~~=, ~ l "ter, / rc ❑ No one available for inspection: Time AM,PM Re-Inspection required: Ces No 'When corrections have been made, call for re-inspection at 303-234-5933 X; L Date: T Inspector: DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge roooor Residential Roofing PERMIT - 091664 PERMIT NO: 091664. ISSUED: 08/26/2009 j, JOB. ADDRESS: 3840 NELSON ST ' EXPIRES: .02/22/2010 s, DESCRIPTION: Reroof -14.66 sqs CONTACTS owner 303/420-4139 John Roesch. sub < 719/492-1396 Whitney Smith 08-0243 Seaback Roofing Q~ t PARCEL INFO ZONE -CODE : UA :USE : UA SUBDIVISION:UA {BLOCK/LOT#: 0/: FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,219.05: FEES r Permit Fee 126.50 Total Valuation .00 Use Tax 57.94 pp va 1 x F TOTAL . 384.44 ,-Conditions: 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 ,r water shield required from eave edge to 2' inside exterior walls. Subject to field inspections. 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 Ihave read and agree to abide , by all ` conditions: printed on this tc application and tha Iff u11 responsibility for compliance with the Wheat Ridge, Building Code.'(I.B.C) and all other applicab e njes~ edge a, fowor k under~is p rmit. Plans sub?ect to field inspection. s4nature of contrar or/o r 'date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codesof Wheat Ridge, Colorado or .any:. other applicable ordinances ofthe city.. 2. This permit shall expire, 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of;:the Building Official. 3. If. this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one -(1) year. If changes: have been or if suspension or abandonment' exceeds one (1) year, full fees shall be paid for a: new permit. 4. No work of any manner shall be done that will. change the natural flow of water causing a drainage problem. 1 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive f` written approval on inspection card before proceeding with successive phases: of the job'.' 6. The issuance of a permit or the approval of drawings and specifications shall: not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or,regulation. S' All plan r i s subject to field inspections. f ,Signatur f, ef Building Official date ;,INSPE ION REQUEST LINE: (303)234-5933 -BUILDING OFFICE: (303)235-2855 'REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. AUG-26-2009 !NED 10:42 AM . 2009-08-21 08;45 Bill Flynn SEABACK ROOFING-RESTOR FAX No. 2813452441 P•001 3173-239-6375» 2813452441 P 5/6 e~te w City of jVWh6a-t Data: CClA MUNI1Y DwuopmENT Permit Buildings Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-236-2855 Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application PrO Mty Address: Property owner (please Malling Address: 0i'different than property address) Address: City, State, zip: Contractor: ~b F-00111rX t~--- Contractor LlCense N: 0?-D7-)4R J Phone. -11Dl'-. W r7 - I I- Use otSppace (descriptioqn~): \ t DescrIp2n of work Kx r .®f~l. 301 IL WC!1 ( 20 tip Li Plan Review (duo at fine of submittaq: 0 Sq_FI./L,Fladded: Squares E& BTU's Gallons Amps OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ' r hereby cenlfy 111501115 setback distances proposed by this permit applicatlon are accurate, and do not violate applloable ordinances, rules or regutattons of tho City er Wheal Ridge or covenants, easements or restnctlona of record; that all measurements shown, and allegations made are accurate; that I have teed and agree to ablde Iy loll condltlone printed on this application and that I ssaoine full raaponsibility for compliance. with the Wheal Ridge Building Code (1.6.0) and ell other applicable Wheat Ridge Ordinances, far work ender this Pam' t_ plena eubJaot to flop. . CIRLCEON&: (OV7iNEL CONTRACTOR) r PERSONAL REP E ENTA' VI~ of(OWN M (CONTRATOR)jA~ PRINT NAM SIGNATURE r Dat6Y k DEPARTMENT USE ONLY ZONirfe CCiTa: Zonl79 Rdel6wOr_ - PUeLIF W®PiF(O,CQA&kFSNIg: Reviewer, tatyp olrsp DgPANffOrLNT OCCUPANCY, Ravl~a®r FME DEPARYN&M..: 0 eppmved•wra fV 0 dUapprav®d p no revI$wregOlfad 81do Vsiuatlan: S tial086K t'rvllIG) ~\t kma%~ .L01nn Credit Card Payment: Use ciraddt card listed on file. Date; Print name: Signature: