HomeMy WebLinkAbout3631-3641 Parfet StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement
Date: Tuesday, January 18, 2022 2:25:15 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 Furnace/Boiler Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3641 Parfet St
Property Owner Name 3601 Parfet Residential, LLC.
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
720-838-7875
Property Owner Email sstaunsell@redpeak.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CityofWheatridaelecoayment. Cdf
CONTRACTOR INFORMATION
Contractor Business
Mount Mechanical, Inc
Name
Contractor's License
210183
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-901-1357
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
mountmechanical@msn.com
Address
Retype Contractor
mountmechanical@msn.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
80,000
What is the efficiency
80%
(°%) of the unit?
Is the unit GAS or
Gas
ELECTRIC?
Where is the furnace or
crawlspace
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
4475.47
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 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.
Person Applying for Jamie Mount
Pe rm it
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From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler
Date: Tuesday, January 18, 2022 2:19:51 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 Air Conditioner/Evaporative Cooler
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is this a new install or
replacement for an
existing AC unit?
Is this Residential or
Commercial?
New Unit Installation
Residential
Property Address 3631 Parfet St
Property Owner Name 3601 Parfet Residential, LLC.
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
720-838-7875
sstaunsel1@redpeak.com
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
Mount Mechanical, Inc.
PA to] 1.191
303-901-1357
mountmechanical@msn.com
Retype Contractor mountmechanical@msn.com
Email Address
DESCRIPTION OF WORK
What type of Air Conditioner
replacement unit are
you installing?
How many tons is the
unit?
For AC - what is the
SEER?
For Evaporative
Coolers, what is the
CFMs?
Where is the unit
located (for example,
rooftop, backyard on
ground etc)?
1.5
13
Backyard on the ground
Is electrical needed for Yes
re -hook?
Provide Electrical 18377
Contractor's Wheat
Ridge License No.
Project Value (contract 4475.47
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 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.
Person Applying for Jamie Mount
Pe rm it
Email not displaying correctly? View it in your browser.
2417M a
36f rar�ttE� INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Mr
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 Tn Annrnval of Tho Ahnva Incr%o#-trona
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To ADoroval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final 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
A d City of Wheat Ridge
Residential Roofing PERMIT - 201705958
PERMIT NO: 201705958 ISSUED: 08/11/2017
JOB ADDRESS: 3641 Parfet ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 26 sq
*** CONTACTS ***
OWNER (425)371-8174 TRICKELL GEORGE
SUB (720)600-7236 Christopher Gonzales/Clayton P 170209 Colorado Roofing Solutions
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,800.00
FEES
Total Valuation 0.00
"AM
ID
Use Tax 163.80
Permit Fee 172.60 � =�
** TOTAL ** 336.40
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. 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.
d � 4 4' City of Wheat Ridge
f r
Residential Roofing PERMIT - 201705958
PERMIT NO: 201705958 ISSUED: 08/11/2017
JOB ADDRESS: 3641 Parfet ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 26 sq
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 pemit and perform the work described and approved in conjunction with
this permit. I further attes{ that I am legally authorized to include all entities named within this document as parties to the work to be
performed�and that all wor be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
'Zell 7�
Signature of OWNM 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 may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issua, ranting of �t sh 1 aro be construed to be a permit for, or an approval of, an violation of any provision of any
applicable co o marc �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.
Dan Schultz
2070 ` J
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, August 7, 2017 1:45 PM
to City Hall to submit an application in person. Permits are processed and issued in
To:
CommDev Permits
C
Subject:
Online Form Submittal: Residential Roofing Permit Application
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
O
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
G�—
Categories:
Danny
C�
iv
Residential Roofing Permit Application
0
0
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
O
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?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Pt -
3641 Parfet St
George Trickell
425-371-8174
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of Field not completed.
Contract
CONTRACTOR INFORMATION
Contractor Business Colorado Roofing Solutions
Name
Contractor's License 170209
Number (for the City of
Wheat Ridge)
Contractor Phone 7202751702
Number
Contractor Email Address Chris@303Roofs.com
Retype Contractor Email Chris@303Roofs.com
Address
DESCRIPTION OF WORK
Are you re-decking the No
roof?
Description of Roofing Owens Corning Duration
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 26
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 26 /
(pitched + flat) of all
z
roofing material for this
project
Provide additional detail
here on the description of
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)
R&R Asphalt Roof
60�
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 Chris Gonzales
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3
Scanned by CamScanner
i CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: V F
Job Address:
Permit Number:
y,
j.,
❑ No one available for inspection: Time " f 'ASI l'I/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: I
S / Inspector:
DO NOT REMOVE THIS NOTICE
i CITYI -0OrWHEAT RIDGE
a - Building Inspection Division Y_
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /1,) • cI
Job Address: _7� G N ► =i , +I -e\ 4 <;4
Permit Number: 2 0 1-7 o _5-1 s—S
❑ No one available for inspection: Time.) 3 = AMe
Re -Inspection required: Yes 19
When corrections have been made, call for re -inspection at 303-234-5933
Date: ► d Inspector: -1- i-,
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
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.
Concrete Encased Ground (CEG)
Foundation/ P.E. Letter
Fire Inspection / Fire Protection Dist.
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
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.
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath /Wall Tie
Final Electrical
Rough Electric
Final Plumbing
Rough Plumbing/Gas Line
Final Mechanical
Rough Mechanical
Roof
Rough Framing
Final Window/Doors
Insulation
Final Building
Drywall Screw/ Nail
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.
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.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
FRET
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.
**For Inspection Time Window Requests — Please email insptimereauestCaD-ci.wheatridae.co.us by 8:00 A.M. the day of the
inspection 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
City of Wheat Ridge
Residential Plumbing PERMIT - 201601843
PERMIT NO: 201601843 ISSUED:
JOB ADDRESS: 3631 Parfet ST EXPIRES:
JOB DESCRIPTION: Install 1 backflow preventer and 2 expansion tank
*** CONTACTS ***
OWNER TRICKELL GED
GC (303)422-6644 John C. Robbins
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned
*** FEE SUMMARY ***
11/21/2016
11/21/2017
021135 JOHN THE PLUMBER
USE: /
BLOCK/LOT#: 0 /
ESTIMATED PROJECT VALUATION: 312.50
FEES
Lawn Backflow Device 40.00
Total Valuation 0.00 PAID
Use Tax 5.63
** TOTAL ** 45.63
VII)AD
*** COMMENTS ***
*** CONDITIONS ***
I, by my signature, do here atte that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, nd all pplicable municipal codes, po 'cies and procedures, and that I a n the legal owner or have been authorized
by the legal owner of the roperty and am authorized to obta' is ermit and perform the work described and approved in conjunction with
this ermit. I further atte that I i le ally th ed to ' u entities named within this document as parties to the work to be
performed and that all ork to perform is isc n this current and/or its' accompanying approved plans and specifications.
Signature of OWN or 6�NTRC( T(Circlr one) Date
mit was
1. This persued based on the inf nnation provided in the permit application and accompanying plans and specifications and is
subject to the c ipliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit sha l expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and n y be subject to a fee equal to one-half of the originalermit fee.
3. If this permit xpires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard
requiremenR`uy
fees and rocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Bding Official and is not guaranteed.
4'No work o 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 r any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
i� lay PLI
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 insptime(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.
FOR OFFICE USE ONLY
City of nate:
Wheatl .0ge
COMMUNITY DEVELOPMENT Plan/Permit#
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property Address:
Property Owner (please print): ��, �jQj [��i i Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address
City State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
MASTS,: PLUMBER
JOHN C. ROBBINS
Contractor: 62n& SIMMS ST. '
ARVADA, CO 80004
Contractors City License #: - 303 -422 -Sr -44 Phone:
Contractor E-mail Address: /22 �--'-_,QJ1J 20 / t- 5Z-72�L��1
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub:
City License #
Other City Licensed Sub:
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.)
Sq. Ft./LF
Amps
/L) -57-A L.,.
Btu's
Squares
/ 6���zjw /,%��, <!��
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 performth cribed work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application
CIRCLE ONE:
(OWNER)
(CONTRACTOR) or (AUTHORIZ RE
NTAT E) of (OWNER) (CONTRACTOR)
PRINT NAME:
SIGNATURE:
— DATE:
ZONING COMMMENTS
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 n Received n Not Required
DEPARTMENTYJSE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: r (o.r n A
Job Address: _ ~3 3f (1f , e V 9
Permit Number: r) ~ d? C(/
No one available for inspection: Time 3 ( AM PMT
i,
Re-Inspection required: Yes No
"When corrections have been made, call ipr rQ-inspection at f$0O 4-5933
Date: Inspector: frr ~r P ;2G.'< <
DO NOT REMOVE THIS 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: sr»v~i
Job Address: ,34 31 - ell 001+,' 7- 5 7
Permit Number: e 17;R ,2 721
,PA6_0
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes
*When corrections have been made, calf for re-inspection at 303-234-5933
Date: 2/,-79/,!>,7 r,7 Inspector: ~
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Residential Roofing PERMIT - 092294
PERMIT NO: 092294" .'ISSUED: 09/11/2009
JOB ADDRESS: 3631-41 Parfet St EXPIRES: 03/10/2010
DESCRIPTION:: Reroof 26 sqs.
* * * CONTACTS *
owner 303/202-9153 - Brookside Apts
:sub 303/424.-2900 PATRICK.3OHN 07-0201 EXCALIBUR EXTERIORS., LLC
* * PARCEL INFO *
ZONE CODE: UA USE: UA -
SUBDIVISION:. UA BLOCK/LOT# 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,000.00
FEES
Permit Fee 362.90 -
Total Valuation .00 _
Use Tax 108.00 t {
**-TOTAL 270.90 t _
Conditions:
6 nail installation & mid-roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apartrequires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exterior walls.
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
measureme hown, and all eg are accurate; that I. have read and agree to abide by all conditions printed on this.
applica ion d at s e fu eapon ibility for compliance . with. the Wheat Ridge Building Code (I.H.p):andall,other
applica e e Ridge finances, or w k under this rmi Plans :subject to field inspection.
Signature of contractor/owner 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 Codes of Wheat. Ridge, Colorado or any other applicable
ordinances of the 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 fora new permit.
4. No work of any manner shall. be done that will change the natural flow of water causing a drainage. problem.
5. Contractor shall. notify the Building Inspector twenty-four (24). hours. in advance for all. inspections and shall receive
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.
All pi r i subject. to field inspections.
Signatur f: of Building Official date
INSPECTION -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.
FW"t °Tpo City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
oO~oaao° Inspection Line: 303-234-5933
Property Address;
Property Owner (plea
Date:
Plan
Permit oq0-9,4-
Contractor: f-~X L~4,! C O7 G)/2, f✓~`~GI~IOG~S
Contractor License Phone: 3 -gZel- 2-'® O
Sub'Contraetorst
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: ~j Approval: Approval:
Use of space (description): f2ot1 t ' construction Value: d7z
DeScriptioll, Of Work- (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares ~ BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all 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 sub' ;ion.
CIRLCE ONE:: (OW NE R~, CON
( TRACTOR) r PERSONAL R IVE of (CO RATOR)
PRINT NAME: IEI~l4( SIGNATURE: Date:
Bldg Valuation:
Building Permit Application
Mailing Address: (if different than property address)