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HomeMy WebLinkAbout3651-3661 Parfet StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement Date: Tuesday, January 18, 2022 1:28:18 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 3651 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 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 Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement Date: Tuesday, January 18, 2022 1:33:09 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 3661 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 Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler Date: Tuesday, January 18, 2022 1:30:02 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 3661 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. l�vldV�� 1 366( pQ� 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/Tyke 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 Comments Initials Electrical heathing DU 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 Initi Is Comments heathing DU Landscaping & Parking / Planning Dept. Mid -Roof 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. Lath / Wall Tie Floodplain Inspection (if applicable) Rough Electric Fire Inspection / Fire Protection Dist. Rough Plumbing/Gas Line Final Electrical Rough Mechanical Rough Framing Rough Grading Final Mechanical Insulation Roof Final Window/Doors 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 City of Wheat Ridge Residential Roofing PERMIT - 201705959 PERMIT NO: 201705959 ISSUED: 08/11/2017 JOB ADDRESS: 3661 Parfet ST EXPIRES: 08/11/2018 JOB DESCRIPTION: **REVISION: Adding decking to existing permit** 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 SUBDIVISION CODE: 101 / USE: UA / Unassigned BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,200.00 FEES Total Valuation 0.00 Use Tax 214.20 Permit Fee 220.15 ** TOTAL ** 434.35 *** 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) 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. City of Wheat Ridge Residential Roofing PERMIT - 201705959 PERMIT NO: 201705959 ISSUED: 08/11/2017 JOB ADDRESS: 3661 Parfet ST EXPIRES: 08/11/2018 JOB DESCRIPTION: "REVISION: Adding decking to existing permit" Residential Re -roof to install Owens Corning asphalt shingles - 26 sq I, by myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, andhat all applicable municipal codes, policies and procedures, and tI 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 attestthat 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,J� I performed is disclosed in this document and/or its' acc�vmpany�pg approved plans and specifications. Signature of 10WN 'or CONTRACTOR (Circle one) ate I. This permit was tissued 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official u Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I City of "9r Wheat 1j�e COMMUNITY DEVELOPMENT 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: permits(aD_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 'Il I ) Add to Permit # Z���los�i�q Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3 4 ('� ' Property Owner (please print): Phone: Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Company: Contact Person: Contractor: Contractors City License #: Contractor E-mail Address: Phone: Phone: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. Ft./LF Amps L16-111" I / Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) -.--�} 0& OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED PRINT NAME: � S 6L- I f SIGNATURE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received Sanitation District ❑ Received DEP `,PJs' KATIVE) of (OWNER) (CONTRACTOR) DATE:-?// l / USE ONLY OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required Building Division Valuation: $ City of Wheat Ridge .. Residential Roofing PERMIT - 201705959 PERMIT NO: 201705959 ISSUED: 08/11/2017 JOB ADDRESS: 3661 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: 101 / BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,800.00 FEES Total Valuation 0.00 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201705959 201705959 3661 Parfet ST ISSUED: 08/11/2017 EXPIRES: 08/11/2018 Residential Re—roof to install Owens Corning asphalt shingles — 26 sq I, by in 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 perform�andhata or a performed is disclosed in this document and/or its' accompanying approved plans and specifications. g z0//7 - Signature of OWNER or WNTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting, of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or ariy or`d'n®an�c�e�orr reg n of is * risdiction. 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 ezv­t yo5 � -1 From: no-reply@ci.wheatridge.co.us Sent: Monday, August 7, 2017 1:44 PM To: CommDev Permits 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? How many dwelling units Duplex are on the property? PROPERTY INFORMATION Y` Property Address 3661 Parfet St Property Owner Name Property Owner Phone Number Property Owner Email Address George Trickell 425-371-8174 Field not completed. J-S� 6, q o FZZ 0 G Csa� 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 Pi roofing material for this proj ect 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 10 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 Email not displaying correctly? View it in your browser. 3 ik,delo,� 5 rado 720-600-7236 info-,ColoradoRw,(ItI Solutions com viww.Colo rado R cit, (i n 5,., 1 u It ion s -c on' Scanned by CarnScanner I�A -7 Lt. cs "pp, S C 0 P E OF WORK'S LOW SLOPE PEEL AND STICK MLI,16VAVJc ROLLFDROORNG It EPDM 45 PIIL r!IfL` e1r1"Ft1.F[_ TP( INSULAT 4- T-1 'Y_ 7 ORIGINAL SALE PRICE kil 'SUPPLEMENTS. 'DEDUCTIBLES NMALS PAINT DETAILS J; 7 PAYMENTSC'HEDULF T'CHECK f INAL CHECY DUE DUE IF AMOUNT CHECV it fNEfM Jt L111. UokTE OArP ,mu mrtafYi.V WIT J, I 'it 1� I, I Scanned by CarnScanner i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ' %` L F Job Address: Permit Number: r rF f It ❑ No one available for inspection: Time" 1l�l' f /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: (Y f l S� Inspector:( DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGEAP Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:ell Permit Number: ❑ No one available for inspection: Time 1 A I /PM Re -Inspection required: Yes No.) When corrections have been made, call for re -inspection at 303-234-5933 �A 1 !c Date: I f Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NO IC ,� Inspection Type: / Job Address: Permit Number: c ?�z y' D ❑ No one available for inspection: Time d '` AM/l? Re -Inspection required: Yes 6a) When corrections have been made, call for re -inspection at1F03-234-5933 l 1 1 ` t Date: l 1 Inspector: DO NOT REMOVE THIS NOTICE A i CI* b'F'WHEAt RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: J Job Address: 3 4. toetr !94 Permit Number: 0 ► -7 0 s 9 s-9 4 tr) 7 ❑ No one available for inspection: Time I a = 3 C AM/LM Re -Inspection required: es No When correcti ons have been made, call for re -inspection at 303-234-5933 Date: / a—Inspector: —1-6 DO NOT REMOVE THIS NOTICE L /,,, r ) — i cr z' i 3(oS-1 /r INSPEEMON RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupc 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 Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underaround or Below/In-Slab Work Prior To Approval 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 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. 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. **For Inspection Time Window Requests — Please email insptimereauest(a�-ci.wheatridge.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 1'9 1 C1 1 n I % % I r,— 1 i t\ i<2 `-t Co :�D 1 f UF"it &4 'l �''� 1 (") t 0 �d"Cup, � p1w. 1 S ECTION RECORD an 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 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 Comments Sewer Service 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. Plumbing 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. ROW & Drainage / Public Works Dept. Mid -Roof Final Electrical Lath / Wall Tie Final Plumbing Final Mechanical Rough Electric Final Window/Doors Rough Plumbing/Gas Line Final Building Rough Mechanical 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 Framing 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. 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. **For Inspection Time Window Requests — Please email insptimerequest(cD i.wheatridge.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 i CITY OF WHEAT RIDGE -.A 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: �O 1 � 1 j ❑ No one available for inspection: Time] c AME�) Re -Inspection required: Yes N No When corrections have been made, call for re -inspection at 303-234-5933 11 Ju;4)-- Date:I 0l nspec DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201601852 PERMIT NO: 201601852 ISSUED: 11/21/2016 JOB ADDRESS: 3651 Parfet ST EXPIRES: 11/21/2017 JOB DESCRIPTION: Install 1 backflow preventer and 1 expansion tank *** CONTACTS *** OWNER TRICKELL GEORGE GC (303)422-6644 John C. Robbins 021135 JOHN THE PLUMBER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 104 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 312.50 FEES Lawn Backflow Device 40.00 Total Valuation 0.00 Use Tax 5.63 * * TOTAL * * 45.63 *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections. 1, by my signature, do hereby applicable building codes, and by the legal owner of the prop, thisppermit. I further attest th pertormed and that all we t d the work to be performed shall comply with all accompanying approved plans and specifications, o ' icable municipal codes, pcies and procedures, and that I am the legal owner or have been authorized am authorized to obtain i ermit and perform the work described and approved in conjunction with ;ally a rize inc de 11 entities named within this document as parties to the work to be �rnie disc] a ocument and/or its' act janying roved plans and specifications. Signature of OWNER o CONTRA T'OR ( ircle one) Date I . This penmit was issued ased on the informs ion provided in the permit application and accompanying plans and specifications and is subject to the complia ice with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This pennit shall expi 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the to of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe bject to a fee equal to one-half of the original permit fee. 3. If this permit expires,•a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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. C edinka 1))O_Q ll0 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.wheatridgexo.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of W heatj�idge COMMUNITY DEVELOPMENT 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 Email: perm its(a)ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # � l � C, n 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: Property Owner (please print): �5 y Phone:�C5 -::�w - Rigg Property Owner Email: Mailing Address: (if different than property address) Address , State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: MASTER PLUMBER JOHN C. ROBBINS Contractor: fi206 SIMMS ST ARVADA, CO 80004 Contractors City License #: -3v-J-cam 6 44 Phone: Contractor E-mail Address: /) Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used. etc.) Sq. Ft./LF Amps / zZ Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 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 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 applicati) -� CIRCLE ONE. (OWNER) (CONTRACTOR) or (A PRINT NAME: A_ SIGNATURE: DEPAR 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 ❑ Received ❑ Not Required R PRESENTATIVE) r (OWNER) (CONTRACTOR) ) \ DATE:,x / i NT USE ONILY OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ a City of Wheat Ridge Residential Plumbing PERMIT - 201601849 PERMIT NO: 201601849 ISSUED: 11/21/2016 JOB ADDRESS: 3661 Parfet ST EXPIRES: 11/21/2017 JOB DESCRIPTION: Install 1 backflow preventer and 1 expansion tank *** CONTACTS *** OWNER TRICKELL GEORGE GC (303)422-6644 John C. Robbins 021135 JOHN THE PLUMBER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 104 / BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 312.50 FEES 1 Lawn Backflow Device 40.00 Total Valuation 0.00 Use Tax 5.63 ** TOTAL ** 45.63 *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections. I, by risignature, do hereby applicable building codes�kt, am by the legal owner of the this ,permit. I further attesperrmed and that all w it the work to be performed shall comply with all accompanying approved plans and specifications, icable municipal code , olicies and procedures, and that I am the legal owner or have been authorized am authorized topia.' this permit and perform the work described and approved in conjunction with ;allyauthorized ude all entities named within this document as parties to the work to be is c ehis document and/or its' accompanyin approved plans and specifications. Signature of OWN or CONdI�CC�R (Circle one) Date I. This permit was i sued based on the information provided in the permit application and accompanying plans and specifications and is subject to the co pliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit sha expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior t the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and y be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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 cod o any Ic ordmalice or regulation of this jurisdiction. Approval of work is subject to az inspection. Kr�^- CA5*�, /// -a-1%/� 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(a7,: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 Date: �Cn.' MN�le T plan/Pennit # n1h)bo)"'C' Building 6 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): Phone: 41,9-5 Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: MAS t a_LIMBER Phone: JOHN C. ROBBINS Contractor: 6706 SIMMS ST Contractors City License #: ARVADA, CO 80004 phone: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form f 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. FULF Amps }��2 1-�ov—✓ ) Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 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 it issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform theescrib work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE. (OWNER) (CONTRACTOR) or (AUTHORIZED PRINT NAME: _ A) SIGNATURE: DEPARTM ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer PUBLIC WORKS COMMENTS Reviewer Tl VE) o O HER) (CONTRACTOR) J /t�l� w . , _DATE: USE ONLY OCCUPANCY CLASSIFICATION: PROOF OF SUBMISSION FORMS ,..... Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District n Received n Not Required Building Division Valuation: $ City of Wheat Ridge Residential Plumbing PERMIT - 201601848 PERMIT NO: 201601848 ISSUED: 11/21/2016 JOB ADDRESS: 3651 Parfet ST EXPIRES: 11/21/2017 JOB DESCRIPTION: Install 1 backflow preventer and 1 expansion tank *** CONTACTS *** OWNER TRICKELL GEORGE GC (303)422-6644 John C. Robbins 021135 JOHN THE PLUMBER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 104 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 312.50 FEES Lawn Backflow Device 40.00 Total Valuation 0.00 PAID Use Tax 5. q ** TOTAL ** 45.63 \ *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections. I, by my signature, do hereby attest th t the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all ap icabl municippal codes, policies and procedures, and that I am tlie legal owner or have been authorized by the legal owner of the property a d am a thorized to obtain this permi d perfonn the work described and approved in conjunction with this ermit. I further attest that I am a ally utliorized t elude all e ' i named within this document as parties to the work to be per and that all work to be p rforme is disclos in this do t and/or its' accompanying approve plans and specifications. Signature of OWNER or CO T CT OR (e oii Date 1. This permit was issued based n the information provi d in the ppermit application and accompanying plans and specifications and is subject to the compliance wit those documents, and all a plicable statutes, ordinances, regulations, policies and procedures. 2. This permit, shall expire 365 ays after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of piration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject tp a fee equal to one-half of the original permit fee. 3. If this permit expires, a new ermit may be required to be obtained. Isuance of a new permit shall be subject to the standard requirements, fees and proc dures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official nd 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 sh 11 notify the Building and Inspection Services Division in accordance with established policy of all required inspections ands 1 of }orocee r cone al work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or giJa g e 1 construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject io field inspection. Signature of Chief Building Official Date f` 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(q-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 FOR OFFICE USE ONLY I City of Date: Wheatf dgc COMMUNITY DEVELOPMENT Plan/Permit # Building & Inspection Services Division 7500 W. 291h 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): Phone: !2?::�_5LA/5/ Property Owner Email: Mailing Address: (if different than property address) Address: City, State Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: MAS L...', -UMBER JOHN C. ROBBINS Contractor: 6706 Simms ST Contractors City License #: ARVADA, CO 80004 phone: 303-422 6644 Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form iA-- Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. Ft./LF Btu's Gallons Amps Squares 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 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 rmit 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 escribwork 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) I r (AUTHORIZEDIREPRFjSENT4TIVE) PRINT NAME: _ A) � SIGNATURE: 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 ❑ Received ❑ Not Required DEPARTMENT USE ONLY (CONTRACTOR) DATE: % "? 4 OCCUPANCY CLASSIFICATION. Building Division Valuation: $ ♦ ♦ CITY OF WHEAT RIDGE ~-j Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: P ?r Job Address: Permit Number: 1111)(9 2?~7 S a No one available for inspection: Time AM(§j Re-Inspection required: Yes , No 'When corrections have been made, call #pr re.-inspection at 3 3-2 -5933 Date: a~ ! Inspector:¢ DO NOT REMOVE THIS NOTICE 4' CITY OF WHEAT RIDGE Building inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number 36LL AXl ~ . _ (Jr ~qF i 1= ❑ No one available for inspection: Time W A lr,. Re Inspection required: Yes No 3 'When corrections have been made, call force-inspection at 303-234-5933 ,j~ Tll Date: Inspector. DO NOT REMOVE THIS NOTICE Y ► City of Wheat Ridge r4000or Residential Roofing PERMIT - 092293 PERMIT NO: 092293 ISSUED: 09/11/2009 - JOB ADDRESS: 3651-61 Parfet St EXPIRES: 03/1.0/2010 DESCRIPTION: Reroof 26 sqs. - ***.CONTACTS owner 303/202-9153 Brookside Apts sub 303/424-2900 PATRICK BOHN 07-0201 EXCALIBUR EXTERIORS, LLC PARCEL INFO.** 'ZONE CODE: UA ..USE: UA SUBDIVISION: -0654 BLOCK/LOT#: 0/ **FEE SUMMARY ESTIMATED PROJECT :VALUATION: 6,000,00 FEES Permit Fee 162.90 .1.1 , .'=°°y Total Valuation .00 Use Tax ~F 108 .00 _,a TOTAL 270 '.270.90 Conditions: 6 nail -installation& mid-roof inspection. required. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 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 measurements shown, and as;S4~.. .'ons made are accurate;. that I have read and agree to abide by. all conditions printed on this appl' - r a sume f onsibility for compliance with.. the wheat Ridge Building Code (I.B.C) and all other lap 'c ~e Wheat. a Ordin ces,.for ork under this : per it. Plans subject to field inspection. Signature of contractor/owner ate 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. 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. 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. No work of any. manner _ shall be done that will change thenatural flow of water causing a drainage. problem. 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.. 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 plan review as s of to field inspections. ignature of WEQST ding Official 'date :NSPECTIO UEL INE: (303)234-5933 BUILDINGOFFICEc (303)235-2855 .EQUESTT. BE MADE BY 3PM`. ANY EUSINESS DAY FOR. INSPECTION: THE. FOLLOWING BUSINESS DAY. ~oF WHEgr~/ City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 CDCORA~~ ~ Inspection Line: 303-234-5933 Property Address; Property Owner (plea Mailing Address: (if different than property address) Date: Plan A Permit#: Address: r~ City, State, Zip: &-,0, Too -73 Contractor:C Contractor License M Phone: (/Z - 2-1 ®60 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): Construction Value: 64 O?"Cd Description of work`. (as calculated per the Buildin_ aluadon Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L. Ft added: Squares Z~ -BTU's Gallons Amps 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 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:: OWNIER) (CONTRACTOR) or PERSONAL RE Ttn! NER) N ATOR) PRINT NAME: C7fa~' SIGNATUREDater ijr ; I Bldg Valuation: $ 1 Building Permit Application