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Home My WebLink About3741-3751 Parfet StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement Date: Tuesday, January 18, 2022 11:04:57 AM 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 3741 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 8950.93 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-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application Date: Tuesday, October 26, 20218:43:47 AM Air Conditioner/Evaporative Cooler Permit Application 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 of Existing Unit replacement for an existing AC unit? Is this Residential or Residential Commercial? Property Address 3741 Parfet St Property Owner Name 3601 Parfet Residential, LLC. Property Owner Phone 785-218-6345 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email bchappel@redpeak.com Address Attach City of Wheat Electronic Payment Form - Revised 5-1-20 Ridge Electronic Fillable 202005011620013849 202006081141368198 Ddf Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Mount Mechanical, Inc. Name 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 Permit Email not displaying correctly? View it in your browser. 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 Air Conditioner replacement unit are you installing? How many tons is the 1.5 unit? For AC - what is the 13 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit Backyard on the ground located (for example, rooftop, backyard on ground etc)? Is electrical needed for No re -hook? Project Value (contract 8950.93 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of 69)/7c�Y?�'2 3967 PAWF6-r- J7 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 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Wall Sheathing Sewer Service 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 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 AVJ 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 I 1 -) r 1 1 ,r1 1 Ct 1J 1 t` ' Txkt,i �� 1�� ,� &S'AWTION RECORD r° 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 Initials Comments Pier Mid -Roof Concrete Encased Ground (CEG) Lath / Wall Tie Foundation / P.E. Letter ITT Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Under round 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 ITT Rough Electric Roof Rough Plumbing/Gas Line Final Window/Doors Rough Mechanical Final Building 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 ITT 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(@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 Ji_ n— g, , '? --N INSPE C�'1i'ION RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspector Initials 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 nt% KIM Pni it rnnrrato wrinr 1 et Onnrnvai LIT 1 np wnnve InSUeuxions Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing r%#% Al f rn..nr 1 Inr1Inrnr^iinr1 nr Rn1nWiln_Slah Wnrk Prinr Tn Annrnvai UT 1 ne Above InSDectlons 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 J , Rough Electric Roof Rough Plumbing/Gas Line Final Window/Doors Rough Mechanical Final Building 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 J , 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 mat rougn inspections are compieiea Trom trio rau Uisuwi aiiu c1GL'L11Ua1 1Uw VVILQy", by the Building Division. "For Inspection Time Window Requests — Please email insptimereauest(d)ci.wheatridcie.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 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/M Re -Inspection required: Yes (N) *When corrections have been made, c or re -inspection at 303-234-5933 Date: inspect�� DO NOT REMOVE THIS NOTICE �V � A CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: P. F:7 Job Address: �! ] c r �. Permit Number:c �% (.,CG ❑ No one available for inspection: Time A Re -Inspection required: Yes( Nod *When corrections have been made; fall for re -inspection at 303-234-5933 Date: ,: 1 r Inspect r: DO NOT REMOVE THIS NOTICE City of Wheat Ridge J Residential Plumbing PERMIT - 201601859 PERMIT NO: 201601859 ISSUED: 11/21/2016 JOB ADDRESS: 3751 Parfet ST EXPIRES: 11/21/2017 JOB DESCRIPTION: Install 1 backflow preventer and 2 expansion tank *** CONTACTS *** OWNER GEORGE TRICKELL 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 Lawn Backflow Device 40.00 Total Valuation 0.00 Use Tax 5.63PA I ij ** 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 that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and al applicable municipal codes, policieand procedures, and that I am the legal owner or have been authorized by the legal owner of the prop y nd am autho,,s nnit and perform the work described and approved in conjunction with this penmt. I further attest th I a leg�ally authntities named within this document as parties to the work to be performed and that all wor o be erfonmed i ment and/or its' accompanved plans and specifications. 7/77 Signature of OWIsapnd CO ( ircle one) Date I . This permit wad based on the infonna 'on provided in the pen -nit application and accompanying plans and specifications and is subject to the cnce with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit share 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior tate of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and mubject to a fee equal to one-half of the original permit fee. 3_ If this permit ea new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, f procedures for approval of any new permit. Re -issuance or extension of expired pen -nits is at the sole discretion of the Chief Budding 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. k-*� ( �� //CO 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. W City of Wheat�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits a()ci.wheatridge.co.us FOR OFFICE USE ONLY I Date: Plan/Permit # 3- V 1 b o1 ) 6S �., L 1 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: V Property Owner (please print): �'�Tj�, (��E Phone:�� Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: MASTER PLUMBER Phone: JOHN C. ROBBINS 6206 SIMMS ST. Contractor: ARVADA, CO 80004 303-422-6644 Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form n-(�Z_ ❑ 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 Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ �`2 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application arc 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 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORI D R PR 77k TIVE of OWNER) (CONTRACTOR) , ) PRINTNAME: ��/fin i7L`� SIGNATURE: ` DATE: / l DEPARTM6JT USE ONL ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer. TYPE OF CONSTRUCTION: SPRINKLERED: BUILDING DEPARTMENT COMMENTS: OCCUPANT LOAD. Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ City of Wheat Ridge �r Residential Plumbing PERMIT - 201601858 PERMIT NO: 201601858 ISSUED: 11/21/2016 JOB ADDRESS: 3741 Parfet ST EXPIRES: 11/21/2017 JOB DESCRIPTION: Install 1 backflow preventer and 2 expansion tank *** CONTACTS *** OWNER GEORGE TRICKELL 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 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 my signature, do hereby i applicable building codes, and by the legal owner of the props thispermit. I further attest th4d performed and that all work1 at the work to be performed shall comply with all accompanying approved plans and specifications, licable municipal codes, policies and procedures, and that I am the legal owner or have been authorized I am authorized to obtain this permit and perform the work described and approved in conjunction with p9w ude all entities named within this docume t as parties to the work to be is document and/or its' ac anyin a roved plans and specifications. /) /--� Signature of OW7or CONTI�At?'1� (Circleone) Date 1, This pern�it wasbasedonthe inf rnlation provided in the permit application and accompanying plans and specifications and is subaect to the conce with those documents, and all applicable statutes, ordinances, regulations, po ides and procedures.2. This permit shae 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior tate of expiration. An extension of no more than 180 days madebe granted at the discretion of the Chief Building Official and mabject 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 Bolder 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. Q� �- cook-, oll,-1l ll6,3 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 insptimeCaci.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. City Of /W heat ,qgc 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: permits(a ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 10 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): �� ;i Phone: �/7�:5 �( / - '::�7 r Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer Architect/Engineer E-mail: Phone: JOHN C. ROBBINS 6206 SIMMS ST. Contractor: ARVADA, CO 80004 303-422-6644 Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form AQ�z_ ❑ 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 Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) J 0 _-Qc�) 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) gr (A PRINT NAME: t1S/fin C_ �/Y� lv'� SIGNATURE: DEPARTI 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 ATIVE)lof USE ONL (CONTRACTOR) DATE: OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ ♦ 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: i1 f Job Address: Permit Number: 60 r No one available for inspection: Time yS AMl Re-Inspection required: Yes ?(No When corrections have been made, call for -inspection at 303-234-5933 Date: X7 Inspector: r ` DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r 4000 Building Inspection Division "r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: � Job Address: i Permit Number: ^� ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No * When corrections have been made, call for re- inspection at 303 -234 -5933 Date: / Inspector: DO NOT REMOVE THIS NOTICE ^l ► City of Wheat Ridge -ter Residential Roofing PERMIT - 092287 PERMIT NO: 092287 ISSUED: 09/11/2009 .a 'JOB ADDRESS: 3741-51 Parfet St EXPIRES: 03/10/2010 DESCRIPTION: Reroof 26 sqs, www.. CONTACTS www owner 303/202-9153 Brookside Apts `sub 303/424-2900 PATRICK BOHN 07-0201 EXCALIBUR EXTERIORS, LLC - ww PARCEL INFO ww. -ZONE CODE: UA - USE: UA SUBDIVISION: UA BLOCK/LOT#: 0/ - y FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,000.00 FEES ' Permit Fee 162.90 Total Valuation 00 r Use Tax .108:00 ww TOTAL ww #fj'Li)- 270.90 F„Conditions: >6 nail installation & mid-roof inspection required. Board. sheathing spaced more „thana 1/2 of an inch.: apart requires plywood overlay on entire roof. Ice and 0?;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 _ 'ty of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, an lions made a rate; that I have read and agree to abide by all conditions printed on this. ` applicati 'I ass a full res nsib'lit for compliance with the Wheat Ridge Building Code -(I.H.C) and all other - applic 1 a Ridge Or ces, for wor and this pe 't. lane subject to field inspection. Signature of contractor/owner date G I. 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 for a new permit. 4.. No work of any. manner shall be done. that will change the natural flow of water causing'a drainage problem. 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 plan review ' subject to field inspections. A/A SignaturTSKIU'JST E QUEST Offrc ial date INSPE REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUE BE MADE BY 3PM'ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. t ~oFW"E^Tq, City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 OOCORA~O Inspection Line: 303-234-5933 Building Permit Application Prdperty Address -74 I P? Y- Property Owner (please print): Mailing Address: (if different than property address) Date: Plan Permit #:0 q I ~ s''7- Phone: -Y07?- ZDZ- Address: Sa -G City, State, Zip: e3v f300,3:3 Contractor: ~ tCAq-a13y>Z 157 {G°°~-~ p~2 S Contractor License Phone z/ooy- 2--J00 Sub'Contractoi 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): E - /2vo Construction Value: $ 6!, Description ofWork. (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 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:: (OWNER) (CONTRACTOR) or PERSONAL REPRE E of l (CON ATOR) PRINT NAME: tw t?~ccL"'[" /sArL^"'Aws"!C/ SIGNATURE- Date: « tf Bldg Valuation: