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HomeMy WebLinkAbout4020 Newman StreetI _ .J/• �1 ,t mfr ��i_-'i, �• )-7 1. L-cll� 1_/ 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 Initials Comments Pier _ Concrete Encased Ground (CEG) Final Electrical Foundation / P.E. Letter Plumbing Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments _ s`:lectrical Wall Sheathing _ Sewer Service Final Electrical Mid -Roof Plumbing Final Mechanical Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof Final Plumbing Final Mechanical Lath / Wall Tie Roof Final Window/Doors Rough Electric Final Building O� 'VOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate _.; Jccupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building O� 'VOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate _.; Jccupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For to"w ; :,sIta9e permits — Please be sure that rough inspections are completed trom the Fire District and electrical low voltage Ruildi j Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge � Residential Miseella PERMIT - 201706969 PERMIT NO: 201706969 ISSUED: 09/06/2017 JOB ADDRESS: 4020 Newman ST EXPIRES: 09/06/2018 JOB DESCRIPTION: Permit to side house: Install 8 inch lap siding on house. 1500 sq ft *** CONTACTS *** OWNER (303)422-7105 SHURTLEFF KENNETH R SUB (303)906-9128 Global Roofing 150234 Global Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / M *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are to be installed in every sleeping room, in hallways outside of sleeping rooms, and cn ever.,, level of the structure. I, by m 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 [ ame legal owner or have been author1 by the legal owner nfthe property and am authorized to obtain this permit and perform the work described and appruvcd in conjunction ++ith this permit. I turther attest that I am fe ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying 4f1ans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po "cies and procedures. 2, This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in wrifing 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 Buildin Official and may be subject to a fee equal to one-half of the original permit fee. 3- If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired pennits 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 andspecific ,;ppruval. 5• The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to held inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co-us/inspection n� e!lations must be submitted via the online form before 8 a.m. the day of the inspection =nspections will not be performed unless this card is posted on the project site an inspection before MIDNIGHT (11:59 M) to rece've an inspection the following busines ay. , p pEG ADDRESS: �)�J1 JOB C DE: G"N Foundation Inspections Date Inspector CommentsInitials 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground /Slab Inspections Date Inspector CommentsInitials 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above inspections Rough Inspection Date Inspector CommentsInitials 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential , ^- � 7. --)mmercial 1VER FOR ADDITIONAL INSPECTIONS PERMIT: �� �� 2� ADDRESS• ) ��CS06 CON: l Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door l� jG 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. /Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. City of Wheat Ridge Residential Miscella PERMIT - 201706969 PERMIT NO: 201706969 ISSUED: 09/06/2017 JOB ADDRESS: 4020 Newman ST EXPIRES: 09/06/2018 JOB DESCRIPTION: Permit to side house: Install 8 inch lap siding on house. 1500 sq ft *** CONTACTS *** OWNER (303)422-7105 SHURTLEFF KENNETH R SUB (303)906-9128 Global Roofing 150234 Global Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signatuam thre, 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 e legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfor ed and than wk to performed is disclosed in this docum nt and/or its' accompanying approved plans and specifications. Signa e of WNER or NTRACT R (Circle one) D I. This permit was issued base on e information provided in the permit application and accompanyingplans 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 Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 fo, approval ofviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approva 'of k is subje dins e- ti n. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. AofA Boulder Environmental Inc. 2400 Broadway St., Unit B, Boulder, CO 80304 Phone: (303) 382-1175 Fax: 1 (866) 699-4121 August 29, 2017 Colorado Clear, LLC Thomas E. Callahan 730 Copper Lane #104 Louisville, CO 80027 tom(a,colorado-clear.com RE: Final Air Clearance Monitoring 4020 Newman Street, Lakewood, Colorado Dear Mr. Callahan, Attached is the report for the final air clearance monitoring performed on August 28, 2017, at 4020 Newman Street, Lakewood, Colorado. If you have any questions regarding the contents of this report, do not hesitate to contact us. Thank you for this opportunity to have served you. Sincerely, Chris Maron Project Manager *Asbestos*Lead*Industrial Hygiene*Safety*Final Air Testing* *Health and Safety Training* Boulder Environmental Inc. 2400 Broadway St., Unit B, Boulder, CO 80304 Phone: (303) 382-1175 Fax: 1 (866) 699-4121 Introduction: On June 8, 2016, Boulder Environmental, Inc.'s air monitoring specialist, Catherine Naccarato, collected final air clearance samples from 4020 Newman Street, Lakewood, Colorado. Prior to testing, a visual inspection was performed to confirm the completeness of asbestos removal and cleanup. The visual inspection was performed in accordance with the American Standard for Testing and Materials' "Standard Practice for Visual Inspection of Asbestos Abatement Projects". All abated asbestos materials, including contaminated dust, debris, or residues were satisfactorily determined to have been removed. Air samples were then collected inside the contained area utilizing aggressive air sampling techniques as described in 40C.F.R. Part 763, Appendix A to Subpart E (EPA 1995). Five air samples and two blanks were analyzed utilizing Phase Contrast Microscopy (PCM) employing the NIOSH 7400 method. The results of the PCM analyses as follows: Exterior Full Containment Sample ID Location Volume (liters) Result (fibers/cc) 1. 8 -28 -CN -COI North end of home NE corner 1200 <0.002 2. 8 -28 -CN -CO2 North end of home NW corner 1200 <0.002 3. 8 -28 -CN -0O3 West side north end 1230 <0.002 4. 8 -28 -CN -004 West side center 1230 <0.002 5. 8 -28 -CN -005 West side S central area 1245 <0.002 Discussion: Samples were analyzed by a trained analyst under the direct control of Boulder Environmental, Inc. Boulder Environmental, Inc. successfully participates in the American Industrial Hygiene Association's Proficiency Analytical Testing Program (PAT) for determining concentrations of airborne asbestos fibers. (Laboratory I.D. 102935) Conclusion: The sample results complied with the State of Colorado Department of Public Health and Environment regulations for post -abatement air quality. *Asbestos*Lead*Industrial Hygiene*Safety*Final Air Testing* *Health and Safety Training* " 'ASBESTOS ABATEMENT NOTIFICATION and PERMIT APPLICATION FORM ,,,,,,"ASBESTOS FEE MUST ACCOMPANY THIS FORM. INCOMPLETE APPLICATIONS WILL BE RETURNED. - • t e7a � Colorado Department of Public Health and Environment Single Family Residential Dwelling (SFRD) Public and Commercial Building, School, and Single -Family Submit Corm tc 5 50 LF or 32 SF or a 55 -gal. drum, but 5 260 LF or 160 SF or a 55 -gallon drum Residential Dwelling.: > 260 LF or 160 SF or a 55 -gallon drum Permit Coordinator Colorado Dept. of Public Health and Environment code 2001 ❑ $0 Courtesy Notice code 100 $0 Courtes Notice _-code 205 1 LJ $60 Non -Public Access Notice (Opt Out) code 105 1 LJ $80 Norr-Public Access _Notice APCD-IE-B1 code 210 $60 Notice de 110 $80 4300 Cherry Creek Drive South code 230 1 LJ_ $180 30 -Da Permit - code /23 VJ $400 30 -Day P&C/SFRD Fermi Denver, co 80246-1530 code 29D $300 90 -Da Permit C 1 Phone. 303-692-3100 code 265 $420 365 -Day Permit code 1651267 1 LJ $1200 365 -Day P&C/SFRD Permit Fax 303-782-0278 asbestosgstateco.us ( code 180/2801 ❑ $55 Notice or Permit Transfer I code 177 ] Lj $80 Phase of Multiple PM -- CO Project Designer Check the day(s) of operation Su M Tu W Th F So City Commerce Cit State Phase Permit # NA Abatement Contractor Abatement Site Building Owner Company NameColoradoClear, LLC GAC #22588 Building Name Primary Residence Owner Name Kenny Shurtleff Street Address Specify location in the building where work will take dace (e.g. floor, room, wing, etc.) Contact 541 Clover Lane Siding outside ------- Kenny Shurtleff --------------- City State Zip code Street Address Street Address Boulder CO 80303 4020 Newman Street ,----- ., 4020 Newman Street Telephone# 720-646-6631 Fax NA c"'Wheat Ridge con Jefferson zI code 1 city Wheat Ridge i s e i iP ode 80033 T le hone Fax ll (�3�3 22-7105 ! ( ) NA Project Supervisor CO. Cad # Thomas Callaha 22797 Building Contact 303 e # Kenny Shurtleff 422-7105 Project Personnel Prolect Information Disposal Site CO Project Mgr. Name NA Date - nd Date August 25th, 2017 August 27th, 2017 Landfill Name Republic Cell Phone # CO Proje Igner # StartEnd Time .00AM 7:00 PM Street Address ( ) NA NA AM 8480 Tower Road PM -- CO Project Designer Check the day(s) of operation Su M Tu W Th F So City Commerce Cit State Zip code NA ® 2 21 0 0 21© y CO 80022 Cell Ph) NA CO Project DN�ner # Emergency? Ty e of ACM: TSI Texture, VAT, eta ffransite CDPHE Use Only Y{,�[ N❑ sidin _ Consulting Firm Name Registration # Linear Feet / Type S -Feel / Tvoe 55 gal. Drums Postmark or Delivery date Approve) by: Buildsafe ACF 19059 `re 1 500 SF NA transite siding NA 4� i A.M.S. Name Blake Weise Form of Payment & # (( �_ PM req'd? _ v -/r W Cell Phone #970-389-5572 CO A.M.S. Cad # 17817 Permit # Record # Date Issued: Please describe below the work practices and procedures to be employed in conducting the abatement of asbestos. BE SPECIFIC. Indicate type(s) of ACBM to be abated (e.g. VAT, ceiling tile, TSI, etc.). Use another page if necessary. 101) This is a spill Response: Section III.T.1 : The spill represents SF of disturbed ACM transite. The ACM transite which remainsThis is a containment with a 3 -stage decors. At least -.02 Water Pressure will be maintained and monitored using a manometer strip chart printout or the equivalent: First, the containment will be set up using either 1 layer of reinforced 10 mil poly or 2 layers of 6 mil poly. Negative air machines will be employed. The spill will be cleaned up first. Where soil has gross visible surface debris; the debris will be cleaned up and soil will be removed to a depth of 2" or until no visible debris is present. The spill will be cleaned up using hand tools and HEPA vacuums. Waste will be double -bagged in asbestos bags. After cleaning the spill, Two layers of 6 mil poly will be attached to the foundation and will cover the ground from the house to the containment wall. Hepa vacuums and hand tools will be used. All ACM will be removed using wet methods and an airless sprayer with amended water. Before the siding is removed; nails will be removed or clipped off to keep the ACM non -friable; the siding will then be removed. All tar paper will be removed. All ACM will remain non -friable throughout the abatement. All waste will be disposed of in a State -Certified landfill. Certified personnel will wear required PPE. The abatement project will be inspected by a State -Certified -AMS. Iurin- AANI'AUH �f ., Iter 11130.'_fNle yrs..Il�1.i (J� Ft ii.' _ � r of coli} 4- R"p. `` r •K 1,876 •K-• Colorado Department of Public Health r'j rf' and Environment ASBESTOS � W `~ CERTIFICATION* This certifies that Cathy Naccarato Certification No.: 17528 has met the requirements of 25-7-507, C.R.S. and Air Quality Control s Commission Regulation No. 8, Part B, and is hereby certified by the state of Colorado in the following discipline: �£. P. Air Monitoring Specialist* Issued: June 01, 2017 1~' Expires: June 08, 2018 7 * This certificate is valid on(v with the possession of a �> current Division-approver/training course certification " in the discipline specifted above. tr►'TJ Authorized AF�CD R eprese ative { - SEAL - �.��i '.Y.Y.Qi�.�..�ll6,J.4..1-L ,..�2. a..•,.:. . t.L..:..,i�. ..�I.u. ,:a1 �.. ..o.. «L.• .. ,.. k._.11y.::Y 1. ...w .t+.i-.sYdlti ;�. yr 1y t ��7 1 r >�4 ,. � 7'kti � S� ;+, �, t r° t' r r � •+e rr� a y, `e t �, : K ,�'�_... !<�e •k A�v i.'! l �,� e c -. ,t: " t°' \. x s; '"t y"- VIE •ci w z uj M 0 0 U. to - ..S • CD ru r?- � G co r»' �. Lori t= w w tn O O Vl y '� y • CD Ll c pC7 CD CDN^ y o Q �' n f� H CL C,-, Ot v... -� rs ITI O KD ' ,r m City of �Wheat --Midge COMMUNiTy DEVELOPMENT FOR OFFICE USE ONLY Date: `) I G I I -I Plan/Permit # J6 /17/) 17 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 Email: permits anci.wheatridpe.co.us Building Permit Application eA *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 907,0 Ne-u)M&r 54 - Property Owner (please print): Phone.303'-qz7-- 7/d.5 Property Owner Email: ke_nnc,4"k Shy ��1c�r Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: tn�s ���K ,/t nj e S / tel/ Contractors City License #: ISo z.s y Phone: 303 -906 -'710 8' 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/ PPLIANCE REPAIR or REPLACEMENT MOTHER (Describe)_ (For ALL projects, please provide a de fled 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.) , k �' Gad s••�-k) vn �,,II � 1,5a�) ��v�� F 4'66 Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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 application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER)(CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): µ DATE: -6 — / l ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ • ti E 1A *'rITANSPECTI RECIL, INSPECTION OW, --ORM: http:dWw imheatridge.co., INSPECTION REQU-vST LINE: (303) 234 Inspections will not be performed unless this card is postet "Request an inspection before 11:59 p.m. (midnight) to receive an inspection the fci' �•�cu anc /1� ,e..\ site. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections 7 � Date Inspector Comments Initials Pier— _ I 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 Sewer Service --- - —�_- - -- -1 Plumbina Do Not :over Underaround or B 'ow/In-Slap Work Prior To Annrovai of Thp Ahnvp Inc,n,,mrVe%nc Rcuc ln In ie tions Inspector Dat Initials --�— Comments _ W N Sheathing rL,�i Lath 1 Waii -1;e Rough Electric ' - •-- - I Rough Plumbing/Gas--- �Rough Nlechanicai — - -- -- - --------' - --- — --------.-- - ! RoLrgh Framiny, Rough Grading ---- Insulation T-- - - Drywall Screw / Nail - V -- --- Fi�- rai inspections --- Date Inspector _ Commes€ts - — ---- --7 Initials Landscaping & Parking / Planning Dept. 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 Inspections from these entities should be request, one week in advance. For landscaping and parkin inspections call 303-235-2846. For ROW and drain inspections call 303-235-2861. For fire inspectionf contact the Fire Protection District for your project NOTE: All items must be completed and approved by Planning, Public Works, Fire and Bay of Occupancy is issued. Approval of the Final Building inspection does not constitute authoriz Tor low voltage permits - Please be sure, that rough inspections are completed from the Fire District z., �Iuilding Division. Occupancy Is Not Permitted Until A Certificate of Occupancy is Protect This Card From The Weather ire a -;en, upancy. aw voltage City of Wheat Ridge Residential Roofing PERMIT -201703704 r l<M201703704 ISSUED: V7/l1//2;'?7 -F3 A JWE3S : 4 020 Newman ST "XP17 .;-S 07/111/?G18 B L_.;SCRIPTi1.)N: Residential Re -roof to ins,:all Owens Cor;,in.I L'ureition Storm asphalt >tL:i ngles with 16 sq. CONTACTS *'`* NEF. (303!422-_710' SHURTLEFF KENNF.i'L R ;UB ;303) 548-'/79c Michael Roberts 090324 PARCEL !NFC `** .NE "ODE: UA / Unassigned ;USF: to Uig . L--C;IVrSION COD,-: 2403 / APPLEWU:D V[LLAGES, PROSPi;-T V r.i:OCKi'LC%'Z 1t 1 " ..VF SUMMARY **` F.STIPIATED PROJECT VALUATION: '8, O01' 00 FEES ToLa1/ -i l aarion 0.00 ;e 7£ 1/-00 i n1/'_ 10' 1/0 ... .. .-.....a "•ilY\�..lbLat-.O'.c�.Y4+tWVA:«!!YP•YfW�WIYWo�INW/e�iW+#SArr1f:O:TIf1Y\aa.Yv.- L .•41isYL.iy1l/'r •M�WrJs�YM��� �'.M.'Jaf1�iMwt �Wliw�MW. W M.eni�•YOOMYrIHJi'�aiO�F�_•�'�f/�H�Y•V�,_.i10MGVi.WW.!•wW u�..nY rw.4i�i.VWL3rY Y....�r1•aG e... .. ..a .v..i.K. _.w. 1, `Q, 5r.r al: shingLE: instsi.latIr) ris re(;'_:ire :,n i�,-)nrr.-.:ci ..i �rc�• cercent of the roof .:overi .g _ •.if. �:i. 1/•l i:: U:, o Coof Shea tnl ng (new o- o,;eriF, 1,) e,-- i) rU.- 10 ':J (_:L.. c. .a�,• T c, 1 ris..a. 1 "_< ion of .;NY root cove_T:'i.IIQS and i s `-E' :i I'(+ ..� ..,,C e:1L�Y'(. i- c- .,�r, :.. ,_�..:.:U r ^!i%f rd ti,.cai-F. Il! wit'; AN; Qar, Fixceerlinc one i i -f ] rich c=x' si:5 . isL'h,z. .i (.0 S'• -E, E: C1 77 ?ale_ coo;= deck with a m:. ;.imuf;' �- 6 I'..;.1 C„_. In r3 cI1Le_.. 1:7 Lred. _a, -,o3 an(! rake metal. �.S Elad(i'-`r =_1/a .,., hn rJGf 8D(i 8f1 Ci .S f: al' 3Q '.:1 (;lace 13 r(!qulrecl [:Q ne prOv1 deu for rou'. G ie.00Jf v2nr iiationi -i reQU'_ "f'f:J r7 compiv with appl Lcaul L Codes aTL:im3Iii1'.__ ins Ljj L) a L: loll in -941. Lic t i ons, l4hichever is Iore st-r1T(7(?nt. 1/.n G7 _.�'L' pa.;i J elab',!0MCriC 01 ITIi. I a r t. jape r,-)c�Y coverings, a I e L t e r of :1-1'•:':"i�C'1 Ctrl at1Q ppro—, aanu ac L:urer techn'_ca�: re7_�r!:,sCnta,:iv0 stating that "T LIJ app_; "'rl C. i.GII ::JF :: ti•. fCQi c. �f.•Y)j('.'. adci-e,-s; has been applied in sccordr:nce wir-h the insta lat: on Lr,etrlict (_r- for (r:_ i Mil (.er l a 1 brand ;large) roof covering" is rcqu�_red to be un to at the tir-3 17�f Z_ in 3'.- _`;peC . 1_1 nspeccions fQ,- ROOF'S OVER 6i _2 .'I'I"II. 3rd part, iii: u_:..,ion iai'•. qa. YP(,, i i.wil l- be collect—i at _'inaL roof - , _fah:. euorr ncot � val L-anie fin a-, inr-rec _1. ' .... . , 1* � 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/1"W Re -Inspection required: Yes No When corrections have been made, call for r re -inspection at 303-234-5933 Date:�_Inspectorl/�) DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: � Iv Job Address: aw (V), Permit Number: 7�� �)0 �-_ '-f LJNo one available for inspection: Time /'7 AM/FU Re -Inspection required: Ye Ns o `� \1�1 When corrections ave been made, call for re -inspection at 303-234-5933 Date: / Inspector: —tom. DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOT CE Inspection Type: Job Address: Permit Number: �r-)i�C �' f>D4/ ❑ No one available for inspection: Time AM/P(M) Re -Inspection required: Yes No When corre tioTTn have been made, call for re -inspection at 303-234-5933 I RC1 )?. Date: I j Inspector. `�� DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /Vq 10 Job Address: HUZ c S1 Permit Number: 't ul %J '_�7uq ❑ No one available for inspection: Time U z f 0/PM Re -Inspection required: Yes Oma) When corrections have been made, call for re -inspection at 303-234- Date:- Inspector: // DO NOT'REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Flo Job Address: Lz U Permit Number: 2yi7y�?Gy ❑ No one available for inspection: Time /VPM Re -Inspection required: ( ge No When corrections have been made, call for re -inspection at 303 -234 - Date: I � ' /? Inspector: k j2 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 NOTICE Inspection Type: /✓i I %) Job Address: RITZ u NVwM(tr, _ . Permit Number: 2 c�i'TJ'J ❑ No one available for inspection: Time ,4�' IVPM Re -Inspection required: Yes kla) When corrections have been made, call for re -inspection at 303-234-5933 Date: 9 Inspector: DO NOTREMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201703704 201703704 4020 Newman ST Residential Re -roof shingles with 16 sq. ISSUED: 07/11/2017 EXPIRES: 07/11/2018 to install Owens Corning Duration Storm asphalt *** CONTACTS *** OWNER (303)422-7105 SHURTLEFF KENNETH R SUB (303)548-7798 Michael Roberts 090324 Tesoro Builders Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,000.00 Total Valuation FEES 0.00 PAID Use Tax 378.00 Permit Fee 331.10 ** TOTAL ** 709.10 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703704 PERMIT NO: 201703704 ISSUED: 07/11/2017 JOB ADDRESS: 4020 Newman ST EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt shingles with 16 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am au rized to obtain this permit and perform the work described and approved in conjunction with thA=ndd' urther est all h d to includ all entities named within this document as parties to the work to be pthat be p o isc document and/or its' accompanying approved plans and specifications. SOW or NT TOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This, penmit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any appl cnodde or any ounce or,;re ulation of this jurisdiction. Approval of work is subject to field inspection. ice''- Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett C:� �Q3 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 28, 2017 5:01 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4020 Newman Street, Wheat Ridge, CO 80033 Property Owner Name Kenneth Shurtleff Property Owner Phone 303-422-7105 Number Property Owner Email Field not completed. Address 1) -2 01. t 0 CP Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Tesoro Builders Contractor's License 090324 Number (for the City of Wheat Ridge) Contractor Phone 3039069128 Number Contractor Email Address julia.rbrts2@gmail.com Retype Contractor Email julia.rbrts2@gmail.com Address DESCRIPTION OF WORK / Are you re -decking the No roof? Description of Roofing Owens Corning Duration Storm Material Select Type of Material: Asphalt, Other (specify below) If "Other" is selected Aluminum corrugated sheet roofing, .019 above, describe here: How many squares of the 16 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 16 roofing material for this project Provide additional detail house re -roof here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 18000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Michael Roberts Email not displaying correctly? View it in your browser. 3 Insurance Claim I Roofing Agreement Homeowner(s): Shurtleff, Kenneth Property Address: 4020 Newman Street, Wheat Ridge, CO 80033 Phone#:303-422-7105 This agreement is hereby made and entered on July 8, 2017 by and between Kenneth Shurtleff, hereafter called Homeowner, and Tesoro Builders, hereafter called Contractor. The said parties, for the considerations hereinafter mentioned, hereby agree to the following: 1. The Contractor will install new roof and/or other home repairs upon approval of insurance claim by Homeowner's Insurance Company. 2. The Contractor agrees to provide all of the material and labor required to perform the following work described in the estimate prepared by Contractor and provided to the Homeowner, which is identified by the signatures of the parties to this agreement and which form a part of this agreement. 3. The Homeowner hereby agrees to pay the Contractor, for the aforesaid materials and labor, the sum of the claim with the initial insurance check(s) due as down payment prior to the commencement of work. Homeowner shall endorse over all insurance proceed checks to Contractor, including any supplement or supplemental payments made by the Homeowner's Insurance Company. 4. If Homeowner's Insurance Company does not approve a complete replacement value roof claim, this Contract will be null and void and Homeowner shall owe Contractor nothing. Contractor will consider partial roof replacements on an individual basis. THE ONLY COST TO HOMEOWNER WILL BE THEIR DEDUCTIBLE. 5. The Contractor agrees to provide and pay for all materials, tools and equipment required for the prosecution and timely completion of the work. Unless otherwise specified, all materials shall be new and of good quality. 6. In the prosecution of the work, the Contractor shall employ a sufficient number of workers skilled in their trades to suitably perform the work. 7. The Homeowner agrees to maintain full insurance on the above-described property during the progress of the work. 8. The Contractor has 120 days to complete all work from the date of signed contract. In the event the Contractor is delayed in the prosecution of the work by acts of God, fire, flood or any other unavoidable casualties; or by labor strikes, late delivery of materials; or by neglect of the Homeowner; the time for completion of the work shall be extended for the sarne period as the delay occasioned by any of the aforementioned causes. 9. The Contractor agrees to obtain insurance to protect himself against claims for property damage, bodily injury or death due to his performance of this agreement. 10. This agreement shall be interpreted under laws of the State of Colorado. 11. Attorney's fees and court costs shall be paid by the defendant in the event that judgment must be, and is, obtained to enforce this agreement or any breach thereof. 20% of the total claim will be paid by the Homeowner should they choose to use a different company for work described in the estimate. 12. All work comes with a five-year workmanship warranty. All materials shall be warranted per manufacturer's guidelines. IN WITNESS WHEREOF, the parties hereto set their hands and seals the day and year written above. Homeowner Signature Tesoro Builders Tesoro Builders 1 1950 Zinnia Street, Golden, Co 80401 i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f Job Address: U, _____L) Permit Number: VV! I ❑ No one available for inspection: Time 1 CJ A �M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 1 Date: Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax 4' INSPECTION NOTICE Inspection Type: Aq�-f) Job Address: L7 U �u �"" ur Permit Number: _ey/7s1Z?G!:j ❑ No one available for inspection: Time �� S� aAlpm Re -Inspection required: ge No When corrections have been made, call for re -inspection at 303-234-5933 Date: I� ' �7� Inspector: k/L DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 235 -2857 Fax INSPECTION NOTICE r Inspection Type: #11 md A r Job Address /Permit Number: 4 C A ❑ No one available for inspection: Time I? tit? AM/`�M' F: Re- Inspection required: A'es i No i - * When corrections have been made, call for re- inspection at 303 - 234 -5933 I. bate: Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSR CTI0V NOTICE Inspection Type: t l p 4 a Job Address: t Permit Number: ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No I ! ' When corrections have been made, cal/ f r rn ect n at 303-234-5933 Date: /Inspector: r DO NOT REMOVE THIS NOTICE rr' _ ♦ 6, 4 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: ?r 1 Job Address: lft}� WI` J fVMRM 5r Permit Number: 001V3 ❑ No one available for inspection: Time ;P, AM/I Re- Inspection required: Yes &No When corrections have been made, call for re- inspectio att 3 23 -5933 ry i Dater �-.�'�� Inspector: r.T I Y V DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE If Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fait INSPECTION NOTICE Inspection Type: K Q'7 Job Address: LIM) W( iu*✓ao '5f' Permit Number: rg lillI ❑ No one available for inspection: Time AM Re-Inspection required: Yes No "When corrections have been made, calf for re-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE North West Roofing A Ounwrnamcalnau 1869 9/3/09 Melissa, This is to authorize the city of Wheat Ridge to charge $61.00 each to our credit card on file for the following 2 mid roof inspections for 8/28/09: Permit # Address 091254 4281 Jellison St. Wheat Ridge, Co 80033 091413 4020 Newman St. Wheat Ridge, Co 80033 Please feel free to contact me with any questions. TNorth West Roofing 303-668-7834 2120 South Birch Street, Ste: 200 a Denver, CO 80222 303.8040303 • 303-757-5097 - Fax l/l 0000000000 5u'JOOJ ;samy;uou WV. L0:80 £0-.daS-5002 City of Wheat Ridge -rr Faxed Roof Permit PERMIT - 091413 PERMIT NO: 091413 ISSUED: 0.8/18/2009 -JOB ADDRESS: 4020 NEWMAN ST EXPIRES: .02/14/2010 DESCRIPTION:: T/o: Install. 16.33 GAF/Elk 30. yr. shingles.. CONTACTS owner 303/422-7105 Kenneth Shurtleff go 303/804-0303 Tom Brown 07-0055 North West Roofing **PARCEL. INFO ZONE .'CODE: UA - USE : UA SUBDIVISION: 0206 BLOCK/LOT#: :0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,653.38 - FEES Permit Fee 162.90 Total Valuation : .00 Use Tax 101.76 TOTAL 264.66 .Conditions;. 6nail ..installation mid-roof. inspection required. Board, sheathing. spaced more thana 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. 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. - Signature of 'contractor/owner date 1. This permit was. issued in accordance with the provisions set forth in. your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, 'Colorado or any other applicable '.ordinances of the city. 2. This permit shall expire 180 days from the issue date.: Requests for an extension must be received prior to. expiration 'date. An extension may be granted at the. discretion of the Building Official. 3. If this. permit expires, a new permit may be acquired for a fee. of one-half the amount normally required, provided no :changes have been or will be made. in the original. plans and specifications and any suspension or abandonment' has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees: shall be paid 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 's' 'act to field inspections. Signature of. e lding Official date INSPECTIO REQUEST LINE: (303)234-5933 BUILDING. OFFICE: (303)235-2855 REQUESTS ST BE MADE BY'3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.' FOUNDATION INSPECTIONS' DATE . INSPECTOR INITIALS. COMMENTS: Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain -.Sewer ServiceLines Water Service Lines : ' PDUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR - Electrical (Underground) - Plumbing (Underground) Heating (underground) ` DO NOT. POUR FLOOR UNTIL ABOVE CHAS BEEN SIGNED ROUGHS - Sheathing Lath /Wall tie - Mid-Roof Electrical Service - Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE JNSPECTIONS TO BE_: SIGNED P.RIP,.R TO =raming nsulation )rywallScrew 'INALS aectrical 'tumbing 4echanicaf ' oof uilding Final ire Depadment - _ .O.W & Draina9e° INSPEC" I i= 7, r, a arking & Landscaping saouL ul ''NOTE: ALL, ITEMS.h1U5r8E COMPLETED- ANDAPPROVE08YP LANN/NG:ANC H `r-D CERTIFICATE OF OCCUPANCY.IS ISSUED. FINAL/ NSPECTION BY TH~BUIL 1(• I`"_ ° OF A.CERTlFIEATEOF O.CGUPANCY' NOR PERl115 i OCCUPANCY NOT>PERMITTEA UNTIL CERTIFdC PROTFrT THIS CART FR()M THE Wl A7 HLH City of Date: Dd heat 1 e it - - , C~(1MMIJNITY DEVELOPMENT Permit 9: Office: 303-235-2855 ` Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application 8663 - - v Property owner (please print): tod`,vlp~-~/1 S(rll~{r{~ Ie___- Phone 22-7 (OS Mailing Address: (if different than property address) Address: City. Slate. Zip: T or: fVoATN yVesr ROOFING Contractor License # Phone: 30:~> so~L 03 03 Company ame• License Expiration Date; Trade/Profession: Approval: M Use of space (descrP~tion): r e ` rC o r- 3 ~ exs~~zranx~ Tear, of*-6t (I layers coon Value 5 5b replace, w/ ~G, r?f7 e gt/ey 614-F/El/G 3 Plan Review (due at time of submittal): 5 11- Sq. Ft./L.FI added: Squares &-3-a BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheal Ridge. Ordinances, for work under this permit. Plans subject to field inspection. CIRLCF ONE::.~(gOWNNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE f (OWNER) (CONTRATOR ~q-b PRINT NAME: tVIIAUQIe rlt~ SIGNATURE: _Date: Bldg Valuation: Credit Card Payment: Use credit card listed on f Print name: TO/\, g rLoyv ( Signature: 91 £ '600Z-9f-90 9Z:60Zl. N1JOO'd 1SDMH17JON