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HomeMy WebLinkAbout4210 Xenon StreetINSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: �D`JADDRESS: �1 b )Co�� JOB CODE: U�F Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Y2 Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof Y2 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS w I ADDRESS: "I�I �Vi�I JOB CODE: fff Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: LI6q A Q F Job Address: Ll,�10 X en (;� r 5 A Permit Number: ac)120 ❑ No one available for inspectio jime _14tAM/PM Re -Inspection required: YesNo When corrections have been made, c re -inspection at 303-234-5933 Date: 110/11A 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 NOTICE Inspection Type: _ Job Address: on s+ Permit Number: /JID ? ,? 5- J ❑ No one available for inspection: Time 1 -1 AM/PM Re -Inspection required: Yes I rNo) When corrections have been made, call for re -inspection at 30 -234 - Date: Inspector:) / DO NOT REMOVE THIS NOTICE 4( City of Wheat Ridge ~ Residential Roofing PERMIT - 201705251 PERMIT NO: 201705251 ISSUED: 08/02/2017 JOB ADDRESS: 4210 Xenon ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 44 sq *** CONTACTS *** OWNER (720)272-2166 BOOM GREGORY J SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,000.00 FEES Total Valuation 0.00 '} " Use Tax 483.00 Permit Fee 410.35 -_ ** TOTAL ** 893.35 *** 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. ,3 City of Wheat Ridge Residential Roofing PERMIT - 201705251 PERMIT NO: 201705251 ISSUED: 08/02/2017 JOB ADDRESS: 4210 Xenon ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 44 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 prope 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 leggally authorized to include all entities named within this document as parties to the work to be performed and t tall work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of T 6NVNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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,,,, ordmaneeregu doof this jurisdiction. Approval of work is subject to field inspection. v Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz 2zi7asZ.51 From: no-reply@ci.wheatridge.co.us� Sent: Tuesday, July 25, 2017 8:22 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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 4210 Xenon St Property Owner Name Marnie Boom Property Owner Phone 7202722166 Number Property Owner Email formularoofing1 @gmail.com Address Do you have a signed Yes contract to reroof this No / property? It will need to be GAF Shingles provided at the time of permit pick-up. Asphalt CONTRACTOR INFORMATION Field not completed. Contractor Business Formula Roofing Name (tv Contractor's License 110274 Number (for the City of No Wheat Ridge) Contractor Phone 3036008696 Number Field not completed. Contractor Email Address formularoofing1 @gmail.com Retype Contractor Email formularoofingl @gmail.com Address DESCRIPTION OF WORK Are you re -decking the No / roof? Description of Roofing GAF Shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 44 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 44 (pitched + flat) of all roofing material for this proj ect 2 Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) :: ) 23000 Project Value (contract value or cost of ALL materials and labor) Install new Ice and Water with new drip edge 6/12 Pitch 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 Dominick Orrino Email not displaying correctly? View it in your browser. 3 VFORMULA ROOFING & REMODELING Building Solutions for Colorado AGREEMENT 4550 Columbine 5t. Denver, CD 80215 303.600.8696 FAX 303.600.8654 f Customer Name: Address: Z 10 Customer Phone: �5' - Email: Adjuster Name: Ph#2 Claim:t I i M rr Adjuster Phone:_ Customer Initials Shingle Manufacturer, " -f2 - —/ Style of Shingles. Color of Shingles: < Number of Squares: Tear o ff# of layers: . Install Felt: Siding Replace Plumbing Jack: Additional Comments: Replace Roof Vents: Ice and Water Shield-` Nailing Pattern: C Drip Edge: , Appropriate Countyl -ity Code Requirements Clean-up and haul o ffall trash from roof Roll yard and driveway with magnetic roller Clean gutters of roofing debris Formula R & R will furnish all material & labor Permit pulled by Formula R & R All new roofs guaranteed Lor 5 years,/ All repairs guaranteed for 9 s. Additional Warranty: Homeowner Upgrades: as..,'T ; SSL i Total Cost: S .7. Excluding permit and code requirements Customer `Initials F� Customer =Master Elite WEATHER STOPPER' ROOFING CONTRACTOR Phone: A Email: r Pitch: Trailer Access:, --- Stories: Adjuster Email: Formula Roofing & Remodeling will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Gutters w ° -f2 - —/ Windows Screens/Glazing Bead Paint.' _.. Fence'Deck Siding Additional Comments: tl�l By signing this contract 1, the property owner, agree to the above listed work being completed as outlined. Insurance Claim: By signing this contract I do hereby give Limited Power of Attorney to Formula Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing & Remodeling on my behalf" ith any and all dealings regarding the current claim listed in this contract. Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full. Formula Roofing & Remodeling will bill my insurance company for all work, including code required work necessary-, which, in most cases, is payable by my insurance company. 1, the insured, will not be responsible for any monies not paid by the insurance company except for the deductible and optional upgrades listed on contract, unless notification is made prior to work being completed, or in cases of "No Code Coverage" or "Non -Recoverable Depreciation" on my insurance policy. Code items are required to comply with city county code and are not optional. Formula Roofing & Remodeling rill request the final inspection with the appropriate City County Authority. Formula Roofing & Remodeling will perform any and all supplemental work approved by the property owner's insurance company. Any additional Funds allocated for additional work as part of this claim will be payable to Formula Roofing & Remodeling Initials once the work has been completed and funds have been released. F7THE "TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON THE BACK OF THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREEMENT. Contractor shall hold in trust any payment received from Owner until Contractor has delivered roofing materials to the site or has performed a majority of the roofing workton the property, whichever occurs first. Deposit Received: $ /8 t -t, Approximate date of service commencement:, ,�'- A "I"'a Insurance claims proceeds: Owner to remit ACL' insurance payment no later than date of service commencement. Final payment due upon completion of scope of work as agreed upon, receipt of insurance proceeds (if applicable) and/or approval of building department final inspection. Upon signing of the contract the owner reserves the right to a three day rescission period. If the contract is canceled after that three day period, customer will pay 25% of contract price. Customer Signature: Date: Customer Signature: Date: Formula Representative: 441/ '- _ Date: r� { 10/14/2'10 THU 16:40 y G3 2 J929 30- west lei of. City of Wheat Ridgy Faxed Roof Permit PERMIT - 092871 PERMIT NO: 092871 ISSUED: 09/30/2009 7n13 Anr,-RFCC. 4 7.LO )(ENON ST HXP TRES: 12/31/2010 DESCRIPTION: T /o: Install 40 sqs of_GAF /E1k30 yr. * ** CONTACTS` * ** owner 303/422 -0861. Lavonne Beckfeld go 303/763 -9114: Lorin Hanson 01 -9938 Interstate Roofing Incorporate ** PARCEL INFO ** ZONE CODE: UA - USE: UA SUBDIVISION: UA BLOCK /LOT #: 0/ - ** FEE SUMMARY ** ESTIMXTED PROJECT VALUATION: 8,400.00 FEES Extend Expired Permi 30.00 Misc. Fee 108.75 Permit Fee 217.50 Total Valuation .00 Use Tax 151.20 ** TOTAL ** 507.45 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 Save edge to 2' inside exterior walls. Subject to field inspection. L 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 shoes, and allegations made are accurate; that I have read and agree to abide by all conditions printed an 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 Regulation, 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, fall fees shall be paid.for anew :permit. 4. No work of any ciianner 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 r vi s subject to field inspections. J Bignatur . of Building Official date INSP TION REQUEST LINE; (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS. MUST BE .MADE BY 3PM ANY- , BUSINESS DAY FOR INSPECTION. THE FOLLOWING BUSINESS DAY. �. • CITY OF WHEAT RIDGE Building Inspection Division r40000r, (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type 1= Job Address Y;2 /&. > se •suo s r` Permit Number O�12 as E r k e ❑ No one available for inspection: Time AM /Ifs Re- Inspection required: Yes �. *When corrections have been made, call for re- inspection at 303- 234 -5933 rNM G e usQ �� coed e�rj cl>l tCIe f A, 092-4 o - 3 Ql2�i7 �isLl S' 0 CITY OF WHEAT RIDGE 10114!16 2423 PM ed'ab Rene Rodriquez RECEIPT NO.CDB605311 AMOUNT BPSP Tioo Install 105 sqs 236.15 052670 Muse. Fee 236.15 BPSP T1o4 Install 40 sqs 106.75 092871 Rise. Fee 106.75 BPSP Reroof 34 sp with 0 .. 166.75 093474 Rise. Fee 108.75 PAYMENT RECEIVED A00UNT VS 3356 453.65 Auth Code; 621665 TOTAL 453.65 2000 South Osage Street • Dcnvcr, CO 90223 303.163.9114 n. • 303 -799 -3790 E • www.intcrswtrocf.com 41 City of Wheat Ridge Faxed Roof Permit PERMIT - 092871 PERMIT NO: 092871 ISSUED: 09/30/2009 JOB ADDRESS: 4210 XENON ST EXPIRES: 12/31/2010 DESCRIPTION: T /o: Install 40 sqs of GAF /Elk30 yr. * ** CONTACTS * ** owner 303/422 -0861 Lavonne Beckfeld gc 303/763 -9114 Lorin Hanson 01 -9938 Interstate Roofing Incorporate ** PARCEL INFO ** FEES ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 8,400.00 FEES Extend Expired Permi 30.00 Misc. Fee 108.75 Permit Fee 217.50 Total Valuation .00 Use Tax 151.20 ** TOTAL ** 507.45 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 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. G. 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 mevi9t,is subject to field inspections. date N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: eU Job Address: 410 /c'D �! S Permit Number: �7? /_SG V kI / f ❑ No one available for inspection`. Time / 4M M Re- Inspection required: Yes No * When corrections have been made, call for re inspection at 303 33 Date: `�- Inspector Z �6 t DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (30,1) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE rn Inspection Type: . I ~rr:rt) Job Address: m((~+,~ ,rte Permit Number: 00 ~ 9 d( ❑ No one available for inspection: Time d ~ Re-Inspection required: Yes *When corrections have been made, call for re-inspectiP n at 393-23W4 Date: Inspector: 3~ r r .r' ~ DO NOT REMOVE THIS NOTICE 110 F, ( rr? C- City of Wheat Ridge Faxed Roof Permit PERMIT - 092871 PERMIT NO: 092871 ISSUED:09/30/2009 JOB ADDRESS: 4210 XENON ST "EXPIRES:: 03/29/2010 DESCRIPTION:: T/o: Install 40 sqs of GAF/Elk30 yr. ***CONTACTS Dwner 303/422-0861 Lavonne Beckfeld 3c 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing Incorporate PARCEL INFO ZONE CODE: UA 'USE: UA' SUBDIVISION:` UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 8,400.00 FEES Permit Fee 217.50 rt Total Valuation .00 Use Tax 151.20 ...:366.70 a 1 TOTAL ,onditions: nail installation & mid-roof inspection required. Board sheathing spaced more :hang 1/2 of an inch apart requires plywood overlay on entire roof. Ice and cater shield required from eave edge to 2'- inside exterior walls. >ubject 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 allegations made are accurate; that S 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 This permit was issued is accordance with the provisions set forth in your application and is subject to the laws of thei State of Colorado and to the zoning Regulations and Building Codesof 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'. A 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 anew permit. No work of any manner shall be done that will change the natural flow of water causing adrainage 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 rm r the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of at ion of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan revs ject to field inspections. gnature of Ch fBuilding Official ;date NSPECTION REQUEST LINE: (303.)234-5933 BUILDING OFFICE: (303)235-2855 EQUESTS MUST.: BE MADE: BY 3PM ANY BUSINESS :DAY FOR INSPECTION THE FOLLOWING `S BUSINESS DAY. "4' "r Wheat ' 'die Date: l colmmumw DEVELOPMENT Permit Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-892'9 Inspection Line: 303-234-5933 q I BSq Pmparty Address: Property Owner (ptei Mailing Address: (ff different than property address) Address: City, state, zip: ,l .P - 1 rv ~ (T. X 1 7) Contractor: Contractor License 0: Sub Contractors: Company Name: License Expiration Date: TradgErofession: Approval: Use of space (description): ©Kq>fpilmn^ Vv t~ Iv fain Plan Review (duo attimeofsubrrt): Sq. FtJL.Ff added: 'eras ~ BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby =Ions the setback distances proposed by this permit application are arxumte, and do not violate applicable etdinan~es; rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of ree6id; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed od`ffrla application and that I assume. full respons 11dy for compliance with the Wheat Ridge Building Code (LB.C) and all other applicable Wheat Ridge Ordinances, for work under this permit Plana subject to field Inspeetlon. CIRLCE ONE:: ( . ON TO M ERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE; Data: xoNpap6)V41111~RF',t9X... , : t '3 C) 0 tTitE CPr t Wq=m tr&* p.disapproved ❑ nafieyiAtraeg d•, BldgYaluatlon: $ Credit Card P e e ~ d' ~~lrsted on file. e: ~ Print name: (~(~r i signature.~~ Facsimile Building Permit Application City of Wheat Ridge r4000or Residential Roofing PERMIT - 092144 PERMIT NO: 092144 -ISSUED: 09/09/20.09 JOB :ADDRESS:' 4210 XENON ST : EXPIRES.: 03/08/2010 DESCRIPTION:' T/o: Install 27 sqs GAF Timberline 30!yr. ***CONTACTS owner 303/422-0861 Lavonne Beckfeld gc 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing : Incorporate **:'PARCEL INFO ZONE, CODE: UA - USE: UA SUBDIVISION::. UA -BLOCK/:LOT#: 0/ **FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,779.00 FEES Permit Fee ` 144.70 Total Valuation .00 Use Tax 86.02 l/y~~~~.1 @p TOTAL 230.72 r~ 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 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 wo €r this permit. Plans subject to field inspection. Si ature of contractor/o t' .:date 1. This permit was issued in accordance with thee. 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 ofthe 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 !abandonmentexceeds one (1) year, full fees shall be 'paid for anew 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 pe .t or the approval of drawings and specifications shall not be construed to, be a permit for, nor an approval of ation of the provisions of the building codes or any other ordinance, law,. rule or regulation. All : plan rev e Sect to field inspections. Signature of Chgf Building: Official date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTSMUST BE MADE BY 3PM ANY ':BUSINESS DAY FOR INSPECTION THE::FOLLOWING BUSINESS DAY.( .i.Al.( City of Cidge Date: MMUNITYDEVELOPMENT Permit A, Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property Address: 4-iM xP•_i'1 o n Property Owner (please print): Lo V n n,n {1, Phone: '5)49,2a • 0S Mailing Addres (if different than pro ely address) Address: U Xcnon W. City, State, Zip: On Contractor: rn,•+crno-K? ` nc4~na Contractor License n 1 Q Q'1i Q hone: -0-, 1-1 Sub Contractors: Company Name: License Expiration Date: Trade/Profession: Approval: LO i Use of space (description): Description-of work:-` ~ Q ~ ,y/11QQ vK C- AT T(mbci i ~ S-- t p }r Plan Review (due at U me of submittal): $ Sq. Ft./L.Ftadded: Squares ~""f, BTU's lJ Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date Bldg Credit Card Payment: Use credit card listed on file. Print name: Signature: _ Date: