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10045 W. 34th Avenue
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: 4571e,1-74-57 L< . 73 Permit Number: fj (, qe-> ❑ No one available for inspection: Time X Re -Inspection required: Yes ?,No When corrections have been made, ca7T for re -inspection at 303-234-5933 Date:! &d'Z inspector:�< r Ld"IL ' DO NOT REMOVE THIS NOTICE 1* � 1 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:g0g_ t_zPndj gbo� Job Address: IG'l�y S V ?i�- �, Ove, Permit Number: r�.J l `� 01 W r�car4 r - . rr,J, - c4,--_ 1 f: L"e f ❑ No one available for inspection: Time ' %= `' PM Re -Inspection required: 6 No When corrections have been made, call for re -inspection at 303-234-5933 Date: 11 /1 Vl� inspector:i-P, L oyL-# 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: 4-1y1 d1_0()1r Job Address: I00g5 V ?1144 Xyf# Permit Number: 201047 A/2 �j � '1 ❑ No one available for inspection: Time -?,Q AN& Re -Inspection required: Yes rV When corrections have been made, call for re -inspection at 303-234-5933 Date: i. /jai inspector: Gr P L--ovel'- DO NOT REMOVE THIS NOTICE 6 A City of Wheat Ridge .. Residential Roofing PERMIT - 201802640 PERMIT NO: 201802640 ISSUED: 09/27/2018 JOB ADDRESS: 10045 W 34th Ave EXPIRES: 09/27/2019 JOB DESCRIPTION: Reroof remove and isntall Malarkey Vista Asphalt Shingles with 30 squares. Pitch 4/12. House. *** CONTACTS *** OWNER (303)237-4009 DAHLIN KIM SUB (303)425-7531 Carolyn Dykhouse, Randy James 019983 J & K Roofing 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: 12,788.00 FEES Total Valuation 0.00 Use Tax 268.55 Permit Fee 251.85 ** TOTAL ** 520.40 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. 8806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. G. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201802640 201802640 10045 W 34th Ave ISSUED: 09/27/2018 EXPIRES: 09/27/2019 Reroof remove and isntall Malarkey Vista Asphalt Shingles with 30 squares. Pitch 4/12. House. I, by my signature, do her attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this e I I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be per,2led and that all work to be performed is disclosed in this document and/o fits' accompanying approved plans and specifications. ems.. Signature of OWNEW"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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The iss ice or grantin f a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applic 1 . od or any finance or regulation of this jurisdiction. Approval of work is subject to field 'inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. enia Reimer �9�j2_,�zk From: no-reply@ci.wheatridge.co.us Sent: Thursday, September 27, 2018 11:06 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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. The Building Division permit counter is open from 7:30 am to 3:30 pm, 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 Property Owner Name 10045 W. 34th Ave Kim Dahlin Property Owner Phone 303-237-4009 Number (enter WITH dashes, eg 303-123-4567) i� L� l Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Dahlin Contract (51).pdf Contract CONTRACTOR INFORMATION Contractor Business J & K Roofing Name Contractor's License 019983 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-425-7531 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 13000 W. 43rd Dr. (Primary address of your business) Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 30 the entire scope of work: Project Value (contract 12788 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 both? (check all that apply) What is the specific pitch 4/12 of the PITCHED roof? How many squares are 30 part of the PITCHED roof? Describe the roofing Malarkey Vista materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional HOUSE detail here on the description of work. (Is this for a house or garage? Etc) 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 3 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 Kathy Vendegna Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD ancy/T, 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 Inspections will not be performed unless this ca posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive inspection the following business day.** Inspector Must Sign ALL Spaces pe inent 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 TKe Abov e Underground/Slab Inspections Date Inspector Initials s Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnectinnc 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 V Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Resid. Windows/Doors PERMIT - 201706286 PERMIT NO: 201706286 ISSUED: 08/18/2011 JOB ADDRESS: 10045 W 34th AVE EXPIRES: 08/18/2018 JOB DESCRIPTION: Residential Window Replacement 2 windows with no changes to structure. See attached sheet for U -values. *** CONTACTS *** OWNER (303)237-4009 DAHLIN KIM SUB (303)237-1687 John McDade 021066 Conservation Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 147.00 ** TOTAL ** 197.00 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this 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 performed and that allnnwork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. L Rig ».4 n,a AY r-)AQ_gP 0 - / 8 -/ '�' -- Signature of OWNER or CONTRACTOR (Circle one) Date I. 'Phis permit was issued based on the 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 pennit 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 maybe subject to a fee equal to one-half of the originalpermitfee. 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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge b( Residential Electric PERMIT - 201701570 PERMIT NO: 201701570 ISSUED: 06/06/2017 JOB ADDRESS: 10045 W 34th AVE EXPIRES: 06/06/2018 JOB DESCRIPTION: Electrical panel upgrade - 200 amps *** CONTACTS *** OWNER (303)237-4009 DAHLIN KIM SUB (303)829-5034 Kenneth Miller 020602 Miller Quality Contracting, In *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signature, do he attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permrt. I further attest that I am le 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 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. O Signature of Chief Building Official U 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 insptimerequest@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. gLc) 0 1 <,::) / k", INSPECTION RECORD Occupancy/Type 1 NSPE TOpp INSPECTION REQUEST LINE: (303) 234-5933 lL v 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 Electrical Concrete Encased Ground (CEG) Sewer Service Foundation / P.E. Letter Plumbing Lath / Wall Tie Do Not Pour Concrete Prior 10 Approval UT I ne ADove inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Lath / Wall Tie 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 Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window — Please email insptimerequest@ci.Wheatridge.co.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather C), Jw4i�CORD 1 OkCANSP tj INSPECTION REQUEST LINE: (303) 234-5933 Occunancy/Type inspe tions 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 dayL**- j _ Inspector Must Sign ALL Spaces pertinent to this project _. -------__ ._ _ Inspector Commients Foundation Inspections !; Date I initials --- - --- - --- --- - Pier— Concrete Encased Ground (CEG) - i Foundation/ P.E. Letter _ Do Not Pour Concrete_ Prior To Apr®val Of the Above -Inspections - Comments Inspector I r -- -- ' Underground/SlabInspections Date Initials _ - ----- - - Electrical sevver ServiceIL p''ybingNot Cover Under round or Belowlln-Slab Work -Prior To Approval Of The Above Inspections Do - -Date ' Inspector Comments Rough Inspections - Initials [Wall Sheathing Mid -Roof Lath I Wall 'Tie i Rough Electric * ---- - I Rough Plumbing/Gas Line -- Rough Mechanical Rough Framing Rough Grading insulation c7ryv.911 Screw / Dail Final inspections Landscaping &Parking / Planning Dept. ROW & Drainage / Public W"DWL Floodpiain inspection (if app Fire Inspection 1 Fire Protec Final Electrical -- i Final Plumbing Final Mechanical - Roof Date Inspector Initials Inspections fron one week In adv inspections call 3 inspections call 3 contact the Fire F Lal Buil _-- -- _-------- __ _ J „� c. Pubs ilii^�, rfri@ 8%u �iiiiding before a 1.@!$r►CBtB I�ATG; �I ite.rs ;' usf be �-On-,pletod and approve by � a .�..... , Approval of the Final Building inspection does not constitute authorization of occupancy. of occupancy is issued. App - -- *For low voltage permits — Please be sure that rough inspections are completed from► the Fire District and electrica4 low voltage by the Building Division. bV 8.00 A M fhe morning of the 'For Inspection Time Window —Please email insp� with the proP01tY address in the subject line of the email. Time window is based on the inspector's route. Occupancy is Not Permitted Until A Ce Tate Off OccuP8 cy is Shed Protect This Card Frornhe I Lal Buil _-- -- _-------- __ _ J „� c. Pubs ilii^�, rfri@ 8%u �iiiiding before a 1.@!$r►CBtB I�ATG; �I ite.rs ;' usf be �-On-,pletod and approve by � a .�..... , Approval of the Final Building inspection does not constitute authorization of occupancy. of occupancy is issued. App - -- *For low voltage permits — Please be sure that rough inspections are completed from► the Fire District and electrica4 low voltage by the Building Division. bV 8.00 A M fhe morning of the 'For Inspection Time Window —Please email insp� with the proP01tY address in the subject line of the email. Time window is based on the inspector's route. Occupancy is Not Permitted Until A Ce Tate Off OccuP8 cy is Shed Protect This Card Frornhe i CITY OF WHEAT RIDGE Building Inspection Division �9 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: /0 O Permit Number: © / 7 dG F, ❑ No one available for inspection: Time S/U AMI Re -Inspection required: Yes eo When corrections have been made, call for re -inspection at 303-234-5933 Date: co AOI 7 Inspector: GAe DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Electric PERMIT - 201701570 201701570 10045 W 34th AVE Electrical panel upgrade - 200 amps ISSUED: 06/06/2017 EXPIRES: 06/06/2018 *** CONTACTS *** OWNER (303)237-4009 DAHLIN KIM SUB (303)829-5034 Kenneth Miller 020602 Miller Quality Contracting, In *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermit. -further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed d that all wor b e performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER 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 originalermit 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Of 1 0 REQUESTS MUST BE MADE BY 11: M ANY BUSINESS DAY FO&ANSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.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 Midge Date: COMMUNITY DEVELOPMENT Plan # fi Building & Inspection Services Division Permit #r V ) 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Address: PP�� Property Owner (please print): Iii vVA1, (; ✓� Phone: �� 2 37- y�oZ. Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: (Jul, �t at -J � � �t,,, Z --Lr Contractors Cit #: Y License ��:� �' � C 2- Phone: 3 Sub Contractors: Electrical: Plumbing: Mechanical: City License # City License # Description of work: -? J 2-,9U Squares BTU's Gallons Amps Sq Ft. City License # Contract Valu $ei $,moo Review Fee (due at time of submittal): 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. CIRCLE ONE: (OWNER) (C`^O�N,TRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: V �/�,1� I� Pi� SIGNATURE:��X DATE: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required I Bldg Valuation: $ City of Wheat Ridge Residential Mechanic PERMIT - 201700707 PERMIT NO: 201700707 ISSUED: 05/17/2017 JOB ADDRESS: 10045 W 34th AVE EXPIRES: 05/17/2018 JOB DESCRIPTION: Install 2.5 ton air conditioner and wire accordingly; install ductwork in the attic *** CONTACTS *** OWNER (303)237-4009 DAHLIN KIM SUB (303)777-1234 James & Richard Pasterkamp 017887 Pasterkamp Heating & Air Cond. SUB (303)829-5034 Kenneth Miller 020602 Miller Quality Contracting, In *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,777.00 FEES Total Valuation 0.00 Use Tax 229.99 Permit Fee 251.85 �]j�t j� * * TOTAL * * 481.84 �7 �J'l �1� I *** 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. Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed.. City of Wheat Ridge Residential Mechanic PERMIT - 201700707 PERMIT NO: 201700707 ISSUED: 05/17/2017 JOB ADDRESS: 10045 W 34th AVE EXPIRES: 05/17/2018 JOB DESCRIPTION: Install 2.5 ton air conditioner and wire accordingly; install ductwork in the attic I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am le ally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed ihs document and/or its' accompanying approved plans and specifications. Signature of OWNER 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of al] 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, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. '-)'I) 1-1 n 1-� -1 T —1 ") . 3[-hA ,1NSPEC�'�I`d14 �RgCORD AC L ,INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspe tions will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical 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 Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Mid -Roof Final Mechanical Roof Lath / Wall Tie Final Window/Doors Rough Electric NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Inspections fror one week in adv inspections call 3 inspections call 3 contact the Fire F 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 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 — Please email insptimerequest@ci.wheatridge.CO.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of W heat fk M.ti1UNflY i)L:VLI.O['MLN I Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perrnits(a�ci.wtieatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # ► y i�� 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. Owner Property Owner Email:" Iii '1 1 I ) X,�L,L Mailing Address: (if different than property address) Address: -' City, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: ` lle! 111 Sub Contractors: Electrical: ��i,t,�%i ��1�'^�tilIUr>ibi�g: W.R. City License # (?` W.R. City License # Other City Licensed Sub: City License # Phone: Phone: Other City Licensed Sub: City License # Phone 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 ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) 1 Sq. Ft.1LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) iii 'r t e 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 1 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (O"VER) t(COA'TRACTOR) nor (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: ZONING COMMMENTS. Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building ion Division �. (303) 234-5933 In pection line 03) -8929 Fax INSPECTION NOTICE 2 �-- Inspection Type: C- F i ,% rn Job Address: / b o A v Permit Number: )0/70 0 -7 -01 � F � AP t iya i PPfl V A) s� ❑ No one available for inspection: Time /0' )_ AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: �' 2 `� ? Inspector:- _4 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: ! "1 F I Job Address: ( 009 S w 3 V77� AVE Permit Number: Z O ►'� 0070—) ��V ❑ No one available for inspection: Time R�/PM Re -Inspection required: Yes 6 When corrections have been made, call for re -inspection at 303-234-5933 Date:_ //% Inspector ,qe DO NOT REMOVE THIS NOTICE W 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: ! VI F71 Job Address: 100 9 S w a y 7w AVE Permit Number: Z Q 1 '� 0070-) k6V ❑ No one available for inspection: Time PSO /PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 7/&//7 Inspector: (5'4e DO NOT REMOVE THIS NOTICE 11 i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8828 Fax INSPECTION NOTICE Inspection Type: rW,h, Job Address: Permit Number: ❑ No one available for inspection: Time (AWPM Re -Inspection required: Yes( No,----, When corrections have been made, calt=for- a--insspepcti(on at 303-234- Date: 0 -234-Date: ' I Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Resid. Windows/Doors PERMIT - 201706286 PERMIT NO: 201706286 ISSUED: 08/18/2017 JOB ADDRESS: 10045 W 34th AVE EXPIRES: 08/18/2018 JOB DESCRIPTION: Residential Window Replacement 2 windows with no changes to structure. See attached sheet for U -values. *** CONTACTS *** OWNER (303)237-4009 DAHLIN KIM SUB (303)237-1687 John McDade 021066 Conservation Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 147.00 ** TOTAL ** 197.00 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�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 thispermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. r,-&� ar, S1-lP )-7- Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit 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 maybe subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. ___r_ a d Signature of Chief Building Official air Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. FOR OFFICE USE ONLY I ]�-Wh6atR City ofDate: d�� MUN1lY DEVELOI'MENi Plan/Permit# Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 R7 Email: permitsaci.wheatridge.co.us Building Permit Application *'" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 10045 W 34th Av Wheat Ridge, CO 80033 Property Owner (please print): Kim Dahlin Phone: 303-237-4009 Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: CONSERVATION CONSTRUCTION Contractors City License #: 21066 Contractor E-mail Address: slrandallcc@qmail.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W. R. City License# Phone: Phone: 303-237-1687 Other City Licensed Sub: City License # Mechanical: W. R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ® RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ® WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Replacing 2 windows with no changes to structure 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) a 7000 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or THORIZED REPRES I of (OWNER) (CONTRACTOR) Electronic Sienature (first and last name): Sandra L. Randall DATE: ` )2,/T DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: OCCUPANCY CLASSIFICATION: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City of Wheat Ridge Building Permit Submittal List The following items are required for the Single- or two family building permit submittal for the property located at 10045 W 34th AV . If any of the required items are not included in the submittal, the submittal will be considered incomplete and returned immediately without review. This sheet must be submitted with the building permit application. Please initial beside each required item, signifying that it has been included. Review Required by: ❑ Building ❑ Planning ❑ Public Works SUBMITTAL DOCUMENTS: Plans: ❑ Three (3) full-sized (24" x 36") plans (Contents of plans detailed in the Single- and two-family handout) — yellow heading ❑ Three (3) stamped sets of foundation plans. ❑ Three (3) copies of a grading and erosion control plan. ❑ One (1) copy of a soils report. DOCUMENTATION: SrN One (1) completed building permit application. ❑ One (1) property deed. ❑ One (1) certified survey or Improvement Location Certificate. ❑ Proof of utility availability (form provided by city). Sr 4 One (1) building permit submittal list. ❑ One (1) Grade/Fill permit. The following items are required for the Commercial Or multi -family building permit submittal for the property located at . If any of the required items are not included in the submittal, the submittal will be considered incomplete and returned immediately without review. If you had a pre -application meeting with Staff, you must submit the checklist you received. Otherwise, this sheet must be submitted with the building permit application. Please initial beside each required item, signifying that it has been included. Review Required by: ❑ Building ❑ Planning ❑ Public Works SUBMITTAL DOCUMENTS: Plans: ❑ Four (4) full-sized (24" x 36") plans (Contents of plans detailed in the Commercial & Multi -family handout) — pink heading ❑ Two (2) copies of a final drainage report and plan OR Two (2) copies of a drainage letter and plan ❑ Two (2) copies of a grading and erosion control plan ❑ Two (2) copies of a traffic impact study OR Two (2) copies of a trip generation study DOCUMENTATION: ❑ One (1) completed building permit application. ❑ One (1) property deed. ❑ One (1) certified survey or Improvement Location Certificate. ❑ Proof of utility availability (form provided by city). ❑ One (1) building permit submittal list. ❑ One (1) Grade/Fill permit. 8/9/2017 2:55 PM FROM: Fax Server TO: +17177351224 P. 1 SENt6 Amerimax WINDOWS & DOORS A Division of Euramax International, Inc. ACKNOWLEDGEMENT SALES ORDER NO. DATE ORDERED 1628630 08/09/17 CUSTOMER P O. PRICE CLASS DAHLIN/062717 604 3950 MEDFORD DRIVE Phone: 800-827-4369 SHIPPED VIA FOB POINT LOVELAND, CO 80538 Fax: 800-601-3227 DENVER WAREHOUSE ORIGIN www.AmerimaxW!ndows.com PAYMENTTERMS TAX CODE NET 30 1 CO CON 101 CONSERVATION CONSTRUCTION CORP SOLD 8101 WEST COLFAX AVE ATTN: ACCOUNTS PAYABLE TO LAKEWOOD, CO 80214 USA Ph:(303) 237-1687 FAX:(303) 237-1580 LINE I PRODUCT/ DESCRIPTION CON103 CONSERVATION CONSTRUCTION SHIP 5360 WASHINGTON ST TO DENVER, CO 80216 USA Ph:(303) 237-1687 QTY. I DELIVERY DATE REQUESTED ORDERED I UNIT PRICE I EXT'D. PRICE REF # 1628631 ------------ 001 VW2600lLC 1 08/30/17 2600 1 LITE CASEMENT Aristocrat 1 -LITE (X) DES Stucco -Frame 29-7/8" x 34-1/4" 65 -UI, STD Handle Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Left -Hand Hinge:Left Mixed Gas WHITE Spacers, Egress Hdwr. Screen: Lip -Frame FULL BETTERVUE **U-Value=0.26 SHGC=0.19 VLT=0.43** 003 VW2600lLC 1 08/30/17 2600 1 LITE CASEMENT Aristocrat 1 -LITE (X) DES Stucco -Frame 30-3/4" x 34-5/8" 66 -UI, STD Handle Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Left -Hand Hinge:Left Mixed Gas WHITE Spacers, Egress Hdwr. Screen: Lip -Frame FULL BETTERVUE **U-Value=0.26 SHGC=0.19 VLT=0.43** 004 VW610102 6 08/30/17 CAULK NOVA SLCN DS 005 VW0023841 46.5 08/30/17 DSTR 1.75" FLAT TRIM W/AD 006 VW620021 1 08/30/17 FoamTape 3/4x1 -1/2x50' Black SUPPLEMENTAL GLASS WARRANTY CHARGE Please respond IMMEDIATELY with any corrections. DO NOT re- SUBTOTAL send original Order Form. Thank you. TAX Page 1of1 TOTAL: 11 INSPECTION RECORD ODcuDancv/TvDe INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. lr Jz) c: 7 t/0 1 /) rh INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic II A& Weatherproof /French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. FINALS Electrical Plumbing Mechanical Roof II A& Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping * * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER � r CITY OF WHEAT RIDGE f Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303), 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address s y� ev YY?W 4 ✓g Permit Number 11a3 ®3 oe i " ' City of Wheat Ridge ► J Residential Roofing PERMIT - 110303 PERMIT NO: 110303 ISSUED: 03/25/2011 JOB ADDRESS: 10045 W 34TH AVE EXPIRES: 03/24/2012 DESCRIPTION: Reroof 34 sqs with GAF Timberline HD shingles * ** CONTACTS * ** owner 303/237 -4009 Kenneth Dahlin sub 303/988 -1912 Larry F. Comstock 01 -9468 L. F. Comstock, Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0813 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 9,800.00 FEES Permit Fee 204.30 Total Valuation .00 Use Tax 176.40 ** TOTAL ** 380.70 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this 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 performed and that all work to be performed is disclosed in this docume>4 it;:,�co�mpan�appxov� (s and specifications. am A _J bYU7//y, // � �' 2S / Si na re of ER or ONTRA 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 permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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, any violation of any provision pf any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field *,s on. of f9fiief Building Offical Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 1 Y O heate Date: R C,oMMUNITY DrvrLopm ENr Plan # Building & Inspection Services Division Permit# ' 1 6 2 � 7500 W. 29 "Ave., Wheat Ridge, CO 80033 l'��� Office: 303 - 235 -2855 " Fax: 303- 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application Pro_ petty Address [ p D `f OJ ;4" F1trZ Property Owner (please print): ILe Ett1 (N>A tl Ll I.➢ Phone: 3o 3 - 237 ` X o o 9 Mailing Address: (if different than property address) Address: City, State, Zip: Cont "racto_r:: L F C.orY,� -r©�Lc , n�G - Contractors City License #: Phone: _ d g g I Q I -Z Suti�Contract Electrical: Plumbing: Mechanical: City License # City License # City License # Descrtt�ttonofuWoikk J �I) 1 - , l-o G���c . Roca i GE f� <y�., 2„ act Value: rc.yn" "t011c CE�.t $ Contr C[ �(Y C`) aU (sDivl�ec - (r4r- 1i- 1e>e je (30) Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ 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. CIRCLEONE: (OWNER) (CONTRACT ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: � OM O A SIGNATURE: DATE: Bldg Valuation: DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94#19714 234-5933 P.O. BoX638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS CONTRACTOR/ ADDRESS/~ ~,,i CITY ~ MI'rLIl.HI1VIV rvrt mIJI.GLLHNtVU ~ I OWNER . ADDRESS PHONE ZIP CODE 00M ZIP CODE CONTRACT PRICE $ 37(e PLICENSE NO. / / I DATE SIGNS FENCES OTHER DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVItru DISTANCES FROM PROPERTV LINES. (SETBACNS OR PROJECTIONS INClUDEO) ~ SPECIFY NORTH 1. TYPE Ground ❑ Wall❑ ProitotinQ❑ Othar 5 or D Foee 2. MATERIAL Totol Squore Feaf 3. ILI.UMINATION Yes❑ No❑ TYOe Eleet. Permit No. 4 SET BACK FROM PROPERTY LINE N _ 5_ E _ W Zone_ Approved,Zone Inspactor (Specify which is front) ❑ ❑ ❑ ❑ DiaapOrwed i. TYPE Solid❑ More Thon 80% OpenO Leat Than BO% Opan MATERIAL HeiQht b. SET BACN FROM PROPERTY LINE N _ S_ E _ W Zone_ Apprwed,Zons lnspeota (SOecifv whieh ie tronf) ❑ ❑ ❑ ❑ Diaaocroved STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINESi ON IRREGULAR LATS, SHOW LEAS7 DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHAFlICAL PERMIT THISAPPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BYTHE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE tICENSE N0. PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT ALUMINUMWIREUNDERSIZEBILLEGAL FLOOR BSM IST 2ND 3RD 4TH N0. FLEL:CircJsp»GaddlProponeCOdEIxSolor N0. WATER IXASET FORCED AIR - 8TU TEMPORARY METER WASH BOWL HOT WATER BTU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFR16ERATION SYSTEM POWER SUB-CIFCUITS WATER HEATER Refri erant Group UTILI7Y(RANGE,DISPoSER,ETC) AUTO. WASHER pounds CAOr e FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS d CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 6 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I hereby acknowledQe that this applico- PERMIT FEE fion is eorrect ond understand that I USE TAX connof stort this Drojbct until thie oppli- cotion ie aDProved. I shall comply wittl TOTAL FEE fhe lowe of Ihe State o( Colorodo ond fo fh! ZoninQ Requlationa ond Buildinq ROVE Code of the City of WAeai Ridqe. Any DISAPP violation of the above terme will couse CHIEF BUILDI immediate revocofion of this Dermit Date vo ~a*-l`aaout5~o"~~ 6~3/-/ eq~ ~Y'-(O ~ $iA VALID mm INSPECTOR,City Wheat Ridqe l7-5;V CALL 2345933 24 HOURS IN ADVANCE FOR INSPECTIONS