HomeMy WebLinkAbout12095 W. 35th Avenuei 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: LU D22Z5
Job Address: 205S; Lo 3 67 LI AVe_
Permit Number: 267l'jCO2_?`7
❑ No one available for inspectio :_T (ne /V,/S-
., S^ A11UI/' pm
Re -Inspection required: Ye .._ No!
When corrections have been made, call for re -inspection at 303-234-5933
Date: '3- E 5' 1 Inspector: 1
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division \
(303) 234-5933 Inspection line_:�9�
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Fvlb
Job Address:
Permit Number: d
❑ No one available for inspection: Time I/ V AIV,4�PM
Re -Inspection required: YesNo
When corrections have been made, call for re -inspection at 303-234-5933
Date:ZZ/ 7 Inspector: JtvV
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office s (303) 237-8929 Fax
INSPECTION NOT I 'CE
Inspection Type: 7-1
Job Address: Z 2_0 5�51"/ 3S�7
Permit Number:
Ll No one available for `nspe.ction: Time J AM/PM
Re -inspection reqUiredLylejs No
When corrections have been made, call for re-inspectlofflat393'43 -5933
Date:- Inspector:— L-,2
DO NOT REMOVE THIS NOTICE
1
C
i CITY OF WHEAT RIDGE 1
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
INSPECTION NOTICE
Job Address:/ e �� S I'J 3 r'
Permit Number: C-� ! -�
❑ No one available -for inspection: Time /ate i A 'I
Re -Inspection required: Yes
When corrections ave been made, call for re -inspection at 303-234-5933
Date: q / I Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
,7Resid. Windows/Doors PERMIT - 201800287
PERMIT NO:
201800287
JOB ADDRESS:
12095 W 35th AVE
ISSUED:
01/30/2018
JOB DESCRIPTION:219
Replacing 1 kitchen
window,
1 bedroom Sand
.30 or better; like
for like
window
1 office window; u factor
*** CONTACTS ***
OWNER (720)366-0881
SEGOVIA CHRISTINE &
BRYCE
SUB (303)945-1519
Matthew Seiler
130206 Renewal
by Andersen
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
SUBDIVISION CODE:
USE:
2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#:
UA / Unassigned
0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
4,730.00
Window Replacement
FEES50.00
Total Valuation
Use Tax
0.00
** TOTAL **
99.33
149.33
*** 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 heattest that the work to be
Per
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
hi the legal owner of the property and am authorized to obtain this permit and perform the work described and approved a conjunction with
this permit. I further attest that I am legally 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 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 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.
?. 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.
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 Off tial and is not guaranteed.
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.
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.
The issuance or granting of a permit.s�hall 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.
v
„'°moi.
ignature of Chief Building Official I Date
"QUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
FOR OFFICE USE ONLY
City of Date:
W heatl�idgc
COMMUNITY DEVELOI'ML'NT nl(
Building 8 Inspection Services Division Plan/Permit 171—'IVI l/
7500 W. 29°i Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929 Plan Review Fee:
Inspection Line: 303-234-5933
Building Permit Application
'* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **
Property Address: 12095 W 35th Ave
Property Owner (please print): Bryce Segovia
Phone: 720-366-0881
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Ar hitect/En ineer:
Arch itecVEn gineer E-mail:
Contractor: Matthew Seiler
Contractors City License #: CL3-130206
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
mseiler@renewalcolorado.com
Plumbing:
W.R. City License #
Phone:
Phone: 303-945-1519
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
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 1 kitchen window, 1 bedroom window, and 1 office window.
U factor will be .30 or better.
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)
c 4730
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) (CONTRACTOR) o
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewers
r
PRINT NAME: Matthew Seiler
(AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
SIGNATURE:DATE:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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INSPECTION RECO
Y,) IA1 INSPECTION REQUEST LINE: (303)2,-e4-5933
Occupancy/T. ;+e
' Citi
Inspections will not be performed unless this card is posted tkfeec
Call the inspection request line before 11:59 p.m. to receive an inspection the followin s
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Electrical
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour
Concrete Prior To Approval c)t I ne ADove Inspections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Lath / Wall Tie
nn Nnt t^nvpr Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections _
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
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 vortaye
by the Building Division.
"For Inspection Time Window — Please email InSptimerequeSt@cl.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
�►1 ti City of Wheat Ridge
��-
Residential Roofing PERMIT - 201706676
PERMIT NO: 201706676 ISSUED: 08/28/2017
JOB ADDRESS: 12095 W 35th AVE EXPIRES: 08/28/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage 30 asphalt shingles with 23sq
Installing Ice and water shield to eves, roof pitch is 4/12
*** CONTACTS ***
OWNER (720)366-0881 SEGOVIA BRYCE
SUB (303)870-8604 Kirk Cerise 170260 BKC 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: 16,900.00
FEES
Total Valuation 0.00
Use Tax 354.90
Permit Fee 315.25
** TOTAL ** 670.15
*** 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
� 4 City of Wheat Ridge
Residential Roofing PERMIT - 201706676
PERMIT NO: 201706676 ISSUED: 08/28/2017
JOB ADDRESS: 12095 W 35th AVE EXPIRES: 08/28/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage 30 asphalt shingles with 23sq
Installing Ice and water shield to eves, roof pitch is 4/12
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 theroperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attes that I am legally authorized to include all entities named within this document as partes to the work to be
pert"ormed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans
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 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 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 or e�ofr 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.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 24, 2017 9:19 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes _
residential roof? j ,)
How many dwelling units Single Family Home (/�
are on the property?
PROPERTY INFORMATION
Property Address 12095 W. 35th Ave
Property Owner Name Bryce and Christine Segovia✓
Property Owner Phone 720-366-0881 ✓
Number (enter WITH
dashes, eg 303-123-4567)
133
Property Owner Email
bsegovia39@yahoo.com
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
Scan0134.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
BKC Inc
Name
Contractor's License
170260
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-870-8604
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
6550 Pike Court Arvada, Co. 80007
(Primary address of your
business)
Contractor Email Address
kcerise1102@gmail.com
Retype Contractor Email
kcerise1102@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
23
the entire scope of work:
Project Value (contract
16,900.00 for roof
value or cost of ALL
materials and labor)
Are you re -decking the !
Noy
1
roof?
—�
134
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
M
Yes
23
Tamko Heritage 30
Asphalt
Installing Ice and water shield to eves. Roof pitch is 4/12.
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
135
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.
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.
Name of Applicant Kirk R Cerise
Email not displaying correctly? View it in your browser.
136
BKC INC.
P. O. BOX 740692
ARVADA, CO 80006
303-870-8604
Date of Proposal '
rroposat submitted jib:
Name ' u AV2, 15-
Street
Street
City
Telephone
Work to be performed at:
Street
City
State
Owner of Property
we nereby submit speciticatiions and estimates for:
Re -roof entire house with 30 yi' 40 yr, 50 yr laminate $ , ad 6"6- j 12/9
Re -roof entire house with 3 -tabs shingles $
Underlay valleys with 90 lb Rolled Roofmg
Seal all vents, pipes and walls
Clean up and haul all trash and debris
Fumish permit
Guarantee all work for 2 years
Tear off existing roof —Dry in with 301b base felt -Lace with a 30--W-felt — Roof -*q _#3--.medium-shakes
Additional Specifications:,
All material and labor is guaranteed to be completed in accordance with above specifications; for the sum o£
SX Al -
With payments to be made as follows:
ACCEPTANCE OF BUYER
We hereby accept the proposal of BKC INC. as stated above. We understand and agree to the terms of payment as
stated above. We further understand and agree as follows:
1. This proposal, including the terms and conditions below is a contract between us.
2. Title to the materials provided remains in BKC INC. until full price has been paid.
3. We agree that no payment shall be withheld or delayed for any reason.
4. We agree to pay all expenses of collection as provided in paragraph 2 under Additional Terms and
Conditions.
ADDITIONAL TERMS AND CONDITIONS
1. Unless otherwise provided, payment is due upon completion of the job. If the balance shown is not paid
upon completion a late payment penalty will be assessed at a rate of 2% per month on the unpaid balance.
2. If BKC INC. must employ the services of an attorney to enforce collection under this agreement the buyer
agrees to pay all reasonable attorney fees incurred to pursue collection. The buyer also agrees to pay all
court costs, lien recording fees, and lien certificate costs if BKC INC. must bring a mechanics lien
foreclosure action.
3. This agreement is not subject to retention of funds unless otherwise provided in writing.
4. All work shall be done in a workman like manner. BKC INC. will perform its part of the agreement in a
manner consistent with roofing industry standards. Performance by BKC INC. is subject to strikes,
accidents and delays beyond the control of BKC INC.
BKC INC. BY:
This proposal may be withdrawn by us if not accepted within day
BUYERS SIGNATURE ' ` DATE ACCEPTED
PERSONAL GUARANTEE: I hereby personally and not as an agent of the buyer, agree to guaranteetheperformance
by the buyer. I understand that I will be responsible for full payment of the purchase price if not paid by the buyer.
SIGNATURE DATE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201701495
PERMIT NO: 201701495 ISSUED: 06/05/2017
JOB ADDRESS: 12095 W 35th AVE EXPIRES: 06/05/2018
JOB DESCRIPTION: Replacing like for like windows; 1 play room, 1 living room, 1 bedroom
windows; U factor .30 or better
*** CONTACTS ***
OWNER (720)366-0881 SEGOVIA BRYCE
GC (303)945-1519 Matthew Seiler 130206 Renewal by Andersen
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,894.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 144.77
** TOTAL ** 194.77
*** 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 ermIt. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be
performed and thag X11 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date ` /
1. This permit was issued based on the information provided in 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 s4a4l-not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division,
6. The issuance or g `part s e c'nstrued to be a permit for, or an approval of, an violation of any provision of any
applicable code o cc or rrgg is jurisdiction. Approval of work is subject to field inspection.
t
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.
City of
_�9W heat R d�c
COMMUNrry DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date:
Plan/Permit # I
(�oJ
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: 12095 W 35th 80033
Property Owner (please print): Bryce Segovia Phone: 720-366-0881
Property Owner Email:
Mailing Address: (if different than property address)
dress: same as above
City, State, Zip:
Architect/Engineer:
Arch itectlEng i neer E-mail:
Contractor: Matthew Seiler
Contractors City License #: CL3-130206
Contractor E-mail Address: rnseiler@renewalcolorado.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub.
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 303-945-1519
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
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.)
We will be replacing like for like 1 play room, 1 living room and 1 bedroom windows. Egress requirements will be met and will have a u factor
of .30 or better. There will be no size modifications.
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
6,894
OWNERJCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate: that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under 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) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: Matthew Seiler
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer,
PUBLIC WORKS COMMENTS -
Reviewer:
SIGNATURE:17 _ DATE: 5!25/16
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION'
Building Division Valuation: $
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03/17/2014 11:34 3037629520 STEEL-T PAGE 02
FOP, bFFICE USE ONLY
City of'
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Building Pennit Application
Address:
Oy' its, Zip:
Architeaftriot6eer E.Mall.-
1
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Mechanicak
WK City License #
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complete all information on R ;f"this form—
EP/17/2014 11:34 3037629520 STEEL-T PAGE 03
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Building Oivisitm Vaivationc __
pEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number
Date
7869
9/29/98
Property Owner :
Property Address : 12095 W. 35th Avenue
Contractor License No. : 18860
Phone: 422-3274
Company : Landmark Roofing Phone : 7565004
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 Gty of Wheat Ridgeor
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurete; that 1 have read and agree to abide by all conditions printed on this
application, and that I assume full responsibllity for compliance with the Wheat Ridge BuildingCode (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTR4CTOR)
Construction Value :
$2,300.00
Permit Fee :
$63.00
Plan Review Fee :
$0.00
Use Tax :
$34.50
Total:
$97.50
Use :
Description : Tear off 1 layer, pu in 30 Ib dry in, 20 year 3 tab, new flashing
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issued in accortlance with the provisions set forth. in yopur application antl is subject to the laws of the State of Coloredo antl to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other appticable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sizty (60) days from issue tlate or (B) ihe building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit ezpires, a new permit may be acquiretl for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specificatlons and any suspension or abandonment has not exceeded one (7) year. If changes are matle or if suspension or Bbantlonment
exceetls one (1) year, full fees shall be paid for a new permit (4) No work of any manner shall be tlone that will change the na[ural Flow of water causing a tlreinage problem. .
(5) Contrector shall notiry the Buildin9 Inspector hvenry-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card hefore
proceediing wi[h successive phases of the "ob. (6) The issuance of a pertnit or ihe approval o~drawings and specifcations shall not be consirued to be a permi[ for, nor an approval of, any violati n of the provisions
1^~of the buildin9 cotles or any other ortlinance, law, rule or regulati~ . .
l
{~n CA,/-'.r
Chie~Budding I , pector t
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address
Contractor License No. :
- _ - . . Company :
`-j t-i-` Cw.
n
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback disWnces proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or re9ulations of the City of VJheat Ridge or
covenants, easements or restridions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree lo abide by all conditions printed on this
application, and that 1 assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other appliwble Wheat Ridge ordinances, for work under this pertnil. .
(OWNER)(CONTRACTOR)
Description
Si- `6W.
4QaIr)[CM;0_MM
Approval:
Zoning :
Approvai:
P-QBl C~NbZMbMfi?~9
Approval:
Building Permit Number :
Date :
Phone : qa a - 3 a 7q
Phone: '~~(,--T(XY
Construction Value :
Permit Fee :
Use Tax :
Total: $0.00
US@:
C4
r
BUILDING DEPARTMENT USE ONLY
SIC
Occupancy : Walls
Electrical License No :
Company:
Expiration Date :
Approval:
Roof
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanicai License No :
Company :
Expiration Date :
Approval:
(1) This permd was Issued in accortlance with the pfovisions sel IoM In yopur application and is su6jecf to the laws ol the State of Coloado and to the Zoning
Regula6ons arW Buildiny CoAe o( VJheat Ridge, Coloraao or any oNer applipble ortlinances ot Ihe Ciry.
(2) This pertnil shali expire il (A) the work authorized is nol commenced within sixty (60) days 1rom issue date or (0) the buildinB aulhorized is susperMed or
abantloneC lor a pedod o( 720 days.
(3) If Nis pertnit expires, a new pemut maY be acquired lor a fee ol one-hall the amount nomially required, proHEeG no changes have been a vrill be made in the
onginal plans and spedfintions and any suspension w abandonmenl has not exceeded one (1) yeac II changes are made ot if suspension or abanEOnment
e:ceeds one (t) year, full fees shall be paid tor a new permit.
(4) No work ol any manner shall he tlone Ihat will Uiange the nalural fiav ol water causing a d2inage problem. (5) Confradw shall rwG(y the BuilCing Inspector hvenry-four (24) hours in advance lor all inspections antl shall receive written approval af inspeclian oM before
proceediing wilh successive phases ot the 1ob.
(6) The issuance of a permit or the approval of d2wings and spedflra0ons shall not be consW ed to be a pertnil for, rror an appraval o(, arry Nolation ol the provislone
. o! the builCing codes or any other ordinance, Ww, rule or reguWUOn. Chief Building Inspector
1
Sq. Ft :
Stories : Residentiai Units :
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION