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Home My WebLink About6001 W. 35th Avenue♦��4_ WheatR, d� e I ( OMMUNITY DEVELOPMENT " Memorandum TO: Address file for 6001 W. 35' Avenue FROM: Scott Cutler, Senior Planner DATE: April 23, 2021 SUBJECT: Second Dwelling Unit in Carriage House The property at 6001 W. 35th Avenue contains a single-family home and a separate carriage house, located in the northwest corner of the property. The property is zoned Residential -Two (R-2). The purpose of this memo is to confirm the legitimacy of the carriage house as a second, legal dwelling unit. Based on research of building permits associated with this property (see microfilm snippet below), staff has determined that building permits for the property in the 1970s acknowledge the carriage house as a " 2" d house." Aerial imagery from 1963 shows the carriage house in its present form on the property, confirming that the structure has not served as a garage. The Jefferson County Assessor estimates the home was built in 1919 and remodeled in 1930 and 1962 but does not provide information about the carriage house; however, the carriage house has a similar architectural style to the main house and appears to be from a similar era. Real estate listing photos suggest the carriage house has not been renovated in the past 50 years. Staff has concluded this is all sufficient evidence to determine the carriage house is a legitimate dwelling unit, which can be rented separately from the primary single-family home on the property. Building permits will be required to renovate the existing single-family home and carriage house. The property owner may also request to create a separate address for the carriage house, to be reviewed for compliance with the City's addressing policy. 3 SET BACK F" PROPER (SprCif y whiCh v From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Monday, August 16, 20213:41:29 PM Electrical Service Change/Upgrade/Electrical Work Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 6001 West 35th Avenue, Wheat Ridge, CO 80033 Property Owner Name Denise Belk Property Owner Phone (303) 903-9808 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat wheatridge WW PMT AUTH Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Windward Electric Name has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Erik Holmberg Permit Email not displaying correctly? View it in your browser. Contractor's License 110103 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-421-4535 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email erik@poweritupkeepiton.com Address Retype Contractor erik@poweritupkeepiton.com Email Address DESCRIPTION OF WORK Is this an electrical Upgrade service upgrade or change? Number of Amps 200 Location of work house (garage, house, etc) Provide additional upgrade and existing 100A service to 200 amps including details, if needed. replacement of the weatherhead and riser Project Value (contract 2200 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit 000aYa79 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter "Ll lmor r-rlllr i-rinf-rPTP P rinr 1 n orfnrAVnl 11T 1 Nn AIra c. raw wi:ww.. Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing 1•�►l-J%L-1•i'latal1/la U19015ISUt011•.731101SH/IlQ,ftl 11-_1.111yral mi'mJ Ar Ti n'r:T:7T.lT67t 01a11:rw' •'___ _ Rough Inspections Date Inspector Initials - --- ---- -- --rr--- — — a+ra. ar a.v■w 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. •�V�• •••••� �u— u- — a iaI VUIJ I 1OPMA u,,, d,c UUMPIeleu irurn me rare uismct ana 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 ' Residential Roofing PERMIT - 201704079 PF'RMIT NO: 201704079 ISSUED: 07/15/2017 JOt ADDRESS: 6001 W 35th AVE EXPIRES: 07/15/2018 DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles & Modified Bitumen with 19 sq. (15 sq. pitched, 4 sq. flat) ''** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that -"the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. k* CONTACTS *** rJWNER (720) 620-0550 JOJOLA LUCY R S,iB (303)849-6202 Chris Herman 090508 Arrowhead Roofing, LLC A"k PARCEL INFO *** '.)NE CODE: UA / Unassigned USE: UA / Unassigned JBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / * FEE SUMMARY *** ESTIMATED PROJECT VALUATION: FEES Total Valuation 0.00 'Ise Tax 201.60 Oermit Fee 204.30 '* TOTAL ** 405.90 ''** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that -"the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-285 Office • (303) 237-8929 Fax INSPECTION NOTICE is IJ No one available for inspection: Time / `C AM/PM Re -inspection required: Yes 6No) When corrections have been made, call for re -inspection at 303 -234 - Date: ( Inspector: LL A i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1w -To Job Address: h- 00 / V/ 3 S � Permit Number: -t 0/ % D /C'%% A Y -"" LlNo one available for inspection:Time �E'', AM/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection aj 303-234-5933 Date: J l I Inspector: / ? J DO NOT REMOVE THIS NOTICE A � City of Wheat Ridge Residential Roofing PERMIT - 201704079 PERMIT NO: 201704079 ISSUED: 07/15/2017 JOB ADDRESS: 6001 W 35th AVE EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles & Modified Bitumen with 19 sq. (15 sq. pitched, 4 sq. flat) *** CONTACTS *** OWNER (720)620-0550 JOJOLA LUCY R SUB (303)849-6202 Chris Herman 090508 Arrowhead Roofing, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,600.00 FEES Total Valuation 0.00 Use Tax 201.60 PAID Permit Fee 204.30 ** TOTAL ** 405.90 - *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. sl 441 PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201704079 201704079 ISSUED: 6001 W 35th AVE EXPIRES Residential Re -roof to install Owens Corning Modified Bitumen with 19 sq. (15 sq. pitched, 07/15/2017 07/15/2018 Duration asphalt shingles 4 sq. flat) 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 pernit and perform the work described and approved in conjunction with this permt. 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 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 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 anmanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holdy er 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 cy ord�nce� o�gula 'op 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. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Thursday, July 6, 2017 11:40 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application Oil 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 root? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 6001 W. 35th Ave. Lucy Jojola 720-620-0550 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Arrowhead Roofing Ilc Contractor's License 090508 Number (for the City of Wheat Ridge) Contractor Phone 303-994-5525 Number Contractor Email Address arrowheadroofingllc@gmail.com Retype Contractor Email arrowhead roofingllc@gmail.com Address DESCRIPTION OF WORK Are you re -decking the No v roof? Description of Roofing 301b felt / Owens corning duration shingle / sbs modified Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 15 material selected above? % v Does any portion of the Yes property include a flat roof? If yes, how many squares 4 on the flat roof? TOTAL SQUARES of all 19 roofing material for this project Provide additional detail House and garage here on the description of l) work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 91600 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Chris Herman Email not displaying correctly? View it in your browser. 3 3 Generations of Quality Roofing 303.994.5525 • 303.849.6202 . www.arrowheadroofingllc.com 6985 WCR 87 . Roggen, Colorado 80652 email - arrowheadroofingllc@gmail.com Submitted To : _''=��'v - J ' _ {-'Ili _h Address: 4,L' I e_ Phone: SL's Ys% eLZ% K Estimate and Acceptance S Year Workmanship on New Roof Systems Job Location: Date: %5 / Arrowhead proposes to furnish all materials and perform all labor necessary to complete the following Remove and haul away f layers of Roofing Furnish and install: 2". 30 Ib. Felt Paper � Drip Edge All Edges � Valley Underlayment � Wall Flashings (,Sr cF(b) Y�d Ice and Water Shielck/c74.-'5) J"' Roof Vents_ Z Pipe FlashingsO,ewA./,,0 J_K Other Flashings As Needed&XSj'eew--r_, Sbs Modified on Low Slope 2" Paint Roof Accessories �1' Clean Gutters Y7 %A13 ,1f=/�iftte 2a, ; 3/' Year Shingletand Accessories Other Work Performed Note Any rotted decking will be an additional charge. Arrowhead Roofing is not responsible for lost satellite signal. Building Permit is included. Ld We Propose - hereby to furnish and labor -- complete in accordance with above specifications for the sum of: Payment to be made at completion of�ob. All material is guaranteed to be as specified. All work to be completed in a workman -like manner according to standard prac- tices. Any almatit,,, or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. % �l Authorized Signature:1/11��1�%%%/t�� TOTAL ARROWHEAD -- --- BALANCE ., ROOFING, LLC. 303.994.5525 • 303.849.6202 . www.arrowheadroofingllc.com 6985 WCR 87 . Roggen, Colorado 80652 email - arrowheadroofingllc@gmail.com Submitted To : _''=��'v - J ' _ {-'Ili _h Address: 4,L' I e_ Phone: SL's Ys% eLZ% K Estimate and Acceptance S Year Workmanship on New Roof Systems Job Location: Date: %5 / Arrowhead proposes to furnish all materials and perform all labor necessary to complete the following Remove and haul away f layers of Roofing Furnish and install: 2". 30 Ib. Felt Paper � Drip Edge All Edges � Valley Underlayment � Wall Flashings (,Sr cF(b) Y�d Ice and Water Shielck/c74.-'5) J"' Roof Vents_ Z Pipe FlashingsO,ewA./,,0 J_K Other Flashings As Needed&XSj'eew--r_, Sbs Modified on Low Slope 2" Paint Roof Accessories �1' Clean Gutters Y7 %A13 ,1f=/�iftte 2a, ; 3/' Year Shingletand Accessories Other Work Performed Note Any rotted decking will be an additional charge. Arrowhead Roofing is not responsible for lost satellite signal. Building Permit is included. Ld We Propose - hereby to furnish and labor -- complete in accordance with above specifications for the sum of: Payment to be made at completion of�ob. All material is guaranteed to be as specified. All work to be completed in a workman -like manner according to standard prac- tices. Any almatit,,, or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. % �l Authorized Signature:1/11��1�%%%/t�� TOTAL DEPOSIT --- BALANCE ., NOTE: This proposal may be ruithdrawn Gyres f not accepted within 30 days. Acceptance of Proposal - The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment evill be made as outlined above. Ifacceoted, Blease sign and return white cot>v. Date ofAcceutance: 1,//9A �) Signature: c "_T { i Signature: CERTIFICATE OF LIABIUTY INSURANCE American Family Insurance Company Fj American Family Mutual Insurance Company, S.I. if selection box is not checked. 6000American Pky Madison, Wisconsin 53783-0001 ;ured's Name and Address Agent's Name, Address and Phone Number (Agt-/Dist.) Towhead Roofing LLC Ricky Robert Hinojos 185 Wcr 87PO BOX 119 )ggen, CO 80652 NEDERICK, CO 80530 050 (303) 833-1188 (049/309) " FR ds certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. ; --.j— --* ---A -.+--A --jo— #I,— --- ffrwdckA by tha nnfirian 11%tod hialnw- Stock No. 06668 Rev. 7/02 3-2011 Ed. 5100 his is to cerlity that policies of iniettrarice listed below have been itifted to the inswed named above for the policy period indicated, notwaistandrig any requirement term or conaxin of any contract of Other ocument with respect to which this Certificate may be or may pertem. the vauram;e afforded by the policies described herein is aLkiect to all the winm exckislom and conditions of such policies. YPE OF INSURANCE POLICY NUMBER DATE LIMITS OF LIABILITY ESEPOLICY W.PATION D.V. Y') fameowners/ Roddy f*ry and Property 118W-90 flobilehomeowners Liability EachOccurrence $ '000 Bodily " and Property Damage loatowners LiWility Each Occurrence $ '000 Bodily "try and Property Damage 'emonal Umbrella Liability Each Occurrence $ 1000 Farm Liability & Personal Liability Each Occurrence $ 0130 'arm/Ranch Liability Farm Employers Liability Each Occwence $ 1000 Norkers Compensation and statutory — Each Accident $ '000 Disease - Each Employee $ '000 Employers Liablifty t Disease - Policy Limit $ .000 General Aggregate $ 2,000,000 General Liability Products - Completed Operations Aggregate $ 2,000,000 9 Commercial General Personal and Advertising MM $ 1,0()0,000 Liability (occurrence) -1 06-XK4719-01 06114/2017 06/14/2018 Each Manor= $ 1,000,000 -1 owage to Premises Rented to You $ 100.000 Medical Expense {Any One Person) $ 5'000 -Fj�—O--tt $ '000 Businessowners Liability AM09-tt $ '000 Common Cause Limit $ '000 Liquor Liability Aggregate Limit $ .000 Automobile Liability Bodily tnqury - Each Person $ '000 Any Auto Bodily lWry - Each Accident $ '000 All Owned Autos $ Scheduled Autos Property Damage '000 Hired Auto❑ Nonowned Autos Bodily iniury and property Damage Combined $ '000 El Excess Liability $ C] Commercial Blanket Excess Each occurrencetAggregate '000 11 Other (Miscellaneous COM39m) DESCRIPTION OF OPERATIONS I LOCATIONS I VFJKLES I RESTRICTIONS I SPECIAL ITEMS El Have to be covered under this policy. 0 Have not #Products-Completad Opwawm aggregate is eopej to each O=m%'Ce limit ands kci,Wed in policy aggregate. beliore he don Shco Id of the above descatied policies be cancelled I 00ba date City of Wheat Ridge any thereo� the company will endeavor to mail *( days) written notice to Via Certificate to notice shall impose no obligation or liability of any kind 7500 West 29th Ave Holder named, but failure mail such upon the company, ft agents or repivsmtelites- *10 days uniew different number of days Wheat Ridge, CO 80033 show. Lxj ThiS carifflea coverage an the date: of issUeonly The alicile desrxibed pofries are their terms and by the laws at the State of issue- DATEISSUEDAUTHORIZED REPRESENTATVE R=&HinojOS 07/0612017 --1 Stock No. 06668 Rev. 7/02 3-2011 Ed. 5100 ♦�44� Vr- City of '� Wh6atPid9 C COMMUNITY DEVELOPMENT 7500 W. 29th Avenue * Wheat Ridge, CO 80033 * O: (303)235-2855 * F: (303)235-2857 Contractor Waiver forO �O 0 ry Workers' Compensation Insurance b I, (print your name), ///�z0/; zdZ7 verify that I am the sole owner or partner of (company name): which has no employees and is not required by the State of Colorado to carry workers' compensation insurance. I further state that if I hire subcontractors, they are in compliance with the State of Colorado Workers' Compensation insurance requirements and have obtained the required contractor's business license from the City of Wheat Ridge. Signature: a� , I - Date: -7-1 l -l'7 Vo one available for inspection, me = 11751 A /PM - Inspection required: Yes (No,/ n an corrections have been made. caiider resinsnAclion at 303- 234 -5933 A r1TV nF: WHEikT RID( 1%1) — ci No one available for inspection: Time L42_ Re-inspection required: <�� No *when corrections have been made, call for re-inspection at 303-234- Date: lnspecto5� DO NOT REMOVE THIS NOTICE Inspection Type Job Address g Permit Number // /gP �- f 6d�/s+' Y" �� > sF:�ls� f3�.frl sy�.. s %¢� J j�.�¢..'✓P.r&C '.' I_ ❑ No one available for inspection: Time I/ _ YT's /AIUIPM Re- Inspection required: Yes <3q ,> i When corrections have been made, call for re- inspection at 303 - 234 -5933 f Date: . &9 �i Inspector s' DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge .� Residential Roofing PERMIT - 110810 PERMIT NO: 110810 ISSUED: 07/13/2011 JOB ADDRESS: 6001 W 35TH AVE EXPIRES: 07/12/2012 DESCRIPTION: Reroof 17 sqs with Cambridge shingles * ** CONTACTS * ** owner 303/431 -7549 Lucy Jojola sub 720/328 -3593 Zac Matthews 11 -0150 MJM Construction ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: UA BLOCK /LOT #: 0/ Conditions: 6 nails per shingle is required. Ice dam membrane is required from save 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 ent' 6is named within this document as parties to the work to be performed and that all work to be performed is disclosed in th' d cument,and /or its' accompanying approved plans and specifications. of (Circle one) 1! This permit was issued based on the information provided in the permit application and accompanying plane 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 of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Building Offical Date N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of V V hca—t ° II[� ye--. Date: COMMUNrry DEVE1,011 rENI' Plan # Building & Inspection Services Division Permit# 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 " Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Address'.. (o (�0 l 0 3t�� 0 V'e- Property Owner (please print): L (�� !� '� 01 cs Phone: ,?jQ,?, 1 - 131 - 7s 1 � Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: P) (Y1 C C) Qs cu CA I e3✓\ Contractors City License #: Phone: Plumbing: City License # Description of work: oho City License # Mc\1 , Ct.-codF wj Mechanical: City License # r sys � ►tio Contract I V 7 9: Review Fee (due at time of submittal) quares I / BTU's Gallons Amps Sq Ft. I OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application me 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) o ((AUTHORIZED REPRESENTATIVE) f (OWNER) . (CONTRACTOR) PRINT NAME: )( 1e '�h4.WS SIGNATURE: DATE Bldg Valuation: $ ��1 lvi JCj1T~' T WNO;u A RE W ~ FLOOR A NO Y 4 P ` S CUST ME IPRINtI - G` 6 j to ACTION TAKEN ❑ NO SHUTOFF OWNEbC TENANT. AGENT E] sPEOFY OTHER b0Q ' APPLIANCE OFF ❑ BOTH APPL. & METER OFF ❑ METER SHUT OFF - HAZARD j ,4 3,5 /33 CONDRIONTO BE CORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZABD.THIS EQUIPMENT MUST NOT BE PUT BACK IN SERVICE UNTIL RBPAIRS AND ATHOROUGH:INSPECTION HAVE BEEN MADE BYA QUALIFIED CONTRACTOR. CONTACTYOUR LOCAL BUILDING DEPARTMENT FOR CODE AND PERMIT REQUIREMENTS PRIOR TO PERFORMING: REPAIR WORK:' NAMEAND., H~Z PF5LIA*CE g rs , r V 6l .CONIOTJ TO Q REC T t ED T e- g P ty ~ n FOR FURTHER INFORMATION, PHO E: TAGGED By \ ~J TIME ATE 'J= OMER/OCGU NT IG RE CU i TIME DATE 7 RELATIONSHIP OF OCCUPANT TO .CUSTOMER ~ 1