The URL can be used to link to this page

Home My WebLink About10375 W. 33rd AvenueA i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: c� _ � . Job Address: Permit Number: r � ) �Zl qa--g , 11t / LJ No one available for inspection: Time '1' a f Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: /' I,6 Inspector: hanr1-al-elf 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 F x 7( 1 C .T-- INSPECTN�Y� QTICE Inspection Type: Job Address: Permit Number: IJ No one available for inspection: Time i' ? Ik%PM Re -Inspection required: Yes L When corrections hiRve been made, call rre-inspection at 303-234-5933 Date: ' l Inspector: brn.P_ t o v -t° 1 DO NOT REMOVE THIS NOTICE VS�L_.,: 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: L16. P—;yllvd 6/e,C-t,;t01 Job Address: )o37T L/ ' ,'J Att,-i, Permit Number: '2- 01902 13 6 ❑ No one available for inspection: Ti Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: ? Inspector DO NOT REMOVE TH/S NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax !P!�PECTION NOTICE nc,,- Inspection Type:'""�' Job Address: d .r^' lrt ( L_ Permit Number: I.(, U 01 t ieuc_ 3Y ❑ No one available for inspection: Time AM, M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: ! DO NOT REMOVE THIS NOTICE 4'e CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call/44, re -esti at 303-234-5933 Date:A-30—Vb Inspec DO NOT REM THIS THIS NOTICE 'Ccc. &t ( CITY OF WHEAT RIDGE Building InspectionDivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 31 - S�QL,rr p/,�1 Job Address: 10375- k/ Permit Number: 2 01002 I Sd S ❑ No one available for inspection: Time r ~/PM Re -Inspection required: Yes 0 When corrections have been made, call for re -inspection at 303 -234 - Date: I U i Z 10 Inspector: E-0 L, -Lt DO NOT REMOVE THIS NOTICE i CITY OF WHEAT MIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:`(lA( Job Address: W)_M UJ '330-9 AIJI - Permit Number: ❑ No one available for inspection: Time I a VAMOM Re -Inspection required: Yds No When corrections have been made., call for re -inspection at 303-234-5933 a Date: J (to Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT MIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:`(lA( Job Address: W)_M UJ '330-9 AIJI - Permit Number: ❑ No one available for inspection: Time I a VAMOM Re -Inspection required: Yds No When corrections have been made., call for re -inspection at 303-234-5933 a Date: J (to Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Sac // Job Address: IC -5-7-5- _]� 3 Permi?t Number: a 0I8 v a l 3& - -/qjf Gor-s oe]te U ngb% C? -e-e<5_ G� Jea 5e re sc re_ V ce wz t, re 0% v ❑ No one available for inspection: Time =3 % A /PM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: /'d Li I 19 Inspector: - DO NOT REMOVE THIS NOTICE Ui CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division P (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i MSC) (C1 ( OV -1 —�F1 ✓Ice � Job Address: l OZ -7s LO _,_�'Zo itl.� Permit NumPer: 20 12' 00 (?,(p ❑ No one available for inspection: Time AMhPM Re -Inspection required: Yes Ao When corrections have been made, e -inspection at 303-234-5933 Date: CA i� � (� Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: I-ASt%fC�?t Job Address: PermitNumber: C'2� one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:_Q �Inspector: y 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 NOTIC n 7310- r'lec_ 1))e�r- il� e 4 Inspection Type: 3 os-. t2) o L' 9 A e i e c Job Address: 103-7s- gni 3 3 °= 1!} v -e Permit Number: 'a Ci 143 O a ) 3 / rte- ❑ No one available for inspection lTim� Re -Inspection required: Yes — *When corrections have been made, callt-for-re4gspection at 303-234-5933 Dat�_/E��hspector:'`�-- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Divibion (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �tJU� q -FV, 4M-.( Job Address: f-� �!% LO 3 _2C /T'j Permit Number: 6201'jd 02 13( o ❑ No one available for inspection: Time AMJPM Re -Inspection required: Yes /No c� When corrections have been made, cW or re -inspection at 303-234-5933 Date: (�- 04, IG Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division ; :4 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Lt vi, 0 Job Address: 10137S_ Uj -_�-:6 9D H j Permit Number: ,2& a 02 l' 3(,o ❑ No one available for inspection: Time ! MSM Re -Inspection required: Yes &o) When corrections have been made, call for re -inspection at 303-234-5933 Date:' ��' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE 1��Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: c�C, � luk Job Address: ' ; / Permit Number: o M1 ❑ No one available for inspection:ime �.� ,Am/Pm %Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: " t T1Inspector: 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: 6 U KI Job Address: MZ -79- L Permit Number: LqDl 0213(O ❑ No one available for inspection: Time kl� Re -Inspection required: Yes No I When corrections have been made, ca I for re -inspection at 303-234- Date:- �'�r / Inspector: DO NOT REMOVE THIS NOTICE M 1* � 4 i CITY OF WHEAT RIDGE t� Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _ /&L4 f )UGI �410L Job Address: bi S f Permit Number: 26)1 y O 2 /3(,,;, ❑ No one available for inspection: Time 2 A PM Re -Inspection required: Yom' When corrections have been made, call for re -inspection at 303-234-5933 Date: �) Inspector: G DO NOT REMOVE THIS NOTICE r: I 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:V\dU- 6v-w1)c,1 NvJAb l b-WkU/ Job Address: _103_7S �&J 3`3 g9 AV k Permit Number: v 0 ❑ No one available for inspection: Time tC.> A Re -Inspection required Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: <� ' 1-7' ( � Inspector: _15 - DO NOT REMOVE THIS NOTICE City of Wheat Ridge V'10: Residential Remodel PERMIT - 201802136 PERMIT NO: 201802136 ISSUED: 08/07/2018 JOB ADDRESS: 10375 W 33rd Ave EXPIRES: 08/07/2019 JOB DESCRIPTION: SWO Residential remodel: Repair water damage and relocate bath fixtures in master bath. Replace fixtures on all bathrooms. Enlarge master bedroom from 2 small bedrooms. New electrical on other bedrooms. New basement plumbing underground, new 65k furnace, new A/C, new 200 AMP electrical panel; 2,900 sq ft total *** CONTACTS *** OWNER (303)517-9926 FRANK MEGAN GC (303)997-3411 Toby Frank 180232 Littleton Construction, LLC SUB (720)381-1767 Louis Stephens 140291 Absolute Electrical Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 59,189.00 FEES Total Valuation 0.00 Plan Review Fee 565.53 Use Tax 1,242.97 Permit Fee 810.05 Investigative Fees 60.00 ** TOTAL ** 2,678.55 *** COMMENTS *** *** CONDITIONS *** SWO Posting fee $60 added to permit. All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Residential Remodel PERMIT - 201802136 PERMIT NO: 201802136 JOB ADDRESS: 10375 W 33rd Ave JOB DESCRIPTION: SWO Residential remodel: Repair master bath. Replace fixtures on 2 small bedrooms. New electrical underground, new 65k furnace, ne sq ft total ISSUED: 08/07/2018 EXPIRES: 08/07/2019 water damage and relocate bath fixtures in all bathrooms. Enlarge master bedroom from on other bedrooms. New basement plumbing w A/C, new 200 AMP electrical panel; 2,900 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 perfpormed and that all work to be perQd..is.�iis losed in this document and/or its'ac panying approved plans and specifications. s , Signature of OWNER or CONTRACTOR (Circle one) Date r I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 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 : nce orgranti of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any app c e c e or an rdinance or regulation of this jurisdiction. Approval of work is subject to f eld 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 �`7`I heat d MUNITY DEVELOPMENT �,"� "" DECEIVED Building & Inspection Services Division 3 1 )018 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 P r _ Email: Permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: �2- '1/_ � Plan/Permit # � 1 13(,o 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: i 0 3 �7S 1� • 3 3 2 o A A= . Property Owner (please print): /LtC&1413 /1AJ-DrG- Phone: 303 - -11 7-qg 24, Property Owner Email: (vi FioE C (omA ► i- . c- o /',,A Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: 03 Architect/Engineer E-mail: �� L' C Phone: Contractor: k � �o'�St 2c�`cT�o�� (- L C City of Wheat Ridge License #: 11!2 & ,5� 3 �) . Phone: 30-3 -1; 7 -3z( I 0 Contractor E-mail Address: _M��/o �/Tt'L7U►��f-R'�' rT�C eai►-j For Plan Review Questions & Comments (please print): CONTACT NAME (please print): __TV ��" l`-� lf'- Phone: CONTACT EMAIL(p/ease print): _t'56YO CO-"t- Sub acti Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑COMMERCIAL�6SIDENTIAL Description of work: For ALL projects, 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. J��rCAtC5, 4VS)c L --Ws uAtAt-:ST r-lb-2T'.0o Y25:42S wrFf Iti3arwq- AT- rte--rW w,�► � r� ,Q -110 g4w, V rzCS COM G a 0�'4�� ASTEi2 J� A TT FAJCs4 e6' I-- ��2 e50----0aC0 M V7ff&7e 7-14c' As��►�t�C— A^& 1 r� SnM14a �E02o�ms U It`� �2� 2->Ou-a-� t'l'� •� -v-�u�-AGS'_ Sq. FULF Z/ ©� �� BTUs 6 V 'a Gallons Z0 �9�u � Amps .sr Squares 0� Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 5-0 IG-- 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: (O Signature (first and last name): Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMM NTS: plv� Reviewer: Q PUBLIC WORKS COMMENTS: Reviewer: M REPRESENTA DEPARTMENT USE ONLY of (OWNER) (CO TRACTOR) DATE: 3 OCCUPANCY CLASSIFICATION: 193 CONSTRUCTION TYPE: i Building Division Valuation: Sq/ ` O ti � 4 4( IV IV Vr City of Whl6at�idge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. This form will not be accepted with missing information. Project Address: 10 167 w, 3,3A pvt; Permit #: General Contractor: C,`ffultyt Gh vn, J Electrical Sub -Contractor Company Name: O�Y201U - OAtA *&JPhone #: State License #: CC • 00o-75 (-, i 720, 381. 1gtlq Master #: ME• o02q(og4 Wheat Ridy,4icense #: ND2.6t( (required Feld) Signature of Authorized Agent Plumbing Sub -Contractor Company Fame: State License #: Wheat Ridge License #: Signature of Authorized Agent Mechanical Contractor Company Name: Date Phone #: Master #• _(required field) Date Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date 1. SEEML Labs Analytical Solations For a Healthy Indoor Emionment SEEML Labs Asbestos Inspector in a Box 102 Edinburgh Court Greenville, South Carolina 29607 Phone: (864) 233-3770 Fax: (864) 233-6589 SEEML Reference Number: 180724008 -PLM The information and data for Megan Frank has been checked for thoroughness and accuracy. The following report is contained within this document: ® Bulk asbestos fiber analysis: EPA 600/M4-82-020 Interim Method for the Determination of Asbestos in Bulk Insulation ® Bulk asbestos fiber analysis: EPA 600/R-93/116 Method for the Determination of Asbestos in Bulk Building Materials Approved By: Shane SulTivan Date: 07/24/18 Thank you for choosing Southeast Microbiology Laboratories (SEEML). We strive to provide superior quality testing, analytical data and customer service. SEEML is accredited through the National Institute of Standards and Technology (NIST) National Voluntary Accreditation Program (NVLAP) for bulk asbestos analysis (NVLAP # 201031-0). Confidentiality Notice: The document(s) contained herein are confidential and privileged information intended for the exclusive use of the individual or entity named above. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or, copying of the document(s) is strictly prohibited. If you have received this document in error, please immediately notify us by telephone to arrange for its return. Thank you. Guidelines for Interpretation: A material is considered regulated asbestos containing material (ACM) where the asbestos content is determined to be one percent or greater. Several organizations, including the American Conference of Government Industrial Hygienists (ACG1H); the American Industrial Hygiene Association (AIHA); the Indoor Air Quality Association (IAQA); the United States Environmental Protection Agency (USEPA); the Centers for Disease Control (CDC) as well as the California Department of Health Services (CADHS) have published guidelines for assessment and interpretation of analytical data indicating a tested material is ACM. Interpretation of the data and information within this document is left to the company, who conducted the fieldwork. Wheat Ridge Form 16.0 Rev 5 11/28/17 1 of 2 SEEML Labs - Asbestos Inspector in a Box 102 Edinburgh Court, Greenville, SC 29607 SEEML 8*S Phone: 864-233-3770, Fax: 864-233-6589 www.seeml.com 1.11'-1—V`1%----- PLM Asbestos Bulk Sample Summary Client: Megan Frank 10375 W. 33rd Ave Wheat Ridge , CO 80033 Date Sampled: 07/16/18 Date Received: 07/24/18 Date Analyzed: 07/24/18 Date Reported: 07/24/18 Project Name: Megan Frank Analyzed by: Shane Sullivan Project Address: 10375 W. 33rd Ave Methodology: EPA/600/R-93/116 Without Gravimetry SEEML Ref#: 180724008 -PLM Regular/Split Layers Analyzed: 3/1 Lab No.: ASBESTOS % Non Asbestos % Other Material Description/ Location Client No.: 018A None Detected 5% Cellulose 95% Basement Ceiling 1 019A None Detected 2% Cellulose 98% Main Floor 2 0196 None Detected None Detected 100% Main Floor 2 020A None Detected None Detected 100% Joint Compound Main Floor 3 Approved by: Wgfae[Benios Approved Signatory: Rafael Berrios Disclaimer: The results reported relate only to the materials received and tested. The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. SEEML reserves the right to dispose of all samples after a period of thirty days, according to all state and federal guidelines, unless otherise specified. Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected the minimum detection and reporting limit is less than 1% unless point counting is preformed. Floor tile samples may contain lar of interference material and it is recommmended that the sample be analyzed by gravimetric point count analysis to lower the tection lirpit an o aid in asbestos identification SEEML NV Form 8.0 Rev. 6 Ow PZ611K ADVANCED ENGINEERING CONCEPTS, INC. 384 Park Court Castle Rock, CO 80104-1500 August 1, 2018 Littleton Construction, LLC 6698 South Iris Street Box 621246 Littleton, Colorado 80162 Attention: Toby Frank (303) 814-2308 FAX (303) 814-2317 Subject: Master Bedroom Remodel for Existing Residence 10375 West 33rd Avenue Wheat Ridge, Colorado Advanced Engineering Concepts, Inc. Job No. 18-0446 To Whom It May Concern: Michael L. Schneider, PE of Advanced Engineering Concepts, Inc. visited the subject site on July 2, 2018 to observe the existing residence. The purpose of the visit was to observe and evaluate the existing roof and floor framing at the Master Bedroom area for changes to some interior walls. Refer to the enclosed calculations and sketch for the framing modifications needed for this project. The recommendations are based on the 2012 IBC/IRC with a 30 psf roof snow load, 105 mph (nominal) wind speed and Seismic Category "B". Sincerely, ADVANCED ENGINEERING CONCEPTS, INC. Michael L. Schneider, P.E. city ai vvheat Ridge ADVANCED ENGINEERING CONCEPTS, INC. BY i li DATE SUBJECTl �If�{��riyi e'—'eT. SHEET NO. _ OF / CHKD. BY DATE�C� %�� J Y� �V� JOB NO. ADVANCED ENGINEERING CONCEPTS, INC. BY S DATE y1/a I9 SUBJECT/ /,1-4J /_/ r s SHEET NO. OF s CHKD. BY DATE �� =� � �' .� ✓r -- � ,wi V-1- JOB NO. C 14360 MP - � �71G-lI1- ��r� %'311 �RPDO L/CF� 14360 MP city of Wheat Ridge City of See attached list for additional requirements that Wheat -j�iclge may apply to this project. COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Review is limited to the contents of the plans submitted and any errors or omissions contained herein shall not be construed as permission to allow any conditions to exist in violation of the codes of the City of Wheat Ridge Rough Framing and Wood Requirements 1 The complete rough inspection is to be made after the rough framing, rough electric, rough plumbing, and rough heat and ventilation are complete. The building should be fully enclosed with the roof covering and siding in place. 2 Fire blocking shall be installed to cut off all concealed draft openings in the following locations: (IRC 302.11) A. In concealed spaces of stud walls and partitions, including furred spaces, vertically at the ceiling and floor levels, and at 10 -feet horizontal intervals. B, At interconnections between concealed vertical and horizontal spaces such as occur at soffits, drop ceilings, and cove ceilings. C. In openings around vents, pipes, ducts, cable, wires, chimneys, fireplaces, and similar openings that afford a passage for fire at ceiling and floor levels. D. In concealed spaces between stair stringers at the top and bottom of the run, and between studs in line with the run of the stairs at unfinished walls. 18 There shall be a floor or landing on each side of each exterior door, except where a stairway with 2 or fewer risers located on the exterior side of the door, other than the required exit door, a landing is not required for the exterior side of the door. The landing must be no lower than 73/ -inches below the top of the threshold of the door provided the door does not swing over the landing. (IRC R311) 19 Stairways must be at least 36 -inches in width. Handrails shall not project more than 4% -inches. The maximum rise may not exceed 7% -inches. The minimum tread depth may not be less than 10 -inches. Minimum headroom is 6 -feet, 8 -inches. For stairways with solid risers a nosing of %-inch to 1% -inches shall be provided. When open risers are used the opening between the treads shall not allow the passage of a 4 -inch sphere to pass through. Landings must be provided at the top and bottom of the stairway that is the width of the stairway measuring at least 36 -inches in the direction of travel. Handrails shall be provided on at least one side of stairways with 4 or more risers and ramps with a slope exceeding 1:12. Handrails shall be mounted 34 -inches to 38 -inches above the nosing of the treads. Handrails must be continuous for the entire length of the stairs and provided with a minimum space of 1% -inch between the wall and the handrail. Ends shall be returned or terminate in newel posts or safety terminals. See the requirements and more information. (IRC R311.7.8.2) 20 Handrail Grip Size Shall Be:A. Circular Handrails: 1% -inch to 2 -inches perimeter. B. Non -Circular: 4 -inches to 6% -inches perimeter with a maximum cross section of 2% -inches. C. Perimeter Dimension Greater than 6% - inches: shall have a finger recess on both sides. 21 Guards must be provided for porches, screened porches, balconies, fixed seating and r0spd fId6r..$A,@ces "", more than 30 -inches above the floor or grade below. Guards must have a minimum heighof 36'. ches. 0 en sides of stairs with a total rise of more than 30 -inches above the floor or grade below shall hill ards` # I ss than 36 -inches high. Intermediate rails shall not allow the passage of a 4 -inch sphere. (11312) Window fall protection must be provided for window openings less than 24 inches above the finished floor and more than 72 inches above grade or surface below. (R312.2) 22 Safety glazing shall be installed in the following hazardous locations and be permanently labeled as safety or tempered glazing: glazing panels in doors; glazing enclosing spas, bathtubs or showers; glazing panels adjacent and within 24 -inches of the edge of a door; glazing panels greater than 9 square feet within 18 -inches of the floor; glazing used for railings; glazing used for barriers for swimming pools and spas; and glazing enclosing stairways, landings, and ramps within 36 -inches horizontally of a walking surface. See the Boulder County Land (IRC R308) Heating and Ventilation Requirements 32 Bathroom exhaust fans shall exhaust directly to the exterior and must be provided in bathrooms where windows of at least 3 square feet are not provided. The mechanical ventilation must be capable of providing an exhaust capacity of 50 cfm intermittent or 20 cfm continuous exhaust. (IRC R303.3, M1507.4) 33 Appliances and equipment shall be installed in accordance with the conditions of their listing. Manufacturer's installation instructions must be available at the time of the inspection. (IRC G2408.1, M1307.1, M 1401.1,(M 1902.2) 34 Appliances shall be accessible for inspection, service, repair and replacement without removing permanent construction. 30 -inches of working depth and width shall be provided in front of the control side of an appliance. (IRC M1305.1) 35 Combustion air is required for all liquid fuel, solid fuel and gas appliances. (IRC M1701.1, G2407) Electrical Requirements 36 All hot, neutral, and grounding conductors in electrical boxes shall be tied together with a mechanical connection at the time of rough inspection. 37 Recessed lighting fixtures must either be IC -rated or installed in a sealed box in which the insulation is at least 3 -inches from the light fixture. All recessed lights must be tightly sealed or gasketed to prevent air leakage through the fixture into the ceiling cavity. (IRC N1102.4.5) 47 Tamper -resistant Receptacle outlets are required in every kitchen, family room, dining room, living room, parlor, library, den, sunroom, bedroom, recreation room or similar dwelling areas spaced so that no point along the wall line exceeds 6 -feet from an outlet. (IRC E3901, E3902, and 4002.1-4002.14) City c„ 48 Counters 12 -inches in width or wider shall have receptacles placed no more than 20-incrs%eMi�%e counter top and spaced so no point exceeds 24 -inches from an outlet. B. Island and peninsursh length at least 24 -inches and a width of 12 -inches or greater must be equipped with at least one outlet: least one receptacle shall be installed in a bathroom within 36 -inches of each basin. 49 At least one receptacle outlet must be installed in each laundry, basement, attached garage and detached garage with power. E. At least one receptacle outlet that is accessible while standing at grade level and located not more than6-feet, 6 -inches (1981 -mm) above grade, shall be installed outdoors at the front and back of each dwelling unit having direct access to grade. Balconies, decks, and porches that are accessible from inside of the dwelling unit and that have a usable area of 20 square feet. F. Attics or crawlspaces containing equipment must be provided with at least one receptacle outlet within25-feet of the equipment. G. Hallways 10 -feet or more in length. 50 Two 20 -amp rated branch circuits shall serve receptacles in the kitchen, pantry, breakfast area, and dining area. At least one 20 -amp branch circuit shall supply bathroom receptacles and at least one 20 -amp branch circuit shall supply laundry. (IRC E3703.2, E3703.3, E3901) 51 Ground fault protection shall be provided on all 125 -volt, single phase, 15 and 20 -amp receptacles in the following locations: bathrooms, garages, unfinished grade level accessory buildings, at exterior locations, crawlspaces, unfinished basements, kitchen counters, within 6ft. of laundry, utility and wet bar sinks, boathouses, hydro massage, spa and hot tub locations. Receptacles must be in a readily accessible location. (IRCE3902, E3902.11) 50 Combination type Arc -Fault circuit interrupters must be installed on all 120 -volt 15 and 20 -amp branch circuit outlets in Receptacle outlets are required in every family room, dining room, living room, parlor, library, den, sunroom, bedroom, recreation room, hallway, closets, and similar dwelling areas. (IRC 3902.12) 51 At least one wall switch -controlled lighting outlet shall be installed in every habitable room, bathroom, hallway, (10ft) stairway, attached garage, detached garage with electric power, and at the exterior side of each outdoor egress door having grade level access. Attics, under floor spaces, utility rooms and basements containing equipment or used for storage must be provided with a switch 52 Smoke alarms shall comply with UL 217. Smoke alarms are to be powered by the building's wiring operated light. (IRC E3903)with battery backup and shall be interconnected so the actuation of one alarm will activate all alarms in the dwelling unit. Smoke alarms shall be installed in the following locations: (IRC R314) A. In each sleeping room; B. Outside each sleeping area in the immediate vicinity of the bedrooms; and C. One on each additional story including basements. 53 Carbon Monoxide alarms are required in a single-family dwelling that has fuel -fired appliance(s), or a fireplace, or an attached garage. The alarm must be installed within 15 -feet of the entrance to each sleeping room. Must be listed by a nationally recognized, independent lab. Plugs into a dwelling's electrical outlet and has a battery backup. They may be combined with a smoke -detecting device if the combined device complies with applicable law. (IRC R315) 54 Clothes closet lighting shall be limited to surface -mounted or recessed incandescent fixtures with completely enclosed lamps, and surface -mounted or recessed fluorescent fixtures.Surface mounted fixtures shall installed on the wall above the door or on the ceiling with the following clearances between the ' tuE� and nearest point of a storage space: (IRC E4003.12)A. Incandescent fixtures or LED shall have a mi imum 12 -inch clearance. B. Fluorescent fixtures shall have minimum 6 -inch clearance. Recessed fixtures shall elp ns a e n the wall or ceiling with the following clearances: A. Recessed incandescent fixtures shall have a �jimufh 6'� ,n inch clearance to the nearest point of storage. B. Recessed fluorescent fixtures shall have a minimu clearance to the nearest point of storage. 55 Working space must be provided around energized equipment for servicing and maintenance. The minimum dimensions shall not be less than 36 -inches in depth and 30 -inches in width in front of the equipment. Working space shall extend to at least 6 -feet, 6 -inches above the floor. (IRC E3405.2) 56 Electrical fixtures installed in wet or damp locations shall be installed so that water cannot enter or accumulate n wiring compartments or other electrical parts. Fixtures installed in wet locations must be labeled "suitable for wet locations". Fixtures installed in damp locations must be labeled "suitable for damp locations" or "suitable for wet locations". Switches or circuit breakers located in wet locations or outdoors must be enclosed in a weatherproof enclosure. Outdoor receptacles must have a weatherproof enclosure and an in -use cover. Cord -connected fixtures, hanging fixtures, track lighting, pendants, and ceiling fans shall not be located within3-feet horizontally and 8 -feet vertically from the top of a tub or shower rim. (IRC E4003.9, E4002.8, E4002.9,(E4002.10, E4003.9, E4003.10,E4003.11) Plumbing Requirements 58 DWV systems shall be tested on compellation of the rough piping installation by water or for piping system other than plastic by air with no evidence of leakage. Either test shall be applied to the drainage system in its entirety or in sections after rough piping has been installed .1) Water test 10 feet above the highest fitting connection or to the highest point of the completed system. The system shall prove leak free for 15 minutes. 2) Air test shall maintain 51bs of pressure for 15 minutes. 59 Piping must be inspected and tested prior to concealing. It shall be protected against physical damage and it must be approved for use and bear the identification of the manufacturer. (IRC P2503, P2603, P2608.1) 60 Bathtubs, walls above bathtubs with shower heads, shower floors, and shower compartments shall be finished with a non-absorbent surface which extends to a height not less than 6' above the floor. Showers must have a minimum 900 square inches of interior area and a minimum dimension in each direction of 30 -inches. Shower valves must be pressure balance/thermostatic mixing valves. Shower receptors shall have a curb threshold not less than 1 -inch below the sides and back of the receptor. The curb shall measure a minimum of 2 -inches to a maximum of 9 -inches above the top of the drain. (IRC R307, P2708, P2709) 61 The centerline of toilets or bidets shall not be less than 15 -inches from adjacent walls or tub. Toilets, bidets, and lavatories must have a minimum clear space of 21 -inches in front of the fixture. Lavatories require a 4 -inch clearance to wall or to a toilet. (IRC P2705) 62 Showers and tub/shower combinations shall have control valves of the pressure balance, thermostatic mixing or combination pressure balance/thermostatic mixing valve types with high limit stop per ASSE 1016 or CSA13125.1. Tubs shall also have a control valve as listed for a shower or a water -temperature -limiting device that conforms to ASSE 1070. The high limit stop for a device shall be set to a maximum of 1200. (I P2708.3,P2713.3) oily r 63 Shower doors shall have safety glazing; hinged show door shall open outward. (R308.4.5, 4708.11 Ridge 64 Backflow prevention must be provided to prevent contamination of potable water. This incluNkQbur limited to: hose connections, irrigation systems, boilers, solar systems, fire sprinklers, and dishwashers. Backflow device must be inspected and approved by a P party agency. (IRCP2902.2, Table P2902.3, P2717) Insulation 65 R-20 Walls R-49 Ceiling R-19 Crawlspace Window U -Factor .32 Floor R-30 66 Supply Ducts in attics shall be insulated to a minimum of R-8. All other ducts shall be insulated to minimum R-6. ( N 1103.2. 1) 67 Combustible insulation shall be separated a minimum of 3 -inches from fan motors and heat -producing devices. Insulation shields must be provided where vents pass thorough insulated assemblies and must terminate at least 2 -inches above attic insulation materials. Can lights must be airtight if located in the building envelope. (G2426.4) Class I or II vapor retarders are required on the interior side of the insulation in framed walls, floors and roof/ceilings of the building's thermal envelope. The vapor barrier is not required in construction where moisture or freezing will not damage the materials, or where the framed cavity (or space) is ventilated to allow moisture to escape. A vapor retarder is not recommended on a concrete basement foundation wall or in a shower /bath compartment (IRC 702.7, R702.7.1). Wallboard Requirements 68 The garage shall be separated from the residence and its attic by materials of not less than %-inch gypsum board applied to the garage side. Garages beneath habitable rooms shall be separated from all habitable rooms above by not less than 5 8 -inch Type X gypsum board. Where the separation is a floor -ceiling assembly, the structure supporting the separation shall also be protected by not less than %-inch gypsum board. (IRC R302.6) Openings between the garage and residence shall be equipped with solid wood doors not less than 1 -inch in thickness, solid or honeycomb core steel doors not less than 1 -inch thick, or 20 -minute fire -rated doors. Openings are prohibited between garages and rooms used for sleeping. (R302.5.1 )Doors between attached garages and living space shall be weather stripped to the degree necessary to make them airtight and shall be self-closing and self -latching. 70 Nail spacing for gypsum board Y2 gypum board Ceiling 16oc, 7", nails 12", Type S screws 'h wall spacing 24"OC, 8" nail spacing. 12"OCscrews. 5/8 ceiling board 16"OC, 7"nailsI2"spacing, screws 240C 8". 72 Water-resistant gypsum backing board used as the base or backer for adhesive application of ceramic tile or other required nonabsorbent finish material shall conform to ASTM C1396, C1178 or C1278. It is permitted on ceilings where framing spacing does not exceed 12 -inches o.c. for %-inch thick or 16 -inches o.c. for 5 8 -inch thick gypsum board. Water-resistant gypsum board shall not be installed over a vapor retarder !i shpwer bi tub compartment and may not be used where there will be direct exposure to water, or in are.`s of contin'uot high humidity. All cut and exposed edges shall be sealed. (IRC R702.3.8) Kj'lleatRidge vz� Lkl4a ?" � CA"M06F A--T- V /V) L L40CXT 6" s ic) 4el(O-H -7f Barg{ Y\,Jo — - vqt�) • E&asf WIVOOVJJ- sl4tc- earnAliv Wrr'k 9D -10-CO3 W0914 �201Z IAC zo I*) NEC r 1-Z s w own).* ofpft- sp-okso— aw ccmoutoft� ~wt b, a pv~ fix Opp—,.# el ow -ko— to mom of or pmswn.W 0 #iW fighOKEY 90 "WM Of OWKe tPw Wvmft- Of "W &OA&V ---------------------------- �f "-45N�TICV- 1, -Lc 7 - LC:) OCIP2-, i .44 50 t -CEIVED Sl - L -t A 44 C-1 iiD �^�l� � --.� �-'^__�-may _..__ ` ��i�, �/ � ' __�_r___.__�_. _�__.___. �_.___...__s.�___.__ 02 7 5- c5a-&3 T(L MAItO 6�D ScD(�,2 303 City of Wheat Ridge Building Divison Vt Coe OC9 0 1 y_ - t --74- o r (, -Rt HIA t 4-T T rt rnnra q/ Lc)x iZ, ( 6_79/Z 00 04"Y'C-5 '17 City of ity c4 Wheat Ridge ui g iv.,o CftildingDivison A A r Y-) PA,/ I r -b I c) (C)tI'Y? �Z- 1 1.2 6A, 151 tj6iJ ire 2- Z 7 City cal Wheat Ridge ilding Di"151 ��7�5101� tl()3?y 1A/, 33wl1NSPECTION RECORD Occupancy/Type 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 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 Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Ins actions 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. ..! WWW V.,ILayc pernt us — riease ue. sure mat 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 ► A f City of Wheat Ridge Residential Roofing PERMIT - 201705019 PERMIT NO: 201705019 ISSUED: 07/28/2017 JOB ADDRESS: 10375 W 33rd AVE EXPIRES: 07/28/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with ROOF DECKING - 27.33 sq. *** CONTACTS *** OWNER (303)655-9864 CAMPBELL CARMELINE D TRUSTEE SUB (303)772-5700 David Prestwich 160236 Stone Creek Roofing & Exterior *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,158.97 FEES Total Valuation 0.00 Use Tax 192.34 Permit Fee 204.30~-- ** TOTAL ** 396.64 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705019 PERMIT NO: 201705019 ISSUED: 07/28/2017 JOB ADDRESS: 10375 W 33rd AVE EXPIRES: 07/28/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II asphalt shingles with ROOF DECKING - 27.33 sq. 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 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 document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit 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 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 inspeytions..and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Divisi . . 6. The issua ratitinot be construed to be a permit for, or an approval of, an violation of any provision of any applica o di tion 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 ( 7� vl From: no-reply@ci.wheatridge.co.us Sent: Thursday, July 20, 2017 10:41 AM To: CommDev Permits V 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 c 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? W16 � �,p , 7/t I/ 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 10375 West 33rd Place Bill Campbell 3036559864 Field not completed. I� Do you have a signed No contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Stone Creek Roofing & Exteriors 3037725700 Contractor Email Address danielle@stonecreekroofing.com Retype Contractor Email Address DESCRIPTION OF WORK danielle@stonecreekroofing.com Are you re -decking the Yes roof? Description of Roofing GAF Armorshield II Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 27.33 material selected above? Does any portion of the No ✓ property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 27.33 (pitched + flat) of all roofing material for this project K Provide additional detail Replace entire roof on dwelling per contract specifications and here on the description of building code. Predominant Pitch =4/12 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract —434.4-&1-- c 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 Tika Stoddard Email not displaying correctly? View it in your browser. 3 STONE CREEK ROOFING & EXTERIORS We treat your home like it's our own.- stonecreekroofing.com 1567 Skyway Drive, Unit A Longmont, CO 80504 303-772-5700 Office 303-265-9479 Fax P ert Ow r.• Date: Property Address: Insuran e Carrier & Claim ,a# City, tate, Zip: Project Min PMs Phone #. Main one: Alternate Phone: ProjectManager's Email. - Property Owner's Email: PAFS Supervisor; Supervisor's Phone #. Work to be completed as follows; ,�9ermit Furnished, Jurisdiction: c,j- dosed Valleys M?ar off #layers of composition layers of cedar ❑Remove Satellite �'n pect Decking ❑ Install Decki g `stall Drip Edge, Color �,�t�\ �� Eaves Rakes stall Ice & Water Shield Os4alleys ,saves ❑Install 30# Felt L� Install Synthetic Underiayment ,-'g hingle Manufacturer i?PhingleType C,Q Shingle Color / Q� Ridge Cap_ -6anufacturer's Warranty Special Instructions/ Additional W ❑ Open Valleys ❑ Reinstall Satellite l�patall Rubber Pipe Jacks ❑ Install Furnace Caps (Ninstall Turtle Vents, Color-< j 'APaint Pipe Jacks & Turtle Vents to match step Flash Sidewalls, Color +r �Ittep Flash Chimney Tarp and cover property and yard, as needed Clean Up & Remove Trash L�"Clean Out Gutters Sweep Yard with Magnet bII work to be completed per applicable building codes 6tone Creek Roofing Five Year Labor Warranty 4S -tone Creek Roofing $1,000,000 Liability Insurance Work to be completed according to the above specifications in the amount of: Stone Creek Roofing & Exteriors shall hold in trust any payment received fi-om you until Stone Creek Roofing & Exteriors has delivered roofing materials to the site or has performed a mgjority of the roofing work on your property. **In addition to the above amounts, any and all supplements billed on behalf of Stone Creek Roofing & Exteriors, and approved by the Insurance Carrier, will become part of the contract and will be paid to Stone Creek Roofing & Exteriors in addition to contract amount stated above. Code requirements: all work will be done according to applicable building codes. All work completed as required by applicable building codes will be billed to Insurance Carrier. Any costs associated with building code requirements not covered by the Insurance Carrier will be the responsibility of the Property Owner. PO Initials: %/•r G Dater 1_L�l' SC RE Initials: Date: J �'( Page 1 of 3 STONE CREEK ROOFING & EXTERIORSmomw . We treat your home like it's our own:' i - stonecreekroofing.com 1567 Skyway Drive, Unit A Longmont, CO 80504 303-772-5700 Office 303-26S-9479 Fax • j�Y-Wpproximate dates) for contracted work to be completed. �� ANote: the listed dates of service are approximate and not a guarantee and ma be amended based on weather, material availability, property owner's request for delay, or other unforeseen delays. * 1.4 ` tone Creek Roofing & Exteriors liability insurance held by: Western Pacific Insurance, 10397 W Centennial Rd, Littleton, CO 80127. Insurance agent is L.A. Rowe, 829 Main Street, Longmont, CO 80501, phone 303-684-9034. WProperty Owner is is not intending to make payment from the proceeds of a property and casualty insurance p cy. •AL_"ffiinsurance proceeds are to be used to pay for the contracted work, Stone Creek Roofing & Exteriors cannot pay, waive, or rebate all or part of the insurance deductible applicable to the insurance claim for work to be completed. �/ • perty Owner has the right to rescind this contract and obtain a full refund of any deposit within 72 ho s after entering into the contract. Refund of any deposits or payments following rescission of this contract will be made within 10 days of rescission. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the property and casualty insurer that your claim has been denied in whole or in part. However, Stone Creek Roofing & Exteriors is entitled to retain payments or deposits to compensate Stone Creek Roofing & Exteriors for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Stone Creek Roofing & Exteriors is also entitled to compensation for costs incurred for any custom or non -returnable materials that may have been ordered prior to any contract rescission. Down Payment: $, (_Date: SCRE Initial: I (We) agree, by signing below, to all the contract conditions on all pages ofthis agreesrent. Page 2 of 3 1. All Contracts are subject to approval by Stone Creek Roofing & Exteriors management. 2. Contract price is valid for sixty (60) days. 3. Stone Creek Roofing & Exteriors reserves the right to perform specified work in accordance with generally accepted roofing and construction guidelines, while adhering to local codes in effect at the time of contract. 4. All checks must be made payable to: Stone Creek Roofing & Exteriors. 5. All excess materials remain the property of Stone Creek Roofing & Exteriors. 6. Property owner is responsible for Home Owner's Association approval of roofing products and colors. 7. For the purposes of this contract, completion of work is defined as installation of roofing materials completed in accordance with this agreement. 8. Property owner acknowledges Stone Creek Roofing & Exteriors as a general contractor, and as such Stone Creek Roofing & Exteriors will be entitled to ten percent (10%) overhead, and ten percent (10%) profit, if approved by the insurance company, as part of the claim. 9. An account is defined as past due when 30 days have elapsed from the date of completion of work. Past due accounts will earn interest at a rate of ten percent (10%) per month. In addition, if Stone Creek Roofing & Exteriors is required to turn the matter over to an attorney for collection, the property owner also agrees to pay all costs incurred, including attorney's fees. 10. Should default of payment occur on this contract, Stone Creek Roofing & Exteriors reserves the right to place a mechanic's lien on contract property. 11. Stone Creek Roofing & Exteriors shall not be held liable for failure of performance due to labor controversies, strike, fire, hail, weather, inability to obtain material from usual source, or any other circumstance beyond the control of Stone Creek Roofing & Exteriors. 12. Our standard workmanship warranty for roofing is five (5) years, and one (1) year for all other work, however, the company will provide a service call for roof inspection, as long as property owner still owns the property. 13. Stone Creek Roofing & Exteriors is not responsible for any leaks or water damage below the roof line caused by excessive wind, ice, or hail during the period of the warranty, 14. A property owner has the right to rescind this contract pursuant to SB38 Section 6-22-104 of Article 22, Title 6, Colorado Revised Statutes. 15. Stone Creek Roofing & Exteriors will not be held responsible for slight scratching or denting of gutters, droplets of oil in the driveway, cracks in concrete, or damage to plants and trees. Furthermore, Stone Creek Roofing & Exteriors will not be held responsible for exterior damages such as deteriorated: crown molding, stucco, solar panels, evaporative coolers, siding, existing skylights, or interior damage such as falling dust and debris, cracked plaster, sheet rock or nail pops, as a result of normal re -roofing. 16. Replacement or repair of the deteriorated decking, fascia boards, swamp cooler, ventilators, chimneys, counter flashing, or any other work completed for the property owner not explicitly stated in this contract, are not included in quoted price and will be charged as extra on a time and material basis. PO Initials:_" 4A Date: As CRE Initials: Date: 1 Page 3 of 3 s: 1567 Skyway Drive, Unit A Longmont, CO 80504 STONE CREEK ROOFING & EXTERIORS303-772-5700 BBB Office MW 303-265-9479 Fax We treat your home like it's our own." stonecreekroofing.com m� °� a n ' 1. All Contracts are subject to approval by Stone Creek Roofing & Exteriors management. 2. Contract price is valid for sixty (60) days. 3. Stone Creek Roofing & Exteriors reserves the right to perform specified work in accordance with generally accepted roofing and construction guidelines, while adhering to local codes in effect at the time of contract. 4. All checks must be made payable to: Stone Creek Roofing & Exteriors. 5. All excess materials remain the property of Stone Creek Roofing & Exteriors. 6. Property owner is responsible for Home Owner's Association approval of roofing products and colors. 7. For the purposes of this contract, completion of work is defined as installation of roofing materials completed in accordance with this agreement. 8. Property owner acknowledges Stone Creek Roofing & Exteriors as a general contractor, and as such Stone Creek Roofing & Exteriors will be entitled to ten percent (10%) overhead, and ten percent (10%) profit, if approved by the insurance company, as part of the claim. 9. An account is defined as past due when 30 days have elapsed from the date of completion of work. Past due accounts will earn interest at a rate of ten percent (10%) per month. In addition, if Stone Creek Roofing & Exteriors is required to turn the matter over to an attorney for collection, the property owner also agrees to pay all costs incurred, including attorney's fees. 10. Should default of payment occur on this contract, Stone Creek Roofing & Exteriors reserves the right to place a mechanic's lien on contract property. 11. Stone Creek Roofing & Exteriors shall not be held liable for failure of performance due to labor controversies, strike, fire, hail, weather, inability to obtain material from usual source, or any other circumstance beyond the control of Stone Creek Roofing & Exteriors. 12. Our standard workmanship warranty for roofing is five (5) years, and one (1) year for all other work, however, the company will provide a service call for roof inspection, as long as property owner still owns the property. 13. Stone Creek Roofing & Exteriors is not responsible for any leaks or water damage below the roof line caused by excessive wind, ice, or hail during the period of the warranty, 14. A property owner has the right to rescind this contract pursuant to SB38 Section 6-22-104 of Article 22, Title 6, Colorado Revised Statutes. 15. Stone Creek Roofing & Exteriors will not be held responsible for slight scratching or denting of gutters, droplets of oil in the driveway, cracks in concrete, or damage to plants and trees. Furthermore, Stone Creek Roofing & Exteriors will not be held responsible for exterior damages such as deteriorated: crown molding, stucco, solar panels, evaporative coolers, siding, existing skylights, or interior damage such as falling dust and debris, cracked plaster, sheet rock or nail pops, as a result of normal re -roofing. 16. Replacement or repair of the deteriorated decking, fascia boards, swamp cooler, ventilators, chimneys, counter flashing, or any other work completed for the property owner not explicitly stated in this contract, are not included in quoted price and will be charged as extra on a time and material basis. PO Initials:_" 4A Date: As CRE Initials: Date: 1 Page 3 of 3 1® A� O CERTIFICATE OF LIABILITY INSURANCE DaT6/9/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER L A ROE AGENCY INC CONTACT NAME: P"cN (303)684-9034 ac No ; (303)684-9046 A UREss: lar!y(@-Iaroeagency.com 829 Main Street #2 INSURERS AFFORDING COVERAGE NAIC q Longmont, CO 80501 _ _ INSURERA: Western Pacific TO 111TE DAMAGE SES a occu ante $ 100,000 PREM INSURED INSURER B: Kemper Specialty Stone Creek Roofing & Exteriors INSURERC: INSURER D : c/o: David Prestwich { Vl O c, _ INSURER E__ 1567 Skyway Drive, .Ste. 1 INSURER F: Longmont, CO 80504 rnVFROr,FR CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DD EFF MM/DPOLID EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y M000303098-000 6/7/2017 6/7/2018 EACH OCCURRENCE $ 1,000,000 TO 111TE DAMAGE SES a occu ante $ 100,000 PREM MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE0. D LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO X AUWNED TOS ONLY X AUTOSULED XHIRED V NON -OWNED AUTOS ONLY /� AUTOS ONLY Y CCAPCR3805415 4/1/2017 4/1/2018 Ea accl d..INEDSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident C UMBRELLA LIAB EXCESS LtAB HCLAIMS-MADE OCCUR Y EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate Holder is listed as Additional Insured. CEK7 IFIGA I E HULUtK LHIYI.CLLM I IUI9 City of Wheat Ridge 7500 W 29th Ave Wheat Ridge, CO 80033 (303)235-2855 Fax(303)237-8929 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 19$a-6015 ACORD CORPORATION. All riahts reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD A�CORo® CERTIFICATE OF LIABILITY INSURANCE °07/28/2017 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Pinnacol Assurance 7501 E Lowry Blvd(A/C, Denver, CO 80230-7006 CONTACT NAME: PHONE FAX No Ext): A!C No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC V INSURERA: Pinnacol Assurance 41190 INSURED INSURER 8 Stone Creek Roofing &Exteriors 1567 Skyway Drive Unit A r� � INSURER C CLAIMS -MADE OCCUR J Longmont, CO 80504 INSURERD: INSURER E: INSURER F : DAMAGE TO RENTED PREMISES Ea occurrence S CC)VFRAGFS CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE �ADDLISUBRi I INSD WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ CLAIMS -MADE OCCUR J DAMAGE TO RENTED PREMISES Ea occurrence S MED EXP (Any one person) $ _ PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PERS GENERAL AGGREGATE $ POLICY " PRO - __J JECT LOC PRODUCTS -COMP/OP AGG $ $ OTHER: ( AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 80DILY INJURY (Per accident) $ PROPERTYDAMAGE $ Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY(Per." $ I UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB I i 1 ; CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IOFFCERIMEMB REXCLUDED?ECUTIVE � (Mandatory in NH) I If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4140579 07/01/2017 j 07/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 j I i DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Unless otherwise stated in the policy provisions, coverage is in Colorado only. Excluded (If any) : David B Prestwich, David B Prestwich CERTIFICATE HOLDER CANCELLATION 1819678 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Wheat Ridge THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7500 W. 29th Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Wheat Ridge, CO 80033 AUTHORIZED REPRESENTATIVE CINI/Ingmire Phillips Insurance O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD l t 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: �'' I J /1 v C Permit Number: ❑ No one available for inspection: Time C=/PM Re -Inspection required: Yes 4�y) When corrections have been made, call for re -inspection at 303-234-5933 Date: ` > ��Sl! Inspector DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 'Z-'? Job Address: j 7? < <� v Permit Number: f - ❑ No one available for inspection: Time AM/EM Re -Inspection required: Yes �ld When corrections have been made, c, spectio"t 303-234-5933 Date: �� Inspector: % �f/�;� DO NOT REMOVE THIS NOTICE ❑ No one available for inspection: Time . A /ISM `} Re- Inspection required: Yes NO ♦ At CITY OF WHEAT RIDGE Building Inspection Division J (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type 8,16 Job Address ___�� ; � p 4v45 Permit Number Af® G ❑ No one available for inspection: Time i o` ?0 AM/ Re- Inspection required: Ye No *When corrections have been made, call for re- inspection at 303- 234 -5933 Date: In s pect r: DO NOT REMOVE THIS NOTICE ' City of Wheat Ridge ZONE CODE: UA USE: r 400 0 r - Residential Plumbing PERMIT - 110706 PERMIT NO: 110706 ISSUED: 06/20/2011 JOB ADDRESS: 10375 W 33RD AVE EXPIRES: 06/19/2012 DESCRIPTION: Replace 801f of sewer line in yard and ROW * ** CONTACTS * ** owner 303/202 -1992 Carmelin Campbell sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0646 BLOCK /LOT #: 0/ ** FEE SUMMARY ** Permit Fee Total Valuation Use Tax ** TOTAL ** Conditions: Subject to field inspections. ESTIMATED PROJECT VALUATION: 3,395.00 FEES 109.20 .00 61.11 170.31 ,�A/ ZfJ, 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 document � ,* s' accompanying approved plans and specifications., t apo S i gnat draCf,,,W093NER or CONTRACTOR (Circle one) - Date I 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 ol any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fie i p qn. Signatur f CVef 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. W heat ` � Date: COMMUNITY DEVELOPMENT 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 pro eYtygdtlKessa )Q175 i,N• 33 ° /EVE Property Owner (please print): Cao ME4.l N GA &t h Phone: 3 ^ 2j%Z J44 Z Mailing Address: (if different than property address) Address: 5,4 / City, State, Zip: !P : Alfi -�I n e `�� /_o k-:� ? ?Pp ca eD l 37 Contractors City License #: Phone: _ q 6 4S 9 9 �uu;�uynxracrorss Electrical Plumbing: Mechanical: City License # City License # City License # De V b `�.. .�.)J . Contra t Value: l�-V v1 1� s 3 �3 9 j 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. CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: _ � � C AP Pt -O s SIGNATURE: � DATE: 0 tiZONING COMN �}Z Rev ro y r BUltpJNG DEP, F �PU�BLIC WOR1C�' Ra, 1= IREUEPARTN Bldg Valuation: F` :JOB INFORMATION BILLING: INFORMATION NAME cA .:V c k t , m + t y NAME ADDRESS a A ! ADDRESS CITY �" STA�TE� ZIP CITY STATE ZIP PHONE J PHONE DESCRIPTION OF SERVICES .:ESTIMATE 5e� Ak'Li DATE _ ,0 JOB # ESTIMATOR K ii E CALL ORIGIN 'ICEMAN PO # :JOB INFORMATION BILLING: INFORMATION NAME cA .:V c k t , m + t y NAME ADDRESS a A ! ADDRESS CITY �" STA�TE� ZIP CITY STATE ZIP PHONE J PHONE DESCRIPTION OF SERVICES .:ESTIMATE 5e� Ak'Li FCE P^At� 05� I '-a l �v . y � n 1 /y �� 0� -� 1 1/1fk u I P ❑ WARRANTY Terms of Warranty: APPROVAL KO iT lil P :Yf37 fil �9CN11_ \(17:11 `I THOS AMOUNT ITEMS NOT INCLUDEDm Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave -ins or any other complications. ACCEPTANCE TERMS. Job INVOICE Job cancellation fees will apply. Invoices are payable -1/2 down and balance upon SIGNATURE completion of work performed. Any invoice not paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance ❑ VISA ❑ M/C ❑ AMEX owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including CARD # EXP reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's lien for all unpaid materials and Iaborsupplied to building projects pursuant to Colorado law. APPROVAL # ❑ CASH ❑ CHECK# SIGNATURE CHARGE A/R ACCOUNT# ♦ i CITY OF WHEAT RIDGE � Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: �P,6 -c Job Address: 10 ?7 r' L), Z ,i,lP . Permit Number: 0'?040 l�• ❑ No one available for inspection: Time T s `OD AMLry Re- Inspection required: Yes tft "When corrections have been made, call for re-inspection at 303 -234 -5933 , Date: Inspector: �Mg 7 . `' 1 DO NOT REMOVE THIS NOTICE ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: M I D G Job Address: 103`75 L 33 ph A U Permit Number: Oq ) () ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, call f re spec " n at 303-234-5933 Date: A i — Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 091290 PERMIT NO: 091290 ISSUED:. .08/13/2009 JOB ADDRESS: 10375 W 33RD AVE EXPIRES: 02/09/2010 DESCRIPTION: T/o: Install 24 sgs..30 yr GAF ..Elk - ***.CONTACTS:.*** owner 303/202-1992 Carmeline Campbell gc .303/450-5.247 :James Mosel 08-0268 Trinity Roofing **PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0646 - BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,248.00. FEES Permit Fee 144.70 Total Valuation .00 `Use Tax 76.46 51 **.'.TOTAL °221.16 Conditions: 6' nail installation mid-.roof inspection . required. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on 'entire roof. Ice.. and water shield required from-eave edge to 2'.'inside exterior walls..' I hereby. certify that the setback distances proposed by this permit `application' are accurate, and do not violate applicable ordinances,' rules or regulations of 1. the City of Wheat Ridge or covenants, easements orrestrictions 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 assupe full responsibility for compliance with the Wheat. Ridge Building Code :(1.B.C): and all other. ' applicable Wheat Ridge finances for work under this perms . Plans subject to :field inspection. Signature of contractor/owner da e 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the. laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat: Ridge, Colorado or any other applicable ordinances of the city. 2. This permit shall expire 180 days.- from the. issue date. Requests. for an extension must be received prior to expiration date. An extension, may be granted at the discretion of the Building Official. 3. If this.. permit expires, 'a new permit may be 'acquired for a fee of one-half the amount. normally. required, provided no changes have been or will be made. in the original plans and specifications. and any. suspension or abandonment has not exceeded one _(1) year. If changes have been or if suspension or. abandonment exceeds one (1) year,:. full fees shall be paid for anewpermit. 4. No work: of any. manner shall be done that will change the natural. flow of water causing a drainage problem. y, 5. Contractor:. shall notify the Building Inspector twenty-four (24) hours in advance`. for all inspections and shall receive t,* written approval. on inspection card before proceeding with successive. phases of the job. U 6. The issuance of apermit or the. approval of drawings . and. specifications shall. not be. construed to be a permit for, nor y an approval of, any.. violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is sub" t to field :inspections. z, Signature of Chife/~fJB'u "mg `Official : 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.: r: z s t` ~oF W"Tq, City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 - o Inspection Line: 303-234-5933 O<ORPO Building Permit Application Property Address: ! ?j 5 L J J Date: d g d Plan A #:l~ Permit Property Owner (please print): C 4r ryq, I ; &k C x0606-e,11 Phone: 303 - 2OZ' Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Contractor License v Phone: -3-n Qq , -79q!~ Sub Contractors: Electrical City License Company: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Description of work: (2,::, F r a-A~ - ELk Sq. Ft./L.Ft added: Squares Z. BTU's Construction Value: $ 3'S q6 (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Gallons Amps 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to f' pection. CIRLCE ONE:: (OWNER) (C NTRAC R) or PERSONAL REPRESENT E of (O ER) (CONTRATOR) PRINT NAME: /J2N Il'i G1 SIGNATURE: Date: O .3 C/ u Bldg Valuation: $~Zo DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13602 BUILDING INSPECTION LINE - 303-234-5933 Date 3/26/02 CITY OF WHEAT RIDGE ' 7500 WEST 29TH AVENUE' " WHEAT RIDGE, CO 80215 -(303 235-2855) Property Owner: CARMELENE CAMPBELL Property Address : 10375 W 33RD AVE - Phone : 202-1992 Contractor License No. : 17082 _ Company : Rod Hall Co Phone : 777-7700 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distancesproposed by this permit applicationare accurete, and do not violate applicable ordinances, rules or regulations of the City of WFieat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions,printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work.,under.this permit. Construction Value : $2,000.00 Permit Fee : $69.25 Plan Review Fee : $0.00 Use Tax : $30.00 Total $99.25 (OWNER)(CONTRACTOR) SIGNED . DATE Use: Description : CONVERT WOOD TO GAS INSERT:-`DESIGN SPECIALTIES - 27 HERSEY ANSI Z21.1138.- 1998 Electrical License No : Plumbing License No :17082 Mechanical License No : Company: • Company:Rod Hall Co Company: Expiration Date : 3/11/03 Expiretion Date : Approval : OK/KS Expiration Date Approval : Approval : (7) 7his permit was issued in accordance with the provisions set fortKin yopur applicatiortand is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Cotle of Wheat Ritlge, Coloratlo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorizetl is not commenced within siMy (60) days from issue tlate or (e) the building authorizetl is suspendetl or abandoned for a period of 120 days. -(3) If this permit expires, a new permit may be acquired for a fee of one-haff the amount normalty required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (t) year. If changes are matle or if suspension or abandonment exceeds one (1) year, full fees shall be paitl for a new permit (4) No work of any manner shall be done that will change the natural Flow of.water causing a drainage problem. - (5) Contractor shall notiy ihe Building Inspectorhventy-four (24) hours in advance for all inspedions and shall receive written approval on inspeclion card before proceediingwiikysuccessrve ases of the job. (6) The issuance of $ pe i approval of d2wings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the buil es or~ apYOther ordinance, law, rule or regulation. ~OVD'V°w Chief Building Inspectar DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner:CCLI'- YVX-r-IQ-✓12, 64yTI,PV-"'-( I Property Address : ) 037,S-,,O ' 33 Phone : a 0 a. Pg IZ Contractor License No. : i"] 0 g Z Company :p'cd -H Ccu C'D • Phone : ? 7 7 - "7 7(0 C) V WNtK/GUN I KAG I UK SIGNA I UHE OF UNDERSTANDING ANp 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 Ciry of Wheat Ridge or - covenants, easements or restrictions of record; that all measurements ghown, and'allegations made are acwrate; that I have read and agree to abide by all conditions printed on this application, and that Iassume full responsi6ility for compliance with the Wheat Ridge Buiiding Code (U.B.C.) antl all other applicable Wheat Ridge ordmances, fo work under this p rmR. (OWNER)(CONTRACTOR) SIGNEDDATE 3 ZS~OL oesonpcion :CUVtiv2~ W C)156 -LD ga5 - r n S~s --bAsi Ii YIilnnrl( F-lP~A A n)C! 2-1 l, iI.R?"- 1c2,C S Zoning;Comments; Approvai : Zoning : Building~Comments:~ ~ Approval: P, ublic~Work's?Commeots:] Approval: Occupancy : Walls Electrical License No : Company: Construction Value : ~2000. OC) Permit Fee -1 ~ Plan Review Fee : Use Tax : 3 O. O C7 TOtBl : q~r o2 S-- Speci aAt6-0 , a3 ooa r3s BUILDING DEPARTMENT USE ONLY Roof : Stories Plumbing License No : Company: SIC : Sq. Ft. : Residential Units : Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approvai: Approval: Approval: El sP1an~Reqpired~ ~ ~IanS~Requi[ei1~1 ~ wPlans°Required, (1) Thi, permit was issued in accortlance wiN the provisions set foM in yqpurapplication anC is subjett to Nelaws ot the Slate of ColoraCO and to Me Zoning . Regulations and Buildiny Cotle af VMeat Ritlge, ColoraCO or any o0er aDPlicable ortlinances of the Ciry. (2) This permil shall expire d(A) the work auNOnzetl is not commencetl wiNin sixry (60) days from issue Gate,or (8) the builtling auNOnzetl is suspenaetl or a6andoned for a period of 120 Cays. ~ (3) If tnis pertnit expires, a new pertnd may be acquiretl for a fee ot one-half the amount nortnally required. provided no changes have been or will be matle in Ohe original plans antl specifiwtions ana any suspension or abantlonment has not exceeded one (1) yeac If ctianges are matle or if suspension or abanCOnment exceetls one (7) year, lull fees shall 6e paia for a new permiL ' (4) No work of any manner shall he tlone that will chan9e Ne natural fiow ot water causing a arainage problem. (5) Conlracror shail notiy the BuilGing Inspeclot lwenry-(our (24) hours in atlvance for all in50ecfions anE shall receive written appmval on inspection rard Defore pmceetliing wiN successive phases o( the joD. - (6) Tne issuance ot a permil or the approval of dawings and specificalions shall not be conslrueC to be a pertnit for, nor an apProval of, any violation of the provisions of the builtling coAes or any oNer ortlinanca, law, mle or re9ulaUOn. . Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNEDBY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 0 ~ n rn ~ ~ V ~ O z F ~ ~ W a H 2 W ~ aZ O 00 WFn J >-O W ~ U 00 - ui F-p0 Z F- fr ~ U ~aa ~ 0 U) W U ? ~ O Z 0 z a } k-- m a a O W W ~ ¢O L m N ~ N a W ~ A N 3 P J W m ~ w w ¢ Q 0 W 2 J F rc ~ ~ N U 2 f y n 2 > V w ¢ 7 f 7 K ~ R x O 0 z N w Z W wo LL W J F=- 2 O Q m~ w o' 2 0 N Q 2 y F x W Q N m W ~ N O f ~ O z ~ w N aNn tilaadodd aois w w z ? J J Y 1 ~ H a 0 O a a ~ 2 a O w ~ LL 3NIl A12f3d0ild 34t5 O ~ 0 z 0 U = w N ~ J Z f' Q ~ ~ I m W ~ W Z ~ W ~ aY3 z m o a z w y O W V ~ 0 Q 2 z F ~ a a O ~ Z wa U ~n O W a y z J LL a Q ~ w N U ~ U w j ~ ~ a ~ a ~ w y N V! W Q 0 N ~ J V W uwiw W oa Cywo = W Z H 2 a m C ~ ? ~ c ~ O 00 G w G j J d~n Q 62 a oQ Z x cc ~a Qf 0 W g°m IL ww Z Z d ¢ N Z y O W W C Z P w aW§~ o$ a m2 a 3w LLa QO2 Z O Q U ~ a N 2 ° oF a N 3ti x N 0 'o N x W ~ w F ~ f N cr ~ > > 7 f a m m m m N w J a ~ N Z V R 3 ' ~ o n Q ~ S' R i H Q ~ ` y ~ ~ ¢ o o V Q ¢ U 0 Q 2 W O W ~ W R 3 ~ W ~ ~ 2 ~ ~ o ~ r ~ ~ Q W J ~ ~ Fp 2 N Q Q O I i. rc ¢ j S Q W °z f V ¢ M H a Z ~ N ~ a ~ Z O Z f m ~ y N m = Z a ~ r a w ¢ N ~ J W yO J m Q Q I N W ? a D Q J V ~ m 1- ~ U' w Z 3 Z Q ~ N x LL N S W N O Y ¢ r ~ S ~ Z 3 2 a ~ 3 3 m ai f~'n < 3 a o ~ ~ y o l - ° ~ W W N ~ J J m J O W H a m ~ f N g = w ~ J a a 3 V Z N ¢y~ W ~ ' U V E; Li 1p N m ~ ~ Z ~ W z y V > c .n Z ¢ ~UyJ w W < R N W U, V, N ~ W ~ ~p Z O N U W J R ~ Q w o 2 2 W ~ ~ 2 N 2 p S ~ - J f- ~ Z O ~ f 2 U J Z p A n 1~ 3 N H Q ~ F N j Q ~ C W rL W u ZZ ~ mj0 ~ ~ O F QU w z Q c".~?a p J ¢ ? {p Q V \ V ~ ¢ LL O N 2 ~ ~ ? m ~ ~ t P ~ d L ~ 0 f U O \ .T ~ c~,^ Vv U W `U ~ W W w t X a ¢ w w cn a o 'o d D F oU 0 O T N .Q o o; O ~ u_E Q pL w T p'O O n a= E o m v 3 a =o-~0 E 'iF ~ ~ = U o « o U ~ O m O o N o ~ c `o o 0 o 'c ° o ° ° p o ; O e~ N~ a. y O~ C~ U p~ m p V r ~ 6" m ~ T p O O O~~ O~ U q p~1 _ ~ C C O C. O 0 L C O -N Op VE - ~ O O O O ~ a> u U:>._