HomeMy WebLinkAbout11837 W. 36th AvenueCity of Wheat Ridge
Residential Roofing PERMIT - 201702749
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PERMIT NO: 201702749 ISSUED: 06/28/2017
JOB ADDRESS: 11837 W 36th AVE EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning•Duration Desert Tan asphalt
shingles with 29.85 sq.
*** CONTACTS ***
OWNER (303)514-7884 LIVELY VICTOR
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,336.02
FEES
Total Valuation 0.00
Use Tax 280.06
Permit Fee 267.70
** TOTAL ** 547.76
*** 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 A3�-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 manufacturera€T"s 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's 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.
dOQGD �l4`i
INSPECTION RECORD
INSPF'O'TFON ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy^, /
Type
flf l / I r
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
Sewer Service
Plumbing
Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing 7
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
1
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
"For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201702749
PERMIT NO: 201702749 ISSUED: 06/28/2017
JOB ADDRESS: 11837 W 36th AVE EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Desert Tan asphalt
shingles with 29.85 sq.
*** CONTACTS ***
OWNER (303)514-7884 LIVELY VICTOR
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,336.02
FEES
Total Valuation 0.00
Use Tax 280.06
Permit Fee 267.70
** TOTAL ** 547.76
*** 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 A}�-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 manufacturera€'"s 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's 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201702749
PERMIT NO: 201702749 ISSUED: 06/28/2017
JOB ADDRESS: 11837 W 36th AVE EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Desert Tan asphalt
shingles with 29.85 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the 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/oriits' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The pen -nit 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 ti -vices
Division.
6, pp g y g, .construed to be a permit for or an approval of, any violation of any provision of any
applicable code or an or or re ulatio F'o(1" i s q fiction. Approval of work is subject to field inspection.
The issuance or rantm kr .ennit s a not
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick C-7 G d ?4q
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 16, 2017 10:17 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 11837 W. 36th Ave.
Property Owner Name Victor Lively
Property Owner Phone 303-514-7884livelyfam@msn.com
Number
Property Owner Email Field not completed.
Address
S I 4G .-7(.,
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 Elite Roofing
Contractor's License 130240
Number (for the City of
Wheat Ridge)
Contractor Phone 303-296-0361
Number
Contractor Email Address hilda@elite-roofs.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email hilda@elite-roofs.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Owen's Corning Duration Desert Tan
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 29.85
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?
2
TOTAL SQUARES of all 29.85
roofing material for this
project
Provide additional detail 4/12, 1 layer
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract $13,336.02
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 Hilda Cowie-Bozner
Email not displaying correctly? View it in your browser.
3
EL17E
'Roofing Done Right"
t ,
Contract Submitted To '`' f 71 f 1, '- 1 :� �?- ' mail
x_
Date � ; ` Home Phone `7k, `? _ a Alternate PhoneA.
Street`p'l � st ` .zip, tom' ;
We propose to furnish all materials and labor completed in accordance with the specifications below for the initial sum of REPLACEMENT COST VALUE (RCV)
per insurance proceeds plus any supplements that may apply to your claim. Upon approval of your claim, Elite Roofing will file for any and all supplements which may
include building code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per
your policy provisions and will become part of this contract as if contained herein. Elite Roofing, as your General Contractor, will negotiate a fair and equitable settlement
agreeable by both your insurance company and Elite Roofing based on competitive market rates for labor and materials with no additional cost to you, except for your
deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full roof
replacement, you will not be obligated to this contract andlor may enter into an acceptable repair agreement with Elite Roofing.
c
Shingle Manufacturer, ^ �'-? Type a ? - X.111
)- Tear off ._' �^= a layer(s) of composition or wood shingles.
(] Install felt 151b 301b
Ridge cap shingles to be color coordinated
a 1pstall new pipe jacks
Replace vents as needed—Slant back Turtle
Re -flash chimneys and all wall abutments as needed
[,,4'" Install -#� nails per shingle
Code Items:
{ J Install Decking (7116" OSB)
(s '' Install pre -painted eave metal to code - Color �. ` 0.�
{ Ice &Water' Penetrations '�, Valleys Eaves
Upgrades: ,
.Synthetic Felt"
[ ] "Ridgevent" If.
[ j ,"High Profile Ridge" If.
{j "Surenail' lifetime shingles
[ ] "Class IV Impact resistant" lifetime shingles
[) Manufacturer Warranty - Pick one Below
[ ] OC Advantage [ ] OC Preferred [ ] GAF System Plus
Misc: ,
[4, Clean out gutters
t -f ,Five (5) year workmanship warranty
[,.I/ Elite Roofing will provide general liability insurance coverage of $2,000,000
I, Y Elite Roofing will provide workman's Comp at 5500,000
{ �r ake a magnetic sweep of driveway and yard for removal of any nails
[ r Remove all debris resulting from above work
Spee ial_I nstructi ons:
Approx. Job Completion: � eeks from insurance approval
Homeowner Pavment Summary:
Deductible: $ 16 % ,7') -
Upgrades: $
Balance Due*: $° z
*Balance due is equal to the amount of nut of pocket expenses as agreed
M1011 by the homeowner and is in addition to all other insurance proceeds
as described above. if no insurance claim is involved then balance due is
the total contractual amount due.
Insurance Company l- _LZZ� %+ '� = Claim # ` -01 s � t ` ! � DOL S t e'/ e—& J *I
• 1 (Mlle) hereby authorize andlor instruct any legal representative andlor agent of Elite Roofing to obtain any and all information necessary to negotiate
the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above,
• I (We) hereby authorize andlor instruct Elite Roofing to pick up in person any loss drafts or checks on both my (our) behalf and behalf of Elite Roofing.
• I (We) hereby authorize andlor instruct Elite Roofing to act as my (our) General Contractor for the above mentioned claim number and instruct my (our)
insurance company to release the customary 10% overhead and 10% profit for scheduling and coordina any and all trades needed.
• Elite Roofing shall hold in trust any payment received from you until materials have been delivered. - -
This contract is subject to Elite Roofing management review and approval, I accept the above teres of this tractand Guth nze Elite Roofing to proceed.
Date of Acceptance: - ( Homeowner's SignatureJs�'��`. - --
Representative 9'f "=s a -s Representative's Signature-^ ✓`� (:9�r 1
5475 Peoria St. Suite 9-106, Denver, CO 80239 1 Ph: 303.296.0361 1 Fax: 720.317.2233 1 Colo. Spgs.: 719.203.3107 1 Ft Collins: 970.818.3990
www.eliteroofingcolorado.com
A 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:iM'44
Job Address: K37 W 3
Permit Number: DQ170 c97 -I
❑ No one available for inspection: Time�((AM%PM
Re -Inspection required: Yes g No,,/)
When corrections have been made, call for re -inspection at 303-234-5933
Date: lD 36 Inspector: cyc�
gl %
DO NOT REMOVE THIS NOTICE
k'i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
i��O(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: __WL� J
Job Address: /,/k7 V c
Permit Number:`
❑ No one available for inspection: Time � ";'� M, (AM/PM
Re -Inspection required: Yesi No ~
When correctio have been made, ca'ffforrre-insptection at 303-234-5933
Date: Inspector:�i;-,. 1f
DO NOT REMOVE THIS NOTICE
FINALS
Electrical
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
Plumbing:
DATE
INSPECTOR
INITIALS
COMMENTS:
Mecha
Roo
-
-
Building Final
Fire Department
'.
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING. AND PUBLIC WORKS BEFORE A
'..CERTIFICATE OF OCCUPANCY 7S ISSUED.'. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION.
OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED.
PROTECT THIS CARD FROM THE WEATHER
INSPECVION RECORD OccupancvlTVpe
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall./ (CEG) Concrete
Encased Ground -
-
-
Re inforcing or Monolithic
Weatherproof/ French Drain
-
Sewer Service. Lines
Water Service .:Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating.(Underground)
--
DO NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS -
Sheathi
Lath / Wall tie
Mid - Roof
Electrical Service
Rough Electric
Roug Plum bing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING.
Fra
Insulation
Drywall Screw
4
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: e)
Job Address/Permit Number: !N'37 W, 7 " vF. MP'
Al (
❑ No one available for inspection: Time AM
Re-Inspection required: Yes f Nol
When corrections have been made, call or re-inspe bon at 303-23475933
4A
Date: Inspector. rp Gtr , I Ar
DO NOT REMOVE THIS NOTICE
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: A'Irel,ratf,
Job Address/Permit Number: #037 fat, ?4 A 4,9, PX
t
E,
❑ No one available for inspection: Time 2 AN±M
Re-Inspection required: 'Yes 'f
' When corrections have been made, call for re-inspection at 303-234-5933
Date: ~f) Rt Inspector: 6P~Ya~1 '
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
l Residential Roofing PERMIT - 092065
PERMIT NO: 092065 ISSUED: 09/08/2009 -
JOB ADDRESS: 11837 W 36TH AVE EXPIRES:. 03/07/2010
DESCRIPTION: T/o: Install 28 sqs. 30 yr rdimensionals
CONTACTS
owner 303/422-1880 Tim Teliha
3c 303/988-8955 David Fay. 01-8366D &D Home Improvements
PARCEL INFO
ZONE. CODE:. UA 'USE: UA
SUBDIVISION: 0690 BLOCK/LOT#: 0/_
FEE SUMMARY ESTIMATED PROJECT VALUATION: 8,100.00..
FEES
Permit Fee 217.50
Total Valuation .00
Use Tax 145.80 ~^1~1-p~i3a
TOTAL .363.30 c~ 7yo
'onditions:
i 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
vatershield -required from eave edge to 21 inside exterior walls.
>ubject to field inspection.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements. shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
appl, at. and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
appl cable. WI%eat Ridg Ordinances, for work under this permit. Plans subject to field inspection. ion
signature of contractor/o er date
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 ofWheat Ridge, Colorado or any. other. applicable
ordinances of the City.
This :permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
`date. An extension. may be granted at the discretion of the Building Official.
. If this permit expires, a new permit may be acquired for afee of one-half the amount normally required, provided no
changes have been or will be made in the . original plans. and specifications and any suspension or abandonment has not
-exceeded one (1) year. If changes. have. been. or if suspension or abandonment exceeds one (1) year;'. full fees shall
be :paid for a new permit.
. No. work of any manner.. shall be done that will change the natural flow of water causing a drainage problem.
Contractor: shall notify: the. Building Inspector twenty-four -(24):hours in advance for all inspections and shall receive
written. approval on inspection card before. proceeding. with successive phases of the job.
The :issuance of a permit or the. approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any :violation of the provisions of the. building; codes or any other ordinance, law, rule or regulation.
All plan review is sub] to field inspections
i
ignature of `Ch f iIY . g'Official date
NSPECTION QUEST LINE: (303)234-5933 BUILDING. OFFICE; (303)235-2855
EQUESTS E.
BE MADE BY 3PM ANY.: BUSINESS. DAY FOR.: INSPECTION THE FOLLOWING BUSINESS DAY.'.
oF""~>p City of Wheat Ridge Building Division Date:
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
o--- o Inspection Line: 303-234-5933
Permit
~ItJ
Property Addrgas;
? to
3 L-2
0 L,,
Property Owner (please print):
1
j
t ~ S Phone: L/ ] - l J 6
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Building Permit Application
Contractor: ~ D a
D
1--/ t^'r-r-' =:T V
rd-( rut e ~
+ 3
Contractor License
0 (
C6
Phone: C1
Stib Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ O 755
Description of work, (as calculated per the Building Valuation Data sheet)
' y/ 2 3C, Ye Ct , o-i q t S Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares -2 13 BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans sub' coon.
CIRLCE ONE:: (OOWNER- NTRACTOR) r PERSONAL REPRE TATIVE of (OW ER) (CONTRATOR)
PRINT NAME: T_ Ora ~ sIGNATURE: t 6A ~
Date:
Bldg Valuation:
♦ 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: A;AIAL R 1'
Job Address: b'~~ Pa. 7,65-~ 442~~
Permit Number: e~352'01~ -9<
❑ No one available for inspection: Time d : CtJ AM/PM
Re-Inspection required: Yes /tlo~)
"When corrections have been made, call for re-inspection at 303-234-5933
Date: G%hre ld.7 Inspector
DO NOT REMOVE THIS NOTICE
INSPECTOR MUST SIGN ALL SPACES
-YOUR NO CONCRETE UNTIL ABOVE . HAS. BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing ;(Underground)
Citv of Wheat Ridge
v..
f
~oFW"EgTgo City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
w o Inspection Line: 303-234-5933
OCORP~
Building Permit Application
Property Address /NY? Lr 3 (,i ( rA~
Property Owner (please print): J) vL, T P- I l g
Mailing Address: (if different than property address)
Address:
City, State,
Date: OO ' U9
Plan
Permit
~CVU/ I~
Phone: c Z Z - ~vo
Contractor: b
Contractor License
Sub Contractors:
Electrical City License
Company: .
r-.e T , ( r d - - , vi e~l--5
Phone: 3 CD 3 U O ^ `
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ (0s 3 a
Description of work: (as calculated per the Building Valuation Data sheet)
~Q r C1 Oj' ~ d v J Plan Review (due at time of submittal): $
Sq. Ft./L.Ftadded: 30 Squares 3 BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: QWWNER) (CONTRACTOR) or PERSONAL REPR S NTATIVE of (OWNER) (CONTRATOR) G
PRINT NAME: V t e11. \ a Y SIGNATURE: Q Date:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number : 18447
Date : 3/11/2005
Property Owner:
JAMES TELIHA
Property Address :
11837 W EST 36TH AVENUE Phone : 3-422-1880
Contractor License No. :
18701
Company :
ARS Rescue Rooter (Plumb) Phone : 418-6000
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I heretiy certify that the setback distances proposed by this permit applicatlon are accurate, and
tlo not viblate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made areaccurate; that I have read antl a9ree to abide by alfconditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (I.B.C J and all other applicable Wheat Ridge ordinances, fWwork under this permit.
(OWNER)(CONTR4CTOR)SIGNE~~__lG~/;~%~~~~~~DATE.7~P~5 I . ~u~a~. WJVV. V J
Use:
Description : SEWER SERVICE CHANGE
BUILDING DEPARTMENT USE ONLY
Approval
S1C
1
Sq. Ft: :
Occupancy : Walls : Roof : $tories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Ezpiration Date c Expiration Date : Ezpiration Date :
Approval: ` ApProval: ' Approval:
. . (1) This pertnit was issued in accordance with the provisions setfodh in yopur application antl is subject to the laws of the State of Colorado and to ihe Zoning .
Regulations and Building Code of W heat Ridge, Colorado or any other applicable ordinances of the City. -
(2)-.. This pertnit shalt expire iF (A) fhe work autBOrized isnot commenced within sixty (60) days from issuedate or (e) the building authorized is suspended oF
abandoned for a penod of 180 days. (3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes.have been orwill be made-in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) yeac If changes are made or if suspension or abandonment
ezceeds one (1) year, full fees shall be paid for a new pertnit
(4) NoworkofanymannershallbedonethatwillcHangethenaturelFlOwofwateicausingadrainageproblem. . . .(5) Contractor sfiall noti(ythe Builtling Inspector lwenry-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card before . proceediingwilhsuccessivephasesoftheJob. .
- (6) . The issuance of a permit or the approval of diawings and specifcations shall not be construed to be a permit for, nor an approval of, any violaUOn of the
provisions of the building codes or any olher ordinance, law, rule or regulation. Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
of ""AT BUII.DING INSPECTION LINE - 303-234-5933 Date:
; P
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENTTE
WHEAT RIDGE, CO 80215 - (303-235-2855)
C~C ORP~~ -A . .
. . PPUF ~ ~d ON . .
Property Ownex: iTc.-:,^ e S i~lAc.
Property Address: J t$ 3 7 ui 3 6~ti ~ ~e-
Contractox License No.: dooe:0* I g7 0(
Phone : 03 °0a = r ,Fgo
ComPanY AQ-5 2e6cw Qn.,+e,- Phone:303
OWIVER/COIV'I'RACI'OR SIGNA'['URE
AND AGREEMENT
Construction Value:$ '-1(p 00 •
I hereby certify thazlLe setback distances proposed by this permit applicarion aze accurate,
and do not violate applicable ordinances, rules or regula[ions of the CiTy of V✓heatffidge or
covenanGS, easements ortes[rictions ofrecord; thatall measurements shown, and aitegations
made aze accurate; that I have Iead and agree to abide by all conditions printed on fhis
application and that I assume full responsibility for compliance with [he Whezt Ridee
Building Code (U.B.C).andall other-applicable Wheat Ridge OCdinances, for work under
tltis permit. -I
Description: :5.CweP,, ~
Se~`urc c /`P~ccrP'.
Perxnit Fee:$
Plan Review Fee:$
~ - USE 18JCA
TOf31:$
BTIILDING DEPARTMENT USE ONLY .
S1C: Sq.Ft.
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIG WORKS COMMENTS: .
. Approval:
Occupancy: Walls: Roof Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expirarion Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) 'Ihis permit was issued in accordance with the provisions set forth in yoni application and is subjec[ m the laws oFthe Stare of Coloredo and ro the Zoning
Regulatiovs aud Buildiug Codes of Wheat Ridge, Coloado or avy other applicable ordinanres of cGe City.
(2) 17us pelmit shall expire if (A) the vrork autLorized is nol commenced wiNin sixty (60) days 6om issne date or (B) tlie buildivg anthorized is svspend W or
abandoned for a period of 120 days. -
(3) Ifthispeimitexpires,auewpertni[maybeacquiredforafeeofone-halfiheamoantnormallyrequired,providednochangeshaveheenorwilihemadein
the origiual plans andspeci5cations andany stispension or abandonmenHtas not exceeded one (1) year. ifchanees have been or ifsapension nr ahanAnnmenr
exceeds one.(1) yeaz, full fees shal] be paid for a new permit (4) No work of my mamer shaR be done tha[ witl change the nanual flow of water causing a drainage problem.
(5) ContractorshallmfifyNeBuildinglnspectorhvevty-foiv(24)honrsinadvanceforallinspectlonsandshzllreceivewrittenappmvaloninspeceoncardbefore
proceedingvrithsuccessivephasuofthejob. - ' - - -
(6) Tlie issuance of a pamit or the approvel of dcawings and speci5catlons shzll mt be consWed ro 6e a peimit for, mr an approval of, any violanon of the
provisions of the buildivg codes or any other ordiuzuce, law, mle or regulatlou. . ' ,
Chief Building Inspector