HomeMy WebLinkAbout11765 W. 33rd Placei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: !,j
L .
Permit Number: 2,0 ,'°, 011 13
[Li No one available for inspection: Time ��'`' AM/PM
Re -Inspection required: Yes lyo
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge. co. uslinspection
Date:_r-_j Q k . �q Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Roof PERMIT - 201800913
PERMIT NO: 201800913 ISSUED: 04/03/2018
JOB ADDRESS: 11765 W 33rd PI EXPIRES: 02/29/2020
JOB DESCRIPTION: Residential re -roof with OC Oakridge asphalt shingles, 16 squares and 4/12
pitch.
*** CONTACTS ***
OWNER (775)830-9505 MIERYTERAN FRANCISCO G
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,112.00
FEES
Total Valuation 0.00
Use Tax 86.35
Permit Fee 125.05
** TOTAL ** 211.40
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
6 nails per shingle is required. Ice dam membrane is required from eave edge to 2'
inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel
sheathing overlay on entire roof. Sheathing inspection is required prior to covering.
Contractor shall provide ladder for inspections. Scheduled inspections that cannot be
performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of
inspection or a re -inspection fee will be assessed. Subject to field inspection.
City of Wheat Ridge
Homeowner Roof PERMIT - 201800913
PERMIT NO: 201800913 ISSUED: 04/03/2018
JOB ADDRESS: 11765 W 33rd P1 EXPIRES: 02/29/2020
JOB DESCRIPTION: Residential re -roof with OC Oakridge asphalt shingles, 16 squares and 4/12
pitch.
I by my signature, do hereb work to be performed shall comply with all accompanying approved plans and specifications;
applicable building co and all applicabl municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of'et�ro eA andam thorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further at at I amle authorized to include all entities named within thi document as parties to the work to be
performed and that all to be p rmed is disclosed in this document and/or its' accom nying proved plans and specifications.
2-Wle
Signature of OWNER fr) CONTRACTOR (Circle one) Date I l
I . This permit was issue ased 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 Budding Official and is not guaranteed.
4. No work of anmanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holdy er shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granti g of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
appl)eMle code or anigkdinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City ()f
W heat jjdg�
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permits(26.wheatridge.co.us or fax to 303-237-8929.
Party requesting permit extension: UO
Permit Property Address: & Z3 ✓M i 9 4 c (-
Phone #-72C)-g4Ii Email Address: t, S%4/2e,61-' ,IZ_ (r' (M
Reason for extension request: Uav4-C 6 7ZS 26 L( O L_ /177
Number of days requested: 0
Fr,,Al'"J (YCO 1.4'1&_ "t i{ 7Z-yZAA/
Printed Name: Signature: Date: d'
For office use only
This request has been: I Appr v d ❑ Denied Extended until: Z Z 20
Approved by: JJDate: jq/2j 1 ` Cj
www.ci.wheatridge.coms
City of Wheat Ridge
fir' ,.y Homeowner Roof PERMIT - 201800913
PERMIT NO: 201800913 ISSUED: 04/03/2018
JOB ADDRESS: 11765 W 33rd PL EXPIRES: 04/03/2019
JOB DESCRIPTION: Residential re -roof with OC Oakridge asphalt shingles, 16 squares and 4/12
pitch.
*** CONTACTS ***
OWNER (775)830-9505 MIERYTERAN FRANCISCO G
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,112.00
FEES
Total Valuation 0.00
Use Tax 86.35
Permit Fee 125.05
** TOTAL ** 211.40
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
6 nails per shingle is required. Ice dam membrane is required from eave edge to 2'
inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel
sheathing overlay on entire roof. Sheathing inspection is required prior to covering.
Contractor shall provide ladder for inspections. Scheduled inspections that cannot be
performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of
inspection or a re -inspection fee will be assessed. Subject to field inspection.
City of Wheat Ridge
Homeowner Roof PERMIT - 201800913
PERMIT NO: 201800913 ISSUED: 04/03/2018
JOB ADDRESS: 11765 W 33rd PL EXPIRES: 04/03/2019
JOB DESCRIPTION: Residential re -roof with OC Oakridge asphalt shingles, 16 squares and 4/12
pitch.
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 e . I further attest that I am legally authorized tc> include all entities named within this document as parties to the work to be
per�and that all work to be performed is disclosed in this dor�ument aid/or its' accompanying approved plans and specifications.
S nature of OWNER or CONTRACTOR (Circle one) Date
This permit was issued based on the information provided in the permit application and accompanying )Tans 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 Budding
Official and may be subject to a fee equal to one-half of the originalpennit 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 Budding 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 n tify the Building and Inspection Services Division in accordance with established policy of all required
inspect s�ind shall not Geed or conceal work without written approval of such work from the Building and Inspection Services
Divisi
6. The i anti it shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appli a regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Ijdge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
1
APR 0 4 01P
Par
FOR OFFICE USE ONLY
Date: l 31
J
/ 8
Plan/Permit #
ADlffbow3
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:��
Property Owner (please print): eO /2'� Phone: -77S_-S30
Property Owner Email: *11),,4t11 /) Aludl e' E -7/w otlL . eO.9 m
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor:
Contractors City License M
Phone:
Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL *RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
❑ COMMERCIAL ADDITIONRESIDENTIAL ROOFING
F1RESDENTIAL ADDITION INDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF
Amps
Btu's
s&oP/.f4�T 51+0,,)64Ej
Gallons
Squares /(l' Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ ;? cru (;-t)
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 ' ation p vided on the application.
CIRCLE ONE: (OWNER) CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): JCI:,A DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
City of d �/fz
Wh6atP,PR
ld
COMMUNITY DEVELOPMENT ger
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property
Project Property:
5— W, 3 -3,
Notarized signatL" of Applicant
State of Colorado }
County of_: P�Q_r-so} ss
Y
rb
The foregoing instrument was acknowledged by me this day of �� 20IS' by
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22,20M
6v e -t-- My Commission Expires q/ ;Za/20 �2b
Notary Public
City of Wheat Ridge
Residential Roofing PERMIT - 091499
PERMIT NO: <091499< ISSUED:. 08/20/2009
JOB. ADDRESS:.. 11765 W 33RD PL EXPIRES: 02/16/2,010
' DESCRIPTION: Reroof f.15 sqs
**-CONTACTS:***
owner 303/238-1629 Laura Rawson
sub 770/779-1423 Marc Brogan' 07-0156 THD At-Home Services, Inc
' **PARCEL INFO
ZONE :CODE: UA "USE: UA
SUBDIVISION:. 0691 :BLOCK/LOT#(: 0:/.
FEE SUMMARY 'ESTIMATED. PROJECT VALUATION: 7,453.00
FEES
Permit Fee 199.30 w
Total Valuation ,pp~N (g )
Use Tax 134.15
..TOTAL *r:. .:333 .45. CC..,`t e„S'`w
Conditions:
6 nail installation mid-roof inspection required. Board sheathing spaced more
thanes 1/2 of an inch apart requires plywood overlay on entire roof. ice and
water shield required from,eave edge to 2'nslde'exterior:walls.
Subject to field inspections.
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
,c 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.
n~1 f l o~
i, SignV~6re of contractor/owner date
f
1. This permit was issued in accordance with the provisions set forth in your application and is subject to thelaws 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.
s 3. If this permit expires, a new permit may be :acquired for a fee of one-half the amount normally required, provided no
ti 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.
4. No work of any manner shall be done that will. change the natural flow of water causing a drainage problem.
5. 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.
6. 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, an violation of the provisions of the building codes or any other ordinance, law,; rule or regulation.
E All plan nevi i object to field inspections.
Signature of ie&Auildmg Official , date
INSPECTL N 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,
~oY ""~'?R City of Wheat Ridge Building Division
°m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
~ocor Ao° ° Inspection Line: 303-234-5933
Building Permit Application
Date:
Plan
Permit
Property Address 1'42S L4-) -32JR'5> Property Owner (please print): ~{V~4 RAocz.01A Phone: 3 L7-1eq "z
Mailing Address: (if different than property address)
Address: 0 f -l (oS' 0 k) -Jar-gyp .12C-
City, State, Zip: WEt Wj Q.12(gF gOD3
Contractor: ~ [OVWG „ Vteay~T-- J1,T 1.~(hvl/1 e-eiig2.AtltpS , IDJ L-
Contractor License Q7® IS- Phone: 3c3- 261C(" L Sm
Sub Contract6r3:
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): K5-S Construction Value: $ -74K?j
Deescr ption ofmork` (as calculated per the'Building Valuation Data sheet)
r-.t;-(ZO6P (reD I'1/t$'~-E°C"Fcr '[T~ 'L ^CS -TC) Plan Review (due at time of submittal): $
rte 15 5~ ,4sP~~~r
S N 6r4Iv( t-t~S
Sq. Ft./L.Ft added: Squares 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 Wheal Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: SIGNATURE: Date: