HomeMy WebLinkAbout21 Rangeview DrivePERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201702805
201702805
21 Rangeview DR
Residential Re -roof
with 40 sq.
ISSUED: 06/28/2017
EXPIRES: 06/28/2018
to install GAF Grand Sequoia Liftime asphalt shingles
*** CONTACTS ***
OWNER (720)470-9499 BRUGGEMAN NATHAN
SUB (303)981-7118 Todd Brettmann 170285 Rally Roofing & Restoration
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,507.91
FEES
Total Valuation 0.00
Use Tax 388.67
Permit Fee 346.95
** TOTAL ** 735.62
*** COMMENTS ***
*** COi'VDITIONS ***
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 AM -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€'Ms 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.
t tr�-VAI �L• INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
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 Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
-
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
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City of Wheat Ridge
Residential Roofing PERMIT - 201702805
PERMIT NO: 201702805 ISSUED: 06/28/2017
JOB ADDRESS: 21 Rangeview DR EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Grand Sequoia Liftime asphalt shingles
with 40 sq.
*** CONTACTS ***
OWNER (720)470-9499 BRUGGEMAN NATHAN
SUB (303)981-7118 Todd Brettmann 170285 Rally Roofing & Restoration
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,507.91
FEES
Total Valuation 0.00
Use Tax 388.67
Permit Fee 346.95
** TOTAL ** 735.62
*** 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 - 201702805
PERMIT NO: 201702805 ISSUED: 06/28/2017
JOB ADDRESS: 21 Rangeview DR EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Grand Sequoia Liftime asphalt shingles
with 40 sq.
I, by my signature, do hereby attest thatht� w�`k 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 pennrt. I furthe attest that I am leggally aufhorizedto include all entities named within this document as parties to the work to be
performed and t II work to, lie. ri�rined is disclosed in this document a d/ its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans
andprocedures.
�, 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 pennit fee.
3. If this permit expires, a new pen -nit 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 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 issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is �ubject to field inspection.
t
i.._.
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 insptim'erequest@ei.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 X60 J;2 FIG -5,-
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 16, 2017 11:03 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. W/C V�YS�Vv►
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 21 Rangeview Dr.
Property Owner Name Nathan Bruggeman
Property Owner Phone 7204709499
Number
Property Owner Email natebruggeman@gmail.com
Address
t -?35t (02
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Rally Roofing & Restoration
170285
3039817118
Contractor Email Address todd.brettmann@gmail.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email todd.brettmann@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
No
GAF Grand Sequoia Lifetime
Asphalt
Field not completed.
How many squares of the 40
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No V
Field not completed.
FN
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
40
Single Story Home 4/12 pitch
18507.91
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 Todd Brettmann
Email not displaying correctly? View it in your browser.
3
Rally Roofing & Restoration LLC
23120 E. York Ave.
Parker, CO 80138
(303)929-7573
' r.
Rally Racfbq
& Rexlowi"
Contract #
Lincensed & Insured
Customer . Phone _ tt Alt. Phone
Address r2 ( RA"'a A ti t Js City l T State CO Zip
49
Email Ins, Agent
Insurance Co. ^sG(36' Policy#15o473,g7373 Claim# 6P.??)o7'7_5f643
I1We authorize Rally Roofing & Restoration or its agent to work directly with my Insurance Company on my behalf and furnish
labor material for the Insurance Replacement Cost Value (Insurance Estimate).
Property owner's out of pocket deductible expense is $
We propose to furnish the following materials and labor as listed below:
XPull all applicable permits. (Your roof will be inspected by the local Building Department.)
Remove q, ( l existing layers of shingles.
Install 4 e<<c felt underlayment.
0 Install new valley metal.
,2InstalI 1Z I It new plumbing pipe jacks.
a�l l new moister resistant blocker attic vents.
rInstall
aint vents to match roof material.
O Install Manuf. Warranty yr. Color �CJq!P t'Qek 1
Install ice and water shield as needed in valleys, around skylights, chimneys, etc.
94 Install drip edge at gutters. Color
Q Replace (1) 4'x 8' sheets OSB decking FREE, (All others replaced for per sheet, only as needed).
KClean roofing materials out of gutter.
Haul off debris and clean area around house with magnet.
yr. Limited Labor Warranty
Other:
Total of any upgrades $ + Deductible expense $
Sc pe of Repair Work / Additions Pre -Inspection
Special Notes: t Q G` 4c ❑Roofing
❑ Siding
— O Gutters
O Decks
O A/C Unit
O Screens
Optional Products
Roof vents $ each ( ) $ Roof vents $ each ( } $
Ridgeline vents $ per lin foot $ Ice and water shield at valley L.R $
Turbine vent $ each $ Chimney rain cap $
Re -Flash chimney (if necessary) $ Replace lead or rubber flashing $
Drip edge flashing color L.F. color $ $
Color $_ $
The approximate costs of the services based on damages known at the time this contract is entered is $ S'^4.7 . Q �
Rally Roofing & Restoration, however, will perform the scope of work approved by the insurance company for the am unt of the ins,
approved proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the ip,
company and Rally Roofing & Restoration, shall be come the final contract price for the insurance approved scope. You will be
pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the
coverage provided by your insurance policy. Supplemental claims billed by Rally Roofing & Restoration, that are approved
insurance company for additional work or increases in cobis bccoi7ie a gait of this contract.
Approximate Dates of Service: 46—!30- These dates of service are subject to change due to unusual delays i
materials, ordinary weather delays, or by any other causes beyond the reasonable cr ntr ' o£ 'Xttractor
Special Notes: 512 ► ' !' -7 t/— • __(_1 u rcooflng
O Siding
2 0 Gutters
O Decks
Roof vents $ each ( )
Ridgeline vents $ per lin, foot
Turbine vent $ each
Re -Flash chimney (if necessary)
Drip edge flashing color L.F, color
Color
Optional Products
Roof vents $ each (
Ice and water shield at valley L.F.
$ Chimney rain cap
Replace lead or rubber flashing
0 A/C Unit
O Screens
$
The approximate costs of the services based on damages known at the time this contract is entered is $ A? _:�-d 7. 4 � F i��^41
Rally Roofing & Restoration, however, will perform the scope of work approved by the insurance company for the amount of the insuranceS1W
approved proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance
company and Rally Roofing & Restoration, shall be come the final contract price for the insurance approved scope. You will be responsible to
pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of
coverage provided by your insurance policy. Supplemental claims billed by Rally Roofing & Restoration, that are approved by the
insurance company for additional work or increases in cosi lrecoi-ne a part of this contract.
Approximate Dates of Service: These dates of service are subject to change due to unusual delays in transportation of
materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor
tice: If the property owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to part 1 of article 4 of title
10, C.R.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pal, waive, rebate, or promise to pay, waive,
or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property.
Terms: I (We) hereby authorize & instruct the insurance company & all lienholders to include the name of Rally Roofing & Restoration, as
co -payee on any subsequent loss drafts or checks after today's date as indicated above.
I (We) also authorize any legal representative and/or agent of Rally Roofing & Restoration, to obtain information necessary to complete any
funding process relative to the claim number referenced above.
I (We) further authorized Rally Roofing & Restoration, to pick up in person any loss drafts or checks on mXJour behalf and behalf of Rally
Roofing & Restoration. k';J
JP Q
Deposit Amount $ lP 5Q ' 4 �,0 Date: � D ' Q Rep Initials:
Rally Roofing & Restoration shall hold intrust any payment from the property owner until Rally Roofing & Restoration has delivered roofing
materials at the residential property site or has preformed a majority of the roofing work on the property.
I (We) agree, by signing below, to all the contract conditions, both front pAl ois agreement
lel
Date of Acceptance 6-9 — Z -7 Client Signature(s)
Representative
LJ
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: `l �' of - I-= r � I
Job Address:d2 r, , e u .' F w
Permit Number: a 0 7 c -Z q 0 c-
❑ No one available for inspection: Time 9 = 01Z (ANg/PM
Re -Inspection required: Yes(3N
When corrections have been made, call for re -inspection at 303-234-5933
Date: '� ) a 6 /' 7 Inspector: -7- b
DO NOT REMOVE THIS NOTICE
30IION SIHl 3AOW3hf ION 00
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££6 S-t,EZ-EOE;e.uoijoadsui-aa ao{ /leo `spew uoaq aney suo►loaaaoo uaUM.
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331ION N01103dSNI
XeJ 6068-L£'0 (000) • aa!JJ0 9980-90, (80,')
aull uo/loadsul ££6S-b£Z (£0£)
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3Ja1a lV3HM =10 A113
A i CITY OF WHEAT RIDGE
Building Inspection Division 4
(303) 234-5933 Inspection line
(303) 235-2855 Office e (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: � / ►y'� �j V)C,I)
Permit Number: rr)�o` (..61,
❑ No one available for inspection: Time / AM/PM
rte,
Re -Inspection required: (Yes, No
When corrections have been made, call for re -inspection at 303-234-
Date:�
03-234-Date:J�// / > Inspector:,
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
OccunancvRvpe
'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
11 Stemwall / (CEG) Concrete
}' Encased Ground
Reinforcing or Monolithic
' Weatherproof / French Drain -
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
�1
Electrical (Underground)
' Plumbing (Underground)
F; Heating (Underground)
ROUGHS
Sheathing
" Lath / Wall tie
Mid -Roof _
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
(Rough Mechanical
Framing ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Insulation
Drywall Screw
T FINALS
T ERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
P ROTECT THIS CARD FROM THE WEATHER
Electrical
"
Plumbing
Mechanical
Roof
"
z
Building Final
Fire Department
R.O.W &Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
s'
Parking & Landscap m9 SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE. OF OCCUPANCY IS ISSUED.
FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
_ OF A CER TIFICATE OF QCCUPA_ NCY- -NOR.PERMISSION- FOR- QGGUPANGY -
-'
OCCUPANCY NO P
T ERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
P ROTECT THIS CARD FROM THE WEATHER
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: P00
Job Address: . ( 011,., ; pn1 0e".
Permit Number: (11
❑ No one available for inspection: Time ,,;~O AM w
Re-Inspection required: Yes No
When corrections have been made, call for re ins~ect.ona 303,-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
f~ Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: rr
Job Address: t~ lam' I
J
Permit Number: ~0
i
❑ No one available for inspection: Time S1.404 AM/
Re-Inspection required: Yes
When corrections have been made,tc/all for re-inspection at 303-234-5933
1
Date: Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
/ Building Inspection Division
(303) 234-5933 Inspection line
- (303) 235-2855 Office " (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type- tie p,lrry)l
Job Address/Permit Number: ( lk'w4yV"'Otcj G~ . eF~O
r
S
1i }
i
i
F
❑ No one available for inspection: Time { r?7r? AMP j
Re-Inspection required: Yes
lo
F' When corrections have been made, call for re-inspection at 303-2345933
i. Date: m _ Inspector: a„~,~ _ t r
-t 1
' DO NOT REMOVE THIS NOTICE
i
i
a
" ' City of Wheat Ridge
rte
Residential Roofing PERMIT - 092292
PERMIT NO: 092292. ISSUED:. 09/11/2009
` JOB ADDRESS: 21 RANGEVIEW DR EXPIRES: 03/10/2010
DESCRIPTION: T/o: Install 34 sqs certainteedpres. Impact shake
` CONTACTS
owner 303/238-1615 David Drehl
go 303./425-7531 John Borfitz 0.1-9983 J & K Roofing Inc.:.
..PARCEL INFO
ZONE CODE: . UA USE: UA
SUBDIVISION:. ..0677. BLOCK/LOT#: 0/
**_.FEE SUMMARY ESTIMATED PROJECT VALUATION: 16,928..00
FEES
Permit Fee ::..363.10
Total Valuation .00
Use -Tax 304.70 ) t
TOTAL P~(-`o?`29-'~ t
667 . 80
r" Conditions:
6 nail installation & mid-roof inspection required. Board sheathing spaced more..
`than ..a1/2 of. an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eaveedge to 2'=. inside exterior walls.
Subject 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
l'.. application and that I assume full responsibility for compliance with the. Wheat Ridge Building Code .(I.B.C)and all other
i, applicable: Wheat Rid a ordinances, for work under this permit. Plans subject to field: inspection.
hKe
Signature of c ntractor/o er date
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
Y 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, anew 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 a new permit.
s 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. '
s" 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an appr va any violation of the provisions of the building. codes or any other ordinance,. law, rule or regulation. -
' Al view is ruubject. to field inspections.
aJ(
o .
Sign,, re Chief Building Official. date
" INSPECTIONS REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
R, REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.`
cDIORP~C
City of Wheat Ridge Building Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
ev®-33
5
Contractor License f Vdvl~~ Phone:
EMENHEM
Electrical City License
Company:
Plumbing City License
Company
Date:
Plan
Permit
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval: 'rJ
Use of s ace descri tion): l a aCL construction value: $ r1e2
- (as calculated per the Building Valuation Data sheet)
f
Plan Review (dub at time of submittal): $
Sq. Ft.IL.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 measuremenl5'-shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that (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 inspectio
CIRLCE ONE:: (DWI ER) (CONTF ACT ) or PERSONAL REPRE _,ITAT E of E NTRATOR)
PRINT NAME: Date: d dt- C I
Office: 303-235-2855 * Fax: 303-235-2857_ r1
Inspection Line: 303-2345933 0-14
Building Permit Application
DEPARTMENT OF COMMUNITY DEVELOPMENT M u/
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. g o/
237-6944 EXT. 255 P.O. eoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WNEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTED BEL'JW.
APPL iCATIGN FOR MISCELLANEOUWERM1T
108 ADDRESS If 1 V~~ I
CONTRACTOR - - - OWNER ^~I ~ m
r/.~..1J7_ ((al~n no6r~.,.y~ ADDREScC?I
- - - - = /ADDRESSS2QG `S'' (16mN1rQ=~~ PHONE'5 ~~--ZIPCODE
CITY r-)`- N~ ZIP CODE 10 19-0 1 '30NTRACT PRICE
L. ]TL
i' g' > LICENSE NO
PH
ONE
1. TYPE Ground❑
Woll❑
ProiealinQ❑
O1Mr
SaDFocs
2. MATERtAL
❑
❑
Tofal Squan Fast
Permif No
ElW
SIGNS
No
TYCS
3. ILLUMINATION Yes
4. SET BACK FROM PROPERTY LINE N_
❑
S_ E
❑
_ W
❑ ❑
.
.
Zons_ ADprwed, Zone inapsetor
DieaDWa'ed
(Spaeify wnicn is tront )
1. 7YPE SolidE] Mo.e Tlron BO% OpenO
Lau Than 80% Open
MATERIAL
?
HeipM
FENCES
.
3. SET BACK FROM PROPERTY LINE N_
❑
5_ E
❑
_ W
❑ ❑
Zme_
ApprwM,Zons Inspecta
provsd
dao
(SPscify whieA it }ront)
p
-
I nirc
J
O
iC7` u
7H
O
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTUFE, GIVIhu DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTqNS INCLUOED)
~
SPECIFV NORTH
STREET NAME
SMOW DISTANCES FROM TNE MAIN BUILDIN6 TUADJOINING HOUSES,STREETS, AND PROPERTV IINES; ON IRREGULAR IATS,SHOW LEAST
DISTANCE TO PROPERTV LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMfT TO PERFORM THE INDICATED WORK ONLY UPON WILIDATION BV TME &JILDING INSPECTION DIVISION.
~o.a~T uni i cxoiaF gts nAVS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHlN THAT TIFIE.
,
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE LICENSE NO.
STATE LICENSE N0.
uLUA91NUA; WIRE UIVOFR SIZE 8 IILEGAI
FLOOR BSM IST 2ND 3RD 4TH
N0. FLELC'RtlaOne GW 0I1 Propone E Sola
WATER CLASET
FORCED AIR - BTU
NO
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
- BTU
NEW SERVICE AMPS
BATH TUB
STEAM
AIR CONDITIONING-BN
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
OTHER
REFRI~ERATqN SYSTEM
HEATING
GARBAGE DIS?
Refri eronf &oup
POWER SU9-CIFCUITS
WATER HEATER
Poundf CMr •
UTIl1TY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
AUTOMATIC SPRINKLER SYSTEM
FI%TURES
DISH WASHER
ELEVATOR
WIRING MOTORS 6 CONTROLS
FLOOR DRAIN
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
S
MOTORS OVER I HP
TOTAI FIXTURE
PERMIT FEE
I hereby ocknowladqe thot ihis appllco' ~ p
lion ie correct and understand that I USE TAX
cannot .,a,t ,his o,o;.ct until this oPOli- 3 6 a
cotion it approved. I sholl comply witn TOTAL FEE $,2 y
fAa lawf qf the State ol Colorado ond to
tAe Zonin Requlotiona ond Buildinp APPROVED ~
Code ot tne City ot Wheat Ridqe. Any DISAPPROVED
violatio t the abova terms win cause CHIEF BUILDIN6 H SPECTOR,City of Wheat Ridge
imm te e ation of thi permit.
~ ~iA/P _ Date Issued
VALID UNLESS
Zj/ rr~~M
CALL 237-8944 EXT. 255
24 HOUfiS IN ADVANCE
FORINSPECTIONS
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Tuesday, August 3, 20218:49:33 AM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for
Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or
Residential
Commercial?
Property Address
21 Rangeview Dr Wheat Ridge CO 80215
Property Owner Name
Nate Bruggeman
Property Owner Phone
7204709499
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
nate.bruggeman@gmail.com
Address
Attach City of Wheat
city of wheat ridge signed form Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Stone And Concrete Inc
Name
Contractor's License 140085
Number (This is a 5 or
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for dyan cardenas
Permit
Email not displaying correctly? View it in your browser.
6 digit number for the
City of Wheat Ridge)
Contractor Phone
3032870889
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
dyan@stone-con.net
Address
Retype Contractor
dyan@stone-con.net
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
8ft
Location of repair
front yard
(backyard, frontyard,
etc)
Provide additional
install a new set of 4 inch outside clean outs with traffic rated
details including
boxes. this work is an emergency sewer repair this customer has
Installation of clean-
a collapsed sewer line needs repair as soon as possible
0 uts.
Project Value (contract
3000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit