HomeMy WebLinkAbout27 Rangeview DriveThe City of Wheat Ridge
Third Party Form Check List
Property Address 2-7v 7 , 2
Permit Number -- 2 f - 70
Permit Issued Date C� - / 17
Owner Information
Property Owner Information
Property Owner Address
Inspector Information
Inspection Company
Inspector Name
Inspector Contact info.
'76,0 6=&o LE/ -7
Inspector Statement and Acknowledgement
` I hearby acknowledge the roof I am inspecting is 6112 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
Inspector:
Date: J_;Z -/(f�- r
Property Owner Statement of Acknowledgement
*1 Nearby acknowledge th am the owner f the building referenced above and I give
my consent for the listed Chrty ir ainspe ion ompany to perform my roof ins ectio
in lieu of the City of Wheat Rid a Di sion inspection.
Propery Owner/Agent: Date:
This original documen permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
91 Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
LL'Pass
❑ Fail
Flashing for roof and walls
❑ Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
N/A
Pass
❑ Fail
Crickets and saddles where needed
N/A
�❑l
1C} Pass
❑ Fail
Verify B vent must have boot same gauge as
❑ N/A
Pass
❑ Fail
pipe
Verify vent caps
❑ N/A
ass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
3 -N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
A Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
(Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
/2 /A
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
`
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
G
l�
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name:
Inspector signature:
Date of Inspection:
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
,Pass
❑ Fail
Structural roof components
❑ N/A
ass
`Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
EJ N/A
❑ Fail
Flashing for roof and walls
❑ Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
N/A
❑ Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
`Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
.aN/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
ass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
J'"Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
0 Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend d down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
[ N/A
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
❑ Pass
r] Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
/A
❑ Pass
F-1FailAbove
roof insulation R-25
JN�N/A
/A
EJ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
E] Fail
Below roof commercial R-32
/A
F1 Pass
E] Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope fess
3:12
N/A
El Pass
❑ Fail
Metal valley flashing shall be the same material as roof
N/A
❑ Pass
❑Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
0G{
s2 ✓L -E- L ,rt
Company Name:
Inspector signature:
Date of Inspection:
PERMIT- v `ZGJDDRESS:OB CODE:
INSPECTION RECORD ���1�'�*60,
� j
Inspection online form: http://www.ci.wheatridge.co.us/inspection
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 MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
r / - 7
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
r / - 7
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
r
w's- - NO 0
Rough Inspection (continued)
Date
Inspector Initials
Comments
_
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
�� �`7 `"17
t. ►J ALP
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
1407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
�� �`7 `"17
t. ►J ALP
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
PERMIT' / V,/707ZCXDDRESS:__ ��'' � J JOB CODE: F
INSPECTION RECORD P't"
Inspection online form: http://www.ci.wheatridge.co.us/inspection
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 MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
13-17
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
13-17
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
L,
Property Address
Permit Number
Permit Issued Date
The City of Wheat Ridge
Third Party Form Check List
�2.
'16�<-7707
CY
Owner Information
Property Owner Information
Property Owner Address
Inspector Information
Inspection Company
Inspector Name i
Inspector Contact info.
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendations and smopffications.
Inspector: arW&1A,j Date:
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that am the owner )f the building referenced above and I give
My consent for the listed thir arty inspeYDi
ompany to perform my :7ectio
in lieu of the City of Wheat, Rid a 'I n inspection.
Propery Owner/Agent: - �.. Date:
This original document. -an permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Inspection
❑
N/A
Pass
❑ Fail
❑ N/A
c❑
y Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Ll pass
❑ Fail
Flashing for roof and walls
❑ Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
N/A
❑ Pass
❑ Fail
Crickets and saddles where needed
N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
aN/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
A Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
En- Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
L4 Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
C4 Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
�3 Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
(Pass
❑ Fail
Dripedge shall be mechaniCaly fastened 12" OC
AN/A
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
bb
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Oa
M e ci 1 ) -,),,2- -1- +-- �L- vc > S
Company Name: i
Inspector signature:
Date of Inspection:
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
E�tPass
❑ Fail
Structural roof components
❑ N/A
6J Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
El N/A
Pass
❑ Fail
Flashing for roof and walls
❑ Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy $ Procedures)
N/A
❑yPass
El Fail
Crickets and saddles where needed
❑ N/A
/L.1 Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
jaN/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
10pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
JaPass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
° Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
�L1 Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
N/A
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
El Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
/A
EJ Pass
❑ Fail
Above roof insulation R-25
/A
El Pass
❑ Fail
Below roof residential R-38
N/A
El
EJ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same
N/A
❑ Pass
❑ Fail
material as roof
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
He Roofs Requirements
i N/A
❑ Pass
Fail
Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
G
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name: ` il-0-J
Inspector signature: ✓
Date of Inspection:
City of Wheat Ridge
�f Homeowner Roof PERMIT - 201707707
l
PERMIT NO: 201707707 ISSUED: 09/26/2017
JOB ADDRESS: 27 Rangeview DR EXPIRES: 09/26/2018
JOB DESCRIPTION: Homeowner reroof composition shake shingle class A fire, class4, impact
115mph wind rating with 50sq
pitch=4/12,9/12 and 6/12. Shake Shingle Spec sheet will be provided.
*** CONTACTS ***
OWNER (303)596-3936 GENDREAU JOHN R
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 38,500.00
FEES
Total Valuation 0.00
Use Tax 808.50
Permit Fee 603.05
** TOTAL ** 1,411.55
*** 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.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.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
= .a 4 City of Wheat Ridge
r
� Homeowner Roof PERMIT - 201707707
PERMIT NO: 20170770% ISSUED: 09/26/2017
JOB ADDRESS: 27 Rangeview DR EXPIRES: 09/26/2018
JOB DESCRIPTION: Homeowner reroof composition shake shingle class A fire, class4, impact
115mph wind rating with 50sq
pitch=4/12,9/12 and 6/12. Shake Shingle Spec sheet will be provided.
I by m�gi
sgnature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicale building codes, and all appy able municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by t�al
owner of the property a m authorized to obtain this permit and perform the work described and approved in conjunction with
thi rt. I further attest twork to be
pedrat all wolc b ertorm fs disclosed in this document am its' a�ep'lompanying approved plans and specifications.
Si' a re of\OWNER -ff r-ONTRACTOR (Circle one) 'bate 6
I, is 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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit maybe required to be obtained. Issuance of anew 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 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 iss granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable r4 any ord4aror r ala ' n 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.
pWCity of
(�91heat--j�idge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: q
a/
Plan/Pe it #
G;7�_O/ -7 '71( ) -7
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:
Owner
Property Owner Email:
v�
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor:
Phone:
�au
2_1L r'_
11
Ph
Contractors City License #: Mi -1741 Phone: a l�)4 a"� CV 7Lc�
Contractor E-mail Address: X
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
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 ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW 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/A,P.�ANC REP I or REPLACEMENT
EOTHER (Describe) f�
(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
Gallons
Squares Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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.
r
CIRCLE ONE. (OWNER (C CTOR) or (AUr7"R PRESENTATIVE) of (OWNER) ONTRACTOR)
Signature (first and last name):
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
DATE: 4 /
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of
Wh6ati c
COMMUNITY DEVELOPMENT ,�g
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 Owner(s): k�
Project Property:
State of Colorado
County of eS�o1�o� ) ss
J_
The foregoing instrument was acknowledged by me this day of "c.w 0JJ by
Sol G��,Jrec",
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
��— -{►►) My Commission Expires q / a.Z,20,2,�
Notary Public
cI
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: -3 0& - M - cj
Job Address: 2 -7 (R e- t, r e i✓ r
Permit Number: "D e ( -7 o -7 -7 V i
❑ No one available for inspection: Time 1V 77-7 A /PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: J l 13 J Inspector: 7_6
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occuoancv /Type
1 2- 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.
I ,tee , - i r , - -
J INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof /.French Drain
Sewer Service Lines
-
Water Service Lines
CONCRETE SLAB FLOOR -
Electrical (Underground)
Plumbing (Underground) _
Heating (Underground)
ROUGHS
Sheathing
Lath/ Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
-
Gas Piping
Rough. Mechanical
ABOVE
INSPECTIONS TO BE
SIGNED PRIOR TO PROCEEDING
Framing
.Insulation
Drywall Screw
-
FINALS
Electrical
Plumbing -
Mechanical
Roof.`
Building Final
.Fire Department
R.O.W & Drainage .
-.
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
log
Parking & La
' *NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING PUBLIC.WORKS BEFORE A :.
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
f Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: . Qeo
Job Address: d7 v6�ar� u pQ
Permit Number: le:�;09'S 6
❑ No one available for inspection: Time .iO AM'
Re- Inspection required: Yes (ioP.
kk
When corrections have been made, call for re- inspection at 303 -234 -5933
1 ,
bate: X ,2Ol `a✓ Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 100986
r4000or
PERMIT NO: 100986 ISSUED: 04/19/2010
JOB ADDRESS: 27 RANGEVIEW DR -EXPIRES: 10/16/2010
DESCRIPTION:; Reroof 44 sqs with composite -shingles
-***CONTACTS
owner 303/596-3936 John Gendreau
sub 303/428-6139 Aaron Herman 09-0196 Frost Construction `
PARCEL' INFO
ZONE CODE: UA USE: UA
SUBDIVISION: 0677 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 29,475.00
/ FEES I,pOV. ED, II,,
Perm Fee .35 41
TotaltValuation 574.00 n o bbMT, .
Use 'Tax 530.55
**'TOTAL 1,104.90
.Conditions:`
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 1/2-1
requires panel sheathing overlay on entire ;roof. .Sheathing inspection is..
required prior to covering. Midroof inspection is not required on permits.
purchased after 4/18/10. Contractor shall ,provide 'ladder for inspections.'
Scheduled inspections that cannot be performed dueto inclement weather. must be -
cancelled prior to 8:30 a.m. on the day of inspection or a re inspection fee
will be assessed.
I hereby certify that the setba is es proposed by this permit application are accurate, and do not violate applicable
ordinance , rules or regul ati s of he ity of Wheat Ridge or covenants, easements or restrictions of record; that all
measur a shoan 1 g io m a are accurate,;.: that I have read and agree to. abide by all conditions printed on this
appl'cat'on dih t s fu sponsibility for com lance with the Wheat Ridge Building Code l(I B.C) and all other
appl cabl at o nanc for work under thi 'p rmit. P s.:subject to. field inspection.
Sign u own ate
1. This permit ra issued in accordance with the provisi ns 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 beacquired 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 anew 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 notifythe 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 tbuilding codes or any.'. other ordinance, law, rule or regulation.
All plan revi i ject to field inspections.
Signature of is uil ding 'Official }date
INSPECTI 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.'
sI City of
Wheat'idge
CommuN ITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29t" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Property Owner (please
Mailing Address: (if different than property address)
Address:
Cif St t 7i
y, a e, p.
Contractor:
Date:
Plan #
Permit #
Contractors City License M Phone: LA3 C I) j
Pnb%ontractorsa .
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Descnptior~ of woxks:~ / - l-
A~~f) Contract Value U
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 PR Ei TAT' PE) of Eg)?(CONTRACTOR)
/
PRINT NAME;, V 0-
/ fr" ~ A~ JCNATUR - DATE: /
FIR1E DEPARTMENT ❑ approved w/~coi7i7megts I] tlisapproved p Qo'reweiv77equired Bldg Valuation $
The Rocky Mountain Water Company
P.O. Box 507
Golden, CO 80402-0507
Phone: (303) 277-6780
November 17, 2000
Mr. John Gendreau
27 Rangeview Drive
Lakewood, CO 80215
Deaz Mz. Gendreau:
This letter is to confirm your phone conversation with Ken Vaught of this office
regarding construction of a retaining wal] along the Rocky Mountain Ditch.
The Qroposcd retaining wall at 29 Rangeview Drive will be located approximately 12 feet
off the ditch company's easement and should not interfere with routine maintenance of
the ditch through this azea. We understand that the concrete footings used for the wall
will be on the edge of the easement and that the ditch company is not responsible for
damage to the footings when maintenance work is done along this scction of ditch.
We have no objecrion to ttus construction project. Please call our office at 303-277-6780
if we can answer any questions.
Sincerely,
/ N' t
Manager
INSPECTION TICKET 5 ~ I
JOB DDflESS ~ ~(~Y ~ BUILDING DEPARTMENT
~ 237-6944 Ext. 255
DATE: BLDG. PERMITM
p PERMITM f
BLDG. CONTR.
f
SUBCONTRACTOR
YM
S _ao
DATE INSP. REQ.
TYPE OF INS~.9JL~-~
INSPECTION MADE
REMARKS
INSPECTION TICKET
JOB
ADDRESS
DATE: 4` 4`9 u BLDG.
BLDG. CONTR. .VN"WYI. 1~ ~ You are hereby notified to correct the foregoing violations.
~ When corrections have been made, call for inspection.
PERMITB
CITY OF WHEAT RIDGE
t t
Correction Notice
Job Located at L.........t.`.l.~..~./.?1...~(/..1..~..~:~
1 have this day inspected this structure and these premises and
have found the following violations of City and/or State laws
governing ume:
~r.:r~........~~%'........~<<1.~.~:::.~;.<~
................~..~~f:~~.-
~ .
......1 r~.c1.,~. -.Y.'Qz~ ~.....E/....f::..:,~!~'.r.
. j fl.1 ..LJ. r U ~kr
r I
l 1 iIX..C. ! ...L.
DATE INSP. REQ.'-=
y-
i
.
Date........!......... ~c................................
Inspecror for Building Dept.
-s
iYPE OF INSP
INSPECTION MADE
v ~
REMARKS
DO NOT REMOVE THIS TAG
FOPM WR6-ii
W.R.FORM 619
~~~,6~ `FL-( s
INSPECTION TICKET
Joe
ADDRESS
DATE: BLDG. PE M TM
PERMITA
BLDG. CONTR.
SUBCONTRACTOR G ~
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE ~
REMARKS ~
~
~
W.R.FOFM 619
/
7500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-6944 EXT. 255 P.O. eox 638 BUILDING INSPECTION DIVISION PERMIT N0. g91414515
CITY OF WHEAT RIDGE, COLO.
THiS PERMIT VAUD ONLY WHEN SIGNED BY THE CHIEF BUILDING WSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR 70 INSpEC7loN
TWO SETS OF BUILDING PLl+NS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPLICATION
BUSINESS
IMPROVEMENT SURVEY REQUIRED
REAR R P ( LINE
w J- z
z
~ w
SPECIFYNORTH
w
~
RONT PROPERTY LINE
STREET NAMERA}«~'-~~' n~ X r(CIRCLE FRONT) N E SW
SHOW DISTANCES FROM THE MAIN BUILDIN6 TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH;
SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
OWNERS
LEGAL DESCRIPTION
METES AND BOUNDS DESCRIPTION ATTACHED
CITYWL4L'/' ALMAD C-6ZIP CODE 1),`OkE1 LOT NO. BLACK
LOT WIDTH DEPTH AREA SUBDIVISION FILING
INDICA7E THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTINGCurbBGufter_StreetPovlnq-jLWobr1_SSwer1--SFormDroinoqe-
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING YES_NO _aL~
ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES-NO ~
'I
OCCUPANC'h1dA ~l✓C ~ ~f~)LOY S~ RGN'~O JZ C EXTERIOR MA7ERI4L5: WALL ~ R00 /z./a~~i
i
cTnairc ~ tiNITS ~ REMARKS: s_ /If''~ ~ [4C~~ GndQAf'~!./31)IL ~X7SNi~~
OWNER / CONTRACTOR SIGNnTURE OF UNDERSTANDING AND AGREEMENT
PERMIT FEE
317
I hereby certify thof fhe above setback distonces shown on ihis permit oDDlication aro accurote, and do not violate
ictions of re-
ro
t
t
U$E TAX
C-a(~
s or rea
r
s, eosemen
applicable ordinances, rules or regulations ot the Gity of Wheai Ridqe or coveno
J
cord; that oll measuremenis shown and alleqations mode are accurate; that I hove reatl and aqiee to aDida by all
TOTAL FEE $
with
the Wh t R dqe
nce
complia
uflre nsibility
for
u
, an tttpt I a
conditions printed on thia ap01i
S
D
NOT
~
~
~f
mit.
ork
unEer
ihie
Der
for w
Buildm9 Code NBG ) and all otl~er
Dlit Whelst Ri ~
(OWNER)(CONTRACTOR) SIG D ~_-Py~ DATE
Y y
' BUILDING DEPARTMENT USE cyNL
SQ.FT GOST THE PROPERTY IS PRES NTLYZONEDI?A
BASEMENT-ROUGH THE PROPOSED USE (-IS) (_IS NOT) ALLOWED UNDE THE ZONING ORDINANCE.
.8.4SEMENT-FINISHED COMMENTS
GROUND FLOOR
SECOND FLOOR
GARAGE
OTHER /
G COST $ ~ 7 UUd OW/~;yz SV
OTHER BUILDIN
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE N0. GTY N0.
STATE N0. CITY N0.
CITY N0.
PLANS REVIEWED (-OK) (-NOT ON)
PLANS REVIEWED (-0K)(-NO7 OK)
PLANS REVIEWED-(-OK)(-NOT OK)
NO PLANS NEEDED
NO PLANS NEEDED
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE Of
PLANS NEEDED PRIOR 701SSUANCE OF
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
PERMIT ISSUED TO
PERMIT ISSUED TO
PERMIT ISSUED TO
PER REOUEST AS PER PLANS NO
PER REOUEST AS PER PLANS NO.
PER REOUEST AS PER PLANS N0.
AS APPROVED AND ON FILE IN MY OFFICE
AS APPROVED AND ON FILE IN MY OFFICE
AS APPRWED AND ON FILE IN W OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
DO NO7 ISSUE PERNI7 UNTIL CLEARED BV
DO NOT ISSUE PERMIT UNTIL CLEARED 8Y
CHIEF BUILDING INSPECTOR
CHIEF BUILDING INSPECTOR
CHIEF BUILDING INSPECTOR
DATE CLEARED BY
DATE CLEARED 8Y
DATE CLEARED 8Y
CHIEF BUILDING INSPECTOR
CHIEF BUILDING INSPECTOR
CMIEF BUILDING INSPECTOR
BY
BY
BY
DATE .
DATE
DATE
REMARKS:
/~-76
GONDITIONS'.
(1) TMIS PERMIT W!5 ISSUEO IN GCCORDANCE WITH THE PROVISIONS SET FORTH IN YWR <PPLICATION ANO IS SUBJELT TO THE L1W5 Oi THE STATE OF COLOIiADO
ANO TO THE ZONING REGULNTIONS AND BUILDING CODE OF WHERT NIDGE, COLOflADO Oli ANY OTHEN APPLICRBLE ORDINANCES Oi THE CITY.
(2) THIS PERMIT SHALL E%VIRE iF (p)1ME WOFK AUTNOFIZEO IS NOT LOMMENCED WITHIN SIETY (60) DAYS FFdA ISSUE DATE OR (8) THE WILDING >UTHOPRED IS
SUSGENOEO O(i ABiNDONED FOR A PERIOD OF 120 OAYS.
(3) IF THIS PERMIT E%PIflES, P NEW PEFMIT MAT BE AGOUIRED FOq G FEE OF ONE-HALF THE dM011NT NORMALLY REOUIXED, PROVIDED NO CHANGES IWVE BEEN OR WILL
BE MPDE IN THE OHIGINAL PL1N5 PND SPEGFiCPTIONS lND PNY SUSPENSION OR 1"HDONMENT Mp5 NOT E% DED ONE (I)YERP. IF CNPN6E5 >XE MApE ON IF
SUSGENSION OR OBANDONMENT E%CEEDS ONE (I) YEAP, FULL FEES SHALL B ID FOX A NEW VEFMIT
(6) NO WORe OF ANY MANNEF SHALL BF DONE TNAT WILL OBSTqUQ THE NAT FLOW OF WATER CAUSING DR INR R EM.
(SI CONTRACTOR SHG NOTIFY THE BUiLDiNG INSPECTOR TWENTY-FOUX (2 M Lf"IR IN POVANCE FOR ALL I SP CTI 5 F D SXRLL REGEIVE WRITTEN
IPECTI@ 0 BE RE P~EEDiNG WITM SUCLESSrvE PN45E5 0 T E JOB.
ON NS
1
LHIEF BUILDING INSPECTOR FOfi AYO