HomeMy WebLinkAbout11695 W. 37th Avenuei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -.Q0 3 Sewer Uc\Aec, E�'f
Job Address: i �, I,J. s �41,� 4 Ue,.
Permit Number: ( O�
❑ No one available for inspection: Time
Re -Inspection require( Yes No
When corrections have been, call for re -inspection at 303-234-5933
Date: ! f Inspector: /-I ----\-
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201901853
PERMIT NO: 201901853 ISSUED: 09/03/2019
JOB ADDRESS: 11695 W 37th Ave EXPIRES: 09/02/2020
JOB DESCRIPTION: Sewer line repair - 60 ft in front yard; install dual sweep cleanouts
*** CONTACTS ***
OWNER (303)249-5476 PHILLIPS KATIE
SUB (303)519-0240 R. ANDREW RUSSELL 120161 THE ELITE PIPE MD
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Total Valuation 0.00
Use Tax 189.00
Permit Fee 188.45
** TOTAL ** 377.45
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201901853
PERMIT NO: 201901853 ISSUED: 09/03/2019
JOB ADDRESS: 11695 W 37th Ave EXPIRES: 09/02/2020
JOB DESCRIPTION: Sewer line repair - 60 ft in front yard; install dual sweep cleanouts
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 ermrt. I further attest that I am legally authorized to include al
entities named within this document as parties to the work to be
performed and that all wgrobe performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or (CONTRACTOR (Circle one) Date
I . This permit was issued based 'on the information provided in the permit application and accompanying ppFlans 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 tee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a pe it shall not be construed to be a permit for, or an approval of, any violation of any provision of any
an
applicable code
y ordinancgcr regulation of this jurisdiction. Approval of work is subject to geld 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
"_ Wheat i e
C®MMUNrry 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 a cimheatridge.co.us
I FOR OFFICE USE ONLY
Date: n
Plan/Permit #
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: _1169 5 U). 371" Ave,
Owner
kc, 41
Property Owner Email: /W ltd
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Enaineer:
Architect/Engineer E-mail:
Contractor: {�, ,` 1 e ; p , av`�
Phone:
Phone: 3D3 -,, u Ci -
Contractors City License #: / Zb 1 b ( Phone: _ 7W- 66 Z - G/ 3S i
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
6 +e a r fie, yvt e - V -*---
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
3
ci 7�
❑ COMMERCIAL SIDENTIAL
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/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.) I
SC,c.�/�� Sal✓ Ger crt A 4 ke,
i 5k� rf 1 sW e��o C Pr�vu o v�5
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
q oa0�
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER)(CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: C 3 I61
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
INSPECTION RECORD
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 day
PERMIT: ,5Z ADDRESS: R55_A).3 %fid JOB CODE: kf/�
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
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
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
PERMIT , l x"600 !v ADDRESS: 11,5 ' �J 3JOB CODE: exp
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
401 Gasline
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/PIanning*
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.
The City of Wheat Ridge
Third Party Form Check List
Property Address �[��� (j �3 7� A-, t;,-
Permit
y
Permit Number
Permit Issued Date
Owner Information
Property Owner Information
Property Owner Address
Inspector Information
Inspection Company
Inspector Name
Inspector Contact info.
JBA
Gary Manlove
JSACo uWnq
pt"]- BaY 283
LW,,pur, C-080118
Cell. 720 443 8280
E_i!.- gars _j— gg-4 cam
Inspector Statement and Acknowledgement
I Nearby 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 R)dge Policies and Procedure and Manufacturer's
recommen,
Inspector:
ns.
Date:
Page 1 of 2
'I hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat R-Le�BuilgDivision inspection.
Rropery Owner/Agent: Date: J
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
REIVEj)
MAR 2 6 201a
Draft Date= 7/26/17
er _
0) �0 o ? off
-----Page 2 of 2
The City_.QLWheia-t Ridge
The City of Wheat Ridge
I!Ispection Checklist N_dt�s Inspection Checklist Notes
MID -ROOF FINAL
F-1 WA iy. Fail Metal roof shingles shall not be installed on slope less
3--12
0
"A r Metal valley flashing shall, be the same material as roof
L :1 rail
T d Metal valley flashing shall extend a min of 8" from the
centerline with a min- of 314 " high splash diverter
rib built-in at the now finewith sections overlapping a.
a min- of 4"
Tile R�ocl Reauirements
F_'] Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:112 and under require double underlayment
Company Name: JB
Inspector Signature:
Date of MID -ROOF If
Company Name: JBA CONSJOLTIN
Inspector Signature: 'enQ
Date of FINAL Inspection:
Roof Ina
i)actio n
171 WA
T Fail
U�<A
L_J Pays
C Fail
Structural roof components
El tv.;
iL�_
1 Fail
Verify that no more than 2 layers of shingles exist
Lt
[A rail
Flashing for roof and walls
OK,
r7,
0 Fall
If new sheathing is installed verify that it is listed in the
Pass
permit description (Valuation must be adjusted)
Q -aii
Verify. sheathing nail pattern (See Policy & Procedures)
El tvA
FJ—_-,
LJ Fail
Crickets and saddles where needed
17] �w.%
P a si
E] Fail
Verify B vent must have boot same gauge as pipe
[___1 WA
SPA.;A
E] r -.ii
Verify vent caps
El H/A
�
S
[:] Fail
Verify no flashings are damaged or rusted
El wa,
El Fail
Step flashing shall be min- of 4x4 piece per shingle
PftjA
0 rail
Verify scuppers allow for proper drainage
LJ mi.%
0 Fail
Ice and water shield 2' in. heated wall spaces
El NJA
EJ iz,,ii
Underlayments must follow 2012 IRC 12012 IBC
E] HiA
E-1 Fail
Verify roof slope for proper drainage
0 WA
T_12A1,"jtj
U rail
Dripedge shall have min of 2" overlap
LA K1A
Tel, ass
0 Fail
Dripedge should extend down min 2' past roof deck
El N, -A
E] r.;f
Dripedge shall be mechanicaly fastened 12" OC
E] Pas:
[__1 Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carpofts, open on three sides withmin. slope of
1-12
-W A
pas-.
r -.ii
Modified Bitumen. EPDM, TPO. min slope 114:12 slope
plic:A
L]
0 nail
Above roof insulation R-25
Fail
Below roof residential R-38
EJ WA
F'j
E] Fail
Below roof commercial R-32
M rii
Modified Bitumen, EPDM, TPO min slope 1f4*12 shape
must be installed in accordance vAth the manufacturers
specifications- Must have manufactures letter of
warranty vMh the address on the letter for final inspection
F-1 WA iy. Fail Metal roof shingles shall not be installed on slope less
3--12
0
"A r Metal valley flashing shall, be the same material as roof
L :1 rail
T d Metal valley flashing shall extend a min of 8" from the
centerline with a min- of 314 " high splash diverter
rib built-in at the now finewith sections overlapping a.
a min- of 4"
Tile R�ocl Reauirements
F_'] Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:112 and under require double underlayment
Company Name: JB
Inspector Signature:
Date of MID -ROOF If
Company Name: JBA CONSJOLTIN
Inspector Signature: 'enQ
Date of FINAL Inspection:
City of Wheat Ridge
"' Residential Roofing PERMIT - 201800806
T
PERMIT NO: 201800806 ISSUED: 03/22/2018
JOB ADDRESS: 11695 W 37th AVE EXPIRES: 03/22/2019
JOB DESCRIPTION: Residential re -roof with OC 30 year dimensional asphalt shingles. Squares:
23 Pitch: 6/12
*** CONTACTS ***
OWNER (303)423-9713 BLASZCAYSZY IRENA
SUB John Trujillo 180069 JT Contractors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,168.00
FEES
Total Valuation 0.00
Use Tax 129.53
Permit Fee 156.75
**
TOTAL ** 286.28
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201800806
PERMIT NO: 201800806 ISSUED: 03/22/2018
JOB ADDRESS: 11695 W 37th AVE EXPIRES: 03/22/2019
JOB DESCRIPTION: Residential re -roof with OC 30 year dimensional asphalt shingles. Squares:
23 Pitch: 6/12
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 rmit. I,futther_attest that I am legally authorized to include all entities named within this document as parties to the work to be
er red,,a' d thgall worts .",
to'b`erformed is disclosed in this d t and/or ijs' accompanying approved plans and specifications.
f r7 /r 111 F
'Signaydre ofOWNER or CONTRACTOR (Circle one) 1 Dale, `''
7; This permit was issued based on the information provided iq�the permit application and accompanying plans and specifications and is
ubject to the compliance with those documents, and all app``h1cable 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 may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 noj proceed or conceal work without written approval of such work from the Building and Inspection Services
Divisiotil 1
6. Theis ce granti f a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
appl ran r regulation of this jurisdiction. Approval of work is subject to field inspection.
�ignature of Chief BA ing Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
�Dina Kemp / l9 0 Z)P6
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, March 22, 2018 1:52 PM
To: CommDev Permits
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 and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
11655 west 37th ave
Irena blaszczyszyn
303-423-9713
Jblasz@comcast.net
ItF4, IZ-2c
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Yes
IMG 20180322 133328.ipa
CONTRACTOR INFORMATION
Contractor Business Jt constraction
Name
Contractor's License 180069
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720 2261062
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 2323 Curtis st
(Primary address of your
business)
Contractor Email Address 1339754@gmail.com
Retype Contractor Email Jt1339754@gmail.com
Address
DESCRIPTION OF WORK /
TOTAL SQUARES of 24 V
the entire scope of work:
Project Value (contract 58 0
value or cost of ALL Q U
materials and labor)
Are you re -decking theNo
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that
apply)
z
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.
Name of Applicant See and garage
Email not displaying correctly? View it in your browser.
What is the specific pitch -6.12
of the PITCHED roof?
How many squares are 23
part of the PITCHED
roof?
Describe the roofing 30 year dimenntional
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional Hou
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
3
�✓ � PROPOSAL N0.
C's> -
BID N0.
TO � . � � PHONE #'S
ADDRESS f _ J � DATE Of PLANS
BE
we hereby propose to furnish the materials and perform the labor necessary for the completion of
Area below for additional description and/or drawings:
r
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and
completed in a substantial workmanlike manner for the sum
Dollars ($ 73 ) with payments to be made as follows.
(ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are
I specified. Payments will be made as outlined aboyF
I Date
adanr 9450
hereby acc ted -fou are authorized to do the work as
i -4,
INSPECTION RECORD OccupancvlTvpe
°°INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
FINALS
Electrical
j 5 r 1 z 11 1
Awl
I
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
king & Landsoaping
rNOTE- ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
ERTIFICATE OFOCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
,. CITY OF WHEAT RIDGE
r4000 Building Inspection Division
'r
(303) 234 -5933 Inspection line
(303)235 -2855 Office ' (303) 237 -8929 Fax
INSPECTION NOTICE i( k
Inspection Type rCr - s,_
Job Address ,�`�' �° A' Ah
Permit Number Z14 ZILE
` .c-
.: s — �../s'��*9 s"�.d ..ems l�rc .n.. _. ,i :
CE
" 4' City of Wheat Ridge
/ Residential Electric PERMIT - 110268
PERMIT NO: 110268
ISSUED:
03/16/2011
JOB ADDRESS: 11695 W
37TH AVE
EXPIRES:
03/15/2012
DESCRIPTION: MAIN SERVICE UPGRADE 200
AMPS PICK -UP EXISTING CIRCUITS
* ** CONTACTS * **
OWNER 303/915 -4117
KATHLEEN RAINWATER
SUB 303/399 -7420
Gary Stone
02 -1252
AllStar Electrical Services, L
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0813
BLOCK /LOT #:
0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 2,500.00
FEES
Permit Fee
93.35
Total Valuation
.00
Use Tax
45.00��
** TOTAL **
138.35
Conditions:
Must comply w/ 2006 IRC & 2005 NEC.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
Signature of Chief Hui �.ng fical Date
INSPECTION REQU ST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY..
4
Cit of
Y
6at dge Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
I( /'Q Building Permit Application
Property Address,; 9 \ G ( a L�)
Property Owner (please print): —t}t r�� [�p� �L Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor r -- -S
Contractors City License #: Z 12j 2 Phone:3-
SybontractoYs:i
Electrical: Plumbing: Mechanical:
City License # 2 (2�Z City License # City License #
Des�rlptlon�f wo�k�+
(: O�IRi..I �m`R -ti7iCe U�CsSc -I��L "�D 2�7a t3�Y1('S
$ ��oo
Con act Value
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 REP +NTAT11 of (OWNER) (CONTRACTOR) II 11 `.
PRINT NAME: � �. SIGNATURE: DATE: 3 - 0- ' b 1
r v�
� r
�BLjILDMG
` PUBLID1NO�i)CS 1
�^ U:
,` Revle
u rc
�F1RE DEpARTMEI
i
Bldg Valuation:.
♦ i CITY OF WHEAT RIDGE
r Bung Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F11,14-z, k r
Job Address: M05" /✓7s7 ~ /2z
Permit Number: 221d6o
6,-2 IJ. r ! a o [✓f z
No one available for inspection: Time f J Sl AM/PM
Re-Inspection required: Yes `No
When corrections have been made, call for re-inspection at 303-234-5933
Date: fl - /U - R Inspector: la 7/
DO NOT REMOVE THIS NOTICE
~►~i
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
r
Inspection Type:
Job Address/Permit Number: 11105 10, 3/y~
c
qr
} p
E
❑ No one available for inspection: Time 3' AM/
r
Re-Inspection required: "Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: fl Inspector:
DO NOT REMOVE THIS NOTICE
v Ly ui Vv iieaL rciuge
3?9r Residential Roofing PERMIT - 091800
PERMIT NO: 091800. ISSUED:. 08/31/2009
JOBADDRESS: 11695. W. 37TH AVE EXPIRES.: 02/27/2010
DESCRIPTION:. Reroof 33.33 sqs
CONTACTS
owner 303/777-9022 Kathleen Rainwater`
sub 303/646-3977 Mike Essary. 09-0139 Shield Const. & Exteriors
***PARCEL INFO
ZONE CODE: UA USE: UA.
SUBDIVISION: 0680 BLOCK/LOT#: 0/
**:FEE SUMMARY 'ESTIMATED PROJECT VALUATION: 5,438.66
FEES
Permit Fee 162.90
Total Valuation .00
Use Tax ..97.90
**`TOTAL 260.80
Conditions: -
6 nail installation <& mid-roof inspection required. Board sheathing spaced more
than `a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water: shield required from eave edge to 21 inside 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; thatI have read and agree to abide by all conditions. printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building. Code -(I.B.C). and all other
applicable wheat Ridge Ordinances, for work under this permit. Plans subject to field. inspection.
Signature. of contractor/owner 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
ordinances of the city.'
2. This permit shall expire .180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, 'a new permit may be. acquired fora 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.
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, any violation of the provisions of the. building codes or any other ordinance, law, =Is or regulation.
All plan review is subject to field inspections.
signature of Chief Building'. Official -date
INSPECTION REQUEST :LINE: (303)234-5933 BUILDING OFFICE:. (303)235-2855
REQUESTS MUST: BE MADE BY-3PM ANY :-BUSINESS ::DAY :FOR :INSPECTION THE FOLLOWING BUSINESS DAY..`
y ofWeat Ridge - - -
I No-
' Residential Roofing PERMIT - 091800
2 3
P F NO: 091800. ISSUED: 08/31/200.9
Pt.1 DRESS: IiS95 W 37TH AVE EXPIRES: 02/27/2010
ION Reroof <33.33 sqs
g''tner, 33103/777-9022 Kathleen Rainwater
16
Y pp 'J=,
46-3977 Mike Essary. 09-0139 Shield Const. & Exteriors
,RCEL cis: a'* r.
)E: VA USE: IIA
IIVT_5 ON: 0680 BLOCK/LOT#: 0/
P_,.i. S..>ii LARY ESTIMATED PROJECT VALUATION: 5,438.66.
FEES
rit Fee 162.90 x3.-, ;
ta-Valuation
.00"l.')i~/J~~✓"~/~•$
)s4Tax 97.90 ".3_°. R
*F, TOTAL - 260.80 `
stallation & mid roof inspection required. Board sheathing spaced more
,Taff:"'a.,l•/2 of an inch apart requires plywood overlay on entire roof. Ice and
giater..shield required from eave edge to 2' inside exterior walls.
z(
wg;.ajh`~3`k:t t~ '~.:•td inspections.
i
Certify. n t .,the setback distances proposed by this permit application are accurate, and do not violate applicable
A FM,~ cr~ rulee _ "°regulations of the City of.. Wheat Ridge or covenants, easements or. restrictions of record; that all
.,4kF't(+~nre shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
pa] c::ble J•c.at Ridge Ordinances, for work under this permit. Plans subject to field inspection.
~pp<
~'¢(},vY:•]Ye of contract / caner ~ 'date
r ~.4fn ~a permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
r to of Colorado and to the zoning. Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
~l inanc•s cf the City.
^,x' permit s._,+yl expire 180 days from the issue date. Requests for an extension must be received prior to expiration
1`k 11 f ~ f k An extens en may be granted. at the discretion of the Building Official.
s p {iiis permit expires„ a new permit may be acquired for a fee of one-half the amount normally required, provided no
S a}hyea have been or will be made in the original plans and specifications and any suspension or abandonment has not
12{';-'ded one (1) year. If changes have been or if suspension or abandonment : exceeds one (1) year,
full fees shall
ta:d 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.
d (ontractom., hall notify the Building Inspector twenty-four 24 hours in advance for all inspections and shall receive
writ c rval on inspection card before proceeding with successive phases of the job.
:
61,
ai su \ e of a permit.. or the approval of drawings and specifications shall not be construed to be a permit for, nor
-ny violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
c N.l plaa ject to field inspections.
approva •Tl0,1ef
f g
ing Official date
4
r~ z4fraP -TIC, REQUEST LINE: (303) 234-5933 BUILDING OFFICE: (303)235-2855
3 VESTS MUST 13B MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
r Fes,
£ ft\ 5+.
t
f
~oF W"E'QTq, City of Wheat Ridge Building Division Date: 0 F(M t%q
y m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan
cOoer+~° Inspection Line: 303-234-5933 - - Y'
Permit r
Building Permit Application
Property Address: II2g5 IA)- A-V6 WFFE{4T PagGE SC63-5
Property Owner (please print): lCK}TFFL>EEN (2I41tSW q (Wp
Phone: '3&3 -7-7-7 410
2Z.
Mailing Address: (if different than property address)
Address: V709 our) 24t4c 4 1-RA-m.
City, State, Zip: L4TT-i_S1-tN,Cp r I O
Contractor: rj)d I> 7.P Gpt SSA (~I i pN
Contractor License 00115131:11 Phone: So 5• Le L{ (p• 39-17
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction value: $ 5438• (o(p
Description of work: QEpl:~r 9 ~iw5o (as calculatedper the Building Valuation Data sheet)
- Plan Review (due at time of submittal): $
1-K4f.AIGt~ ~O`<(~ ttiMP ~iNtits6t.~
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNEWCONTRACTOR 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 appticable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE O OW (CONTRATOR)
PRINTNAME: ~iS\ MAQUAA SIGNATURE: Date:
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY:
FIRE DEPARTMENT': ❑ approved w/ comments --11 disapproved 0 no review. required
DEPARTMENT OF COMMUNITY DEVELOPMENT M914F17405
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. gn#X
237-6944 Exr. 255 P.O. eox sas CITY OF WHEAT RIDGE, COLO.
THtS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTEO BELOW.
JOB ADDRESS ~I Lt' f--J wt). i- rnir.
CONTRACTOR OI p T I✓~'~~ ILS IC.1210-F!/JG- GO•
ADDRESS SII~Y oa ~S , Cc rlo~~ ~C~"'
CITY L~~-~7 ZIP CODE ~ l-'2
PHONE a 41's )t~ l7 LICENSE NO.**@!k2__.-
OWNER
ADORESS~I L~2
PHONE
~ONTRACT Pf71CE $
~dJ7/ ZIPCODE V~ V~-L]
• ao
1. TYPE G.ound❑
Wall❑
Proietfin00
Ofher
SorDFaos
SIGNS
2. MATERIAL
3. ILLUMINA710N Yea❑ No[]
TyDa
Total Squaro Feat
Elee1. Permif No.
4 SET BACK FROM PROPERTY LINE N
(Spetifywhichiafront)
_
❑
S_ E
❑
_ W
❑ ❑
Zons
_ ApDroved,ZOne Inspsetor
DiaapDroved
1. TYPE SolidE] Mora TAan 80% ODSnO
Lest Thon 80% Opm
2 MATERIAL
Haipht
FENCES
3, SET BACK FROM PROPERTY LINE N
(Speci}y whieh ie tront)
_
❑
S_ E
❑
_ W
❑ ❑
Zone
_ Apprwed,Zone Inepaetor
DieaDProved
e a lo e
i
J
7-,qa
.
a'l. ~
Z e!j
n s L
, f-
7 D
OTHER
~
3.
I"i
~
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUC. (SETBACKS OR PROJECTIONS INCIUDED)
INSPECTION TICKET
JOB
ADDRESS S 6J d 7 ~
F!'/ 1 /
H
J f
DATE: /0" a BLDG. PERMIT# 17510
PERMIT#
BLDG. CONTR. C~LIX~
STREET NAME .SUBCONTRACTOR
SHOW DISTANCES FROM THE MAIN BUILDING TOAWOINING HOUSES,ST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DIST! DATE INSP. REQ.
APPLICATION FOR PLUMBING; ELE' TYPE OF INSP.
THIS APPUCATION WILL BECOME A PERMIT TO PERFORM THE INDICATI ~ IVISION.
PERMIT WILL E%PIRE 60DAYS FROM DATE Of ISSUAI ~~cocnrinni r.eeno ~C/ C~- /i ~(G -
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBIN .V ~v V n IC I
STATE LICENSE NC REMARKS ( -
ALUM
INUM WIRE UNDER SRE 8 IILEGAL
FLOOR
BSM' d Elee Sola~
Np.
WATER CIASET
q
TEMPORARY METER
WASH BOWL
p/
NEW SERVICE AMPS
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
W.R. FaRM 6-19
LIGHTING
SINK
HEATING
GARBAGE DISB
. ~ /
POWER SUB-CIRCUITS
WATER HEATER
v
UTILITY(RANGE,DISPOSER,ETCJ
AUTO.WASHER
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 6 CONTROLS
FLOOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I nereby ucknowledqa thot this opplico- PERMIT FEE 6Cr-&
fion ia eoneet and undentand thot I
li-
til thi
USE TAX
s app
connot start ihis proleet un
cation in approved. I shall comply with
TOTAL FEE
.
$l
nd t
o
the lowa of Ihe State of Colorado a
ths Zoninq Requlations and Buildinq
Code of the Cify of Wheat Ridpe. Any
violation of the obove terme win couse
APPROVED
atSAPP149YED
CHIEF BUILDWG-
'
SPECTOR, City of Wheat Ridge
imme iat revoeation of ihis permit.
~ /Puj~
Date Issued
NOT
f -/6 --7,
Lt
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
4ooueam. sionawr•