HomeMy WebLinkAbout9630 W. 37th AvenueINSPECTION RECORD
Inspection online form: http://www.cl.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: / ADDRESS: �l ,� �. JOB CODE:, f�l
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
� %-10CODE:
2"/ 57#
PERMIT: /7����
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
'2 - 13- Is
7-6
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.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECON NOTICE
Inspection Type:
Job Address: `11, 3 G w -3-7 4-h 14 L�
Permit Number: o ► 7 c
❑ No one available for inspection: Time = 9 I PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ',3 / ? 1 I" Inspector: __F'_b
DO NOT REMOVE THIS NOTICE
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: �,� ; - ADDRESS: �. ���-` 1W)t JOB CODE:
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:Jn/'w� ADDRESS: %(,- -, c.;J < h JOB CODE:
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
U
�.
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
U
�.
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.
i CITY OF WHEAT RIDGE I �
Building Inspection Division \'n
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: R
Job Address: 3-] + 'A
Permit Number: (3 14 ^7
❑ No one available for inspection: Time i I AM/M)
Re -Inspection required: Yes %o
When corrections have been made, call for re -inspection at 303 -234 -
Date: I t JI) 6 Inspecto
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �0! /�o
Job Address: 9/,' gn 14,/- -3
Permit Number: � 1/ 7 4-
❑ No one available for inspection: Time 'O `l / AM/PM
Re -Inspection required:Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Aho Inspector: L
DO NOT REMOVE THIS NOTICE
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: M ( 0 R-a�-
Job Address: 9(.e3C) Vj ?D_) 14 Mll�--
Permit Number: S -Ci -1 01 Arl (a
❑ No one available for inspection: Time F� AMPM
Re -Inspection required: Yes No
When corrections have been made, can fo/'r-inspecfio at 303-234-5933
G
Date: t `�i �o `� Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201709476
PERMIT NO: 201709476 ISSUED: 12/06/2017
JOB ADDRESS: 9630 W 37th AVE EXPIRES: 12/06/2018
JOB DESCRIPTION: Residential re -roof with asphalt shingles. Pitch: 4/12 and 24.67
*** CONTACTS ***
OWNER (303)425-4325 NEWMAN MARK S
SUB (303)734-0956 Guy W. Thacker 022126 Sunny Contractors & Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,378.67
FEES
Total Valuation 0.00
Use Tax 175.95
Permit Fee 188.45
** TOTAL ** 364.40
*** 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.
t , 4� City of Wheat Ridge
Residential Roofing PERMIT - 201709476
PERMIT NO: 201709476 ISSUED: 12/06/2017
JOB ADDRESS: 9630 W 37th AVE EXPIRES: 12/06/2018
JOB DESCRIPTION: Residential re -roof with asphalt shingles. Pitch: 4/12 and 24.67
I, by my signature, do hereby attest that the work to be oodes'
erformed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal policies and pr edures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized toobtain this ermit a perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized include alentitie named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this doc en, and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) IDat6,,
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 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 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 an 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 D-ivision 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
6.
IM
Signature of Chief Building Offic
REQUESTS MUST BE MADE BY 11.
be construed to be a permit for, or an approval of, an violation of any provision of any
i of this jurisdiction. Approval of work is subject to field inspection.
Date
BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
�01 9-o <7�/ �
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, December 6, 2017 11:32 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dina
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 v
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.
r
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 0,4gle Family Home
are on the property?
PROPERTY INFORMATION
Property Address 9630 W. 37th Avenue t3& /Property Owner Name Mark Newman 7
Property Owner Phone 303-425-4325
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
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
Field not completed.
Yes
9630 W 37th Ave, Wheatridge CO contract.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Sunny Constructors & Roofing LLC
022126
303-734-0956
Contractor Address 4394 S. Federal Blvd. Englewood CO 80110
(Primary address of your
business)
Contractor Email Address suzanne@sunnyroofing.com
Retype Contractor Email suzanne@sunnyroofing.com
Address
DESCRIPTION OF WORK ,---
TOTAL SQUARES of 24.67
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
8378.67
No'
Pitched roof (2:12 pitch or greater)
z
both? (check all that
apply)
What is the specific pitch
4.12
of the PITCHED roof?
How many squares are
24.67
part of the PITCHED
roof?
Describe the roofing
asphalt
materials for the
PITCHED roof:
Type of material for the
Asphalt
PITCHED roof:
Provide any additional
House
detail here on the
description of work. (Is
this for a house or
garage? Etc)
lKaMAMN COMMA
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
3
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.
Name of Applicant Suzanne Jameson
Email not displaying correctly? View it in your browser.
4
Nov 1017 01:360 Mark's Kiln Repair 303-425-4324 P.1
-,.i - I
M -�-
WOPX AUTHORIZATION & COINTIRACT
Casiomet-. It w*Newa=
Alflung A ddrMs. Pktrrrel Few
Losi Adlt=.' 9630 W. 37' Ave
atylStaulAp.- Wh eat JUdge CO 80033
Prknery Conlad. Mark
PkVitelr-off, 363-425-4324
E.medlAddem, *adnds@a*Lc&n
insowtee Co.; NafibnwWe
,4*adff. Emily Davis
Addrem.-
CWSMWZrP:
PhmelAw
C&dn X 166973 -GF
Work A fS r.:
Low 2)fw-, Hag
Year Buat-
CwaracrAmomt- $8,378.67
Property Owner, Property Representative, Insured or b a4fe rred
" MMnse eaPi8ftcro"ective'y "fe to as
Customer) by aigning. below hereby gives access and authorizes P a Team I
Holdings, 12C. enfity either diawdy or through its corporate affiliates, subsidiaries & their operating dividaw (cWkcdvdy
referral to as 'Cona=W), to make repairs or replacements to the real and personal property owned, controlled, or kned
by Custoner and for which Customer I= the right and power to conuwt services at the above referenced Loss Address (ft
The scope ref wrxk- (the "Wb&") to be peorroad. .may include, but is not limited to restoration and/or oonstruefion repairs
rp the Prop --17 to as claw to its pre -loss condition as possible, Contractor Will determine its Sew of Wa& based on its
inspecdor. caf die Property and is under no obligation to follow the scope of work determined by other pasties. Any
aTpleratutal changes approved by any insurance cmpany, will be considered approved by Customer.
CUStOraOr agrees to pay ContracW the sum of itemized labor, equipment, materials, fm and cam to restom the Property.
The Work wPJ !w invoiced based on XactimataTIA rates (Restoration industry estimating software) and/or XTI 's time and
rraterial rate schedule. If this Contract is cancelled for any reason, Contractor sb&B be paid for afl Work completed prim
to cancellation, iticluft overbaad and profit, fees, materials ordered, or materials stored an project
Oztome agrees to be qar:sonaLyraqx=1Ue to pay Contractor for any and all costs fx)r repairs or repkcements
pofomed by Contractor even when such costs are not paid by the inaffatim company. Customer agrees that ally and aff
costs are due upon completion of work or according to the terms of an invoice, or termination of the Contract, whichever
comes first
Customer herby si shot any insurance company and/or mortgage company to pay Contractor, or affibarcd company,
for all Work to the above reference Property. Customer agrees that Contractor will be named a payee on any draft or
check issued to cover this loss or the cost of the necessmy repairs or replacements, and such a draft will be promptly
endorsed fired provided to Contractor upon receipt by Customer. x
Si turn s
RT1
Roofing Contractor Sunny Roofing
Tob #: Page 1 of 4 v. I 1x2016
City of Wheat Ridge
Residential Miscella PERMIT - 201709592
PERMIT NO: 201709592 ISSUED: 12/14/2017
JOB ADDRESS: 9630 W 37th AVE EXPIRES: 12/14/2018
JOB DESCRIPTION: Residential miscellaneous permit for installation of vinyl siding,
1713.62sgft.
*** CONTACTS ***
OWNER (303)425-4325 NEWMAN MARK S
SUB (720)322-2242 Mario Reyes 170464 RT 1 Restoration Services LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,500.00
FEES
Total Valuation 0.00
Use Tax 157.50
Permit Fee 172.60
** TOTAL ** 330.10
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
appl�ca le 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' acco panying approved plans and specifications.
Signuture of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanyingplans 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 original ermrt 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 ay manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit ho ider 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 rpde or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat P gc
COMMUNmy DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits Qci.wheatridge.co.us
FOR OFFIC U E ONLY
Date:
Plan/Permit #jo/
Plan Review Fee:dl
30,
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: I � �_ L L' -1 L' AV -e
Property Owner (please print): M n- C L N e VVN rte Phone:
Property Owner Email: k4t 7_-- ! �" L CSI , to VVN
Mailing Address: (if different than property address)
Address: <L--�' :�"ti1 L
City, State, Zip:
Architect/Engineer E-mail: I R
Phone:U � !�
Contractor:
Contractors City License #: 0`4 4" Phone: -12 v 7 -
Contractor E-mail Address: CCC-- E_wl� cowl
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): j �.vv\ v\ � � _ Phone: 3 u 7�, S' U9 Z(F
CONTACT EMAIL(p/ease print): NL -y" r 4-,v\ 2, /01"I
Sub Contractors:
Electrical:
W.R. City License #
Plumbing:
W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License #
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL LV 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
❑ LECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
[� OTHER (Describe) 2�I�.t
(For ALL projects, please provide a detailed descfiption 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
I I ! _3. (1 Z cle Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
cx-
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 na' DATE: 17-1 1_1
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
Response Team 1
Response Team 1
'�,,,,,, 5915 N. Broadway
Denver CO 80216
TIN # 81-1666255
Insured: MARK NEWMAN
Property: 9630 W 37TH AVE
WHEAT RIDGE, CO 80033-5713
Home: 9630 W 37TH AVE
WHEAT RIDGE, CO 80033-5713
Claim Rep.: Daniel Qualk
Business: 1000 Yard St.
Grandview Heights, OH 43212
Estimator: Ramon Clark
Company: Response Team 1/ Empire
Business: 5915 N. Broadway
Denver, CO
Reference:
Company: Nationwide
Contractor:
Company: Response Team 1 /Empire
Business: 5915 N. Broadway
Denver, CO 80216
Claim Number: 166973 -GF Policy Number: HON 0060631801
Date Contacted:
Date of Loss:
Date Inspected:
Date Est. Completed:
10/17/2017 2:00 PM
5/8/2017 5:00 PM
10/17/2017 3:00 PM
10/20/2017 2:47 PM
Price List: CODE8X OCT17
R estoration/Service/Remodel
Estimate: Iv1ARK NEWMAN2-SIDING
Home:
(303) 425-4324
Cell:
(720) 413-3641
E-mail:
kazinets@aol.com
Business: (614) 854-2244
E-mail: Qualkdl@nationwide.com
Business: (720) 322-2242
Business: (720) 322-2242
Type of Loss: Hail
Date Received: 5/8/2017 6:00 PM
Date Entered: 10/18/2017
s �w cr;ry se
Response Team 1
Response Team 1
5915 N. Broadway
Denver CO 80216
TIN # 81-1666255
]Dear Valued Customer,
)Please refer to the enclosed itemized estimate. This estimate contains the valuation of the damages for this
reported loss which we prepared using reasonable and customary prices for your geographic area.
If any hidden, or additional damage, and/or damaged items are discovered, we will contact your Claims
Representative immediately. Coverage for the hidden or additional damages and/or damaged items, will
need to be determined by the Claims Representative and may require an inspection/re-inspection before any
supplemental payment or repairs are authorized. Please do not destroy or discard any hidden, or
additional damages, and/or damaged items until the Claims Representative is notified and provided an
opportunity to review the hidden or additional damages and/or damaged items, and reached an agreement
with you on any supplemental costs.
]Payments for the On Your Side Property Repair Network are not made until the work has been completed
and you have signed a "Certificate of Satisfaction & Authorization to Pay" form. We will not ask you to,
nor should you, sign the form until you are truly satisfied with the completed work.
It is possible that your mortgage company will be included on the payment for repairs. If this occurs,
please contact the mortgage company to discuss how to handle the proceeds of the payment.
Please contact your Claims Representative at the number listed above if you have any questions regarding
any matters pertaining to your claim.
Thank you.
It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance
company for the purpose of defrauding or attempting to defraud the company. Penalties may include
imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an
insurance company who knowingly provides false, incomplete, or misleading faces or information to a
policyholder or z1aimant :for the purposes of defrauding or attempting to defraud the policyholder of
claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the
Colorado division of insurance within the department of regulatory agencies.
MARK_NEWMAN2-SIDING 12/13/2017 Page:2
Flat/patio roof
---.—^z'
Flat/patio roof
MARK NEWMAN2-SIDING
Main Level
242.94 Surface Area
66.13 Total Perimeter Length
2.43 Number of Squares
DESCRIPTION
Response Team 1
No damage found on the rolled roofing
Response Team 1
NOTES:
5915 N. Broadway
Denver CO 80216
Elevation
TIN # 81-1666255
Flat/patio roof
---.—^z'
Flat/patio roof
MARK NEWMAN2-SIDING
Main Level
242.94 Surface Area
66.13 Total Perimeter Length
2.43 Number of Squares
DESCRIPTION
QTY
No damage found on the rolled roofing
NOTES:
Elevation
Elevation
DESCRIPTION
QTY
Due to existing siding is not made anymore the
insurance is wanting to use the existing house siding and install on the 2 West
elevations of the garage and shop. Need to detach the old undamaged siding and install on 2 out buildings
NOTES:
Shop gable
Height: 8'
337.73 SF Walls 116.16 SF Ceiling
1
453.89 SF Walls & Ceiling 116.16 SF Floor
Shop able w "
12.91 SY Flooring 42.22 LF Floor Perimeter
12. 11. ,�- 1
42.22 LF Ceil. Perimeter
13'T
MARK_NEWMAN2-SIDING
12/13/2017 Page:3
Response Team 1
Response Team 1
5915 N. Broadway
Denver CO 80216
TIN # 81-1666255
]DESCRIPTION QTY
13. Labor to set up and take down scaffold - per section 1.00 EA
14. Install Siding - vinyl 116.16 SF
15. Fanfold foam insulation board - 1/4" 116.16 SF
16. Exterior outlet or switch - Detach & reset 2.00 EA
17. Gutter / downspout - Detach & reset 8.00 LF
To get access to the siding
NOTES
Garage gable
Ga agc gab)V1i if
535.57 SF Walls
798.83 SF Walls & Ceiling
28.49 SY Flooring
66.95 LF Ceil. Perimeter
Height: 8'
263.27 SF Ceiling
256.39 SF Floor
66.95 LF Floor Perimeter
]DESCRIPTION QTY
18. Labor to set up and take down scaffold - per section 2.00 EA
19. Install Siding - vinyl 256.39 SF
20. Fanfold foam insulation board - 1/4" 256.39 SF
23. Exterior outlet or switch - Detach & reset 1.00 EA
24. Exterior light fixture - Detach & reset 1.00 EA
]NOTES
House Siding
House Siding
]DESCRIPTION
QTY
Due to the existing siding is not made anymore the insurance is allowed to remove , detach some of the existing siding and replace all
the siding on the main house
MARK_NEWMAN2-SIDING 12/13/2017 Page:4
Response Team 1
Response Team 1
5915 N. Broadway
Denver CO 80216
TIN #81-1666255
CONTINUED - House Siding
DESCRIPTION
25. Single axle dump truck - per load - including dump fees
NOTES
West Gable
wa"w i f
est GableW�aow(
23. 1'
----24' 2" ------+
DESCRIPTION
525.81 SF Walls
780.29 SF Walls & Ceiling
25.36 SY Flooring
65.73 LF Ceil. Perimeter
QTY
1.00 EA
Height: 8'
254.48 SF Ceiling
228.25 SF Floor
65.73 LF Floor Perimeter
QTY
26. Labor to set up and take down scaffold -per section 2.00 EA
.27. R&R Siding -vinyl 228.25 SF
28. Fanfold foam insulation board - 1/4" 228.25 SF
31. Install Siding -vinyl 228.25 SF
32. Install Attic vent - gable end - metal - 12" x 12" 1.00 EA
NOTES
P✓ IARK_NEWMAN2-SIDING 12/13/2017 Page:5
-----35' 6 --
35' T
Do �iJ dE)el�'�i� t%
1
offset (2) _
W1 ow 5)
`r Nonh/gable (3) spall
19 -
1
,-,9'6'----'y
]'Missing Wall
/0, .
Wlt�s> �r-ii
Missing Wall
DESCRIPTION
North elevation
694.67 SF Walls
989.25 SF Walls & Ceiling
29.65 SY Flooring
86.83 LF Ceil. Perimeter
Subroom: sidetwall (1)
182.67 SF Walls
207.92 SF Walls & Ceiling
2.81 SY Flooring
22.83 LF Ceil. Perimeter
Subroom: North/gable (3)
291.30 SF Walls
459.08 SF Walls & Ceiling
17.67 SY Flooring
36.41 LF Ceil. Perimeter
18' 15/16" X 8'
Subroom: offset (2)
157.68 SF Walls
180.22 SF Walls & Ceiling
2.50 SY Flooring
19.71 LF Ceil. Perimeter
18' 15/16" X 8'
33. Labor to set up and take down scaffold - per section
34. R&R Siding - vinyl
35. Fanfold foam insulation board - 1/4"
36. Gutter / downspout - Detach & reset
37. Light fixture - Detach & reset
38. Clothes dryer vent cover - Detach & reset
MARK NEWMAN2-SIDING
Height: 8'
294.58 SF Ceiling
266.83 SF Floor
86.83 LF Floor Perimeter
Height: 8'
25.25 SF Ceiling
25.25 SF Floor
22.83 LF Floor Perimeter
Height: 8'
167.77 SF Ceiling
159.03 SF Floor
36.41 LF Floor Perimeter
Opens into OFFSET
Height: 8'
22.54 SF Ceiling
22.54 SF Floor
19.71 LF Floor Perimeter
Opens into NORTH -GABLE
12/13/2017
QTY
2.00 EA
473.65 SF
473.65 SF
12.00 LF
1.00 EA
1.00 EA
Page: 6
Response Team 1
Response Team 1
5915 N. Broadway
Denver CO 80216
TIN # 81-1666255
-----35' 6 --
35' T
Do �iJ dE)el�'�i� t%
1
offset (2) _
W1 ow 5)
`r Nonh/gable (3) spall
19 -
1
,-,9'6'----'y
]'Missing Wall
/0, .
Wlt�s> �r-ii
Missing Wall
DESCRIPTION
North elevation
694.67 SF Walls
989.25 SF Walls & Ceiling
29.65 SY Flooring
86.83 LF Ceil. Perimeter
Subroom: sidetwall (1)
182.67 SF Walls
207.92 SF Walls & Ceiling
2.81 SY Flooring
22.83 LF Ceil. Perimeter
Subroom: North/gable (3)
291.30 SF Walls
459.08 SF Walls & Ceiling
17.67 SY Flooring
36.41 LF Ceil. Perimeter
18' 15/16" X 8'
Subroom: offset (2)
157.68 SF Walls
180.22 SF Walls & Ceiling
2.50 SY Flooring
19.71 LF Ceil. Perimeter
18' 15/16" X 8'
33. Labor to set up and take down scaffold - per section
34. R&R Siding - vinyl
35. Fanfold foam insulation board - 1/4"
36. Gutter / downspout - Detach & reset
37. Light fixture - Detach & reset
38. Clothes dryer vent cover - Detach & reset
MARK NEWMAN2-SIDING
Height: 8'
294.58 SF Ceiling
266.83 SF Floor
86.83 LF Floor Perimeter
Height: 8'
25.25 SF Ceiling
25.25 SF Floor
22.83 LF Floor Perimeter
Height: 8'
167.77 SF Ceiling
159.03 SF Floor
36.41 LF Floor Perimeter
Opens into OFFSET
Height: 8'
22.54 SF Ceiling
22.54 SF Floor
19.71 LF Floor Perimeter
Opens into NORTH -GABLE
12/13/2017
QTY
2.00 EA
473.65 SF
473.65 SF
12.00 LF
1.00 EA
1.00 EA
Page: 6
SAX
"kf9 piKNY::v. r.p!r
Response Team I
Response Team 1
5915 :V. Broadway
Denver CO 80216
TIN # 81-1666255
CONTINUED - North elevation
DESCRIPTION
39. Install Siding -vinyl
Detach as much siding from the North elevation so we can install it on the garage West elevation
NOTES:
East/Gable
T
EF ow Il Vlii�eiowt"(1A21 : _
a
a5ac ni
575.98 SF Walls
849.03 SF Walls & Ceiling
27.88 SY Flooring
72.00 LF Ceil. Perimeter
QTY
473.65 SF
Height: 8'
273.05 SF Ceiling
250.93 SF Floor
72.00 LF Floor Perimeter
DESCRIPTION QTY
40. Labor to set up and take down scaffold - per section 2.00 EA
41. R&R Siding - vinyl 250.93 SF
42. Fanfold foam insulation board - 1/4" 250.93 SF
43. Gutter / downspout - Detach & reset 12.00 LF
44. Clothes dryer vent cover - Detach & reset 1.00 EA
45. Install Attic vent - gable end - metal - 12" x 12" 1.00 EA
NOTES:
MARK_NEWMAN2-SIDING 12/13/2017 Page:7
-54' 8'
w. n ��
@tl n
DESCRIPTION
South elevation
1000.12 SF Walls
1459.54 SF Walls & Ceiling
43.14 SY Flooring
125.02 LF Ceil. Perimeter
Height: 8'
459.42 SF Ceiling
388.24 SF Floor
125.02 LF Floor Perimeter
QTY
46. Contents - move out then -reset
Response Team 1
47. R&R Siding - vinyl
388.24 SF
48. Fanfold foam insulation board - 1/4"
Response Team 1
49. Gutter / downspout - Detach & reset
5915 N. Broadway
50. Install Siding - vinyl
Denver CO 80216
Detach as much siding from the South elevation so we can install it on the shop West elevation
TIN # 81-1666255
-54' 8'
w. n ��
@tl n
DESCRIPTION
South elevation
1000.12 SF Walls
1459.54 SF Walls & Ceiling
43.14 SY Flooring
125.02 LF Ceil. Perimeter
Height: 8'
459.42 SF Ceiling
388.24 SF Floor
125.02 LF Floor Perimeter
QTY
46. Contents - move out then -reset
1.00 EA
47. R&R Siding - vinyl
388.24 SF
48. Fanfold foam insulation board - 1/4"
388.24 SF
49. Gutter / downspout - Detach & reset
24.00 LF
50. Install Siding - vinyl
388.24 SF
Detach as much siding from the South elevation so we can install it on the shop West elevation
NOTES
Grand Total Areas -
4,768.20 SF Walls
1,914.62 SF Floor
0.00 SF Long Wall
1,914.62 Floor Area
4,910.01 Exterior Wall Area
2,375.62 Surface Area
110.32 Total Ridge Length
2,077.52 SF Ceiling
212.74 SY Flooring
0.00 SF Short Wall
2,111.12 Total Area
581.65 Exterior Perimeter of
Walls
23.76 Number of Squares
0.00 Total Hip Length
6,845.72 SF Walls and Ceiling
596.02 LF Floor Perimeter
596.02 LF Ceil. Perimeter
4,768.20 Interior Wall Area
0.00 Total Perimeter Length
MARK_NEWMAN2-SIDING 12/13/2017 Page:8
z
50
I
r -
MR
W,
FEWMIS
oc
From:
Suzanne Jameson
TO:
Dina Kemp
Subject:
RE: 9630 W 37th Ave
Date:
Wednesday, November 29, 2017 10:10:09 AM
Hi Dina, I no longer need a permit forth is property and wish to cancel. I could not find away to do
it online. Please let me know what I need to do. I did leave a voice mail for you as well.
Thank you,
Suzanne Jameson
Sunny Constructors & Roofing, LLC
4394 S. Federal Blvd.
Englewood, CO 80110
303-734-0956
From: Dina Kemp[mailto:dkemp@ci.wheatridge.co.us]
Sent: Tuesday, November 28, 2017 3:30 PM
To: Suzanne Jameson <suzanne@sunnyroofing.com>
Subject: 9630 W 37th Ave
Regarding roof inspections for roofs over 6/12 pitch: 3rd party
inspection will be required, the 3rd party inspection report will be
collected at final roof inspection performed by City of Wheat Ridge. If
report is not available the final inspection will not be completed.
The permit(s) for the address(es) above are ready for pick-up. Please arrive at the assigned date and
time listed below and bring all required items for pick -u p. If you miss your time window you may
come any day after your assigned day, during the same assigned hours.
Permit pick-up: Wednesday, November 29th from 11:00am to 3:00pm
Location: Wheat Ridge City Hall, 7500 W. 29th Avenue, 2nd Floor
Required items for pick-up:
• Fee for permit: $364.40
• Photo ID;
• Bring in a Copy of signed roofing contract —We will be keeping the copy, do not bring your
original
• Insurance information: Liability Insurance Renewal Required by 8/31/17. Bring in Insurance
certificate with City of Wheat Ridge listed as certificate holder (DO NOT FAX OR EMAIL)—you
must bring in a copy) **if hard copies of the contract, license information, and insurance are
not in your possess) on we will not be ably to assist you....
Please do not email or fax required Information—You must bring a copy of required Items. Building
is unable to make copies.
NOTES:
Permit artl must be picked up and posted on site before work begins.
Credit cards (Visa and Ma4ertaN) are accepted up to $2500
You may PRINT a cred t card author SET on form and bring it with you In person when you
me to pick up your permitDo not submit this form via email or fax
Checks are required for any amounts exceeding $2500
The person who pl cks up this permit must by au[horized In our system to pull permits If
you are unsure or to add someone, bring an authorization letter on company letterhead and
signed by the owner.
All dump4ers assotlatay with building permits must be located on Crash, property snot In
the street(.
Dina O. Kemp
Permit Technician
7500 W. 29th Avenue
Meat Ridge, Colorado 80033
Office Phone : 303 235 2873
Fax 303 2373929
varaw � wn ndiddig
Wheat RN
ADMINISTMTIVE SEKVICES
CONFIDENTALIFY NOTICE Thu. ol.madeboaddsommidemal informanen I mudmedonly farina USE Of ue mmneni or
enLifty, named above read are ni Lhe amended recipenc you am modem bar any I ci I Emormin armed
or use Of onaommundiumn a prodefted If you received dam m • mly by,man ausni;
US model recover and EIELE US model revive from your 'around End anynaverk LO which your [Cramer is connefted
Th. no you
Dina D. Kemp
Permit Technician
7500 W. 29th Avenue
Meat Ridge, Colorado 80033
Office Phone : 303 235 2873
Fax 303 2373929
vrvrva c wM1ealritloe co us
M irvisranrrve SERVICES
CONFIDENTIALITY NOTICE Thu. nell.clumcbmadvarammidemal mini I OmLanded oifarina USE ofN,Individual or
ei named aboveor use Of e'N;v`;I Uchmm mmmum m. yi ;
CITY OF WHEAT RIDGE
s Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time P I AM
Re-Inspection required: Yes-
*When corrections have been made, call forjrr spection of 303-234-5933
Date: Inspector: t~C}
DO NOT REMOVE THIS NO ICE
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: e %~/~L ~czr~1=
Job Address: 94"3 w 3 t4a~ .46z-,~c
Permit Number: o93oYa
e
i t -5'S `I Alta n.1 S7,A,,?7 e GI3r~~LS t S/
F ljj o,E F,D l.~.r°`f'.•X°J ! 4/fr'd7f. i17'"ll3 M/ D®~W cvG l 6...
❑ No one available for inspection: Time ® sS AMe~_
Re-Inspection required: es ,No
*When corrections have been made, call foorr/e-inspection at 303-234x933
Date: S so Inspector: e
DO NOT REMOVE THIS NOTICE
n
♦ 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: VIM
Job Address: CC F 7 1t
Permit Number: ( (1
❑ No one available for inspection: Time AM/PM
Re-Inspection required: fYes) No
"When corrections have been made, call ie re-inspection at 303-234-5933
Date: WP Inspector:
t;
DO NOT REMOVE THIS NOTICE
City of `Wheat Ridge
Residential Roofing PERMIT - 093040
PERMIT NO: 093040 ISSUED: 10/06/2009
JOB ADDRESS: 9630 W.. 37TH AVE EXPIRES: 04/04/2010
DESCRIPTION: REroof"24 sqs
CONTACTS
owner 303/425=4324 Mark Newman
sub 303/420-0986 Dan'. Cupit 06-0114 Professional Roofing, Inc.
PARCEL.' INFO
ZONE :CODE: UA :USE: UA
SUBDIVISION:. 0620 .'BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,965.95.
FEES
Permit Fee 162.90 777Total Valuation
.00 C~t~1p"
Use 'Tax 107.39
TOTAL Y
270.29
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 srequired from eave edge to 2' inside exterior walls.
***Contractor/Property owner shall 'provide ..iadder(s) secured in place for'.
inpsections.'.
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 all ationa made are accurate; that I have read and agree to abide; by all conditions printed on this
application and h I.ae me full responsibility for compliance with the Wheat Ridge :Building Code ..(I.B.C)'and all other..
applicable :he ge. d' cea, for work under this permit. Plans subject tofield inspection.
Signature I/f/ tcbt r owner date
This. permit was issued in accordance with the. provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning `Regulations and Building Codes of Wheat :Ridge, Colorado or any other applicable -
ordinances of'.. the City
This permit shall expire 180 days from the issue date. Requests for.. an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official'.
If this permit expires, a new permit may be acquired 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.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card lbefore proceeding with successive phases of the job.
The issuance of a permit or the approval of drawings and ; specifications shall not be construed to be a permit for, nor
an approv o ny violation of the provisions of the building codes or any other ordinance, law, 'rule or regulation.
A11` n w is subject to field inspections.
sgnat of Thief Building official date
NSPECTION REQUEST LINE: (303)234-5933 BUILDING`. OFFICE: (303)235-2855
EQUESTS MUST':. BE MADE 13Y 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING' BUSINESS DAY.
City of Wheat Ridge Building Division
Date:
T 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
°o~oRAO° Inspection Line: 303-234-5933
Permit
Building Permit Application t
G
Property Address;
Property Owner (please print): ~V ro f k b\FI oAOLV Phone (5~ 4)5--- 43,)4
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractor License 7) f I I I Phone:/3)
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): Tb 3 4 VC~ 5 construction value: $ 5'~ _S .`15
Description of WOrtCS .w"5T-A ~h y}F l ~ jvf✓ (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares 94 BTU's Gallons Amps
OWNER)CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of. the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building,Code--(kB.G) -and_all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. /i
C)RLCE ONE:: (OWNER) (CONTRACTOR) or PERS&4AL-RERRESEN. -o (l ) (CONTRATOR)
PRINTNAME: T -Uey- SIGNATURE: Date:
DEPT ` 7VIENT OF PLANNING AND DEVELOPMENT
E! '._DING INSPECTION LINE -303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
V r7AT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
13192
11/29/01
perty Owner:
~Tmperty Address
Ccr. -.cter License No.
ROXANN GILMORE
9630 W 37th AVE
19360
Phone: 425-4324
Company : Artistic Iron Phone: 791-6440
OWNER/CO,, °,CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate
r. z. `.!e ordinances, rules or regulations of the City of Wheat Ridge or
covenants, e:
or resrictions of record; that all measurements shown, and allegations
made are ace.::.
- nat I have read and agree to abide by all conditions printed on this
application, n,
t 1 assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C..
: applicab!oAheat Ridge ordinances, for work under this permit.
(OWNER)(CC SIGNE D/ )_._L~. -_(_DATE /f. 1 120.)
Construction Value :
$9,558.00
Permit Fee :
$181.25
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$181.25
Use:
""BOUGHT IRON FENCE 48" TALL APPROX. 180'. FRONT OF PROPERTY.
Descrip?`
BUILDING DEPARTMENT USE ONLY
ion SIC: p,ease?~~t
Owner/contractor is responsible
1LC COMPLIES WI FENCE BEGS lines and Constructing l'
^,1t.ne prop
i approved lan and required de ejofor ts ;pment standard t
The City i o
s not responsible for inaccurate istandard
nnati
frul~` - OK. 11/29/01 submitted within the plan set and any constmctior
DM errors resulting from inaccurate information
~I' fsj 11/29/01. ISSUED ROW REQUIREMENTS ON 11127101
Occur Walls : Roof : Stories : Residential Units
Electr- Plumbing License No: Mechanical License No
Compar Company : Company :
Expiry"-
Approval
Expiration Date :
Approval:
Expiration Date :
Approval :
(1) )rdance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
R. is of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) Th::. the work authorized is not commenced within sixty (66) days from issue date or (B) the building authorized is suspended or
ar;- !<a days.
(3) h ,v 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
c ...:nlonS and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
e -s shall be paid for a new permit.
(4) i',I be done that will change the natural flow of water causing a drainage problem.
(5) wilding Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
;e phases of the job.
(6) or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
pr r codes or any other ordinance, law, rule or regulation.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
of WHEgp,p BUILDING INSPECTION LINE - 303-234-5933 - Date:
m CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Fj~VF
cOGORPO~ APAU +ATIO~j
~LV
Property Owner: Qnxann,5 G,)x-ore
Property Address: q & ,?o W , 2t • t +t e, Phone : Jvl N2 S -5132
on ~;ip Contractor License No.: / 3 4
Company: Phone:3v,~ ~9/-G fSb
OWNERICONTRACTOR SIGNATURE QF 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 (U.B.C) and all other applicable
Wheat Ridge Ordinances, for work under this permit.
(OWNER)(CONTRACTOR): SI D t DATE 111,?
Construction Value: rgS s S
Permit Fee:
Plan Review Fee:
Use T :~p,ZJ)
To
Description: W r e ✓ moron Fe_"G e 4/ 8 " /`A rf 4 y,' 0 X
J'1.On7' O'R priorw-f--fY
BUILDING DEPARTMENT USE ONLY
ZONING COMMENTS:
Approval: IV\
Zoning: R .
BUILDING COMMENTS: ~
Approval:
PUBLIC WORKS COMMENTS: /VI-16
Approval:
Occupancy: Walls:
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.
Roof: Stories:
r ,
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(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 ordinamm of the City.
(2) This permit shall expire if (A) the work authorized is not commenced w .hm sixty (60) days from issue data or (B) the building anthori:zed is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-halfthe mount normally required, provided no changes have been or will be made in
the originalplans andspecifications andany suspension or abandoomenthasnotexceeded one (1) year. If changes havebeen or if suspension orabandonmeat
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) Contractorshannotify theBuildingInspector twenty-fou.(24) hours in advance for all inspections and shall receivewdtten approval on inspection cud 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 ofilIe buitdiio"odes or any other ordinance, law, rile or regulation.
Sales Rep
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fl)r-tistic. Iron, Inc.
INSTALLATION LAYOUT FORM
I JOB #
Page of
Special notes for installer.
PRODUCT:
W WINDOW P PATIO GATE
R RAIL
S
SIDING
F
FENCE
C
COLUMN
SF
SOFFIT
D
DOOR GATE
PD
PATIO DOOR
FA
FASCIA
SL
SIDELITE
G
GRATES
G
GUTTER
M
MASTER FRM
PR
ENTRY DOOR
PC
PATIO CVR
G
GUARDS
EE
EE GRATES
D
IRON DOOR
PLACEMENT:
Customer name:
U 2 men
=UPPER =MAIN
=BASEMENT
Home phone:
Other phone:
U 3 men
U stories
If more information is needed for proper detail,
use a page 2 or 3.
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