HomeMy WebLinkAbout4610 Quay StreetPERMIT: f ADDRESS: e JOB CODE:`
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
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
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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
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307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
Rough Inspection (continued)
Date
Inspector
Initials
ments
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
- j
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 L11cf
- j
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
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: i=_ ('I I c�
Job Address:�-
Permit Number: -3 0 1-7 E `7 8 U q
❑ No one available for inspection: Time 10 :Y 1 (A'MYPM
Re -Inspection required: Yes S
When corrections have been made, call for re -inspection at 303-234-5933
Date: y Inspector: --F-6
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: r— i i �,
Job Address: .-(.V 1 Q k ),�
Permit Number: ,e2, C) 1 '"-7 ():1
❑ No one available for inspection: Time A PM
Re -Inspection required: a
No
When corrections have been made, call f e-inspec`tion�at 303-234-5933
- Pc�Date: Inspector: �I ! !
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
__1�9�(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I0 (21Q�:_
Job Address: ( 010 U�� -try
PermitNumber:
I j RX,My�►.
❑ No one available for inspection: Time 11!5_0`:i
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
J t
Date:_R ` r Inspector:',V )/MIN
DO NOT REMOVE THIS NOTICE
► ' , City of Wheat Ridge
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rw
Residential Roofing PERMIT - 201707848
PERMIT NO: 201707848 ISSUED: 09/29/2017
JOB ADDRESS: 4610 Quay ST EXPIRES: 09/29/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 19 sq Pitch = 4/12
*** CONTACTS ***
OWNER (720)933-8315 GRIBBLE MAURICE
SUB (303)596-4481 Chris Foster 170477 TruBuilt Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,700.00
FEES
Total Valuation 0.00
Use Tax 119.70
Permit Fee 140.90
** TOTAL ** 260.60
*** 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.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
r City of Wheat Ridge
`� Residential Roofing PERMIT - 201707848
PERMIT NO: 201707848 ISSUED: 09/29/2017
JOB ADDRESS: 4610 Quay ST EXPIRES: 09/29/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 19 sq Pitch = 4/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am fhe legal owner or have been authorized
by the legal owner e property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fu era st th am legally authorized to include all entities named within this document as parties to the work to be
performed and t at all ork e performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature ot O ER or%CONTRACTOR (Circle one) Date
1. This perms was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Dwision 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 Building Official V Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, September 25, 2017 6:30 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
_
Follow Up Flag: Follow up�—
Flag Status:
Completed
c
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.
c
3-
(_S__1
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 s
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., 4 -
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 4610 Quay St Wheat Ridge CO 80033
Property Owner Name Maurice Gribble
Property Owner Phone 720-933-8315
Number (enter WITH
dashes, eg 303-123-4567)
141
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Scan01030010.pdf
Contract
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)
Contractor Address
(Primary address of your
business)
TruBuilt Construction, Inc
170477
303-596-4481
3161 S Downing St
Contractor Email Address c.foster@trubuiltcolorado.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
c.foster@trubuiltcolorado.com
TOTAL SQUARES of 19 l f
the entire scope of work:
Project Value (contract 5700
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
No
Pitched roof (2:12 pitch or greater)
142
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof`?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof.
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4:12
19
Gaf Armor Shield
Asphalt
house
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
143
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 Chris Foster
Email not displaying correctly? View it in your browser.
144
TrUBUfft
ns I nuc I ron ;
Customer: Mary Goodale
4610 Quay St
Wheat Ridge, CO 80033
TruBuilt Construction, Inc
13791 E Rice Place
Aurora, CO 80015
Phone 303-596-4481
Fax 303-731-3679
Insurance Carrier: AmFam
Claim #: 315099604
Date of Loss: 5/9/2017
Descriotion Quantity Price Total
Roof
Tear off & dispose comp shingles
19.23
SQ
$
51.30
$
986.50
Armorshield II IR impact resistant shingle
21.25
SQ
$
239.67
$
5,092.99
TigerPaw premium synthetic underlayment
19.23
SQ
$
50.27
$
966.69
Emergency tarping
1
EACH
$
425.00
$
425.00
Ice and Water shield
572.08
SF
$
1.65
$
943.93
Ridge cap impact resistant
77.75
LF
$
5.12
$
398.08
Roll Roofing
0.4
SQ
$
117.10
$
46.84
Drip Edge
190.69
LF
$
1.99
$
379.47
R&R 8" Furnace cap
1
EACH
$
78.66
$
78.66
Ridge vent
63
LF
$
7.86
$
495.18
R&R pipe jack
3
EACH
$
33.78
$
101.34
D&R electrical mast split boot
1
EACH
$
55.25
$
55.25
D&R Satellite dish
1
EACH
$
36.26
$
36.26
D&R Evap cooler
1
EACH
$
411.00
$
411.00
Paint roof accessory
2
EACH
$
36.26
$
72.52
Roof TOTAL
$
10,489.71
Metal Patio Cover
R&R metal roofing - standing seam profile
$
4,961.43
Metal Patio Cover TOTAL
$
4,961.43
Shed Roof
Remove metal roofing
88.47
SF
$
0.43
$
38.04
Metal roofing
88.47
SF
$
5.69
$
503.68
Drip edge
38
LF
$
1.99
$
75.62
Shed roof TOTAL
$
617.34
Skylight
R&R Skylight - curb mount w/safety glass
1
EACH
$
479.55
$
479.55
Skylight TOTAL
$
479.55
Windows
R&R window screens
2
EACH
$
29.27
$
58.54
R&R Vinyl slider window 3-9 SF
3
EACH
$
386.97
$
1,160.91
Windows TOTAL
$
- ---
1,219.45
Gutters
R&R gutters - up to 5"
D&R gutter downspouts
Gutters TOTAL
Garage Doors
R&R overhead door & hardware 9X7'
122 LF
40 LF
1 EACH
$ 5.79 $ 706.38
$ 3.79 $ 151.60
- $ 857.98
$ 927.56 $ 927.56
Garage Doors TOTAL $ 927.56
Carpentry
R&R fence slats 25 EACH $ 5.45 $ 136.25
R&R Lattice work 1 EACH $ 148.76 $ 148.76
Carpentry TOTAL $ 285.01
Paint
Clean with pressure chemical spray
244.37
SF
$
0.33
$
80.64
Paint trim
228.69
SF
$
1.16
$
265.28
Paint garage door
1
EACH
$
94.42
$
94.42
Paint siding
58.89
SF
$
1.12
$
65.96
Stain/finish deck floor — _
120.8.3
SF
$
5.63
$
680.27
Exterior Painting TOTALS
$
_
1,186.57
Disposal
1
EACH
$
131.74
$
131.74
Contractor's overhead and profit
20
PERCENT
$
20,228.79
$
4,045.76
TOTAL $ 24,274.54
ACCEPTANCE OF PROPOSAL
The above prices and specifications are satisfactory and hereby accepted. You are authorized to complete the work as specified above.
Contactor(s) to provide all labor and materials as specified. All work will be completed within 90 days from final insurance approval
of all construction trades and supplemental items.
In compliance with Colorado Senate Bill 38, TruBuilt Construction will hold in trust any deposit payments made until materials have been
delivered to the job site or until work has commenced. All ACV claim funds are due upon delivery of roofing materials, with
remaining RCV balances due on completion of individual trades.
v
DATE Homeowner(s)
DATE Project Manager
A 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
zt
Job Address: �% u4 -1—
Permit Number:
o
❑ No one available for inspection: Time `-i`-ice PM
� e -Inspection required- Yes .,No
When corrections have been mae, call for re -inspection at 303-234-5933
enl
Date: F' 7 Inspector: Win,/ ( tel l�?-(t
DO NOT REMOVE THIS NOTICE
INSPECTI
INSPECTION 1
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath I Wall tie
Mid Roof jet G
Electrical Service
Rough Electric
s Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING -
Framing
Insulation
Drywall Screw
r,
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.
Plumbing '
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
"INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
.Building Final
Reinforcing or Monolithic
Fire Department
Weatherproof / French Drain
R.O.W & Drainage
Sewer Service Lines
Parking &.Landscaping
Water Service Lines
-
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
FINALS ..
Electrical
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.
Parking &.Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, . BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. 'FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ I i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235.2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
1
Inspection Type
Job Address:
Permit Number: 71/4
; °r
❑ No one available for inspection: Time ; , ?(') ^ 4 13 M
Re- Inspection required: Yes
When corrections have been made,', call for re- inspection at 303-,? 33
Date: 9 -L f 1- 1 e ) 1 7 Inspector:
DO NOT REMOVE THIS NOTICE
yr
i
U ♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: i{
Job Address: Yf /C. t I,hfa .
Permit Number: L42 '740'
r ok
❑ No one available for inspection: Time M
Re-Inspection required: Yes
When corrections have been made, call for re-insj/peectiio~n at 303;234-5 33
Date: 1/-/r~q Inspector: h Y~, i" , i
DO NOT REMOVE THIS NOTICE
1
INSPECTION RECORD Occupancy/Type
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
POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO N
OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
r~
Lath / Wall tie
F
Mid-Roof.
/
L
Electrical Service
`
Rough. Electric
Rough Plumbing
Gas Piping
a
`
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
.
;:Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
YTA
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking Landscaping
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
""NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A.
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY. THE BUILDING DIVISION DOES NOT. CONSTITUTE AUTHORIZATION.
OF A 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
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: :4 / t r
Job Address/Permit Number: ✓S
All
t'
❑ No one available for inspection: Time AM/PM
Ei No one available for inspection: Time AM/PM
Re-Inspection required: es o
When corrections have been made, call for re-inspection at 303-234-5933
r
Date: 7 ~T Inspector
DO NOT REMOVE THIS NOTICE
4'
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ` (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address/Permit Number:
❑ No one available for inspection: Time
Re-Inspection required: 'Yes No
When corrections have been made, call for re-inspe~cction at 303-234-5933
Date: l 1 Inspector:l
DO NOT REMOVE THIS NOTICE
{
!i
~oF W"E?>p City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
c o Inspection Line: 303-234-5933
OCORPO
Building Permit Application
Property Address
Date: U
Plan
Permit 4q a HV
Property Owner (please print): e4t Phoneepr3-2-d0 -d v3
Mailing Address: (if different than property ddress)
Address:
City, State, Zip:
Contractor: ;zf0,fd4
Contractor License mac? KO'd Phone: 30a !ii 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):
Description of work:
,te ,f®v4 Liou
Sq. Ft./L.Ft added: Squares --t1-- BTU's
Construction Value: $
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
A~ f A.W L- .e 4
Gallons Amps
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 the Wheat Ridge Building Code (I.B.C) and all other icable Wheat Ridge Ordinances, for work
under this permit. Plans subject-to field inspection.
CIRLCE ONE:: (OWN R) CONTRACTOR) r PERSONAL REPR TI o INNER) (CONTRATOR)
PRINT NAME: SIGNATURE: Date:
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City
of Wheat Ridge
%
Res.
Miscellaneous PERMIT
- 080388
T NO
~080388
ISSUED:
04/24/2008
:
PERMI
EXPIRES:
10/21/2008
JOB ADDRESS
ON
: 4610 QUAY ST
• Re lace existing furnace with new
DESCRIPTI . p
CONTACTS
owner 303/200-0136 Mary Goodale 01-7865 Lakeside Heating & A/C
gc 303/421-3572 William Buras
PARCEL INFO
USE: UA
ZONE CODE: LTA BLOCK/LOT#: OI
SUBDIVISION: 0295
ESTIMATED PROSECT VALUATION: 2,400.00
FEE SUMMARY
FEES
Permit Fee 108.30
Total Valuation .00
43.20
Use Tax 151.50
TOTAL
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or r.egulations of the City of wheat uidge or covenants, easements or restrictions of record; that all
measurements ehown, and allegations made are accurate; that i have read and a9ree to abide by all condicions printed on this
ibility Eor compliance with the Wheat Ridge Building Code (I.B.C) and all other
application and tkat i assume full respons
appl~icable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
~ `
1: ' . ; date . .
Signature of contractor/owner
1. Thie permit was issued in acmrdance with the provisions set forth in your applicatCOlorado1or sany eothe ~r applicableE the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge,
ordinances of the City.
2. This permit ehall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extenaion may be granted at the discretion of the Huilding Official. rovided no
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, p has changes have been or will be made in the original plans and specifications and any suspension r bfu3lnfeea shallot
exceeded one (1) year. if changes have been or if suspension or abandonment exceeds one (i) yea
be paid for a new permit.
4. No work of any manner shall be done that wi11 change the natural flow oE waCer causing a drainage pro em.
5. Contractor sha11 notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before pzoceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construedlaW brulePOr regulapioor
an app=oval of, any violation of the prwisions of the building codes or any other ordinance,
All plan review is -ybD,0.e to field inspections.
¢ace
Signature of Chief~fvilpYng
V
INSPECTION ~QUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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. . . . . . . . .
: ► ~ 4' City of WheSt ltl'ilge
1/"r~. . . . . . . . .
~ F.
~ Ites, Miscellaneous PERMIT - 080388
PERMTT N0;; 080388 ISSUED: 04/24/2008
J09 ADb~Z5S: 4610 QUAY ST EXPTRB5: 10/21/2008
DESCRIP'i'FbN: Itep7,aae raciating furnace with new
~ a r CONT]1CTS w x+
owner 303/200°0136 Maxy Goodale
ge.303/421-35'72. William Buras . 01-7865 Lakeaide Heatinq.& AfC PARCtL.INFO
ZONg CG7DE;. . UA. USE:, UA . . . . .
SUBi3EVISION: 0295 . . . . . . . BLOCK/LOT#: 0/ ~ggg ~~~pp.y ; ESTTMATfiD.PROJECT VALUATION: 2,400.00 . . . . FSES . . . . .
PeYmit Fee . 108.30 . .
Total Valuaticn .00
Vse Ta3c 43.20
. ,es 1`OTAI+...:*: . . . . . 151.50 . . .
I riareby teiCiiy tMk.tfie satback.tlistaxtcee propoaefl by thie permit apPlication are eccurate, an8 do nok vlolate applicablecr3inancee, rulep pt segulttndneo! the City of.wheat Riflge or covenanta, eaeemente or reetrictione of reroYd; that all mezausemlatp'ehown,and a11BgaClon9 made are acqurate; that i have read and.agree Co abide by all conflition8 priRted on thie , appllCAt}pn and tbat I -aanimEull.reeponeibility for compliance vith the Wheat Ridge euilding Code (I.6•C)and all other .
app/li"rycabke Nheat Ridge Osydi~nencee;'for,work wnder tAis peimit. Plane aubject to field inapection, 1 ~j~
1 tuXe bfcontYactor owner . date . .
1.Thie pexmit was iseued in accordanceviqhthe provieione eet Porth in }rour application and ie aub7ect tbtRe lawe of trie etate of Colorpdti.and eo theZOrtingAegulatione and Building Codea of Wtieat.Ridge, ColoradooY.any otherapplScable drdLnancee of Che C1Ey. . . . . .
2.. TTlia permit SNall expise 180 daye frOm the ieeue.date. Aequeete for an exteneion muet be zeceived prios toexpization 'datt. An~expmnyypnrtuy be gxanted at Che diacretion of the Building official. ' 3. ZE thla pemlk S%piYee, Anew Permitmay be acquired~for a fee of one-hal£ the amount noxmally requireQ,provide8 no
.'Chapgte~have bcen orvill be made in.the origixwl plana and epecificatione and any euapeneion ar abandtinment hae.not .
axcelded 4qe (1)yeaz• Yf -etlargeehave beenor iE euepenaion or abandonment exceede one (1) yeaz, fullfeea ihail.. .
be gaid COi a n2w pexmit. ' . a.NO wrk ofan)~ Mannaret[ail bEdone tAat will chan9ethe natural flow of water caueing a drainage problm• .
5. COntraCtor.gha7,l.notiCy CMe.Building..Inepector taenty-four (24) houre in advance~for all inepectione anfl shall receive:.wTittlh apg[oval onlnepiceion.casd before,proceeding with eucceeeive phaeee of the job. .
6. Tha 16eu4nce Of a peEmit or.the approval of drawingeand mpecificatione ehall not be conatzued Co be a Qezmit tos,.nor, an appzaval af, any viola[ionof.the pzovisipne of the building codea or any othez ordinance; law, ruleor reegula£ion•. .
All plan Yeviev ie§vbject toiield inepectione. signsturc oL L'hASMAD, OftiCial . . date: .
=~igpgCTtp~p.LIl1'Se(303}234-5933 BUILDING OFFICE: (303)235-2855 REQUE$TS 6iCJ9Y:3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWIN6 SU$INES$~DAY.
04/2-3/2008 14:41
W"Eqr
c' °
:r.:t -
°~oR o0
Building Permit Applicatfon
PAGE V 02/02_
Date:
Plan
Permit
Property Address:
propertyOwner(p/easeprinf):-m(y~q-L 1P Phons:~(j3-aQ~"U1~~p
,
Mailing Address: (if different than property address)
Contractor License ~ /ps Phone: 503 - I - 35 a
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Pate!
Approval; Approval: Approval:
ConstruCtion Value: S Q
4on
Usa of space (description): (as calculated per the eulyding valuafioa oeW sneeq
Dascrlptlon of work: t
Plan Review (due .1f Gme o/submiTtaf): i
-C.
5q. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANOING AND AGREEMENT
I hereby cer6fy that the setbadc distences proposed by ihis permk aOPlimton are accurete, and do not violate appiiceCle ordinances,
fule9 or regulehons of the City of Whedt Ridge or coven6nts, eaaementa or resVittions ot reMrd; that all meesuremeMs shown, end
allegations made are accurate; that I have read and agree to e6ide by all conditioos pdnted on this applicatioo arW SBaI i assume full
re9p orWl6ility ~r compliance wilh fhe Wheat Ridga 8uiltling Code (LB.C) end all other appllCaCle Wheet Ridge OfdinanCes, for work
untler lhls pertnlt. Plans subject to fiald inspectlon, ,
CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONALREPRESENTATiVE of(OWNER) (CONTRATOR)
PRIN7 NAME: SIGNA7URE: ~ata'
DEPARTMENT USE ONI.Y
ZONING COMMENTS:
2oMng:
Reviewer.
GUBLIC WORKS COMMENTS:
Revlewer.
6UILDINGDEPARTMENTCOMMENTS: OCCUPANCY:_
Reviewec
303-463-8837
LAKESIDE HEATING
City of Wheat Ridge 6uilding Dlvlsion
7500 W. 29"1 Ave., Wheat Ridge, CO 80033
Office; 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303=234-5933
FIRE DEPARTMENT:; ❑ BpproVCd w/ Cominenfs ❑ disapproved 0 no review requlred Bldg ValuatiOtt:
Contractor: :1 /'Y)c