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Home My WebLink About4715 Quay StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Residential Window/Door Replacement Date: Wednesday, March 23, 2022 6:21:34 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Residential Window/Door Replacement This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 4715 quay st Property Owner Name scott dishner Property Owner Phone 303-717-0759 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Field not completed. Attach City of Wheat cc auth dishner.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business seiler construction Name Contractor's License 180220 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-945-1519 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email mbeaudoin@renewalcolorado.com Address Retype Contractor mbeaudoin@renewalcolorado.com Email Address DESCRIPTION OF WORK What is being replaced Doors Number of window 1 door and/or doors being replaced Location of back window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What Is the u -value of .30 or better(custom windows) the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. Attach copy of dishner specs ndf window/door cut sheets showing sizes and u - value Attach any additional Field not completed. documentation Attach any additional Field not completed. documentation Project Value (contract 5297 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Mackenzie Beaudoin Pe rm it Email not displaying correctly? View it in your browser. i i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPEC'�gN NOP .E �, Q e 31 0 - --c -e Inspection Type: 9 0 3- Fl,rn,Pk I C) E s. 2e S Job Address: L/ -7 / S-- Go ctu S -7L Permit Number: -�P 0 J g a a3 (o X�- ❑ No one available for inspection: Time AM/PM Re -Inspection required: YesCJl� When corrections have been made,, call for re' -inspection at 303-234-5933 Date,:. Inspecto DO NOT REMOVE THIS NOTICE City of Wheat Ridge K 1 Residential Electric PERMIT - 201802161 ,r PERMIT NO: 201802161 ISSUED: 08/02/2018 JOB ADDRESS: 4715 Quay St EXPIRES: 08/02/2019 JOB DESCRIPTION: Install one 200 AMP electrical panel with main disconnect. Install one 200 AMP meter with lower bypass. *** CONTACTS *** OWNER (303)717-0759 DISHNER SCOTT SUB (303)422-9219 J. David Doherty 018046 Piper Electric Co. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00 FEES Total Valuation 0.00 Use Tax 52.50 Permit Fee 93.35 ** TOTAL ** 145.85 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection. I, by my signature, dohereby 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 ermIt I further attest that I am legally authorized to include all entities named within this document as partes 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 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 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 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. Th uance or gra i g of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ble ode or 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. C iiy of -660"W heat�id gc COMMUNI J) 1 )1 VELOPMI`N I `— 1.. Building 6 Inspection Services Division _ 7500 W. 29" Ave., Wheat Ridge, CO 800 _ Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits (a d.wheatridge.com I FOR OFFICE USE ONLY Date: 9. Plan/Permit # Plan Revlew Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: "1 -715. Owner Property Owner Email Tenant (Commercial Projects Only) 0(' (, Com Property Owner Mailing Address: (if different than property address) Address. City, State, Zip: Architect/Engineer: NIA Architect/Engineer E-mail: N A Phone: Iy 1t Contractor: -TIMI C . CG Phone: 3C3^ ?(7 — 075? City of Wheat Ridge License #: �0 Phone: ,3o3 — q,;U _ 7-2 Contractor E-mail Address: U.5C41('Ctt4eV-e corn\' For Plan Review Questions & Comments (please print): CONTACT NAME (please print): 03 qNs - 59y y CONTACT EMAIL(p/ease print): L aoder,5on L" cool Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # COMMERCIAL RESIDENTIAL Description of work: For ALL projects, 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. + -Tri 54a (1) dao oLmP � (ec+`&c f W,441 fharl C�I`5convuzcf + Sr,54J (t) goo OLmp pIIe1, j �e Q�PaSs + Qr' n route J; `to a(C Favi LJ Commercial Projects Only: Occupancy Type Sq. FULF BTUs Amps � 00 Squares Construction Type: Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) ON% NER/CONTRAC'TOR 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 1 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 oener 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. CIRCLEO.VF_ (0I1A£R) O:1'TR4CTOR) (Al'THORIZED REPRESE:VT.aTII E/ aj (Ott'NE�YR+) ^(COa'TR4C{�TO+R) SiLmature (first and last tnnaamee) . DATE: Printed Name: __, t✓, (� ��t!i0' L� L%1/� ZONING COMMMENTS Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION CONSTRUCTION TYPE: 0 Building Division Valuation: _ o CITY OF WHEAT.RIDGE Building Inspectionbivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: `7 Permit Number:i ❑ No one available for inspection: Time AM/"0M Re -Inspection required: Yes' No When corrections have been made, call for re -inspection at 303 -234 - Date: f. Inspector: DO NOT REMOVE THIS NOTICE �u - 20 l 6&('o47f5- Occupancy/Type INSPECTION RECO R eco( ! INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 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 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces rrtinent to this project Foundation Inspections Date Inspector Initials Comments Pier Mid -Roof Concrete Encased Ground (CEG) Foundation / P.E. Letter i Do Not Pour Concrete Prior To Approval Of 'Phe Above`I�pe ' ns �.__ Underground/Slab Inspections Date InsInt alsor Comments Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors 0-1�� Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge t' Resid. Windows/Doors PERMIT - 201706621 PERMIT NO: 201706621 ISSUED: 08/28/2017 JOB ADDRESS: 4715 Quay ST EXPIRES: 08/28/2018 JOB DESCRIPTION: residential window replacement of 8 windows -2 in bath, 2 in bedroom, 2 in master, 1 in bedroom and 1 in livingrm Ufacte will be 0.30 or better. *** CONTACTS *** OWNER (303)717-0759 DISHNER SCOTT SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,866.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 375.19 ** TOTAL ** 425.19 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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 1 am the legal owner or have been authorized by the Iegal 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 dans 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 Bui:ding Official and may be subject to a fee equal to one-half of the originalermit 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 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 Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. f City of Wheat Ridge _ 0 s Residential Roofing PERMIT - 201706877 PERMIT NO: 201706877 ISSUED: 09/03/2017 JOB ADDRESS: 4715 Quay ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Architectural asphalt shingles with decking - 25.7 sq. Pitch = 4/12 *** CONTACTS *** OWNER (303)608-3791 WRIGHT BARBARA GIBSON SUB (720)838-8341 Clinton D. Camp 140192 Talon Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,612.71 FEES Total Valuation 0.00 Use Tax 180.87 Permit Fee 188.45 ** TOTAL ** 369.32 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) 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 OVER 6/12 PITCH: 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. C NSPE TION RECO__ °°jc�upancy'T , INSPECTION ONLINE FOR http://www.ci.wheatridge.co.us/inspection �` �� INSPECTION REQUEST LINE: (303) 234-5933 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 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Foundation / P.E. Letter l ✓ - 7-(; Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Mid -Roof l ✓ - 7-(; -_j' Floodplain Inspection (if applicable) ie Fire Inspection / Fire Protection Dist. Rough Electric' Final Electrical Rough Plumbing/Gas Line Final Plumbing Rough Mechanical Final Mechanical Rough Framing Roof ► q - 17 7V Rough Grading Final Window/Doors Insulation Final Building Drywall Screw / Nail 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. Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof ► q - 17 7V Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 1-3 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: c` c cl - �:7-. " _ i Job Address: LJ -71.—., Permit Number: - r i D .� -a ❑ No one available for inspection: Time) u = -ELI M PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: f 4 /j-7 Inspector: _M DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201706877 PERMIT NO: 201706877 ISSUED: 09/03/2017 JOB ADDRESS: 4715 Quay ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Architectural asphalt shingles with decking 25.7 sq. Pitch = 4/12 *** CONTACTS *** OWNER (303)608-3791 WRIGHT BARBARA GIBSON SUB (720)838-8341 Clinton D. Camp 140192 Talon Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,612.71 FEES Total Valuation 0.00 Use Tax 180.87 Permit Fee 188.45 ** TOTAL ** 369.32 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) 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 OVER 6/12 PITCH: 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. i City of Wheat Ridge Residential Roofing PERMIT - 201706877 PERMIT NO: 201706877 ISSUED: 09/03/2017 JOB ADDRESS: 4715 Quay ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Architectural asphalt shingles with decking 25.7 sq. Pitch = 4/12 I, by in signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable buildin .mr�odes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal o r of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�ppermit . rth attest that I am le ally authorized to include all entities named within this document as parties to the work to be performe nd gall work to bed -i di ci din this document and/or its' accompanying approved plans and specifications. Signdhr of -OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 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 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. let Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 9/8/2017 wright_contract_001.jpg (1716x2164) CLIENT/ CUSTOMER INFORMATiVN I AL 1/V Owner: mid UJttvt L� t fn� r7CC?i�t E a n Address: 12354 E. Caley Ave. Unit 105 City, State, Zip: t Centennial, CO 80111 Phone/ Email: Tel 303-808-8660 E -Fax: www.TalonRE.com 36 LjIMt't t iCi11 it is understand that Talon Restoration and property owner(s) are entering into an agreement that authorizes Talon Restoration to represent owner(s) and pursue insurance carrier to recover property damages storm related or otherwise. Tal n d state codes.ion t s and warrants all work will be completed to approved insurance company specifications and to local city,Owner(s) is financially responsible for labor and materials for code items not covered by ordinance and law endorsements on policy unless otherwise stated in additional provisions below an this contract. Any upgrades in materials or accessories will be addressed in the additional provisions section of the contract and will require owner(s) intials for approved increase in price if applicable. Agreed upon price will become the final contract price and Talon Restoration will receive all insurance proceeds for work completed by Talon Restoration. Owner(s) further understand and agree to pay any supplements approved by insurance company arrising during construction or not initially known or covered by insurance company at intitial inspection, owner(s) agree to pay policy deductible per Part 1 Article 4 of title pursuant to section 6-22-105 and warrants Talon Restoration has not offered to pay, waive, or rebate any portion of the deductible applicable to claim. Any insurance proceeds authorized for work not completed by Talon Restoration will be retained by owner(s). if insurance company denies co a ny reason this ontract wii! ate and neither Talon Restoration not owner(s) will be obligated insurance company denies co j��y reason thl to one another. Initials Additional Provisions: ASI P letJ Remove layer roof material 7/16" OSB (if required by code) Underiayment 151b Felt over 7/12 301b Leak Barrier (if required by code) Goble/Eave Drip edge metal New plumbing jacks as required New roof vents as required Re -flash wall/ chimney transitions Owner and/or agent represents and warrants that any defect or weakness in the premises, structure, sub -structure super -structure or points of attachment that might affect performance by contractor has been specifically and fully disclosed to contractor. Talon Restoration only guarantees work provided by it. Any pre-existing defects or other condition discovered by Talon Restoration in the course of performing its work, which may affect the performance of Talon Restoration, will be promptly disclosed to owner and/or agent with repair recommendations and estimate of additional costs. As with any construction work, It is impossible to estimate everything that may be damaged, especially in areas we cannot see before beginning work. if anywhere along our progress unforeseen work needs to be done, we will communicate up front and wait for your approval before continuing work. Payment Schedule "The initial payment will be due upon material delivery and the final payment will be due upon completion of construction. Talon Restoration will require payment of the ACV amount prior to start of construction. Any payments received from the customer before materials have been delivered will be in held in trust. INITIAL PAYMENT $*I "1 6_ )it� Approx Start Date: FINAL PAYMENT $ L i ( ,k JJ Completion Date: It TOTAL PROJECT PRICE $ �{ yi let G A n "t Insurance Company uG1r Claim# 0C)q r ` Z I Product � d . w � Color �=it -�—-- Valleys dosed FHA Opeh -cliEiijargmers 0 Replace gutters Magnetic sweep of nails/metal debris Remove all debris from site Pull and clear permit with city 2 year workmanship warranty Mortgage Company Loan owner hereby authorizes Talon Restoration to speak with mortgage company pertaining to claim processing only. this line is not signed, authorization is not accepted. ACCEPTANCE OF PROPOSA - g above specifications and conditions are satisfactory and hereby accepted. Owner Signature}(J � �^=':;• —` G f� " G'r� Date. }( !� Talon Restoration: X Date: i https://fi les.acculynx.com/store/com pan ies/b476d 184-06a 1-462a-b826-fddf6f3Oaf6b/jobs/53cOe620-31 d8-441 c-af38-1 ab952f7ab54/documents/b39fl e Dan Schultzl From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 30, 2017 10:42 AM 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 4715 Quay St Property Owner Name Barbara Wright Property Owner Phone 303-608-3791 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address S -,;� (:� (- 113 I 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 Contract 001 (1 Mif Contract CONTRACTOR INFORMATION Contractor Business Talon Restoration Name Contractor's License 140192 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-808-8660 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 12354 E Caley Ave #105 (Primary address of your business) Contractor Email Address andrea@talonre.com Retype Contractor Email andrea@talonre.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) 25.7 1, Are you re -decking the Yes roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? F- (IdI 114 Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 25.7 part of the pitched roof? Describe the roofing Architectural Shingle materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional4:12 pitch detail here on the description of work. (Is this for a house or garage? What is the roof pitch? 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 115 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 Andrea Landaverry Email not displaying correctly? View it in your browser. 116 City of Wheat Ridge Residential Roofing PERMIT - 201706877 PERMIT NO: 201706877 ISSUED: 09/03/2017 JOB ADDRESS: 4715 Quay ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Architectural asphalt shingles with decking 25.7 sq. Pitch = 4/12 *** CONTACTS *** OWNER (303)608-3791 WRIGHT BARBARA GIBSON SUB (720)838-8341 Clinton D. Camp 140192 Talon Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,612.71 FEES Total Valuation 0.00 Use Tax 180.87 Permit Fee 188.45 ** TOTAL ** 369.32 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) 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 OVER 6/12 PITCH: 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. i City of Wheat Ridge Residential Roofing PERMIT - 201706877 PERMIT NO: 201706877 ISSUED: 09/03/2017 JOB ADDRESS: 4715 Quay ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Architectural asphalt shingles with decking 25.7 sq. Pitch = 4/12 I, by in signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable buildin .mr�odes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal o r of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�ppermit . rth attest that I am le ally authorized to include all entities named within this document as parties to the work to be performe nd gall work to bed -i di ci din this document and/or its' accompanying approved plans and specifications. Signdhr of -OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 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 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. let Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 9/8/2017 wright_contract_001.jpg (1716x2164) CLIENT/ CUSTOMER INFORMATiVN I AL 1/V Owner: mid UJttvt L� t fn� r7CC?i�t E a n Address: 12354 E. Caley Ave. Unit 105 City, State, Zip: t Centennial, CO 80111 Phone/ Email: Tel 303-808-8660 E -Fax: www.TalonRE.com 36 LjIMt't t iCi11 it is understand that Talon Restoration and property owner(s) are entering into an agreement that authorizes Talon Restoration to represent owner(s) and pursue insurance carrier to recover property damages storm related or otherwise. Tal n d state codes.ion t s and warrants all work will be completed to approved insurance company specifications and to local city,Owner(s) is financially responsible for labor and materials for code items not covered by ordinance and law endorsements on policy unless otherwise stated in additional provisions below an this contract. Any upgrades in materials or accessories will be addressed in the additional provisions section of the contract and will require owner(s) intials for approved increase in price if applicable. Agreed upon price will become the final contract price and Talon Restoration will receive all insurance proceeds for work completed by Talon Restoration. Owner(s) further understand and agree to pay any supplements approved by insurance company arrising during construction or not initially known or covered by insurance company at intitial inspection, owner(s) agree to pay policy deductible per Part 1 Article 4 of title pursuant to section 6-22-105 and warrants Talon Restoration has not offered to pay, waive, or rebate any portion of the deductible applicable to claim. Any insurance proceeds authorized for work not completed by Talon Restoration will be retained by owner(s). if insurance company denies co a ny reason this ontract wii! ate and neither Talon Restoration not owner(s) will be obligated insurance company denies co j��y reason thl to one another. Initials Additional Provisions: ASI P letJ Remove layer roof material 7/16" OSB (if required by code) Underiayment 151b Felt over 7/12 301b Leak Barrier (if required by code) Goble/Eave Drip edge metal New plumbing jacks as required New roof vents as required Re -flash wall/ chimney transitions Owner and/or agent represents and warrants that any defect or weakness in the premises, structure, sub -structure super -structure or points of attachment that might affect performance by contractor has been specifically and fully disclosed to contractor. Talon Restoration only guarantees work provided by it. Any pre-existing defects or other condition discovered by Talon Restoration in the course of performing its work, which may affect the performance of Talon Restoration, will be promptly disclosed to owner and/or agent with repair recommendations and estimate of additional costs. As with any construction work, It is impossible to estimate everything that may be damaged, especially in areas we cannot see before beginning work. if anywhere along our progress unforeseen work needs to be done, we will communicate up front and wait for your approval before continuing work. Payment Schedule "The initial payment will be due upon material delivery and the final payment will be due upon completion of construction. Talon Restoration will require payment of the ACV amount prior to start of construction. Any payments received from the customer before materials have been delivered will be in held in trust. INITIAL PAYMENT $*I "1 6_ )it� Approx Start Date: FINAL PAYMENT $ L i ( ,k JJ Completion Date: It TOTAL PROJECT PRICE $ �{ yi let G A n "t Insurance Company uG1r Claim# 0C)q r ` Z I Product � d . w � Color �=it -�—-- Valleys dosed FHA Opeh -cliEiijargmers 0 Replace gutters Magnetic sweep of nails/metal debris Remove all debris from site Pull and clear permit with city 2 year workmanship warranty Mortgage Company Loan owner hereby authorizes Talon Restoration to speak with mortgage company pertaining to claim processing only. this line is not signed, authorization is not accepted. ACCEPTANCE OF PROPOSA - g above specifications and conditions are satisfactory and hereby accepted. Owner Signature}(J � �^=':;• —` G f� " G'r� Date. }( !� Talon Restoration: X Date: i https://fi les.acculynx.com/store/com pan ies/b476d 184-06a 1-462a-b826-fddf6f3Oaf6b/jobs/53cOe620-31 d8-441 c-af38-1 ab952f7ab54/documents/b39fl e Dan Schultzl From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 30, 2017 10:42 AM 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 4715 Quay St Property Owner Name Barbara Wright Property Owner Phone 303-608-3791 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address S -,;� (:� (- 113 I 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 Contract 001 (1 Mif Contract CONTRACTOR INFORMATION Contractor Business Talon Restoration Name Contractor's License 140192 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-808-8660 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 12354 E Caley Ave #105 (Primary address of your business) Contractor Email Address andrea@talonre.com Retype Contractor Email andrea@talonre.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) 25.7 1, Are you re -decking the Yes roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? F- (IdI 114 Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 25.7 part of the pitched roof? Describe the roofing Architectural Shingle materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional4:12 pitch detail here on the description of work. (Is this for a house or garage? What is the roof pitch? 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 115 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 Andrea Landaverry Email not displaying correctly? View it in your browser. 116 City of Wheat Ridge Resid. Windows/Doors PERMIT - 201706621 PERMIT NO: 201706621 ISSUED: 08/28/2017 JOB ADDRESS: 4715 Quay ST EXPIRES: 08/28/2018 JOB DESCRIPTION: residential window replacement of 8 windows -2 in bath, 2 in bedroom, 2 in master, 1 in bedroom and 1 in livingrm Ufacte will be 0.30 or better. *** CONTACTS *** OWNER (303)717-0759 DISHNER SCOTT SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,866.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 375.19 ** TOTAL ** 425.19 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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 erformed is disclosed in this document and/or its' accompanying approved plans and specifications. 8 / % `Z Signature/6' OWNER ONTRACTOR (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 ermit 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 is s r granting of a ermit shall of be construed to be a permit for, or an approval of, any violation of any provision of any applies le a or_ _ any o or 1 ion 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 ,/�°' �lheat j�dge COMMUNITY DEVELOI'MENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFI E USE ONLY Date: 0 Plan/Pennit # 001-70 n /- /y & �71 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: 4715 Quay St Wheat Ridge Co 80033 Property Owner (please print): Scott Dishner Phone: 303-717-0759 Property Owner Email: Mailing Address: (if different than property address) d ress: Com, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: Matthew Seiler Phone: Contractors City License #: CL3-130206 Phone: 303-945-1519 Contractor E-mail Address: rnseilewrenewalcolorado.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form 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.) Replacing windows; 2 in bath, 2 in bedroom, 2 in master, 1 in bedroom, 1 in living room. U factor will be .30 or better. Sq. Ft.1LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 17,866 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 1 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 REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Matthew Seiler SIGNATURE: �-�DATE: 8/23/17 DEPARTMENT USE ONLY ZONING COMMMENTS. OCCUPANCY CLASSIFICATION' Reviewer BUILDING DEPARTMENT COMMENTS' Reviewer. PUBLIC WORKS COMMENTS_ Reviewer. PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received n Not Required Building Division Valuation: $ Owapod z O z o O a wCIO Ouaa��g Z Y N3 N vi M �3 N M a!yad MOH N « 3 N « 3 a N « 3 a N 3 N « 3 d N « 3 a N « 3 N « 3 4sDS 19 MJ a a a r 4 0 v o Zg sso!g xI x x x x x a w z z sso!O is x x x x x x x x X�.aH lul a1� 3 3 3 3 3 3 3 3 z_ tx3 a1J m m m m m m be m NDS r 3 N M eIA+S Q n 90 c N 0 W/W 14 !aH P M P P P M P N m iap,o ^ z 4lp!M h M M Japi0 N z W/W J3 SSM93 o o o o o o o o M a X O D n o m QI Q d O O O O O O O O m a `s .Pb 144 -PIM 0 v c I!oa �IOa4D aI uv II!S }4 !aH v v v v a u!ua O M - u4s!x3 v n v v v n v N a 47P!M co co u!ua O U1j5!X3 h M O U M h h U `y W9 0 0 0 0 0 0 0 0 c z z z z z z z z t d N d d d W d d o � awoa� a o c o m o 0 0 o m m m m m m m C7 y n R N Al w C o � o o u m m m o o m a m c '-> $ a i 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: ❑ No one available for inspection: Time /U LQAM"M Re -Inspection required: Ye�`No .") When corrections have been made, call for re -inspection at 303-234-5933 Date: "? %� Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Resid. Windows/Doors PERMIT - 201700815 PERMIT NO: 201700815 ISSUED: 05/23/2017 JOB ADDRESS: 4715 Quay ST EXPIRES: 05/23/2018 JOB DESCRIPTION: Replacing 2 windows - 1 dining room, 1 kitchen - U value .30 or better *** CONTACTS *** OWNER (303)717-0759 DISHNER SCOTT SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,713.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 84.83 * * TOTAL * * 134.83 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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. 1 further attest that I am le all authorized to include alI entities named within this document as pames 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5.' The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chie1 cial Date REQUESTS MUST BE E B:59PII� SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted bye ail only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of W heat Ijq COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29"Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY I Date: Plan/Pennit # 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: 4715 Quay St 80033 Property Owner (please print): Scott Dishner Phone: 303-717-0759 Property Owner Email: Mailing Address: (if different than property address) Address: same as above Com, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: Matthew Seiler Contractors City License #: CL3-130206 Contractor E-mail Address: rnseiler@renewalcolorado.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W. R. City License # Phone: Phone: 303-945 1519 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form 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.) We will be replacing like for like 1 dining room, and 1 kitchen windows. Egress requirements not required and will have a u factor of .30 or better. There will be no size modifications. Sq. Ft.ILF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 4,713 S 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 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 REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Matthew Seiler ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer: PUBLIC WORKS COMMENTS. Reviewer SIGNATURE: DATE: 5/22/17 DEPARTMENT USE ONLY PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required OCCUPANCY CLASSIFICATION Building Division Valuation: $ v O z � f � ° 0 0 Z a N LDA ga A V_ V A n D_ c < ° i m 0 A 0 A Im p x N N � W D N W UL Aagil Q D ' � O Width � A AAdiS m A m _ A _ A D� n V 0 o W M/M Z OrdeTD mWidthi D Z VHeight z M/M W D B o � tyle m g < x heck R.11 u c s o x 5 x F x F CLR ImH» w w o 0 D n D < CwlGL O D D n �+ D O S A S Law° m 0 Sereen O Z P9ftsm O T Profile F x F rH.r xN i3 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 0 & - /l ] , d Job Address: �l 71 S QVew 15' Permit Number: a o r -7 O& S� -7 7 WR M4 ❑ No one available for inspection: Time 1 = 01 AM/e—w Re -Inspection required: Yes �� When corrections have been made, call for re -inspection at 303-234-5933 Date: ' o If -7 4Inspector: -r-b DO NOT REMOVE THIS NOTICE i CIT? OF WHEAT RIDGE v; , ,..k Building Inspection Division (303) 234-5933 Inspection line r / (303) 235-2855 Office • (303) 237-8929 Fax V INSPECTION NOTICE Inspection Type: !0" U Job Address: e1'71 -,g aG A SS Permit Number: 17COP% ❑ No one available for in tion: Time A /PM Re -Inspection require Yes n,/ When corrections have been made, call for re -inspection at 303-234-5933 Date: L'�� j % Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M V_ Job Address: L4 -I1 w T Permit Number: - Q 1 "7 0 6 c`� LQ ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes *When corrections have been mad�No , call for re -inspection at 303-234-5933 Date: �.Inspector:'�� , DO NOT REMOVE THIS NOTICE .,. a A ,nY)a+o f I I D (11RU � INSPECTION RECORD �` INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Concrete Encased Ground (CEG) Foundation / P.E. Letter Fire Inspection / Fire Protection Dist. Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Mid -Roof Fire Inspection / Fire Protection Dist. Lath / Wall Tie Final Electrical Rough Electric Final Plumbing Rough Plumbing/Gas Line Final Mechanical Roof Rough Mechanical Final Window/Doors Rough Framing Final Building Insulation 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. Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof r Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window Requests — Please email insptimereauest(o)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Per Until A Certificate of Occupancy Is Issued Protect This Card From The Weather A �e City of Wheat Ridge V1, Residential Mechanic PERMIT - 201700290 PERMIT NO: 201700290 ISSUED: 02/24/2017 JOB ADDRESS: 4715 Quay ST EXPIRES: 02/24/2018 JOB DESCRIPTION: Replace furnace 95% efficiency; 80K BTU *** CONTACTS *** OWNER KHAN FAISAL SUB (303)523-6501 Superior Metals 021490 Superior Metals *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 1 *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 404 Use Tax 36.00 ** TOTAL ** 76.00 ZQMM4 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to he installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable wilding 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 le ally 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 a d/or its' accompanying approved plans and specifications. Signature of OWNER or CONTCTOR (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. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing snd 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. Lssuance 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 /offwfrk is subject to ield inspection. Signature of Chief Building Official lzv Date ! I REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Pse email requests to insptimerequest@ci.wheatridge.co.us between Tm d 8�ngr[g of >hF ins lease put the address of the inspection in the subject line. City of W heat -Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits @ci.wheatridge. co. us FOR OFFICE USE ONLY Date: 1-7 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: 4-7)S Property 4TAWOW I H e_ Property Owner (please print): Fa irst1L_ f -o t4 n 9 Phone: '79- Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: 111 '`'--Y1 C11�"� Contractors City License #: Phone: Phone: Contractor E-mail Address: tl ocK me_+i,i L—s QZ V tljLo o • c_o 4v� Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ECHANICAL 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.) Ir , r 00, Sq. Ft./LF _S(, .� Amps i a, (-S' Btu's D t V, Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ �?> 16)0i) 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 pen -nit 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. 1, the applicant for this building pen -nit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) e Electronic Signature (first and last name): " DATE: M-// 7 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ ~ N m 1 v O O ~ ~ (D 0 ~ o N M ❑ I N o -o o m ~ ~ m 7 w CD ~ c Q m `D a o ~ ~ m, m `o o ~ 1 3 m ~ D ~ t~ ~ v ~ ~i ai L O a D a a (D N ~ m 3 ~ z o C 3 v (D ~ ~ 1 ` Z m woc C) w ` n ~ N N a ~ 0 Z ~hA~ O ~ j T Z O (7 0 O D I' N ~ y m ~ k 0 v m ti ~ :3 N N 0 0 m ~ ~ ~ O ~ 3 H zr m 9 S ~ ~ 3 a ~ d 0 ~ R ~ v ~ ~ m w °w w A b W W x m ~ N ~ N M O 7 m ~o c - m a Z 0 ❑ Z 0 O I 7 ~ < N N Q m 0 ~ ~ ch -o N a 0 7 ~ m u, ,o w D ~ , I~ C- 0 v a a A N N N y 3 (D Z O c ~ 3 m ~ V i a ~ ~ Z N a m 0 1 O Z Z O n m n O ~ 3 C z ~ O < ` v Z c~wi,oW< N`E.m O?ca g m W~(D O °wN m 7 ~ ~ cp N O m T ~ O Z X ~D 7 ~ ~ ❑ ~ ~ o • N o m O Z ' m . = ~ O N M ~ ~ N ~ C Q d - (D Q a o % 3 CD J CD o ~ ' ` o m o ' . 3 (D ~ a : C) ~ ~ x w Z w = a Cn e w w C- 0 v a a A N ~ 3 m :i w c 0 Q m ~ Z N M m ~ 0 Z Z O :j n m ~ cn Q Na~ o O ~ 3 T ~m °a0~ N~ ~'•m d x L - ',t ~ . . . . . ~ . City of Wbeat Ridge Ites. Miscellaneous PERMIT - 080311 PERMITNO:~ 08~0311 ISSUED: 04/08/2008 ~ JOB ADDRBSS: 4715~QUAY S3"~. ~ EXPIRES: 10/05/2008 ~DESCRIPTTON~: re:-roof 1 atory complete tear off 5/12~ pitch ~wr CONTACTS ra,w gc 720f276-2168 Stephen Wade ~ 01-9433 AW Exteriore PARCSLINPQ . ; ZONE CODE:UA . USE: UA SU9I}IUESTON: 0293. BLOCK/LOT#: 0/ . . . . . . . , . FSE SUMMARY ESTIMfiTED PROJECT VALUATION: 5,133.00 . . . . FEES . . . Permit Fee - 162.90 2'otal Valuation .oo Use Tax . ' 92.39 . . TdTAL . 255.29 p . . . ./'~lN? x hermby ceztify that CheeetDack.diataricee prtipoaed by thie pexmit appllcatron are accurate, and do not vlolate aQplicable ordinanGee,-;ulee 6r regulationa.of the City of Wheat eidge or covenante, easemente or aeetrictiona of record; that all meaeuredienteshowti,an8 allegntions made.are accurate; that I have read and agree to abide by all wnditionc pninted on thie applicatioa aad that I aaeume full Yesponaibility for compliance wlth the Whea[ Riflge euilding Code(I.B.C) and a11 other app11C le P'heaC Ridge Orflinancee, for rk under Chie pexmil t. Plane ubject [o field inapection. '..~1_~ i. Th1a p8xmit'wa6ieeued inaecoAVxdancewith the provieione eet forth in youz application and ie eub]ec[ ko the laweof the Btaee ti€ Colorado and totheZdning Re9ulations and Building Codee of Wheat Aidge, Colorado or any otriei applica63e cazdinancreaoY the City. . . . . 2. Thie permit etialY ezpixe 1@Oddyefrom the iseue de[e. Requeeta for an euteneion must be received prioz to expiiation daCe. M ezpeneionmay be granked at the diecretion of the'suilding Official. . 3. If eh;a pexmit expirea, a new.permit may be acquired for a fee of one-half theamount normally required, provided no ctlangee haye been or will be inade in the orlglnal plane and epecificatione and any euepenaion or abanflonment hae notexdeeded',ptle (1).year.IE ct5angea. have.heen.or if euapeneion or abandonment eocceede one (1) year, full fpee eriall 'be paid Ebta new PernSG. . . . 4. No workof any mannereMll be done triat will change the natural flow of water caueing a drainageproblem. 5. COAtractorahall noCifY the BuSFdingInepector twenty-four (24) houra in advance for all inspectiona and ehall receive wratYen.Bpprwal.on inepection card before.proceeding with aucceeeive phaeee of the job. 6. The iesuance oEa permit or the.approval of drawinge and epecificatione shall not be.conetrued to be a permit fot; nor an aqproval of, any violatiOnof the provieiona oE the building codea or any othes ordinance, law,. rtile or regulation. . Allplan revieW is.6ubje ~ to field inspectiona. Signature of Chiat OfEicial. . date INSp39CT241P AVORST LIN$s (303)234-5933 SUILDING OFFICS: (303)235-2855 REQVE3TS,MUST 8EMADE BY3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Date: Fw"~r City of Wheat Ridge Building Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 ptan Office: 303-235-2855 ' Fax: 303-235-2857 Inspection Line: 303-234-5933 Permit#: ~ocoan~o Building Permit Application Property Address: ~7/5- y Phone: Property Owner (please print): Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Contractor License Sub Contractors: Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Use of space (description): C--"_ Description of work: ( / S~y Oo,~a`~~e 6FF ~~z ~)17Z,f ~C /(a 7: oc iW a - Mechanical City License Company. Exp. Date: Re ~jhC fime of submittaq: 5 Sq. Ft/LFi added: Squares 522_ BTU's Gallons Amps PRINT N TURE OF UND YNDI PG ANDP GREEMENT licable ordinances, OWNER/CONTRACTOR SIGNA ate app shown, and I hereby certify lhat the set6ack dlstances pro osed b this ermit a plication are accurate, and do not viol that Wheat Ridge or covenanis, easements or restriclions of record; lhat all me Ridge asurements Ordlnances, rules or regu lations of lhe City te; of for allegations made are accura I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance wilh the VJheat Ridge Building Code (I.B.C) and all other applicable Wheat work under this permiL Plans subject to field Inspection. CIRLCE ONE'.: (OWNER) (CONTRACTOR) or PERSONAL REPRESE TATIVE of (OWNER) (CONTRATOR) Dale: ~ AME' 7~VE DEPARTMENT USE ONLY ZONING COMMENTS. Zoning: Reviewer. PUBLIC WORKS COMMENTS-. Reviewer. OGCUPANCY: BUILDING DEPARTMENT COMMENTS: Reviewec Bldg Valuation: $ FIRE OEPARTMENT'.: ❑ approved w/ comments_ O disapproved ❑ no review required