HomeMy WebLinkAbout3000 Upham StreetCity of Wheat Ridge
Residential Roofing PERMIT - 201703574
PERMIT NO: 201703574 ISSUED: 07/10/2017
JOB ADDRESS: 3000 Upham ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 30
sq.
*** CONTACTS ***
OWNER (303)237-9403 VAN DYKE NANCY K
SUB (720)536-5585 Monica Hoffmann 170309 Roof Masters of Colorado
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,160.39
FEES
Total Valuation 0.00
Use Tax 297.37 PAI
Permit Fee 283.55 ---- - `�
** TOTAL ** 580.92 -- --
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703574
PERMIT NO: 201703574 ISSUED: 07/10/2017
JOB ADDRESS: 3000 Upham ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 30
sq.
I, by my signature, do hereby atthat 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 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 [ am le�ggally authorized include all entities named within this document as parties to the work to be
performed end that fall work t be performed_s4sc ed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTORl(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 Budding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of 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 coljg,.6r 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.
Inspection time requests will be accepted by email only. Please email requests to insptimei•equest@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.
Dane Lovett �0 l7 V
From:
no-reply@ci.wheatridge.co.us
Sent:
Tuesday, June 27, 2017 8:04 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
3000 Upham Street
Nancy VanDyke
303-237-9403
4 cs�o, � 1D__
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Roof Masters of Colorado
170309
720-536-5585
Contractor Email Address rmcboulder@gmail.com
Retype Contractor Email rmcboulder@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No ✓
GAF Timberline HD
Asphalt
Field not completed.
30
No
Field not completed
z
TOTAL SQUARES of all 30 ✓
roofing material for this
proj ect
Provide additional detail Home Roof, 4/12, 1 story
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 14160.39
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 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
and to perform the work
described above.
Name of Applicant Monica Hoffmann
Email not displaying correctly? View it in your browser.
3
Cu5tomer:
t, jil —�, ••, 1
—.-- --- .— --+ rev :, .a� r VV-lVlll
, Email:_ �Cr:o'�nc§ J �!',r%'xC' •'„;., I•`�_
Address:�, ' -_
-
City: r f= State. Zip; ^''•<- 7 -'.
�•
Roof
Masters
_•—�
Work: Cell
of Colorado
3-' / , j
ov
City:
_.
Zip Code: S S
Insurance:
Adjuster.
= l G:,'
Policy p: C' ; 4-y t G calm g' i
,. ,.
`: ; maiT
El:
=y1C u{cl.i1 G1 Phone; f �'- f - -S IFaIr I,
Company representative: f I u / '�
i� ir/
tis:
Cell Phone: E �l ” -' !L f
Date
RATING
i— S
Phone: 720-536-5585
Fax' 2f13a-ln
_a7_3r
D ,;h&,r .ter
:
'
Cu5tomer:
t, jil —�, ••, 1
—.-- --- .— --+ rev :, .a� r VV-lVlll
, Email:_ �Cr:o'�nc§ J �!',r%'xC' •'„;., I•`�_
Address:�, ' -_
-
City: r f= State. Zip; ^''•<- 7 -'.
�•
Phone Home.
i_ ' — c-, rl
�,
_•—�
Work: Cell
Job Location: -i.r.r
3-' / , j
Ls t, a%. J�'
County (permit):
J�fiC:
City:
_.
Zip Code: S S
Insurance:
Adjuster.
= l G:,'
Policy p: C' ; 4-y t G calm g' i
,. ,.
`: ; maiT
El:
=y1C u{cl.i1 G1 Phone; f �'- f - -S IFaIr I,
Company representative: f I u / '�
i� ir/
tis:
Cell Phone: E �l ” -' !L f
Date
roofs have 10 year workmanship warranty:
l r Manufacturer's Warranty:%slri , j U
THE LEGAL STUFF
1. contractor Contact Intormation: 1360 Bluebell Ace.. Boulder. CO 80303. f.maii is: nlhollinann arouGnastersco.com. Phone is: 720-4;16.5585.
2. Insurance agency is C'01 est Insurance. Phone: 730-837-0114.
Pursuant io Section I Article 6-22-104 of Colorado Senate Bill 13-0.38. a propen) u%%ner %rho enters into a written contract with a Fouling contractor W
do rooting %cork on the owner's residential propcm'. which will he paid for from proper) and casu:dt% insurance propen) proceeds. ma) rsciml in the
conlr'act ,%ithin 72 hours 01'1) signing the original contract or 21 after propeny owner receives ttritien notice from higher insurer that rhe roiling claim on
the pmpertt i. denied in %thole or in part. Said property n%%ner shall gine %mitten notice to the contractor at the physical address noted ab0%e W ithin 72
hours; ofdenial. nr ria email. I;.S. Postal sen icc or personal (lclircr%. 1t ithin Ill dais. C'ontrsutr must return pa)ments or deposits made b) v%%ncr in con-
neclion %%ith roofing job. Then only the exact dollar amount ofmirk perlbrined or custom materials ordered %rill be deducted from refund.
_ 4. Pursuant to Section I Anicle 6-22-101 ol'Colorado Senate Bill 12 - 038. a Fooling contractor shall not advertise or promise to pa). rtai%e or rebate all or
part of an) insurance deductible applicable to the claim for payment of roofin_e Work on covered residential property when proceeds of a property and casu-
alb ins%uancc pulic) are being used to pay Ior said work.
Pursuant to Section I Article 6-22.101 tbl A roofing contractor shall hold in trust am pa) meat from the proper%% o%rncr until the Contractor has delir-
cred roofing materials at the residential propcm or has performed a majority' of the roof pork on said Rmpem.,,
J 1
Homeowner Signature— ,iy {Date RMC Representative Signature Date
FOR ADDITIONAL TERMS AND CONDITIONS
avert OF WORK
Existing Roof Type i. ;�-��.>>, ::�:::��---rayers
- Pitch .7
NEW.R60F SPECIFICATIONS:131
_ ,G:_ Stories Access `::. •„ s.`•�..-C,:4 i
-
Shingle Manufacturer - LN'
'Style
it J f_7 Nailing Patten (high wind):
O -of Shingles: ! =1
-Q_Gxalor
C. c,,•• r: C,1- Abide by all appropriate City & County Code Requirements:
of Shingles: --
(I Color of Drip Edge:
0 `In;; 9 Felt: �
` •, s-,"
an gutters and haul off all trash from roof
13'Repiace Plumbing
C]"Roll yard and driveway w/ magnetic roller:
Jacks:
-Replace
II Permit Obtained and included by Contractor:
17 Roof Vents:
O'N
_
roofs have 10 year workmanship warranty:
l r Manufacturer's Warranty:%slri , j U
Q Extra Work:
) ..c tS� i �.7
� yTO
r `� ! ii �y�' '-•
:
'
AGREEMENT COMPLETE WORK 3
• '�'�..- ' ` OUT OF POCKET
INSII RANG�
U'A' NER hereby agree: to retain CONTRACTOR to Ieplace darraae4t0pt as Der the terms Pricing and OWNER hereby•—i ce �"
agrees to retain CONTRACTOR to replace damaged roof as the terms,
specifications as outlined in the above scope of work plus a
per p—nig and
omeowner approved up-grades.The specifications as outlined in the insurance carrier's scope of work. The price for the total roof re-
0•:.'NER agrees to pay the COMPACTOR according to ,the schedule
above. Signature acknowledges placement will be determined by the CONTRACTOR and the OWNER'S insurance carrier based on
a'
the hoots and condrnons set forth in this agreeme�At Owner agrees to the terms written and under local prev ash ng rates and local code requirements . The final amount billed to your insurance com-
Brand; there are , n oral agreements or andel standings between
may vary from the initial contract price due to supplemental items such as, building permd and
panes of this
f
agreement mspectlons fees and required building code upgrades (OWNERS with full replacement Cost to
ace and buddal code woe rade cove's veal circ b responsible to pay tile,, decluictible. all isth
A Contrlct ^rl,c .g
payments .vat be made by the nisufance carrier.) The OWNER agree, to
'— ---g pay the CONTRACTOR
/
--'-'-- --- -_ — according to the schedule below.
F Uuwn P,i, "m / j
AI'I'R':V\i%;Ai t: LOS"' 01 iLIMC1. S
IrMILANVE RCVS At.y
_--- --
�.. Total l; p Co 111 rCtion
!IRS1 KIMEN) $ I:N
FINAL PAiMEN7 s nN
.u•,.i,n• ...,, , .ter i.,.. r
__
THE LEGAL STUFF
1. contractor Contact Intormation: 1360 Bluebell Ace.. Boulder. CO 80303. f.maii is: nlhollinann arouGnastersco.com. Phone is: 720-4;16.5585.
2. Insurance agency is C'01 est Insurance. Phone: 730-837-0114.
Pursuant io Section I Article 6-22-104 of Colorado Senate Bill 13-0.38. a propen) u%%ner %rho enters into a written contract with a Fouling contractor W
do rooting %cork on the owner's residential propcm'. which will he paid for from proper) and casu:dt% insurance propen) proceeds. ma) rsciml in the
conlr'act ,%ithin 72 hours 01'1) signing the original contract or 21 after propeny owner receives ttritien notice from higher insurer that rhe roiling claim on
the pmpertt i. denied in %thole or in part. Said property n%%ner shall gine %mitten notice to the contractor at the physical address noted ab0%e W ithin 72
hours; ofdenial. nr ria email. I;.S. Postal sen icc or personal (lclircr%. 1t ithin Ill dais. C'ontrsutr must return pa)ments or deposits made b) v%%ncr in con-
neclion %%ith roofing job. Then only the exact dollar amount ofmirk perlbrined or custom materials ordered %rill be deducted from refund.
_ 4. Pursuant to Section I Anicle 6-22-101 ol'Colorado Senate Bill 12 - 038. a Fooling contractor shall not advertise or promise to pa). rtai%e or rebate all or
part of an) insurance deductible applicable to the claim for payment of roofin_e Work on covered residential property when proceeds of a property and casu-
alb ins%uancc pulic) are being used to pay Ior said work.
Pursuant to Section I Article 6-22.101 tbl A roofing contractor shall hold in trust am pa) meat from the proper%% o%rncr until the Contractor has delir-
cred roofing materials at the residential propcm or has performed a majority' of the roof pork on said Rmpem.,,
J 1
Homeowner Signature— ,iy {Date RMC Representative Signature Date
FOR ADDITIONAL TERMS AND CONDITIONS
3Z4c:�
City of
�OMUN wh 6 at
COM
ITYt
\6�� �]
Building Permit Application
011i i =-LIW �11-*t
r
IWO
ffllm�
M
Meebameal:
W.R. City License#
Complete all information on BOTH ides this form I
♦ 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: F,& j
Job Address: _
Permit Number: ✓� �lr��
r o one available for i p tion: Time PM
e- Inspection required: a No v
When corrections have bee ad can W, re- y spection at 303- 234 -5933
Date: Inspecto \ \�
i.
DO NOT REMOV HI NOTICE
E
F
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Akw&'~ i®vg2 - &7M • H7.2
Job Address: 0d~V <r-
Permit Number: 09',' ) fat'
A,PA94v'.5:17
❑ No one available for inspection: Time : sP AM/PM
r: Re-Inspection required: Yes ~o
When corrections have been made, call for re-inspection at 303-234-5933
Date: 7o9' Inspector:
s
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Fj& 4 alLiG
i~~® ~dsv
Job Address:
Permit Number:
one available for
//ke-Inspection required
"When corrections have be
Date: A 1
_ DO NOT
Time
No
call fK re-~rspeotfon at 303-234-5933
NOTICE
FROM (FRI) JUN 26 2009 12:1UST, 12:18/No,6800852113 P 1
`1 4 '
City of
7WheatRi _ e Date:
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303.235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Prp&"YA+nd! 1.84, 3ooo aa-,,rt 57
Property Owner (please print): qr1,~ C Phone: 3 ~2 7 y
Mailing Address:
(if different than propert address)
Addre ss:
City, State, Zip:
edn"ttt6r 2p G,f! n •ty l{
Contractor License 61 7 Shy Phone: 3 q-S7--/' -5-V,1-7
sg~pp
C --ahm
om an ame :
: License Ex iratl ate: Tffide/Professigin; Approval,
Use of space (description): _ _S
Desc'rtp on>•of•u'0
Plan Review (due at time orsubmittal): $
T~ u5t''°~
Sq. FUI.Ft added: Squares BTU's jeoGallons -59-- Amps
OWNERICONTRACTOR 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, casements or restrictions of record: that ail measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full
responsibility for compliance with the Wheat Ridge Building Code (1.8,C) and all other applicable Wheal Ridge Ordinances, for work
under this permit. Plane subject two flleelgi ectlon.
C/RLCE ONE:: (OWNER) OD NTRACT ) or PERSONAL REPRESE AYI n ER) ( NTRAT
PRINT NAME: 'J SIONATURE: Oale;4
ZONING'CO,MIIICNTa:Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer.
SUILDNG DEPARTMENT cOMMENTs::Reviewer.
FIRE'%DEPARTMENT:::[DapprovedwPeornmenta L74sapproved. 11 1
Credit Card Payment: Use credit card listed on File_
Print name: i,t,&/4rix--4v Signature: l
.15EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 5091
BUILDtNG INSPECTION DIVISION - 235-2$55
GITY OF WHEAT RIDGE Date : 5/16/97
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 3000 UPHAM ST Phone: 237-9403
Contractw Licenae No: : 17941
Company : Bel Air Plumbing & Heating Phone : 428 4221
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN7
ConstrucGon Ualue
$3;000.00
1 hereby~ certify tMat the setbedc dietances proposed by this permft applicatlon are aaurate,
PefR11i Fe2:
$75.50
and do not wol2te applicable otdinances, rules or regutations of the City of Wheat Ritlge or
covenants, easemant$. or resEnctions oT record; that all measurements sfiown, and a0egations
Plan ReVIeW Fee :
$0.00
made areaccurate; thatl have read and agreeto abida by ell conditlons printed on this
00
$36
application, and that I assume full reSpdnsibiNty for comphance wlth Ne Wheat Ridge BuiWing
US6 T8X :
.
.
Code (U.B.C ) and. ait ~her applicebte Wheat F2idge adinan es orwork under this permit.
.
~
Tota1 :
$111.50
DATE
(OWNER)(CONTRACTOR) SI6NED
Description : REPLACE WATER HEATER AND BOILER
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval:
Zoning :
:
Approval
:
Approval
Occupancy : WaAs : Roof : Stories : Residentiai Units :
Electrical License No : Plumbing License No : Mechanicaliicense No :
Company: Company: Company:
Expiration Date :
Approval:
(t) 7hispertnitwa
RegUletions ar
(2) This pertnil sha
abandoned tor
(3) If this peimit o
exceeas one
(a) No work of a
(5) ContraIXOr sl
proce801M9 i
(8) . Thg issuancE
or
Expiration Date :
Approval:
0
Expiration Date :
Approval:
~
whione sel forth in yopur appliaation and ie sub1'ect to the lews of the State of Cobrado and W Nhe 2oninq .
.oloratlo or any other applicaGe ortlinances M the Cily.
ia not commenced wlMin si* (60) tlays tmm issue date or (B) the builtling auNOrizetl is suspended or
etl tor a fee of one-half Me amount nortnalry required, provided no changes have been or wiil be maAe in ihe ,ion of abendonmBnt has not exceeded one (1) year. If Cllanges aIe metle w if suspension a abandonmeM
newpeimit. .
Inge tl1e natu2l IIOW of wa02r CBUStng a Creinape pfoElem.
irydour (24) hours in advance tor all inspections enG shall receiva written approval on inspection cerd before
nga antl specifications shall not be consWetl lo Oe a pertnit for, nor an approval of, any vbladon of the provisions
NI0 Of f29U12fbf1. . .
THIS PERMIT VAL1D ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
APPLICDTION FOR CONTRACTORS LICENSE
CITY OF WHE3T RIDGE (Do not write in this space)
7500 W. 29th Avenue Lic2nse = 1'7 9~//
wheat Ridge, CO 80215 Expires:
TELEPHONE: 235-2855
Thz undersigned affirms that he is familiar with th2 Ordinances and
regulations of the City of wh=at Ridge relative to building &
construction within the City & sha11 at a11 times perform in
compliance with same as a contractor under the class of license
hereby applied for:
( ) CLASS I $125.00
Building Contractor
Unlimited construction, repair
remodel, alterations.
( ) Class II $75
( ) Type A..Lath,plaster,drywall
( ) Type B..Roof covering,water-
proofing
( ) 'Iype C..Masonry
( ) 'Iype D..Sandblasting,cleaning
( ) Type E..Excavation,concrete,
caissons, foundations
( ) Type F..Moving of strictures
( ) 'Iype G..Painting & decorating
( ) 'Npe H..Swimming pools
.pe I..Structural metals
( ) 'Iv
( ) Tyne J..Elevator installation &
service
( ) '17rpe K..Carpentry
( ) Class IZI $75
Building Contractor
Fences, siding, limited light
construction of ancillary
structures, remodel, carports
exterior sheet metal
Class vI $75
Plumbing Contract r G~
State License
( ) Class VIII $75
Heating & Ventilation
Contractor
( ) Class IX $75
Gas Service Contractor
gas & liquid fuel piping
gas ranges,dryers,refriger-
ators,incinerators,conver-
sion burners,venting, water
heaters, low voltage wiring
( ) Class XI $75
Sign Contractor
( ) Class XII $75
Fire Protection Cont.
automatic sprinkler,carbon
dioxide systems, stand pipe
systems
( ) Class XIII $75
Lawn Sprinkler Contractor
( ) Class Iv $75
Homeowner-construction of own
house or major alterations
( ) Class XIV $75
Electrical Signal Cont.
systems operating at
less than 48 volts
suszrrESS rraMs
ADDRESS CITY ''LIP i' PHONE
NAME ( S) OF OWNER (S) ,f Y~ y°,C y--~~
REFERENCES 11`"t Y GF s` ADDRESS
Gf ~ .G~.O
SZGNED ~i TITLE i~O h
DATE 1-7 APPROVED BY
Chief Building Inspector
COMPANY OFFICER ZNFORNIATION SHEET
Name(s) of owner(s) S,I
xome Address x / (x fy. s>, l'O AO"X41
Phone # yllk `f-7 Social Secuqrity
Driver's Lic. #
Name(s) of owner(s)PIl- 6"~d1 ~
Home Address ✓`~y~1f f If B" Iv,-k
Phone # ~i~/,C ~ Social Security #
Driver's Lic.
Name(s) of owner(s)
Home Address
Phone #
Driver's Lic. #
Name(s) of owner(s)
Home Address
Phone #
State
Social Security #
State
Social Security #
Driver's Lic_ # Stat
NT QF PLANNING AND DEVELOPMENT
0 INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7600 YMEST 29TM AYENUE
WHEAfiR1DGE, CO 80215
Derty Owner : VAN DYKE LOUIS J
wly Address : 3000 UPHAM ST
Licenee No. : 18571
Company : Century Sheet Metal Inc.
Building Permit Number : 95-2033
Date :10/11/95
Phone : 237-9403
Phone : 615 9150
SIC,NATURE OF UNDERSTANDING AND AOREEMENT
pertnit.
reroof and gutters
BUILDING DEPARTMENT USE ONLY
Walls : Roof : Stories
ConsWction Vaiue : $8,671.00
Permit Fee : $108.00
Pian Review Fee : $0.00
Use Tax : $130.07
~ TOtal: $238.06
Residendal Units :
No : Plumbing License No :
Company :
Expiration Date :
Approval :
not
Mechanical License No :
Company :
Expiration Date :
Approval :
r
suW ro Ne laws a nhe sam d cowrado ana to ft zoroig
d the CNy.
n issue tlete a(B) the WiWtn9 wtlmized b susprxkE or
r9quked, p,ovWatl no d7arpx Mre bean Or wUl be mada In the
(t) Yev. p cMnpea ere msES a tl aaeP~b^ a ebandonmeM
i nawrei ~ m..aiw u-aww~~ w- r•••••-•••.
~24) t~n in aCVance Tar aN spectlone and ehaN rocelve vMGen approval on hnepectlo^ car0 bekre
,Pedmm~ona enan na oe conswsa a ne a a•m~n ror, ~wr an e~ or, my wa.na~ a me vmwewns
SIGNED BY TbIE CHIEF BUILDING INSPECTOR
HOUItS PR141t T0 INBPECTION
:
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address :
Contractor License No. :
ycev~~y va-, v
J ~
Building Permit Number :
Date :
e
r . , -~-.P-lZ`~cjne : _ 1 ~ 3
Company : Phone : -cA l 50 -
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity that the setback distances proposed by this pertnit application are accurete.
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
rAVenants, ea58ments or restrietions of record; that all measurements shown. and allegations
matle are accurete; that I hava read and agree to abide by all conditions printed on this
appliwtion, and that 1 assume full responsibtliry for eompliance with the Wheat Ridge Building
Code (U.B.C.) and all other apDlicable Vyhearlg i rdman s, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ~ TE 1 v 1((
~
~Des~riRti~n_ c_~ a'~- ~ (~~e~__ ~~,J 6C,
Approval :
Zoning :
Approval :
Approval :
BUILDING DEPARTMENT USE ONLY
Occupancy : Walls : Roof : Stories
Construction Value : 18 6 '11i
Permit Fee :
Use Tax :
Total :
d
Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
~ ; Pl~ns,Requirad J
Plumbing License No :
Company :
Expiration Date :
Approval:
_3 Plfths'R'e`quired ~
Mechanical License No
Company :
Expiration Date :
Approval :
.A P Ans:RSnui
(1) This permit was issuetl in accortlance wRh the provisions set totlh in yopur application and is 5ubjeM to lhe laws of ihe Slata ot Colo2tlo and to the Zoning
Regulations and Builtling CoEe of Wheat RiCge, Coloratlo or any other aOPlirable orEinances of the Ciry.
(2) ThiS permit 5hell expire if (A) the work authorized is not commencetl wilhin sixry (60) days from i55ue Cate or (B) lhe building authorizetl is 5u5pentle0 or
aban0onetl for a penotl of 720 tlays.
(3) If this permit exprtes, a new permR may be acquireE for a(ee of one-half the amount normally requiretl, provitletl no chan9es have been or will be matle in the
original plans and specifica[ions and any suspansion or abantlonment has not e:ceeaetl one (1) yeac If chan9es are matle or if suspenslon or abantlonment
exceetls one (1) year, full fees shall be paitl Por a new permit.
(4) No work of any manner shall be tlone that will change the naNrel flow of water wusing a tlrainage problem.
(5) Contractor shall noM1y the Builtling Inspector lWenry-four (24) hours in atlvance for all inspections and shall recerve wntten approval on ins0ec6on Cartl before
proceetliing with successive phases of the lob.
(6) The issuance ot a permit or the approvat of drawings and specl(cations snail not be construed b be a permn tor, nor an appmval of, any violation of the provisions
of NC butltlmg CAtle3 Of 2ny o[hef ofdm2nCE. 12w. rUle or regUlatiOn.
Chief Building tnspector
Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
jCf
( 71 1 /
73
INSPECTION TICKET
BUILDING DEPARTMENT
237-6944 Ext. 255
CITY OF WHEAT RIDGE
* •
Correction Notice
Job Located at ,....y.... ~
~ ' ~
JOB ~j
ADDHESS
DATE: -S- ~ y BLDG. PERMITM
PERMITM
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REO. (1-9
TYPE OF INSP. ---Y-
INSPECTION MADE
REMARKS -DiC/~{`-~V ~'7k
I have this day inspected this structure and these premises and
have found the following violations of City and/ar State laws
governing same: 4
~ ' . ~ r i ri W.R. FORM
.tc.l.~ ,..~.s.~:.j~..........::.: ^
:z.:
. /
...........F:~......
You are hereby notified to correct the foregoing violations.
When corrections have been made, cali for inspection.
Date
/Inspector for Building Dept.
DO NOT REMOVE THIS TAG
•ONM WR6-IE
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500wEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. ME94#5839
234-5933 P.O. eoX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONI.Y WHEN SIGNEO BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS ~3o6 U
CONTRACTOR 1 EIl
ADDRESS
CITY _
PHONE _
SIGNS
FENCES
e-C'r-R\~"-
~,U O ci
ZIP CODE _
LICENSE N0.
I OR MISCELLANEOUS PERMI7 p,
Dr~IS OWNER RNC II N ~
N~ ADDRESS 3000 M Sr
~ PHONE a37- 03 ZIPCODE
!9'/ CONTRACT PRICE ~$p 7 rpD 00
i~"7 DATE D' I - py
I.TVPE Groune❑ Wol l❑ Proiectinp❑ Othsr SorDFou
2. MATERIAL Total Squan Feet
3. ILLUMINATION Yea❑ No❑ TYDS ElW. Pomit No.
4. SET BACK fROM PROPERTY LINE N_ S_ E_ W Zons_ ApDroved,Zona Inspeclor
(SDeti}y which ia f ront ) ❑ ❑ ❑ ❑ DisapDroved
1. TYPE Solido More TAan 80% Open[] Leu Than BO%
MATERIAL
3. SET BACK FROM PROPERTY LINE
(Soecifv whicA ie troM)
I.
OTHER 2
3.
N__ 5_ E_
❑ ❑ ❑
HoipM
Zone_ Apprwed,Zone tnspeeta
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIViNG DISTANCES FROM PROPERTY IINES.
(SETBACKS OR PROJECTIONS INCLUDED)
~
SPECIFY NORTM
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS,AND PROPERTV IINESiON IRREGULAR LATS, SNOW LEAST
DISTANCE TO PROPERTV L1NES,NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILOING INSPECTION DIVISION.
oranniTwu i FxaiRF 180 f]AVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
PERMIT
ELECTRICAL
PLUMBING PERMIT
MECHANICAL PERMIT
?
STATE LICENSE N0. Jy
STATE LICENSE N0.
ALUMiNUMWIREUNDERSIZE8ILLEGAL
FLOOR
BSM
IST
2N0
3RD
4TH
N0.
FUEL~CircJeOn~GosdlPropam EI~eSolor
~
-
WATER CLOSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
F10T WATER - BTU
NEW SERVICE - AMPS ~'J.S
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SMOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
SYSTEM
POWER SU6-GIFCUiTS
WATER HEATER
p
UTILI7Y (RANGE, DISPOSER, ETC )
AUTO. WASHER
DISH WASHER
NKLER SYSTEM
AUTOM
FIXTURES
WIRING MOTOftS 9 CONTROlS
FLOOR DRAIN
M
E
SIGNS
URIN~L
TRANSFORMERS 8 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTMER
MOTORS OVER I HP
TOTAL FI%TURES
I hereby ocknowledpe thot fhis a071ico-
fion iE correcf ond undersfond thot I
Connof stort lhie Drojtltt until this aDDli-
tation is ap0roved. I shall tomply with
tha lawe oi the State of Colorado ond to
1h0 Zoninp ReQulofions and Buildinp
Code ofthe City ol Wnea1 Ridqe. Any
violation of the obove terma will couse
immediate revocation of tnls permii
PERMIT FEE C/ 's-• 0-r)
USE TAX q ~
TOTAL FEE $ 54, q&
piSAPPROVED
CHIEF BUiLDI INSPECTOR,Cityof heatRidqe
~_I /w ~ Date Issued 9 ~
40 enl~ 91 netur•
NOT VALID UNLESS RECEIPTED
mm
CALL 2345933
24 HOURS IN ADVANCE
FOR INSPECTIONS