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4175 Upham Street
INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 M) to receive an inspection the following business day PERMIT:ADDRESS:JOB CODE./'\/ Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS S�7J 1ZI�Z PERMIT: G � I,�OC ADDRESS: X11) S/ JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous _ Final Inspections Date Inspector Initials Comments 401 Gasline 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial _ 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 "For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. The City of Wheat Ridge Third Party Form Check List Property Address `'L ( 7�;_ r P �L? 17T Permit Number 01._) .Cry Permit Issued Date Owner Information Property Owner Information Property Owner Address j 1 -7 Inspector Information Inspection Company /�''l = u C, Inspector Name Inspector Contact info. ' 5-1 7 Inspector Statement and Acknowledoement * I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendations and specfcations. Inspector-= -��,Date: ZY j, ` Property Owner Statement of Acknowledgement *1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection ompany to perform my roof inspection in lieu of the City of Wheat Ri a uildin ion inspection. Propery Owner/Agent: Date: This original document and permit card, as well as the roofing check list, must be submitted tc the Chief Building Official within seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof Inspection ❑ N/A ❑ Pass D Fail ❑ N/A Pass ❑ Fail Structural roof Components ❑ N/A P -Pass ❑ Fail Verify that no more than 2 layers of shingles exist N/A m Pass ❑ Fail Flashing for roof and walls Lr° ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the U N/A ❑ Pass ❑ rail permit description (Valuation must be adjusted) Verify sheathing nail pattern (See Policy & Procedures) /A ❑ Pass ElFail Crickets and saddles where needed LJ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent caps Q N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A M N/A 4�1_ Pass ❑ Pass ❑ Fail ❑ Fail Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage ❑ N/A ❑ N/A ,ice Pass P Pass ❑ Fail ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A 14� Pass Underlayments must follow 2012 IRC / 2012 IBC ❑ Fail Verify roof slope for proper drainage ❑ N/A ❑ N/A O—Pass V -_Pass ❑ Fail ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A [a Pass ❑ Pail Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened 12" OC &,N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, Patios, carports, open on three sides with min. slope of �v/A N/A ❑ Pass ❑ Pass ❑ Fail 1:12 Modified Bitumen, EPDM, TPO min slope 11412 slope ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Meatal Roof Shinates Re N/A Q Pass ❑ Fail uirernents Metal roof shingles shall not be installed on 51opo 105 N/A ❑ Pass ❑ Fail 3:12 Metal valley flashing shall be the N/A ❑ Pass ❑ Fail same material as roof Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow tine with sections overlapping a a min. of 4" Tile Roofs Requirements N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes C. Company Name: _ , Inspector signature: Date of Inspection: - — The City of Wheat Ridge Inspection Check List notes Final Roof Roof inspection ❑ N/A ❑ Pass ❑ Fail ❑ N/A Pass ❑ Fail Structural roof components ❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ NIA Pass ❑ Fail Flashing for roof and walls ❑ Pass ❑ Fail if new sheathing is installed verify that it is listed in the N/A ❑ Pass ❑ Fail permit description (Valuation must be adjusted) Verify sheathing nail pattern (See Policy & Procedures) J�:N/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A FX Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A _Pass ❑ Fail Verify vent caps P ❑ N/A P -Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A O --Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle 4N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A Pass ❑ Fail ice and water shield 2' in heated wall spaces ❑ N/A Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A kiPass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A ©-Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A Q Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC [ ZN/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, Patios, carports, open on three sides with min. slope of .. 1:12 1 N/A ❑Pass r] Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 f N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturer's specifications - Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements /A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less IN/A 3:12 N /A ❑ Pass F1 Fail Metal valley flashing shall be the same material as roof ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope J Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Final Roof Notes L/ � Company Name: Inspector signature: Date of inspection: City of Wheat Ridge " Residential Roofing PERMIT - 201800946 PERMIT NO: 201800946 ISSUED: 04/05/2018 JOB ADDRESS: 4175 Upham ST EXPIRES: 04/05/2019 JOB DESCRIPTION: Residential reroof permit remove and install Asphalt Architectural shingles with 30 total squares, flat 10squares and pitched 20squares. Pitch 5/12 and 12/12. *** CONTACTS *** OWNER (303)460-4450 HANDRICH TESSA DALLAROSA SUB (720)201-7933 Tanner Grass 170144 Colorado's Finest Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,750.00 FEES Total Valuation 0.00 Use Tax 204.75 Permit Fee 204.30 ** TOTAL ** 409.05 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Name:fba, I I •• �.• - City , ` MailingA .. - This proposal may be withdrawn by Colorado's Finest Roofing if not accepted within 30 days from the proposal date. 10673 Eudora Way Thornton, CO 80233 Phone: 720-201-7933 www.coloradosfinestroofing.com coloradosfinestroofing@gmail.corn Proposal Date:_.. 33''3�7e Services Provided: ProjectManager: M Cell Phone: -;2- -7— Email: tD/t_�p,rrl--! ►�i�nu6vl, (if Different) ) ' Insurance Company: Email Address: t _ir; V�.aZ+tb Adjustor Information: Best way to contact: 64"M 1, PolicyNumber: TearOfffl_ayer(s)of �4�y�Claim Number: X51 Inspect Decking: Deteriorat existing decking Repair at costof$ per sheet, Homeowner _ will be notified if any damaged wood is found duringtearoff. Install ice shield on leaves and in valley(s) Install drip edge Installaymen Recoverer roofroof with �30 f � ear manufacturer warranty. ❑ Color: 6 nail ever shin e Install ridge style Install pipel3cks_ t ❑ Re -flash swampcooler Stepflashsidewalls stepflashchimnestepflashskylight _ Colorado's Fine6t Roofing will provide general liability Insurance up to $2,000,000 Clean up and haul off roofing debris Clean out gutters Magnetic sweep of surrounding area Clean out landscaping All required permits furnished by C lorado's Finest Roofing To be reimbursed by Insurance Company Colorado's Finest Roofing15---Jear warranty on labor X C t VentilationL3&_ R commended ❑ recommendation on ventilation -30 Dateof Acce aganre o's Finest Roofino eoresent ive ❑ Gutters: G L,,L&k-- Color: Outlet: ❑ Siding: ❑ Extra work Special instructions: ' Colorado's Finest Roofing shall hold in trust any payment received from you until contractor has delivered roofing materials at the site or has performed a majority of the }! roo g work on yo r ro amolMtttsFtecoll a $m "atl'aldehvery, Initial total claim amount as of_I U' 120.1 _This price is subject to supplements/adjustments. Roof work to be completed -within 30 days of final insurance approval and mortgage endorsement. Homeowner's S-" : Property Owner is /is not intending to make payment from the proceeds of a property and casualty insurance policy. If so, homeowner must read and sign below. I/we agree to retain Colorado's Finest Roofing (Contractor) to repair/ replace the damaged or entire portion of the property described in this contract contingent on obtaining my insurance company's approval and payment to have said work completed. It is agreed that the contractor is empowered to contact my insurance carrier and to meet with their representative in order to negotiate the amount of damage, the cost of the repair or replacement of the damage to the above property Upon the insurance carrier agreement with the contractor and the down payment being made, the work will be scheduled and may begin on a first in and first out basis. Checks Shall be made payable to Colorado's Finest Roofing In the event that the insurance carrier fails to negotiate in a fair and reasonable manner, the contractor shall not be held liable and the agreement will be void. Insured out of pocket expense will not exceed the insured (purchaser) policy deductible for the work agreed upon between the insurance Carr* and the contractor. The insured also agrees to provide all necessary documentation for the claim (including documenU tion to facilitate payment from insurance, carrier and/or mortgage holder). The contractor reserves the right to file supplemental claims due to material end/or labor increases due to a storm environment or adjuster's mistakes errors or omissions. Insurance Company Claim Number Date CA-CMmer t�Ite Lagenia Reimer QG- l o ( i 9 From: no -reply@ ci.wheatridge.co.us Sent: Thursday, April 5, 2018 10:04 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 4175 Upham st Property Owner Name Tessa Dallarosa Property Owner Phone 303-420-4450 Number (enter WITH dashes, eg 303-123-4567) 3 I Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes 8658E7FF-96E5-45179-8326-92 F5EAF30F4D.ipeg CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Colorado's Finest Roofing 170144 720-201-7933 Contractor Address 10673 Eudora Way Thornton CO 80233 (Primary address of your business) Contractor Email Address Coloradosfinestroofing@gmail.com Retype Contractor Email Coloradosfinestroofing@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of f3J0 the entire scope of work. Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 9,750.00 No Pitched roof (2:12 pitch or greater) 2 ff both? (check all that apply) I What is the specific pitch 12/12 of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing Asphalt Architectural materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional House detail here on the description of work. (Is this for a house or garage? Etc) 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 3 owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Tanner Grass Email not displaying correctly? View it in your browser. City of Wheat Ridge Residential Roofing PERMIT - 201800946 PERMIT NO: 201800946 ISSUED: 04/05/2018 JOB ADDRESS: 4175 Upham ST EXPIRES: 04/05/2019 JOB DESCRIPTION: Residential reroof permit remove and install Asphalt Architectural shingles with 30 total squares, flat 10squares and pitched 20squares. Pitch 5/12 and 12/12. I, by in 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 [ 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_pennit. I further attest that I a ally authorized to include all entities named within this document as parties to the work to be per orri3ed'and t` t all work to be ertor ed 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services 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 grantingf a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicab�ode or any orp9ance 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. i bCITY OF WHEAT RIDGE Budding Inspection Division (30 `234-5933 Inspection line _]�q (303) 25-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3DU-1wid✓a Job Address: gI77 (Azkkam 11 Permit Number: zojopU qlq 6 /V11-00 _� A/0+ k��1_0 Vr9 ao r is 12,)-2 31-J wlvZint ��C'C7�zi k, (7 '14, ie27,0 � ' f) lad /% i I t C+ !-✓ f lr��PC I, ❑ No one available for inspection: Time! +�� PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: qD! 10 Inspector: bgt�e Lo i0 - DO NOT REMOVE THIS NOTICE Or Current owner/occupant Tessa Dallarosa 5023 W 120TH AVE BROOMFIELD CO 80020-5606 Regarding Permit: 20111424; Alter roof line over garage to allow for a new master bath 4175 Upham ST, Wheat Ridge, CO 80033 Our Records indicate that the above noted permit was issued on 11121111. Our last inspection related to that permit was on 11/21/12. Recause of the inactivity on this permit, it will become void as of 12/31/2015. Please contact this office within one week from the date of this letter to update us on the status of this permit, or call for a final inspection on the property. You may call 303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed are permit number, property address, type of inspection and date to be inspected. If you do not contact this office, and, wish to resume work at a later date, you will be required to submit a new permit application, drawings with appropriate code edition information and pay applicable fees. Incomplete or inactive permits may be reported to agencies such as Jefferson County Assessor, title companies, etc., and could affect future transactions related to this property. Thank you for your cooperation concerning this matter. If we can answer any questions, please don't hesitate to contact us at 303-235-2855, option 7. Melissa Mackey Senior Permit Technician Melissa Mackex From: Tessa Dallarosa <tessa.dallarosa@gmaii.com> Sent: Friday, May 31, 2013 1:47 PM To: Melissa Mackey Subject: Permit #111424 City of Wheat Ridge Vu rtx,', Building Permits 7500 West 29th Avenue Wheat Ridge CO 80033 - " ; I."' ��� I A Mi I, I . 111111!; 4 1111111 I • Iffil 1 11 1 1 11 1 I '- 1. "1 • 1 I (T*n- *1 bu*QVI ltrd(;Ewf b, I wittl all 15F405 1 Me UVII)pdIIJ: 51urre*' this project. My attorney has advised me not to complete the work until an agreement is reached. Hopefully, this will be soon. nr=w Tessa Dallarosa 4175 Upham St, A 0 19 Nov. 2012 To: City of Wheat Ridge CO Re: Building Permit Extension Please extend building permit number 111424 on my property located at 4175 Upham Street in Wheat Ridge. The project is taking longer than anticipated but we expect to finish up within a six month time period. _it of e � . s3,a w_ ry { Building & Inspection Serv i Permit 7500 W. " Ave,, Wheat Ridge, CO 80033 µ �� O Ice: 303 - 235 -2855 * Fax: 303-237-892 Inspection Line 303-234-5933 Bu ilding It Applic , City License # City License City License r i R 9 of " 0 0 Q-e' ' Contract Value: eat. 1", 1 City t' Build 7500 W 29" Ave., Wheat Rid Plan P ermit ice: 303- 235 -2855 * e 303 - 237 -892 Inspection Line 303 - 234 -5933 Building I Application Property Address'. Propert O wner lease print) � �. Mailing A+ddre : (if different than property address) I Contractors City Licensu . Phone: *7 - CD rub Contractors: L-2 24L Electrical. _ Plumbing: Mechanical City License City License # (amity License e cr "al Bldg Wy rR~ ~ City of Wheat Ridge L R.o Residential Flumbing PERMIT - 071179 PERMIT NO: 071179 ISSUED: 10/29/2007 JOB ADDRESS: 4175 UPHAM ST EXPIRES: 04/26/2008 DESCRIPTION: .emergency.sewer line repair - yard only . .***CONTACTS . owner 720/543-3608 Dave Nikkel ge 303/696-9599 . Steve Wakeham 01-9921 Pipeline Induetriea, Inc. PARCfiL INFO ZONE WDE: UA . USE: UA SUBDIVISION: UA BLOCK/LOT#: 0/ **FEE SU6'IIKARY .'ESTIMATED PROJECT VALUATION: 2,000.00 . . . FEES Permit Fee 90.10 ~ Total Valuation~ ~ .00 Use Tax ~ . ~ 36.00 TOTAL 126.10 . . Commentsd Subject to field inspection I hereby certify that tIIe eetback dSetances proposed by thia permit application are accurate, and do not vlolate applicable ozdinancee, rulee.or re9ulati0ne of the City o£ wheat Ridge or covenanta, eaeemente or reetrictions oY record; that all meaeurementeehown,and allegdtione made are accurate; that I have read and agree to abide by all conditiona printed on ehis application and thab I a^e~eume.full reeponeibility Eor compliance with the Wheat Ridge Suilding Code (I.B.C) and all other appli~le tQheat IjjA§ejyyr...ancee, for wozk under thls permit. Plana eubject to field inepection. S' ture of contraetoi/ownet. flate . 1.This pexmit wae isauad in accordance with the provieione eet forth in your application and Se subject to the lawa of the State of Colorado and to the Zoning Regulatione and Building Codes of wheat R1dge, Colorado or any other applSCable ordinances of the City. 2. Thie pezmit ehall expire 180 daye from the iaeue date. Requeste for an exteneion muat be received prior to expiration date. An exteneion maybegranted at the diecretion of the suilding Official. . 3. If'thie pexmit expiree, a new permit may be acquired for a fee of one-half the amount normally required, ptovided no changee have been or will b¢ made in the original plane and epecifications and any euepenaion or abandonment Aae not exceeded one (1) year: If.chan9ee have been or if auepeneion ot abandonment exceeda one (i) year, full feee shall . be paid for a nea permit. 4. No work of any manner ehall be donethat will chan9e the natural flow of water causing a drainage pzoblem. . 5. Contractor ehall notify the Building Inepector twenty-four (24) houre in advance Por all lnepectione and ehall receive wriGten appzoval oninepection card beEOte proceeding with eucceaeive ghaeee ofthe job. 6.The Seavance oE a permit or the approval of drawinge and epecificatione ehall not be wnetrued to be a.permit for, nor an approval of, any violation of e provieione of the building codee or any other ordinance, law, rule or regulation. All plan review ia aubjech t~fi inepectione. Signature of Cniei auiiaing cci~ra+ INSBECTION RBQSTEST ~INBe (303)234-5933 BUILDING OFFICE: (303)235-2655 REQUESTS'MUST BEMADE`,BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. OFwHEqT,P/ City of Wheat Ridge Building Division Date: 7500 W. 29"' Ave., Wheat Ridge, CO 80033 U ? m Office: 303-235-2855 * Fax: 303-235-2857 Plan } s> c o Inspection Line: 303-234-5933 permir#: ~CORP~ Building Permit Application PropertyAddress: 4I75 C-lphuM sz_- Property Owner (please print): I)C,16t glIM"_bIi'C{1o 1~e Phone: 360$ Mailing Address: (if different than property address) Address: City, State, Zip: r ~ Contractoc I(J?T ~ r i p, Contractor License Phone: 3- Cpq6; • Cj59 9 Sub Contractors: Electrical Ciry License Company: Exp. Date: Plumbing City License Company Exp. Date: Mechanical City License Company: Exp. Date: Use of space (description): Construction Value: 8'v GOo Descf iptiUll 9fwo1'k: (as calculated per the Buildiq2aluation Data sheeU Fmtrgm~yStwf~ 'I - nt pYloaPlanReview(dueattimeofsubmittal):$ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all wnditions printed on this application and that I assume full responsibiliry for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE- (OWNER) CONTRACTO or PERSONAL REP ENT IVE of RATOR) PRINT NAME: YSSf SIGNATUR ~ Date: ZONING COMMENTS: Zaning: Reviewer: PUBLIC WORKS COMMENTS: Reviewec DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY: _ Reviawer: FIRE DEPARTMENT.: 0 appfoved w/ CommBnfS ❑ diSappfOV2d ❑ no feview f2quired Bld9 ValUBtlOn: $ - 0 v m L~ e ~a 7 N 1:) m O~ 0 . n m 7 y a (D .n.., O o ' Lq 9 ~ C W ~ A ~ ~ a ~ ~ ~ 3 ~ oi m _ ~z~ o \o ~ 1 R ~ ~ A ~ 0 z W W 0 w w A N b W W ❑I Z 0 O 7 ~ < m a m ~ ~ N ~o ID 0 O ~ 3 (D ~ E~ v ~ C- 0 s ~ a a m N N -03 W N ~ 3 ~ c 3 3 ~ ~ 3 a i ~ k. i ~ y ~ M z C v b Z N T m 0 z Z O n m 0 O 3 C z W ~ ° v ~ NW m N W W r o in 3 m Z -4 m wv~i ,~•,m 'D cwnn 3 70 K ~ N O . ~ ~_H.m T ~ O Z X ~ ~ -4 DEPARTMENT OF PLANNING AND DEVELOPMENT ' BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) . Property Owner: Building Permit Number Date 11232 9/26/2000 Property Address : 4175 UPHAM ST Phone : 460-4450 Contrector License No. : 17013 Company : MAJOR HEATING & AIC Phone : 424-1622 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiy that the setback disWnces proposed by this permit application are axurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easaments or restrictions of record; that all measurements shown, and allegations made are aaurate; that I have read and ayree to abide b I conditions printed on this application, and that I assume full responsib" for comP ce ith the Wheat Ridge Building Code (U.B.C.) and all other applicable V~hidge ord n~for work under this pertnit. (OWNER)(CONTRACTOR) Construction Value : $2,550.00 Permit Fee : $83.25 Use Tax : $0.00 Total: $$3.25 Description : INSTALL NEW 90% EFFICIENT FURNACE MODEL CARRIER 58mcaq26-120,000 BTU Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval : Mechanical License No : Company : Expiration Date : Approval : (1) Triia permtt was issued in accortlance wiN the provlslons set forth In yopur application and is sub1'ecl M the laws of the State of Cdofatlo and ro the Zoning Regulations and Buildin~ Code of Wheat Ridge, Colorado or any other applicable orCinances of the Ciry. (2) Thls permit shell expire R(A) the work authonzed is nol commenced within sinty (60) tlays trom issue tlete or (B) the builtling authorizetl is susperWed or abantlonetl for a perio0 of 120 days. (3) If ihis permit expires, a new pertnrt may be acquired for a fee of one-half the amount normally required, provitletl rw changes have Oeen or will be made in the original plans and specificetions antl eny suspension or ebandonmenl has not exceetled one (1) year. If changes are matle or 6 suspension or abantlonment exceeda one (t) year, full fees shall be paltl for a new pertnit. (4) No vrork of any manner shall be tlone lhat will change the nalural Mow of water causing a tlrainage problem. (5) Contractor shall notiry the Builtling Inspector Avenry-four (24) hours in aAvance for all inspacdons and shall receive written approval on inspection card bebre proceadiing with succesarve phases ot me oo. (6) The issuance M e permit or Me approval o~tlrawings antl specifications shall not be wnsWed to be a pertnil for, nw an approval M, airy violation of the provisions of the building wtles or eny other orUinance, law, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPLICATIo N Property Owner: /-~;f?/~1C 0e LG Property Address : Phone : 4-/41150 Contractor License No. : / `JO! ~ Company :1,4ex171,vy 5` /~IC Phone :Jc3 -5<Z41- /(0 2 z OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construc6on Value : I hereby certify that the setback distances proposed by this permit application are aceurate, Pgffilit F@B : and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restriCions of reeord: that all measuremants shown, and allegations made are accurate; that I have read antl ayree to a6ide by all wndkions pnnted on this Use Tax : c? & -V~l 2-applieation, and that I assume full responsibifity for eompliance wkh the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe tRidge ordina s, for work unAer this pertnit. T0t21 : (OWNER)(CONTRACTOR) SIGN - L ,~l "---==DATE ~/16/2 ~ ' USe : Description: ~ac-tz~~~-c2ec-c> BUILDING DEPARTMENT USE ONLY : {Q SIC : Sq. Ft. : - Approval : Zoning : lnsu Approval : gaimmalsammm Approval : Occupancy : Walls : Roof : Stories : Residenfial Units : Electrical License No : Piumbing License No : Mechanical License No :/-~O/ 3 Company : Company : Company : Jy/As-or Il/C Expiration Date : Expiration Date : Expiration Date :t7Za/laer i Approval : Approval : Approval : (1) This permit was issued in aaordance with the pmvisions set kM in yopur application and is aubject M the laws ot the State of Coloratlo antl to the .'oniny Regulations antl Builtlinp Cotle M WMat Ridpe, Colwatlo or any oNer appliraDle oNinances M the Ciry. (2) TTis permR ahell expiR if (A) the wotk authOnzeE is not tommentetl within eizly (80) tlays from iasue tlele of (B) the buiWinq authonze0 is auSpenEetl or ahandoneE for a penotl W 120 days. (3) If Mis pertnit expiros. a new pemnt may Ee acquircd for a fee of ono-hatt t~e amount nwmaly 2quireO, pmvitleO no Uianges heve Deen a will Oe metle in the aiginal plans and speaficationa anE any wapension a abantlonmeM has not exceeEetl one (t) year. H ehanpes are maOe or H auspension or aDantlonment ex (t) NII fees nhall be paW for a new pertnit (a) ceeds No work ooTrre arry year. mennar Shall be tlOne tllat WIII Cllanpe ttle neW'al flow of wa[ef ~ausing a tlrainege pfoDlem. (5) ConVactar a~all noUfy ihe BuilEiip Inspector Iwenty-four (24) ~oun in atlvanca for all inspecM1One arW shall ieceive wrilten approval on inspectlon ar0 OePore p~oceetliing with auccessive phaxs of Me~. / (6) The iasuance W a pertntt or the epproval o tl~awinqa anE specifiradons s~all rrot be mnsWeA ro be a permk Mr, nor an approval of, arry viola6on of Me proviabna of the builtling codea w airy other ordinanca, law, fule a regulation. Chief Building Inspector T v ~ ~ o c q' p O ~ m 1 'ry <D ~ M J o~ ~ o s Z O (D 0 ~ ~ ~ (Da rn O N ~ o ~ m dC) = O 3 t 0 N 3 ~ o ~ ~ ~m a ~ to ~o ' ~m m~ -C ~ o g m o + = O P ~ S ' L v ~ ~ < S mm Q ~ _ ic o~ o n J y N 3 C = S am ~ ` " a lb a ~ (D o; O y M ~ ~ m \ J ~ O. - + o ~ c ~m m 3 a ~ ~s o ~ ~ Q m • a ~ m a U3 m O 7 < a O m O ~ Z ~ ~ . ~ C ~ 0 v 0 -n p Y/ ~v v N mUl m ~ N ~ ~ m ~ 3 Z ~