HomeMy WebLinkAbout4221 Upham StreetCity of Wheat Ridge
r Residential Plumbing PERMIT - 201800751
PERMIT NO: 201800751 ISSUED: 03/16/2018
JOB ADDRESS: 4221 Upham ST EXPIRES: 03/16/2019
JOB DESCRIPTION: Replace water heater 36K BTUs 40 gallons
*** CONTACTS ***
OWNER (720)394-8118 LEOS MARGARET A
SUB (303)280-5765 Larry Benavidez 100318 Colorado Heating & Cooling
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,639.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 34.42
** TOTAL ** 74.42
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
I by my signature, do hereby attest that the work to be performed shall comply with all accompanyin% 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,permrt. 1 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 pertormed is disclosed in this document and/oz 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 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 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 perMt shall not be construed to be a permit for or an approval of, any violation of any provision of any
applicable cod ny ordmanc regulation of this jurisdiction. Approval of work is subject to field inspection.
9
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat �j ld -
COMMUNiTY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(c)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: ` �
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:
Owner
ease print): [Y U/'00_kkj L i�� Phone: �;
Property Owner Email:
Mailing Address: (if different than property address)
Address:
, State, Zip:
Architect/Engineern
Architect/Engineer E-mail: Phone:
1 V
Contractor:_ - ��q 06 �
Contractors City License #:
Contractor E-mail
_Sq el_ gll,,?-
Phone: -3 7" -2G�-S-76 E7
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):
CONTACT EMAIL(p/ease print):
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Phone:-jC?
Plumbing:
W.R. City License #
Other City Licensed Sub:
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.) "
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 1(L391
Z7 /G
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this penvit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (A 'TFIORIZED REPRESENTATIVE) o (OWNER) (CONTRACTOR)
Sienatare (first and last name): DATE: 41
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation:;
A i CITY OF WHEAT RIDGE
Building; Inspection -Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: LI c
Job Address: -9 a i
Permit Number: a O) 7 0 6, 3 0
r7,�rn V ter+
❑ No one available for inspection: Time 1-3 =1 Lj AM PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 3 �/,g Inspector: --T_�)
DO NOT REMOVE THIS NOTICE
a
w
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: G/ 0 R - P a 1
Job Address: (-/-03 1 ( i �� ez .v- S 4 -
Permit Number: ::�2 r- i-7 Q 14 a a
❑ No one available for inspection: Time 3 L—(9) PM
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: --d Inspector:
DO NOT REMOVE THIS NOTICE
., City of Wheat Ridge
Residential Roofing PERMIT - 201706203
PERMIT NO: 201706203 ISSUED: 08/16/2017
JOB ADDRESS: 4221 Upham ST EXPIRES: 08/16/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING -
24 sq
*** CONTACTS ***
OWNER (303)744-9000 LEOS MARGARET A
SUB (303)744-9000 Rick Langley 150079 Western Maintenance & Construc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,043.00
FEES
Total Valuation 0.00
Use Tax 168.90
Permit Fee 188.45 _ du.--
** TOTAL ** 357.35
*** 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.
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.
®� ! i City of Wheat Ridge
Residential Roofing PERMIT - 201706203
PERMIT NO: 201706203 ISSUED: 08/16/2017
JOB ADDRESS: 4221 Upham ST EXPIRES: 08/16/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING -
24 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable bui codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal- owne of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fu ttest that I am 1e ally authorized to include all entities named within this document as parties to the work to be
perform d a hat work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signatule of O or CONTRACTOR (Circle one) Date
I. 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 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 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
2,.R us.,ft
e
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz 2017067,03
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, August 14, 2017 12:26 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
5
Follow Up Flag: Follow up
Flag Status: Completed
S�
Categories:
Dane
S
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
+
S
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 fora Yes tnS explOJ _)M'117
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
b
4221 Upham Street
Margaret Leos
125
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
720-394-8118
margaretlapietra@yahoo.com
Yes
665 Agreement.pdf
CONTRACTOR INFORMATION
Contractor Business
Western Maintenance and Construction
Name
U��`` L
Contractor's License
150079
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
303-744-9000
1795 W Yale Ave E
Contractor Email Address gkelley@westernmc.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
gkelley@westernmc.com
24
.IAT.
126
Are you re -decking the
roof?
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
Yes
No
Yes
24
Tamko Color mountain slate
Asphalt
house, garage 5/12
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
127
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.
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 Gena Kelley
Email not displaying correctly? View it in your browser.
128
ROOFING & ASO
26—BIB 13130 CONSTRUCTION B B
Agreement
Name: r"\;; s -41 M L-edS Date: 9 %I
W
Work:
E -Mail:
Cell:
Sales Rep:'Pg,:vt— LS-AVY Phone: f ?6518'50 - Li rc i 9SStorm Date: 4; / A / 1"7
ROOFING ASSE SMENT
GUTTER ASSESSMENT
Grade of Shingle: Style:
Size: LF: Color:
Pitch: /12 2 -Story:
Tear off: Ridge Cap:
SIDING ASSESSMENT
Felt: Valley:
Grade of Siding: Style: Color:
Vents: 750's Turbines:
Fascia: Color:
Pipe Jacks: Skylights:
Ice/Water: Drip Edge:
i
Contract Total:$_��
Remove debris from roof, gutters, and yard
1st payment $-10 ' 000
Protect landscaping and gutters
Final Payment due at completion $
Furnish Permit as required by City/County
DAMAGE ASSESSMENT/NOTES
Lti.,, s l
ACE Roofing Roofing & Construction Limited Warranty
Right To Cancel: You, the consumer, may cancel this transaction at any time prior to midnight of the third business day after date of this
transaction.
General Contractor: Homeowner acknowledges ACE ROOFING & CONSTRUCTION as a general contractor and as such shall be entitled to over
head and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead and profit
"!"ermS: This agreement does not obligate the homeowner or ACE ROOFING & CONSTRUCTION in any way unless the damage is approved byyour
Insurance company and accepted by ACE ROOFING & CONSTRUCTION. By signing this agreement the homeowner authorizes ACE ROOFING &
CONSTRUCTION to pursue homeowner's best interests for a Roof and/or Gutter replacement or repair at a "price agreeable "to the insurance company
and ACE ROOFING & CONSTRUCTION with no additional cost to the homeowner except for the insurance deductible. When "price agreeable "is
determined itshall become the final contract price of the INSURANCE PRO .EEDS+INct ANCF DEDUCTIBLE AND HOMEOWNER AUTHORIZES ACE
Roofing & Construction to obtain labor and material in accordance with the "price agreement" and the specifications set out therein and on the reverse
side thereof to accomplish the replacement or repair.
1-7Home ! er or Agent Signature Date kACE eprese tiv
Insurance Co.
• jda
..�
>�7P�
PREFERRED
CONTRACTOR Tested m Be the Beir
1795 W. Yale Ave. Englewood CO. 80110 Office (303) 223-7663 www.aceroofco.com
❑ No one available for inspection -:.,Time AKA/PM
Re -Inspection required: Yes No �f
When corrections have been made, call for re -inspection at 303-234-5933
Date: • / 7 Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE__.
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSnPECTIONi NOTICE
Inspection Type:
Job Address: G! UP14A14 '�5t—
Permit Number: X11706 �7 � 5
Nl t irJ C� UUP M 6avt'PLJE"� M r 2 S177-7
❑ No one available for inspection: Time AM(PM)
Re -Inspection required:Yes No
When corrections have been made, call for re -1h pection at 30 =23 -59 3
Date: /! F - l-7 Inspector:
v
DO NOT REMOVE THIS NOTICE
G
., City of Wheat Ridge
Residential Roofing PERMIT - 201706203
PERMIT NO: 201706203 ISSUED: 08/16/2017
JOB ADDRESS: 4221 Upham ST EXPIRES: 08/16/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING -
24 sq
*** CONTACTS ***
OWNER (303)744-9000 LEOS MARGARET A
SUB (303)744-9000 Rick Langley 150079 Western Maintenance & Construc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,043.00
FEES
Total Valuation 0.00
Use Tax 168.90
Permit Fee 188.45 _ du.--
** TOTAL ** 357.35
*** 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.
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.
®� ! i City of Wheat Ridge
Residential Roofing PERMIT - 201706203
PERMIT NO: 201706203 ISSUED: 08/16/2017
JOB ADDRESS: 4221 Upham ST EXPIRES: 08/16/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles with ROOF DECKING -
24 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable bui codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal- owne of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fu ttest that I am 1e ally authorized to include all entities named within this document as parties to the work to be
perform d a hat work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signatule of O or CONTRACTOR (Circle one) Date
I. 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 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 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
2,.R us.,ft
e
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz 2017067,03
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, August 14, 2017 12:26 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
5
Follow Up Flag: Follow up
Flag Status: Completed
S�
Categories:
Dane
S
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
+
S
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 fora Yes tnS explOJ _)M'117
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
b
4221 Upham Street
Margaret Leos
125
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
720-394-8118
margaretlapietra@yahoo.com
Yes
665 Agreement.pdf
CONTRACTOR INFORMATION
Contractor Business
Western Maintenance and Construction
Name
U��`` L
Contractor's License
150079
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
303-744-9000
1795 W Yale Ave E
Contractor Email Address gkelley@westernmc.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
gkelley@westernmc.com
24
.IAT.
126
Are you re -decking the
roof?
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
Yes
No
Yes
24
Tamko Color mountain slate
Asphalt
house, garage 5/12
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
127
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.
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 Gena Kelley
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128
ROOFING & ASO
26—BIB 13130 CONSTRUCTION B B
Agreement
Name: r"\;; s -41 M L-edS Date: 9 %I
W
Work:
E -Mail:
Cell:
Sales Rep:'Pg,:vt— LS-AVY Phone: f ?6518'50 - Li rc i 9SStorm Date: 4; / A / 1"7
ROOFING ASSE SMENT
GUTTER ASSESSMENT
Grade of Shingle: Style:
Size: LF: Color:
Pitch: /12 2 -Story:
Tear off: Ridge Cap:
SIDING ASSESSMENT
Felt: Valley:
Grade of Siding: Style: Color:
Vents: 750's Turbines:
Fascia: Color:
Pipe Jacks: Skylights:
Ice/Water: Drip Edge:
i
Contract Total:$_��
Remove debris from roof, gutters, and yard
1st payment $-10 ' 000
Protect landscaping and gutters
Final Payment due at completion $
Furnish Permit as required by City/County
DAMAGE ASSESSMENT/NOTES
Lti.,, s l
ACE Roofing Roofing & Construction Limited Warranty
Right To Cancel: You, the consumer, may cancel this transaction at any time prior to midnight of the third business day after date of this
transaction.
General Contractor: Homeowner acknowledges ACE ROOFING & CONSTRUCTION as a general contractor and as such shall be entitled to over
head and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead and profit
"!"ermS: This agreement does not obligate the homeowner or ACE ROOFING & CONSTRUCTION in any way unless the damage is approved byyour
Insurance company and accepted by ACE ROOFING & CONSTRUCTION. By signing this agreement the homeowner authorizes ACE ROOFING &
CONSTRUCTION to pursue homeowner's best interests for a Roof and/or Gutter replacement or repair at a "price agreeable "to the insurance company
and ACE ROOFING & CONSTRUCTION with no additional cost to the homeowner except for the insurance deductible. When "price agreeable "is
determined itshall become the final contract price of the INSURANCE PRO .EEDS+INct ANCF DEDUCTIBLE AND HOMEOWNER AUTHORIZES ACE
Roofing & Construction to obtain labor and material in accordance with the "price agreement" and the specifications set out therein and on the reverse
side thereof to accomplish the replacement or repair.
1-7Home ! er or Agent Signature Date kACE eprese tiv
Insurance Co.
• jda
..�
>�7P�
PREFERRED
CONTRACTOR Tested m Be the Beir
1795 W. Yale Ave. Englewood CO. 80110 Office (303) 223-7663 www.aceroofco.com
" ' City of Wheat Ridge
Residential Rooting PERMIT - 091363
r PERMIT NO: 091363 ISSUED: 08/17/20.09
JOB ADDRESS: 4221 UPHAM ST EXPIRES:. 02/13/2010
3 DESCRIPTION: T/o: Reroof 19. sqs
***-CONTACTS
:owner 3.03/422-4338 Al Leos -
U** PARCEL INFO
ZONE CODE : UA USE: . UA
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,363.00.
FEES
-Permit Fee 126.50
i` Total Valuation C ~~qO U'7¢
aj
r; Use Tax 60.53
w :t :tTOTAL 187.03 e .W ...,...„'z..„
Conditions:
6 nail installation mid-roof inspection required. Board sheathing spaced more..:
1E than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
111-1
V
, water shield required from eave edge to 2' inside exterior walls.
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
7 measurements. shown, and allegations made are accurate; that Ihave read and agree to abide by all conditions. printed on this
application and that Iassume full responsibility for compliance with the Wheat RidgeBuilding Code (I.B.C) and all. other
applicable Wh at edge Ordin ncea, for work under this permit. Plans subject to field inspection.
signature of cont c r/o`(uner date
✓:1.. This permit was issued in accordance with the provisions set forth in your application and is subject to the 'laws of the
a.. State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable.
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
-:3.. If this permit expires, a new permit may be acquired for a fee of. one-half -theamount normally required, provided no
changes have been or. will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
g. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
X15. ` Contractor shall notify' the. Building inspector :twenty-four (24) hours in advance for. all inspections and shall receive
written approval on inspection. card before proceeding with successive phases of the job..
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, a violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan r v' subject to field inspections.
Signature o hi Building Official ..date
INSPECT' ON REQUEST LINE: (303)234-5933 'BUILDING OFFICE: (303)235-2855
'y-,REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY..:
FWHEgT
CitYof Wheat Ridge Building Division Date:
m 7500 W. 29m Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857 Plan
00 oaroo Inspection Line: 303-234-5933 Permit Building Permit Application
Property Address:
Property Owner (please print): Phone: 303-42,7- 7 3.39'
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractor License
Sub Contractor's:
RiactriGal City i iGenOe ,
Company:
Company
Phone:
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description):
Description, of work: ^^rr
Sq. Ft./L. Ft added: Squares / BTU's
Construction Value: $
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
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 1 have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRA TOR) or PERSONAL REPRES IT IVE of (O ER) (CONTRATOR) X~r
PRINT NAME: _ ( ~ S SIGNATURE: Date: u -0
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80275 - (303-235-2855)
Building Permit Number : 10785
Date : 6/30/2000
Property Owner :
Property Address : 4221 UPHAM ST Phone : 422-4338
Contractor License No. : 17557
Company : Ted's Sheds Phone : 421 2022
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurete,
and do not violate applicable ordinancas, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measur ents shown, and allegations
made are accurate; that I have read and ayree to abide by al ditions printed on this
applieation, and that I assume full responsibility for complia ith the Wheat Ridge Building
Code (U.B.C.) and all other applicable Vyh~aJ,R111ge ordin ce , for work under this pertnit.
(OWNER)(CONTRACTOR)SIGNE/J/ A/L~/~R_)DATEL-M
Description : STORAGE SHED 10X20
Construction Value :
$2,080.00
Permit Fee :
$83.25
Plan Review Fee :
$0.00
Use Tax :
$31.20
Total:
$114.45
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval : TRC
Zoning : R-2
Approval: BG
Approval:
Occupancy : Walls
6130/00 MUST BE PROPERLY ANCHORED 6"X 6" SKIDS OR
TREATED LUMBER WIIN 6" AT GRADE
Roof : Stories : Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This permit was issued in accrordance with the provisions sM forth in yopur applica6on and is sub'ect lo the laws of the State of Coloratlo and to the Zoning
Regulations antl Bullding Code of Wheat Ridae, Coloratlo or any other applicable adinances M t~e Ciry.
(2) This permit shall expire if (A) the work auMOnzed is not commenced within sixry (80) days from issue tlate or (B) the builtling authorized is suspended or
abandoned tor a periotl of 120 days.
(3) If this permit ezpires, a new permR may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be matle in the
original plans and specifwations and any suspension or abantlonment has not exceeded one (1) year. IF changes are matle or if suspension or abandonment
exceetls one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall De tlone that will change the natu2l flow of water qusi~ a tlrainege problem.
(5) Contredor shall notlfy Me Building Inspector twenry-four (24) hours in advance for all inspecGons antl shall receive wntten approval on inspection cartl before
proceedii wiM suaessive phases of theI'ob.
(8) The is n of per or the approval ot d2wings and spe~calions shall not be wnsW ed to be a permit for, nor an approval of, any violation of the provisions
o uil rr ny other ortlinance, law, mle or regulation.
V'r /r /
Chief Building f'rfspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9648
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 10118/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 4221 UPHAM ST
Contractor License No. : 18057
Phone: 422-4338
Company : Modelco Electric Phone : 451 6236
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback tlistances proposed by this permit application are acwrete,
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 responsibihty for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheal Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Add furnace circuit
Construction Value :
$200.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$3.00
Total:
$26.50
USe:
BUILDiNG DEPARTMENT USE ONLY
P45101-0901 SIC Sq. Ft.
Approval:
Zoning :
W~M~~
Approval :
KPI,:.:.,.F..__..,, "1:, MlI a
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval :
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issuetl in accortlance with the provisions set foRh in yopur application and is subject to lhe laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloretlo or any other applicable ordinances oF ihe Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned tor a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provitletl no changes have been or will be made in ihe
original plans and specifications antl any suspension or abandonment has not exceetled one (7) year. If changes are made or if suspension or abantlonment
ezceeds one (1) year, Full fees shall be paitl for a new permit.
(4) No work of any manner shall be tlone thatwill change the natural tlow of water causing a drainage problem.
(5) Contractor shall notiy the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings antl specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the builtling codes or any other ortlmance, law, mle or re9ulation.
Chi Idi g n tor
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
Property Owner: /J'( L-G'
Propzrty Address u`~~`~'~ ~ Phone ~2Z '`t 33?
Contrector _License No. : j~`O~ 4/.-6 Z'j ,4
Company : ? Phone : 3-q0**WT
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value
I hereby certify that the selback distances proposed by this perm@ application are accurate,
and do not violate applicable ordinances, rules or regulations o( the Ciry of Wheat Ridge or
covenants, easemenls or restridions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree lo abide I conditions printed on this
applicalion, and that I assume full responsibility~ co li ce)yith the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat ge ans~ for work under this pertnit.
(OWNER)(CONTRACTOR)
Description
7
77~am Af's
Approval :
Zoning :
Approval:
Approval:
Occupancy : Walls
Electrical License No :
Company :
Expiration Date :
Approval :
Z--~ DATE I~ ~7 ~T 7
Use:
CCX/-GGr~
BUILDING DEPARTMENT USE ONLY
SIC
Permit Fee :
Use Tax:
Total: $0.00
Sq. Ft. :
Stories : Residential Units :
Mechanical License No :
Company:
Expiration Date :
Approval:
Roof
Plumbing License No :
Company :
Expiration Date :
Approval:
(1) This permit was luuetl In acmr0ance with the OMVisions set lonh In yopur apPliratlan and Is suCjea to the laws ol the Sute ol Colorado aiW to the Zoning
Regulatlons anE 8uildirp Cade of Wheat Ridge, Colorado a any other applicaEle oNinancea of the Ciry.
(2) This permil stull expire it (A) Ne work auUwnzeC is not cammenud wiNin sicty (60) Eays trom Issue Oate or (8) the builEinq aulhorized is suspeMed a
aEatWOneC ta a periad of 120 days.
(J) If Nis pemtit expires, a new pemul may be acquired (a a lee ol ono-hal( the amounl nomnaly required, provided no Uanges twve been u vrill be maEe in the
onginal Olans and epMificaUOns anE any suspension a abarWOnment has not exceeded one (1) year. II Uhanges are made a if suspension or aEantlonmenl
ezceeds ane (i) year, full leee shall Ce palE for a new permit.
(4) No work ol any manner shall be done thal will Nange the natural Ilow ol waler causing a E2ina9e problem.
(5) Cantraqw snall ratiry the BuildinB Inspector Nrenry-tour (24) hours in aEvance Iw ail inspections anC shail receive written approval m inspection card Oefwe
proceeEiiiy with suaessive phaxa ofihe ob.
(6) The issuance ol a pemtit a ihe approval o~Erawings and specifwtions shall rwt De consWed to be a pertnit la, nor an aOPrwal o/, arry Wdation of the proNSions
OI IhE b11iIEi09 C1W¢3 Of 20y OthCf OfdII1dOC8, IdW, NIB Of f29UWUOf1. Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
Ar-1
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9640
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 10/14/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 4221 UPHAM ST
Contractor License No. 18111
Company : Cooper Heating & Cooling
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 Ihe Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork under this permit.
(OWNER)(CONTRACTOR) SIGN
Description : Insfall i~! Oe"J btu c~iriarturnace
Phone : 422-4338
Phone : 466 4209
Construction Value :
$2,000.00
Permit Fee :
$69.25
Plan Review Fee :
$0.00
Use Tax :
$30.00
Total:
$99.25
Use :
BUILDING DEPARTMENT USE ONLY
T~lg 6bmmerlts:; SIC : Sq. Ft. :
wo~,. .
Approval :
Zoning :
Wing Commdnts-
Approval :
,G~Wdrks Gq'lmments:'Approval :
Occupancy Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company:
Expiration Date :
Approval :
(i) This permit was issuetl in accordance with ihe pmvisions set Forth in yopur application and is subjecl to the laws of the Slate of Colorado antl to the Zoning
Regulations and Buildin9 Code of Wheat Ridge, Colorado or any other applicable ortlinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (6) the building authorizetl is suspended or
abantlonetl for a periotl of 120 days.
(3) IF this permit expires, a new permit may be acquiretl for a tee of one-0alf the amount normalty required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. IF chan9es are made or if suspension or abantlonmenl
exCeeds one (i) yeaf, full (ees shall be paid (or a new permit.
(4) No work of any manner shali be done that will change the naturel Flow of water causing a tlraina9e problem.
(5) Contractor shall notify the E3uilding Inspecror twenty-four (24) hours in atlvance For all inspections and shall receive written approval on inspection card before
proceetllin9 with successive phases of the job.
(6) The issuanc a permit or the appmval of drewings and specifications shall not be construed to be a permit for, nor an approval of, any violation oFthe provisions
ofthebul g odesora ~ therordlnance,law,ruleorregulalion.
Chief Building In ctor
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTtON DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : (0 •P3'99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
PropertyOwner:.kL LE~DS
Property Address : js~ V„Qwky~ S'r-
Contrector License No.
Company : ~
"~ekTlin(C -f CGOUf4 C-41 tirJC.
Phone : 36a~ Cr2z, 1fay3 8
Phone : -303 ~&& 42-pa
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit applicalion are accurate.
and do not violate appliwble ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions oi record; that all measurements shown, and allegations
made are accurete; that I have read and agree to abide by all conditions pnnted on this
application, and that I assume fuil responsibility for eomplia with the Wheat Ridge Building
Code (U.B.C.) antl all other appliwb~lejWat Rid ordinan s, for work under this p~e1rmit.
(OWNEi~(CONTRACTOR) SIGNEIS~ he~_ DATE (~~~ZN5~-c~
L/ U
Description: (HST?,w ?~pIoce gRA G)`~EW- 114zirv4"cce
Construction Value :
-2Cqe
,e7~ co
Permit Fee :
~9- Z5
Plan Review Fee :
use Tax :
j p, 6-0
Total :
99.25
BUILDING DEPARTMENT USE ONLY
Zoning'Comment,s; SIC : Sq. Ft. :
~ Approval:
Zoning :
Buifding Comments:]
Approval : .
Public' WoFrks'Comments:
Approval:
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiretion Date :
Approval:
Plans"Required
Plumbing License No :
Company :
Expiretion Date :
Approvai:
i Plans Required~
Mechanical License No :
Company:
Expiration Date :
Approval :
r.] 'Plans'Required'T1
(1) This pertnrt was issuetl in accvrtlance wilh the Drovisions set foM in yopur applifation anE is SuCject to the lawi ol the State of Coloratlo antl to the Zoning
Regulations and BuilCing Cotle of Wheat Ritlge. CobraCO or any other aOPliraDle ordlnances ol tne Ciry.
(2) This permil shall ea0,ire if (A) the work auUhonie0 is nol commence0 within sizly (60) tlays irom issue dale or (8) the DuilOing authonzeE is suspentled or
aDandonetl lor a penotl of 120 tlays.
(3) II Nis permit expires, a new pertnil may Oe acquiretl lor a fee ol one-hall it+e artwunt nortnally requiretl, proviEeC no rhanges have Deeo or will De maCe in the
onginal plans antl specifrations an0 any suspension or a0anaonment nas not exceeCeE one (1) year. If Uanges are matle or it suspension or aDanOOnment
exceetls one (7) year, full /ces shall De pai0 for a new pertnit.
(n) No work of any manner shall De Eone Nat will change the natural flow of water `ausing a Orainage Droblem.
(5) Contredor shall noGty the Builtling Inspeclor Iwenry-lour (i<) houn in atlvance tor all inspeclions anE shall rtteive wntten aDProval on inspecGOn wr0 Defore
proceeCiing wit0 successive pnases of ihe ob.
(6) 7ne issuance ot a permit or Me approvai o~tlrawings and speufwtions shail not be constmeE ro De a permit lor, nor an approval ol, any vioiation of tAe proNSions
of ihe Ouiltling codes or any otner ortlinance, law, rule or regulation.
Chief Building Inspector
For Mayor
THIS PERMIT VAIID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
pEP~Ct"MENT OF PLANIONG ANU DEVELOPMENT Buildirig'Permit Number : 645$
BUI1.DING INSPECTIQN DiVISION - 235-2855 Date :
CITY OF WktEATI2IQGE
7500'WESi' 29TH AYENUE
WHEAT RiDtiE, GO ,80Z15
i
Prcperly Owner :
Property Address : 4221 Upham Street Phone : 422-4338
Gorstractor License No. : 17966
Company : The Gas Cannection Phone : 406 4206
. rrw4~r,,
01NhlL`-~ON'~'Pl4CTOR SIGWATURE OF UNbER5Ti4NDING AND AGREEMENT Construction Value : $500.00
1 narebY ca~h uuet ma sewedc duunces aroao~ br t+~ a++~ ea,ncatwn aro axurate, Permit Fee ;
ca
art4 do mM`Mbkh►opcabb ordhtances, ndw or ropulalionr otthe Cqy ot Wheat Rid9e wPIBn Review Fee
cnvona~s ~i~e~tlihb or roahictidns af,ratrord~ th~ atl ft~bat+~ u at+pwn,'and alkgatlona
meds an aaoar~; roh~e t nave rore ana m aW~ofd wnfta on a,~s Use Tax : $7.50
eppfldtNm, aiM tMatY apsam9 iuk tdr Whe~t Ridge BuibMq
coa. tu.s.c.? a~ an awr e~,~ls aMg. unaer m~s To~l : $29.50
(ONMERXCQN'{'FlACTOR)SIC~J~U ~ OATE USB: . .
Qescr{ptipn Instap gas line for gas Iogs
' 6UlLDING DEPARTMENT USE ONLY '
SIG : Sq. Ft. :
' Apptoval ;
Zoning :
'i4ryprbval :
Approval :
qceuparicy : WaAs : Roof : Stories : ResideMial Units :
Electrieg[.License No : Plumbing license No : Mechanisal License No :
Company ` Company : Company :
ExpirBtlon Date : Expiratlon Date : Expiration Date :
Approvaj ; ApProvel : APproval :
(t) 'Ihb',pmr*ruwuealneccoiaoaewHhft poAcane,m roro,myop,r■ppucetion.naawbJeaton»awaamssWedcowraaoaneromszaram
RapAmWnaatd euNdhw Cods ot Wnat Rldpe, Cdwbo a+m aIMr avWkeda adinances ame Cny.
.
Thb p6nap ihaN wqra H W tlia wak sutliobsd. k not amnexatl wlMin slxty.(e0) aeys firam bsua dem or (B) tlrebulltlliq.sutlwrined Iswepanded or
. aOUMOndOfer fDerlodaf120dWo. tlalntlie
(s) n~ua~~answv~!~a~awroa~aresam.n.nn,~amami~ameurmaW~,a~ed no ~ren Iwv~ been orwml ba me
wPr,l (Wnew evawtaum:.ana am rAwwwm «abwwmmwn nae n« e:uedea ane vew. n:aiarpes as msde.a xwepanewn «aowAnnrrt .
. . ezo6ada-6ns(1)Year,fudlaasttaMbsPaid tOr.enswpemYt. . . . .
(4) Nowadcchw:memxal7atlb9.dt+nstllBtwNtlonaYronsdxalllowofwaEarCeLWWatlrNnep Probkm• . . .
. (6) CaWadeu etN rwdly na auudlMt Mspedw Nery4hf=(24)wws in advance ror a Inepecaons ana snaN receNe written aPPvM 0, InsDectio^ caa batae .
. . q"Oodko wNh suECeulvs WIMM d IMjOb. . .
(8) 7MF Wunnoca o(e Peant a1' IM ePPlov I oftrawlngs aM epedlicatlons ehetl not be conetrued b be A Permit far: nor en ePPwA d, wY vblatlon W Ms
6dqiaMuIdn7mdaaMaiNoMeratlMYae.hw, rtlborrepWetlon• ~ .
A.~ ~ ~~2 - -
CiiM Bulhling 1 spector
THIS PERNIIT VALID ONLY WH N SKsNED BY THE CHIEf BUp.DING INSPECTOR AND MAYOR
CA[4t 234-5833 24 HOWRS PRIOR TO INSPECTFON
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : L/4r-
~ l VPA om
Property Address : '
Contractor License No. : ~ G
company :
Building Permit Number :
Date :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit appliwtion are accurate,
and do not violate appiicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restridions of record; that all measuremenls shown, and allegations
made are accurete; that I have read and ayree to abide by all conditi ns printed on this
application, and that I assume full responsibili for compliance with e at Ridge Building
Code (U.B.C.) and all other appiieable Wheat idge ordinance~lpr oder this pertnit.
(OWNER)(CONTRACTOR)
Description :
E'Fi1f~Y~,'EdM
Approval:
Zoning :
BIIIItlftlgCb1m1.1m
Approval :
> >
Phone
Phone : L/W Z(,v
Construction Value : ~Qd
Permit Fee :
Use Tax :
Total: $0.00
Use
BUILOING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
I Approval: I
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No ; Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approvai: Approval: Approval:
(1) This pertnit was Issued In aaortlance with the DmW%ions set torN In yopur applkalion and is suD1'ecl to the laws of the SUte of Colo2do entl to the Zoning
Regulations and Builtling Cotle of VMeat Ridye, Colo2tlo or any oNer appliw6le oMinances of the Ciry.
(2) This pertnil shall ezpire J(A) Ne woik auNOnzed is not commenced witliin sizly (80) Cays Irom issue date w(B) the builCing auVrotizetl is suspe~ded or
aEandoned for a periotl ot 120 tlays.. pemit (3) l0 9ina 0 anseanE spetificallo a~ntl ny s s~penision or abanConmenlahas not exceaded onle (t~ye~~ra.• Pchan9es a eematle oa f suspennsion'orabanOOnmanl
ezceeds one (1) year, lull teea shall be paM lor a new pertnit.
(4) No work ol any manner shall Ee done thal will change Me naWrel fiow of water wusing a d2inage Droblem.
(5) Coniraclor shall notiy the BuilCing Insoeclor Nrenry-four (24) hours in aCvarke tor all inspeLtions antl shall receive writlen approval on inspection caM bebre
proceetliing wiN sutcessive phases ot the Ioh.
(e) hT e issuance M a pemiit or the approval o( tlrawings and spedll.cations shall rwt be consWeO to be a pertnit for, nor an approval of, any Wotation of the provislons
of the buiWinp codes or any oNer oMinance, law, nde or regula~on.
Chief Building Inspector For Mayor
THIS PERMIT VALID CONLY ALL W 345933 24 HOURS PRIOR TO~IN PIE TION ECTOR AND MAYOR