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Home My WebLink About4590 Upham StreetPERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201701388 201701388 4590 Upham ST Reroof 29.50 squares ISSUED: 06/01/2017 EXPIRES: 06/01/2018 *** CONTACTS *** OWNER (303)431-9050 HAM MARLA L SUB (303)948-0337 Mike Bye/Bill Szymanski 150175 ProWorx Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,500.00 FEES Total Valuation 0.00 Use Tax 157.50 Permit Fee 172.60 ** TOTAL ** 330.10 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€TMs 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's 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. -1 10 �M`5+ :� l�� i ce` °��Upancv'T'"'e INSPECTION OtECORD Electrical INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Rough Electric Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathin - Sewer Service Floodplain Inspection (if applicable) Plumbing Final Electrical Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathin - ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Mid -Roof 2 Final Electrical Lath / Wall Tie Final Mechanical Rough Electric Roof Rough Plumbing/Gas Line Final Building Rough Mechanical 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. Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. `For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window — Please email inSptimerequest@Ci.Wheatridge.CO.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather A i CITY 4DF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax _ INSPECTION NOTICE Inspection Type: o F Job Address: 8 a -P ha3*A S Permit Number: i2 01 Q ❑ No one available for inspection: Time �� ' AN P� Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: (S�p / Inspector: )oj 6j �kf-'�" DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Z Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 0 b F Job Address: y 9 b u P In ?' Permit Number: 6 /'7 6 13 �+ 2UIj ❑ No one available for inspection: Time ' / 0 AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspec ion at 303,23r 4=5933 Date: Z� Inspector: DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201701388 201701388 4590 Upham ST Reroof 29.50 squares ISSUED: 06/01/2017 EXPIRES: 06/01/2018 *** CONTACTS *** OWNER (303)431-9050 HAM MARLA L SUB (303)948-0337 Mike Bye/Bill Szymanski 150175 ProWorx Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,500.00 FEES Total Valuation 0.00 Use Tax 157.50 Permit Fee 172.60 ** TOTAL ** 330.10 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€ms 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's 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201701388 201701388 4590 Upham ST Reroof 29.50 squares ISSUED: 06/01/2017 EXPIRES: 06/01/2018 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized by the legal owner of the property and am an to obtain this permit and perform the work described and approved in conjunction with this permit. I further atte t that I am le ally authorized to include alI entities named within this document as parties to the work to be perforrrie&pd that all v ik� o be pyrformed is disclosed in this doc ment and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRA! TOR (Circle one) ' Date 1 This pen -nit was issued based on the mfonnation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired pen -nits 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 pennit 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 -s t " co trued to be a permit for, or an approval of, an violation of any provision of any applicable code or any ord gppew re - ,jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of �`" 6at C COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: 12ermits(-a)-ci.wheatridge.co.us l 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: `A'S� i C) L ) n 1-k1k SNI\ 4, --a . Property Owner (please print): M K Qt_ p, �A A LL Phone: '-'� - l 6j ()!5,p Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor: �Q- [--)\N) b Q1 = �P— �L--v F R I C)P� f;� Phone: Contractors City License 0: l [5 l''1 Phone: Contractor E-mail Address: wo Rmy=L , . r..L ��- Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH shies of this form ❑ COMMERCIAL M RESIDENTIAL DsscriRiion of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Describe) (For ALL projects, please provide a detall2d 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 J !�J G G Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 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. CIRCLE ONE: (OWNER)CONTRACT R (AUTHOZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME:SIGNATUREk' DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ® Not Required DATE: i ,-2iun OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANTLOAD: Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201701388 PERMIT NO: 201701388 ISSUED: 06/01/2017 JOB ADDRESS: 4590 Upham ST EXPIRES: 06/01/2018 JOB DESCRIPTION: Reroof 29.50 squares **REVISION**Adding redeck; Added Valuation: $1,500.00 *** CONTACTS *** OWNER (303)431-9050 HAM MARLA L SUB (303)948-0337 Mike Bye/Bill Szymanski 150175 ProWorx Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 91000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee 188.45 ** TOTAL ** 377.45 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€-s 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's 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. City of Wheat Ridge Residential Roofing PERMIT - 201701388 PERMIT NO: 201701388 ISSUED: 06/01/2017 JOB ADDRESS: 4590 Upham ST EXPIRES: 06/01/2018 JOB DESCRIPTION: Reroof 29.50 squares **REVISION**Adding redeck; Added Valuation: $1,500.00 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permlt. I further attest that I am legally authorized to include alt entities named within this document as parties to the work to be performed and that all -)y, k erfcgirmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER of --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 may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Isuance of a new permit shall be subject to the standard requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change_ of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. !r , Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of _yPrW heat �dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits Cfti.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # ju � 10 �3H Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: !::M_0 �_ Opr 1l ^ Property Owner (please print): M AC16L _�`,AW\ Phone: ;l :9 `18 --v3 3 �- Property Owner Email: Mailing Address: (if different than property address) Address: f a nt . I,— City, State, Zip: Contact Person: Phone: Contractor: Contractors City License #: X Phone:��- Contractor E-mail Address: I �� (� DWS �C G . �,•� Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: i12 Sq. FULF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 1 / , .C� ir'Ar-J, . 0 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 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 t tity on this application. CIRCLE ONE: (OWNER (CONTRACTOR) or UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRI_YT NA3IE: SIGNATURE: � DATE:�Ael_l ,- ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS - Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required 11 Not Required Building Division Valuation: $ 4 -Corners Insurance Servicesb :Certificate of Insurance nAn (f)(0 9 15:15 06/14/17 ET P9 2-2 AC �® CERTIFICATE OF LIABILITY INSURACE DA06f1ai2017Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Corners Insurance Services 1657 Ensenada Way Aurora, CO 80011 CONTACT David Leigh NAM4 PHONE FAX (A/C, No, Ex9: 720-984-2090 (A/C, No): 866-640-5189 a DRESS: David.Leigh@4-CIS.com INSURER(S) AFFORDING COVERAGE NAIC N Phone 720-984-2090 Fax 866-640-5189 INSURER A; Preferred Contractors Insurance Company, RRG 12497 Certificate Requests email Certs04-CIS.com INSURED Universal Roofing Applicators 2030 Lewis Street INSURER B: INSURER C INSURER D: Lakewood, Colorado 80215 INSURER E; Phone 303-237- 7663 Email troatch@hotmail.com INSURER F; S COVERAGES CERTIFICATE NUMBER! REVISION Nl1MRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE IINSR WVD POLICY NUMBER MWDDYYYYFY MM/DO YEYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX1 OCCUR PC229050 06iO4/2017 06/04/2018 EACH OCCURRENCE S 1,000,000 DAMAGE 0 RENTED ?REM ISES Ea occurrence S 50,000 MED EXP (Any one perscn) S 5,000 PERSONAL & ADV INJURY 5 1,000,000 GENERAL AGGREGA-E S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER. X POLICY 1 -OC PRODUCTS - COMPIOPAGG S 1,000,000 S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOOrAUTOS HIRED AUTOS NON -OWN' =D AUTOS COM&NED SINGLE LIMIT 'Ea accident S BODILY INJJRY (Per person) S BODILY INJURY (Per accident) S PRCPERTY DAMAGE S 'Per accident S UMBRELLA LIAB EXCESS LIAB LICLAIMS-MADE OCCUR SACH OCCIJRP.FNCF S AGGREGATE 5 DED I I RETENTION $ 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPA.RTNER/EXECUTIVE❑ OFFICERINIEMBER EXCLUDED? ( If yes, describe under Mandatory in NH) DESCRIPTION 0= OPERATIONS below N/A INC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE 5 E.L. DISEASE - POLICY LIMIT 1 5 DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, it more space Is required) GtK I If -ILA I t MULLJtH GANI;tLLA 1 IUN City of Wheat Ridge 7500 W. 29th Ave. Wheat Ridge,C010,80033 Phone: Fax: ?03-237-8929 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U 1988-2070 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Certificate Of Completion Building Division 7500 W 29TH AVE WHEAT RIDGE CO80033-8001 Ferm.it#:20060936 Issued; 11103/2015 Stipulations: Install 121 24' (288 sgt) storage shed on property. This certificate verifies that the building constructed the use proposed of the building and/or premises, under the above permitnumber. on property described below,.o comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements # Owner: Marla Ham 4590 UPHAM ST WHEAT RIDGE CO 80033-3435 For .. Following Purpose: « Code Editions NO change shall be made in the USE of building # prior • — 2012 ICC/2014 NEC this 2006 and a new Certificate Of Completion 006 ICC/2005 NEC from the City of Ridge. CERTtFICATE BE POSTED BY FRONT OF COMMERCIAL OCCUPANCIES INSPECTION RECORD Occupancy/Type INSPECTION LINE (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. !'�f.'3i /�� /,w�7i , .'ff7,1♦� tst� INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic 3� a Rough Electric Weatherproof / French Drain Rough Plumbing Sewer Service Lines Gas Piping Water Service Lines . Rough Mechanical POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) `NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath /Wall tie - Mid -Roof Electrical Service 3� a Rough Electric Building Final Rough Plumbing Fire Department Gas Piping R.O.W &Drainage . Rough Mechanical Parking & Landscaping o w ac an,ncu rniurc w rttucttUINU Framing Insulation Drywall Screw OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER O FINAL S al 3� a Building Final Fire Department R.O.W &Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping `NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER e , e CITY OF WHEAT RIDGE OP.- VP, Building Inspection Division (303) 234-5933 Inspection fine (303) 235-2855 Office • (303) 237-8929 Fax INSPE TIO O(TICE~ 0 1 Inspection Type':'=-- Job Address: Permit Number: Zq f f, I. ❑ No one available for inspection: Time J /PM Re-Inspection required: Yes "When corrections have been made, calf for re-inspection at 303-234-5933 Date: i Inspector: # tit DO NOT REMOVE THIS NOTICE ♦ __ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Job Address: T ` (}� z S'77 Permit Number: �. 3_ ❑ No one available for inspection: Time AM /PM �. Re- Inspection required: Yes No t ' When corrections have been made, call for re- inspection at 303- 234 -5933 I Date: 2C /6, 6�) j Inspector: DO NOT REMOVE THIS NOTICE k CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929: Fax INSPECTION NOTICE Inspection Type: riirL 6&PF Job Address: Vf~7, J vPff- ,oo, Permit Number: 09?7` f 1A 7~R-- F✓r~Sl~isarG ra v AMW S~~ Si z~ F ❑ No one available for inspection: Time /0,' AM/ M Re-Inspection required: Ye - No 'When corrections have been made, call for re-inspection at 303-234-5933 Date: ///20CD Inspector: r DO NOT REMOVE THIS NOTICE .SfAZ PCY ✓ a✓ S7-A-&'w fC'~r.~Z. ~ c'o ~d u/ f/oP ♦ 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: .ify~L Ro€~0 Job Address: V-57"70 aPV,4.1,7 S7- Permit Number: t d '7-?7F3 JJ Srfdf r~,~flJ f7sr1Flc7~'f2 J'/,.~S71i>~G 13o9-a1 S~d~SS a ~ .~s~ j~r~ rv 1,4~.✓G~ ./rU>J r'~H'irsl ftff~A`1'zJ srif~ e'd)e~i?~f1.~-~ Ss`,s°-96ra ~u..e~-£Q ct,~ tns/ GF, pPFf..Uti, dd/✓ma rr G~r~r✓ ) ❑ No one available for inspection: Time 11 M/ M Re-Inspection required:) No • When corrections have been made, call for re-inspection at 303-2345933 Date: /r biz Inspector- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: '~r Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 r Date rr ~fc,"-Anspector. DO NOT REMOVE THIS NOTICE ♦ 41 CITY OF WHEAT RIDGE r Bung Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: V\A aSvIe \ Job Address: 4596 t ti n.., E-A Permit Number: (797"' I No No one available for inspection: TimeC ~ A'%P Re-Inspection required: QYes No When corrections have been made, call for re-inspection at 303-234-5933 Date: 6 , _t Jp Inspector: DO NOT REMOVE THIS NOTICE A 4' City of Wheat Ridge .r Residential Roofing PERMIT - 093793 PERMIT NO: .`093793`'. -ISSUED: 11/03/2009 JOB ADDRESS: 4590 'UPHAM ST EXPIRES: 05/02/2010 DESCRIPTION: Reroof 28 sgsCw/ 30 yr. GAF/ELKshingles '***`CONTACTS owner 303/431-9050 Marla Ham sub 303/464-7050 Frank Overt' 09-0220 Affordable Gutter PARCEL 'INFO ZONE 'CODE: UA ` USE: UA SUBDIVISION: 0307 BLOCK/LOT#: 0/ **FEE SUMMARY ESTIMATED PROJECT VALUATION: 9,500.00 FEES Permit Fee` 235.70 Total Valuation .00 Use Tax 171. 00 ~D~ht~2 *w :TOTAL 406.70 Conditions: 6 nail installation & mid-roof inspection required. Board sheathing spaced more thana 1/2 of an inch apart requires plywood overlay onSentire roof. Ice and water shield required from eaveedge to 2''inside exterior walls.:- ***Contractor/Property owner shall provide ladder.(s) secured inplace for inpsections.:j Subject to field inspection. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions.' of record,- that all measurements shown, and allegations made are accurate; that I have read and agree to abide, by all'. conditions printed on this application. and that-I: assume full responsibility for compliance with. the Wheat Ridge Building Code (I.B.C) and all other app b Whe t Ridge. Ord' nces,. for work under this permit. Plans 'subject to field inspection. Signature of con ctor/owner idate This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations. and Building Codes of Wheat 'Ridge, Colorado or any other applicable ordinances of the city. 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. If.. this permit expires, <a new permit may be acquired for a fee ofone-half the amount 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. No work of any manner shall be done that willchange the natural flow of water causing a drainage problem. 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. 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, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review a subject to field inspections. ignsture o Building Official .'date :NSPEC ON EQUEST LINE: (303)234-59.33 BUILDING'OFFICE: (303)235-2855 :EQUESTS MUST'. BE MADE BY 3PM. ANY:I BUSINESS'DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ' City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929. c o Inspection Line: 303-234-5933 OCORAO Building Permit Application P.Fr[Y~~~dcCS~f y~70 UOhAIlYJ cS'~"' Property Owner (please print): Mailing Address: (if different than property address) Address: Date: Plan M Permit phone: 'T State, C ~ci&: &ffVaY4~"_ 6c4AAaz Contractor License M prj -62.7 D Phone: 34V tY y 2O S(i'N~ 2cto Electri Cantr cal City License Plumbing City License Mechanical City License P. Company; Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $C?S~W (as calculated per the Buildlaq Valuation Oata street) Gl@~ri~'I~att ~'~~Ct~K< e, °Z, t.4 v t Plan Review (due at time of submittal): $ Sq. Ft.fL.Ft added: Squares X _ BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby car* that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate: that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. ClRLCE ONE:: (OWNER) ~ (CONTRACTOR) or PERSONAL REPRES 7AT1 f (0W~Nn~~ ~ E;R1) ((COONNT TOR) PRINT NAME: ~ag! DUB SIGNATURE: lY" _ Pate: r/ p y, ...~~.rte" 71P;._ ~eM.="M14 W*,ug ,.,:n_. . . . ~m. ; . ~ . . , . . „ . : City of Wheat Ridge Res. Miscellaneous PERMIT - 070656 PERMIT NO: 070656 JOB ADDRESS: 4590 UPHAM STISSUED: 06/29/2007 EXPIRES: 12/26/2007 DESCRIPTION: Temporary Placement Permit forDumpster. * * * CONTACTS owner 303/343-7096 Marla L. Ham PARCEL INFO** ZONE CODE: UA USE: UA SUBDIVISION: 0307 BLOCK/LOT#: 0/ **FEE SUMMARY ESTIMATED PROJECI,,`ALUATION: .00 FEES PermitFee 35.00 TOTAL 35.00 Comments: Permitvalid until 7/14/07. Dumpater must be located on the property. I hereby eertify.that the eetback diatancea propoeed 6y thie pezmit application are accurate, and do not vlolate applicable ordinancee, xuleeor re9ulaClone of the City of wheat Ridge or covenante, eaeemente or re6trictione of record; that all meaeurementeeriown, and allegetione made are accurate; that I have read and agree to abide Dy all conditione printed on thie application and that I aesume full reeponeibilSty for compliance with the wheat Ridge Building Code (I.H.C) and all other app~,i~c/a~bl/Te Wheat RifdgF¢/Ordinancee, for work under thie permit. Plane subject to field inepection. l V \ t I ~J ` i .1 Q - 1_l_1 1. Thie permit wae ieaued in accordance with the provieione eet forth in ytluz application and ie eubject to the lawe of the State of Colorado and to the Zoning Regulatione and Huilding Codee oE Wheat R1dge, Colorado or any other applicable ordinancee of the City. 2. This petmit shall expire 180 daye from the ieeue date. Requeete for an exteneion muat be received prior to expiration date. An exteneion may be 9ranted at the dieczetion of ehe Building Official. 3. If thie pexmit expires, a new pezmit may be acquired for a fee of one-half the amount normally required, provided no changee have.been or will De made in the ori9inal plana and epecSflcatione and any euepeneion or abandonment hae not exceeded one (1) year. IE changee have Eeen or Sf euapeneion or abandonmmt exceeda one (1) year, full feee shall be paid for a new permit. 4. No work of any manner ehall.be done that will change the natural flow of water caueing a drainage problem. 5. Contractor shallnotify the Building Inapector twenty-COUr (26) houre in advance for all inapectlone and shall receive written approval.on.inepection card before proceeding with eucceeaive phaaea of Che job. 6. The uance of a rmit or the approval of drawin9a and epecifications shall not be conetrved to be a pexmit for, nor a roval of 1o1at1onoE the provieione of the building codee or any other ordinance, law, rule or regulation. n revi Ak ctto £ield inepectione. Signature Official nace IN38ECTION RSQIIHST LINBs (303)234-5933 BUILDING OFFICE: (303)235-2655 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLAWING BUSINESS DAY. Temporary Placement Permit for Construction Dumpsters and Storage Containers Community Development Department City of Wheat Ridge 7500 W. 29"' Avenue Wheat Ridge, CO 80033 (303) 235-2855 Date: C) -1 Phone: Property Owner: I' ittALf} fY\ Address of DumpstedContainer: O WMIl'\ S"]_~ Size of Proqosed dumpster/container: I O Cu. Yds. Dumpster/ContainerCompany: U'Nm~5 iD C o- Dumpster/Container Company Address: Dumpster/Container Company Phone Number: ~~J I3`I 3' Will dumpster/container be located on private property? Yesjg, No ❑ Will dumpster/container be located on street? Yes ❑ Nol . & (lf yes, a separete nght-of-way permit is requirad.) * THIS PERMIT EXPIRES FIFTEEN (15) DAYS FROM DATE OF APPROVAL. * APPROVAL DATE: Permits are aoaroved subiect to the followina conditions: 1. Temporary dumpsters/containers may be allowed in all zone districts and must be located on private properry. 2. If impradical to locate on private property, a rightof-way pertnit may be obtained from the Public Works DepaAment pursuant to Article I I I of Chapter 21 of the Wheat Ridge Code of Laws. Contact 303235-2861. 3. Temporary dumpsters/containers shall not be located so as to create sight, traffic, or safety obstructions. 4. Dumpsters/containers shall not block sidewalks or impede pedestrian traffic. 5. The area surrounding the dumpstedcontainer shall be kept clean and free of debris. 6. Permittee is required to keep this permit displayed so as to be visible from the street. 7. Permittee assumes all liability and holds the City harmless against all claims, damages, suites, penalties, fines and liability for injury or death to persons or loss or damage to property related to the placement of a dumpster/container in the City rightof-way. 8. The repair of any damage to pavement, curb, gutter, landscaping resulting from the placement, use or removal of the dumpster/container shall be the responsibiliry of the applicant and shall be perfarmed to the satisfadion of the Ciry. Fee: 35.00 Signature of Applicant: Approved By: Planning Division Building Division Public Works F WHE4T City of Wheat Ridge °~LoRaV° Res. Add Structure PERMIT - 060936 PERMIT NO: 060936 ISSUED: 09/28/2006 JOB ADDRESS: 4590 UPHAM ST EXPIRES: DESCRIPTION: Install 12' x 24' (288 sqft) storage shed on property. CONTACTS owner 303/909-9050 Marla Ham gc 303/289-8620 02-2249 A-Shed USA PARCEL INFO ZONE CODE: R-2 USE: R-3 SUBDIVISION: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,300.00 FEES Permit Fee 144.70 plemNote: Plan Review Fee 94.06 ~~I coulftf 15 responsiblefor100dn8lTOPCKY Total Valuation .00 ~ineS gnd Conytructjngimprovementsaccordingtothe Use Tax 77.40 approveA plan and required development standa s. 316.16 ToTAL The Ciry is not responsible fur inacwrate informa:wn , _ Comments : enorstewlting from inaccuraie intonma:ion. TRG Side & Read setbacks must be atleast 10'. KS: Must be properly anchored on all corners. subject to field inspections. I hereby certify that the eetback dietances propoeed by thie permit application are accurate, and do not violate applicable ordinances, zules or regulations of the City of wheat Ridge or covenante, easementa or reatrictions of record; that all ee to abide by al meaeurementa ehown, and allegations made are accurate; that I have read and agrl conditione printed on this application and that I aeaume full responeibility for compliance with the Wheat Rid9e Huildin9 Code (I.H.C) and all other applicalile wheat Ridge/Ordinances, r wor under_t is permit. P1 aubjec~t t/o field inspection. )l•~t'L,1 ~/OC'c d te ignature o contractor/owner 1. Thie permit was iasued in accordance with the provieione set for[h in your applicatis sany othe~ athe pplicablef the State of Colorado and to the Zoning Regulations and Building Codee of wheat Ridge, COlorado or ordinancee of the City. 2. This permit ehall expire if (A) the work authorized ie not commenced within aixty (60) days from isaue date or (H t e buildin9 authorized is euspended or abandoned for a period of 180 days. 3. If thie permit expires, a new permit may be acquired for a fee of one-half the amount nosmallyrequixed, provided no has changes have been or will be made in the original plans and specificatione and any suapension or abfullnfeee shall t exceeded one (1) year. If changes have been or if euepension or abandonment exceeda one (1) year, be paid for a new pexmit. ' 4. No work of any manner shall be done that will change the natural flow of water cauaing a drainage problem. 5. Contractor shall notify the Building Inapector twenty-four (24) houre in advance for all inspections and shall receive written approval on inspection cazd before proceeding with succeeaive phasea of the job. 6. The iesuance of a permit or the approval of drawings and epecifications shall not be conetruedlt~W b=ule ormregulation an app-ro~v.alJ of, any ' ' n of the provieione of the building codes or any other oxdinance, All pJ~D ~~'ieg eubject to 'eld inspectione. Chief 'guilding offical date INSPBCTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE SY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ~r- of WH[qr ~ CI~/ Of ~IVh@8t RId92 Building Permit Number: ~ m Community Development Department Date: ro oRpoo 1tH1lFQR BUILIlbVG FE"IT'fiPFLICA TIE'QN PropertyOwner: fl X/1-(LL4 PropertyAddress: 4-5-yo L(d(~,ww ;5(. PLone:3e,g_svy_Yo.!~V Contractor License No.:'ill Ws Q Tnt zt y •Qz Company; Phone:,,,, - ,,S zY4- i`~?m OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildinp Dept. Valuation Figure: $ I hereby certify that the setback distances proposed by this permit appiitation are accurate, and do not violate applicable ordinances, rules or regulations of the City of `I~llg:$ ~3 Wheat Ridge or covenants, easements or reslrictions of record; thalall measuremenis shown, and allegalions made are accurete; that I have read and agree lo abide by all Permit Fee:$ conditions printed on lhis application and that I assume full responsibility for compliancewiththeWheatRidgeBuildingCode(I.B.C)andallotherepplicableWheal P1an ReviewFee:$ Rid9e Ordinances, for work und lhis permit. Plans subject to feld Inspection. Use T3X.$ (OWNER)(CONTRACTOR).SIGNEe"/d"-`_z~ DATE Z d~i TOC31:S (OWNER)(CONTBACTOR):PRIMcO DATE Use of Space (description)::5T&Y~~_ 5 r~`t S Description of work: < 5/~.¢~ ~'ey~j"~-^-T/ °Qe`"Pti s~~ Sq.Ft.added C BUII.DING DEPARTMENT USE ONLY SIC: Sq.Ft.: COMMEMS: Sl&el W. t'GN CG~ -;z'~ vw....SA' lX. `FC~ ~CC CCA~\nC~ ~I~hi AppmvaC ~rJ X Zoning: f~,.Z . COMMEMS: Approvai: WORKS COMMEMS: Approval: DEPARTMENT COMMENTS: Approval: Walls: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This pertnit was issued in acrordance wi!h the provisions set forth in your application and is subject to the laws of the State of Coloroao and lo the Zoning Regulatlons and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This pertnit shall expire if (A) the work authorized is not rommenced within sixty (60) days from issue dale or (8) the building authonzed is suspended or abandoned tor a period of 180 days. (7) If this permit expires, a new permrt may be acQUired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the original plans and specifcations 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. (a) No work of any manner shall be tlone that will change lhe naWral tlow ot water causing a drainage problem. (5) Conlrector shall nolify the Building Inspeclor Nienty-four (24) hours In advance for all inspections and shall receive wrilten approvai on inspection card before proceeding with successive phases of lhe job. (6) The issuance ol a permit or lhe approvai of drawings and specifications shall not be construed lo be a permit for, nor an apProval of, any violation of the provisions of the building codes or any other ordinance, law, roleorregulation. All plan review Is subJect to field Inspectlons. Chief Buildino Offcial Residential Worksheet (SF/Duplex) Submittal requirements: ~ ~P Copy of Deed kk Address: Zoning: Use: Property in the flood plain? Lot Size: \Z 312- sq. ft. Lot Width: ft. Maximum Lot Coverage: 4'0 % Proposed Improvements: House: sq• ft• Addition to House: S4 ft• *Shed: 2800 sq. ft• Detached Garage: sq. ft. Proposed Lot Coverage: (Total) ~ PD. ( 8 % z4~ ~q. ft. Existing Improvement(s): House: I2~ sq. ft. Shed: sq.ft. .eCached Gazage: 52o sq. ft. Other: 1,9Q sq. Total: l 'o _ sq. ft. 223-i_ sq. ft. Required Setbacks: FR Provided Setbacks: FR 3o s lo SS (o R ~D ~ S_',-- S_ __(p R 141 Masimum Height: (D ft. Maacimum Size: 4l Proposed Height: ft. Proposed Size: 4--)C) aNa , Zo `o sq. ft. sq. ft. Access Notes For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the si[e shall be surfaced with concrete, asphalt, brick pavers or similar materials. For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access foi two or more lo[s. In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. One and two-family dwellings tnay have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. For all uses, one access point per pcoper[y is permitted. *Metal sheds in excess of 120 s.f. not allowed. Landscaoina Notes For one-and two-family dwellings, one tree for every 70 feet of street frontage is required. 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. Site Plan (to scale) 0- Elevations ET 5T , Sneettreesrequiied: Streettreespcovided: , I - ; ~ , i ~ I I . , ~ i ~ ~ • ~ I ~L..~_ ~..~--e-_. -~----~---1_~-.:' t L_ ..~..--i- i ~ = Building Guide How to use this guide At leasttwo completed documents must be provided to applyfora building permit. 1. Completethisbuildingguidebyfillingintheapplicableblanks. 2. Provide a floor plan (site plan) showing dimeosions ofyour project and its relationship to existing buildings or structures on the property and the distance to existing property lines. (Seealtachede,ramp/e) 3. Filloutapermitapplication Sheds under 120 squarefeet in size require a NOFEE"Shed Placement PermiY' only. Sheds greaterthan 120 square feet require a"Building PermiY' alongwith the above information. Roof decking Roof cover material bu`~ 2x Raftea @ Z o.c. 3gk~ RoofstyleA ~ VChecHOne lRoofstyle B ~V I 12 1 Pi;ch I - ~ . ` r = Span LZ! 2x Astuds @ )to O.C. ~ Siding Lp 5mM+"rtLCc. ll I I Minimum 16 Ga. metal straps with 8/16d nails and bolted to ground anchorw/1/2" bolt. - Min. 1/2" Dia. Anchor@ 6'0" o.c. & 12" from corners. Exist.GradeJ 3-1/2"MinimumConcreteSla6 J ~ 2x41 fioorjoist D x 0 Skids@_12o.c. 36" Anchor/ 8" Dia. Caisson - Located at EACH corner „ . ~ Fea ~ ~ a ~ m w 3 3 3 m a m' Etiist. Grade 0 ~ a N v 0 -i m ~ 0 m v ~ O w ~ 3 ~ C S b S ~ ~ Q ' 7 ~ N nt 0~ t~i 0 3 a y a /Y ~ F- ~~o ga w m CD ~ o . O 3 Z ~ N ~ ~ I ~ ~ ~ (D M f~ < a . ~ n ~m ) o ~ ~ * 3a ~y ~ o , m 0 d ' a Q (D ; n ~ r.~„ i ; O 9 ; (D ~ C) U° o `O) M 0 to . < ~ . ~ N O N M to 0) ~ < a N 0 ow '11 ~o ~ v xw aN 03 v m W C v - ~ ~ ~ ~ 3 ~ m o m C- ~ ~o :r ~o ~ r° o~ r 0 \ ~ ~ ~ ~ 3 °'y a ^ . ~ ~p ID M = a d Ci ~ O1 ~ ~ . i O v ~ y6 . . o zr Z c 0 ~ M (0 a ~ < ~ 3 o ~ N ~ rF r" ~ ~ ~ O ~ O a ` m o; Z ~J 0 ~ 2 ~c, Q t!N ~ O N M 0 ~ A ~ C) IG ~0 (p \ • o ? U2 d N N 3 ~ 0 O < a 9 H a ~ v a ~ » ~ C 0 v 5 Z^ ~ w Y+ ~N O m~ m m ~ 3 ~ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15170 BUILDING INSPECTION LINE - 303-234-5933 Date : 2/26/03 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: ALMS Property Address : 4590 UPHAM ST Contractor License No. : 17986 Phone: 303-809-4921 Company : The Gas Connection Phone : 466 4206 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cerlify that the setback distances proposed by lhis 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; tha[ all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permi[. (OW NER)(CONTRACTOR) SIGNEi N YApSIN\ DAT Construction Value : $1,133.00 Permit Fee : $44.85 Plan Review Fee : $0.00 Use Tax : $13.60 Total: $58.45 Use: Description : REMOVE EXISTING GAS PIPE, INSTALATION OF NEW GAS PIPE AND LOGS. BUILDING DEPARTMENT USE ONLY Zoning Comments: SIC : Sq. Ft. : Approval: Zoning : _ Building Comments: Approval : OKIM LC Public Works Comments: Approval: Occupancy : Walis : 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 issued in accordance with the provisions set forth in yopur application and is sublect to the laws of tha State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall ezpire if (A) the work authorized is not commenced within sixty (60) tlays fmm issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquirad for a fee of one-half ihe amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonmeN has nol exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full feas shall be paid for a new permit. (4) No work af any manner shall be tlone that will change the natural flow of waler causing a drainage problem. (5) Conlractor shall nolify 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 af the job. (fi) The issuance of a permil or the approval of drawings and specifcations shall not be construed to be a permit for, nor an appmval of, any violation oF the pmvisions of the building codes or any other ordinance, law, mle or regulation. Chief Building Inspector UL-1'Ak I MEN f UF PLANNING AND DEVELOPMENT Building Perrnit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property owner : 1-'Y 1 iN1 PrOperty Address J~/1 ! J~~~J~) Phone :~Gq ~Qz~ Contractor License No. : ~J ` -Y I 17986 Company : The Gas Connection Phone: 466-4206 OWNER/CONTRACTOR SIGNATURE OF UNqERSTANDING AND AGREEMENT I hereby certify that the salback distances proposed by this permit applicalion are accurate, COf15fNCfIOf1 V81U0 : and do notviol3le epplicabie ordinancee, rules or regulations of tha Cily of Wheal Ridge or Permit Fee : covenanls, easements or restrictlons of rewrd; that all measuremenls shown. and allegalions made ere accura[e- that I have read and @grae to abide by all conditions printed on Ihis applicalion, and Ihat I assuma full resp n~~biliry for compliance wilh the Wheal Ridge Building Use Tax : Code (U.B.C.) and all other applicabl W~6at kidge ord' an s, for work under lhis peR i. (OWNER)(CONTRACTOR)SIGNE ~ TE ~ TOfel: Description F ~ Approval : Zoning : ~ ~ - ~ APProval : ~~l411~~1N~f~1F~ri5~7sts'f Approval: Occupancy : Walls : . , Roof Stories : Residential Units : J ~ Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company: Expiration Oate : Approval: ~ c~P..t~ns R~4ulieil 71 Expiration Date : Approval: ; PlPlhs.ReqWred j Expiration Date : Approval: i~ P:@JmnsnR$quiC (1) Thie pertrM waf usuetl in accordance wilh the Orovisions sel brth in yopur applicilion antl is su0lect to Ihe laws of lhe Slale of Colorado anE to Ihe Zoninq Regulatioro, and Building Cotle of Wheat Ridge, Coloratlo or any other applicable ortlinances of Uie Ciry. (Z) This permk shall expire il (A) (ha work aulhonzed is no1 commencetl within sixry (60) days Irom issue tlala or (B) (he builGing authonzetl is suspentled or abandonedlora penoE of 720 tlays. pl If Uif permn ezpitae. a new permit may De ecQUired lor a fea of onehall Ihe amounl normally reQuired. Orovidetl no changes have been or wiil be matla in Ihe onginal plaiu pntl e0ecifiwlione and any suspansion or abanAOnmenl has nol exceetled one 11) year. 1f changq are maUe or if suspension of abanEOnmenl exceede one (7) year, lull feee ahall be pai0 lor a new permit. (a) No work d any manner shall be tlone Nat will change Ihe nalural Ilow of waler causing a tlrainage problem. (5) Conlrectm shall nobly the Building Inspeclor nvenry-lour (yq) hours in atlvance 1or all mspe<uons and shall receive wriuen apProval on inspection tartl before pwceeaiing wrth euccessiva phasea of Ihe job. (G) The isiuwce of B Oermii or Ule apOroval of drawings antl speciliwlions shall nol be con5imeo lo be a pefmq br. nor an appmval ol, any violalion of the Orovisions of Ihe DuikHng totlef or any olhet ortlinance, law, rule or regulalion. L,nier eutiding Inspector TMENT USE ONLY ror mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CfIIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 ►iOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14832 BUILDING INSPECTION LINE - 303-234-5933 Date : 11/22/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: LAURA ALMS Property Address : 4590 UPHAM ST Phone : 422-0600 Contractor License No. : 21043 Company : Colorado Custom Trim Phone : 421-8109 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $10,755.00 I hereby certiy that the setback distances proposed by this permit application are accurate, and Permit Fee : $195.25 do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or 00 $0 covenants, easements or restriclions of record; lhat all measuremenls shown, and allegations . Plan Review Fee : made are accurate; that I have read and agree to abide by all conditions printed on this ' US2 TaX : $129.06 liy for compliance with the 4Vh t Ridge Building application, and that I assume full responsib Code (U.B.C.) and all other applicable Wh Ridge o inances for w Rc der this permit. Total: $324.31 ` (OWNER)(CONTRACTOR)SIGNED O DATE,~ Use: Description : REPLACE WATER LINES & LEAD AT STOOLS. NEW SI NK, DISHWASHER, GARBAGE DISPOSAL. INSTALL 2 GFI OUTLETS & HARD WIRED SMOKE DETECTORS & WALK IN SHOWER & NEW VALVE. 46""' ' Approval : Zoning : ba m . BUILDING DEPARTMENT USE ONLY 11122/02 SIC : Sq. Ft. : in Approval: DM Approval: Occupancy: Walls Roof : Stories Residential Units : Electrical License No : 19215 Company : Front Range Electric Co. Expiration Date : 2/28/03 Approval : OKIKS Plumbing License No :18207 Company : B&M PLUMBING Expiration Date : 8131/03 Approval : OKIKS Mechanical License No Company : Expiration Date : Approval: (7) This permil was issued in accordance with the pmvisions set forth in yopur application and is subjecl to the laws of the State of Colorado and to the Zoning Regulations and Building Cotle of W heat Ridge, Colorado or any other applicable oMinances of the City. (2) This permit shall expire i( (A) the work authorized is not commenced within sizry (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this pertnit ezpires, a naw permit may be acquired for a fee of one-half the amounl normally required, provided no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not eaceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full (ees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural Flow of water causing a drainage problem. (5) Coniractor shall notify the Builtling Inspector hvenry-four (24) hours in advance for all inspections and shall receive writlen approval on inspection caN before proceediing with successive phases of the job. (e) The is, t e of a permit or the approval of drawings and specifcations shall not be construed to be a pertnit for, nor an approval of, any violation of the pro ' f i ~ codes or any other ordinance, law, rule or regulation. ~ Chief Building, spector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: oF WHEqT q BUILDING INSPECTION LINE - 303-234-5933 Date: ~ CITY OF WHEAT RIDGE U m 7500 WEST 29TFL AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) C~CORA00 ,yH j~p~,~ 'f~F 4iTPlsl4.~ld i O~F 4 Y PropertyOwner:.LQN1'4 q/'„j Property Address: 4,f%0 4ih9," fT /y~~fTR~dU'' Ct 8~'~ Phone:.30J-y?1-o400 Contractor License No.:,a~~ &,q~`S~~~ Company:Cv/~/Y'*~ C437-C'.n y'~IM Phone:3~~-~I~. ~G9 O WNER/CONIRACTOR SIGNAT[JRE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pemtit application aze accurate, md do not violate applicable ordinances, rulu or regulations of the City of V✓heat Ridge or covenants, easements orrestrictions ofrecord; thataltmeasurements shown, md allegarions made azc accurate; that I have read md agree W abide by all conditions printed on this application md that I assume full msponsibiliTy for compliance with the Wheat Ridge Building Code (U.B.C) md all other applicable Whca[ Ridge Ordinances, for work under this pcrrstit. a . c1i d Construction Value:$1b, 7Sf y Pernut Fee:$ Plan Review Fee:$ Use Tax:$ TOM s (~9 c.I Gfiq T~ ~/.~aJ d qT .~'loaIJ S/.it DESCRIPTION: .t ~ ~~~v ~G rb<fi~ / /'YST9/l o1 6' f-Z o'+T/•TJ 1 I'f9l~1 k.//'i.! J''V 4/;~ o1i7e e7-0,'"1 y41IC /a- ,llr~'iY -J- .vr i- v4l 11.0 - BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BUILDINO COMMENTS: Approval: Pusuc WoaKS CoMMeNrs: Approval: Gccupancy: Walis: Roof: Stories: Residentiaiuniu: Electrical License No: Plumbing License No:I g.2 4, 7 Mechanical License No: Company: Company:,5JM 04f6l.vt- Company: Expiration Date: Expirarion Date: Expiration Date: Approval: Approval: Approval: OM!M (1) This permit was issued in accordance with the provisions set foRh in yow apytlcation md is subject m the laws ofthe Saro of Coloeado md to the Zoning RegWapons aud Buildiug Codes of Wheat Ridge, Coloado or avy other appGcable ordinavcu of 1he City. (2) This permit shall exp've if (A) the work authonzed is vot commmced within sixty (60) days from issue date or (B) the building authonzed is suspended or abandoned for a period of 120 days. (3) If Utis pemtit exp'¢a, a uew permit may be acqu'ved for a fee of one-half the emount nonhally requ'ved, provided no changes have beev or will be made in Ne original plans md specificafions md aay suspevsion or abnndonment has not ezceeded one (1) yeaz. If chaugu 6ave been or if suspensioa or abandonmmt uceeds one (l) yeaz, fiill &u sLell be paid for a new peanit (4) No work of any manner shall be doue that will change the vatural flow of wahr cavsiag a dreinage problem. (5) Conhacroe shall uotify the Building Snspector twenty-fow (24) hours ia advance for all inspections md shall receive written approval on inspection card befom proceeding with succasive phasa of thejob. (6) The usuance of a persnit or the approval of dnvrings md spec5catlovs shall ¢ot be conswed w be a pamit for, oor an approval o[ any violation of the pxovisions of the buildiag codes or eny othu ordinance, law, nile or rogWaROn. 9601- Chief B ding Inspector TO: Jefferson County Housing Authoriry - Housing Rehabilitarion Program 6025 W. 38ih Ave., Wheat Ridge, CO. 80033 Ph: 42208600 ex26 FAX: 422-3229 BID AND PROPOSAL - BID SUM for Proiect• Name of Owner: Laura Alms Property Address: 4590 Upham St. Wheat RidQe, CO 80033 . Phone: (303) 422-0600 (h), FROM BIDDER: Bidder Name: Address: Phone #'s: Contact Person: Bid from (company name) O a Corporation organized and existing under the laws of the State of or a Partnership existing under the laws of the State of or O an Individual doing business as hereinafrer called the "BIDDER." To: Jefferson Counry Housing AuthoriN, Housing Rehabilitation Progrem SiriMadazn: 1. The undersigned Bidder acknowledges having visited the site and familiarized iuelf with the local cohditions adecting the cost of ihe work. The undersiened further acknowledges that it has received and has familiarized itself with the foliowing: General Requirements Documents: Invitation to Bid Instructions ro Bidders s J Bid and Proposai (Sample) IQ ~ . Owner ContraMOr Agreement (Sample) Bid Subn+ittd Package jos This Projeet: Bid and Proposal - Bid Sum (this document) Prime ConRactor and Sub-Contrector Data Form (attached) Itemized Description of Work, (Contrac[ Exhibit A) 2. In submitting this bid, the undersi@ned agrees: A. To fumish all mazerial, labor, tools, expendable equipmenk and all utility and transporta[ion services necessary to pe:fortn and complete, in a sate and workmanlike manner, all of the work required for this Project Bid Package (name and address above) in accordance with the Contract documents for the consideration heRinaHer set forth. B. To hold this bid open for sixty (60) calendar days after the receipt of bids aeid to accept the provisions of the Instructions to Bidders and [nstructions to Bidders. ~ C. To execute and deliver a Contracc in the prescribed form if awarded on the basis of this bid within ten (10) days after the Notice of Award is presented. D. To commence work at the time stipulated in a notice to proceed and ro comp(ete the work within 120 calendar days after the receipt of the Notice [o Proceed, unless specified as otherwise in the Contract. , 3. SUM BASE BID: The undersigned hereby proposes and agrees to perform the foregoing and to com lete the re uired Pro'ect Work within the time allocated for the Bid Sum of : Dollars $ (Total ot Itemized Description of Work. Amount shown in both words and figures. Round to dollar amount.) 4. In submitting this bid, it is understood that the right to reject any and all bids and to waive irregularities in the bidding has been reserved by the Homeowner. 5. 1'he undeisigned represents tha[ he/she is authorized to sign and submi[ this bid and any attachmenfs herewith on behalf of the Bidderand to bind the Bidder accordingly. Dated this day of 19_ Name of Bidder (company narne) Name of Authorized signer Titlc To: Jefferson Counry Housing Authority Housing Rehabilitation Program 6025 W. 38th Ave., Wheaz Ridge, CO. 80033 Ph: 42208600 ex26 FAX: 422-3229 CONTRACTOR & SUBCONTRACTOR LIST Contract date: for BIDDING IYote: This form is to be completed by the GeneraVPrime Contractor and submitted to the Jefferson County Housing Authority with the Bid Documenu with anticipated subcontractors and updated upon the award of a contract and re- submittal if needed prior to the contract closing. If additional sub-contracu are entered into after initial submittal, please submit revisions. COlltl'3CtOi LiStIIIE General (Prime) Office Phone: FAX: Pager/C-phone: Contractor Tax I.D. No. or Soc. Sec. Owner: Minority owned (Y/N): Race: Woman owned (>51%) (Y/N): Sub - Office Phone: FAX: Pager/C-phone: Conuactor Tax I.D. No. or Soc. Sec. Owner: Minoriry owned (Y/N): Race: Woman owned (>51%) (Y/N): Sub - Office Phone: FAX: Pager/Gphone: Contractor Tax I.D. No. or Soa Sec. Owner:_ Minority owned (Y/N): Race: Woman owned (>51%) (Y Sub - Contractor: Office Phone: FAX: PagedGphone: Contractor Tax I.D. No. or Soa Sec. Owner: Minority owned (Y/N): Race: Woman owned (>51%) (Y/N): Sub - Office Phone: FAX: Pager/C-phone: Contractor Tax I.D. No. or Soa Sec. Owner: Minority owned (Y/N): Race: Woman owned (>51%) (Y for JCHA use only I hereby certify that to the best of my knowledge from the information available to me, the above listed General Contractor and Sub Contractors, aze not on the Federal Debarred List. Doug Knop, JCHA Housin-, Rehab Specialist NOt¢s: JEFFERSON COUNTY OWNER-OCCUPIED HOUSING REHAB PROGRAM ATTACHMENT A - DESCRIPTION OF WORK BID DOCUMENT Project No.: WR106 Name of Owner: Laura Alms Property Address: 4590 Upham St. Wheat Ridge, CO 80033 Phone: 303.422-0600 Prepazed by: DougKnop Rehab Specialist Dates: ❑ Write-up/Estimate 10/7/02 Revised: 10/14/02 C Bid Document 10/21/02 ❑ Contract Document CONTRACTOR: Company: Address: Phone (s): Contact Person: TOTAL BID SUM OF THE DESCRIPTION OF WORK: $ - y NOTE: The cost of each item shall include all profit and overhead, and shall stand as a single cost. Al] itemized costs are ro be rounded to [he nearest dollaz. All measurements and quantities contained herein shall be verified by the Contractor. Colors, pattems, and equipment not specified in the DOW are to be approved by the Owner. ITEM # WORK DESCRIPTION COST APPLIANCES 1. Dishwasher: Provide and install under-counter dishwasher (standard grade, GE or approved equal) in the new kitchen cabinets adjacent to the kitchen sink (to replace non-functioning original dishwasher). p $ ,3,3 O PLUMBING 2. Plumbing Lines: Replace all lead waste lines with new PVC and water lines to new copper lines, to meet cuaent building code. Include replacing leaking waste line to the washing machine, dishwasher hook-up, sink traps in kitchen and bath and adding shut-off valves at fixtures. ~ 3 4'OQ $ 3. Kitchen Sink: Provide and install new enazaeled cast iron, 33x22 double e o bowl, four faucet hole, kitchen sink and new chrome faucets w/ spray (Del 9pS 400WF, Moen 7841, or approved equal), and a new 3/4 waste disposal ~ (Insinkerator Badger V, WasteKing 1001, or approved equal). Also include O new plumbing connections as required for new installation. Also, remove and re-set (or replace to match) the ceramic tile on the counteftop azound the existing kitchen sink. o~ •/9 w ce- 4.v7•r T6~ J $ ~173 4. Walk-in Shower Stall: Remove existing bathtub in main bath. Add new moisture resistant gyp.bd. (greenboazd), up to five feet above the level of the old bathtub. In bathtub location provide and install new shower base: SwanTile Barrier Free Shower Floor, BF-3060 bone color, left hand drain. and surround walls: SwanTile Showerwal TI-7260. And plumbing for new shower to code. Provide and install new tempered g(ass, sliding shower doors. Also add 4 grab bars, by the vanity, by the toilet, and 2 in the shower. goo ~ Ja fl1 ~H~=~ $ ELECTRICAL 5. Electrical Uograde: Add to the existing electrical system separate, grounded circuits (refrigerator, dishwasher, disposal, etc.) and new GFPs in kitchen/ bath/laundry locations. Also add hazd wired smoke/fire detectors in accordance to the NEC and NFPAS 74 requvements. TOTAL $ Master-page 2 10/22/02 DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500WES729tnAVENUE BUILDING INSPECTION DIVISION 234-5933 P.O.BOXS38 CITY OF WHEAT RIOGE COLO v OWNER !7U ' ADDRESS ~ PHONE ZIP CODE CONTRACT PRICE $ THIS PERMIT VALID ONLY WNEN SIGNED BY THE CHiEF BUILDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS CONTRACTOR ADDRESS __,2[ CITY PHONE ~ SIGNS r/~ LICENSE NO. 2-2.~ I DATE 1. TYPE Graund❑ Wall❑ ProitttinQ❑ OTha 2. MATERIAL Total SQuon FeN 3. ILLUMINATION Yea❑ No❑ Typa _ ci.'l o-r N.. 4. SET BACK FROM PROPERTY LINE N_ S- E_ W PERMIT N0. ME94#5846 ZIP CODE 5 or 0 Fecs INSPECTI{ON TICKET ~l ❑ 1. TYPE SolidU MoN TAan BO% OpanU Less T 1 FENCES MATERIAL 3 SET BACK FROM PROPERTY LINE (Specify wnith ie }ront) I. OTHER 2 15, JOB - ADDRESS ~ ~ ° tN_ S_ E_ W, ❑ ❑ ❑ DATE: L(o BLDG. PERMTN DRAW SKETCH OR SMOW BELOW,THE FENCE,516N,OR OTHERSTRUCTURE,GI\ (SETBACKS OR PROJECTIONS INCIUDED) PERMITk BLDG. CONTR -77 SUBCONTRACTOR DATE INSP. REQ. STREET NAME TYPE OF INSR `~r INSPECTION MADE i ,T~ REMARKS \6 A^ i"--- SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, A W.R. FORM 678 DiSTANCE TO PROPERTV LMES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRIC/ THISAPPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE ~ ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STA7E LICENSE N0. MECHANICAL PERMfT ALUMINUM WIRE UNDER SIZE 8 ILLEGAI FLOOR BSM IST 2ND 3RD 4TH N0. FUEUCircleQw GW qi Ropar El~e Solar NO. WATER CLOSET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATEft - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTMER HEATING GARBAGE DISP REFRIGERATION S'ISTEM POWER SUB-CIRCUITS WATER HEATER Refri arant Group UTILI7Y(RANGE,OISPOSEF,ETC) AUTO. WASHER Pounds Cnor e FI%TURES DiSH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROlS FI.DOR DRAIN EIEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES PERMIT FEE ,0 " acknowledQe thot tnis avoliCa- I nsieD y tion ia correcr and undersrond tnot I USE TAX ~(f fil this o t thi li' d s proje un tannol ftar DD itn n l I n ~ $ G camp y w s o cation is apOroved. d t C l d TOTAL FEE ~ ~ gLl o an o ora the lows of the S1ate of o the Zoninp Repulati0ns ond Bwldinq /J APPROVED ~ ~ ~ Coee af tne City of Wheaf Ridqe. Qny J DISAPPROVED • violouon ot the above terma win couse CHIEF BUILDING If SP CTOR,City of Wheat Ridqe immediate revocation of tnis Dermir r a t Q% ~-C s( Date Issued / CALL 234•5933 24 HOURS IN ADVANCE FORINSPECTIONS DEPARTMENT OF COMMUNITY DEVELOPMENT mo/ 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. j(~ 73 ] 237-6944 EXT. 255 P.O. BOX 838 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILOING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS FOR OWNER /by ZIP CODE P0033 CONTRACTOR X,,&A ADDRESS CITY "J_~~ArR1D(! G~ZIPCODE ~dO 2-9 PHONE 7' ~`Y`_3 /Dry t ` LICENSE NO. PHONE ~ ~ 7 ')NTRACT PRICE $ 1 I 711-1 7 1. TYPE Ground❑ WaIIU ProieelinpU Othv SorDFOCe_ 2. MATERIAL Tolol SQUOre Faf SIGNS 3. IILUMINATION Yes❑ No❑ TYVa Eieet. Permif No. 4. SET BACK FROM PROPERTY LINE N _ S_ E _ W Zone_ ApDrmb, Za^a Inspsetor (Spaeifywhich isfront) ❑ ❑ ❑ ❑ Disopproved 1. TYPE Solido More Than 80% OpanE] Lost TAOn BO% Open MATERIAL HeiOht FENCES 3. SET BACK FROM PROPERTY LINE N _ 5_ E _ W 2om_ Approvsd,Zom Inspeeta (SDSCify whioh ia front) ❑ ❑ ❑ ❑ Diaopprowd OTHER I ` 3. DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIN6 DISTANCES FROM PROPERTY IINES. (SETBACKS OR PROJECTIONS INCLUDED) ~ SPECIFY NORTH STREET NAME SHOW DISTANCES FROM THE M41N BUILDING TPADJOINING NpUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE D15T4NCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS WILL wu~MPIRE 60 AVO SPFROMRDATE OF INDICATED OF WORK S NOT START~ED WITHW THA ~T11T M~ INSPECTION DIVISION, . ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE LICENSE N0. STATE LICENSE N0. ALUM INUM WIRE UNOERSIZE 8 ILLE6AL FLOOR BSM IST 2N0 3RD 4TH Na " EleeSolar ~ ~ p' ~ ~ WATER CLASET ORCED A gTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TUB STEAM - BTU AIR CONDITIONING-8TU CHAN~E SERVICE - AMPS SHOWER LIGHTING SINK OTHER HEATING GARBAGE DIS? REFRIGERATION SYSTEM POWER SUB-CIRCU~TS WATER HEATER ftetri eranf Group DISPOSER,E7C) U7ILITY(RANGE AUTO. WASHER Pa+nds CMr e , AUTOMATIC SPRINNLER SYSTEM DISH WASHER FIXTURES WIRING MOTORS d CONTROLS FLDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIxTURE S S Fx 1i - PERMIT FEE NOT VALID UNLESS RECEIPTEI co I hsreby acknowlsdpe ihot this a07 fion ia correct ond understond tnot I USE TAX oonnot atort tAis Droject until thia ovpli' tation if aDproved. I shall comply with TOTAL FEE wm the lows of the State of Cobrodo ond ro tiona ond Buildinp f R E D . AP eQu a ths ZoninQ ~ E U y~ Code of fAe Cify of Wheat Ridqe. Any violotion oi the above terme will oause immediate revocotion of thia permil CHIEF BUILDING ll SPECTOR,City of Wheat Ridye CALL 237-6944 EXT. 255 24 HOURS IN ADVANCE . y (iL' '~ry~l~L ~ Date Issued > 7 ~ FOR INSPECTIONS Aovretrm. Wv.am,.