HomeMy WebLinkAbout4675 Upham StreetA 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:l
Job Address:
Permit Number:1�1
a
❑ No one available for inspection: Time AM/PM1
Re -Inspection required: ( 1 No
When corrections have been made, call for re -inspection at 303-234-5933
z
_, _) . J --7 % /'
Date: . -r 6- Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704128
PERMIT NO: 201704128 ISSUED: 07/15/2017
JOB ADDRESS: 4675 Upham ST EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re -roof to install 30 year dimensional asphalt shingles with
ROOF DECKING - 38 sq
*** CONTACTS ***
OWNER (303)424-6218 FRESE DONALD W
SUB (720)242-6404 Rex Corly 150303 Masterpiece Roofing & Painting
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,734.75
FEES
Total Valuation 0.00
Use Tax 267.43
Permit Fee 251.85,x.. �•
** TOTAL ** 519.28
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201704128
201704128 ISSUED: 07/15/2017
4675 Upham ST EXPIRES: 07/15/2018
Residential Re -roof to install 30 year dimensional asphalt shingles with
ROOF DECKING - 38 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
�'�Gc� Ill 17
Sign ture of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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 ting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable c de n o��gula 'qty f this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
201�0 (Z`�
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, July 6, 2017 2:20 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED. /
Is this application for a Yes ' �' 'an a t'Z6/ 17
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4675 Upham St
Property Owner Name Donald Frese
Property Owner Phone 303-424-6218
Number
Property Owner Email N/A
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
IsZii7:7LVA /_VA9to] 01
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Masterpiece Roofing
150303
7202426404
Contractor Email Address nate@masterpieceroofing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
nate@masterpieceroofing.com
Yes /
30 year Dimensional Shingle
Asphalt
Field not completed.
38
No
Field not completed.
TOTAL SQUARES of all 38 j
roofing material for this
project
Provide additional detail House and garage 4/12 pitch
here on the description of
i
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
iZ,73i, 7S
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Nathan Gates
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STE PIECE
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ROOFING & PAINTING
Property Owner ("Owner") 0� 1 ����0 �&1m' ail —qX<Wle-
Street ("The Property") 07.3' W A 44 SY city W kc1grAL AMA State Zip 03
Home Phone 2d� � - j�.a-(x Mr. Cell Mrs. Cell
Insurance Co pang H pot-cfo&-, Claim # t) i �� 7
Adjuster 56 N W 6 Phone q C 3 - ;�-Oet -A ?4
Shingle Manufacturer &t`-L(V L'4*4—k-CO-V Estimated Xactimate Price(4,' 0007
Year 30 Color Vim L4 Down Payment is-Q�-�'�
Te ff ! layers) aspha shake/tile shingles BalanceFqJ
Install Sheathing /-7/16"OSB_1/2"CDX plywood
Ahere Pat. C Geo.
C/ Install felt_151b_30lb other k 0 -C(A &4,v
��,�Je & Water shield to codeInstall Metal Drip Edge. Color d..e. A
6 nail pattern on shingle (+20mph wind resist)
77-Iley(s) will be _closed _open
�tall new pipe jacks
�_/ Install new vents as needed
_I stall In. ft. of vent -a -ridge
F�
RR -flash chimn ric nod size 0 K,W�Re-flash wall abutment as needed if possible
ucco or siding may be a deterrent)
o lean up & haul away all job related debris
agnetic sweep of the yard for removal of nails
_ 5 year workmanship warranty
First insurance check, deductible & upgrades aredye prior to s eduling the job.
The estimated dates of service for this job are
Improvements in exchange for Insurance Scope
Breakdown and Supplemental Proceeds
Owner authorizes Masterpiece Roofing ("Contractor") to contact the Owner's insurance
company regarding damage to the Property. Owner understands that the Contractor
will assist the Owner in obtaining appropriate property insurance damage adjustments,
gaining approval of damage for repair and obtaining funds to repair Owner's Property.
Owner authorizes Owner's insurance company to discuss all matters directly with
Contractor, or their representative. Owner agrees to provide Contractor with any and all
insurance information, claim number, insurance loss data information and adjuster's
report provided to the Owner by the Insurance Company.
Upon authorization of the Owner's Insurance Company, for a price agreeable to the
Contractor, Owner agrees that the Contractor shall perform work prescribed by the
Insurance Company's loss data sheet or adjuster's report which includes the estimate
of repair as set forth in the insurer's claim file plus any upgrades selected by the Owner.
Special instructions ��PPCf� �Zs1�ac/1 t+rle<tE�d%d%4-d"
Owner is obligated to pay only the deductible required by the Owner's Insurance Company plus any upgrades requested by the owner.
Owner further agrees to endorse insurance checks payable to the Contractor or to pay the Contractor an equal amount.
Owner owes the Contractor nothing in the event the Insurance Company does not authorize the repairs.
Contractor shall hold in trust any payment received from you until Contractor has delivered roofing materials at the site or has performed a majority of the
roofing work on your property.
Owner has the right to rescind this contract and obtain full refund of any deposit within 72 hours after entering the contract. Contractor cannot pay, waive or rebate
all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property.
Otherwise, Owner understands that this is a binding agreement. If the Owner breaches this agreement before commencement of the work, Owner agrees to pay
the Contractor for the actual work performed.
Owner understands that, aside from upgrades, a summary of the work to be performed, a description of materials to be used or a list of standard features included,
the total contract price, or description of the basis on which the price will be calculated, is embodied in the insurance loss data information provided by the Owner's
insurer. Further, Owner authorizes the Contractor to submit supplemental requests to the Insurance Company for additional payment required for omitted items
from adjuster scope or due to price fluctuation caused by supply/demand issues orotherwise unknown at the time the contract was entered.
Owner warrants that this contract is signed without any reliance upon any representations or promises by the Contractor, or its agents, except those that are
specifically written in this contract, and that no additional promises or repr talions have been offered as inducement for signing. Owner also acknowledges
reading all the Terms and C nditions on the reverse side of this documen .
Date 7
Ae
Property Own
Representative L,R. SX- Property Owner
7700 E. Iliff Ave., Suite D, O ' e: 720-242- www.masterpieceroofing.com
Denver, CO 80231 p -C kcorley.masterpiece(@gmail.com
TERMS AND CONDITIONS
1. All contracts are subject to approval of Management and our Credit Department without exception.
2. All checks for payment must be made payable to Masterpiece Roofing. There will be NO exceptions. Owner will still be
liable to Masterpiece Roofing for payment of this contract if check is made out to any other entity or person.
3. If any provision of this agreement should be held to be invalid or unenforceable, the validity and enforceability of the
remaining provisions of this agreement shall not be affected thereby.
4. Owner further agrees that any insurance payments received by Owner are held in trust for the benefit of the Contractor.
5. Payment in full shall not be delayed while waiting for the city, county or appropriate building inspection department to
inspect the work. Owner understands that the city, county or appropriate building inspection department is not within the
control of the Contractor.
6. Contractor shall not be liable for failure of performance due to labor controversies, strikes, fire, weather, inability to obtain
material from usual sources or any other circumstances beyond the control of the Contractor, whether of a similar or
dissimilar nature.
7. Should a default be made in payment of this contract, charges shall be added from the date thereof at a rate of one and one
half percent per month (18% per annum) within a minimum charge of $2.00 per month and if placed in the hands of an
attorney for collection, all attorney's fees and costs shall be paid by the Owner.
8. If this Contract is cancelled by the Owner later than 72 hours from execution, and after insurance negotiations have begun,
the Owner shall pay Masterpiece Roofing twenty-five percent (25%) of the contract price as liquidated damages, not as a
penalty, to compensate Contractor for time and skill involved in the insurance claim process.
9. Owner may rescind this contract within 72 hours after the Owner receives written notice from Owner's Insurance Company
that the claim is denied in whole or in part and otherwise explained in C.R.S. §6-22-104. Owner shall give Notice of
Rescission in writing to Contractor by US Mail, email or personal delivery. Contractor shall return any deposit within to
days, minus amounts for actual work performed.
10. The Contractor's Limited Warranty does not cover damage to roofs caused by lightning, gale (50 mph), hurricane, tornado,
hailstorm, impact of foreign object, other violent storm casualty or damage to roofs due to settlement, distortion, failure or
cracking of the roof sheathing, walls or foundation of the building.
11. The Contractor is not responsible for any damage below the roof due to leaks by excessive wind, ice or hail during the
period of the warranty. The Contractor's warranty covers the roof only.
12. The Contractor will not be held liable for any structural movement, settling, cracks in dry -wall, cracking or breaking of
driveway during the roofing or loading process and minor scratching or denting of gutters.
13. All pictures, wall hangings, lights, collectibles, etc., both indoors and out MUST be secured by the Owner. Any damage to
personal items during installation will not be the responsibility of the Contractor. The Contractor will not be responsible for
nail damage to tires, pets, etc. Pets should not be left unattended during installation.
14. Any alteration or deviation from specifications involving extra cost will be executed only upon written orders and will
become an extra charge over and above the estimate.
15. The Owner is to carry fire, tornado and other necessary insurance.
16. This contract and labor warranty shall not be assigned and are nontransferable unless specified in writing.
17. The Contractor shall revoke the labor warranty if this contract is not paid in full.
18. This Contract constitutes the entire understanding of the parties and no other understanding, collateral or otherwise, shall
be binding unless in writing and signed by both parties.
19. This agreement is composed of a front and back page and all materials incorporated herein by reference and shall be
considered the entire agreement by the parties. Any representations, statements or other communications not written in
this Contract are agreed to be immaterial and not relied on by either party and do not survive the execution of this contract.
20. This Contractor has the right to order excess materials. All excess materials belong to the Contractor.
21. The Contractor reserves the right to file for supplemental insurance claims if the insurance adjuster's measurements are
used and prove to be incorrect.
22. At no additional cost to the Owner, the Contractor reserves the right to file for a supplemental insurance claim due to an
increase in costs.
23. Supplements paid by the Insurance Company for additional labor or materials needed beyond the original scope of repairs
are part of this contract as if contained herein and will be paid to Masterpiece Roofing either by the Owner or the Owner's
Insurance Company.
24. Owner acknowledges Masterpiece Roofing as a General Contractor and as such will be entitled to lo% overhead and lo%
profit if approved by the Insurance Company as part of the claim.
25. Owner is responsible for the Homeowners Association's (Covenant) approval of roofing products and color.
26. Masterpiece Roofing is not responsible for damage to stucco, siding or wall abutments as a result of installing new flashing.
27. Masterpiece Roofing is not responsible for satellite dish realignment.
28. Contractor carries workers' compensation, automobile and commercial general liability (bodily injury and property damage)
insurance. A Certificate of Insurance identifying our insurance carrier and the types and amounts of coverage and our
insurance contract information is attached or will be provided to Customer and is incorporated herein by reference and
should be considered as part of this contract.
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: M )1) / 5 1,
Job Address: 9 6-� S UTAM S7'"
Permit Number: Z. _1>I-)0L412y)
LJNo one available for inspection: Time ' - AM/F�l�i`
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: Inspector: I-
1
DO NOT REMOVE THIS NOTICE
Li s~ r S S U s F ~2! ze` S~ f'
S
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ft✓ ~1 f
i ne s, tcg~ y;i=„ r
1 NSPE V
11111111 j~ r ark r b 7 a ri f RD
OCCUpancVITVpe
*h ray
'DINSPEC £ :f s u _ziusj 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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS -
DATE
INSPECTOR `
INITIALS
:COMMENTS:
Footings/Caissons
-
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
YOUR NO bQNCRETE UNTIL ABOVE HAS [SEEN JIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof Id
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
..Insulation <
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
f
Roof
162 -7:2 =
{
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND. PUBLICE WORKS
Parking & Landscaping
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY JS ISSUED. 'FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITT`a , <zzb~r I x
R TE OF OCCUPANCY IS ISSUED
,e ,s
PROTE
9I1- ; WEATHER
RAM
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
{303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F
Job Address: 5 Utz]' Ak 'j7-
Permit Number: C J~ a ~l 3
❑ No one available for inspection: Time AM/PM
r
Re-Inspection required: Yes
' When corrections have been made, call to r inspecti n at 303-2345933
Date: /6-2P-09 Inspector:
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office •.(303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: mrsc~=
Job Address: ~1G75 s!-
Permit Number: c 9}'3S
lYbl~~ i?
❑ No one available for inspection: Time J.'90 AM/PM
Re-Inspection required: Yes
`When corrections have been made, call for re-inspection at 303-234-5933
Date: ,rraf3% Inspector:
DO NOT REMOVE THIS NOTICE
" 1 City of Wheat Ridge
Residential Roofing PERMIT - 092935
PERMIT NO: 092935. ISSUED:. .10/02/2009
JOB ADDRESS: 4675 UPHAM ST - EXPIRES: 03/31/2010
DESCRIPTION: Reroof 40 sqs
***-CONTACTS
owner 303/424-6218 Marge Frese
sub 303/745-10.89 Dean Lascewski 09-0.381 MHR Specialties Inc.
* * `PARCEL `INFO
ZONE CODE: UA USE: UA
SUBDIVISION:. 0009 BLOCK/LOT#: 0:/
FEE SUMMARY ESTIMATED 'PROJECT :VALUATION: 17,637.00
FEES
Permit Fee 381.30"°`
Total Valuation ,00
Use 'Tax 317.47
'TOTAL .`698.77
Conditions:
6 nail installation mid-roof inspection required. Board sheathing spaced more
than 'a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from`eave edge to 2'%inside 'exterior walls..:
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
appl' tion and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
appl c e Wh t.Ridge Ordinances, for work under this permit. Plans subject to field inspection.
10-3 CD
Signature of contractor/owner date
1. 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:
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 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 beenor if suspension or abandonment exceeds one (1) year, full fees: shall
be paid for anew permit.
4. No work of any manner shall be done that will. change the natural flow of water causing :a drainage problem.
5 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' a permit: or the approval of.. drawings and specifications shall not be construed to be a permit for, nor
an lap to 1` , any violation of the provisions of the building bodes or any other ordinance, law„ rule or regulation.
A11. iew is subject to field inspections.
3ignate of Chief Building.. Official ..:date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS 'MUST BE MADE BY 3PM ANY `BUSINESS DAY FOR 'INSPECTION THE FOLLOWING BUSINESS DAY.
yoF W"E'?p City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
oOroRPO° Inspection Line: 303-234-5933
Building Permit Application
Date: 1 o 11l,9
Plan
Permit 11 O G j
Property Address: q 1✓- 5 Up s S
Property Owner (please print): In C~,r C, Fr,-5,Q Phone: -30 :3 (,a16
Mailing Address: (if different than property address)
Address:
State,
Contractor: MiA
IQ,
Contractor License Phone: 3O 3 I o 9 ~
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval
Use of space (description):O~ Construction Value: $ 176'a 7
Description of_work- (as calculated per the eufldin_ Valuation Data sheet)
a n
4-9 .X
Ram 3 c7 y Ti h b r I ; ~ Plan Review (due at time of submittal): $
a
Sq. Ft./L.Ft added: Squares ~6 BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all 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 r s action.
C/RLCE ONE:: (OWNER) NTRACTO or PERSONAL REPR~'~S\ENTAT~IV-E of (O/WNER) (CONTRATOR)
PRINT NAME: lam-- of -Q ~~6 c e~ SV I SIGNATURE: y Date: 10 -a- 0 5
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9440
BUILDING INSPECTION LINE - 303-234-5933 Date : 9/3/99
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 4675 UPHAM ST
Contractor License No. : 20402
Phone: 424-6218
Company : Calvin H. Haugan Phone : 570-6134
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restridions 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 1 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 pertnrt.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Install furnace replacement, permit includes electrical
Construction Value :
$2,441.29
Permit Fee :
$83.25
Plan Review Fee :
$0.00
Use Tax :
$36.62
Total:
$119.87
Use:
BUILDING DEPARTMENT USE ONLY
~~NW1 SIC : Sq. Ft. :
Approval :
Zoning :
LYWHIMIN'
Approval:
WAIMEMWARWMM
Approval :
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No : 19206 Plumbing License No : Mechanical License No :
Company : Positively Electric Company : Company :
Expiration Date : 2/28/99
Approval : Expiration Date : Expiration Date :
Approval: Approval:
(i) 70is permit was issued in accoMance with the provisions set forth in yopur application and is sublect to the laws of the State of Coloratlo antl to the Zoning
Regulations and Building Code of Wheal Ritlge, Colorado or any other apDlicable ordinances of the City.
(2) This permit shall expire i( (A) the work authorized is not commencetl within sixty (60) tlays from issue date or (B) Me building authorized is suspended or
abandoned for a penotl of 120 tlays.
(3) If this permit expires, a new pertnd may De acquired for a fee of one-half the artwunt normally required, provided no changes have been or will be made in the
original plans antl specifcations and any suspension or abandonment has not exceetled one (7) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paitl for a new permit.
(4) No work of any manner shall be done thatwill change the natural flow of water wusing a tlrainage problem.
(5) Contractor shall no6fy ihe Builtling Inspeclor lwenty-four (24) hours in advance for all inspec6ons and shall receive written approval on inspection wrtl before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings antl specifications shall not be consUUetl 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 re9ulation.
Chi- Builrg Inspector `
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 qPPLiCATIo N
Property Owner : r~lk-~ c~✓~a-,-- 6e
Property Address : -76 7 S (.(P 4e w.. s:;f 6tl ~Q~' fdF e Phone
Contractor License No. : Z p~/C) Z ^
Company :
vi /t/
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurete,
antl 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 aie accurete; that 1 have read and agree to abide by all conddions printed on this
application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other appliwble Wheat Ridge ordinances, for work under this pertnit.
(OWNER)(CONTRACTOR) Slsi ~_nv2~~5'T~`~J/~~~~DATE
Description :
>2~
Phone:7Z0-1`l6Z-
CO(15tfUCtI0f1 V2111E
G /
Permit Fee :
Use:
BUILDING DEPARTMENT USE ONLY
Use Tax :
Total :
SIC : Sq. Ft. :
Approval:
Zoning :
Approval:
Approval :
Occupancy : Walls
Electrical License No :
Company : (F10`~,c.t,,~~Q
Expiration Date :
Approval:
Roof
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanicai License No :
Company :
Expiration Date :
Approval:
(1) This permit was issuatl in accortlanm wiN the piovisions set kM in yopur aDPlicatlon antl is subjM to the laws af the SWte of Colo20o antl a the 2aninp
Regulations antl Builtling Cotle of VMeat Ritlge, ColoraEO or any oNer applicaEle ortlinances of Me Ciry.
(2) This permit shall ezpire N(A) the work authonzeE is not commencetl wtthin sixly (80) tlays hom issue tlate or (B) the DuilCing auNOnzed is suspentleE ar
abanCOned for a penotl o1120 Eays.
(3) If Mis pemtit expires, a f1eW pertnR may be aCquire0 for a fee of one-hal/ the artqunl rqrtnally required, provitletl no thanges have been or will be meCe in the
odginal plana antl specifirations and any suspension w abanEOnment has not excee0etl one (1) year. I/ dhanges are matle or if suspension w abantlonment
exceetls one (1) yeer, full feea ehall be paitl for a new permM1
(4) No vrork ot any manrier afwll be tlone Mat will change Me natural flow o( water rausing a C2inage qoblem.
(5) ConVactor ahall notiy the Builtling Inspecta twenry-four (24) hours in atlvance ror all inspMions antl shall receive wrdten approval on inspeolion carE belore
proeeetliing with successive phases of the iob.
(6) The iuuence of a pertnR or
of the builEing codes or any
inC speCificatlons shall not be ConsWetl ro be a pemtit fOr, fwr an aOPro`/al of, any violatiat of Ma provisiona
or regulation.
Stories : Residential Units :
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
9446
9/7/99
Property Owner :
Property Address : 4675 UPHAM ST
Contractor License No. : 19206
Company : Positively Electric
Phone: 424-6218
Phone: 423 1807
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; lhat 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 permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Use:
Description : Reconnect furnace
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval:
Zoning :
Approval:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Construction Value :
$188.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$2.82
Total:
$26.32
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issuetl in accordance with the provisions set forih in yopur application and is subjecl to the laws of [he Sta[e of Colorado and to ihe Zoning
Regulations and Builtliny Code ot Wheat Ridye, Coloretlo or any other applicable ordinances of the Ciry.
(2) This permit shall expire iF (A) Ihe work authorizetl is not commenced within sixry (60) tlays from issue tlate or (B) the builtling authorizetl is suspended or
abandoned for a period of 120 days.
(3) If this permit ezpires, a new permit may be acquiretl for a fee of one-half the amount normally required, provided no changes have been or will be made in ihe
original plans and specifcations antl any suspension or abantlonment has not exceetleU one (1) year. If changes are matle or if suspension or abantlonment
exceeds one (1) year, full tees shall be paid for a new permit.
(4) No work of any manner shall 6e done ihat will change the natural flow of water causing a drainage problem.
(5) Contrector shall notify the Building Inspector twenry-four (24) hours in atlvance for all inspections antl shall receive written approval on inspedion card betore
proceediing with successive phases of the 7ob.
(6) The issuance of a permit or the approval of drawings antl specifications shall not be construed to be a pertnit tor, nor an approval of, any violation of the provisions
of the 6uilding codes or any other ortlinance, law, rule or regulatiort ~
Chief uildi~ Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
GtTI' OF WHEAT RIDGE Date 3- 99
750P WEST 29TH AVENUE
WKEAT RIDGE, CO 80215 ~
.
_ T
Property, ~ wner : MI/<Cd
Property A~ress : Ve,'76i' ✓p~~~" 5j • Phone : y1y-G ~/f~
Cont2ctor License No. :
Company : ~s• T~°/y ~1~". S`c ~ Phone
0 WNER/CONTR.4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Constryction Value : /S-k
1 hereDy certiy Uat the selback dislances proposed by this pcrtnit applicalion are accunle,
PBrfT11I FE2 : 13.5-0
and do not violate applicable ordioanas, rules or rogulalions of the Cdy of VJheat Ridge or
easements or reslrictions of record: lnat all measurements shown, and allegations
covenants
Plan Review Fee :
,
matle are accunle thae I nave read and agree lo abide by all conCitions prinled on this appliwGOn, antl thal I assume full rcsponsiUility for compliance with the Wheat Ridge 0uilding
pliwble Whea Ridge ordinances, for work untler this pertniL
nC all other a
B
C
Use Tax : ~f •P'Z
.
p
a
.
Code (U.
Total: 1G• 3t
~~'g
DATE
.
-
-
(OWNER)(CONTRACTOR) SIGNED
Description:
BUILDING DEPARTMENT USE ONLY
ZdNl'f CSIC Sq. Ft.
Approval:
Zoning :
B"u11C~b'n~811t's`7 ' ~ ~
Approval : x
P,QtlIf~WbPKS!Cb~t3'•1 '
t;
Approval: s
Occupancy : Walls : Roof : Stories : RePiidentiai Units :
/asr- Electrical License No : Plumbing License No :
Company yOas.Tu-fy /~/cW,,Z;Zc Company :
Expiration Date :
Approval:
p EJPI3kVR~IPB'd.~
Expiration Date :
Approval:
~ SP.191is!R8'QQII'8UM
Mechanicat License No :
, . Company :
Expiration Date :
Approyal :
0 mym....~:.s...~~.~~
(1) Thia perrn! waa luua7 In aaatlance wim tha poNsiona sel forlh in yopur Opplfnlbn anE b suDiaUCo Na Law~ of IM SYIe of CWOnGO Nb b IM 2onNp
Requiauons and BudWinq Coda of wMat RiOge, CownEO w any otner sDWK+~ oi iM ry. OuikU
(2) mis pemul shail expiro il (A) Uw wak {uihmxcd Is rwl comnancetl vnUrin sury (80) Eays Imm issua Oate u(B) Va p auNa4~d b wsPenON a
.woawea f« a perwa of uo aays. If Ihis pcmwl acpiie3. a new pemil may Oe aW uired Iw a lee of one.lull Ne ertqunl normally fcquire0, prohded no CMn90s M'ro Oeen or vrill De mi0a n e
onyina1 pans an0 speanulions anC iny suspenslon of aWnGOnmeN Ms twl excee0ed ub (1) Yeac II tlunqes an m+da a il wspensbn a oDinCamNN
exceaEf aro (tl Yeu, lull lees snall De Wia lw a new permit.
No wom of any rtunner shall Oa EorW Inal will cnanqe ine namral Oow ol waler ousing a Orolnaya pmolem.
(5) Convacia snan aotiry me euiiama h~spector nvenry-lour (24) houn in aEvana la ail inspectbns aad sl+ail recaive wdden apProvai on Inspectbn ab De~ae
prxeeEnnq wrth suttessive pMaes of lhe o0. val d, iny violaGOn d the prodsions
(6) TTa isawMe of a pcrtnit or Ihe opPmYal o~Ofavnnqf !nE SplGGCtlioN Shall fwl DC COn3WCG lo Oe i plmul 101, llOf M~ ipPfO
ol Ina CuAtllnq wCas wany otnar oNinmca, law, iule or requlallon.
Chie( Building Inspeclor For Mayor
THIS PERMIT VALID 0 ALL W2 45933 24 HOURS PRIOR TO~INSPIE TION ECTOR AND MAYOR
7500 WEST 29th AVENUE
237-6944 EXT. 255 P.O. BOX 638
DEPARTMENT OF GOMMUNITY DEVELOPMENT pERMIT N0. M94#19975
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
ID ONLY WHEN SIGNED BY ThE CHIEF BUiLD1NG INSPECTOR AND RECEIPTED BEL9W.
RMIT VAI
THIS PE
.
pF?PJ,ICATION FOR MISCELLANEOUS PE
OWNER
JOB ADDRESS
ADDRESS
CONTRACTOR
PHONE ZIPCODE
ADDRE
'
CONTRACT P CE $
CITY
ZIP CODE
~ C.
PHONE
ICE NSE NO.
- L
DATE
ound❑ Wall❑
G
Proieefin0o 0ther SaDFOCe
r
1. TYPE
Total Square FeN
2. MATERIAL
❑ No❑ TYDe
Y
El~tl. Pvmit No.
SIGNS
es
3. ILIUMINATION
~d~Z~^~ Inep~cfa
_
ADD~~
W Zon~
4. SET BAGK FROM PROPERTY UNE N__ S_- E
❑ ~
_
DDrwed
Diw
~
~
(SDkify w~ic~ ia front)
TYPE Solido Mora Than BO% OpenU
I
Lose Thon 80% Open
.
Hoiyht
FENCES
MATERIAL
E
S
N
M' Zoee _ ADDrwed,Zone IesDscta
_
_
_
3. SET BACN FROM PROPERTY LINE
❑ ~
❑ DiaaOD~ovad
~
(SpeeBywhiel+is front)
OTHER
I.
Z
3.
PROPERTV LINES
DRAW SKETCH OR SHOW BT~NS NCLUDED)E,SIGN,OR OTHER STRUCTURE,GIV1Nu 7ISTANCES FROM .
(SE7BACKS OR PROJ
~
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM TFIE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PROPERTY lINES;ON IRREGULAR IATS,SNON! LEAST
DISTANCE TO PROPERTY LINES,NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY l1PON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIFE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. M T
ELECTRICAL PERMIT
STATE LICENSE N0.
)MINUM WIRE UNDER SIZE 8 ILLEt
TEMPORARY METER _
NEW SERVICE - AMPS
,..,..rr ecwvieF-GMPS
PLUMBING PERMIT
STATE LICENSE N0.
FLOOR BSM IST 2Nl
WATER CtASET
WASH BOWL
DISH WASHER
Fl.OOR DRAIN
MECHANICAL PER I
IEDAIR .
WATER BTU
w _ ATII
RS 9
OLD V