HomeMy WebLinkAbout3130-3140 Teller StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement
Date: Friday, May 27, 2022 9:03:17 AM
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PERMIT APPLICATION Water Heater Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Do Not use this form if the Water Heater is changing locations or if this is a
conversion to a Tankless Water Heater. Please use the General Permit
Application for a more comprehensive review.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 3130 Teller St Wheat Ridge, CO 80033
Property Owner Name Nancy Cupples
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
720-238-1996
nacupples@yahoo.com
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Blue Sky Plumbing & Heating
Name
Contractor's License
017835
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-407-7967
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
randyp@blueskyplumbing.com
Address
Retype Contractor
randyp@blueskyplumbing.com
Email Address
DESCRIPTION OF WORK
Number of gallons
40
Is the water heater
GAS
GAS or ELECTRIC?
If GAS, enter # of
40,000
BTUs. If electric, enter
n/a
Where is the water basement
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 279200
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Randy Palato
Pe rm it
Email not displaying correctly? View it in your browser.
Property Address
Permit Number
Permit Issued Date
The City of Wheat Ridge
Third Party Form
jqa/3/c6 ((Kcl s�
-7T 3
Owner Information
Property Owner Information
Property Owner Address
Inspector Information
Inspection Company Construction Support Services, inc
Inspector Name Richard Boon
Inspector Contact info. 303-221-1559
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been insl
and found to be in compliance with the minimum requirements of the 2012 IRC and
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendations and specifications. }}
Inspector: Richard A. Boon, P.5y. ;/4/_/Date: T
*1 hearby acknowledge thaf1 am the owner of the building referenced above and I g
my consent for the listed third -party inspection company to perform my roof inspecti
in lieu of the City of Wheat Ridge Building ivision inspection.
Propery Owner/ Agent: Date: !7
fO'awe (4o-6
This original document as well as the roofing check list, must be submitted to the CI
Building Offical within seven days of the final inspection.
Drop off in person Submit via Email
Permit counter 2nd floor Kcook(-ci.wheatridge.co.us
7500 W. 29th Ave
Wheat Ridge CO 80033
Drafted Date: 7/26/17
Please add note to reverse side
ONSTRUCTION
U PPORT
ERVICES, INC.
July 19, 2017
MID -ROOF
INSPECTION ADDRESS: 3130/3140 Teller St
Inspection Conducted By: Mr. Richard A. Boon, P.E.
Construction Support Services, Inc
Dear Sirs:
I examined the roof at 3130/3140 Teller St in Wheat Ridge, Colorado. As a part of
this inspection I examined the underlayment, I checked the nailing pattern and nail
placement. I examined the roof for uniformity and general compliance with the
manufacturer's requirements. The roofing system for the referenced building has
been inspected and found to be in general compliance with the minimum
requirements of the Wheat Ridge Building Code and in general conformity with
the manufacture's recommendations and specifications.
I consider this roof as having passed the requirements for a mid -roof examination.
Sincerely,
Boon, P.E.
on Support Services, Inc
7901 S ADAMS WAY CENTENNIAL, CO 80122
303-221-1559 CONSUPSER DMAC.COM
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Property Address ( 3al3tgO T r/(f,
Permit Number -;XcU 1-70$6 5 -7
Permit Issue Date 7/(3//7
Roof Inspection
Pass Fail
1
Structural roof components
Verify that no more than 2 layers of shingles exist
)C
Flashing for roof and walls
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Verify sheahing nail pattern ( See policy & Proceedures)
Crickets and saddles where needed
Verify B vent must have boot same gauge as pipe
f
Verify vent caps
Verify no flashings are damaged or rusted
l�
Step flashing shall be min. of 4x4 piece per shingle
Verify scuppers allow for proper drainage
J�
Ice and water shield 2' in heated wall spaces
c/
Underlayments must follow 2012 IRC / 2012 IBC
Verify roof slope for proper drainage
Dripedge shall have min of 2" overlap
(/
Dripedge should extend down min 2" past roof deck
Dripedge shall be mechanicaly fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
Above roof insulation R-25
Below roof residential R-38
Below roof commercial R-32
Notes
Company Name:
fora i� Slr / ���rd►'vs
Inspector signature:
Date of Inspection:�-
1
ONSTRUCTION
UPPORT
ERVICES, INC.
7901 S. ADAMS WAY
CENTENNIAL, CO 80122
PHONE 303-221-1559 FAx 303-694-3604
FEIN: 84-1585261
Invoice
Date:
07/20/17
Invoice No:
109229
Terms:
Net 30
Due Date:
08/19/17
Bill To:
Grissom Contracting
John Grissom
10290 S Progress Way Unit 206
Parker, CO 80134
Project: 3130/3140 Teiller St- Midroof
Date
Description
Item
Rate
Amount
07/19/17
Midroof Inspection
0000
150.00
150.00
Tota!
�$l0.00
I rvin /VI rVNI VNJI/IGJJ.
ONSTRUCTION
U P PO RT
ER'VICES, INC.
7901 S. ADAMS WAY
CENTENNIAL, CO 80122
PHONE 303-221-1559 FAx 303-694-3604
FEIN: 84-1585261
Invoice
Date: 08/19/17
Invoice No: 109321
Terms: Net 30
Due Date: 09/18/17
Bill To:
Grissom Contracting
John Grissom
10290 S Progress Way Unit 206
Parker, CO 80134
Project: 3130/3140 Teiller St
Date.
Description
Item
Rate
Amount
08/18/17
Final Roof Inspection
0000
200.00
200.00
Total
$200.00
TI .. 1. � /
_
Is 1% rVN /VI YVN! L/N JIlIGJJ.
X30L INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
J
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector
Initials Comments
Pier
Concrete Encased Ground (CEG)
Electrical
Foundation / P.E. Letter
Sewer Service
---------
Rough Inspections Date
Inspector
Underground/Slab Inspections Date
Comments
Initials
Electrical
611
Sewer Service
Lath / Wall Tie
Plumbing
nr, Klr%# P^.,.,.. I
---------
Rough Inspections Date
--
Inspector
Initi Is
— I...vVG. VI 1111. AiJVVCi 111, vullons
Comments
Wall Sheathing
Mid -Roof ✓
611
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
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.
*Fnr Inw vn1t2nc. nnrmi4c — Dl0000 h �... 4L1_4 __.._� :_____"___
• - - - - - - --. - -..�^.. �-•-y• •.,r.......,. �•� �•� v --p U V [ ui n u KY nI c vuuici ano eiecincal low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A �r City of Wheat Ridge
Residential Roofing PERMIT - 201703857
?ERMIT NO: 201703857 ISSUED: 07/13/2017
TOB ADDRESS: 3130 Teller ST EXPIRES: 07/13/2018
TOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm estate gray
class 4 impact resistant dimensional asphalt shingles - 50 sq
"* CONTACTS ***
)WNER (303)241-0771 THE
PATIO HOMES
AT HAPPY LANDI
3UB (303)204-0408 John
Grissom
170128 Grissom
Contracting
*** PARCEL INFO ***
7,ONE CODE: UA /
Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2405
/ BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
12,850.00
FEES
Total Valuation
0.00
Use Tax
269.85
Permit Fee
251.85
** TOTAL **
521.70
*** 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.
r
City of Wheat Ridge
Residential Roofing PERMIT - 201703857
PERMIT NO: 201703857 ISSUED: 07/13/2017
JOB ADDRESS: 3130 Teller ST EXPIRES: 07/13/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm estate gray
class 4 impact resistant dimensional asphalt shingles - 50 sq
*** CONTACTS ***
OWNER (303)241-0771 THE PATIO HOMES AT HAPPY LANDI
SUB (303)204-0408 John Grissom 170128 Grissom Contracting
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,850.00
FEES
Total Valuation 0.00
Use Tax 269.85 ,
Permit Fee 251.85 f p`
-:s
** TOTAL ** 521.70
*** 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.
A r City of Wheat Ridge
Residential Roofing PERMIT - 201703857
PERMIT NO: 201703857 ISSUED: 07/13/2017
JOB ADDRESS: 3130 Teller ST EXPIRES: 07/13/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm estate gray
class 4 impact resistant dimensional asphalt shingles - 50 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 ermrt. I further attest that I am legall 'authorized to include all entities named within this document as parties to the work to be
performed and that alvork to be rfo ed is disclosed in this document and/or its' accompanying approved plans and specifications.
SignhUmD4 " OWNER or" CON CTORircle one) Date
1. This permit w issued based uformation provided in the permit application and accompanying plans and specifications and is
subject to the ompliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permits all expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prio 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 permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature o Chief Building Official v Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From:
no-reply@ci.wheatri dge.co.us
Sent:
Monday, July 3, 2017 2:49 AM
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
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION i
Property Address 3130 & 3140 Teller
Property Owner Name The Patio Homes at Happy Landings Association
Property Owner Phone (303)241-0771
Number
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Grissom Contracting
170128
(303)204-0408
Contractor Email Address John@GrissomContracting.com
Retype Contractor Email John@GrissomContracting.com
Address
DESCRIPTION OF WORK
Are you re -decking the No /
roof?
Description of Roofing Owens Corning - Duration - Storm - Estate Gray - Class 4
Material impact resistant - dimensional asphalt shingle
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 50
material selected above?
Does any portion of the No
property include a flat /
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES of all 50
roofing material for this
proj ect
Provide additional detail primary pitch 8:12 - accessible from one story ladder
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract -$42-
value
$4xvalue or cost of ALL
materials and labor) �r
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 John Grissom
Email not displaying correctly? View it in your browser.
3
Restoration Contract
Grissom Contracting
10290 S Progress Way #206 i Parker, CO 80134
(303) 204-0408 Office ( (303) 595-5279 Fax
Claims@GrissomContracting.com
ry � 7k
GRISSOM CONTRACTING
PROPERTY OWNER PROPERTY ADDRESS CITY, STATE, ZIP
The Patio Homes at Happy Landings Associatoin 3130 &3140 Teller St Wheat Ridge co 80033
PHONE EMAIL
DESCRIPTION OF PROJECT: General contractor will furnish all labor, materials and -equipment to construct in a good workmanlike manner all work associated with the
insurance claim unless otherwise specified in writing. All products will be installed in accordance with manufacturer's specifications and in accordance with the 2012
International Building Code requirements. Company will obtain building permit and schedule necessary inspections through the building department of the applicable
jurisdiction. The price of the restoration shall be the amount on the estimate specified as RC`J "replacement cost value" plus all approved
insurance supplements. Supplements may include, but are not limited to: overhead, profit, taxes, license and permit fees, adjustments to measurements, undiscovered
damages, omitted items, and correction of product selection.
Grissom Contracting is insured with Moody Insurance Agency Inc. (303)824-6600 • General liability - Mesa Underwriting Specialty - Policy #MP0005003001654
Workers Compensation — Pinnacol Assurance — Policy # 4158431 " Automobile Liability — Continental Western Ins Co — Policy # CPA307091422
SCOPE OF WORK AND PRODUCT SPECIFICATIONS
X Tear Off and Disposal of Existing Roofing System
x _ Install 2"x4"GutterApronat Eaves
_ x Install Ice & Water Barrier at Eaves & Valleys
x Install SyntheticUnderlayment
X Install 2"x2"Drip EdgeatGables
x Install Pipe lacks and Flashings
X Remove/ReplaceDetach/Reset Venting
x _ Paint Pipe Jadsand Vents
Shingle: mos Coming Duration STORM Estate Gray -
x Install Step Flashing and/or counter -flashing
X_ Install Asphalt Starter at Rakes and Eaves
_ x __ Install Laminated High Grade Shingles
x Install Ridge Cap at Hips and Ridges
X Gutters, Aluminum, S" Color., match existing
X _ Downspouts, 2"x3" Color match existing
21 Additional Scope of Work - See attached form
Replace Roof with Impact Resistant OIC STORM shingled
Insurer. BafthIre Hathaway Claim A _ PASP849151-01
SOL Date: 050312017_.._
S _Contract Amount Excluding Supplements
5. upon delivery
$ balance epreciation + Supplements
due upon Completion
Estimated Dates of Service: 0611912017-06/2312017
Replace All guners, downspouts, guitar covers, repair windows,
Repair interior damages
TERMS AND CONDITIONS: The Terms and Conditions attacheda ess orporated into this agreement. All contracts must be approved by company otticer.
CONTRACT1/SELLER SIGNATURE DATE OWMR/I
THORIZED 5! URE DATE % fI
(0/13)1 7 (�
CONTEtACTOR/SELLER PRINTED OW ORIZE R E
John Grissom - President 5kAgor.t H6,,,i-e-Al �s PrzE5iAe17'
NOTICE OF CANCELLATION—YOU MAY CANCEL THIS PURCHASE IN WRITING ANYTIME PRIOR TO 72 HOURS AFTERTHE EXECUTION DATE OF THIS CONTRACT WITHOUT A CANCELLATION FEE OR PENALTY AND
RECEIVE A FULL REFUND OF ANY DEPOSIT MADE, YOU MAY ALSO CANCEL ANY SCOPE OF WORK DENIED BY YOUR INSURANCE COMPANY BY PROVIDING PROPER WRITTEN NOTICE WITHIN 72 HOURS AFTER
RECEIPT OF WRITTEN NOTICE FROM YOUR INSURANCE COMPANYTHAT YOUR CLAIM HAS BEEN DENIED AS DEFINED IN SECTION 3 BELOW. CUSTOMER MUST PAY FOR ANY AND ALL WORK COMPLETED AND/
OR MATERIALS PURCHASED AND DELIVERED,O CUSTOMER'S PROPERTY ATTHE TIMIE OF CANCELLATION.
I hereby give .rotten notice that[, the buyer,'customer" wish to cancel my contract. I further verily that t have executed said cancellation within the three day period allotted as stated ;n this contract
CANCELLATION SIGNATURE
CANCELLATION DATE
GRISSOM CONTRACTING SHALL HOLD INTRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL ROOFING MATERIALS ARE DELIVERED OR UNTIL A MAJORITY OF THE
ROOFING WORK HAS BEEN PERFORMED ON THE RESIDENTIAL PROPERTY.
THIS CONTRACT AND ANY AGRfFMFNTMADE PURSUAIITBETWEEN GRISSOM CONTRACTING COMPANY"AND THF PROPERTY OWN ER(S)"CUSTOM ER"WIll. BESUBJECTTOALL APPROPRIATE LAWS,
REGULATIONS AND ORDINANCES ANDTOTHE FOL.OWING SPEGALTERMS AND CONDITIOIsS.
1. The final contract price shall beequa'tothi, "Contract Amount"listed on this contract plus any approved insurancesupplements or the final revised replacement costvalue as statedon the Property Owner's
final irsurance loss sheet or claim settlement form, whichever is greater plus casts associated :nth upgrades selected by customer that are not covered by Insurance funds, plus unforeseen costs. The
replacement cost value listed on the original insurance company scope of loss repments only the value acknowledged by the insurance carrier at time of original estimate and is generally not equal to the
contract arrount or the final total amount to be paid.
2. Customer is to provide all insurance paperwork related to this claim to Company including but Pot limited to the Property Owners/Homecwners Insurance loss Sheet. Failure of Custamer to provide this
information in a timely manner and/or allow Company access to this information does not affect the Total Amount to be paid by customer as specified on the front of this contract and in section t. Refusal of
customer to provide this information is a default of this contract on their part.
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: s
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INSPECTION RECORD
7500 W. 29th Avenue
Wheat Ridge, Colorado 80033
(303) 235-3855
,r/nsnect/on Line (303) 2345933
Inspections will not be made unless this card is posted on the building site
24 Hours notice required for inspections
Job Address
Building Pert
Owner i&
Contractor
Contractor Wi
Type Occupancy
~'-3
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
APPROVAL
DISAPPROVAL
INSPECTOR
INffIALS
COMMENTS:
Footings/Caissons
Slemwall
Reinforcing or Monolithic
Weatherproof / French Drein
Water/Sewer Service Lines
CONCREfE SLAB FIOOR
E]ectricai (Underground)
Plumbing (Underground)
Heating(Underground)
. vv.'..v I ~ vn ` ~pvvc I 1n0 UCCIY V0.f1`ICV
Electrical Service
Rough Elechtic
Rough Plumbing
Air Test Gas Piping
Rough Mechanical
Freming
Rooring
Insulalion
- _u,
d 4(.
Drywall Screw
FuiaLs
Electrical
Plumbiog S
0 -0{
ct'1Z
Mechanical 3_
~~-a6
Gat
Frame / Interior Finish
13-G
n'1'L
C1 CL-
R.O.W & Drainage
Fire Department
Parking & Landscaping
'''''NOTE: ADDIT
/ONAL /N
SPECTIONS / COMMENTS ON BACK
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM TNE WEATHER
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Building Permit
CITY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
y,.
Ay
CiIyNYAibvlftdge
Residential Remodel
Permit Number
19687
1 / 18/2006
Inspection Line
303-234-5933
PROPERTY 3140 Teller St Unit:
owntEx: belle J. Haley (303) 736-4471
Description
Finish basement.
E
HOME OWNER. 0 ___j
Units: Occupancy: R-3 Walls: Roof: Stories: Sq Feet:
I hertby certify tbat the utback divmncu pmpoved by thia permit appliutlon am aswntq and do not vioh[e aOPlicvbk orEinmce4 Nks or reLWatlom of 0e Ciry of
Whem IUdee or coveoanta, memenb or raMlcUone of ncord; thal all menurtmmb eM1Owq mA aIlegatbm made are ucunh; Nat 1 M1ave reW md a`rm [o obide by
a0 rooditloms pdnl<d on Nb applleatbq ond Nat Iaasume PoO ruponsibNty fm aomptlmce wiM the Whem IUEge Building Coae (L.B.C.) and W ather appllnble
Wlieol eordinancw or orkuotler bpermi~.
~ - 06
R)(CONTRACT - /SIGNED DAYE
t Thia permi[ wae luued b~ttordaoce witM1 ILe v6ionv ut forth In your appllnlion mA Is subjeM to the has of the 5ta1<of Cabndo and to the Zoning
Requlatlom mtl BuiWinC Cotle af Whn[ Rideq Colontlo or my other app6aabk ardinmau of ILC Cly.
2 Every pn+nit luued fholl Lecome InvWd unler. ILe work on [he file aulhorlutl by mth peonit ie comooeneM withlu 180 tlqs aRer ib iuuaoce, or if tM1e work
rvlharued on M. ii[e by rvah permit le vurp<uded or cbandoned far v perW of 180 days vRer the 11me o(work Iv mmmrnaetl.
3 If tMe pe.mlt expiw, a new permlt mry be acquired for+ (ee af oncAalf tlm vnaunt normvlly rcqutred, prohaed m aluneu Mve been or w1Y be mieCe in Ne
prieinJ plapf mtl spet10u0onv and my suapcnvbn ar aEantlonmmt hvs not exceeded one (1) yeac If chmen m made or if tmpentlon or .bmdonmm[
exettN one (1) ywy full &u AW be ptld (ar v new permit.
4 Poworko(onymlnnenM1nllEedane[hat wNChange0enamnl0owofwnteraaueingadnimeeprobkm.
5 Cantreatorshal1no11fytheHuOdlnelnepetmrlwmfy-faur(3d)hourrinatlvmttforallinspecllans+ntlahallttttlvewritlenapprvrslonWpatlonmrdbefars
proaxding wiN sucenYve pM1UU of the )ob.
6 TTe ismana of n permit or the op 1 of Jrawinp,a and spaNCatloos ahAll mt b<construed to Le a permlt foq uor mapprovvl of, my Nokflon ot[h<
omvblooaa4tlRitllld1o¢ r my othe ~oce, law, rvk or requhtlon.
Wednesday, January 18, 2006 Page 1 of 1
Building Permit
CITY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
J '
City af W1taY ISdge'.t;.. (
Residential Remodel
Permi[ Number
19687
1 / 18/2006
Inspecfion Line
303-234-5933
pROpERTY 3140 Teller St Unit:
owNEx: belle J. Haley
(303) 736-4471
Description
Finish basement.
Authorized By guilding Approval Zoning
Authorized On 1/4/2006 Approved By CR
OK w/ notes. Subject to field
inspections.
Wednesday, January 18, 2006 Page 1 of 1
COMMUNITY DEVELOPMENT DEPARTMENT Bullding Permit Number:
oF WH~'OT,~ BUILDING INSPECTION LINE - 303-234-5933 Date:
'o~ CITY OF WHEAT RIDGE
~ 7500 WEST 29TH AVENUE ,
WHEAT RIDGE, CO 80033 - (303-235-2855)
`~°~~aP P "PLICAT1'ON
Property Owner:
Ptoperty Address: Phone:-~03 7-36-071
Contractor License No.: , .
ComPanY: ~fll b ~r~' Phone: 303 -
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Bufldinq Dept, Valuation Figure: $
I hereby certiiy that the setback disiances proposed by this permit appilration are
accurate, and do not violate applicable ordinances, rules or regula8ons of the Cfty ot vg]ll0:$/~° Ood -/Soc~c
W heat Rtdge or covanants, easements or restrictlons of record; thatall measurements /
shown, snd allegatlons made are accurete; that I have read and agree to abide by all Permit Fee:$ .
conditions printed on this appllcaUon end ihat I assume full responsibillty for
cpmpliancewiththeWheatRldgeBulldingCode(I.B.C)andallotherapplicableWheat P1anReviewFee:$
Ridge Ordfnances, for work under thk permft. Plans su6Jed to field Inspectlon. T r„e T,,,,.Q
_.,......1te.r+ne'.e"ucri~ :t-Y Oi'' .I ~ATE / TOt'dl:$
UseofSpace(description):,4i~, sd k~lqSCl~c-tii A~z ~Dn„~
Descriptlon of work: V
JpN
2008
Sq. Ft added BUII.DING DEPARTMENT USE ONLY SIC:
~ COMMENTS: . .
Approval:
Zoning:
f0
dGCOMMENTS: QG
Approval: C~ ~OCI/ r~
WORKS COMMENTS: Approyal: ' -
'ARTMENT COMMENTS:
Approval:
I ~ 5 Walis: Roof: Stories: Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Sq.Ft.:
Mechanical License No:
Company:
Expiration Date: Expiration Date: Expiration Date;
qpproval: Approval: Approval:
(1) This pertnftwas Issued In-accordance with the provlsions set forth In your application and Is su6jectto the laws of the State of
Colorado and to the Zoning Re0ula8ons and Butlding Codes of Wheat Rfdge, Coloredo or any other applicable ordinances of
the City. (p) This permit shall expfrelf (A) the work authorized ts not commenced within slxty (90) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days, .
(3) If thls permit expires, a new permit may be acquired for a fee of ona-halfthe amountnormally required, provided no changes
have been orwill be mede in the originel piansand speclficatlons and any suspenslon or abandonment has not exceeded one
(1)year. If changes have been or If suspension or abandonment exceeds one (1) year, fuli fees shall he paid for a new permit
(4) No work of any manner shall be done thatwill change the natural flow of water caustng a drainage problem.
(5) Contractor shall notlry the BWldtng Inspectof twenty-four (24) hours ln advance fir all Inspections and shall recelve written
approval on inspectlon card before proceedtng with successlve phases of the job.
(6) The issuanca of a parmit or th approval of drawin8s and specifications shaii not 6e consWed to be a permit for, nor an
approvafof yvlola n provfslonsofthebutldingcodasoranyotherordlnance,law,ruleorregulation.Allplanreview
1s su o Fleld ons.
(p
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Wheat Ridge Building Department
proved
BUILDING F(CIpL d
~~l Y a it The (ssuance d a pemNt a p DA G
ape~;ficatio
and canpNations sA~l not be a aDP~a~ M ans,
permit for, or an apprpviw oi, arry violalion I
~Y 01the provisions ol the b6ilding code a ot any City adinances.
_ ~NYIS qesumina tn ntvo .
A~\ 'Fgo
~
G;ui a Siut lL
i2S a0.G~ vt~c.~ti.~'D
Chy of Wheat Ridge PRESCRIPTIVE ENERGY CODE
BOILERS I FURNACES A MINIMUM OF 90°h AFUE
OAS WATER HEATERS A MINIMUM OF.60 ENERGY FACTOR
fLECTRIC WATER HEATERS 4 MINIMUM Of.93 ENERGY FACTOR
$ETBACK THERMOSTAT REQUIRED (EXCEPT HYDRONIC HEAT)
R-21 WALLS • RJ8 CEILINGS • R•19 CRAWISPACES
-,a
tV
F
PERMITTRACKIN6 FORM
ADDRE55 <cLLC-R
DATE 50MI7TED 3-1U cR PERMIT NUMBER~ TYPE OF PERMIT~~S .
CON7RAGTOR A-DP\'R CRC~I~P PHONE
OWNER SI~\)LS~I)R~` ~C>Pc-QT\~cS ~ PHONE
NPE OF REQUEST
[0ipf'AV!'WVED (A- lp -clq
REQUIRED CONDITIONS MET PRIOR TO PERMIT APPLICATION ? YES - NO N/A
CONDI710N5 OF
BUILDING DEPAR7MENT
DATE IN
DATE OUT
❑
EN6INEERING DEPARTMENT
~y
PLANNING DEPARTMENT
~1~-qC1
5-~~~ ctck
❑
FIRE DEPARTMENT
❑
CIIY ARBORIST
-
❑
POLICE DEPARTMENT
SEWERDISTRICT
'ctCl
14
WATER DI5TRIGTL"ftC001
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Date: 11-o -qc1
A Certificate of Occupancy or Completion has been requested for:
ADnRESS: 3/ 36 - 31-40 / ~ .~.c~
Purpose of Structure:T
0
Building Department Approval: /-Z -
Remarks:
Zoning Approval: AA/1-
Remarks:
Public Works Approval:
Remazks:
Fire Marshall Approval:
(If Applicable)
Remazks:
Sanitation District Approvai;
(If Applicable)
Remazks:
Water District ApproN
(If Applicable)
Remazks:
INSPECTIONS WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE BUILDING SITE
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE (303) 234-5933
INSPECTION RECORD
JOBADDRESS
BUILDING PERMIT NO. Y~f~ d I%q. DATEISSUEDV- G' Y"Y I TYPE I OCCUPANCY
OWNER I I I
CONTRACTOR - -icC'roie'IQ 7`-;
SETBACKSFROM PROPERTYLINES: NORTH SOUTH EAST WEST
INSPECTOR MUST SIGN ALL SPACE PERTAININ T THI JQB
INSPECTION
DATE
INSPECTOR
Foundations
Footings
Caissons
Reinforcing or Monolithic
Weatherproofing
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
oncrete I b Fio r:
Electrical (Ground Work)
Plumbing (Ground Work) ~i
y Q
Heating (Ground Work)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Rough Electrical 6ir., k, e Q
7 y qf ,
m
Rough Plumbing (
7 a
~
Air Test Gas Piping
Rough Heating & Ventilation ~ ff
~zo
(above must be signed prior to fiaming inspection)
Framing ~ /5/ 9
Insulation
Drywall nailing
Roofing
Refrigeration
Electrical underground
Rnal
Electrical es
Z
~ ~%.1
Plumbin o'~ 0... r 1~
,
Heatin & Ventilation ,
a Q
Frame
R.O.W. & Drainage
Fire Department
Parking & Landscaping
eo
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 8745
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 4/6/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3130 & 3140 TELLER ST
Contractor License No. : 19905
Company : Adair Group
Phone : 233-3447
Phone : 477-7900
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 (U.B.C.) and all other applicabl hea Ridge rdinances, for work under this pe/rmit.
(OWNER)(CONTRACTOR)SIGNED '~Ql DATE~-l0_/ (
Description : One duplex ONLY, no detached garages
Construction Value : $229,925.00
Permit Fee : $1,721.75
Plan Review Fee : $0.00
Use Tax : $3,448.88
Total: $5,170.63
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval : MLC All signs and fencing must be by separete permit
Zoning : PRD
n Wn'`°"°°' °'',"°'M Okay per comments, NO MECHANICAL INSPECTIONS UNTIL ROCKY
Approval : DM MTN HEAT HAS RENEWED THEIR CONTRACTORS LICENSE
4° zeO See letter attached from Bob Goebel, and FINAL APPROVAL AND
Approval : Bob Goebel PUBLIC WORKS FEES DUE PRIOR TO C.O. AND GARAGE PERMIT
OccuPancY ISSUANCE
Walls : Roof : Stories : Residential Units :
Electrical License No : 20231
Company :CMS Group
Expiration Date : 1119/2000
Approval:
Plumbing License No :18985
Company :S & R Mechanical,lnc
Expiration Date : 2/5/2000
Approval:
Mechanical License No : 18932
Company : Rocky Mountain Heat
Expiration Date : 6/26/97
Approval:
('I) This permit was issued in accordance with the provisions set fotlh in yopur applicalion antl is subjed ro the laws of the State o( Colorado and to ihe Zoning
Regulations and Building Code of Wheat Rid9e, Coloredo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorizetl is not commenced within siMy (60) days from issue tlate or (B) the builtling authonzetl is suspentletl or
abandoned for a period ot 120 tlays.
(3) If lhis permit expires, a new permit may be acquired for a Fee of one-half the amount nortnally required, provitled no changes have been or will be made in the
original plans antl specifcations antl any suspension or abandonment has not exceeded one (1) year. I( changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water wusing a tlrainage problem.
(5) Contraclor shall nolify the Builtling Inspector twenry-four (24) hours in advance for all inspeclions antl shali receive wntten approval on inspection card before
proceetliing with successive phases of the job.
(6) The issuance+ 9fa . permit or ihe approval of drawings and specifcations shall nol be constmetl to be a permit for, nor an approval of, any violation of the provisions
of the build d/.°°/e,Ridy olher ortlinance, law, mle or regulation.
Chief Building Inspector
For inspection this permit must be posted on
the site and visible from the street
TERMS AND CONDTTIONS
As applicant for a building pemut in the City of Wheat Ridge, I do hereby agree to the terms and conditions
set forth belw for the issuance of a Certificate of Occupany in connecrion with Uus building percnit. The
issuance of a Certificate of Occupancy requires:
1. The completion and approval of final inspections and any necessary corrections of electrical,
plumbing, mechanical and framing systems. Inspections aze performed by the Building Division.
2. The completion of site drainage/grading requirements per the approved site grading plan
and/or final drainage report and plan, if such report and plan is applicable. For all residential and
nonresidential projects with an approved final drainage repoR and plan, a letter of certificauon is
required from the projects civil engineer of record. Inspecuon are performed by the Public
Works Department.
3. The compleUon and acceptance by the City of Wheat Ridge of all required public
improvements, or a Development Covenant may be processed in lieu of consuuctinf said
improvements. The Public Works Department performs these inspections or provides the
Development Covenant.
4. The completion of all required landscaping and related site improvements. Inspections
aze perfortned by the Planning and Zoning Division.
All the above items must be completed and signed oft 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 CeRificate of Occupancy nor permission for occupancy. Occupancy of the
structure is not permitted until the Certificate of Occupancy is issued. (Unfiform Building Code,
Section 109)
The City is not responsible for any real estate closings or other agreements concerning the property which
may be affected by failure to compete the above items and obtain a Certificate of Occupancy.
The City is under no obiigation to issue a temporary Certificate of Occupancy.
[ have read, understand and agree to the foregoing terms and conditions.
Name (ple e print) Q.'nCh f OUJ~~_
Signature: '
Date: +l0 - I ~
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 APPUCATIo N
~
PropertyOwner: ,5'4yi:-5414Ky /*0647'Y LCLC.
PropertyAddress: 3/30 t 30y0 7igc.~,felC ST Phone:3o3 a33 3vY?
Contractor License No. : I q,0'~i
Company: AD,4iR GtRoyp Phone:3o3 17;7 7y00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : Z,fOl q,'~ Gt7
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 restnctions of record: that all measurements shown, and allegations
made are accurate; that i have read and a4ree to abide by all wnditions printed on this
applicatian, and that I assume full responsibility for compliance with the Wheat Ritlge Building
Code (U.B.C.) and all other appliwble Whea idge ordinan s, tor work under this permit.
(OWNER)(CONTRACTOR) SIGNE aGKIA'- DATE ~l /o
/
Permit Fee : 1j 1 Z1. ~ S
Total : _57 4--1
Use: /Qfzf~OE,NTIrtL
Description : ! - ~ upLJEK
IR EE C E fIME DD
BUILDING DEPARTMENT USE ONLY
t ; pqV~ SI .:-------S9'-Ft-'--
Approval: Rp VVi S~ ~t
Zoning :
7i difflConm~ J*!~ LD/h/nfi~~5
Approval
YYbI sC~W . 7 P
r
Eet~~ aft~ e,h~d G-
Approval :
Occupancy : Walis : Roof : Stories : Residential Units :
No : ) (f'lumbinq License No :
_Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur aOPliration and is subI'ect to the laws of the State of Coloratlo antl to the Zoning
RegulaGOns antl 8uilding Cotle of Wheat Ridge, Colorado or any other applicable oMinances of Ue Ciry.
(2) This pertnit shall expire if (A) the work authonzetl is not commenceC within sixly (80) days from issue date or (B) the builtling authonzed is suspended or
abandoned for a penod of 720 days.
(3) If this permit expires, a new pertnit may be acquired for a fee ol onehalf the amount normally required, provideA no changes have been or will be matle in the
onginal plans and speufications antl any sus~ension or abantlonment has nol exceeded one (7) year. If changes are matle or if suspen%ion or abandonment
exceeds one (1) year, full fees shall be paid for a new peimil
(4) No work ol any manner shall be done that will change the naturel flow of water causing a Orainage problem.
(5) Contractor shall notity the Building Inspector twenry-four (24) hours in aEvance lor all inspections and shall receive writlen approval on inspectiw wrtl before
proceediing wiN ys C~ essive phases of the 7~ob.
(e) The issuancepY3p~ rmit or the aDProval of d2wings and specifwtions shall not Oe consWed to be a permit for, nor an aOProval af, arry violation of the provisions
of the buildioQ.toUfs or-ar"her orCinance, law, rule or regulalion.
~
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y
MRR 18 '99 02:03PM CMWCC~pqX
Mar-1L~-y7 11 zJ0I1 ..+'~.--303 235 2857 P. 3.'3P - 02
CITY OF WHEAT RIDGE
CERTiFICATE OF WATERAND SEWER SERVICT AVATLABII.ITY
Note to Applicant: A building pecmit will not be issued, vithouc this Cera6cate signed by the
pistrici or A$ency supplying setviCes. T is s' ifieate ez gjLes one vesr fromdgte of aoneQVal
b 1141112611112 Milt
Io/~r (s bllY.tc. _1
LeDyscriptioa
I~4J ex
l91
uu,. '~11r,i Prnrer`1~~ -
Owner Address _ Telephoae
SEWER
Name of Disttiet: [ndiviQual SCptle Pumit No.
Sewar Seevia Available Sewa Savi,< Not Avaiiable
Co^••^nnee p[ (."OUditt0U5; .
t hemby «nury ftc Wlil2ba[ry oeservia is as +ndicaua abaK.
Sigiatute of Autlwtized Agcot ~
]effersan CountY Heallh Depatuneat (ff SEPTIC)
AIPIwitud 5,9W= Date
WT~He Co~n;solidat Mutu I WpTER
NamerofD°►sct,~Y ColoradoWdlPecmitNo.
(~Water Sccvia Avaitabk
Water Sw ce Not Availabk
CommemsocCnaditieas. Water service is sub'ect;
rules
as
Jaffstson Co" Hea1tL PVanm°~ ~ WEL1'? -
AuthocizedS igoamn ~Q
MAR-16-99 TUE 10:83 WHEATRSDGE SRNITHTION DI 0234242280
Mar-11-89 30:38A DVVREVFAX 303 235 2$57
C[T1' 0} VNMATUDGG'
CXRTTFtCATE OF WATZRAND SEWEF. SEktVICE AVAIx,AHILITY
Note to ApplicSnt: A bui(ding pefmit will not be usued without th;s Cectificxte signed by the
Di.itrice or Agency supptying setvices. Thic jjjficat ,l;pires one Kga1, frOm ate of a ravai
bv auth°ri3~
lob Addre6s Date
Legal Dnscnption
: ~UPL~1t
iJse of BuilAing •
s~~~S~ ~L+ ~ C1C(',Q~1ZTL ~ C~
Owner Address -Celephoae ~
SEWER
Namc of D'uuicr. W_,R .~~fp(1ltCa l(i-N _ InCividwl Sepuc Pecmlt No,_
( 7 Sewet Service Avallablt ' pQ SNver Serv co Not Avulabie
CORVIICtttS Ot Can~iitlollS: ~..f ♦ r ~e vtr /~e'a in S f ~f(~•-~u~JC..c~
o~ T4~J ~o ~-ft ~ f ct~
! Aeccby rtify tRat availaq',►iry secvfec is av indiq~ed above, • T^'~ - ^
si mieotnuu~`zn nt • 3 n`leF~---
Jefferaon Couney Keallh Ocputincnt SfiPTIC) ~`~w
_ Aathoriaed Q ignature ~ p21t
(1^ H'ATER
. ColOrado WUI Pemut No.__
( ) Waler Serviu Availsbto
O water Sen tce Not AvallaDto
Commemr or Condiltons:
~~1°«aY ro~Fy thu avalla6iliry of sccvicc ia as indiwtcd abovo ~
Sigrtz(utc of AuLhorized Ageni "
P.03
P.02
IaCerson County Halth Ueputmcnt (II+ WELL)
AuUiorized : ignaw,a Dnte
PLANNING & DEVELOPMENT
BUILDING PERMIT REVIEW CAECK LIST
Address:
Zoning: P(~D
Existing use:
Permit is for:
Deed:
Survey:
Plot Plan:
STANDARDS
Required
Proposed
Setbacks/Height:
Front:
side:
Side:
~
_
. a
Rear:
l
~
_
Structure Height:
Coverages:
Building Coverage:
Lot Coverage: _
2.g.3J°?Z)
Area and Width
Lot Area: 13,p83,b~1tif
Lot Width:
Landscaping Requirements:
Landscaping Percentage: ~i -v~.5 /O
Number of Street Trees:
Number of Trees/Shrubs:
Parking Requirements:
Required Parking Ratio:
Number of Spaces: _A
Number of Handicap:
Signs: I.ocation Size/Area
Free Standing:
Wall: - ~
Other.:
Lighting shown:
Ni(e St08ffl91' - awo r■a sc #433. wamew. co eom
Residential and Commercial Plan Reriew
Plan Review Cwrection List
R*t saIIIIIIIIIIIII RroaerUes ulc
Addr= 3130, 3140 Teller St.,, Wheat Ridge, CO 80215
Ilate Merd124.1888
Valuatlat 5228.825
P/C fet 51118.14
1. Basement egress windows require a minimum 3' x 3' window weil - UBC
310.4
2. Smoke detectors are required in each corridor, centraily located, that
lead to sleeping rooms and in the basement. - UBC 310.9.1.4
3. Laundry room required to have an exhaust fan. UBC 1203.3
4. H20 heater requires combustion air. UPC 507.0
5. Water supply to be 1" min. UPC Tabie 6-3 and 6-4
6. FAU requires adequate combustion air. UMC Chapter 7
7. All footings to be below designated frost depth. UBC 1806.1
8. Provide soiis report to ensure loading capacities.
9. Receptacles for small appliance circuits and in the basement shall be
GFI protected. Add to electrical note on electrical plan. NEC 210-8
10. Landings shail be in compliance with UBC 1004.10. They must have 3'
width and length on each side of the exit door.
This plan approved with corrections. Attach corrections to plans and review
soils report.
MEMORANDUM
Approved Date
¢+Q'Aa`iTFM'!'Il'9W @^fIP➢3r77UP5LC
TO: Alan White, Director of Planning and Development
FROM: Bob Goebel, Director of Public Works1511
DATE: April 6, 1999
SUBJECT: Happy Landings / 32"' and Teller
Since Greg Knudson is presently on vacation, I have reviewed the resubmittal of corrections to
the revised drainage plan for the referenced project. The initial comments were taken care of
to a degree, however, there are still minor details which need correction. I feel that these
details may be worked out when Greg returns and are not significant enough to hold up the
Building Permit. Therefore, I will approve the issuance of a building permit with the condition
that these minor details are corrected in the very near future after Greg's return and
appropriate response to the Engineer. If these items are not addressed, we reserve the right
to issue another stop work order until such final set of erosion control and drainage plans are
approved by Greg. Final signed approval of the building permit wiil occur when the plans are
complete to Greg's satisfaction.
As you suggested, this memo shall be attached to the building permit so that Mr. Garbini is
aware of the conditions of the permit.
c: Greg Knudson, Development Review Engineer
Darin Morgan, Codes Administrator