HomeMy WebLinkAbout4335 Teller Streeti CITY OF WHEAT RIDGE
1�97Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:UAI!l'Ci
Job Address: `!3-' i
Permit Number: diG
V
❑ No one available for inspection: Time AIVI
Re -Inspection required: Yes f No,�
When corrections have been made, call for re -inspection at 303-234-5933
Date: all 13 / Inspector: Dynel f_oma 6
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802965
PERMIT NO: 201802965 ISSUED: 11/08/2018
JOB ADDRESS: 4335 Teller St EXPIRES: 11/08/2019
JOB DESCRIPTION: Residential sewer line replacement in yard only with dual sweep cleanouts,
10 feet.
*** CONTACTS ***
OWNER (720)536-1519 JOHNSTON SHARON A
SUB (303)210-8207 Brandon Weston 110115 Premier Excavation Services
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,800.00
FEES
Total Valuation 0.00
Use Tax 58.80
Permit Fee 93.35
** TOTAL ** 152.15
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802965
PERMIT NO: 201802965 ISSUED: 11/08/2018
JOB ADDRESS: 4335 Teller St EXPIRES: 11/08/2019
JOB DESCRIPTION: Residential sewer line replacement in yard only with dual sweep cleanouts,
10 feet.
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 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.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity.. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 t proceed or conceal work without written approval of such work from the Building and Inspection Services
Divisi
6. The su nce r grant' of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
app e c e or a d' a or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
V`Iheat Idge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits0ki.wheatridae.co.us
FOR OFFICE USE ONLY
Date: ///E"//
l E
Plan/Permit #
A,( 9&
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): , ��� �o�y�� Phoner�?-0)534— IS -1 y
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing -Ad—dress: (if different than property address)
Address: d 33� 1 te l Iec 5�_
City, State, Zip: w �\Qfj � ' l i 601 '�_ (6 8 00 n
Architect/Engineer E-mail: Phone:
Contractor Name: Pfemio-f ��ICc�Vb t4i'1 Se_gL)i CeS
City of Wheat Ridge License M �� 1 � s— Phone 3) 2 I 0 �� q
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): We -J o t(\ Phone: (a43) Z 10
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub:
City License #
Other City Licensed Sub:
City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
® RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount, of materials to be used, etc.
Sani �4V J SVAk ( I'►h � J�Pla c e ivyOv��r� ► � f� c O eAA 4ac ftf C lec4Yl O J+s J
10
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: KIN # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OR 6"
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRA
Signature (first and last name): _
Printed Name: T--5 �Q'r
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Iwo
or (AUTHORIZED REPRESENTATIVE) of (OWNER) pp(CONTRACTOR)
+
DATE: 1 I'
M&
USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
*** CONTACTS ***
OWNER (303)940-3532 JOHNSTON SHARON A
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,428.00
FEES
Total Valuation 0.00
Use Tax 281.99
Permit Fee 267.70
** TOTAL ** 549.69
*** 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.
®e_
City of Wheat Ridge
J
Residential Roofing PERMIT -
201704340
PERMIT NO:
201704340
ISSUED:
07/18/2017
JOB ADDRESS:
4335 Teller ST
EXPIRES:
07/18/2018
JOB DESCRIPTION:
Residential Re -roof to install Owens
Corning Duration Storm asphalt
shingles REDECKING with 29 sq. (24
sq. pitched,
5 sq. flat)
*** CONTACTS ***
OWNER (303)940-3532 JOHNSTON SHARON A
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,428.00
FEES
Total Valuation 0.00
Use Tax 281.99
Permit Fee 267.70
** TOTAL ** 549.69
*** 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.
4
/ I-70 43 _
/
��'I
Occu anc /TNSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless tcard is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to rthe an inspection the following business day.**
Inspector Must Sign ALL Sp es pertinent to this project
Foundation Inspections Date In ector
nitials
Comme
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Rough Plumbing/Gas Line
Do Not Pour Concrete Prior To Approval 0F'The p o In a tlo
Underground/Slab Inspections Date Inspector Comment
Initials
Electrical
Sewer Service
Plumbing
r,_ u_. n ........... -A Wnrlr Prinr Tn Annrnval 0f The Above Inspections
L %R IIs % VV.v.
Rough Inspections
Sheathing
Date Inspector
itials
---- -
CommentsI
Mid -Roof
rl
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date Inspector
CommentsInitials
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 — riease De sure inat rough 1[15PCla1LJI1b d[U UU111P U V II VI II a IG I II.+ +�"< <'• " "•""`• •"`^• •"•• -"••"J'"
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
T
City of Wheat Ridge
Residential Roofing PERMIT - 201704340
PERMIT NO:
201704340
ISSUED: 07/18/2017
JOB ADDRESS:
4335 Teller ST
EXPIRES: 07/18/2018
JOB DESCRIPTION:
Residential Re -roof
to install Owens
Corning Duration Storm asphalt
shingles with 29 sq.
(24 sq. pitched,
5 sq. flat)
*** CONTACTS ***
OWNER (303)940-3532
JOHNSTON SHARON A
SUB (303)425-7531
John Borfitz
019983
J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN
GRANGE, WHEAT
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION: 13,428.00
Total Valuation
FEES
0.00
fi
Use Tax
281.99
Permit Fee
267.70
j
** TOTAL **
549.69
*** 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.
1. 4 i City of Wheat Ridge
Residential Roofing PERMIT - 201704340
l
PERMIT NO: 201704340 ISSUED: 07/18/2017
JOB ADDRESS: 4335 Teller ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 29 sq. (24 sq. pitched, 5 sq. flat)
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
perfothis permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
rec
r nd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of O or CONTRACTOR (Circle one) Date
1. This permit 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 Budding
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 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chie ui ding idial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSID]E S DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 10, 2017 10:39 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4335 Teller St
Sharon Johnston
303-940-3532
Field not completed.
No,
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 J&K Roofing
Contractor's License 019983
Number (for the City of
Wheat Ridge)
Contractor Phone 303-425-7531
Number
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the Yes
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
Owens Corning Duration Storm
Asphalt, Other (specify below)
Modified Bituman
How many squares of the 24
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 5
on the flat roof?
TOTAL SQUARES of all 29 V
roofing material for this
project
Provide additional detail House pitch 5/12 + Shed
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 13428
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 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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
3
CONTRACT <
4 J&K Roofing
BBB. �v
13000 W. 43rd Drive Golden, CO 80403 ear zat.
Phone: 303-425-7531 Fax: 303-425-1562
www.jkroofing.com
Representativef��/ i2gl (oma-- Contact '1de— W4-ff4U Date Y ^ 20-a
Name ���COC-4. 6" I )4•OAn, Phone _" .
Address q,33 r— f p l, �j� City zip _,Q'e�3
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS TERMS
AND CONDITIONS. PLEASE READ CAREFULLY:
Recover roof with
(r Color of shinglesrBc.Jvw
Manufacturer's Warranty _
14Tear off—Pti_ 3
YJ Install Underlayment tS k
Double all Eaves C�M-42.4 tspw,c3oA
Re -Flash Chimney and/or_%,Y i a V,.p�S
New Valleys _ 3__ 5
Replace Ridge_ A,
Ventilation
Galvanized Fasteners(..I_R.ml/`__S 'LLA j
Replace Plumbing Jacks
Paint roof stacks to match
Install Metal Edging
Patio or Flat roof __-LS 1M -__ ; �c�wc•�--.
s� Year Warranty on labor
XJ & K Roofing to furnish all material and labor
:Permit: __ Included __2'�, _ NOT Included
Clean-up debris and haul off all trash from roof
Roll yard with magnetic roller
Gutters cleaned of roofing debris
IDecking Repairs $�� per ��ec._
Hidden Layers (tear off) $� _ per layer
ICanie'iw� (Policy Number;
i o — w --
(Clam x) (Adjustor)
43
(Mortgage Co.) (Mortgage Loan Numbe?
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
Policy #CS00061742
Extra workC� _ice Q\p 2c. •.• k(�.15Co�/i19,� F
� "Aact 0��e�
The property owner is -4X is not using proceeds from
property and casualty insurance policy.
� F $ 43a
$ !meq
Deductible if applicable $ �
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J&K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible. -::S�v!a
,'
Estimated Start Date t IPA., T;� rbc.+a
TOTAL ESTIMATE $ I , [_)Q _—�G <. _
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
J & K Representative Date
Homeowner
Homeowner
Date ------
Expiration Date
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J & K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
r City of Wheat Ridge
Residential Roofing PERMIT - 201706984
PERMIT NO: 201706984 ISSUED: 09/06/2017
JOB ADDRESS: 4355 Teller ST EXPIRES: 09/06/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy asphalt shingles - 27 sq (25
sq pitched / 2 sq flat) Pitch = 4/12
**REVISION**Adding redecking; Added valuation: $2,198.57
*** CONTACTS ***
OWNER (303)424-7290 SADAR JOSEPH R
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,581.71
FEES
Total Valuation 0.00
Use Tax 327.22
Permit Fee 299.40
** TOTAL ** 626.62
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection wil..L be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
� > 4 le City of Wheat Ridge
w p'
Residential Roofing PERMIT - 201706984
PERMIT NO: 201706984 ISSUED: 09/06/2017
JOB ADDRESS: 4355 Teller ST EXPIRES: 09/06/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy asphalt shingles - 27 sq (25
sq pitched / 2 sq flat) Pitch = 4/12
**REVISION**Adding redecking; Added valuation: $2,198.57
I, by my signature, do hereby attest that thew
he work to be performed shall comply with all accompanyinU approved plans and specifications.
applicable building codes, and all applicable municipal codes, policies and procedures, and that [ amte 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 erm>t. I furthe ttest that I am legally authorized to include all entities named within this document as parties to the work 'to be
performed and t>�atY woto be perforttec�is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I, This permit was issued based on the information provided in the permit application and 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 writ inO 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 Bu�ldin-
Official and may be subject to a fee equal to one-half of the original permit fee.
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 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, gragtting of a permit shall not be construed to be a pennit for, or an approval of, an violation of any provision of any
applicable code ora y ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.-
ity of
WheatP d
_
i t)4S.fvttl"JIi I)t't�lil.Cii riF.1
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: Perm itsicbci.wheatridge.co.us
I FOR OFFICE USE ONLY
Date:
Plan/Permit # 0Do, o'-'(
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: §1H
Owner
Property Owner Email:
Te !
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor: 'k
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone: `t(� �1 r O� C
Phone:
Phone: 1QHo4C0
4v & • &,
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ 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 detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to bo used, et .)
1 /
Sq. Ft./LF
Amps
q S sllezis -osb
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$- ------I- - - - -- - -
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 1 am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided en the application.
CIRCLE ONE: (OWNER) (CONTBAC`TOR) or ORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature fist and last name): t ��� �/ �� \c DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASWICATION.
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
A r City of Wheat Ridge
Residential Roofing PERMIT - 201704340
PERMIT NO: 201704340 ISSUED: 07/18/2017
JOB ADDRESS: 4335 Teller ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles REDECKING with 29 sq. (24 sq. pitched, 5 sq. flat)
*** CONTACTS ***
OWNER (303)940-3532 JOHNSTON SHARON A
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,428.00
FEES
Total Valuation 0.00
Use Tax 281.99
Permit Fee 267.70
** TOTAL ** 549.69
*** 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 i City of Wheat Ridge
s
Residential Roofing PERMIT - 201704340
PERMIT NO: 201704340 ISSUED: 07/18/2017
JOB ADDRESS: 4335 Teller ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles REDECKING with 29 sq. (24 sq. pitched, 5 sq. flat)
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 thispermit and perform the work described and approved in conjunction with
this ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfp ed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
l-7
Signature of OWAER or CONTRACTOR (Circle one) Date
I. This pe as issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
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 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, 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 ofCCiiiief Building Official — 0 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Roofing PERMIT - 201704340
PERMIT NO:
201704340
ISSUED: 07/18/2017
JOB ADDRESS:
4335 Teller ST
EXPIRES: 07/18/2018
JOB DESCRIPTION:
Residential Re -roof
to install Owens
Corning Duration Storm asphalt
shingles with 29 sq.
(24 sq. pitched,
5 sq. flat)
*** CONTACTS ***
OWNER (303)940-3532
JOHNSTON SHARON A
SUB (303)425-7531
John Borfitz
019983
J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN
GRANGE, WHEAT
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION: 13,428.00
Total Valuation
FEES
0.00
fi
Use Tax
281.99
Permit Fee
267.70
j
** TOTAL **
549.69
*** 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.
1. 4 i City of Wheat Ridge
Residential Roofing PERMIT - 201704340
l
PERMIT NO: 201704340 ISSUED: 07/18/2017
JOB ADDRESS: 4335 Teller ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 29 sq. (24 sq. pitched, 5 sq. flat)
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
perfothis permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
rec
r nd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of O or CONTRACTOR (Circle one) Date
1. This permit 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 Budding
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 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chie ui ding idial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSID]E S DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 10, 2017 10:39 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4335 Teller St
Sharon Johnston
303-940-3532
Field not completed.
No,
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 J&K Roofing
Contractor's License 019983
Number (for the City of
Wheat Ridge)
Contractor Phone 303-425-7531
Number
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the Yes
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
Owens Corning Duration Storm
Asphalt, Other (specify below)
Modified Bituman
How many squares of the 24
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 5
on the flat roof?
TOTAL SQUARES of all 29 V
roofing material for this
project
Provide additional detail House pitch 5/12 + Shed
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 13428
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 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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
3
CONTRACT <
4 J&K Roofing
BBB. �v
13000 W. 43rd Drive Golden, CO 80403 ear zat.
Phone: 303-425-7531 Fax: 303-425-1562
www.jkroofing.com
Representativef��/ i2gl (oma-- Contact '1de— W4-ff4U Date Y ^ 20-a
Name ���COC-4. 6" I )4•OAn, Phone _" .
Address q,33 r— f p l, �j� City zip _,Q'e�3
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS TERMS
AND CONDITIONS. PLEASE READ CAREFULLY:
Recover roof with
(r Color of shinglesrBc.Jvw
Manufacturer's Warranty _
14Tear off—Pti_ 3
YJ Install Underlayment tS k
Double all Eaves C�M-42.4 tspw,c3oA
Re -Flash Chimney and/or_%,Y i a V,.p�S
New Valleys _ 3__ 5
Replace Ridge_ A,
Ventilation
Galvanized Fasteners(..I_R.ml/`__S 'LLA j
Replace Plumbing Jacks
Paint roof stacks to match
Install Metal Edging
Patio or Flat roof __-LS 1M -__ ; �c�wc•�--.
s� Year Warranty on labor
XJ & K Roofing to furnish all material and labor
:Permit: __ Included __2'�, _ NOT Included
Clean-up debris and haul off all trash from roof
Roll yard with magnetic roller
Gutters cleaned of roofing debris
IDecking Repairs $�� per ��ec._
Hidden Layers (tear off) $� _ per layer
ICanie'iw� (Policy Number;
i o — w --
(Clam x) (Adjustor)
43
(Mortgage Co.) (Mortgage Loan Numbe?
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
Policy #CS00061742
Extra workC� _ice Q\p 2c. •.• k(�.15Co�/i19,� F
� "Aact 0��e�
The property owner is -4X is not using proceeds from
property and casualty insurance policy.
� F $ 43a
$ !meq
Deductible if applicable $ �
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J&K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible. -::S�v!a
,'
Estimated Start Date t IPA., T;� rbc.+a
TOTAL ESTIMATE $ I , [_)Q _—�G <. _
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
J & K Representative Date
Homeowner
Homeowner
Date ------
Expiration Date
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J & K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
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CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: J -Q r''
Job Address:
Permit Number:
❑ No one available for inspection: Time �M
Re -Inspection required: Yes N
When corrections have been made, call for re -1 spection at 303-234-5 33
Date:' �' l Inspector:
DO NOT REMOVE THIS NOTICE
" 41 City of Wheat Ridge
Faxed Plumb. Permit PERMIT - 110848
PERMIT NO: 110848 ISSUED: 07/20/2011
JOB ADDRESS: 4335 TELLER ST EXPIRES: 07/19/2012
DESCRIPTION: Replace 30 gallon hot water heater
* ** CONTACTS * **
owner 303/940 -3532 Sharon Johnston
sub 866/898 -0008 Mariana Kitchukova 08 -0021 Colorado Delta Mechanical Inc.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0350
BLOCK /LOT #:
0/
** FEE SUMMARY **
Permit Fee
ESTIMATED PROJECT VALUATION: 875.00
FEES
40.00
Total Valuation .00 "
Use Tax 15.75
** TOTAL ** 55.75
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED. Work shall comply. with 2006
IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed
in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure. Carbon Monoxide detectors are required to be installed
within fifteen(15) feet outside the entrance to each sleeping room. Subject to
field inspection.
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.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building official and 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 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 fi ld n ion.
Signat o hief Building Off ical Date
INS :t 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.
1 1 DOS
'INSPECTION LINE: (303) 234 -5933
Occupancy /Type
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.
y'!7',J - IP,III .c 47A— 1IIr+)
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
UNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS
otings /Caissons
emwall / (CEG) Concrete
cased Ground
[E
gn3. Llz3'e [il
inforcing or Monolithic
at�kh.1
�J. fJ
IErc;� is ; ee
atherproof/ French Drain
Lisa i.r ='
40.c9
Service Lines
lI; 'i "E3-. F�ELGIF;E.
Water Service Lines
F'sU'r.;; : tee:
cc1.13
L +n e4c
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Electrica Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING FIRE ANC
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL'.
"'NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING; :BUILDING AND PUBL
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTFi
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANC
PROTECT THIS CARD FROM THE WEATHER
lllall�a \H\1 /�:GF9:3gga
221.11
IOR TO PRO
gn3. Llz3'e [il
at�kh.1
�J. fJ
IErc;� is ; ee
Lisa i.r ='
40.c9
jp.7
lI; 'i "E3-. F�ELGIF;E.
F'sU'r.;; : tee:
cc1.13
L +n e4c
TOTAL
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING FIRE ANC
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL'.
"'NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING; :BUILDING AND PUBL
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTFi
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANC
PROTECT THIS CARD FROM THE WEATHER
lllall�a \H\1 /�:GF9:3gga
221.11
City of
r 4o c 0 0 0 Pe De rm MUNITY DE'V1;LOPMENT rmu #'
Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 -237 -8929
Inspection Line: 303- 234 -5933
Facsimile B
Property Address:
Property Owner (please
MaIlln Addre ®Ad�rQss� pfdlFle
Address:
Contractor:
Contractor License #:
address)
Phone:
Sub Contractors:
Company Name: License #: Expiration Date: Tradeft9h talon: Approval:
Use of sppace (description): _
Descrlptlon of work:
" `P
p Lo,�L WOJZQY /r Plan R eview (due at time or aubmlttal): b
Sq. FL /L Ft added: Squares BTU Ss y � DC Gallons — & Amps
OWNEMCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distancas proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheal Ridge or covenants, eesamey
nts or restrictions of record; that all measurements shown, and
Ospo t P p eu wit th t
held In Whea Ridge Budding Code (LB.C) and aother Rdge OMlnancaa as
for work
CIRLCEONE: (OWNER) (CONTRACTOR or PE ONALREI
PRINT NAME: DQYQUTI�rQ LcS SIGNATURE'
ZONING COMMENTa:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS:
Reviewer:
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ dieapproved ❑ no review
Credit Card
Print name:
Ucl 'd lvSS8 ' °N
card listed on fi
Signature:
Bldg Valuation:
3D3 U►� 353
OCCUPANCY:
1UINVHDJW V1130 Wd6[:b [[Od '6l'Inr
Application
***CONTACTS owner 303/424-7290 . Joaeph Sadar. PARCEL INFO . .
ZONE CODE: UA USE: UA
SUBDIVISION:0350 BLOCK/LOT#: 0/ . FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,250.00
FEES
Permit Fee 108.30 . Total Valuation .00 . Uae Tax 40.50 ~ . .
**TOTAL *x 148.80 I here6y certi£ythat theaetbaCk dletancea propoeed by this permit application are accurate, and flo not violate applicable
ordinancea,.. ruleeor regulationeof the City o£ wheat Ridge or covenante, eaeementa or reetrictiona of record; that all
meaeurementeehown,and alle9a[ione made are accurate; that I have read and agree to abide by all conditions printed on [hie
application and that Iaseume full reeponaibility for compliance with the wheat Ridge Building Code (I.S.C) anfl all other
applicab~le wheat Ridge 0 'inancee, for work under thie permit. Plane eubject to field inepection.
date 1. This permit waa ieaued in accordance with the provieione set forth in your application and ie aubject to the lawa of the
State of Coloradoand to the Zoning Regulatione and Building Codee of Wneat Aidge, Colorado or any other applicable'oxdinances of the City. 2. Thie permit ehall expire 180. daye Yrom the iaeue date. Requeete Eor an exteneion muet be received priorto expiratioa
date. An exteneionmay be grabted at the diecretion of the Building Official. . .
3. If thie permlC expiree, a new permit may be acquired £or a fee of one-half the amount normally require8, prrnided no changea have been.or will be made in the original plane and apecificatione and any auspeneion or abandonment tiae not
exceeded one (1) year. Ifchangee have been or 1f suapeneion or abandomnent exceede one (1) year, full feea ehall
be paidfor a nevpermlt. .
4. No work.of any manner ehall De..done Chat will ctiange thenatural flow of water caueing a drainage proClem.
5. Contractos §hall notify the Building Inepector twenty-four (24) houra in advance foz all inepectione and shall receive.
written approval on inepec[ion card before proceeding with eucceeaive phaeee of the job.
6. The d9suance ofa permit br the approval of dzawin9s andspecifScatione ehall not be conetrued to be a permit for, nor
an approval of; any violation of the pzovieione of the building codee or any other ordinance, law, rule or tegulation.
All plan review ia vb to field inepectione. .
~
of
date
INSPHCTION 16QU83T LFNB: (303)234-5933 BUILDING OFFICE: (303)235-2855 .
REQUESTS MUST BE MADE BY.3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWYNG BUSINESS DAY.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE. 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Building Permit Number:
Date:
Property Owner: I Dl\ ~ IV\ i \ I e r
Property Address: y":>,,S ~i e\t1 S-1-
Contractor License No.: :;;> ,\ I 'i', ..
Company: C'Db\;"':l -'\ \.h~~-{'l%(\:)lo
Phone: }Lf')- 'ilr-/
Phone: 3,()) .;):J; J; 2..V
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildino Dept. Valuation Figure: $
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 field inspection.
(OWNER)(CONTRACTORI'SIG::f;l?:111/lC"~ DATE IO/)t/fJ
(OWNER)(CONTRACTOR):PRINTED---\S,l>CY..o 1\ DATE '..)0/ D
Value:$ 5700"
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
Use of Space (description):
Description of work: '-' ,-1'- Io.{;,.. ~ 6/..". 70, bOO <;Tl._...j',^r.~ c. c.<2
Mp(.'~l:~"'S \1.O!e{)_u....~Lv b~("c.(..2. ~ u
(,{'\cl, "5 9'/z ,Of' pc
Sq. Ft. added
~ONING COMMENTS:
Approval:
Zoning:
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Fi.:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
IRE DEPARTMENT COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(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 if (A) the work authorized is not commenced within sixty (90) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(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 been 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 wlU 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 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
is subject to field inspections.
Chief Building Official
oF'""E^T,~~ ~ City of Wheat Ridge Building Division Date:
~ m~7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-235-2857 Plan
Inspection Line: 303-234-5933 permit#:
PropertyAddress: 43,5-~ T~IC,Q ~ST
Property Owner (please print): Phone:30.3- f2~-7290
Mailing Address: (if different than property address)
Address: v
_94 za t~J 7~ P~ ~
City State Zip a~Q y+A,p /y~ Cp r~ d~1 d.SJ -
Building Permit Application
Contrector: yo/~lEOcvtiCR
Contractor License Phone: 3OJ ZG3 - S y/ ~
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date:
Use of space (description): ~E~/OEilJc~E
Description of work:
~e rV 1 C_¢. ~=OO A
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps 4?00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy that the setback distances proposed by this permit application are accurate, and do nol violate appliwble ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easemenis or restrictions of record; that all measuremenGS 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 tor compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this pertnit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINTNAME:'US,<-Ph/ SROAR SIGNA7URE:_Aga s6,4'-~ Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Exp. Date:
Exp. Date:
Construction Value: S .570 0 " 0 0
(as ca/culated per the Buildinf7 Valuation Data t
I Plan Review (due at [ime of submittal): $1
BUILDING DEPARTMENT COMMEN7S: OCCUPANCY: _
Reviewer:
FIRE DEPARTMENT:: ❑ approved w/ Comments ❑ disapproved ❑ no review required Bldg Valuation: $
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12815
" BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 9/20/01
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 4335 TELLER ST Phone : 424-7754
Contractor License No. : 21118
Company : Cooling & Heating of Colorado Phone : 227-9284
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 Ln, at Ridge or
covenants, easements or restrictions of record; that all men, and allegations
made are accurate; that I have read and agree to abide bnted on this
application, and that I assume full respnsib ilit for com leat Ridge Building
Code (U.B.C.) and all other ap t idge ordinnder this permit.
(OWNER)(CONTRACTOR) SIG~ C-- ATE~-Q~
Construction Value :
$900.00
Permit Fee :
$35.70
Plan Review Fee :
$0.00
Use Tax :
$13.50
Total : ~
$49.20
Use:
Description : REPLACING EXISTING FURNACE WITH NEW 80% 90,000 BTU
BUILDING DEPARTMENT USE ONLY
SIC
~~..a
Approval :tl4
Zoning :
Approval:
Approval :
Occupancy : Walls
Electrical License No :
Company :
Expiration Date :
Approval :
Roof
Plumbing License No :
Company:
Expiration Date :
Approval :
Mechanical License No : 21118
Company : Cooling & Heating of
Colorado
Expiration Date : 9/20/02
Approval : OK/KS
(1) This permi[ was issued in accortlance with ihe provisions set forih in yopur appliwtion antl is sub7ect to the laws of the State of Colorado antl to the Zoning
Regulations and Builtling Code of Wheat Ridge, Coloredo or any other applicable ortlinances of the Ciry.
(2) This pertnit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) [he building aulhonzetl is suspentletl or
abandonetl for a penod oF 720 days.
(3) IFthis permit expires, a new permM1 may be acquired for a fee of one-half the amount normally requiretl, provided no changes have been or will be made in the
original plans and specifcations antl any suspension or abantlonment has not exceeded one (1) year. If 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 tlone lhat will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify ihe Builtling Inspector hvenly-four (24) hours in atlvance tor all inspeclions antl shall receive written approval on inspection cartl before
proceediing with successive phases of theob.
(6) The iss nce of a per9~it or the approval of drawings antl specifications shall not be consirued ro be a permit tor, nor an approvai of, any violation of the provisions
of th w ing qodeyqr any other ordinance, law, mle or regulation.
Sq. Ft. :
Stories : Residential Units :
Chief
DEpARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number.
oF wHEqr ~ BUILDING INSPECTION LINE - 303-234-5933 Date:
~
GTTY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
~0t oa roo ,yH p~p~~
~iS~~l ~r.4~LTt~fr
~-Y Y
Property Owner:-L-)0c''v'L_
Pioperty Address: y33S Tf//Er 'Sc-
ContractorLicenseNo.: _~\\\g
ComP~Y L~c~l, ti" \l,.a W 0 C~A fi Phone:
OWNER/CONTRAGTOR SIGNATURE OF UNDERSTAPmING AND AGREEMENT
I hereby certify that thc setback dista¢ces proposed by this pcim@ applicazion aze accurate, md do not violate applica6le ordinanas, niles or rogulafions of the Ciry of
Wheat Ridge or coveaants, eazements or restrictions of ceeord; that al] meazucemeats
shown, md allegatioas made are accurate; that I have read md agrec Yo abide by all
conditions printed o¢ tfus appticaflon andihat I assume full responsibility.for
compliance with the 4✓heat Ridge Building Codc (UB A) md atl other applicable
Wheat Ridge Ocdinanea, foc work under ttils pe (ownEx)(coNrer.croR): sicrta~~--i--- F- k~rK ---DniaQ~-~I
Description: ~.~o
Constcuction Value: 900• 0o
Permit Fee:
Plan Review Fee:
Use Tax:
TOt31:
£YwS .t~- ~sD~/a
go, .ac) -,J
BUII.DING DEPARTMENT USE ONLY
src: sn.FC.:
ZONING COMMENTS: App:c.aL
Zoning:
BUILDING COMMEN75; Approval:
PUBLIG WORKS COMMBNTS: . .
ApprovaL
Occupancy: Walls: Roof: Stories: ResidenrialUnits:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
Tlus pexmit was issued in accordance with the provisiovs set focth in yow applicaRDn aad is subjeU to the laws of the State of Colorado aad to tlm Zoning
Regulafians aadBuilding Codes of WheatRidgq Colocado or any other applicahle ordinances of the Ciry.
(2) 'Lbis permit shalL expae if (A) the work authodzed is no[ commenced witLin sixry (60) days &om issuc date oc (B) the 6uildinq authorized is suspended or
abandoaed for a period of 120 days. (3) If 7ils peimit ezpaes, a¢ew permet may be acquired foi a fee of one-half the amounc normaLly requir:d, pmvided no chaages have bee¢ or will be made in
thc ori giaal plans md specifica¢ons a¢d any saspeosion ax a6ando¢menthu ¢ot exc<ededone (1) yeaz. If cha¢ges have Ceea oi ifsuspeasionot aba¢donmeot
exceeds one (I) yeaz, ffiII fees shall be paid foc a new pe`mit.
(4) No work of a¢y mann<c shall be doae thac will change the aafucal flow af water causing a dcainage pcahlem.
(5) ConhactorshallnofifyNeBvildioglaepectorlwenty-fout(2A)doucsinadvanceforall iavoec¢oavandshall ac<ivewritteaapprovilonmspec¢oncazdbefore
proceeding wiih successive phssu of th<jab. (6) 'Ihe iss~oance of a pecmic or the aporoval of dcawings md speciflcafioa: shalL aoc b< cons4u<d to Se a nermit for, ¢or an approval oF, any violation of the
, pcovisions of the building codes or a¢y other ecdinacce, law, caile or cegWatlon.
Chief Building Inspector
: _ . . . . . , w , .
DEPARTMENT QF PLANNING AND DEVE40PMENT Building Permit Number : 5036
~ BUILDiNG INSPECTI4?M DiVISiON - 235-2855
CITY OF WWEAT RIDGE Date : 5/6/97 '
° 7504 WEST 28TH AVENUE ~
WHfAT RiDGE, CO $0215
~
Property Owner :
Property Address : 4335 TELLER ST Phone : 424-7754
ContractorLicense No. :
Company : Phone a - i
s
l
1 hereby ce
and do not
covenarts,
iURE Of UNDERSTANDING AND AGREEMENT
nces proposetl by thin permit application are accurete,
xs, rules or regulahons of the Cdy of Wheat Ridge or
thls
le Building
(OWNER)(CONTRACTOR) SIGNED
Description : PATIO
Approval : SM 512197
Zorting : R-2
APProval:
Appraval:
Oceupancy : Walls
Construction Va1ue ;
$1,400.00
Permit Fee :
$46.75
Plan Review Fee ;
$0.00
use Taxx :
$28.00
7otaf :
$74.75
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. : 208
PROPOSAL TQ COVER PATIO IN REAR (WE$T) OF PROPERTY
Roof
Stories : Residentiai Units :
Electrical License No Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiretion Date : Expiration Date :
Approval : Approval : Approval :
(1) This pertnit wAe IentfeC in acwrdanee wdh the provlsbns set fwth in yopur ePWicationantl la wect ro tneiaws a the sran w cawraao and to me zomnp
Regufptions arW.6uliCinp eoae aw~ r~pa, caorsao or am aner evW~e~ ora~~s or the cny. (2) . Tflis permH ahali ekpire R(A)Me wak autlwnzed is nol commencetl within aMy (80) tleya fran iasue Eate ar (B) the buildinpauCw6ted is suspentled a abandoned fW a p9rbd o1120 ~ s. . . . .
t
(3) . tt this Pemid exPit~, e irow meY be aWUhad fM a fee M wro-haH Ne amount namaHy reCWretl..P~~ rw Men9as have 69M or wiA tie metle in iro
onginal D~s anlspocffk* arM enY sspenalonw aDenOanment hat not ezceeded one (7) Yeer. N changes ere maGe a q eylpensbn or aEantlonmem
..exceeds wre (1) .rw, ae tess eMsn ce aei0 for a rrow neima. . (4)No wak of arry manner ahsil.tie doire thaEwiN cAange the naturel flow of waW eaueing a Mafnage probkm. . .
(5) ConVaclor ahaN ~tlfy tfu BwlCinq ImpecEOt Avenly-6our (24) twu~s in adva~e for all inspectlons a~M ahell recoive writlen approvaf On inspeclion eard t»Mro .
wIM euxsssive hases oi ihe b. (s) ~~ar,ca or a pxmk w~e sav~el oJ'drawince ma aPeuncaaw,s 8nen W ee wnsauea w ne e awmk wr, na M epproval a,.m VbMM ame wovisions
a the n naino goaoa «a ~otlier ad ,ance, ~ew, rule «rooulenon. ~ . c~ , C~'
~ Building inspector F Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILOING INSPECTOR AND NFAYOR
CAI.L: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner
Property Address : ~335 ~i~1=•2- ~T,C'~~ Phone :
Contractor License No.
Company: -
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by Ihis pertnit 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 tull responsi6ility for compliance ith the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whedt Ridge ordinances~for work under this perrt}it.
(OWNER)(CONTRACTOR) S
Phone :
Construction Value : o0
Permit Fee :
Plan Review Fee :
Use Tax :
Total :
~-eT-~Zlt
ZOOi1S~TC~. -O'~ fii', ~ Z.z•11A-
Approval : 57+-
Zoning : P2
Buildfri~Co~ii Ye~
Approval :
Approval:
Occupancy : Walis
' BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft.
~
Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
G~
Plumbing License No :
Company:
Expiretion Date :
Approval:
■
Mechanical License No :
Company:
Expiration Date :
Approvai:
(1)
This pertnit was issued in ac
(2)
Regulations anC Buildin9 Cc
ermit snall expire if (A'
This
,
p
abandonetl for a penod of t:
(7)
11 this permil ezpires, a new
original plans anE specifwti
exceads one (1) yeaq full fe
(4)
No work of any manner shal
(5)
Contractor shail notiry the Bi
protee0iing th successive
(6)
Tne issua e f a peynit or
of the b din [Od4sor any
Chief B,Gilding Inspectar
iM the provisions sel forth in yopur application and is sub7"ect to the laws of the Stale ol Cobrado and to the Zoning
d Ridye, Colorado or any olher applirable oMinances of Ue Ciry.
uUOnzed is not commenced wilhin sizly (BO) tlays fmm issue date or (B) the building authonzed is suspended or
be acQUired lor a fee ol ono-hall the amount nortnally required, proviEeC no changes have been or will be matle in the
y suspension or abandonment Oas not exceetled one (t) year. If cnanges are matle or it suspension or abanCOnment
)aid for a new, cermlL _
Ilow
ro in
rewin9s and speciflcations shall not
law, rule or regulation.
sing d2inage pro0lem,
all' i0ns and Shall reCEive
co Wed to be a permit for, n
For Mayor
>n inspedion wrd bePore
any violation ol the provisions
PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOFt'AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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Metropor..an Appraisers Inc.
9725 Eest Hampden Avenue, 9310
IIOTfCLP pC00II0INM1 M[OIANAMI WM YOY NU9T COMMCNCR GMY LCChL ACTIONlABiO OQnVer, /~Q 80231
UI'lIN LIIY OG1'CI:T lll 1'lll'v' IMI'I4UVlNlNT I.UI'/~f1UM l'G1IYIYII'11TC YI'IIIIN ~
ruxrr. n:nus nrrex rou r~x>r uucovu sncn uerecn Ix xu cvewn 303-755-6766 nnr nC'nun un.eu m-ou anx ur.~ec'r in nus INr~wveerer ioe~rmx
ceunricere uc cowu.;scu n'In: runx n:n reeus rIa+n rue onre nv *ne FAx 303-695-7932
c~:xr~rmnriml uu.u unxL:on.
All Easements per Recorded Plat JOB N0: TEL - 4335
unless otherwise noted. BORROWER: Johnston
1 MPROVEMENT LOCATION
This document is lor UHe Insuranca
purpeaea only enA la lha proJact ol
N°'°'°°"`: CERTIFICATE
a slle InaPecllon. DeeJ Iiiw ev Jenu
not cupporleJ by lound property cor
ner markers was based on analytlul
correlation ol publlc Improvements
and 1{nes ol oecupatlon.An adual
Properly Survey Is recommeJed if
eracl IocaUons ol improvemenlf and
detd Ilnee ara reyulre4.
I 28.4~'
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crjAWL ----3~,4~
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4
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13
5• ~q335 F
ZE
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13.5
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R
ES.
❑ rR4N1E
~QP... S
ED
ry
O
n
: . ,
ADDRESS: 4335 Teller Street
: Cn.,
DESCRIPTION: Lot 12,
(Per Lender) RUSCH'S SUBDIVISION,
County of JEFFERSON, State of COLORADO.
• CERTIFICATION •
~
~
~
W
kf~'
~
V
1 \
:C IIERI:IIY CERTIFY TIiA'r THIS IMPROVEMENT LOCATION CERTIFICATE WAS PREPARED I'OR:
WATERFIELD FINANCIAL CORPORATION
TIIAT IT IS NOT l1 LAND SURVEY PLl\T OR IMPROVEMENT SURVEY PLAT AND TtIAT IT IS ,
NOT TO IIE RI:LIPD UPON POR Ti1E ESTABLISHMENT OF PENCG, BUILDING OR OTFTER
PUTURE IMPROVEMENT LINES. I f1ERPi3Y CERTIFY THI,T THE IMPROVEMENTS ON THE ABOVE
DESCRIIIED P11RCEL ON 9/6/1994 EXCEPT UTILITY CONNECTIONS, ARE ENTIRELY WITH-
IN TIIE IIOUNDARIPS OI' T11P•. PARCEL, EXCGPT AS SHOWN, THAT THERE ARE NO VISIIILE
ENCROACIIMENTS ON THE DESCRI6FD PREMISES, EXCEPT AS INDICATED, AND THERE IS NO
APPARENT EVIDENCP•. OR SIGN OP ANY EASEMENT CROSSING OR BURDENING ANY PART OF
SAID P11RCEL, P•.XCEPT AS NOTED. I I'URTHER CERTIFY THl1T THE PROPERTY DESCRIIIED
HEREON O IS QC}O IS NOT WITfIIN A I'LOOD HAZARD BOUNDARY IN ACCORDANCE WITH
TIiE CURRENT H.U.D. I'LOOD INSURANCE Rl1TE MAP DATED 2/4/1988 BEARING COMMUN-
ITY PANEL NUM6ER 085079 0005 C.
TftIS CERTII•'ICATE DOES NOT CONSTITUTE A TITLE SEARCH TO DETERMINE OWNERSHIP OR
EASEMENTS OP RI:CORD NOT SIIOWN ON THE RECORDED PLAT.
LEGEND
Res
Realdence
OH
U E
Utility Easement
AC
G E
Gas Easement
Wlk
D E
Drafnage Easement
Sty
Gar
CaraSe
Lvl
Dry
Driveway
Rch
Frm
Frame
Sto
Blk
Block
Stb
Brk
Brick
Met
Can
Concrete
CL
Asp
Asphalt
Ene
Flg
Flagslone
~
Gvl
Cravel
Pat
Patlo
YL
P
Porch
Fnd
s
stoon
+
Ch
Chimney
0
ISW
tleY Wiudow
•
ove.nanc
Alr CondiHoner
Walk
Story
Level
Ranth
Storage
Stable
Metal
Clothes Una
Encroaehment
Plua or Minua
WeI1(Water)
Yard LICht '
Found
ChiaeleA Cross or Mark
Tag or Plug
Pin,Rebar or Plpe
F
or GPORCE C. IiALLPR, PLS 02594G
/
ri
RECEFTION N0. 94158358 15.20
RECORDED IN COUNTY OF JEFFERSON STATE CF COLORADO 9/30/04+ li:,- R.
' oy utYUlr.
THIS DEED , Made this day ofSEQteMbHi 27, 1994
~
between
SFEitq4N HRADF'CRD affi GDQiGIABIIQE R. HRADFCRD
of the Coun[y of JEFFFRF.~ 8Qi and Sta[e ot
Colorado, of the first art, and
SHARCN A. JCBNSTCH
14
4335 TIId,IIt SRREET
uhose legal address is INHENTRIDCE, OOECliADO 80033
of the County of ERSQ'1 and State of Colorado, of the second part.
WITNESSETH, That the said party of the first part, for and in consideration of the sum of (***$102,000.00 )
ONE HUNDRED TWO THWSAND DOLLARS AND 00/100THS
m the said party of the first part in hand paid by the said parry of the second part, the receipt uhereof is hereby
acknouledged and confessed, has bargained, gran[ed, sold and conveyed, and by these presents does grant, bargain, sell,
convey and confirm, unto the said party of the secwid part, his heirs and assigns forever, all the follouirg described lot
or parcel of lard, situate, lying and being in the
Lounty of JEE'E'ERBCl1 and State of Colorado, to uit:
717P 12, RUSC:ti'8 SUBDIVISICN, COiJNPY 0F JEFFIItBQd, STATE 0F ODI,Q2AD0.
State Documentary Fee
Date
$
also known as street nunber 4335 'PE S'PREF'P WHEATRIDGF,
TOGETHER with all and singular and hereditaments and appurtenances thereto belonging, or in anyuise appertaining, and
the reversion and reversions, remainder and remainders, rents, issues and profits thereof; and all the estate, right, title
interest, claim and demand Whatsoever of the said party of the first part, either in lau or equity,of, in and to the
above bargained premises, with the hereditaments and appurtenarxes.
TO HAVE AND TO HOLO the said premises above bargained and described, uith the appurtenances, unto the said party of
the second part, his heirs and assigns forever. And the said party of the first part, for himself, his heirs, executors,
and administrators, does covenant, grant, bargain, and agree Co and with the said pariy of the second part, his heirs and
assigns, that at the time of the ensealing and delivery of these presents, he is uell seized of the premises above
conveyed, as of good, sure, perfect, absoluTe and indefeasible estate ot inheritance, in Lau, in fee simple, and has good
right, full pouer and lawful authori[y to grant, bargain, sell and convey the same in manner and form as aforesaid, and
that the same are free and clear from all former and other grants, bargains, saLes, liens, taxes, assessments and
encumbrances of whatever kind or neture soever;
E%CEPT GENERAL TAXES AND ASSESSMENTS FOR THE TEAR 1994 AND SUBSEQUENT YEARS, AND SUBJELT TO ERSEMENTS, RESERVATIONS,
RESTRICTIONS, COVENANTS AND RIGMTS OF WAY OF RECORD, IF ANY;
and the aboved bargained premises in The quiet and peaceable possession of said party of the second part, his heirs and
assigns against all and every person or persons lawfully claiming or to claim the uhole or any part thereof, the said party
of the first part shalL and uill UARRANT FND FOREVER OEFEND. The singuLar number shall include [he plural, the plural the
singular, and the use of any gender shall be applicable to all genders.
IN NITNESS UHEREOF, the said party of the first part has hereunto set his hand and seal the day_and year first above
uritten.
. (O•.; ~~i ~ , i
( SEAU
r ~B .
AS ,TTC[0W_I1f-FWT
, - ,
r. EF-ADkXMD . - .f (SEAL)
STATE OF COLORADO Lounty of ~
JEFT''II28Q1 > ss.
I
The foregoing instrument was acknouledged before me on this day of Sept.Emb@r 27, 1994
, by GDCQ2GIA11ddEE R. BRP,DFQ2D IrIDIVIDqAUY ADID AS ATPKIt1MY-IN-FALT FCQ2 SEERHII►N ffitADFQtD
My comnission expires I~~ i i
Witness my hand and official seaL.
susaNHOVLarvD
NOTAkY PUBLi,^,
,^.T~7F pF COLORn
_
+
ommfssian Exuvei 1Gt2-95
Form
WD NARRANTY DEED - For Photographic Rerord
~
B16393.0422562 B0422562
~
J(~/ '~-L/~~,ia
Notary Publtt
BUILDING DEPARTMENT
237•6944 Ext.255
CITY OF WHEAT RIDGE
. .
Correction Notice
Job Located at
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws
governing same:
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
D a t e .
Inspector for Building Dept.
FoRM wRa.== DO NOT REMOVE THIS TAG
DEPARTMENT OF COMMUNITY DEVELAPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. [vE94#5893
237-6944 EXT. 255 P.O. BOx 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RELEIPTED BELOW.
APPUCATION FOR MISCE
108 ADDRESS 4915 TF.T.I.F.R STRFF.'f
LLANEOUS PERMIT
OWNER RFMnv 100 RFAT TV
CONTRACTOH G& H ELECTRIC C0.
qDORESS 710 KIPLING STREET
4DDRESS 4305 HART.AN STRRET
PHONE 219-6446 ZIP CODE 8091 S
GTY WHF.AT ,RTT).F COi.ORADO ZIP CODE 90033
PHONE 424-7200 LICENSE NO. 98
ONTRACT PRICE E 70p _(1p
TYPE GrounA❑ Wall❑ Proitetinp❑ Other SaDFOte
1
SIGNS
.
2. MATERIAL Total Square Feaf
Psimif No
ILLUMINATION Yea❑ No❑ Typs Eltet
3
.
.
.
4 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zom_ Apprwsd, 2one Inspoeta
(SpxitY rhich ia fronl) ❑ ❑ ❑ ❑ DiWpprWSd
I, TYPE Solid(--] Mon TMn 80% OpanO Leu Thon 80% Open
MATERIAL HeIpht
FENCES
3. SET BACK FROM PROPER7Y LINE N_ 5_ E_ W Zme_ ApprovW,Zone lmpeota
(SDSCi}y whieh ie tront) ❑ ❑ ❑ ❑ OiaaDMOVed
I
.
Z
OTHER
a
.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, 6MhG DISTANCES FROM PROPERTY LINES.
(SETBACNS OR PROJECTIONS INCIUDED)
J
Y
4 SPECIFY NORTH
ig
pi
STREET NAME
SFIOW DISTANCES FROM TFE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGUTAR lATS, SHOW LEAST
DISTANCE TO PROPERTV lINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAI PERMIT
THIS APPLICATION Wlll BECOME A PERMIT TO PERFORM THE INDICATED WORN pJLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 60 DAVS FROM DA'fE OF ISSUANCE !F WORK IS NOT STARTED WITHlN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUAI WIRE UNDERSIZE B ILLEGAL
PLUMBING PERMIT
STATE LICENSE N0.
FLOOR BSM IST 2N0 3RD 4TN
MECHANICAL PERMIT I
N0. FLEUCircleQw 011 Propons E Solm
140,
WATER CIDSET
FORCED AIF - BTU
TEMPORARY METER
WASH BOWL
F10T WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
1
CHANGE SERVICE-AMPS 20
SMOWER
AIR CONDITIONING-8TU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISF
REFRICaERAT10N SYSTEM
POWER SUB-CIRCUITS
UTILITY (RANGE, DISPOSER, ETC.)
FI%TURES
WATER HEATER
AUTO. WASHER
DISH WASHER
Refri arant Gap
Pourds CMr a
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS d CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAI.
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
PERMIT FEE
e that thia applica-
wl
d
k
b
q
no
s
I hsre
y ac
tion u corroct ond undarstond Mot I
li-
hi
i
USE TAX
l i
a aOC
connof stort fhis projecf unt
totion if apOroved. I shall comOlY with
TOTAL FEE
fhs lawa ot ths Stote ot Colorodo and to
}hs Zoninq Requlolions ond Buildinq
PPROV [
Code of the City of WAeaf Ridpe. Any
DISAPPfFO
violotion of the above terma will couse
CHIEF BUILDI
immediote revotation of thie Dermit
.
~ (A~.. c. r~
~y ,L
Date Issued_
Aoo emt. aianmun
NOT VALID UNLESS
Sa
INSPECTOR, City
~
Wheat Ridqe
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS