HomeMy WebLinkAbout4435 Teller Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: N 0 q- pl,n e I
Job Address: LI113S `Te - Iter 5 -
Permit Number: 0) -7 0 c-/ 1, 5 3
I
❑ No one available for inspection: Time/ f2z ZI AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: -"&
03 -234 -Date:`& a iS Inspector: Tb
DO NOT REMOVE THIS NOTICE
City of
Wheat �-dge
COMMUNrry DEVEU)PMENT
City of Wheat Ridge Municipal Building 7500 W. 29'x' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
pemiits(a',ci.,A,heatridge.co.us or fax to 303-237-8929.
Party requesting permit extension:
Permit # LJUI (953
Property Address: 'I'J00 Itu", "_
Phone #93'27 . Email Address:
Reason for extension request:
Number of days requested: 3V
Printed Name:
For office use only
This request has
Approved by:
Signature:
Ywipproved Denied
www.ci.w heatridge.co.0 s
Date:
Extended until:_1
Date: —) ) 3111 -S
City of
Wheat �-dge
COMMUNrry DEVEU)PMENT
City of Wheat Ridge Municipal Building 7500 W. 29'x' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
pemiits(a',ci.,A,heatridge.co.us or fax to 303-237-8929.
Party requesting permit extension:
Permit # LJUI (953
Property Address: 'I'J00 Itu", "_
Phone #93'27 . Email Address:
Reason for extension request:
Number of days requested: 3V
Printed Name:
For office use only
This request has
Approved by:
Signature:
Ywipproved Denied
www.ci.w heatridge.co.0 s
Date:
Extended until:_1
Date: —) ) 3111 -S
City of Wheat Ridge
Residential Roofing PERMIT - 201704653
PERMIT NO: 201704653 ISSUED: 07/24/2017
JOB ADDRESS: 4435 Teller ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install CERTAINTEED Northgate asphalt shingles with
re-decking34SQ
house 8/12
*** CONTACTS ***
OWNER (720)939-8425
LAZZARI VICTORIA
C
SUB (303)593-2761
Caine Knapp
170225 Gold Star Premium Roofing
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 14,000.00
FEES
Total Valuation
0.00
Use Tax
294.00
Permit Fee
267.70
** TOTAL **
561.70
*** 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.
IV � d 1( City of Wheat Ridge
Residential Roofing PERMIT - 201704653
PERMIT NO: 201704653 ISSUED: 07/24/2017
JOB ADDRESS: 4435 Teller ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re—roof to install CERTAINTEED Northgate asphalt shingles with
re—decking34SQ
house 8/12
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 ttest that I m legally authorized to include all entities named within this document as parties to the work to be
performe�thatwo to performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWle52K q/ CONTRACTOR (Circle one) Date
I. This permit was 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, po Flans
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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and 1 not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or6",e;r�%itt a onstrued to be a permit for, or an approval of, an violation of any provision of any
applicable cod is 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.
Dan Schultz cX/ 70`-1 5 ,
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, July 13, 2017 1:17 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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 4435 Teller St
Property Owner Name Victoria Lazzari
Property Owner Phone 7209398425
Number
Property Owner Email Field not completed.
Address
$,`- � � 7G�
1
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
Gold Star Premium Roofing
Contractor's License
170225
Number (for the City of
Wheat Ridge)
Contractor Phone
3035932761
Number
Contractor Email Address
jspearsgspr@gmail.com
Retype Contractor Email
jspearsgspr@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
CertainTeed Northgate
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
34
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
34
roofing material for this
proj ect
Provide additional detail
House 8/12
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 14,000.00
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 Caine Knapp
Email not displaying correctly? View it in your browser.
Gad Sear Premium
Roofing Inc
GOLD STAR PREMIUM ROOFING INC SMALL HOLD IN TRUST ANY PAYMENT FROM HOMEOWNER UNTIL ROOFING MATERIALS HAVE BEEN DELIVERED
1425 Brentwood Street Unit 14 Lakewood, CO 80214
AGREEMENT
r _ THIS AGREEMENT SUBJECT TO INSURANCE CO/MPA/NY APPROVAL
Name: Ut,c.�4rt� t-�2Z0.f1 Date: t�'�0'a���
Address: tMr
BillingAddress:
Home Phone: 7. 139 . 8N2s"
ROOFINGSPuECIFICATIONS
�� ;,Grade of Shingle Idram
1�ja�I-Stye urs lvtka Q
.Color of Shingle: ram 06kRidge: 14.R.
Pitch: (a - (a 2 -Story: Na
Tear Off: ( 1Lq&d'
ice and Water Shield: CoQ
Felt: S� ✓i /�
R1 Valley: LF t0 SJ- ---- -
gVents: Qic> Turbines
,;Plumbing Jacks:
®. Metal Edging:
Skylights: '— ^ O
RRemove debris from roof, gutters and yard
,T.Roli yard with magnetic roller
Protect landscaping
Furnish Permit
SIDING SPECIFICATIONS
&rExisting Grade of Siding* L
V� W'Style of Siding: aT It7Y�'
Backerboard: 4-
�j Fascia: ev:0,d, Siders Edge:
"Soffit: :..✓�-
CR�Wraps: S
Remove 8ebris from yard and protect landscaping
EPFurnish Permit
City/State:d Zip:
City/State: Zip:
Work Phone: .i
SPECIAL ATTENTION AREAS
Q-C-ovdP"Poor^ ❑ Yes ❑ No
Existing Gutter Damage: Yes ❑ No
[Existing Driveway Damage: �es—
Leaks: (=
(,Interior Damage:&9
Emergency Repair: ❑ Yes 119No
NOTES
jeo�.. � �- (lnwira V1 Cse- A.� �ov✓a tit.
COMPANY'S LIMITED WARRANTY
.:lam 5 YEARS WORKMANSHIP
PAYMENT SCHEDULE
First Payments Due on Delivery of Material
Paid Date:_L/ CK#:0'of�'$
Paid Date: J J CK#: el`'''' @ S
Baiance Due on Comple
Paid Date, CK#: @ $
BALANCE $_
Insurance of Warranty Certificate and Waiver Upon Final
Gf; 4;RAL CONTRACT95� HIpmeowner acknowledges GSPR is acting as a general contractor in CO and as such will be entitled to
..Overhead and `(J/ profit as allowed bey
insurance indust standards.
INSURANCE/MORTAGE NOTE: I hereby authorize the insurance and/or mortgage company below to make any checks payable jointly.
TERMS: This agreement does not obligate the property owner or GSPR also known as (Gold Star Premium Roofing Inc) in any way un-
less it is approved by the insurance company and accepted by GSPR. By signing this agreement the homeowner authorizes GSPR to
pursue homeowners best interests for a roof/siding replacement or repair at a "price agreeable" to the insurance Co. and GSPR with
no additional cost to the homeowner exce t for the deductible. The approximate cost of services based on damages are
$ &X-000.1i''he final scope and price agreed on between the insurance company and GSPR shall become the final contract price for
the ink rance approved scope of ork. U rades are homeowners responsibility.
Approximate Dates of Service: __These dates of service are subject to change due to unusual delays in transportation of
materials, ordinary weather delays, o b n of r cpbe and the reasonable control of Contractor.
Accepted by homeowner on: Date: 1 / 4 /1 �Y-
Insurance Co. r�'1/` Claim *:
Mortgage Co.Acct. #:
Field Supervisorlil , A 54M /
.qC i/ ?6 Management Approval
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:
Job Address:
Permit Number:
❑ No one available for inspection: Time -�, r6 At /PM
Re -Inspection required: Yes K101)
When corrections have been made, call for re -insp
ection, at 303-234-5933
Date: �>Inspector:
DO NOT REMOVE THIS NOTICE
I FORM (M) 414�2-1123
7
FLOOR
APT, No.
YUOM �(PRINT
PA
ACTION TAKEN
NO SHUT OFF
OwNpqn�- TENANT 0 Ed
SPECIFY APPLIANCE OFF
BOTH APPL. & METEF
METER SHUT OFF
HAZARD,
OP
X
CONDITION TO BE CORRECTED AS SHOWN BELOW CREATE$
AN IMMEDIATE HAZARD THIS EQUIPMENT MUST N TEL
SERVICE UNTIL REPAIRS AND A THOROUGH INSPECTION HAVE BEEN MADE BY A QUALIFIED CONTRACTOR. CONTACTYOUR LOCA
BUILDING DEPARTMENT FOR CODE, AND PERMIT REQUIREMENTS PRIOR TO PERFORMING REPAIR WORK.
C
NAME AND TYPE OFAPPUAN E
CQNDITION TO BE CORRECTED
FOR
FURTHER INFORMATION, PHON
TAGG
2—
CU Oi�j RTUCUMWR)l;
, RtjlONSHlR6F OCCUPANT TO CUPTOME9:'
I
09 FRI 9:41 FAx 303 237 8929 303 Best way 14002/002
111s'U -�
INSPECTION RECORD pccuaancylTYpe
'VANSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
5
1 @/09/09 7.35 AN
?b
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Do NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Stemwall / (CEG) Concrete
Encased Ground
Lr
-
PAYNENT RECEIVED
Reinforcing or Monolithic
`
3@�. @4
035598
Weatherproof / French Drain
TOTAL
305.84
Sewer Service Lines
_
Electrical Service
INSPECTIONS r
Water Service Lines
Rough Electric
SHOULD BE CA..
YOUR NO CONCRETE UNTIL AUUVt TIAJ aten J mnCU
CONCRETE SLAB FLOOR - -
Electrical (Underground)
1 @/09/09 7.35 AN
edbb
_
Plumbing (Underground)
Plumbing
RECEIPT NO:CDD@02860
Heating (Underground)
IIPGP Reroof 33 sqs
Mechanical
Do NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lr
-
PAYNENT RECEIVED
Lath / Wall tie
`
3@�. @4
035598
Mid -Roof
TOTAL
305.84
ROW & Drainage
_
Electrical Service
INSPECTIONS r
Parking & Landscaping
Rough Electric
SHOULD BE CA..
' ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING ANL
CERTIFICA TE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDIA':
OF CERTIFICATE OF OCCUPANCY NOR PERMIS -
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE
Insulation
Drywall Screw
TO
FINALS
...Electrical...._
1 @/09/09 7.35 AN
edbb
_
Robert Fowler
Plumbing
RECEIPT NO:CDD@02860
AMOUNT
AMOUNT.
IIPGP Reroof 33 sqs
Mechanical
093170 - -
'
Permit Fee
Use Tax
Roof
Lr
124;;74.s
PAYNENT RECEIVED
Building Final
VG -4950
Auth =Code -
3@�. @4
035598
Fire Department
TOTAL
305.84
ROW & Drainage
INSPECTIONS r
Parking & Landscaping
SHOULD BE CA..
' ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING ANL
CERTIFICA TE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDIA':
OF CERTIFICATE OF OCCUPANCY NOR PERMIS -
CITY OF WHEAT
RIDGE -
1 @/09/09 7.35 AN
edbb
_
Robert Fowler
RECEIPT NO:CDD@02860
AMOUNT
AMOUNT.
IIPGP Reroof 33 sqs
`
093170 - -
Permit Fee
Use Tax
181.1@ -
124;;74.s
PAYNENT RECEIVED
AI90UNT '
VG -4950
Auth =Code -
3@�. @4
035598
TOTAL
305.84
OCCUPANCY NOT PERMITTED UNTIL CERTIFICAI E v .�..:.:i
PROTECT THIS CARD FROM THE WEATHER
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237:8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: e�9 I l
El No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: ' , i] Inspector:
rl O NOT REMOVE THIS NOTICE
x.a
A i CITY OF WHEAT RIDGE
Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax.
INSPECTION NOTICE
Inspection Type: X17 1, (-i
Job Address:
Permit Number: 09
1
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
' When corrections have been made, calf for re-inspection at 303-234-5933
Date: C),Q- ` L f99 inspector: d~l~~ zG' f
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office (303) 237-8929 Fax
JNSPE TI--I
Inspection Type:
Job Address:
Permit Numbers OCf l-7(
r
F
❑ No one available for inspection: Time A _ M
Re-Inspection required.Y No
When corrections have been made, call for, re-inspection at 303-234-5933
i
Date: 1 ° # Inspector: (~om
DO NOT REMOVE THIS bOTICE
Interstate Roofing
11452 W. Hampden PI_
Denver, CO 80227
November 6, 2009
To whom it may concern;
This is to state that Wheat Ridge has the right to use the credit card on file to charge for re-decking
permit, this is to be added to permit number 093170, with address 4435 Teller St.
Thank you
CITY OF UNEAT RIDGE
11112!09 2:33 PH edba
Robert Fowler
RECE
BPSPIReroofC330®gs 2
093170
Permit fee addition
PAYMENT RECEIVED
VS 4950
Auth Code,
q3540
TOTAL
AMOUNT
154.71
154.71
AMOUNT
154.71
154.7'
"4' City, of Wheat Ridge
roooor Faxed Roof Permit PERMIT - 093170
PERMIT NO: 093170 'ISSUED:' 10/08/2009'
JOB ADDRESS:: 4435 TELLER ST 'EXPIRES 04/06/2010
DESCRIPTION:.:. Reroof 33 sqs
CONTACTS
owner 303/564-6612 Mary Dennis;
sub 303/7G3-9114 Lorin Hanson 01-9938'Interstate Roofing Incorporate
* * -PARCEL INFO
ZONE ?CODE: UA USE: UA
SUBDIVISION:; 0009 .BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,930.00
FEES
Permit Fee 181.10 ,
Total Valuation .00
_r Use Tax 124.74 , ✓ lL
:TOTAL 305.84
V
y 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.
6 nail installation & mid-roof inspection required. Board sheathing spaced more
thana 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exteriorwalls.
***Contractor/Property owner shall provide'ladder(s) secured in place for
inpsections..
m
a.
P Subject to field inspection.
C I hereby certify'. that the setback distances pro osed b this permit ordinances, rules or regulations of the City ofPWheat Ridge. or covenants, easements or accurate, o of not violate record; thatp able
all
measurements shown, and allegations made are accurate; that I have read and agree to abide 'b all conditions
by printed on this
application and that I assume full responsibility for compliance with.: the Wheat :Ridge Building Code (I.B.C) and all other
Ey applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
z,
v
X,
q Signature of contractor/owner date
~s
1 This permit was issued in accordance with thee( 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
ut; ordinances of the city.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
u' date. An extension may be granted at the discretion of the Building Official.
3 If this permit expires, 'a new permit may be acquired for a fee of one half the amount normally required, provided no
r 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 aSnew permit. r
4 No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permitf or the approval of drawings and specifications shall not be :construed to be a permit'. for, nor
v an approv o ny violation of the provisions of the building codes or any.:other ordinance, law,rule or :regulation.
All p w is subject to field inspections.
Signatu of ief Building Official date
a~ INSP CTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
ti,
INSPECTION RECORD Occupancy/TVpe
"ZMSPECTION LINE: (303) 234-5933
L Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
no NOT Pra IR FI nnR I INTII GHOVP Hns RFFN SIGNFD
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE
SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
R
Building Final
B
Fire Department
U
R.O.W & Drainage
s
INSPECTIONS I
Parking & Landscaping
SHOULD BE CA V
Tax 124,74
**NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AN[: Au
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDIN 03
OF A CERTIFICATE OF OCCUPANCY NOR PERMIS
0/09/09 CITY 7.35H AN OF WHEAT
RIDGE
obert Fowler
ECEIPT NO.CDB802860
PSP Reroof 33 s
AMOUNT
qs
093170
305.84
ermit Fee
181.10
YMENT RECEIVED
4950
AMOUNT
th `Code:
385.84
559B,
---TOTAL
1
R
A
5
305.84
OCCUPANCY NOT PERMITTED UNTIL CERTIFICAI t yr
PROTECT THIS CARD FROM THE WEATHER
(wu o
Pmpatty Adidmm:
City of
~ITheat ice owe:
COMMUNi iY DEVELOPMENT Permit DLr ?
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80633
Office: 303235-2855' Fax: 303-237-890
Inspection Line; 303-234-5933
Facsimile Building Permit Application
Properly Owner (please prfnt)'~
!Welling Address: (rf different than
Address;
address)
Plan Review (due 11 &w of submitta6: 3
BTU's Gallons
OWNERICONTRACTOR 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,
miss or ragulatlons of the City of Wheat Ridge or covenants, aasamenfa or restrictions of recotd; that all measurements shown, and
allegations made are sccurate; that I have read and a4me to abide bbyy all conditions printed oh4his application and that I assume fun
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and an other appilofte Wheat Ridge ordinances, for work
under this permit Plans subject to field Inspection,
CIRLCE ONE;: (OWNER) (CONTRACTOR) or PERSONAL. REPRESENTATIVE Df (OWNER) (CONTRATOR)
EM NAME`.
atlltllli4.
f~t
PtiBlp3:
SIGNATURE; Date:
9mh
iRYE : [7s ie5 w/~. Cl,AlWopraved ❑
Credit Card ~'~y,~t. , Se ccdd r, listed on r
te.
Print name: I [~~l l~ Signature:
~yr,RY:
d: Bid; Valuation: S ,
stth Coaf39 ebb;
CoaipwILly-ilamo: _ License F.xwtration Date: Trado'rofesslon; Approval:
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 77625
BUILDING INSPECTION LINE -(305-234-5933) Date : 8/30/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: DENNIS RAY
Property Address : 4435 TELLER ST Phone : 467-0679
Contractor License No. : 18236
Company : Applewood Plumbing & Heating Phone : 433 9983
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $2,462.00
I hereby certify that the setback distances proposed by this pemit application are accurate, and Pefmit F@8 : $108.30
do not violate applicable ordinances, rules or regulations of the City of W heat Rid9e or
covenants, easements or restrictions of record; that all measurements shown, and allegations Plan Review Fee : $0.00
made are accurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compli th the W heal Ridge Building Use Tax : $29.54
Code (U.B.C.) and all other applicable Wheat 'ye rd a es, for work under this permit.
Total: $137.84
(OWNER)(CONTRACTOR) SIGNED DATE_,,Ir
Use :
Description : REPLACE EXISTING FURNACE e ~
BUILDING DEPARTMENT USE ONLY
-~-»SIC : Sq. Ft. :
Zoni~9~C~mrrtie,nts:~
Approval :
Zoning :
Bu,i(siln~"Cbrt~m~ei fs~'
Approval :
hu61i&Wo'r,ks G'~"ieienfs;'
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : 19585 Plumbing License No : Mechanical License No :
Company :Over-all Electric Company : Company :
Expiration Date : 2/28/2005
Approval : OKIKS Expiration Date : Expiration Date :
Approval: Approval:
(t) This permit was issued in accortlance with [he provisions set forth in yopur application and is subject lo the laws of the State of Colorado and to the Zoning
Regulations and Building Code ot Wheat Ridge, Colorado or any other apDlicable ordinances of the City.
(2) This pemit shall expire if (A) the work authorized is not commenced within sixty (60) tlays from issue tlate or (B) ihe building authonzed is suspentled or
abandoned for a period ot 120 days.
(3) If this permit expires, a new pemit may be acquiretl (or a fee of one-half the amount nortnalty required, provided no changas have been or will be made in ihe
original plans and specifcations and any suspension or abandonment has not exceeded one (1) yeac If changes are made or if suspension or abandonment
ezceetls one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done Ihat will change the naturel Flow oF water causing a drainage problem.
(5) Contrector shall noti(y the Buildin pecLor lwanty-four (24) houre in advance for all inspections and shall receive written approval on inspedion card before
proceediing ' ssiv ases of ihe jo~
(6) The iss pe or ih apQr r w ngs and specifcations shall not be wnstmed to be a pemit for, nor an apDroval of, any violation of the
pm ' o - erorUinance,law,rule orregulation.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
Boiiding Pemit Applintlon
City of Wheat Ridge Building Permit Application
IDepartment of Planning and Development
Permit Number
Buildin
'Building Inspection Line: 303.234.5933
.
g
i
ICity of Wheat Ridge
I,
!7500 West 29th Avenue
; Date:
,Wheat Ridge, CO 80215 303135.2855
IProperty Owner. GS 44~1
Pnone:3 4167-06 7-/~
Property Address: 7a52- GS(
'Contractor License No: 1e~,2 36
Phone: 3 ~
Company: s
IOWNER/CONTRACfOR 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
Construction Value: ~
'covenants, easements or restrictions of record; that all measurements shown, and
~
Permit Fee:
allegations made are accurate; that I have read and agree to abide by all conditions printed
ion this applications and that I assume full responsibility for compliance with the Wheat I
Plan Review Fee:
Ridge Buiiding Code (U.B.C.) and all other applicable Wheat Ridge Ordinances, for work ~
Use Tax:
!underthis permit. ~
;
~
Total:
!(OWNER CT SIGNED!
la~
I DATE: - B
1Description: G ~
i
' Buiiding Department Use Only
~I
I
iZaning Comments:
ISIC: Sq.Ft.:
iApproval:
iZoning:
Buiiding Comments:
jApproval:
i
Public Works Comments:
I,Approval:
II
Electrical License No: Ay~,5-
Plumbing License No:
Mechanical License No:
Company:Oj~`~'ZL E-2~Zr~~C
Company: I
Company:
'Expiration Date:
Ecpiration Date:
Approval:
Expiration Date: ~
Approval:
Approval:
(1) This pertnit was issued in accordance with the provisions set forth in your appiication and is subject to the laws of the State of Coloredo and to the Zoning
Regulations and Building Code of Wheat Ridge, Cobrado or any other applicabie ordinances of the City.
(2) This pertnit shall expire if (A) the work auNonzed is not commenced wiNin sixty (60) days from issue date or (8) the building authonzed is suspended or
abandoned for a penod of 120 days.
file:///EVvwwrooUcitydev/building-pertnit_application.htrn (1 of 2) [7/2/2002 1022:41 AM]
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST29thnvENUE BUILDING INSPECTION DIVISION PERMIT N0. M93#18814
234-5933 P.O. BOX838 CITY OF uVHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BWIDING INSPECTOR ANC RECEIPTED BELOW.
ICATION FOR MISCELLANEOUS PERMIT
JOB ADDRESS yy35 l~t~~R `~~i ~ OWNER
CONTRACTOR
ADDRESS
CITY WHEikMMCjG
S~ ZIP CODE OL1O
PHONE
LICENSE NO.
ADDRESS
PHONE _
ZIP CODE
CONTRACT PRICE $ 700 -w-o'
DATE
1. TYPE Ground❑ Woll❑ Proiectinp❑ 01Mr SaDFeCe
2. MATERIAL Total Spmn Fee1
SIGNS 3. ILLUMINATION Yea❑ No❑ TYDe Eleef. Permit No.
4. SET BACK FROM PROPERTY I,INE N_ S_ E_ W Zone_ Approvsd,2one Inapeota
(Soaeifv which ia fronl) ❑ ❑ ❑ ❑ Disapproved
1. TYPE SolidD9 More TAan 80% OpanLJ Lest Thon BO% Open
MATERIAHNOM~ ~
FENCES 3 SET BACK FROM PROPERTV LINE N_I-I S__ E_ W Zrn r bn~ I sefor
(SDetify which ie tront) L.1 ❑ ❑ ❑ DieaDproved
OTHER I2 l 4 ~CK~ E
3
DRAW SKETCH OR SHOW BELOW, TME FENCE,SIGN,OR OTHER STRUCTURE,GIViIiG DISTANCES FRdA PROPERTV LINES.
(SETBAC
i ~
J ~
T
F-
2
SPECIFY NORTN
~
N
STREET NAME -M `"`E R- n
SNOW DISTANCES FROM THE M41N BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTV LINES;ON IRRECiULAR lATS, SHOW LEAST
DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAI PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM~ THE INDICATED WORK ONLY UPON VALIOATION BY THE BUILDiNG INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE UCENSE N0.
MECHANICAL PERMIT
AWMINUM WIRE UNDER SI2E 8 ILIEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
Ft1EUCitkOns GW dl Propaw E Sdor
pp.
TEMPORARY METER
WATER ClASET
N'ASH BOWL
FORCED AIR - BTU
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CNANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
L16HTING
SINK
OTHER
HEATING
GARBAfiE DISP
REFRIGEflATION SYSTEM
POWER SU9-CIFCUITS
UTILITY (RANGE, DISPOSER, ETC )
FIxTURES
WATER NEATER
AUTO. WASHER
DISH WASHER
Retri ernnf Goup
Pounds CMi e
AUTOMATIC SPRINKLER $YSTEM
WIRING MOTORS d CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 8 RECTFIERS
SEWERS
ADDITION TO OLD WORN
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
ARK
e that this aD7lico-
kn
wled
b
PERMIT FEE
r+o VAUD UNLE55 RECEIMED
q
y ac
o
1 Mre
tion u conect and undeistand that I
li-
it fhi
USE TAX
~ q, ~
e a0p
connOf Horf tAis DrojtlCt unt
oation is ap0roved. I shall comply with
TOTAL FEE
Me lawf of the Stote of Colorado ond ro
the Zoninp Requlations and Buildinq
AppROVE
Code ofthe City of Wnaoi Ridqe. Any
violotion of the above terme will cause
immediat revocofion of t is permil
CHIEF BUILDINGI SPECTOR,Ci}y of Wheat Ridqe
CALL234-5933
o
Date Issu°d
24 HOURS IN ADVANCE
FOR INSPECTIONS
•oo~~eann vo~^,~•• ` ` ~ / ~
V