HomeMy WebLinkAbout4600 Teller StreetCity of Wheat Ridge
Homeowner Roof PERMIT - 201701971
PERMIT NO: 201701971 ISSUED: 06/14/2017
JOB ADDRESS: 4600 Teller ST EXPIRES: 06/14/2018
JOB DESCRIPTION: Reroof replacement; install 30 year dimensional timberline asphalt shingles
- .32 squares
*** CONTACTS ***
OWNER (720)670-7395 MARTINEZ AUDREY
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT##: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,224.00
FEES
Total Valuation 0.00
Use Tax 172.70
Permit Fee 188.45
** TOTAL ** 361.15
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
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 A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€rms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
(V I 4 l
INSPECTION RECORD Occupancy/Type
INSPECTION REQUEST LINE: (303) 234-5933 I �
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector CommentsInitials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Inspector Comments
Underground/Slab Inspections Date Initials
Electrical
Sewer Service
Plumbing
r%— KIM f`nxmr I Inrlarnrnund nr 13aloW/In-Slab Work Prior To Approval Of The Above Inspections
.r...-__--_-_ - -__
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
�O I
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Inspector
Date
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW &Drainage /Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
"IC rL.n.in— / ic ice,iori Annrnvat of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits -Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
For notification of your assigned inspection time window please email insptimereguest(cr ci.wheatridge.co.us by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: August 22, 2017
Reason: Customer cancelled work request prior to start of work. Contractor
requested to have permit #201701063, for 4600 Teller Street closed out.
Please refund: Contractors License$ (acct 01-510-00-513)
80% permit fee: $ 163.44 (acct 01-510-00-516)
0% plan review $ (acct 01-550-05-551)
100 % use tax: $ 210.00 (acct 01-500-02-505)
Total: $ 373.44
TO:
Clear Creek Limited
8090 Newman Street
Arvada, CO 80005
Thank You!
IC:.n• 01004
Permit Technician
(1 080) y /
City uh 0 90a -36
City of Wheat Ridge Municipal Building 7500 W. 29h Ave. Wheat Ridge, CO 80033;8001 P: 303.235.2855 F: 303.237.8929
pi 1036 qq A
Refund Application y
:�. ar. �03y�y
Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be
approved without prior approval from the Building Official. The refund application must be received by the
Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180
days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of
Wheat Ridge, Attn: Building Division, 7500 W. 29tb Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out to): OJ ear
Address: ()I
City: AyvadjL State: Zip: U VOID
Phoned `d3��-31a7mai1: ICLu' [� I l
Permit #: OWV,020 Permit Address: 141,&0 7 ),,nr S
Reason for request
eUs7-DilF
C 61)0'r j 4y
Printed Name: 'Jv Signatur Date:
r)
For office use only )
This request has been: Approved 7 Denied Refund Amount: $ 3131 "
Approved by: ODate: U OST"
) j
a,os'wxi.wfwatridt„exo.us
City of Wheat Ridge
Residential Roofing PERMIT - 201701063
PERMIT NO: 201701063 ISSUED: 05/31/2017
JOB ADDRESS: 4600 Teller ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Remove existing roof to deck and replace OC Oakridge - 25 squares
*** CONTACTS ***
OWNER (720)670-7395 MARTINEZ AUDREY
SUB (303)898-7884 Larry Lawler 1.40003 Clear Creek Limited LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00
FEES
Total Valuation 0.00
Use Tax 210.00 3
Permit Fee 204.30we A I
* * TOTAL * * 414.30
*** 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 K1/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&,Erms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201701063
PERMIT NO: 201701063 ISSUED: 05/31/2017
JOB ADDRESS: 4600 Teller ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Remove existing roof to deck and replace OC Oakridge - 25 squares
I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building c and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fu er atte that I am legally a horized to include all entities named within this document as parties to the work to be
per armed an that all rk to be per orme s disclosed in this document and its' ac co panying approved plans and specifications.
S r
Signatur /andmayy
ER or CONT OR (Circle one) Date
1, Th' pessued ased on h information provided in the permit application and accompanying plans and specifications and is
su ectplian e with t e documents, and all applicable statutes, ordinances, regulations, policies and procedures.
Z, Th s peexpire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
rec vehe date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Officiabe subject to a fee equal to one-half ofthe 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 ord' ce 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
C'' Wheat�dge
MMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(JQci.wheatridpe.co.us
FOR OFFICE USE ONLY
Date: S ,} I f +
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Property Owner
Property Owner Email:
(" lc?IV41 Ive L
Mailing Ad/dr/ess: (if different than property address)
Address: 7060 e Ilex- -,4+e,4
State, Zip: �60
Architect/Engineer E-mail:
Phone:
Phone:
Contractor: �f �'4-✓C1^P c �- I H
Contractors City License #:J d c33 Phone: �d
Contractor E-mail Address: 0 /QG.,- C tree K (lam � � � � S/�'tQi 1 •ea
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH 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 VRESIDENTIAL 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 be used, etc.)
j2emo&-e -exi-54 /-.v -f r/7D e1C ry �a-e'
rL
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
a,C) ,ND
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 he property to perform the described work and am also authorized by the legal owner of any
entity included on this application to Wthat ent4y on this application.
CIRCLE ONE: (OWNER) (C NTRACT ) or (AUTHORIZED REPRESENT n IVE) of (OWNER) (CONTRACTOR)
PRINT NAME: �-vt a -W - I eIL SIGNATURE:
DEPAR
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ® Not Required
DATE: -,,!5,6 / fb'
Y
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
A i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: fi 6 F
Job Address: 16 D0 L C /SLf_
Permit Number: o/ 7 O ��/'%/
UrNo one available for inspectiome
Re -Inspection required: Yes 6NIo
When corrections have been made, call for re -in,
Date: 0_ I / ` / % Inspector:`
at 303-234-5933
i CITY OF WHEAT RIDGE
_1�9�V,Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 9 0�) b `
Job Address: q0 0 -7--e !)e A -
Permit Number: / � i /
r_E
AJ U
6 C
❑ No one available for inspection: Time U- "%G AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 6 - / /) Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Roof PERMIT - 201701971
PERMIT NO: 201701971 ISSUED: 06/14/2017
JOB ADDRESS: 4600 Teller ST EXPIRES: 06/14/2018
JOB DESCRIPTION: Reroof replacement; install 30 year dimensional timberline asphalt shingles
- 32 squares
*** CONTACTS ***
OWNER (720)670-7395 MARTINEZ AUDREY
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,224.00
FEES
Total Valuation 0.00
Use Tax 172.70
Permit Fee 188.45
** TOTAL ** 361.15
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€rms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
7
Homeowner Roof PERMIT - 201701971
PERMIT NO: 201701971 ISSUED: 06/14/2017
JOB ADDRESS: 4600 Teller ST EXPIRES: 06/14/2018
JOB DESCRIPTION: Reroof replacement; install 30 year dimensional timberline asphalt shingles
- 32 squares
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 a]I 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 M
1. This permit was issued based on the information provided in thepermit application and accompanying pplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired 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_15 ance 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
1' N Wheat *d e-
COMMUNiTY DEVELOPMENT'
Building & Inspection Services Division
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permitsCa)_ci.wheatridae.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Permlt #
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: 4600 Teller Street, Wheat Ridge, CO 80033
Property Owner (please print): Audrey Martinez Phone: 720-670-7395
Property Owner Email: audrey.martinez@wsp.com
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: Homeowner
Phone:
Contractors City License #: Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ® RESIDENTIAL
Descriution 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 be used, etc.)
Roof replacement due to hail damage
Install 30 Year Dimensional
Timberline Asphalt Shingles - Color: Barkwood
Sq. FtJLF Btu's
Amps Squares
32
Gallons
im
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
6,800
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or. (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NANSE: Audrey Martinez SIGNATURE- ;- � , 3\\ �
DATE:� \ �
ZQNING CCMMfAFN'TS
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer
PUBLIC WORKS COMMEWS
Reviewer
PROOF OF SUBMISSION FORMS
Fire Department nt❑ Received ❑ Not Required
Water District u Received ❑ Not Required
Sanitation District Received Not Required
DEPARTMENT USE ONLY
(-'--G-LJP6N CY CLASSIFICATICN
-•YPE OF CCNSTRUCTIOt
SPRINKLERED
OCCUPANT LOAD
` ,V
J
Building Division Valuation: $ J �L)
City of
Wheat ji e
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s):
Project Property: ��> i ti� �_ Lo
Notarized signature of Applicant
State of Colorado }
County of ss
The foregoing instrument was acknowledged by me this
A trT�Je r-4 ;(Ae
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
Iq day of J n , 20) 7 by
�)L')e^ My Commission Expires __±/_2,;tJ20Je
Notary Public
1
N RE
'VINSPECTION LINE: (303) "234 -5933
O ccupancy/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.
L
IBC
LY �)h, I mc
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR NSPECTOR
;
COMMENTS:
Footings /Caissons
Building Final
Stemwall / (CEG) Concrete
Encased Ground
Fire Department,
Reinforcing or Monolithic
R.O.W & Drainage
Weatherproof / French Drain
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking &landscaping
Sewer Service Lines
' * NOTE:: ALL ITEMS .MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. .FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERT IFICATE O CCUPANCY NOR PERMISSION FOR OCCUPANCY.
Water Service Lines
"POUR
NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
BOVE HAS BEEN SIGNED
31
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
FINALS
Electrical:
Plumbing':
Mechanical
Roof
Building Final
Fire Department,
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking &landscaping
' * NOTE:: ALL ITEMS .MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. .FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERT IFICATE O CCUPANCY NOR PERMISSION FOR OCCUPANCY.
UCCUPANCY NOT PER
MITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
ROTECT THIS CARD FROM THE WEATHER
m ! s CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: pF~ - s~~. uTe
Job Address: 1/O®v rsrl~e s7- Permit Number: ✓O~6.S£~
_4280)a 4~LL
❑ No one available for inspection: Time ,4 O PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: 4/
DO NOT REMOVE THIS NOTICE
" ! City of Wheat RidLye
QWHEgT City of Wheat Ridge Building Division Date:
3/I1 l0
7500 W. 29th Ave., Wheat Ridge, CO 80033
v m
_ _ Office: 303-235-2855 . Fax: 303-235-2857 Plan
00 0o Inspection Line: 303-234-5933 Permit p to
LORP
Building Permit Application
Property Address: 4600 7 LLLP, 51
Property Owner (please print): C N g 15 )L 1 RIL NA 1A Phone: 303. 9 35• oP 3y
Mailing Address: (if different than property address)
Address:
City, State,
Contractor: 6ON E ~Z KVtC L g2 01.E
Contractor License#: 0,2" 14a3 Phone: 303 497 - 366 3
Sub Contractors;
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
966. 29
Use of space (description): Construction Value: $
~ p as calculated per the Building Valuation Data sheet)
Description of work:
Wf~iq pCA1CY Plan Review (due at time of submittal):$
INSTALL `L9 eALLOAJ 2
Sq. Ft./L. Ft added: Squares BTU's Gallons q 0 Amps
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,
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. _
CIRLCE ONE:: (OWNER) (CONTRACTOR) or RSONAL REPRESEN TIV (OWNER) CONTR TA O
PRINT NAME: do L~ SIGNATURE: Date: '3//0/10
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17327
BUILDING INSPECTION LINE -(303-234-5933) Date : 7/3/2004
CiTY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: ABBEY
Property Address : 4600 TELLER ST
Contractor License No. : 17590
Phone : 456-8432
Company : C J Roofing Co. Phone : 394-2802
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 W heal 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 responsibilit for compliance with the Wheal Ridge Building
Code (U.B.C.) and all other applicable al idge ordinan es, f/or work under thi~s per~mit~.~
(OWNER)(CONTRACTOR) SIGNED -~M-✓ /a,-~.~-b!tY DATE~/Z/~~Y'
TT
Construction Value :
$3,375.00
Permit Fee :
$126.50
Plan Review Fee :
$0.00
Use Tax :
$40.50
Total:
$167.00
Use :
Description : TEAR OFF EXISTING ROOFING. INSTALL TAMKO "HERITAGE 30" ASPHALT SHINGLES ON
PITCHED PORTION. INSTALL CERTAINTEED "FLINTASTIK 5A" MODIFIED ON LOW SLOPE OF
ROOF
BUILDING DEPARTMENT USE ONLY
Zon1ng Comments: SIC : Sq. Ft. :
Approval:
Zoning :
BulldEng Comrnenks:=
Approval :
Pdblfc Works.Comrnents:;
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) 7his permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State ot Colorado and to the Zoning
Regulations antl Building Code of W heat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire it (A) the work authorized is not commenced within si#y (60) days from issue tlale or (B) ihe building aulhorized is sus0endetl or
abandoned for a period of 720 tlays.
(3) If this permit expires, a new permit may ba acquired tor a fee of one-half the amount normalty required, provided no changes have been orwill be made in the
original plans and specifcations and any suspension or abantlonment has not exceetletl one (1) yeac If changes are made or if suspension or abandonment
exceeds one (1) year, tull tees shall be paid for a new permit.
(4) No work of any manner shall be done that wi0 change the naWral Flow of waler causing a tlraina9e problem.
(5) Contrador shall nolify the Building Inspector hventy-four (24) houre in advance for all inspeclions and shall receive wntten approval on inspection card before
proceediing with successive phases of the job.
(6) Tha issuance of a permit or the approval of drawings and specifcations shall not be consirued ta be a permit for, nor an approval of, any violation of the
provisions uil ' g codes or any ot~dinance, law, rule or re9ulation.
t ' f Buil ' ns
Please sign Terms and Conditions on reverse side of page.
a~ wNEqt
x P
b
u m
~ac oa~a°
COMMUNITY DEVELOPMENT DEPARThfENT
BUILDING INSPECTION LIWE - 303-234-5933
CITY OF WHEqT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
~~~~ICATION
Proptrty Owmer:
Property Address:
Contractor Licrnse No.:
Company:
,4 hbel
i'4~oo l e(le2 Sr
/ -7Z SvC>
ONT'ER/CON'fMC7pR SIGNATURE OF URDERSTMDING.V:D AGREEMFJNT
1 hcreby ctrtify Lha! the xtback dislanca proposeC by lhis pcrtnft appliwtion arc accunte,
and do not vioiau applicable wdinanca, rula a rtgulations of the Ciry of What Ridge w
covrnanu, caxmrnEy a reytrictions of rocord; that ali mnsuremcncs stwwn. and sllegations
rtudc uc accun4; ihal I havc read and agrcc b abide by all conditions prinicd on this
applip(ion and thal 1 assume full'csppnsibiliry fw compiiance with the Wheat {Udge
Building Code (U.B.C) and all othcr ayplinblc Whp1 Ridgc Ordinances, tw work under
tnc: pern,ii
(OXYNFRxCONiRACTOR).SIGNED 7~tFVL,
(ON'7J ERMCOT'TRAC7pR):
Building Permit Number:
Date:
Phone: 303 Y $(f3Z
Phone: 30 3 3Qc/ Z&'OZ
Construction Value:$ Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
DESCRIPTION:~
TeAx Oe,4- Q2~(STliU~ .~OdL6~..GJ"' . ~yUS t-A-LL
~f~wr/~6 ~tt.c~TA~2 a~G 4 AS~FF,~~T S~~.vg~-C5 Ov (Jt~-C~~ ~JodT~o.J .
.L .~sr,qcc ~exzia,~✓%~c~~) 1`-(i.~.-A>T~,~ ~/+'r /!?T1~~~L~Ev O.✓ crJw Slo/~c
BUILDING DEPARTMENT USE ONLY
ZONIN6 COMMW7i:
Approval:
Zoning:
saLmNa Cowramra:
Approval:
S]C: Sq.Ft:
PUBJC W0111(f COMMWTi:
Approval:
Occupancy: Wa11s: Roof: Stories: Residrntial Uniu:
Electrical License No: Plumbing License No: Mahanical Licease No:
coffipany: company: company:
Expvation Date: Eacpiration Date: Ex ation Datc:
ApProvaL Pu
Approval: Approval:
11) n pmoit wu issued maaadanct wiih We povisioos sn fonb in your WP~alaw aod u subJa1 m the laws of the Sn¢ of Cobndo ud b ths Iming
eNhams anA BuiWiej Codn of NT- Itidfq CWwado w anY aher qipliwb4 admmces of Ae Ciry.
Th6 pemgi slull ezp've d(A) ds wM wi6orird'u od cwnmenred riAu sutY (60) d,ys fram issue dau w (8) the buiNinY smho.ized is suspended w
•b.ndartd f« • pniod of 120 d.p. .
(J) If Nu pennit expirex. anr~ pemit my be acqwmd fa a fu ofwoe-hai(de amoorn
in the aip^W VWu aoA fpecifineoos wd an ~^+lh RO~~Rd. Vro~ided ro<hanges have bcce or will be nude
Y wWe-sioo nObandamuml has na cacuded aae (I) nar. If chmgs W.e baeo n if myyersim n
abaodonmeoi e><ecds oee (1) Ya. fntl fees shatl Ee paiA (a a nev pmnil
I:o rork of any mwier dW be daee du wL chao`s the mwral Ibw of rmu dutiej a MuuK 7robkm.
IS) Cmo'acv s6J1 noufy dw BulEm f impecw n.ory.fm (11) hours io W.,mw ta Wmryu'oos aod s1u0 receivc wnnm appmval on inspection <W
b[fae Mmceedio= witL wccwive phun of tAe job.
(6) TLf ISA1uCC M\ Perpll OI ILe apppYJ Of Mr'0glYd fpR'iYKiOMni fEIII 11d EC CMSCYN b A! i
pro.isnm of the buiNine coda w~ny qher ord~o~~. Lw. ruk a regu6tioo. D~mi~ fw. oor yi ~ppovv of, any viulanm o! ~
rZCII f
Chief Buildino
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14397
BUILDING INSPECTION LINE - 303-234-5933 Date : 8/27/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner:
HELEN ABBEY
Property Address :
4600 TELLER ST
Contractor License No. :
17865
Phone: 456-8432
Company : Lakeside Heating Co. Phone : 421-3572
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable heat Ridge ord' efrce~ for work under this permit.
(OWNER)(CONTRACTOR) SIGNE DATE ` lle~
Construction Value :
$3,800.00
Permit Fee :
$97 25
Plan Review Fee :
$0.00
Use Tax :
$45.60
Total:
$142.85
Use:
Description : INSTALL 1 NEW PEERLESS BOILER. 140,000 BTU 80% AS REPLACEMENT
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
WRONow4tw
Approval:
SIC : Sq. Ft. :
I Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No : 17865
Company : Company : Company : Lakeside Heating Co.
Expiration Date : 4/30/03
Expiration Date : Expiration Date : Approval : OK/KS
Approval: Approval:
(1) This pertnil was issued in accordance wilh the provisions set forth in yopur application and is subjecl to the laws of the State of Coloretlo and to lhe Zoning
Regulations and Building Code of Wheat Ridge, Coloratlo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commencetl within sixty (80) tlays from issue date or (6) the building authorized is suspended or
abandonetl for a period ot 120 days.
(3) I( this permit expires, a new permil may be acquired for a fee of one-haltthe amount nortnally requiretl, provided no changes have been or will be matle in the
original plans antl specifications antl any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or a6antlonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work o( any manner shall be done that will change the naNrel flow of water causin9 a dreinage problem.
(5) Contractor shall notify the Building Inspector twenry-four (24) hours in atlvance tor all inspections and shall receive written approval on inspection cartl before
proceediing with successive phases of the job.
(6) The'ES ance of a mit or the approval of drewings and specifcations shall not be consirued to be a permit for, nor an approvai of, any violation of the
.pr~si i mg cotles or any other ordinance, law, rule or regulalion.
Chief Buildin Inspector
Sep-16-99 02:36P DEVREVFAX 303 235 2857 N.u[
DEPARTMENT OF PLANNING AND DEVELOPMEhT Building Permit Number :
BUILDING INSPECTION DIVIS(ON - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 qpp _'CATION
Property Owner : 1-~e leN rY JBe
PropertyAddress: yG>GO~ e/IP• Phone:c~O3 ~y3-~
ConVactor License No.; / 7g6Company : ~~}/~C'_Si (Y!? /7&YTI ~la ~ ~NC Phone : 30.3-y~I 357~
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREE? IENT ~ p~D U~
ConsWCtion Value : ~
I hercby uRily that the setback diataneaa proposed by this Oertnit applieation are aeau ate, permit FEA :
and 0o not violats applieable arEinanees, rules or roqulations of the Ciry of Wheat Ridgi or
covsnants, aasemenb or rcstrictions of rccord: Nat all massunmenb shown, and alkc :rdons
made art accurate: that 1 hava read antl agree to abide Dy all contliGons DrinteO on this USE T2X :
aDD~ication, antl thal I aseume NII responaibiliry tor compliance with Me Whaat Ridqe F! iWing
CoOe (U.B.C.) and all oNer aDPliabb Wheat RiEg rdinanc s, M afl~irider this per nit. TOtal :
(OWNER)(CONTRACTOR) SIGNED ATA / 1/07 ~ I-Q
USE :
Description:nSTA~~'J
Q 5 ~e J~/~'ern ~
BUILDING DEPARTMENT U ;E ONLY ~
s..,v.nr,~wsowasdisr'N SIC : Sq. Ft. :
Approvat :
Zoning :
Approval :
,pM
Approvat :
Occupancy : Walls : Roof
ElecVical License No :
Company:
ExpiraGon Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Stc ries : Residential Units :
Mechanical License No :
Company :
ExpiraGon Date :
Approval :
) Tho Dertrn was iasuW in axorEanu wiN IM proviaione sat foM in yopur apqieMion uW L auDpet to IM laws of tM State ol Coloratlo anC to IM ZorWn9
Regulatid73 aM 8uiltlinp CoG Of VNral RIE9e. COqnEO or ury otMr apPllqda ottlinuwf o( tM Ciry.
(2I T1ns pamtit Mall expin d (A) Ne work tWimzW ia na commillnuC wiMm wiry (00) tlaYs h m iaaue Eau or (8) Ne Duiltling auMOnxeO if suspsnUW or
uanaonea ror a wnoa of tio oays.
(3) tt t~b p~mut upres. a n~w p~mut mry Ds acpuvW for a laa o/ on~-I~alf fM amount nomull rpuiieC, provaetl no Uianqes Nve Oeen a win be mace m me
originii pans W spwlkations uW vry owW4on a aWnCOnmsnt haa nol ezcarWSO of" (t) Yau. II Uunqas are mwe or if susparown w aWMa+mmt
as~s onte (1) Year. Ml laas wY Ds paa ror a new pem.t
(4) No wunc o} ury mennV Y1aM be tloM tlul wiN Clianpe IM naWlal Ilow d water mmnq a 0r, na9e qoblsm.
(5) Conuaemr snan noury tne Builtlinq insDectw twaib-bv 1711 heun naavana ror sp uuPse ons anC anau rseaiva writnn aaorowi on inwenan ura eerom
pnGStlurp wiN W WsNW pNw of ~M
lde
(6) TM iasYanG Of a permM1 M Mu ippOVM drnMnW uW 3WAca4oru 3tuY nOl b0 mnslnx d W 00 a pelmit faf, nor in aOCroval Of, any vroktwn a( IM p0h11,41(ts
of tM OuilMnp mEn or onry olMr orOmuKa. Iaw, iuN or rpWEOn.
Chief Building Inspector