HomeMy WebLinkAbout4621 Teller StreetPERMIT: ADDRESS:
INSPECTION RECORD
JOB CODE: ! I�
VIZ
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not (;over Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
009rior'omjw�
T4JZk X/ *
Rough Inspection (continued)
f Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
01<117
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
01<117
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
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 please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
City of Wheat Ridge
Residential Roofing PERMIT - 201707554
PERMIT NO: 201707554 ISSUED: 09/21/2017
JOB ADDRESS: 4621 Teller ST EXPIRES: 09/21/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 40 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)526-9349 JACOBS CAROLE L
SUB (303)432-2753 Dennis Finch 022065 Arvada Roofing & Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,200.00
FEES
Total Valuation 0.00
Use Tax 382.20
Permit Fee 346.95
** TOTAL ** 729.15
*** 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 6/12 PITCH & OVER: 3rd party inspection will 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.
City of Wheat Ridge
3 A
Residential Roofing PERMIT - 201707554
PERMIT NO:
201707554
ISSUED:
09/21/2017
JOB ADDRESS:
4621 Teller ST
EXPIRES:
09/21/2018
JOB DESCRIPTION:
Residential Re -roof
to install OC asphalt shingles
- 40 sq Pitch = 4/12
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 permtt. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and that all wor 1s ocument and/or its' accompany' approved plans and specifications.
Signature of OWN IZ-,"olr CONTRACTOR (Circle one) Date
I . This permit was issued b n the inforu�ation provided in thepermit application and accompanying Flans and specifications and is
subject to the compliance with t ose 1documents, 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 originalermit 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 Off-cial and is not guaranteed.
4. No work of anmanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
T:. .: ,.:..�
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
applicabl de or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
`r o
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett'
' E
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, September 18, 2017 2:28 PM
C
To:
CommDev Permits.
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Follow up
Flag Status:
Completed
fi
y�
Residential Roofing Permit Application
_
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address 4621 Teller st
Property Owner Name Carol Jacobs
Property Owner Phone 3035269349
Number (enter WITH
dashes, eg 303-123-4567)
101
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
ryansumnerarvada@gmail.com
Yes
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Arvada Roofing and Construction
}
022065
3039293657
Contractor Address 5490 Garland st
(Primary address of your
business)
Contractor Email Address ryansumnerarvada@gmail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
ryansumnerarvada@gmail.com
40
18200
No
Pitched roof (2:12 pitch or greater)
102
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 40
part of the PITCHED
roof?
Describe the roofing Owens Corning Oakridge
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional Shingle house
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
103
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Ryan Sumner
Email not displaying correctly? View it in your browser.
104
Arvada Roofing & Construction
5490 Garland St.
Arvada, CO 80002
303-432-2753
Proposal submitted to: July 5, 2017
Carole Jacobs
4621 Teller St
Wheat Ridge, Co
303-526-9349
CLAIM #0169512
* Reroof House Including:
* Remove all roofing to decking
* Install Owens Corning Oakridge Shingles with Manufacturer Lifetime warranty
in
* Install 15LB felt
* Install 2" x 2" drip edge on all eaves and rakes as required by code
* Install Ice & Water Shield on all eaves as required by code
* Includes Disposal
* Install (9) new pipe Jacks
* Install split jack on electrical mast
* Install (11) turtle vents
* Detach & reset satellite dish
* Install step flashing
* Install Hip & Ridge cap
*Paint roof components to match
* Install (2) slope jack, rain cap
* Install 90LB valley liner in all valleys
* Detach & reset satellite
* Flash chimney
* Install new 5" seamless aluminum gutters & downspout extensions
* Rescreen (2) window screens
* Liability and Workers Comp Certificate available from our agent upon request
Price does not include Permit cost (Insurance will reimburse)
3 year no leak warranty, all factory warranties apply
All material is guaranteed to be as specified, and the above work to be performed in
accordance with the drawings and specifications submitted for above work and
completed in a substantial workmanlike manor for the sum of. $21,041.18 plus items
supplemented to the insurance (permits)
Twenty One Thousand forty one 18/100
With payments as follows: $ 0 dollars down balance to be paid in full upon completion
Glen Sumner
This proposal may be withdrawn if not accepted within 30 days
Acceptance of proposal
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payments will be made as outlined above.
i
Signature 0I'0'tjR' Date 7 �
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: q0q gor
Job Address: e. l f
Permit Number: 20 17 p 7 E��
❑ 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: OA -//7 -Inspector: �T//
DO NOT REMOVE THIS NOTICE
I r t
i CITY OF WHEAT RIDGE
Building Inspection Division 4r
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: / 4 _E
Job Address: LAG
Permit Number:1
LlNo one available for inspection: Time = AM/RM
Re -Inspection required: Yes _Nb
When corrections h ve been made, call for re -inspection at 30-234-593
Date: �?,/,/-/ >Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: %tA 1 `>
Job Address: 7 llu c t
Permit Number:
❑ No one available for inspection: Time � � a/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
}
Date: 1 �1 Inspector:
DO NOT REMOVE THIS NOTICE
City of
Wh6aV id c
- 1Y DEVELOPMENr
S�4�� (please print): C 0 Phone:(jo- -13q
� 969 -Na
Address:
City, State, Zip:
Contractors City License #: Phone: 13o
7;
W=
City License # City License # City License #
(Fully describe work to be performed - Attach additional sheet If necessary)
I
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
J1T5TUjTf(5' Vffaa - 1 VX7 W To
ttjj,t Vj%JjlW1Cr8 101 WOM'S'llitur ally purillit, jsN vawu un
aw
(_U� gr (AUTHORIZED REPRESENTATIVE) of (ORWER) (CONTRACTOR)
RM
* ** CONTACTS * **
owner 303/526 -9349 Carol Jacobs
sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc.
** PARCEL INFO
City of Wheat Ridge
_ter
UA
USE:
UA
Residential Plumbing
PERMIT
- 102516
PERMIT NO:
102516
ISSUED:
11/03/2010
JOB ADDRESS:
4621 TELLER ST
EXPIRES:
11/03/2011
DESCRIPTION:
Repair 105 if of sewer line inyard
only
* ** CONTACTS * **
owner 303/526 -9349 Carol Jacobs
sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0009
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,500.00
FEES
Permit Fee 109.20
Permit fee additiona 60.5
Total Valuation .00.
Use Tax 63.00
Use tax additional 27.0
** TOTAL ** 259.70
Conditions:
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulatio s of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and alleg ions made are accurate; that I have read and agree to abide by all conditions printed on this
application and tha I ass full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat Ri ge O �nances, for work under this permit. Plans subject to field inspection.
Signature of
actor owner date
con /
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have 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 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 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 revie is subject to field inspections.
Signat rSTSMUST of Building Official date
INSP REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQU BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
..........._ __.
IIG �1�. IIV V VIIiC
P E Y LAI JOB DATE 01- 39419
to
INDUSTRIES INC. DATE J OB#
/
P.O. Box 370 • Watkins, CO 80137
ESTIMATOR CALL ORIGIN
(303) 696 -9599 G f s�
SE Po
Fax (303) 671 -6871
. ., , .. JOS:INPORMATION,.: .; .... .: . BILLING INFORMATION' " '
„
NAME NAME (,
`1 a eons
ADDR
1
`
ADDRESS
CI
I�; C
ST TE
ZI 3
CITY
STATE
ZIP
p PHONE
�].
.. ..�.,. [.DE$ORIFiION'OFSERV1bE5':. .
„ L an G s NP ;v $
A CA sir - , rr)
��� t „rd •h r
ua&4 aja r
- 6e-clAs"
e l / 5 F 0 c
K ID
f � S
WARRANTY Terms of Warranty:
1
APPROVAL X
S TURE
SUSTO
cON11NENTS:
THANK TAX
YOU � PLOD P 1
THIS AMOUNT
ITEMS NOT INCLUDED; Landscape, grass, sod, trees, bushes, flowers, plants, fence
repair, decorative rock, utility conflicts, private utilities, sprinklers, watedines, electrical, gas,
etc. Not responsible fordamage caused by unstable sail, cave-ins or any othercomplications.
ACCEPTANCE y am/
X
TERMS cancellation fees Will apply. Invoicesare payable - 1/2 down and balance upon
OF INVOICE
SI N URE
VISA n WC AMEX
completion of wodc performed. Any Invoice not paid when due, shall Incur interest at the rate
of 18% per annum. In the event that it becomes necessary to collect any unpaid balance
be to receive all costs of collection, Including
EXP
owed, Pipeline Industries, Inc. shall entitled
reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's
CARD #
lien for all unpaid materials and labor supplied tobuildingp jectspursua ttoCOloradolaw.
APPROVAL#
El CASH ❑ CHECK#
X N URE
CHARGE A/R ACCOUNT #
11/12/10 09:02:06 City of Wheat Ridge Page 1
bp340 -iq ESTIMATE OF VALUATIONS AND FEES mmackey
THE FOLLOWING INFORMATION ARE ESTIMATES ONLY AND NOT ACTUAL VALUES.
CODE - -- DESCRIPTION - - -- - - -- VALUATION- - - - - - -- -FEE - -- -USE TAX
prm Permit Fee 1,500.00 60.50 0.00
totva Total Valuati 1,500.00 0.00 0.00
use Use Tax 1,500.00 0.00 27.00
TOTAL VALUATION: 1,500.00
FEES VALUATION: 1,500.00
PERMIT FEE: 60.50
USE TAX: 27.00
OTHER FEES: .00
TOTAL FEES: 87.50
❑ No one available for inspection: Time Y, 0 AMtW-1
?. Re- Inspection required: Yes -
-
When corrections have been made, call for re- inspection at 303-2344933
' Date: ! /�5��� Inspector:
DO NOT REMOVE THIS NOTICE
❑'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: &l i® Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 102516
PERMIT NO: 102516 ISSUED: 11/03/2010
JOB ADDRESS: 4621 TELLER ST EXPIRES: 11/03/2011
DESCRIPTION: Repair 12 if of sewer line in yard only
* ** CONTACTS * **
owner 303/526 -9349 Carol Jacobs
sub 303/696 -9599 Steve Wakeham
01 -9921 Pipeline Industries, Inc.
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0009
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,500.00
FEES
Permit Fee 109.20 )
Total Valuation .00�`
Use Tax 63.00'`
** TOTAL ** 172.20
Conditions:
Subject tg field inspections.
I hereby c rt fy that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances ul es or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measureme shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
applicati n and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicabl heat Ridge Ordinances, for work under this permit. Plaarnns subject to field inspection.
— �V
Srgnatu of contractor /owner date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have 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 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 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 rev' w is subject to field inspections.
Sign ef Building Official date
INS EQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQ BEMADEBY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
- O..t..:
f ti, „A,rl �� ill !.)i: zfri6 nlGPaf
Plan #
Building & Inspection Services Division Parrarit # �1�
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303- 235 -2855 * Fax` 303- 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Owner (please print)_ �gro 1 jCC1�� Phone: L lq
Mailing Address: (if different than property address)
Address:
City, State, Zip;
Contractors City License #: Phone
SubCorrtracti�i '�
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Contract Value:
ce, Gd
l, A �e �tC ( on \�� s �
t� Review Fee (due at time of submittao:
Squares BTU's Gallons Amps uq Ft
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 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 lega weer of the properly to perform the described work
and am also authorized by the legal owner of any entity included
on ap tc lion to list that entity on this application.: -
CIRCLE ONE: WNER) (CONTRACTOR) or OTFIORIZED TI
REPRES'N' AV of (OWNER) NTRACT )
\ "� )(
PRINT NAME: ` �y �J Q l t �_ SIGNATU DATE: 1�� o
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INSPECTION RECORD OocI,aaovRvDe
INSPECTION LINE (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Ca I by 3:00 PM to receive inspection the following business day.
1-
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS:
_INITIALS
Footings /Caissons
Stemwall:/ (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
i~
' Weatherproof / French Drain
Sewer Service Lines
Water Service Lines r
r�
.'POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
s
u ` CONCRETE SLAB FLOOR
Electrical ,(Underground)
Plumbing (Underground)
' Heating (Underground)
%Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
- lath /Wall tie
Mid -Roof 7
Gas Piping'
:Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
C.
I THE WEATHER
♦ � 4 i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: pt��
Job Address: If`!? �d
Permit Number: /wt
❑ No one available for inspection: Time ff C'i PM
Re- Inspection required: Yes
* When corrections have been made, call for re- inspection at 303 -234 -5933
Date: Lf t -t 4 Inspector:
00 NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: l4,fP`
Job Address: tg2( P~ll~1 S(.
Permit Number: Lr/ ql~6 aif
affl)`t9 i'pcc f
❑ No one available for inspection: Time ?KM PM
Re-Inspection required: Yes
'When corrections have been made, call for e-inspection at 303-234-5933
l1 !
Date: i%-t~'4 Inspector: n ,
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT
of w"EqT 9 BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
m 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Property Owner: 0()f-0``EG6~0
Property Address: t4 , kA _
Contractor License No.: ' C
Company: e -cy l Lq
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 Wheal Ridge Building Code (U.B.C) and all other applicable
Wheat Ridge Ordinances, for work under this permit.
10WNERgCONTRACTOR):
Building Permit Number: t:qowz~
Date: ~OC
Phone:,j-j~ -q3"4'9
Phone3-6914 ; ~ -
;tion Value:$ I~~o89r0
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
Description: \c
L°('ll
bW`~K
e, t
\~o4yikoOi
8c)(-u- ki~CK
Sq. Ft. added
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(t) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the Stale 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 (60) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 120 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 orabandonment has not exceeded one
(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written
approval on inspection card before proceeding with successive phases of the job.
(6) The issuance 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.
Chief Building Official
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Property Owner: MOSGROVE HARRY B
Property Address : 4621 TELLER ST Phone :
Contractor License No. :
Company : Phone :
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Description : ENCLOSEDUMPSTER
A
p~r~in~ :
ApprovaP;
Approval:
Conshuction Valug :
$100.00
Permit Fee :
$0.00
Use Tax :
$0•00
Total:
$0.00
BUILDING DEPARTMENT USE ONLY
SM 41231956 R-2 AWACENT PARKING SPACE MU$T BE BACK IN
ONLY
SE 4i86 OUMPSTER ENCLOSURE MUST BE KEPT'!5' BAGK FROM
RIGHT OF WAY WHEN IN A PARKING LOT
I Axupamcy : Walls : Roof : Stories : Residential Units : I
Electricat License No t
Company :
Expiratlon Date :
Approval :
0
(t) Thispermitwss'lauW inemda
(2) ~~a
(3) NtM1b@ennkmqtiraa,0rWWpan
(5)
(BT
Plumbing License No :
Company :
Expiretion Date :
Approval :
n s-
Mechanical License No :
Company :
Expiration Date ;
Approval :
0
i In yapur appNcetlon antl is supjed to tlx laws of 5x8ble d CoMryitlo antl to Me Zonirp .
oMx appNtabb aMMancat ol tlie Gty.
ed wqhin sizly (BO) Oaya M1om issue Oab «(e) tl» Ouiltlinp aWwiixod Ia suspended or
rre-haN the artquM nonnely required, providad no ehenpec Mva tiopn or wIN be mede in ihe
rient has not exceetletl one (1) year. H ehanges are metle w if slqponalaf or abantlaimaM
flow of waMr aewl e drainaga Problem.
ra in atlvence far aH~speatlons aM shed rxeNe writlon approval on.inapeWon raN befae
etiont shall not ba wne6vetl to be a peimil for, nor an approval d, my WdaNOn of tlie provieiais
TF{iS PERMff VALID ONLY 4YHEN SIGNED BY THE CHIEF BUtLDIMG INSPEG70R
CALL: 234-6933 24 HOURS PRIOR TO INSPECTION
~
(OWNER)(CONTRACTOR) SIGNED DATE
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
_ t
'
PropertyOwner: o'~ Y'n~{>
: /e r Phone
Property Address ~
Contractor License No. :
Company:
e
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value
I here0y certiry that the setback distances proposed by this Dermit application are accurate, P@fRllt F2e .
and do not violate applicable ordinances, rules or regulations ot the City of Wheat Ridge or
covenanls, easements or restrictions of recorE: thal all measurements shown, and allegations
made are accurate; lhat I have read and agree to abide by all conditions printed on lhis Use Taapplication, and that I assume full responsibil'rty for wmpliance with the Wheat Ridge Building
Code (U.B.C.) and all other appliwble eat Rid or 'nances, for ork under this p if.
Tot :
(OWNER)(CONTRACTOR) SIGNED ~ ~ DATE_%~~~ '
7
Description
BUII.DING DEPARTMENT USE ONLY
4M 1a
Approval: ~ 5pn.c.~ M.usr rs~
Zoning : z2 10 f0'4 L_y
8~11141f~ 11113111=1= Approvei :~~i~ ~n~c d bT ~,3~ ~T ~~\C ~=2 ov~ ~ - ~
n~
QO b,liE•W , , rN
~Gafifinents9
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Phone :
Electrical License No : Plumbing License No : Mechanical License No :
Company :
Company:
Company:
Expiration Date :
Approval:
~ '-Plans.Requlred
Expiration Date :
Approval :
2:, Blans Required
Expiration Date :
Approval :
~
(1) This permit was isSUeE in accortlance with the provisions set (orth in yopur appeca6on antl is SuGlect lo the laws of the State of Coloretla and to the Zoning
Regulations anE Building Code of Wheat Ridge. CobreEO or any olner applirable ortlinances of the Ciry.
(2) This permlt shall ezpire If (A) the work authonzetl is not commenceU withm sizry (60) days hom issue Eale or (0) the DuilEing auNOnzed is suSpenEetl or
a6andonetl tw a periaA of 120 Oays.
(3) If this permit exDires, a new permit may be acquiretl for a fee of one-half the amount normally requireQ proviEeO no changes have been or will be matle in Ne
oriqinal plans antl specifications and any suspension or a0antlonment has not exceeEed one (1) yeac II changes are made or if suspension or ahanEOnment
RRR ezceeds one (7) year, full lees shall be Daid for a new permrt.
(o work of any manner shatl De Cane Nal will Change the naNral now of water Causing a Orainage Oroblem.
(5 ContfaCtor Shall nOti(y the Building InspeGtor Wlenly-foul (24) h0uf5 in aOvanCf fof all mspecuons an0 5hall reterve writlen apprOVal on in5peC0on Wr0 Oefore
roceeEiing with succe phases of the lob.
(6) \ he suance o( a per it or Me approval of tlrawings antl specifcations shall not be construea to be a permit for, nor an approval of, any violation of the provisions
f ih~uiltling COCes otner orONAanck.law. mle or regulation.
Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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