HomeMy WebLinkAbout4680 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: 910 _ F('od V flr� w / vT
Job Address: '[0o P ll Pf S+,
Permit Number: ZA0Z S 7Tq
❑ No one available for inspection: Timel/PM
Re -Inspection required: Yes No)
When corrections have been made, call for re -inspection at 303-234-5933
Date:-
ld _q110Inspector: tlyle- ,v✓clt
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Window/Door PERMIT - 201802659
PERMIT NO: 201802659 ISSUED: 10/01/2018
JOB ADDRESS: 4680 Teller St EXPIRES: 10/01/2019
JOB DESCRIPTION: Remove 7 existing windows and install 7 new vinyl windows, like for like
with no structural changes. Windows being replaced in living room, dining
room, kitchen and garage. Ufactor .25 or better.
*** CONTACTS ***
OWNER (303)669-3469 DAHLENBURG JON P
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,330.47
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 48.94
** TOTAL ** 98.94
** 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. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Window/Door PERMIT - 201802659
201802659
4680 Teller St
Remove 7 existing windows
with no structural changes
room, kitchen and garage.
ISSUED:
EXPIRES:
and install 7 new vinyl
. Windows being replace
Ufactor .25 or better.
10/01/2018
10/01/2019
windows, like for like
d in living room, dining
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
'Q r J-. 4 6' s K �2 /0 -- of - /00,
nat&dof OWNER or CONTRAX:!TOR (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, policies and procedures.
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.
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.
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.
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.
The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heatR dgc
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: permits@ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Permit # LIVMOL2 / �)7
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: 1 ��
Property Owner
y,
�.%�_41 /'
Property Owner Email: (J1'a� t,
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itectlEngineer E-mail:
Contractor Name:
City of Wheat Ridge License #:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
Phone:
Phone:
CONTACT NAME (please print): Phone:
CONTACT EMAIL(please print):
Phone:
Sub Contractors (Must provide Wheat Ridge License No.):
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 #
r
❑COMMERCIAL ESIDENTIAL
Description of work: For ALL projects, provide a detailed description of work to be performed,
including current use of areas, proposed uses, square footage, existing condition and proposed new
condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FULF
Amps
BTUs
Squares _
1
Gallons
Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
S 4.-3 - Y7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): - m q DATE: Z ° C1,7!
Printed Name:—,77 ki7 J ),.7 L 1r 3 Z,e-f
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS.
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE.
Building Division Valuation:
City of
Wheat id 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:
Project Type: w�
Notarized signature of Applicant
State of Colorado } ROSARIO GOMEZ-ROJAS
Notary Public — State of Colorado
County of Q C C�CtrS on } ssIWWW WWI
Notary ID 20174000361
My Commission Expires Jan 4, 2021
The foregoing instrument was acknowledged by me this �_ day of Oc+O, eLw , 20)'? by
ct yr
otary Public
My Commission Expires /19 /2 / /20 / -T
E §.
The Home Depot Special Order Quote
Customer Agreement #: H1502-182498
Printed Date: 9/20/2028
Customer:
TRACY DAHLENBURG
Address:
4680 TELLER STREET
WHEAT RIDGE, CO 80033
Phone 1:
303-669-3469
Phone 2:
303-669-3469
Email: JPDBURG@AOL.COM
Store: 1502
Associate: PAIGE
Address: 5215 WADSWORTH BLVD
ARVADA, CO 80002
Phone: 303-456-4000
Pre -Savings Total: $1,318.62
Total Savings: ($197.98)
Pre -Tax Price: $1,120.64
Price Valid Through:
7/11/2018
All prices are subject to change. Customer is responsible for verifying product selections. The Home Depot will not accept returns for the below products.
100-1 Direct Set 58 x 33.25 Vinyl Direct Set $287.94
Y� a "Ir
*** Product ***
Tuscany Direct Set Direct Set 58 x 33.25
*** Dimensions ***
Call Width = Custom
Call Height = Custom
Frame Width = 58
Frame Height = 33.25
*** SKU ***
SKU =301390
SKU Description = S/O MILGARD VINYL WNDWS
Vendor Name = Milgard Windows and Doors
Vendor Number = 60502414
Plant Location = Milgard, Denver (CO)
Customer Service = 1-800-645-4273 (800-
Milgard)
Catalog Version Date = 05/18/2018
Warrantylnfo = warranty.png
*** Additional Information ***
Select Room Location = Unanswered
Is this a Re -make? = Unanswered
*** Model ***
Series = 8320T
Model = PW
Begin Line 100 Description
---- Line 100-1----
* * * RttngsT*=,.�
�
--T—Factor
—
molar Heat Gain Coefficient = .26
Visible Light Transmittance = .48
CPD = MILA-229-08604-00002
STC 31
*** Glass ***
Smallest Glass Area = 10.46821
Largest Glass Area = 10.46821
Glazing Type = Dual Glazed
Glass Strength = Annealed
Energy Package = No
Outer Glass Lite = SunCoat Low -E
Inner Glass Lite = 4th Surface HP Coating
Outer Lite Thickness = 1/8"
Inner Lite Thickness = 1/8"
Gas Filled = Argon Gas
Spacer Type = Foam
Double Strength Glass = No
Checkrail = No
*** T -Bar Mull ***
Add a T -Bar Mull? = No
End Line 100 Description
*** Dimensions ***
Call Width = Custom
Call Height = Custom
Frame Width = 58
Frame Height = 33.25
$244.70 1 3.<'> $244.7C
*** Color ***
Exterior Finish = White
Interior Finish = White
*** Unit Type ***
Unit Type = Complete Unit
Material = Vinyl
Operation/Venting = Direct Set
*** Grilles ***
Flat
Prairie
Exterior Grid Color = White
Interior Grid Color = White
LRTB
*** Wrapping - Frame Accessories ***
Fin Type = 13/8" Setback
*** Wrapping - Interior Accessories ***
Wall Condition = No Jamb
*** Wrapping - Overall Dimensions ***
Overall Frame Width = 58
Overall Frame Height = 33.25
Overall Rough Opening Width = 58.5
Overall Rough Opening Height = 33.75
Page 1 of 4 Date Printed: 9/20/2018 11:26 AN
*** Dimensions ***
Call Width = Custom
Call Height = Custom
Frame Width = 63
Frame Height = 32.5
Sash Split = Even
Custom Sash Split = 31.75
�.
200-1 Single Slider 63 x 32.5 Vinyl XO
$331.75
$281.94 1
($49.81) $281.92
*** Product ***
Tuscany Single Slider XO 63 x 32.5
*** Dimensions ***
Call Width = Custom
Call Height = Custom
Frame Width = 63
Frame Height = 32.5
Sash Split = Even
Custom Sash Split = 31.75
*** SKU ***
SKU =301390
SKU Description = S/O MILGARD VINYL WNDWS
Vendor Name = Milgard Windows and Doors
Vendor Number = 60502414
Plant Location = Milgard, Denver (CO)
Customer Service = 1-800-645-4273 (800-
Milgard)
Catalog Version Date = 05/18/2018
Warrantylnfo = warranty.png
*** Additional Information ***
Select Room Location = Unanswered
Is this a Re -make? = Unanswered
*** Model ***
Series = 8120T
Model = HV
,17
Begin Line 200 Description
---- Line 200-1
*** Ratings ***
U -Factor = .25
Solar Heat Gain Coefficient = .27
Visible Light Transmittance = .52
CPD = MILA-224-06254-00001
STC = 30
Clear Opening Width = 28.9375
Clear Opening Height = 29.5
Clear Opening Square Footage = 5.928168
*** Screen ***
Screen Frame = Standard
Screen Mesh = Fiberglass
*** Hardware ***
Window Opening Control Device = No
*** Glass ***
Smallest Glass Area = 5.431478
Largest Glass Area = 5.431478
Glazing Type = Dual Glazed
Glass Strength = Annealed
Energy Package = No
Outer Glass Lite = SunCoat Low -E
Inner Glass Lite = 4th Surface HP Coating
Outer Lite Thickness = 1/8"
End Line 200 Description
Inner Lite Thickness = 1/8"
Gas Filled = Argon Gas
Spacer Type = Foam
Double Strength Glass = No
Checkrail = No
*** T -Bar Mull ***
Add a T -Bar Mull? = No
*** Color ***
Exterior Finish = White
Interior Finish = White
*** Unit Type ***
Unit Type = Complete Unit
Material = Vinyl
Operation/Venting = XO
*** Wrapping - Frame Accessories ***
Fin Type = 13/8" Setback
*** Wrapping - Interior Accessories ***
Wall Condition = No Jamb
*** Wrapping - Overall Dimensions ***
Overall Frame Width = 63
Overall Frame Height = 32.5
Overall Rough Opening Width = 63.5
Overall Rough Opening Height = 33
*** Dimensions ***
Call Width = Custom
Call Height = Custom
Frame Width = 40.75
Frame Height = 32.5
Sash Split = Even
Custom Sash Split = 20.625
300-1 Single Slider 40.75 x 32.5 Vinyl XO $269.73 $229.24 1 ($40.49)
'IR" '"�
Begin Line 300 Description
---- Line 300-1----
*** Product *** *** Ratings ***
Tuscany Single Slider XO 40.75 x 32.5 U -Factor = .25
Page 2 of 4
Inner Lite Thickness = 1/8"
Gas Filled = Argon Gas
$229.24
Date Printed: 9/20/2018 11:26 AN
*** pimensions ***
Call Width = Custom
Call Height = Custom
Frame Width = 40.75
Frame Height = 32.5
Sash Split = Even
Custom Sash Split = 20.625
*** SKU ***
SKU =301390
SKU Description = S/O MILGARD VINYL WNDWS
Vendor Name = Milgard Windows and Doors
Vendor Number = 60502414
Plant Location = Milgard, Denver (CO)
Customer Service = 1-800-645-4273 (800-
Milgard)
Catalog Version Date = 05/18/2018
Warrantylnfo = warranty.png
*** Additional Information ***
Select Room Location = Unanswered
Is this a Re -make? = Unanswered
*** Model ***
Series = 8120T
Model = HV
Solar Heat Gain Coefficient = .27
Visible Light Transmittance = .52
CPD = MILA-224-06254-00001
STC = 30
Clear Opening Width = 17.8125
Clear Opening Height = 29.5
Clear Opening Square Footage = 3.649089
*** Screen ***
Screen Frame = Standard
Screen Mesh = Fiberglass
*** Hardware ***
Window Opening Control Device = No
*** Glass ***
Smallest Glass Area = 3.297255
Largest Glass Area = 3.297255
Glazing Type = Dual Glazed
Glass Strength = Annealed
Energy Package = No
Outer Glass Lite = SunCoat Low -E
Inner Glass Lite = 4th Surface HP Coating
Outer Lite Thickness = 1/8"
End Line 300 Description
Spacer Type = Foam
Double Strength Glass = No
Checkrail = No
*** T -Bar Mull ***
Add a T -Bar Mull? = No
*** Color ***
Exterior Finish = White
Interior Finish = White
*** Unit Type ***
Unit Type = Complete Unit
Material = Vinyl
Operation/Venting = XO
*** Wrapping - Frame Accessories ***
Fin Type = 13/8" Setback
*** Wrapping - Interior Accessories ***
Wall Condition = No Jamb
*** Wrapping - Overall Dimensions ***
Overall Frame Width = 40.75
Overall Frame Height = 32.5
Overall Rough Opening Width = 41.25
Overall Rough Opening Height = 33
*** Dimensions ***
Call Width = Custom
Call Height = Custom
Frame Width = 33.75
Frame Height = 28.75
Sash Split = Even
Custom Sash Split = 17.125
�sF
Raw=
=r
400-1 Single Slider 33.75 x 28.75 Vinyl XO $214.60 $182.38 2
($64,44) $364.76
Begin Line 400 Description
---- Line 400-1----
*** Product ***
Tuscany Single Slider XO 33.75 x 28.75
*** Dimensions ***
Call Width = Custom
Call Height = Custom
Frame Width = 33.75
Frame Height = 28.75
Sash Split = Even
Custom Sash Split = 17.125
*** SKU ***
SKU =301390
SKU Description = S/O MILGARD VINYL WNDWS
Vendor Name = Milgard Windows and Doors
Vendor Number = 60502414
Plant Location = Milgard, Denver (CO)
Customer Service = 1-800-645-4273 (800-
Milgard)
Catalog Version Date = 05/18/2018
Warrantylnfo = warranty.png
*** Additional Information ***
Select Room Location = Unanswered
Is this a Re -make? = Unanswered
*** Model ***
*** Ratings ***
U -Factor = .25
Solar Heat Gain Coefficient = .27
Visible Light Transmittance = .52
CPD = MILA-224-06254-00001
STC = 30
Clear Opening Width = 14.3125
Clear Opening Height = 25.75
Clear Opening Square Footage = 2.559353
*** Screen ***
Screen Frame = Standard
Screen Mesh = Fiberglass
*** Hardware ***
Window Opening Control Device = No
*** Glass ***
Smallest Glass Area = 2.269368
Largest Glass Area = 2.269368
Glazing Type = Dual Glazed
Glass Strength = Annealed
Energy Package = No
Outer Glass Lite = SunCoat Low -E
Inner Glass Lite = 4th Surface HP Coating
Outer Lite Thickness = 1/8"
Inner Lite Thickness = 1/8"
Gas Filled = Argon Gas
Spacer Type = Foam
Double Strength Glass = No
Checkrail = No
*** T -Bar Mull ***
Add a T -Bar Mull? = No
*** Color ***
Exterior Finish = White
Interior Finish = White
*** Unit Type ***
Unit Type = Complete Unit
Material = Vinyl
Operation/Venting = XO
*** Wrapping - Frame Accessories ***
Fin Type = 13/8" Setback
*** Wrapping - Interior Accessories ***
Wall Condition = No Jamb
*** Wrapping - Overall Dimensions ***
Overall Frame Width = 33.75
Overall Frame Height = 28.75
Overall Rough Opening Width = 34.25
Overall Rough Opening Height = 29.25
Page 3 of 4 Date Printed: 9/20/2018 11:26 AN
41
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: L-1 C 9 - r,�/-,
Job Address: t � )ler
Permit Number: o l$ o l' 1 3 3
I r
❑ No one available for inspection: Time AA PM
Re -Inspection required: Yes 9
When corrections have been made, call for re -inspection at 303 -234 -
Date: a 9 48 Inspector: T6
DO NOT REMOVE THIS NOTICE
)c
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: 3 a t - 01 ' � d
Job Address: L-1&00 __Fr /ie,- '94 -
Permit Number: -a G l S O 1 4I 3 3
'J- Ror) - �' 4rz-)I,�
❑ 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 -
Date: -(,
03 -234 -Date:(, 1 /Et Inspector: Tt�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201801433
PERMIT NO: 201801433 ISSUED: 05/17/2018
JOB ADDRESS: 4680 Teller ST EXPIRES: 05/17/2019
JOB DESCRIPTION: Reroof and Redeck remove and install EPDM 60Mill on Back Porch and Malarkey
Legacy Asphalt Shingles with 35 squares. Pitch 2/12, 5/12. House, Garage,
Shed, Shop and BBQ area,
*** CONTACTS ***
OWNER (303)669-3469 DAHLENBURG JON P
SUB (720)269-4910 Jon Dahlenburg 021376 Dahlenburg 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: 25,633.00
FEES
Total Valuation 0.00
Use Tax 538.29
Permit Fee 453.55
** TOTAL ** 991.84
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
. i,41
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201801433
201801433 ISSUED:
4680 Teller ST EXPIRES:
Reroof and Redeck remove and install EPDM 60Mill on
Legacy Asphalt Shingles with 35 squares. Pitch 2/12,
Shed, Shop and BBQ area.
05/17/2018
05/17/2019
Back Porch and Malarkey
5/12. House, Garage,
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t7�e 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
thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
s-_�'i�
Signature of 6WNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. Thispermit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5- The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinancgor regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Buildi4 Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
0 / (
Lagenia Reimer 3A
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, May 17, 2018 10:37 AM
To: CommDev Permits
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
Property Owner Name
4680 Teller St
jon Dahlenburg
Property Owner Phone 303-669-3469
Number (enter WITH
dashes, eg 303-123-4567)
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
jpdburg@aol.com
Yes
Scan0211.pdf UG
CONTRACTOR INFORMATION
Contractor Business Dahlenburg Roofing
Name
i
Contractor's License 21376 j
Number (This is a 5 or
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
303-669-3469
4680 Teller St Wheat Riodge CO 80033
Contractor Email Address jpdburg@aol.com
Retype Contractor Email jpdburg@aol.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 35 sq.
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
$25,633.00
Yes
Pitched roof (2:12 pitch or greater)
2
both? (check all that
apply)
What is the spe ' is pitch 2:12, orch with epdm 60 mil 5:12
of the PITCHEDxpof?
How many squares are 35 sq
part of the PITCHED�'y
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
If "Other" is selected
above, describe here:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
60 mill epdm on back porch, shingles to be Malarkey Legacy
Asphalt, Other
EPDM
House, garage, shed, shop, BBQ area
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
3
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.
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 Jon dahlenburg
Email not displaying correctly? View it in your browser.
INSPECTION RECORD o �upa7cylTVpe
�INSPECTiON LINE: (303) 234 -.5933
s"
PROTECT THIS CARD FROM THE WEATHER
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.
C7
'r� A/
I 2
! k .
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS -
COMMENTS: '
Footings /Caissons
Electrical Service
Stemwall / (CEG) Concrete
Encased Ground
'Rough: Electric
Reinforcing or Monolithic
Rough Plumbing
Weatherproof /French Drain
Gas Piping
Sewer Service Lines
Rough Mechanical.
Water Service Lines _.
ABOVE INSPECTIONS TO BE
SIGNED PRIOR TO PROCEEDING
POUR. NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
:CONCRETE SLAB FLOOR -
Electrical (Underground)
Insulation
Plumbing (Underground)
Drywall Screw
Heating (Underground)
FINALS
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
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE 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
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: r/S 6�
Job Address: sr-
Permit Number:
❑ No one available for inspection: Time r ! AM /PM
Re- Inspection required: Yes OiDa
`When corrections have been made, call for re- inspection at 303 - 234-5933
Date: `<��r`f/3�r Inspector: �c
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
0
Residential Mechanic PERMIT - 091752
0
PERMIT NO: 091752
ISSUED: 08/28/2009
;
JOB ADDRESS:. 4680 TELLER ST -
EXPIRES:. 02/24/2010
DESCRIPTION: Install fireplace gas insert -
CONTACTS
owner 303/423-.9513 Jon Dahlenburg
'
PARCEL INFO.
`
ZONE CODE: UA
USE: UA
SUBDIVISION:., 0009
BLOCK/LOT#: 0/,
FEE SUMMARY ESTIMATED
PROJECT VALUATION: 2,565.00
FEES.
Permit Fee 108.30
T
l
l
i
-
ota
Va
uat
on .Op
L
u
"
Use Tax 46.17
V>
V
TOTAL ` 154.47
Conditions
5,1
Install permanufacturer specifications. 'subject
to field inspection.
Must comply with EPA Phase II or Colorado Phase I
II certification.
n.
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
i'>. 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
T applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
S1gnatiCe 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
e~ State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
5 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. f 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 causinga drainage problem.
S. Contractorshall 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.
"Z'16. The issuance of a permit or the approval of drawings and specifications shall. not be construed to be a
permit for, nor
" an approval of, any. violation of the provisions of the building. codes or any other. ordinance, law, rule or regulation.
All plan review is subject to field inspections.
h
~~,'~~,Signature of Chief Building Official date
ji,,,INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
`REQUESTS MUST BE MADE BY 3PMANY.BUSINESS . DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. -
~oFw"~Tq, City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
~otoRno° Inspection Line: 303-234-5933
Building Permit Application
Date:
Plan
Permit
PropertyAddress 'f 6 0 l e ~(g.P
Property Owner (please print): J p Phone: 3o i c~z j j Sid'
,v
Mailing Address: (if different than property address)
Address:
State, Zip:
Contractor:
Contractor License Phone:
Sub Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): fr,,~ ~a t n s> I Construction Value: $
Description of work: (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
-~zz00 a
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
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 (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 PERSONAL REPRESENTATIVE of N~E/RJ) /(C'ONTRATOR)
PRINT NAME: AYJ SIGNATURE:- sDate:
A WARNING: If the information in these
instructions is not followed exactly, a fire
or explosion may result causing property
damage, personal injury, or death.
• Do not store or use gasoline or other flam-
mable vapors and liquids in the vicinity of
this or any other appliance.
• What to do if you smell gas
- Do natty to light any appliance
- Do not touch any electrical switch. Do not
use any phone in your building.
- Immediately call your gas supplier from a
neighbor's phone. Follow the gas suppli-
er's instructions.
- If you cannot reach your gas supplier, call
the fire department.
• Installation and service must be performed
by a qualified installer, service agency, or the
gas supplier.
This appliance may be installed as an OEM installation in
manufactured home (USA only) or mobile home and must be
installed in accordance with the manufacturer's instructions and
the manufactured home construction and safety standard, Title
24 CFR, Part 3280 or Standard for Installation in Mobile Homes,
CAN/CSA Z240MH.
This appliance is only for use with the type(s) of gas indicated
on the rating plate.
• CAREFULLY SUPERVISE children in same room as
fireplace.
• Alert children and adults to hazards of high temperatures.
High temperatures may ignite clothing or otherflammable
materials.
• Keep clothing, furniture, draperies and other flammable
materials away.
This appliance has been supplied with an integral barrier
to prevent direct contact with the fixed glass panel. DO
NOT operate the appliance with the barrier removed.
Contact your dealer or Hearth & Home Technologies if the
barrier is not present or help is needed to properly install one.
In the Commonwealth of Massachusetts:
• installation must be performed by a licensed plumber
or gas fitter;
• a CO detector shall be installed in the room where the
appliance is installed.
Installation and service of this appliance should be
o~ performed by qualified personnel. Hearth & Home
y > Technologies suggests NFI certified or factory trained
professionals, or technicians supervised by an NFI
certified professional.
Heat& Glo • Supreme-XTS, Grand-XTS • 349-901 Rev. H • 6/09
H EAT6 G LO.. Owner's Manual
Installation and Operation
No one builds a better fire
I Listing and Code Approvals
A. Appliance Certification
MODELS: Supreme-XTS, Grand-XTS
LABORATORY.., Underwriters Laboratories, Inc. (UL)
TYPE: Vented Gas Appliance Heaters
STANDARD: ANSI Z21.88-2000 • CSA2.33-M00 • UL307B
This product is listed to ANSI standards for "Vented Gas
Appliance Heaters" and applicable sections of "Gas Burn-
ing Heating Appliances for Manufactured Homes and
Recreational Vehicles", and "Gas Fired Appliances for
Use at High Altitudes".
NOT INTENDED FOR USE AS A PRIMARY HEAT SOURCE.
This appliance is tested and approved as either supplemen-
tal room heat or as a decorative appliance. It should not be
factored as primary heat in residential heating calculations.
Note: To assure top performance, safety and efficiency,
inserts must be installed with an approved flue liner as per
CAN/CGA B-149 or National Fuel Gas Code ANSI Z223 and
these instructions.
Note: This installation must conform with local codes. In the
absence of local codes you must comply with the National
Fuel Gas Code, ANSI Z223.1-latest edition in the U.S.A. and -
the CAN/CGA B149 Installation Codes in Canada.
B. BTU Specifications
Models
Maximum
Minimum
Orifice
Input
Input
Size
(U.S. or Canada)
BTU/h
BTU/h
(OMS)
US
32,000
22,000
#35
S
XTS
NG
(0-2000 FT)
upreme-
)
(
CANADA
28,800
19,800
#36
(2000-4500 FT)
US
35,500
23,500
#32
XTS
G
G
(0-2000 FT)
rand-
)
(N
CANADA
31
950
21
150
933
(2000-4500 FT)
,
,
S
XTS
LP
US
(0-2000 FT)
31,000
18,000
#52
)
upreme-
(
CANADA
27,900
16,200
#53
(2000-4500 FT)
US
31,000
19,000
#51
XTS
LP
G
(0-2000 FT)
rand-
)
(
CANADA
27900
17
100
#52
(2000-4500 FT.)
,
C. High Altitude Installations
U.L. Listed gas appliances are tested and approved with-
out requiring changes for elevations from 0 to 2000 feet
in the U.S.A. and Canada.
When installing this appliance at an elevation above
2000 feet, it may be necessary to decrease the input rat-.
ing by changing the existing burner orifice to a smaller
size. Input rate should be reduced by 4% for each 1000
feet above a 2000 foot elevation in the U.S.A., or 10% for
elevations between 2000 and 4500 feet in Canada. If the
heating value of the gas has been reduced, these rules
do not apply. To identify the proper orifice size, check
with the local gas utility.
If installing this appliance at an elevation above 4500 feet
(in Canada), check with local authorities.
I A WARNING
Do NOT use this appliance if any part has been underwater.
Immediately call a qualified service technician to inspect the
appliance and to replace any part of the control system and
any gas control which has been under water.
D. Non-Combustible Materials Specification
Material which will not ignite and burn. Such materials are
those consisting entirely of steel, iron, brick, tile, concrete,
slate, glass or plasters, or any combination thereof.
Materials that are reported as passing ASTM E 136,
Standard Test Method for Behavior of Materials in a
Vertical Tube Furnace at 7500 C, shall be considered
non-combustible materials.
E. Combustible Materials Specification
Materials made of or surfaced with wood, compressed
paper, plant fibers, plastics, or other material that can ig-
nite and burn, whether flame proofed or not, or whether
plastered or unplastered shall be considered combustible
materials.
F. Electrical Codes
NOTICE: This appliance must be electrically wired and
grounded in accordance with local codes or, in the absence
of local codes, with National Electric Code ANSI/NFPA
70-latest edition or the Canadian Electric Code CSA
C22.1.
A 110-120 VAC circuit for this product must be protected
with ground-faultcircuit-interrupter protection, incompliance
with the applicable electrical codes, when it is installed in
locations such as in bathrooms or near sinks.
Heat & Glo • Supreme-XTS, Grand-XTS • 349-901 Rev. H • 6/09
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~ WH rA~~, City of Wheat Ridge
°~~oRa~° Residential Roofing PERMIT - 060812
PERMIT N0: 060612 ISSUED: 09/01/2006
JOB ADDRESS: 4680 TELLER ST EXPIRES: 03/01/2008
DESCRIPTION: T/0: Install IWS on bottom, felt, 110 MPH dim. shingle.
CONTACTS
owner 303/423-9513 Jon Dahlenburg gc 720/269-4910 Jon Dahlenburg 02-1376 Dahlenburg Roofing
PARCEL INFO ZONE CODE: UA USE: R-3
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,000.00
FEES
Permit Fee 126.50
Total Valuation .00 RM
Use Tax 72.00
TOTAL 198.50
Comments:
D ocuments from th lnS eC~ion wtiich specify
onsiae fur final r'°°f p
roofng matertals hm'e been inst slie ~~C eet
110 MPH thr'ee-s~cond wind S+'
i hereby certify that the eetback distances proposed by this permit application are accurate, and do not violate applicable
ordinancee, zules or regulations of the City of Wheat Ridge or covenants, easemen[e or restrictione of record; that all
meaeuremente shown, and allegatione made are accurate; that T have read and agree to abide by all conditiona prin[ed on thie
applicaGion and that I aesume full responsibility for compliance with the Wheat Ridge Huilding Code (I.B.C) and all other
applicable Wheat Ridge ordinancee, Eor work undez thie permit. Plane subject to field inepection.
SiQnAure of coPiEractor/owner J
1. This permit was isaued in accordance with the provisions set forth in your application and is aubject to the laws of the
Sta[e of Colorado and to the Zoning Regulatione and Huilding Codea of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. Thia pexmit ahall espire if (A) the wozk authorized is not commenced within sixCy (60) daya from issue da[e or (B) the
building authorized is euapended or abandoned for a period of 180 days. rovided no
3. If [his permit expires, a new permit may be acquired for a fee of one-half the amount normally required, p
changes have been or will be made in the original plans and specifications and any suspension or abandonment hae not
exceeded one (1) year. If changea have been or if suspension or abandonment exceeds one (1) year, full feee shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water caueing a drainage problem.
5. Contractor sha11 notify the Building Inapector twenty-four (29) houra in advance for all inspections and shall receive
written apprwal on inspection card before proceeding with auccessive phases of the job.
6. The iseuance of a permit or the approval of drawinge and apecificatione shall not be construed to be a permit for, nor
an approval of,, any violation oE the provisions of the building codea or any other ordinance, law, rule or regulation.
All plan reviewie ect to fi inspectiona.
Signature of Chief Buil ingfical date
INSPECTION REQVEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
OF WHEAT
~ ~'o City of Wheat Ridge Building Permit Number.
~ ^ Community Development Department Date:
CO(ORP00 MINOR
B UILULYG PE"IT'14FP.£.IICA TIQN
PropertyOwner: ,J~oOv a.A/enbu'y
Property Address: y6 d'o "Te//e ' S t Phone: j~`f z j- `l 5-13
Conffactor License No.: O Z/ 3)(i
C°mpany' Da~ileK SK,-l 40{111~ Phone: 726? -26 p -
9~0
OWNERlCON7RACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT guildinq Dept. Valuation Figure: $4 O
that the setback distances proposed by lhis permit application are
certif
b
I h
y
ere
y
acwrate, and do not violate applicahle ordinances, mles or regulations of the City of
V3llle:$
W heal Ridge or covenants, easemenls or restrictions of record; that all measuremen4s
shown, and ailegations matle are accurate; that I have read and agree to abide by all -
PCRIIlt FBC:$
conditions prinled on this application and that I assume full responsibility for
compiiancewiththeWheatRidgeBuildingCode(LB.C)andalloNerapplicableWheat
P1an ReviewFee:$
Ridge Ordinances, for work under lhis permit. Plans subJect to field Inspection.
e x:
(OWNE0.)(GONTAACTOR):SIGNEDLll- rl~ ATE
p
TOt~.~D
Use of Space (description):
Descriptif work: 4'-,_e-./.e~ G/ C~et\ _ 19~
l Fa rr r.ta f"~
Sq. FL added .
Z S Q"
Expiration Date: Expiration Date: Expiration Date:
Approval Approval: Approval:
(7) This pertnit was issued in accordance wi!h the provisions set forth in your application and is su6jecl to the laws of the State of
Colora0o and lo lhe Zoning Regulations and 8uiiding Codes of Wheal Ridge, Colorado or any other applicable ordinances o(
ine Ciry.
(y) This pertnit shail expire if (A) the work authorized is not commenced within sbcty (60) days (rom issue dale or (B) the building
authonzed is suspended or abanooned for a period of 780 tlays. -
(3) If this permi! ex0ires, a new permit may be acauired for a fee of one-half the amounl normally required, provided no changes
have been orwill6e made in the original plans and specifcations 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 lhat will change the natural flow of water causinq a dreinage problem.
(5) Conlraclor shall notily the Building Inspeclor Nienty-four (24) hours in advance (or all inspections and shall receive written
approvai on insDedion card before pwceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drewings and specifications shail not be consirued to be a permit for, nor an
approval of, anyviolation of the provisions of the building wdes or any other ordinance, law, rule or regulation. All plan review
Is subJect to field Inspections.
Chief Buildina Official
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company: