HomeMy WebLinkAbout4775 Teller StreetCity of Wheat Ridge
E -Res. Window Replacement PERMIT - 202100137
PERMIT NO: 202100137 ISSUED: 01/22/2021
JOB ADDRESS: 4775 Teller St EXPIRES: 01/22/2022
JOB DESCRIPTION: Replace 3 windows in basement, u -value = .28
*** CONTACTS ***
OWNER (303)968-0195 JOHNSON ELIZABETH & GREG
SUB (303)421-7100 TED ROLAND 018516 K&H WINDOWS & EXTERIORS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11830.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 38.43
** TOTAL ** 88.43
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202100137
202100137
4775 Teller St
ISSUED: 01/22/2021
EXPIRES: 01/22/2022
Replace 3 windows in basement, u -value = .28
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�permrt. I further attest that I am leg ally authorized to include al entities entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
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, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
01/22/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Farm is
Subject: Online Form Submittal: Residential Window/Door Replacement permit Application
Date: Friday, 3anuary 22, 202110:58:35 AM
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided
below once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 4775 Teller Street Wheat Ridge, CO 80033
Property Owner Name Greg Johnson
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
(303)968-0195
sgeorge@khwindows.com
CONTRACTOR INFORMATION
Contractor Business K&H Windows and Exteriors
Name
Contractor's License 018516
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)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
What is being replaced
WIZI z81sr`z!
sgeorge@khwindows.com
sgeorge@khwindows.com
NVA Morel,
Number of window 3
and/or doors being
replaced
Location of basement
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of 0.28
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of measure.odf
window/door cut sheets
showing sizes and u -
value
Project Value (contract 1830
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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.
Person Applying for Shawn George
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: PJAAArC
Job Address:��'}
Permit Number: 4260
i
LlNo one available for inspection: Time t M
Re -inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http://www.ci, wheatridge.co.uslinspection
Date: 'O f 2 L3;� Inspector: Aa,�44
DO NOT REMOVE THIS N TICE
i CITY OF WHEAT RIDGE....
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: _
Job Address:r---
Permit Number: # �4 4
❑ No one available for inspection: Tim"��1'M
�o.
Re -Inspection required: Yes o �'
When corrections have been made,E dole for re -inspection online at:
http:Uwww.ci.wheatridge.co. u�nsp6 I on --
Dates
4 DO NOT REMOVE THIS NOTICE
I
� ► � i City of Wheat Ridge
-.A Residential Miscellaneous PERMIT - 202002047
PERMIT NO: 202002047 ISSUED: 10/15/2020
JOB ADDRESS: 4775 Teller St EXPIRES: 10/15/2021
JOB DESCRIPTION: 16kw generac residential optional standby generator with ATS with load
management in backyard
*** CONTACTS ***
OWNER (303)968-0195 JOHNSON ELIZABETH
SUB ( 3 0 3) 838-8888 MARK OSTER 202228 OUTLOOK ELECTRIC INC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61300.00
FEES
Total Valuation 0.00
Plan Review Fee 101.89
Use Tax 132.30
Permit Fee 156.75
** TOTAL ** 390.94
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Miscellaneous PERMIT - 202002047
202002047 ISSUED: 10/15/2020
4775 Teller St EXPIRES: 10/15/2021
16kw generac residential optional standby generator with ATS with load
management in backyard
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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
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, anviolation 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 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
no change to valuation
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: General Permit Application
Date: Friday, October 9, 2020 11:59:49 AM
General Permit Application
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is the property
Residential or
Commercial?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Residential
4775 Teller St
Johnson, Greg
3039680195
Property Owner Email bignorge@gmail.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTACT INFORMATION
Flectron c PaymentForm 0
Fillable 202005011620013849 202006081141368198 ..
Submitting General Outlook electric, Inc.
Contractor or Architect
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
202228
Contract Phone 303-522-8100
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address service@outlookelectric.com
Retype Contact Email service@outlookelectric.com
Address
01:K161CiI91 ffl0N]avOLelN:/
Detailed Scope of
16kw generac residential optional standby generator with ATS
Work - Provide a
with load management
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
Square footage of
0
scope of work
Location of work
back yard
(backyard, on roof, etc)
Project Value (contract
6,300 ok 10/13/2020 bf
value or cost of ALL
materials and labor)
Upload Engineer letter, WO -0198 Gas Plan ndf
other documents on 8
1/2" x 11 "
Upload Asbestos Generac 10-24kw Installation Guidelines.odf
Report if triggler level is
met per CDPHE
regulation.
Upload Drawings 11" x WO -0198 Site Plan ndf
17" or larger
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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.
Person Applying for Mark Oster
Permit
Email not displaying correctly? View it in your browser.
U7 75 J�'I� s}
N �sa6 Do
ON SITE PUNS
MUST BE ON SITE FOR INSPECTION
ALL Pralects.are
2044 to Field Inaaectlons
ALL WORK SHALL COMPLY WITH
2018 IRC, 2018 IECC, 2020 NEC,
COLORADO PLUMBING CODE
30
provide manual to inspector s at inspection
nleda-
30�
61�
P�,4-e,r
h
CRY Of
Wheat Ridge
ilding
G�
City of
g W heat Ridge
COMMUNITY UtVELUI'MENT
kPPROVL
,ed for Code Complianer
BRANDON F 10/13/2020
'lans Examine Date
Widitr of oeimll: ttre issuenre of a ptrmRor aPp d oJpNns speri/frnttoro
and—puronons shaft nor be o permit for, or ort appy el af, a y nolobon ro
any of Me prows/ons aj Me budding code w of op' CAV orale s. Permbs
preswraml to 9" outhadty to womor m [enM thr p wwa'u of Vie etwov
troch or oMrrordn10=1 of the atyshoe not besvbd
ON SITE PUNS
MUST BE ON SITE FOR INSPECTION
ALL Pralects.are
2044 to Field Inaaectlons
ALL WORK SHALL COMPLY WITH
2018 IRC, 2018 IECC, 2020 NEC,
COLORADO PLUMBING CODE
30
provide manual to inspector s at inspection
nleda-
30�
61�
P�,4-e,r
h
CRY Of
Wheat Ridge
ilding
G�
provide installation instruction to the inspector at the inspection
4
IL
�f�
old
shall be installed in nce with installation
instructions
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: LJQO"Pin 01 r C r) +
Job Address: 1-1775
Permit Number:
C
9
❑ No one available for inspection: Time : ,AM&M
Re -Inspection required: Yes Ao
When corrections have been made, call for re -inspection at 303-234-5933
Date: 3f ( V K inspector: CdyoU -
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 30�_ 114,, dr00-�
Job Address: r �; -rr-ji?`r
Permit Number: 2.0 (903 6 t
r
❑ No one available for inspection: Time , c/o PIVI)
Re -Inspection required: Yes /No
When corrections have been made, call for re -inspection at 303 -234 -
Date: X12O/ i Inspector: ' J (0vP(
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201900368
PERMIT NO: 201900368 ISSUED: 03/06/2019
JOB ADDRESS: 4775 Teller St EXPIRES: 03/05/2020
JOB DESCRIPTION: Reroof remove and install Malarkey Legacy Impact Resistant asphalt shingles
with 33 squares. Pitch 3/12, 5/12. House and Attached Garage.
*** CONTACTS ***
OWNER (303)968-0195 JOHNSON ELIZABETH
SUB (303)669-3469 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: 21,537.29
FEES
Total Valuation 0.00
Use Tax 452.28
Permit Fee 394.50
** TOTAL ** 846.78
*** 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% 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% 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201900368
201900368
4775 Teller St
ISSUED: 03/06/2019
EXPIRES: 03/05/2020
Reroof remove and install Malarkey Legacy Impact Resistant asphalt shingles
with 33 squares. Pitch 3/12, 5/12. House and Attached Garage.
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 municipalam thcipal codes, policies and procedures, and that I e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with
this_�ppermit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be
perfonned and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
fly^ r
nates of OWNER or CONTRAC (Circle one) Date
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 originalpermit 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 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.
No work of an 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 ae%t shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable coodeer)or any ordm e or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
2EQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Idge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: X /
j I']
Plan/Permit #� /
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: ! 7 7 S
ler S1,
Property Owner (please print):
(;r �4
¢-
J o A h.S o i✓
Phone: 3 03 - ?M -d 19S
Property Owner Email:
.To Ah 5
0 l L- -
fe c t4��q
.
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: f_.rl �
City, State, Zip:
ArchitectfEngineer E-mail:
Contractor Name: (a t'► leh ti kC4
Phone:
City of Wheat Ridge License #: 0 -7, 13 76 Phone: -; 03 — 6 6 9 — 3 4f- 07
Contractor E-mail Address: .`%� c( u cc to
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted 'fields, if applicable.
❑COMMERCIAL
�ESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FULF
57
(�
S
Ja«5w►FnSig ha^
(l -
3, iZ - $-; /z I -
BTUs
Gallons
Amps Squares 3 3 For Solar: KW # of Panels Requires structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR �o\r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): �" kl-Jh/� �`� DATE: 3—D6— 1`7
Printed Name: _—To—b-1
L Q e- 6 urn
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
*,. Occupanuffiz
ent s Stab Reinf m
ca ■ai.ROiif
'
;
B Ground {CEG}
tern ll Pw . LetteC
Do Not Pour
Concrete
Prier To A rarval
Of The Above Inspections
Underground /Slab Inspections
Date
Inspector
Comments
Initial$
Electrical (Underground)
Sewer Service (Underground)
11Vaiter Service (Underground)
Plumbing (Below / in -stab
Heating (Bel 1 In-stab)
a Not Cover Under round
or Below11n
-Slab Work Prior
To A rovatl Of The Above Ins actions
Rough Inspections
I Date
Inspector
Initials
Udall Sheathing
lRoof Sheeting
Lath/ t Wall "Cie
Rough Electric
Rough Plumbing
Dough Mechanical
Gas Piping
Do Not Proceed Without A rovatl Of
Above
Stough Framing
Insulat
Drywall Screw / Nail
Final Inspections
pate
laspector
Initials
Final Electrical
Final Plumbing
F Permitted a of Occup
Protect This • From The Weather
Insp e ctor Must Sign ALL Spaces pertin t this project
Foundation Inspections _ Date Inspector C omments
Initials
Mono lithic Slab Reinforcement
C oncrete Encased G round ( E )
Footing /Stemwall P.E. Letter ::J
0 N ot Cover ncler roue or Below/In-Slab W Prior
To App roval
Of The Above Ins
ections
Rough Inspections
Date
Inspector
Initials
Well S heathing
Roof Sheathing
Lath /Wall Tie
W Rou gh
Electric
Rough Plumbing
Rough Mechanical
Gras Pip
D o Not Procee7iitt hhou t A royal f
A bove
Rough Framing
`
/fit Of R f
87/16/13 12118 PN e dbb
In s ulation
Dry wall Screw / Na
_E
t
_
RECEIPT NN 1�
l � infur
i lk
88.6
Final Inspections
Mats
_ Inspector
I nitials
201381125
Fin Ele ctrical
Use Tax
48 .60
Final Plumbing
RECEIVED
PAYNFNT
AN f
Final Mechanical
VS 2235
68
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INSPECTION RECORD occNDartDVlTVpe
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
G 1 -IV no r
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .LOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
COMMENTS: -
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
fo -1 - U
7n
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - -
CONCRETE SLAB FLOOR
Electrical (Underground).
Plumbing (Underground)
Heatinq (Undeqround)
ROUGHS
Sheathing
Lath/ Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
'. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
LL
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
FINALS _
Electrical
.Plumbing
Mechanical
Roof
fo -1 - U
7n
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 CONST/TUTEAUTHORlZATION. '.
OF A CERTIFICATE OF OCCUPANCY.. NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: i`t Z=
Job Address: ZJ ;)"'r l r= ' r
Permit Number: of (t
❑ No one available for inspection: Time AM/PM
'
Re-Inspection required: Yes N.
When corrections have been made, cal fi r re-i ection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
~ Building Inspection Division
(3 2345933 Inspection line
(303) 23 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
_
Inspection Type: Aew
Job Address: _
Permit Number: 5
a
7V ~/u
❑ No one available for inspection: Time 7o AM/PM
Re-Inspection required: No
When corrections have been, call for re-inspection at 303-234-5933
Date: Inspector:
DO NOT REMO THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE -
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ssa<ri~~
Job Address: y:r7,5' 4z,so c
Permit Number: was sa
4
❑ No one available for inspection: Time ' AM/PM
Re-Inspection required: Yes_
'When corrections have been made, oafs for re-inspection at 303-234-5933
Date: Inspector: .per
DO NOT REMOVE THIS NOTICE
r,
ti
r<<` City of Wheat Ridge
- - - - - - - - - - - - -
b 720/269-4910 Jon' Dahlenburg 02-1376 Dahlenburg Roofing
PARCEL INFO
NE :CODE: UA USE: UA
BDIVISION: 0009: _BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION:: 13.,619.00
FEES
ermit Fee 308.50
otal Valuation .00
se Tax 245.14
* TOTAL .553.64
nditions:
nail installation & mid-roof inspection required. Board sheathing spaced more
an a 1/2 of an inch apart 'requires plywood overlay on entire roof. Ice and
ter.:shield 'required from eave edge to 2' 'inside exterior walls.
bject to 'field inspections:.
I 2K,
rg
ion
PIE
'wl
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~ 4447
ENT OF PI.ANNtNG fAND DEVELOPMENT Building Permit Number :
tWG INSPEGTION DNtS10N - 235-2855
CITY QF WHEAT RIDGE Date : 1/13/97
7800 WEST 29TH AVENUE
WHEAT RIDGE. GO 80215 ,
d
~Property Owner :
Property Address r 4775 TELLER ST Phone : 423-3703
Qbn#*cor Utcenae No. : 17152
Company : Precise Plumbing Phone : 534 0881
C1lA1lfi1#WA'i, CT,OR S1C,~WITURE OF UNDERSTAMDING AND AGREEMENT Con5fi1cti0rn Vatu@=: $439.00
1`p lik+e seniaclc dausnas oroPosed oy u,is p.m,dapp~icauon ais axureu, Penrrit Fee : $22.00
.~q ~pIimtile ordUqnoes., rulea or repulatbna Mthe Gty of Wheat Ridga or
n~s or roetridiona of rocord; Mat dl measurements shown, aM alkgations US@ T8X : $0.00
Ehat ihqve read and to ebide ali .rondkbns prmted on Nis
; 4,eawro ~11 for co a~e with thp Wheat RId9e Building .
i bpuw ~vN i~e s, tor worrc urider thb pamlt. TotB{': ` 922.00
{(~IIV~1~ ~ ` r ^bR) SION15D DATE . .
: REPLACE WATER HEATER
BUftDING DEPARTMEN7 USE OMLY
SIC : Sq. Ft. :
1 A~rova
pning :
~orov
,
;A06MVal -
0"~ ; Walls : Roof : Stories : Residential Units :
se No : Plumbing License No : Mechanical License No :
Cornpany : Company :
Expiration Date : Expiration Date :
/1PProva1: APProval: `s „ ■ ■
lekrd in aaeadanae wiN Ma WoMelaro aat foM in YoWr aipplkatlon antl b aubkd b Me lawa ot tlfe SMe W Cdaado aM tn tlre 2anin9
gW Ccfdp yNAyat p0. palora0o or arry otlbr ap~Iph1s o~nuices Mths Ciry. ~thsA e~ir~~ Me Wak autl~~prized it not commance0 wiMin eixty (80) tlari from lasus dale or (9) kie WNdYiO auUaAtad in auePe~detl a
(q' a pxVod dsys: ; (}y ; e~l~e6e trow PemiR may be 8cquintl tar e tee of one-helf the amount nwneftY raWired, povWeO no cMnBes have baen or wiu be metle in the
m anA ape~lm~ne d anY weqn sron or aDandonrtrent has mt exceaded one (1) Yw. h cnanaes are made a x WIPNuiOn «aeantlonmenc
m
(1)Ye~',fubMsOhNIheDaid fwane
snM wpaimft. a~ry m.nner h~ aorie n,ec wi~ cheme u,e naarM now a wamr cauelnp e arainape poclam. !WI nP~N tlM BuciInAe~~eYa sM~q p~/•~ ~24) ha~m fn atlvarce for dl aiepectlone entl alull reaNe vrtltlM BpprOVe14n NisPection Cerd Uefore
owkwa►►rovw o1~~snvlrres arM spedncatlona snen na oe c«uuvea ro be e pemat ror. nor an epprovW a, ern viasuai a me crovWwnc
e
M 811y ONBf qAlflltlCB. IBW, NI9 M fBBUMOfl.
i
u1lding inspector
pERMIT VALID ONLY WHEN SIGNED BY THE CH1EF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRiOR TO INSPECTION
• DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
~ CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : L L v~- =c'~
Property Address : -c;~'' j ~ Phone: ~fZ3 - j ~)aj
Contractor License No.
~ OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Company s ~ Phone : 6-3 3- i
'I hereby eertAy Mat Me setbadc tlistances proposeC by this pertnrt appuqtion are aeeurate.
an0 tlo not vlolate app6cable ommanees. ruies or reguutions ot the Ciry o(1Mieat RiEge or
eovanants. easemenn or rcetnetions of reeorE: tAat ail measurcmems shown. an0 allegations
;ma0e arc aCCUn[e: that I have rcaO antl agrlC to abqe by all COnaroons pMteH on this
appheation. ana tnat I assume full reaponsibdi for eompnance wrth the Wheat Ridge BuiWing
Cotle (U.B.C.) ana all other apptleable Whea itlge ommanxs. tor work u Aer this pertnrt.
(OWNER)(CONTRACTOR) SIGNED pq7g
Descnption '41,,~,
ConsWction Value : ~e ~ ~ -
Pertnit Fee : ~
Use Tax :
Total : ~s -
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
dliioCaBi~ei
Approval :
Pp61[~Ylfbif~t'E6ihrnenTs~
Approval
Occupancy : Walls : Roof : Stories : Residentlal Units :
Electncal License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Etpiration Date :
Approval : Approval : APProval :
~ rP,rrris;Rill?
qyrreaZ,_l erahs 9iiiRutrsa.~
(1) Thu pertnn was jswea m armmanca vnm me oronswns aet rortn in yoour aopuuoon ana is we160 ro the iaws of the State o! Cobwao ua ro tne Zminp
Repulauons ana 8uilmng Coae of Wneat Hiuge. Co:aaao or airy oNer aoolK+we oramanus of tne Ciry.
(2) Th is perrtm snall expirc M(A) the wonc autnonzee is rwl cOmmerwep wipun sixty (60) OaYa hom Issua tlats a(B) Ms DuilCing autlqnze0 R suspantla0 or
a WnOOnea ror a penou o1 720 Eays.
(a) If this permn exoirea. a new permit may oe aoQUUea for a fae o! ontrMtl ine wmoum nortnalN reGUiratl. proyweC np Cunqsi naw Deen w will W mdM n Ms
apinal pans and speaflubons antl any suspanspn m a WMOnment nas nOt axcm0e0 one (1) Yeu. II Uyrpn aro maae a if suspsneqn or a0antlonMrl(
exCleOS one 17) yeu. lull fee! shall D! Oaq Ipr a new permtt.
(6) NO Nrofk 0f iny me0nlf E11811 D! OM! VNI WIII Chdnq! VIe f18Nm1 IIOW pf W21H UULnq 2 Ofilni9e pfODIMI.
(5) Conttactor snail nonry tne BuilEing Insoeaa twenry-rour (24) noun in aavance fa au inapecnona arW anall reciffve wntten aOGrovsi on inspseoon nm Defqe
proceepnng wM successrve onaus ol Ne pb.
(6) The uswnce ol a permn or tne a00rovai of anwmgs ano axafimuons snau not De conslrueC to De a pemut for, nur an approval of. arry hdaoon of tlu pmvnqne
of the OWIOmg Wdes or any otMV Ortlinirce, mw, N:e or rcguquon.
Chief Buildmg Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVELAPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M911i17672
237-8944 EXT. 255 P.O. Box 638 CITY OF WHEAT RIOGE, COLO.
THIS PERMIT VALID ONI.Y WHEN SIGNED BY TNE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
APPLICATI0N FOR MISCELLANEOUS PERMIT
JOB ADDRESS l~~Q c-' OWNER t ra n f\y L r~,
CONTRACTALSC OR. ADDFESS~-le - l.. ` hP I:A Ejlr~ L~
I1
ADDHESS 7977 S(111TN CHFROKF STB T PHONE ZIP CODE
CITY DENVER,CALORADO 80223
ZIP CODE CONTRACT PRICE $ CU
PHONE LICENSE NO. L4~ ' .
1. TYPE Ground ❑
Woll❑ ProisctinQ❑ 01hfr S a D Fooe
12. MATERIAL Tolol Squore Feaf
SIGNS J. ILLUMINATION Yas❑ No❑ Typa Elacf. Permit No.
4. SET BACK FROM PWOPERTY LINE N_ 5_ E_ W_ Zons_ Apprwed, 2ona Inapoefw
1. TYPE SolidLJ More Thon 80% ODSnU Leu Than 80% Opm
FENCES MATERIAL Heroht
3. SET BACK FROM PROPERTY LINE N_ 5_ E_ W 2one_ Approved,Zons Impeota
(Specify wAith ie}ront) ❑ ❑ ❑ ❑ Disapproved
I. -1-n °'t-C1. "a..`~U ~
OTHER IZ
DRAW SKETCH OR $HOW BELOW, THE IIENCE,SIGN,OR OTHER STRUCTURE.1CNiya DJSTANCE3 FROMpRCPEBTY LINE$,
(SETBACKS OR PROJECTpNS INCLUDEA)
INSPECTION TICKET
STREET
JOB
ADDFESS ~Z7 7 v ~
DATE: BLDG. PERMIT# 7E 7.,
PERMITN
BLDG. CONTR. C~~l
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STi SUBCONTRACTOR_
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTA
DATE INSP. REQ. /
~
.H
APPLICATION FOR PLUMBING; ELE ~ /
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATE TYPE OF INSP~-o~~~R~~' _ ~Y6,T~~-~eA-cl. ~ IVISION.
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUA
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBIN INSPECTION MADE
STATE LICENSE NC /
REMARKS ~
U
ALUMINUM WIRE UNDER SIZE 8 ILLEGAL
FLOOR
.
,
•
BSM" Elx Solm
N0.
WATER ClASET
Gr j
A
H
TEMPORARY METER
W
S
BOWL
NEW SERVICE AMPS
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
W.R. FORM 619
HEATING
GARBAGE DISP
POWER SUB-CIRCUITS
WATER HEATER
UTILITY(RANGE,DISPOSER,ETC)
AUTO.WASHER
~
FIXTURES
DISH WASHER
1
WIRING MOTORS 6 CONTROLS
FLDOR DRAIN
tLeVnivn
SIGNS
URINAI
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
I hereby achnowledae that rnia ooalica-
PERMIT FEE
tion is correct and understond tnot I
USE TAX
roject until ihia appli-
annof ftort fhie
p
t
eotion ie opprovee. I shall eomply witn
TOTAL FEE
and to
St
t
t C
l
d
l
t fh
r
o
e o
o
o
o
the
e
o
owf o
the Zoninq Repulotions and Buildinq
APPROVED
Code of the City of Wheot Ridqe. Any
DISAPPROVED_
violofion of the obove terms will eauae
CHIEF BUILDIN6
immediafe revocofion of }hia Oermif
$
cC7
C>O
,Cityof Wheat Ridqe
Date Issued
~ icanl~ 360n0u10
~ . lf / lFsoec_
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS