HomeMy WebLinkAbout4690 Vance StreetINSPECTION RECORD
Inspection online form: http://www.cl.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 inspect'
before MIDNIGHT (11:59 PM) to receive an insp ction the following business day
, PERMIT: : 1 ( JOB CODE:
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.
120 iuiiiUi q Undergruullll CXi.
206 Water Underground
(�
Do Not Cover 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
PERMIT: )���-ADDRESSI.(�U����JOBCODE:I�
Rough Inspection (continued)
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
'
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
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
TZ 1, o/ e
�
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.
A i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: q0q— T;,, /2 ! R.
Job Address:g00 1E Vit.
Permit Number: '? 0.17()q
E
/ r
j
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes Flo
When corrections have been made, c411 for re -inspection at 303-234-5933
Date:_ Q//-2 0 Inspector:
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection'Digision
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
t
INSPECTION NOTICE
Inspection Type: 6 M (X)x
Job Address: U 6qo VOACC S-A,
Permit Number:
2()170 ` 00_2
A,'Jtvo�
l7 t� IJt�L1 if ' d
L)No one available for inspection: Time t! AM/IPM)
Re -Inspection required: Yes No �/
When correctionshavebeen made, call for re -inspection at 303-234-5933
Date:�/ ! +�� U Inspector:
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: N
Job Address:PermitNumber: cad JI moi- C) LI oy Z
M a LO
I W 5,2,e cf
)yot- aP�2C0J A .
❑ No one available for inspection: Time 9.0 4 PM
Re -Inspection require Ye No
When corrections have been made, call for re -inspection at 303 -234-
Date: -
03 -234 -Date: y ° i Inspecto "R►d_.
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704002
PERMIT NO: 201704002 ISSUED: 03/29/2018
JOB ADDRESS: 4690 Vance ST EXPIRES: 03/29/2019
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 25 sq.
*** CONTACTS ***
OWNER (303)425-6557 NELSON GARY T
SUB (720)722-3066 Michael Espinoza 170196 Universal Home Improv of CO
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,200.00
FEES
Total Valuation 0.00
Use Tax 151.20
Permit Fee 172.60
** TOTAL ** 323.80
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
I, by in 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 er attest th am�e ally authorized to include all entities named within this document as parties to the work to be
perfor e d at all w to be pert' rr>md is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying )fans 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 Budding
Official and maybe subject to a fee equal to one-half of the original �ppermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new pen -nit 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 pe it shall not be construed to be a permit for or an approval of, any violation of any provision of any
applicable code�ny ordinancegoj 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.
City of Wheat Ridge
,.F.�
Residential Roofing PERMIT -
201704002
Zi',
PERMIT NO:
201704002
ISSUED:
03/29/2018
JOB ADDRESS:
4690 Vance ST
EXPIRES:
03/29/2019
JOB DESCRIPTION:
Residential Re -roof to install Owens Corning asphalt
shingles with 25 sq.
I, by in 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 er attest th am�e ally authorized to include all entities named within this document as parties to the work to be
perfor e d at all w to be pert' rr>md is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying )fans 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 Budding
Official and maybe subject to a fee equal to one-half of the original �ppermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new pen -nit 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 pe it shall not be construed to be a permit for or an approval of, any violation of any provision of any
applicable code�ny ordinancegoj 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.
HOME
UNIVERSALI�-- IMPROVEMENT
UNIVERSAL. 7887 E. Belleview Avenue I Suite 1100 1 Denver, CO 801 11
HOME IMPROVEMENT Ph: 888-UHI-8247 I Fax: 888-848-7535
email: CustomerService@UrnversalHomelmp.com I www,UniversalHomeimp.com
CONTRACT
THIS IS A BINDING CONTRACT, CONTINGENT ONLY UPON INSURANCE APPROVAL OF THE SUBJECT CLAIM.
Name:
iDate:
Address: � �
City:
State:
Zip: UQ�
Phone: 11
Aft. Phone:
Mailing Address:
E -mi
Language Preferred: tl
INSURANCE INFORMATION
Insurance Company: P y: J
�?�' G. �'
�
Phone:
Policy #:
Claim #:
Date of Los�,
Type of Loss. (-
ROOFING SPECIFICATIONS
SIDING / GUTTER SPECIFICATIONS
Grade of Shingle:
Style:
Existing Grade of Shingle: , 3
Color of Shingle:
Ridge:
Style of Siding: ` , ' - \ . , r
Pitch:
2 -Story:
-
Fascia: A Soffit:
Tear Off:
Wraps:I-UQGutters: — L,
DAMAGE NOTES
3 SPECIAL ATTENTION AREAS
C -, r
Leaks: ,
Interior Da ag
1, \_kk
I r
Emergency Repair: Q
1
S `7
lathe.=—� _
We propose to fumi6h material and labor cbmpl6te in accordance with the insurance company estimate for the sum of:
Contractor's Signature: Date: i
ACCEPTANCE OF CONTRAC. HE S A`N`D CONDMO AN THOSE CONTAINED ON E REV RSE SIDE ARE
SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AND WILL BE SPECIFIED BY ANY
INSURANCE COMPANY. PAYMENT W14/8E MADAS OUTLINED ABOVE.
Accepted by Homeowner:` Date:
Accepted by Homeowner: Date:
Non -Insurance Related/Non-Claim Related Contracts:
YOU, THE CONSUMER, MAY CANCEL THIS
TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT
OF THE THIRD BUSINESS DAY AFTER THE DATE
OF THIS TRANSACTION. SEE ATTACHED NOTICE
OF CANCELLATION FORM FOR AN EXPLANATION
OF THIS RIGHT.
zo 6dysw
it ^ I�Lw
Insurance Related/Claim Related Contracts:
YOU MAY CANCEL THIS CONTRACT AT ANY TIME BEFORE MIDNIGHT ON THE
EARLIER OF THE 5TH BUSINESS DAY AFTER YOU HAVE RECEIVED WRITTEN
NOTIFICATION FROM YOUR INSURER THAT ALL OR ANY PART OF THE CLAIM
OR CONTRACT IS NOT A COVERED LOSS UNDER THE INSURANCE POLICY OR
THE 30TH BUSINESS DAY AFTER YOUR INSURER HAS RECEIVED PROPERLY
EXECUTED PROOF(S) OF LOSS FROM YOU. SEE ATTACHED NOTICE OF
CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
ACCREDITED
19 BUSINESS
Online Form Submittal: Residential Roofing Permit Application https://wrmail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=
Online Form Submittal: Residential Roofing Permit Application
no-reply@ci.wheatridge.co.us
Sent: Monday, March 12, 2018 1:09 PM
To: CommDev Permits
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 are Single Family Home
on the property?
PROPERTY INFORMATION
Property Address 4690 Vance st
Property Owner Name Gary Nelson
Property Owner Phone
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
303-425-6959
Cmateo.uhi@gmail.com
Yes
782BDC92-5969-4CCA-830A-1DE455D44402 ong
CONTRACTOR INFORMATION
Contractor Business Name Universal home improvement
Contractor's License 170196
Number (This is a 5 or 6 digit
number for the City of Wheat
Ridge)
Contractor Phone Number 888-844-8274
(enter WITH dashes, eg
303-123-4567)
1 of 3 03/29/2018, 2:42 PD
line Form Submittal: Residential Roofing Permit Application https:Hwrmail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=...
Contractor Address (Primary
2860 s circle dr suite 331
address of your business)
Contractor Email Address
Universalhomeimp@gmail.com
Retype Contractor Email
Universalhomeimp@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of the
25
entire scope of work:
Project Value (contract value
$6,000.00
or cost of ALL materials and
labor)
Are you re -decking the roof?
No
Is the permit for a flat roof,
Pitched roof (2:12 pitch or greater)
pitched roof, or both? (check
all that apply)
What is the specific pitch of
5.12
the PITCHED roof?
How many squares are part
25
of the PITCHED roof?
Describe the roofing
Felt , ice and water, drip edge , vents , pipe jacks &
materials for the PITCHED
Arquitectuare shingles (impact resistance)
roof:
Type of material for the
Asphalt
PITCHED roof:
Provide any additional detail
Reroof on house and attached garage
here on the description of
work. (Is this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility
Yes
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 may
Yes
not begin on this property
until a permit has been
issued and posted on the
property.
I certify that I have been
Yes
authorized by the legal
owner of the property to
submit this application and
to perform the work
described above.
I attest that everything stated
Yes
in this application is true and
)f 3
03/29/2018, 2:42 PM
�� in
Online Form Submittal: Residential Roofing Permit Application
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 Michael Espinoza
https:Hwrmail.ci.wheatridge.co.us/owa/?ae=ltem&t--IPM.Note&id=
Email not displaying correctly? View it in your browser.
of 3 03/29/2018, 2:42 PI\
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201707195
PERMIT NO: 201707195 ISSUED: 09/13/2017
JOB ADDRESS: 4690 Vance ST EXPIRES: 09/13/2018
JOB DESCRIPTION: residential window replacement of 2 windows, like for like, U -factor will
be .30 or better
*** CONTACTS ***
OWNER (303)425-6537 NELSON GARY T
SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,250.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 152.25
** TOTAL ** 202.25
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes,
safety glazing if within a tub enclosure, less
inches of a vertical edge of a door.
have a .32 or better U -factor and shall be
than 18 inches above the floor or within 24
I, by my signature, do hereby attest that the work to be performed shall comply with ail 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.
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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit maybe required to be obtained. Issuance of anew 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 an 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, 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 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Z-1 Lo Vo U " �a l-76 7
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
iNSPEC T ION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
Final Plumbing
Final Mechanical
Lath / Wall Tie
Roof
Final Window/Doors I� �G i �,.11_
Rough Electric'
Final Building
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.
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors I� �G i �,.11_
0iL
Final Building
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 from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
INSPECTION RECORD
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 b fore MIDNIGHT (11:59 PM) to rec ive an inspection the following business Oay
PERMIT: ADDRESS: JOB CODE'
n
Foundation Inspections
Date
Inspector
Comments
201 Electrical / Cable/ Conduit
Initials
102 Caissons / Piers
203 Sewer Underground Ext.
J
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 Cover 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
PERMIT:a ADDRESS: JOB JOB CODE: _rJACn
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
l
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential,5
l
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
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.
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1/cis/
Job Address: VVT0 ya�c� Sf
Permit Number: ��%%U
L] No one available for inspection: Time AM/PMS
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:7 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201707195
PERMIT NO: 201707195 ISSUED: 09/13/2017
JOB ADDRESS: 4690 Vance ST EXPIRES: 09/13/2018
JOB DESCRIPTION: residential window replacement of 2 windows, like for like, U -factor will
be .30 or better
*** CONTACTS ***
OWNER (303)425-6537 NELSON GARY T
SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,250.00
FEES
Window Replacement 50.00 a. D
Total Valuation 0.00 .14
Use Tax 152.25
** TOTAL ** 202.25
*** COMMENTS ***
** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
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. owner
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 work to beerformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature f OWNER o ONTRACTOR (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 andprocedures.
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 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
e
Signature o?b tef Building Odic_ia1_"_6 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat R dgc
COMMUNITY DEVELOI'MENT
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
FOR OFFICE USE ONLY
Date: � 111--7
Plan/Pennit #
/`
Plan Review Fee: _%i _
Building Permit Application u "
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be pi^ocessed.
Property Address: 4690 Vance St
Property Owner (please print): Gary Nelson Phone: 303-425-6537
Property Owner Email:
Mailing Address: (if different than property address)
Address:
, State, Zip:
ArchitectlEngineer:
Arch itect/Eng 1 neer E-mail:
Contractor: Matthew Seiler
Contractors City License M CL3-130206
Contractor E-mail Address: rnseiler@renewalcolorado.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 303-945-1519
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Replacing 2 windows. U factor will be .30 or better
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 7,250
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 1 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 1 am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHOR/ZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: Matthew Seiler
ZONING COMMMENTS.
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer
SIGNATURE: X1`1 CJS, DATE: I 7
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received (] Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION.
Building Division Valuation: $
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City of Wheat Ridge
Residential Mechanic PERMIT - 201709089
PERMIT NO: 201709089 ISSUED: 11/16/2017
JOB ADDRESS: 4690 Vance ST EXPIRES: 11/16/2018
JOB DESCRIPTION: Residential Mechanical remove and replace furnace with 80%efficient, 110K
BTUs. Add GFI and Breaker.
*** CONTACTS ***
OWNER (720)205-6959 NELSON GARY T
SUB (303)766-7500 Jeff Belk 021818 Plumbline Services
SUB (303)766-7500 Jeff Belk 021818 Plumbline Services
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 115.50
** TOTAL ** 155.50
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 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.
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. 1 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 pertotmed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER i rONTRACTOR (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, po icies 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 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-orl,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.
City of
`1V heat jAie
COMMUNiTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: l2ermitsoci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: �) (� i7
ll
Plan/Permit# � 7
Plan Review Fee: I -
ol-
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I
Property Address: 1^46Gio ranee Skeet
Property Owner (please print): Gctgi 4 PpAsor, Phone: ? l 11,5- Laj9
Property Owner Email:
Mailing Address: (if different than property address)
Address:
, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: p ty "t,,o,,,c sev' tee s
Phone:
Contractors City License M 0a - L g IQ Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL IR RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
,MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
QeI-e1aCC-- [101 �'a i v Fv�s►� ��L� pc c G �= L ,,��
Sq. Ft./LF Btu's
Amps
Squares
i k (C Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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 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
truthfitlness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
/,/ 1Electronic Sienatnre (first and last name): � y, l DATE: i t
ZONING COMMMENTS.
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
r.
Inspection Type: l..- ( vovhn)�_
Job Address: 9 (D
Permit Number: 2 b C1
❑ No one available for inspection: Timet ��;4MM
Re -Inspection required: Yes No
When corrections have been made, call forme -inspection at 303-234-5933
c.
Date: O L20 l Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancy /Type
IV - INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
_Cali by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
- FOUNDATION INSPECTIONS
DATE
INSPECTOR
:INITIALS
`COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
:Encased Ground
Plumbing (Underground)
Reinforcing or Monolithic
(�'Y
Weatherproof /French Drain
Sewer Service Lines.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Water .Service Lines
ROUGHS
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD ".
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Electrical
CONCRETE SLAB FLOOR
Electrical (Underground)
Mechanical
Plumbing (Underground)
Roof
(�'Y
Heating (Underground) -
Fire Department
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
R.O.W& Drainage
ROUGHS
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD ".
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Sheathing
"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 A UTHORIZA TION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
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
(�'Y
Building Final
Fire Department
R.O.W& Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD ".
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking - &Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A `.
CERTIFICATE OF OCCUPANCY: IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE A UTHORIZA TION
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
Building inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: �O\ OP f; a �
Job Address: l O
Permit Number: /6(D6/2�,
I
I
❑ No one available for inspection: Time AM/ @)
Re- Inspection required: Yes No
"When corrections have been made, ca forge- inspectlon at 303 -234 -5933
Date: 3 � Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
ar (303) 234 -5933 Inspection line
( 303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: wio�cVl`
Job Address: VAIi =O , 57 -
Permit Number: /Lsp6i
3
i
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes
I
When corrections have been made, call for re- inspection at 303- 234 -5933
Date: Inspector: _7
DO NOT REMOVE THIS NOTICE
` City of Wheat Ridge
Residential Roofing PERMIT - 100612
PERMIT NO: 100612 ISSUED: 03/10/2010
JOB ADDRESS: 4690 VANCE ST 'EXPIRES: 09/06/2010
DESCRIPTION: T/o: Replace 27 sqs with 30 yrshingles.
***:CONTACTS
owner 303/425-6537 Gary Nelson
**.PARCEL INFO
ZONE CODE: NA TT.cF• TTA
t''EE 6U1v11vL-AU ESTIMA
F
Permit Fee- `144
Total Valuation
Use 'Tax 86
**TOTAL 230
Conditions:
,n.
rtify`that the 'setbac
2
on tee'ot $61,00 w1ii be
ing spacea more-
oof. Ice and
"***Contractor
npsections. It
ation are accurate, and dor
a
a
iolate applicable
ord;. that all
ns printed on this
) and all other
Signature of C f Wlding Official { 'date ;
INSPECTIO REQUEST 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 W H~TR
cOCORP00
City of Wheat Ridge Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Property Address;
Property Owner (plea
Date:
Plan
Permit
Contractor: / TCNnQ n
Contractor License
Sub Contractors:
Electrical City License
Company:
Phone:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:.
Approval: (Approval: Approval:
Use of space (description): t,2. Construction Value: $ a ~ J~ a S 3
(Description of work: (as calculated per the Building Valuation Data sheet)
Je-xc5't•t J pp~ ry ~C l !Plan Review (due at time of submittal): $
T e~Jl raN.e_. Zm r'7 vl 3c9 t'1~.
JP'177 ~1.~ K S'
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 1 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 REPRESE T IVE of WN ) (CONTRATOR)
PRINT NAME: i n SIGNATURE: J Date: o-/
Building Permit Application
Mailing Address: (if different than property address)
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15415
BUILDING INSPECTION LINE - 303-234-5933 Date : 4/29/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: GARY NELSON
Property Address : 4690 VANCE ST
Contractor License No. :
Phone : 425-6557
Company : Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
do nol violate applicable ordinances, rules or regulations of the City of W heat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegalions
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable W heat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Construction Value :
$1,400.00
Permit Fee :
$66.28
Plan Review Fee :
$0.00
Use Tax :
$28.00
Total:
$94.28
Use :
Description : STORAGE SHED 10'X16'. VINYL SIDING ON SHED AND EXISTING GARAGE STRUCTURE
BUILDING DEPARTMENT USE ONLY
SIC : Sq. FL :
Zoning Comments:+
Approval : MA
4125103
Owner/ Please Note:
heMori
Zoning:R-2
l'nC4~ ~
sresponsibleforlocatin~nropertv
nsWctingjmprovem
BOilding C~8R11n6hts:;
4129103
entsac,r ,
d
required develop
The Ci ~ nare
ment tard
•
s
e
Approval: BG
S
;
.rd
ponsibl
submitted with• e for inaccurate informa(;~~7
the pl~ Sej aIId
PubliG WArks Comment5:;
errors resuld'n
a°y cer.siruction
8 ~om inaccurate informati
on.
Approval :
Occupancy : Walls :
Roof :
Stories : Residential Units :
Electrical License No :
Plumbing License No :
Mechanical License No :
Company :
Company :
Company :
Expiration Date :
Expiration Date :
Expiration Date :
Approval :
Approval :
Approval :
(t) This permit was issued in accordance with the provisions sel forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ritlge, 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 buildin9 authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new pertnit may be acquired (or a fee of one-half the amount normally required, provided no chan9es have been or will be made m t e
original plans and specifcations and any suspansion or abandonment has not exceeded one (1) year. 1f changes are made or if suspension or abandonment
ezceetls one (1) year, full fees shall be paitl for a naw parmit.
(4) No work of any manner shall be done thal will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector lwenty-four (24) hours in advance for all inspections and shall receive wntten approval on inspection card before
proceediing with successive phases ot the job.
(6) The issuanca of a permit or ihe approval of drawings and specifications shall not be construed to be a permit for, nor an approvai of, any violation of the
provi n ot th bm i g codes or any other ordinance, law, rule or regulation.
pector
C~ef'Bullding_!Izlz
COMMUNITY DEVELOPMENT DEPARTMENT Building Pemut Num6er:
of WHEqT ~ gUII,DING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (3,y03-235-285i~,y
~OLORA00 . AdPP{~4~iTF
dON
PropertyOwner: ~pry l1J~lS-~
PropertyAddress: 't{Ge?O V)4-nG-;r 5`('•
Contractor License No.:
Phone: 3~3-~i2S-GSs /
C_ -np- 7~05-
Company: Phone:
O WNER/CONTRACTOR SIGNATURE OF UNDERSTANDIIVG AND AGREEIvtENT
I hereby certify that the setback distances proposed by this permit application arc accuratc,
and do notviolate applicable ordinances, rulbs or Tegulations of the CiTy of VJheat Ridge or
covenants, easements orrestricdons ofrecord; that al] meesurements shown, and allegations
made are accurate; that I have read and agcee to abide by all conditions printed on [his
applieaeon and tfiat I assume full responsibiliry for compliance with the Wheat Ridge
Building Code (U.B.C) and all other applica/bJe Wheat Ridge Ordinances, for work under
thispermit l1/
Construcrion Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
DESCRIPTION:
STr~k7-G
J
51~1,4
{djC1~i' Ue.ly) Sl~~mry. d-n
5(1re4 /4ner1 tivsT.nq'~$'T~ut.C~v-.
BUII.DING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING COMMENTS:
Approval:
~ ~
~ 2 s r e3
Zoning:
~ _ 1
V
BUILDIN6COMMENTS:
Approval:
051,
j
PUBLIC WORKS COMMENTS:
.
`
Approval:
Occupancy:
Walls:
RooE Stories:
Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expuation Date:
Approval: Approval: Approval:
(1) This perizit wae issmd in actmdance tvith tLe provisions setfirth in your applicatio¢ and is subject m the laws ofthe SYak of Colocada end W the Zoning
Regulatons end Building Codes of Wheat Ridgq Calondo or eny otLu epplicable oxdinancu of the Clty.
(Z) Thiy permit sLaI1 ezpire if (p) the woxlc aufhonzed is not commmced within sixty (60) days from issue date or (B) the building authmized is suspended or
abandonW fwaperiodof 120 days.
(3) If this petmit exprtes, e new permitmay be mquiied fm a fee of ane-half the amount noxmaily rzqvue$ prorided no changu heve bem or will be made in
theorigiualplms andsperificadons end any suspmaioa orabandonmentLas notezcerded oae (1) yeaz. Ifchmgeshavebeea oritsuspension orabpndonmm[
uceeda one (1) yeaz, full fru shall be paid for a newpexmiC
(4) No work of eny manner sLe11 be done that rtill change the na4ura1 flow of water causing a dninage problem.
(5) ContacimshallnotifytheBuildingIwpecrornvmty-four(24)LomsinadvancefwallinspecROnamdsLall recavewrittenapprovalo¢inspecIIOncardbefore
proceeding wiffi sucttssive phesu of thejob.
(6) ihe issuance of a puffit or the epproval of drtwings end speci5cationa shall notbe conahued io be a pexmit for, aor en appmval o( any violaaoa oFthe
provixions of die Swlding codes or any othv ordinance, law, nile or rzgulation.
Chief Building~spector
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How to use this ¢uide
At least two completed documents must be provided to apply for a building permit.
1. Complete this building guide by filling in the applicable blanks.
2. Provideafloorplan(siteplan)showingdimensionsofyourprojectanditsrelatianship to existing buildings or
structures on the property and the distance to existing property Iines. (Seeattachedexamp/e)
3. Fill out a permit application
Sheds under 120 squarefeet in size require a NOFEE"Shed Placement Permit" only.
Sheds greaterthan 120 square feet require a"Building PermiY' alongwith the above
mrormacion.
FV-Rafters@-&~o oof decking V ~ Roof style A_
aterill.'eN Ch
eckOne
.c.
Roof style B
12
Pltch I -
~ . .
' .
"
~ i.
(
y Span tiO 1~` I
x
yc~stud5@J_o.C. m °
d a
x '
Siding V~T_ ~ m
V
~
m
Minimum 16 Ga. metal straps with 8/16d nails
and bolted to ground anchorw/1/2" bott.
m
3
Min. 1/2" Dia. Anchor @ 6'0" O.C.
& 12" from corners. 3 3
Eeis[.Grade 3-1/2"MinimumConcreteSlab ~
2x/, Floorjoist Fnis[. Grade
x Skids O.C.
7 36" Anchor 8" Dia. Caisson - Located at EACH corner ~
Building Guide
DEPARTMENT OF GOMMUNITY DEVELAPMENT
7500 WEST 29tn AVErtUE BUILDING INSPECTION DIVISION PERMIT NO.M92#17849
237-8944 Exr. 255 P.O. BoX 6.3e CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CMEF BUILDING INSPECTOR AND RECEIPTED BELOW.
APPUCATION FOR MISCELLANEOUS PERMyy~
JOB ADDRESS OWNER
CONTRACTOR ADDRESS
ADDRESS PHONE IYG~1 -7 r ZIPCODE
CITY _ ZIP CODE CONTRACT PRICE $
PHONE LICENSE NO.
L TYPE Grountl l_1 WollU ProiectinqU Othsr S a D Faee-
2. MATERIAL Total Spuan FeN
SIGNS 3 ILLUMINATiON Yes❑ No❑ Typs Elect. Permit No.
4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zom_ Apprwad,ZOm Inepeota
(SDatifY whith if fron}) ❑ ❑ ❑ ❑ Diwoorwed
1. TYPE SolidLJ Mon Than 80% ODanU Lest Thon 80% Open
FENCES MATERIAL Heipht
3. SET BACN FROM PROPERTY LINE N_ 5_ E_ W Zons_ Approwd,Zorn Iropociw
IESpPcifywhichis tront) ❑ ❑ ❑ ❑ piaapDroved
I.
OTHER 2
13,
DRAW SHETCH OR SNOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE
(SETBAGKS OR PROJECTIONS INCLUDED)
INSPECTION TICKET
1
JOB -7
ADDRESS 576, ~
DATE: <-,2`1(-l BLDG. PERMITR -/,FK
PERMITM
BLDG. CONTR.
STREET
SUBCONTRACTOR
SHOW DISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES, STREE' DATE INSP.
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE
APPLICATION FOR PLUMBING; ELECTF
THISAPPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED W
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSU/
o~ -
TYPE OF INSP.
D
INSPECTION MADE ~ L ~
ELECTRICAL PERMIT
STATE UCENSE N0.
PLUMBING P REMARKS
STATE LICENSE N0.
ALUMINUM WIRE UNDER SIZE 8 ILLEGAL
FLOOR
BSM
I S' •
Solp
N0.
WATER ClASET
TEMPORARV METER
WASH 80WL
NEW SERVICE - AMPS
BATH TUB
W.R_FORM 6-19
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
✓
HEATING
GARBAGE DISP
POWER SUB-CIFCUITS
WATER HEFTER
UTILITY(RANGE, DISPOSER, ETC)
AUTO.WASHER
ppxys CAor
FIXTURES
DISH WASHER
AUTOMATIC $PRINKLER SYSTEM
WIRING MOTOF2S d CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 8 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FU(TURES
REMARKS
I Mreby ocknowledqe that thia oppiica-
fion ia conect ond undersiand thaf I
tOnnot starf thie DrojxCt until ihis oDDli-
cation is apOroved. I sholl comply wrth
tho lows of the Slote of Colorodo and to
tAe Zoninq Requlations ond BuildinQ
Code otthe City o! Wneat Ridqe. Any
violotion of the above terme will couse
immedi-a-tiiiI revowfion ot 1Ne permit
PERMIT FEE a y. ~J NOT VALID UNLESS RECEIPTED
USE TAX
TOTAL FEE
~2 r* ~6 ~66
ROVED ~ ~ ~ Lc Q
DISAP
CHIEF BUILDIN6 NSPECTOR,City of WI at Ridpe
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
Date Issued ~FOR INSPECTIONS
App1iCaM. 9i91a1ur