HomeMy WebLinkAbout4200 Reed StreetAt City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201902144
PERMIT NO: 201902144 ISSUED: 10/09/2019
JOB ADDRESS: 4200 Reed St EXPIRES: 10/08/2020
JOB DESCRIPTION: Replacing 7 windows and 1 entry door in dining room, bedroom, kitchen and
basement. U -factor .28
*** CONTACTS ***
OWNER (303)425-3293 BONIFATE GREGORY
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: 10,782.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 226.42
** TOTAL ** 276.42
*** 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 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 munici�acodel s, polibyhe legal owner of the property and am authorzeto obtainthisthsermitIfurther attestthatIam legally authorizd toinclude alperormed and that all work to be performed is disclsed 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 plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. Thispermit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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. Th°nce or git shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appac de ora rdinance 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.
Dina Kemp v �ULIL
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, October 9, 2019 8:02 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
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
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
**REQUIRED** Attach
Credit Card Authorization
Form - **DO NOT
ATTACH RANDOM
DOCUMENTS**
4200 Reed St Wheat Ridge, CO 80033
Gregory bonifate
(303)425-3293
SGEORGE@KHW INDOWS.COM
CC form.pdf
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 720-420-1724
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address sgeorge@khwindows.com
Retype Contractor Email sgeorge@khwindows.com
Address
DESCRIPTION OF WORK
Number of window 7 windows and 1 entry door
and/or doors being
replaced
Location of dining room, bedroom, kitchen, basement
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the a -value of the 0.28
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .32 or
better on windows..
Attach copy of ratings and measure.pdf
window/door cut sheets
showing sizes and u -value
Project Value (contract 10782.00
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
2
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 been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Shawn George
Permit
Email not displaying correctly? View it in your browser.
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:�� ,f -
Job Address: V < c
Permit Number: U 0 (> `, y
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yesto
When corrections have been made, call for re -inspection at 303-234-5933
Date: �_,= t '-` - t 'i Inspector: 1"
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: I
Permyit Number: (.
nr
❑ No one available for inspection: Time M
Re -Inspection required: Yes -
"When corrections have been made,
Da Inspec
> � ' r City of Wheat Ridge
Residential Mechanic PERMIT - 201901150
PERMIT NO:
201901150
ISSUED:
06/05/2019
JOB ADDRESS:
4200 Reed St
EXPIRES:
06/04/2020
JOB DESCRIPTION:
Install new 2.5 ton AC,
15 SEER; new 220 volt
circuit with GFI outlet
*** CONTACTS ***
OWNER (303)425-3293
SUB (303)421-3572
SUB (303)979-1641
BONIFATE GREGORY
WILLIAM BURRS-
JOHN J. MCGRATH
017865 LAKESIDE HEATING & A/C
019585 OVER-ALL ELECTRIC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,300.00
FEES
Total Valuation 0.00
Use Tax 111.30
Permit Fee 140.90
** TOTAL ** 252.20
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally author' d to include all entities named within this document as parties to the work to be
performed and thM01ork t b perform is osed 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 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.
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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or reg lation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PH ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City o
' he' at:1 'c�
Building & Inspection Services
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Emaif: ermits(cDa.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 6/ G/
Plan/Permit # DOP01110
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:
Property Owner (please print):&e"��4 ZICSrx-4 B Chi fi Phone: 363- tIA5:5 t?
Property Owner Email: r4A
Tenant Name (Commercial Projects Only) Wck_-,
Property Owner Mailing Address: (if different than property address)
Address:
, State, Zi
Architect/Engineer:
Architect/Engineer E-mail: Phone:
Contractor Name: 1 IT E'Cd-6i r-,, t- AC
City of Wheat Ridge License #: 491'7g 41 Phone:p�%:
Contractor E-mail Address: 6ec1"4 I:b Q , .>(GA -1,
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): - d l a ae!Q� Lxr�As Phone: 3 -r -O -;V
CONTACT EMAIL(please print): �o .►,terQ eLIC
,
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W. R. City License # VV R. City License # W.R. City License # '2/7 ?
Other City Licensed Sub: Other City Licensed Sub:
City License City License #
❑COMMERCIAL RESIDENTIAL.
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.
h� t?) A5f.
Sq. FULF
Amps _ Squares
BTUs
Gallons
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, Rales or
regulations of the City of Wheat Ridge or covenants, casements 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 oil this application and that I assume full responsibility forcompliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that l am the legal owner
or It ave 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. L the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE. (0WAER) ONTRACTOR o.- (-I L+'TI/ORIZED REPRESENTATIVE) of (OW.1 ER) (CONTRACTOR)
Signature (first and last name):�'t� — DATE: 4 -..r 4
Printed name::R
ZONING CAMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE tN..
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE'
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802286
PERMIT NO: 201802286 ISSUED: 08/16/2018
JOB ADDRESS: 4200 Reed St EXPIRES: 08/16/2019
JOB DESCRIPTION: Excavate and repair up to 30 feet of sewer service line in front yard.
Includes dual sweep clean outs.
*** CONTACTS ***
OWNER (303)571-9427 BONIFATE GREGORY
CON (303)227-1172 Ivonne Ruiz
SUB (720)312-9102 Manuel Guerrero 120127 Pipeline Solutions
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,400.00
FEES
Total Valuation 0.00
Use Tax 50.40
Permit Fee 93.35
** TOTAL ** 143.75
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802286
PERMIT NO: 201802286 ISSUED: 08/16/2018
JOB ADDRESS: 4200 Reed St EXPIRES: 08/16/2019
JOB DESCRIPTION: Excavate and repair up to 30 feet of sewer service line in front yard.
Includes dual sweep clean outs.
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 and
and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I furt attest t t I am le ally authorized to include all entities named within this document as parties to the work to be
performed an at 11 w t be w. ed is disclosed in this document and/or its' accompanying approved plans and specifications.
7
I
Sign tur�for NT CTOR'` one) Date
IThiased the information prov ed in the permit application and accompanying plans and specifications and is
subject to the compli ce w' those dot ents, and a applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall exp days after the ante regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offtcial 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 grantin of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
apphc code or any nance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chie Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heatdge
COMMUNITY DEVL-LOPMENT
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: perm its(cDci.wheatridge.co.us
FOR OFFICE U E ONLY
Date:
Plan/Permit #��'
Plan Review Fee: h�
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address:
5f, �A'0'_
Property Owner (please print): �QWL CJPhone: r_�n3 -2% -2127Z
Property Owner Email:
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor Name: Fr LL 'ld w a
City of Wheat Ridge License #:1 7 Phone: 'f.2,y'
Contractor E-mail Address: nP _('o 1r4. - '-� /na,`,
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):G- 6r'Le I h e 7_ Phone:
2, Z6
CONTACT EMAIL(please print): i r3 /I 11�0 J/�V q n 1(f 4 �n 0 q Cvt c,
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
❑ COMMERCIAL
RESIDENTIAL
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.
�xc�.v�te rho, r
Sq. FULF
Amps
/,U 30 ' Sem
BTUs
Squares
Gallons
Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
0
$ L -'—t 40 0
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) ( RA )PRIZED REPRESENTATIVE) �,f (OWNER) (CONTRACTOR)
Signature (first and last name . / DATE:
Printed Name: ACID r, -e T /.h r �
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE.
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
JS
i CITY OF WHEAT RIDGE
Buii"ii g'Inspection ision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _9L3 3 - S,rw e U n cJ . ix'/
Job Address: H a o 0 S
Permit Number: a 0 18 0L I
t
11's -V A _�__o V e el
❑ No one available for inspection: Time �/ �i ,AM�20
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ,, t l d _Inspector:
DO NOT REMOVE THIS NOTICE
�>m
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 fore MIDNIGHT (11:59 PM) tore ive an ns p ction the following business day
PERMIT:
�� ADDRESS: ���`' < C �v.; (i ,1 �. l' JOB CODE: �"_
1Z_�
Foundation Inspections
Date
Inspector
Initials
Comments
&�w
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
(
j I hkh r2i 1,2P J_
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-/-
(
j I hkh r2i 1,2P J_
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:b�1ADDRESS: ��� JOB CODE:
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
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.**
ing Final Inspection*
F418—Bding
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.
The City of Wheat Ridge
Third Party Form Check List
Property Address i
Permit Number
Permit Issued Date 3 - ? S- -t
Owner Information
Property Owner Information
Property Owner Addresses
Inspector Information
Inspection Company
Inspector Name
Inspector Contact info.
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendations and specifications.
Inspector: T /i
Date:
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ridge Building Division ' pection.
Propery Owner/Agent: Date: "- 7 -
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name: GGCZ/ Z- 0'a-, / �-�-
Inspector signature:
Date of Inspection: j
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
❑ N/A
JO Pass
❑ Fail
❑ N/A
pass
,Pass
❑ Fail
Structural roof components
❑ N/A
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Flashing for roof and walls
,.=
❑ Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
21,.N/A
❑ Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
r
{ Pass
❑ Fail
Verify vent caps
❑ N/A
0 Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Ja Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
D N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/APass
[IFail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
41 Pass
[J Fail
Dripedge shall be mechanicaly fastened 12" OC
�/A
❑ Pass
[] Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
I] Fail
Above roof insulation R-25
N/A
❑ Pass
❑ rail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
16 N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material
N/A
❑ Pass
❑ Fail
as roof
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
� r
Company Mame:
Inspector signature:
Date of Inspection:
City of Wheat Ridge
Residential Roofing PERMIT - 201800869
PERMIT NO: 201800869 ISSUED: 03/28/2018
JOB ADDRESS: 4200 Reed ST EXPIRES: 03/28/2019
JOB DESCRIPTION: Residential reroof permit remove and install asphalt shingles with
redecking 20 squares. Pitch=7/12.
House and detached garage. **3rd Party Inspector Required**
*** CONTACTS ***
OWNER (303)571-9427 BONIFATE GREGORY
SUB (303)749-5830 Mark Pijanowski 130245 All Phase Restoration
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,500.00
FEES
Total Valuation 0.00
Use Tax 262.50
Permit Fee 251.85
** TOTAL ** 514.35
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
► ` le City of Wheat Ridge
:�9Residential Roofing PERMIT - 201800869
PERMIT NO: 201800869 ISSUED: 03/28/2018
JOB ADDRESS: 4200 Reed ST EXPIRES: 03/28/2019
JOB DESCRIPTION: Residential reroof permit remove and install asphalt shingles with
redecking 20 squares. Pitch=7/12.
House and detached garage. **3rd Party Inspector Required**
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 nd am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit,,I further attest that I le ally authorized to include all entities named within this document as parties to the work to be
performe and that all work to a erfOrm ! is disclosed in this document and/or its' accompanying proved plans and specifications.
Signature of O ER o CONTRACTOR (Circle one) Date
1. This permit was issue 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 andmay 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. Isuance 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 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 ofai Bufld'Ing Official Date
REQUESTS MUST E MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Laqenia Reimer 2,/100
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, March 28, 2018 12:33 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
4200 Reed St
Greg Bonifate
303-571-9427
dbonifate@visitdenver.com
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed IMG 3382.JPG
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
All Phase Restoration
130245 --'
303-749-5830,-'
Contractor Address 12362 DUMONT WAY
(Primary address of your
business)
Contractor Email Address Icraig@aprestoration.com
Retype Contractor Email Icraig@aprestoration.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 20 .
the entire scope of work: `-
Project Value (contract 12,500
value or cost of ALL
materials and labor)
Are you re -decking the Yes
roof? �.._
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
Pitched roof (2:12 pitch or greater)
2
What is the specific pitc 71 2, .
of the PITCHED roof? �`
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
►W
Asphalt Shingles /"
Asphalt
House and detached garage --
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
3
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Lucas Craig
Email not displaying correctly? View it in your browser.
Ail PHASE
RESTORATION
�1�fiere Feoole"Come First
Work Authorization
All Phase Restoration Denver
12362 Dumont Way
Littleton, CO 80125
T: 303.749.5830
F: 303.749.5837
CUh r (the "Customer') hereby affirm that I am the property owner or agent for the job location described
herein an t have the right and power to enter into this agreement. I aut orize All Ph a Restoration the "Company") to provide services to the
real property, personal property, and contents of the property described as �,10 f0 P= �- (the "Property"). I also hereby
hire and authorize the Company to provide the services (the "Work") that I have initialed below and accept responsibility to the Company for such
services rendered:
Yes a Emergency mitigation. I authorize the Company to perform emergency mitigation services. 1 agree that mitigation shall be
considered complete when restorable structural materials and contents have been returned to pre -loss equilibrium moisture content (EMC) as
measured with a moisture meter on similar materials in an unaffected area of the structure, if available.
L,— yes _ No Reconstruction. Upon my acceptance of the Company's cost estimate, I authorize the Company to provide reconstruction services
as described therein. I agree that reconstruction shall be considered complete when restorable structural materials have been returned to a pre -loss
condition.
I authorize the Company to enter the Property, supply all materials and perform all necessary labor to provide all authorized Work. 1 also agree to
allow the Company to remove affected materials, as necessary, to achieve the goals as outlined in the written plan. I understand that should I decide
to decline service or to follow the Company's recommended procedures, estimate, or plan that I may ask them to stop, but that 1 will be responsible
for payment for all services rendered and any costs the Company incurs as a result of this decision. I further agree to make arrangements for
completion of the job without cost or penalty to the Company and to release, defend, and hold the Company harmless as a result of my decision.
In addition, in the absence of intentional wrongful acts or wrongful failures to act, I waive the right to bring suit against the Company, its owners,
agents, and employees and agree to release them from all liability, indemnify and hold them harmless, and agree to defend them if suit is brought by
any interested party.
Unless we expressly agree otherwise, I agree that mvtVn3urance deductible or 0 deposit in the amount of 606 + j is due prior to the
Company commencing emergency mitigation services and that the balance is due upon completion of the Work, or any portion thereof. And, unless
we expressly agree otherwise, if the Work is not covered by my insurance company, 1 agree that 30% of the estimated cost of reconstruction is due
prior to the Company commencing such work, 30% is due upon the completion of 30% of the Work, 30% is due upon the completion of 60% of the
Work, and the balance is due upon the completion of the Work.
I agree that all rights to any insurance proceeds paid in connection with the Work performed by the Company are hereby assigned to the Company. I
hereby direct any insurance company to include the name "All Phase Restoration" on any checks or drafts issued in connection with the Work
performed by the Company and that such checks shall be mailed directly to the Company at the above address. In the event that an insurance
company includes other parties on checks or drafts, I agree to endorse and/or obtain necessary endorsements within three days of receipt of the
payment. 'I full6understand that I am responsible for all charges not paid by my insurance carrier or other materially interested party and agree to
pay any gnpaid balance Unmediately upon flemand or upon completion of the work.
+ -
�� the "Customer"), expressly agree that all past due amounts are subject to a service charge in the amount of
O `` h r 28% per annu ` on unpaid balances after 30 days. Additionally, Customer agrees to reimburse All Phase Restoration for all costs
1.5� per mo�it rs p fn P
and reasonable attorneys' fees associated with the collection of any balance past due.
The Company shall maintain the right to file a lien against the Property as well as any and all other legal remedies allowed by Colorado law.
I agree to remove from the Property all cash, jewelry, firearms and other valuables prior to the commencement of work by the Company.
I acknowledge that I have read the terms and conditions set forth above and on the reverse side hereof and that I understa such terms and
conditions and agree to be bound thereby.
)//
Dated this L,/, day ofd/ C -I 20 Print Name �: - �`� 'gnature ti +
Billing Insurance lniorr�t, 0ii
C>� Company: tbt1 CEJ/
Customer Name: ��- '—_--_,��
Address: Ll __2 Claim Numbe
City:_ _.--._�_ Adjuster/phone:..____.__
State, Zip: 3_ Agent/phone: _
Phone: I�3- /— `/_._� Referral Name _
_
Email: h "),41,. r.�i � -J _`t'� C� ��l Contract lot�l . .__.._..�`� -�y �--__— ._
d,
1 1 '
,f W, CITY, OF WHEAjf RIDGE
~ Building inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: d+Ffr~n,>,~,,~f(
Job Address/Permit Number: 4e~P(1 Poi , <4 Lo4ran
t
#`l-'o Fi-tr'tat.('-'
sin/t!P
r
❑ No one available for inspection: Time / AM PM
Re-Inspection required: Yes MO)
I ° - When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: t ,1 I , u
DO NOT REMOVE THIS NOTICE
't-
F
INSPECTION RECORD `Occupancy/Type
~°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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
a FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS:.
INITIALS
Footings/Caissons
Stemwall./ (CEG )Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
{ Sewer Service Lines kME1
r-
t'KU-1:LG 1 1 :HIS GAKU':1-KUM 'I t
City of Wheat Ridge
Residential Mechanic PERMIT - 090130
PERMIT NO: 090130 ISSUED:> 02/23/2009
TOBADDRESS: 4200 REED ST 'EXPIRES: 08/22/2009
DESCRIPTION: Replace. existing furnace winthnew 110,000/95%
CONTACTS
Dwner 303/425-3293 Deanna Benifate
;ub 303/421-3572 William Buras 01-7865 Lakeside Heating & A/C
* "PARCEL INFO
SONE CODE: UA USE: UA
SUBDIVISION:( UA BLOCK/LOT#: 0/,
FEE SUMMARY ESTIMATED PROJECT VALUATION: x2,700.00.
FEES
Permit Fee < 108.30
Total Valuation .00
Use Tax 48.60
TOTAL 156.90
;onditions:
lust comply w/ 2003 'SRC & 2005 NEC.
Subject to field inspections.
I hereby certify'. that the setback distances proposed by this permit application are accurate, and do not violate. applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record, that all
measurements shown, and allegations mads are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with`. the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans 'subject to field inspection.
SigAatu~ re of contractor/owner date
This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codesof Wheat Ridge, Colorado or any other applicable
ordinances of the City.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension mav`be aranted`at the discretion of the Building Official.
02/23/2009 08:22 303-463-8837 LAKESIDE HEATING PAGE 01/01
j ""EtTp, City of Wheat Ridge Building Division Date;/ ao
7500 W. 29th Ave., Wheat Ridge, CO 80033 /
Office: 303-235-2855 * Fax: 303-235-2857 Plan
Inspection Line: 303-234-5933 y
[otxAO Permit ~~GI ZI ~~O
Building Permit Application
Property Address:
~(~tj ~Ee d S
Property Owner (please print): e 2 n n ok r t.. ,r ~jR111 a `p Phone:303 `la 5'3 3
Mailing Address: (if different than property address)
Address:
City, State, Zip: q- C od 3
Contractor:
Contractor License s (12 Phone: 36 3 ,
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: g, oZo on 92
Description of work: /T.,f ---j-i s Wj (as Calculated per rite Building valuation Patti sheet)
W`,,W,a tgr-r--, Plan Review (due at time of submittal): $ I&-
Sq. Ft./L.Ftadded: Squares BTU's 110,,- Gallons_w-__,_,Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setbacK distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that 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 (1.8.C) and all other applicable Wheat Ridge Ordinances, for work
under mis permit. Plans subject to field Inspection,
C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL. REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: p bib U,r SIGNATUREa Dater - 3 -O
ZONING COMMENTS:
Zoning:
Reviewer;
PUBLIC WORKS COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
SUI DING DEPARTMENTCOMMENTS: OCCUPANCY:
Reviewer;
FIRE DEPARTMENT:: ❑ approved w/ comments 0 disapproved p no review.reauired Bldg Valuation: $
DEPARTMENT OF GOMMUNITY DEVELOPMENT ry~ ¢J y~~c
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT NO
237-6944 ExT. 255 P.O. sox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONI.Y WNEN SIGNED BY THE CHVEF BUILDING INSPECTOR AND RECEIPTED BELDW.
AP~~ICATION FOR MISCELLANEOUS PERMIT
JOBADDRESS Igm y y~ OWNER `JQrm~-r ~
CONTRACTOR 'HC~~iCt(ll. ADDRESS _ ~s3L~ Re~~ S i-
IYTT17YJ
ADDRESS I.U''I~'Iy'' 4''1QCS2- PHONE m 'I
CITY ZIP CODE CONTRACT PRICE $
ZIP CODE
PHONE H
I~~-!1`f LICENSE NO
.
DATE
/ o< 1
-5
d ❑
G
Wall❑ Proieclinp❑
OMtr
5 or D Fact
roun
1. TYPE
fal S
T
mn FNt
2 MATERIAL
❑
❑
q
o
Eleef
Pormit Na
SIGNS
No
3. ILLUMINATION Yas
4. SET BACN FROM PROPERTV LINE N
(SDetily whitniafront)
TYCe
_ S_ E_ W
❑ ❑ ❑ ❑
.
Zone_
.
Approvb,Zone Inapector
DisapDroveE
1. TYPE Solido More Thon 80% OpsnO
MATERIAL
?
Lo•, Thon 80% Open
HeiOht
FENCES
.
3 SE7 BACK FROM PROPERTY LINE N
(SDecrty whieh ietront)
_ S__ E
❑ ❑
_ W
❑ ❑
Zane_
Apprwed,Zone InsDeeta
DiaoPOroved
C C
/J R
AQW /rJ
"
L
Z nAn J"
OTHER
3.
ppew sKF7CH 1]fi_SHOYI_BELOYI. THE FENCE 91GN~OR OTHER STRUCTURE, GlVlhu DISTANCES FROM PfiOVER7Y LINES.
Cl
i Y ll
INSPECTION TICKET
JOB ~-AW ~ ~ „ ~ •
ADDRESS
DATE: -va- BLDG. PER~MITN ~
PERMITknry, `~p~
AollcLnc! TYL
BLDG. CONTR.
KJJttAF-
I W.R. FOR
-~v d ` .
V' I✓ ` " .
SF SUBCONTRACTOR STRI SUBCONTRACTOR -
1 STAK
- DATE INSP. REQ. l~ - DATE INSP. REQ.-
EC' r,, /
TYPE OF INSP. S ATEO TYPE OF INSP. ~~1 1~~~ )N'
)F IS£
INSPECTION MADE IING INSPECTION MADE
S REMARKS REMARKS ~ ! I.~ ~~~~-;Po I~
A
l?- 9' 2 Ac
W.R. FORM &19
WIRING MOTORS d CONTROLS
RMERS 9 RECTFIERS
TO OLD WORK
JVER I HP
I hareby ocknowladqe thot this ovonca-
tion is correcf and understond thaf I
connot sfart thif projnct until thia oDPli-
cotion is approved. I shall comply with
he lows of the State ol Colorado and fo
~ ZoninQ ReQulati0ns and BuildinQ
~ ofthe City of Wheaf Ridqe. Any
,on of the obove terme will couse
ite revocotion of tnie Dermit
FLDOR DRairv
INSPECTION TICKET
JOB ~qD ~Qe~/
ADDRESS
DATE: ~1- to .BLDG. PERMITM
PERMITB
BLDG. CONTR.A.ttd
ELEVATOR
PERMIT fEE
USE TAX
TOTAL FEE
APPROVED
DISAPPROVED
CHIEF BUILDII
$
.22C T vA 'IDst T~~~
D~- o~ •yv ~ ~y
City of Wheat Ridqe
Date Issued 6 / 2
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
L`E^ARTMciJT OF COMMUNIT7 DEVELOPMENT pERM1T N0.
7500 WES7 29tn AVENUE BUILDWG INSPECTION DIVISION ME911k4877
237-6944 ExT. 255 P.o. eoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CNIEF BWLDING INSPECTOR ANC RECEI?TED BELOW.
_ ,._._nPPi icA7JON FOR MISCELLANEOUS_PERMIT L A _ n
JOB ADDRESS ~~.-~•--a----
CONTRACTOR VCBRIDE ELECIRIC
ADDRESS 1860 W FVU'4ILTON PL
CITY ME4OOD ZIP CODE _ffiL10---
PHONE 761-6176 LICENSE NO. 916
OWNER _
ADDRESS
PHONE -A aC) ~~Sg ZIPCODEtQQ&--
CUNTRACT PRICE $
DATE
L TYPE Ground❑ Wall❑ Proitctinp❑ Othsr SorOFaa
2. MATERIAL Tofal SQuore Feet
SIGNS 3. ILLUMINATION Yes❑ No❑ TYDe _ ElKt Psrmit No.
4. SET BACK FROM PROPERTV LINE N_ S_ E_ W 2one- ADDroi'sd,ZO^s Incpedor
fsn.ritv whicn ia from 1 ❑ ❑ ❑ ❑ DisoDDrwed
I. 7YPE SolidFi Mora Than 80% dDen❑
MATERIAL
FENCES 3 SET BACK FROM PROPERTY IINE N_
(SOecify which is front) ❑ ❑
i.
OTHER 2
3.
Joe
ADDRESS
,yE9i
DRAW SNETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTUi DATE: BLDG. PERMIT# ~&~7
ISFTAAGNS OR PROJECTIONS WCLUDED)
PERMITA
BLDG. CONTR. ~
SUBCONTRACTOR
DATE INSP. REQ.~
TYPE OF INSP.
INSPECTION MADE ~
STREET NAME
SHOW DIS7ANCE5 FROM THE MAIN BUILDING TPADJOINING MOUSES, STRE
DISTANCE TO PROPERTY IINES,NOT MAXIMUM OR AVERAGE D15T4N1
APPLICATION FOR PLUMBING; ELECI
THIS APPLICATION WILL BECOME A PEHMIT TO PERFORM TNE INDICATE[l
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE.OF ISS
REMARKS -7 G G / 7,6
238-~G iq /l-lC ~li
w!
IN.
W.R. fQRM. n
/~'L(~Fti~ i.n-
ELECTRICAL PERMIT
PLU
MBING
ATE LICENSE NO C
STATE LICENS
E N0.
(
ST
ix sao~
ALUM
INUM WIRE UNDERSIZE 81LlEGAL
-
FLOOR
BSM
I
FORCED AIR - BTU
WATER CLASET
_
BTU
HOT WATER
ORARY METER
WASH 80WL
-
STEAM BTU
ERVICE AMPS
ATH TUB
AIR CONDITIOING-BTU
GE SERVICE=AMPS
F
HOWER
OTHER
ING
SINN
REFRIGERATION SYS?EM
NG
IUpHQC
GARBAGF. DISP
Refri eront Grwp
R SU6-GFCUITS
ATER HEATER
pounda CAOr a
(RANGE, DISPOSER, ETC
UTILITY
AUTO. WASHER
qUTOMATIC SPRINNLER SYSTEM
FIXTURES
DISH WP.SHER
ELEVATOR
WIRING MOTOF25 d CON7ROLS
FLO(%7 DRAIN
$IGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS _
ADDITION TO OLD `NORK
OTHER
MOTORS OVER I HP
TOTAt. FI%TURES
I herCDy ocknowledQe ihot ihis apDlica-
ti0n is correcl and undeistond Maf I
tannot atart thif projtlct unfil ihis oDDli-
cofion ie oDGroved. I shall comDly with
ihe laws of Ihe Stnte ol Colorado and to
the ZOninq Requlahons ond Bwldina
Lode ofthe Gify o( Wheat RidQe. Any
vi0lofion of the above fermn will cause
immediote revocohon of 1his Oermit
Z •ootican~. 51anajw.
PERMIT FEE 4 S ~
USE TAX (9- C-4
TOTAL FEE $
APPROVED ~
DISAPPROVED_
CHIEF BUILDIN NSFECTOR,City of Wheat Ridqe
Date Issued--L
Leu TAOn 80% Opsn _ _ _ _ _ _ _ _ f-
E_
[ INSPECTION TICKET
NOT,VALID UNLE55 RECEIPTED
~s-
~
~/S77f1
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS