HomeMy WebLinkAbout2980 Ward CourtFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement
Date: Wednesday, June 8, 2022 1:56:00 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Water Heater Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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.
Do Not use this form if the Water Heater is changing locations or if this is a
conversion to a Tankless Water Heater. Please use the General Permit
Application for a more comprehensive review.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 2980 Ward Ct, Wheat Ridge, CO 80215
Property Owner Name Daviz Baenz
Property Owner Phone 732-241-1301
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
Baenzseyfertinfo@gmail.com
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Kings Plumbing
Name
Contractor's License
202165
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-505-1180
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
office@kingsplumber.com
Address
Retype Contractor
office@kingsplumber.com
Email Address
DESCRIPTION OF WORK
Number of gallons
50
Is the water heater
GAS
GAS or ELECTRIC?
If GAS, enter # of
38K
BTUs. If electric, enter
n/a
Where is the water inside
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 3000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Plumbing
Pe rm it
Email not displaying correctly? View it in your browser.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Thursday, September 2, 20218:06:06 AM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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.
PROPERTY INFORMATION
Property Address 2980 Ward court
Property Owner Name Logan Stieglitz
Property Owner Phone 732-241-1301
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Field not completed.
Scan0009. odf
APPLICANT INFORMATION
Applicant Name Nate Mulcahy
What is your role in the General contractor
project?
Wheat Ridge 060165
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contact Phone Number 303-887-4727
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address info@thegaspro.com
for Plan Review
Comments
Retype Contractor
Email Address
info@thegaspro.com
DESCRIPTION OF WORK
Detailed Scope of
Run a new gas line from the laundry room to the location of the
Work - In the space
exisitng wood fireplace, set and vent a new gas insert provide
below (not as an
electrical connect to the gas line and fire up
attachment), Provide a
detailed description of
Living Room
work including
400
mechanical, electrical,
plumbing work
occurring,
Field not completed.
adding/removing walls,
Scan0008 ndf
etc
I, the applicant,
I have entered a detailed scope of work.
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Location of Work
Living Room
Square Footage Area
400
of Work Being
Performed
Asbestos Report
Field not completed.
Upload letter size
Scan0008 ndf
documents here
Construction Plans
Field not completed.
scanned on 11'x17" or
larger
Project Value (contract 3000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Nate Mulcahy
Permit
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.
Email not displaying correctly? View it in your browser.
?_otio6 5M
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
.,,i ct ha cilhmittarl 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
CommentsInitials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
LJV 111VL 1 v11.411
vv..v. — . .rr. — - — _ _ _
Underground/Slab Inspections
Date Inspector CommentsInitials
Electrical
Sewer Service
Plumbing
At TV— A
LJV IVLJL <IVVGI V11\161
Rough Inspections
Date
Inspector
CommentsInitials
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
CommentsInitials
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
R
Final Window/Doors
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.
1_ r:.,.,.I Irs— vnl+ana
"For how voltage permits — nease ue sine Tat I VUYI I I10PU us— a
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
r
4r
City of Wit cat Ridge
a -
Residential Roofing PERMIT
- 201706586
PERMIT NO:
201706586
ISSUED:
08/25/2017
JOB ADDRESS:
2980 Ward CT
EXPIRES:
08/25/2018
JOB DESCRIPTION:
Residential Re -roof to install
asphalt shingles - 27
sq
*** CONTACTS ***
OWNER (303)621-5119
MICHAEL & MARIE MIZEK TRUST
SUB (303)386-4649 Steve Burns
130239 Exceptional
Exteriors LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,290.00
FEES
Total "Valuation
0.00
Use Tax
153.09
Permit Fee
172.60
** TOTAL **
325.69
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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.
INSPECTION RECORD lP*" � u£s `
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: u n 3�q G_>ADDRESS:c- k,,�" L JOB CODE: � E
Foundation Inspections
Date
Inspector
Initials
,r Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
11,125--17
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
u
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
11,125--17
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
1
PERMIT:�O `� D,�� ADDRESS:
Rough Inspection (continued) Date Inspector
Initials
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
JOB CODE:
Comments
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final W indow/Door
411 Land scape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works'`*
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final—
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
•
CITY OF WHEAT RIDGE
Buildincl inspection Division 1 •cam'- /: C.G-
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time -AM/PM
Re -Inspection required: Yes( No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ° 13, /,7
Inspector: JG ve�G 444-1
DO NOT REMOVE THIS NOTICE
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 f/tht
r att st that I am legally authorized to include all entities named within this document as parties to the work to be
performed andall or to be performed is disclosed in this document an its' acco panying approved plans and specifications.
01
Signatur 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. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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.
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
Residential Plumbing PERMIT -
201708962
PERMIT NO:
201708962
ISSUED:
11/09/2017
JOB ADDRESS:
2980 Ward CT
EXPIRES:
11/09/2018
JOB DESCRIPTION:
Permit to repair 5039; sewer line in front yard.
All on private property.
*** CONTACTS ***
OWNER (303)621-5119 MICHAEL & MARIE MIZEK TRUST
SUB (720)203-0657 Sam Strand 110231 Pipe X LLC
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT
V BLOCK/LOT#:
0 /
*** FEE SUMMARY
*** ESTIMATED PROJECT
VALUATION:
800.00
FEES
Total Valuation
0.00
Use Tax
16.80
Permit Fee
36.70
** TOTAL **
53.50
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 f/tht
r att st that I am legally authorized to include all entities named within this document as parties to the work to be
performed andall or to be performed is disclosed in this document an its' acco panying approved plans and specifications.
01
Signatur 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. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
WheatRdge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
I FOR OFFICE USE ONLY
Date: i l I q)
Plan/Permit #
-� o
Plan Review Fee:
Building Permit Application I
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: C4 rLI/ C✓�
3 03
Property Owner (please print): %tr11:1 l� �z.�..� Phone:
Property Owner Email: Iterr-iU LI 5 �Y G r ow
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Enaineer:
Arch itecVEngi neer E-mail:
Contractor: `T f
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
CSL C,
Plumbing:
W.R. City License #
Phone:
Phone: 3- 5 Z L 4-k0 Z
t v.►
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 SYSTENAPPLIANC REPAIR or REPLACEMENT /
® OTHER (Describe) - a-ti`^r` i (" � -*v- 7:t-- r V C,r t� J
(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.)
Sq. Ft./LF Btu's
Amps
Squares
Gallons
Other
IProject Value: (Contract value or the cost of all materials and labor included in the entire project) I
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.
CIRCLE ONE: (OWNER) CONTRA 1CTO or (AUTHORIZED REPRES NTATIVE)
PRINT NAME: SIGNATURE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE: 0-I — / T
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 f/tht
r att st that I am legally authorized to include all entities named within this document as parties to the work to be
performed andall or to be performed is disclosed in this document an its' acco panying approved plans and specifications.
01
Signatur 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. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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.
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
Residential Plumbing PERMIT -
201708962
PERMIT NO:
201708962
ISSUED:
11/09/2017
JOB ADDRESS:
2980 Ward CT
EXPIRES:
11/09/2018
JOB DESCRIPTION:
Permit to repair 5039; sewer line in front yard.
All on private property.
*** CONTACTS ***
OWNER (303)621-5119 MICHAEL & MARIE MIZEK TRUST
SUB (720)203-0657 Sam Strand 110231 Pipe X LLC
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT
V BLOCK/LOT#:
0 /
*** FEE SUMMARY
*** ESTIMATED PROJECT
VALUATION:
800.00
FEES
Total Valuation
0.00
Use Tax
16.80
Permit Fee
36.70
** TOTAL **
53.50
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 f/tht
r att st that I am legally authorized to include all entities named within this document as parties to the work to be
performed andall or to be performed is disclosed in this document an its' acco panying approved plans and specifications.
01
Signatur 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. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
WheatRdge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
I FOR OFFICE USE ONLY
Date: i l I q)
Plan/Permit #
-� o
Plan Review Fee:
Building Permit Application I
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: C4 rLI/ C✓�
3 03
Property Owner (please print): %tr11:1 l� �z.�..� Phone:
Property Owner Email: Iterr-iU LI 5 �Y G r ow
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Enaineer:
Arch itecVEngi neer E-mail:
Contractor: `T f
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
CSL C,
Plumbing:
W.R. City License #
Phone:
Phone: 3- 5 Z L 4-k0 Z
t v.►
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 SYSTENAPPLIANC REPAIR or REPLACEMENT /
® OTHER (Describe) - a-ti`^r` i (" � -*v- 7:t-- r V C,r t� J
(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.)
Sq. Ft./LF Btu's
Amps
Squares
Gallons
Other
IProject Value: (Contract value or the cost of all materials and labor included in the entire project) I
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.
CIRCLE ONE: (OWNER) CONTRA 1CTO or (AUTHORIZED REPRES NTATIVE)
PRINT NAME: SIGNATURE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE: 0-I — / T
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201706586
PERMIT NO: 201706586 ISSUED: 08/25/2017
JOB ADDRESS: 2980 Ward CT EXPIRES: 08/25/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 27 sq
*** CONTACTS ***
OWNER (303)621-5119 MICHAEL & MARIE MIZEK TRUST
SUB (303)386-4649 Steve Burns 130239 Exceptional Exteriors LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,290.00
FEES
Total Valuation 0.00
Use Tax 153.09
Permit Fee 172.60 -
** TOTAL ** 325.69 -
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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.
City of Wheat Ridge
f 6 Residential Roofing PERMIT - 201706586
PERMIT NO: 201706586 ISSUED: 08/25/2017
JOB ADDRESS: 2980 Ward CT EXPIRES: 08/25/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 27 sq
I, by my signature, do he attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permrt. I further attest that I am legallytlwai�ed to include all entities named within this document as partes to the work to be
performed and that X11 work to_b _per_ar`ined is d closed m this document and/or its' accompanying approved plans and specifications.
Signature of OWNER-rr'`CONT CTOR (Circle one) Date
1. This permit was issued based or%theinformation provided in the permit application and accompanying pians 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 original ermit fee.
1 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.ifsu"atnce 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
apphc ode or an nice rare ulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
Zo 17o6S�6
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, August 23, 2017 10:22 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 PL
Property Address 2980 Ward Ct.
Property Owner Name Michael Mizek
Property Owner Phone 303-621-5119
Number (enter WITH
dashes, eg 303-123-4567)
29
Property Owner Email Field not completed.
Address
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 Mizek Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Exceptional Exteriors
Name
� L
Contractor's License
130239
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-386-4649
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 7940 S. University Blvd. Suite 100 Centennial, CO. 80122
(Primary address of your
business)
Contractor Email Address permits@exexco.com
Retype Contractor Email permits@exexco.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 27
the entire scope of work:
Project Value (contract 7290
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
30
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
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? What is the roof
pitch? Etc)
No
Yes
27
Laminate/Asphalt
Asphalt
House roof, garage roof, shed roof - 4/12 pitch
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
31
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Rob Juenger
Email not displaying correctly? View it in your browser.
32
I
a p Exceptional Exteriors, LLC
CONTRACT BBB
Property Owner(s) Michael and Marie Mizek (hereinafter, the "Client")
Address 2980 Ward Ct. (hereinafter, the "Premises")
City Wheat Ridge State CO. 80215 Zip
Cell 303-621-5119 Other 303-944-8317 Email Nmare27@yahoo.com
SCOPE OF WORK AS APPROVED BY INSURANCE CARRIER
• Tear off all layers
• Obtain building permit as required
• Install 15 Ib. felt, 30 Ib. felt or Synthetic Underlayment
• Adhere to all local building codes in effect as of install date
• Install new pipe jacks, painted to blend
• Remove and dispose of all debris created during project
• Install pre -painted eve flashing
. Perform magnetic sweep of property to remove loose nails
• Install new shingles of your choice
• Provide a min. general liability ins. coverage of $1,000,000
• Re -flash all wall abutments and chimneys as needed
• Maintain current Worker's Comp. Insurance on crews
• Install ice & water shield in all valleys
• Provide a 5 year Limited Workmanship Warranty
Owens Corning Duration Tru -Def Quarry Gray
Shingle Mfr. Style Shingle Color Drip Color
Gutter Color (If Applicable) White Gutter LF 177 Downspout Qty. 6 LF 72
Other Work: Siding Windows Paint Carpentry Other Fascia, Gable over garage
Approximate dates of services Sept. 2017 Approximate cost of services (Estimated RCV)
$20,288.00
White
The above items (approximate cost and dates of services) are general estimates based on damages known at the time of contract being entered.
Scope of Work will ultimately be performed for the RCV total plus any agreed supplements provided by your insurance carrier. Dates are
approximate as well and can be affected by inclement weather, availability of materials, amount of time a lender may take to endorse insurance
checks or the amount of time your insurance carrier may take to approve the scope and/or payment of services.
Shingle Upgrade
Ridge Vent
Platinum Warranty 5
Deductible Amount
Additional Work ("Out of Pocket")
Less Referral Credits
Upgrades
SYnthetic Felt
Soffit dents Power Vents
Upgrade Total S,
Ice and Water
Estimated Client Payment Responsibility
$ 1,500.00
Total Estimated Client "Out Of Pocket" Expense $ 1,500.00
8,000.00
Deposit Amount $ Due upon delivery of materials. Customer agrees to have a payment available the day of delivery
NOTES
LINE ITEMS EXCLUDED FROM CONTRACT (WORK NOT PERFORMED)
Tteme- 1RvQ(Dng hnimP)?f)_?5 (Kitrhan ranaiQ ';9_:tA (MierPll;;pPmi5)
35 (Garage Door), 36 (Labor minimum) for a total ACV credit of: $3,108.53.
Additional work authorized by the homeowner but not included in the above description will be described in a separate addendum (Work Order Confirmation Form). Exceptional
Exteriors, LLC and the Client agree to the terms and conditions set forth on both front and back of this contract.
Exceptional Exteriors, LLC (hereinafter "Exceptional Exteriors" and "EEL") will perform roof replacement and exterior repairs to the
Premises for the Client as approved and specified by Client's insurance company (collectively, the "Scope of Work") for the
replacement cost value (RCV) of the insurance claim. The only ort of pocket cost to the Client is their deductible and any non-
recoverable depreciation where applicable as well as any agreed costs for any upgrades or additional work authorized by the Client
in writing. Supplemental claims and/or overhead and profit billed by EEL on behalf of the Client and approved by the Client's
insurance company for additional work or increases in costs, in addition to this contract shall also be deemed a part of this contract
as if contained herein. This contract will become binding upon execution and EEL shall receive all insurance proceeds, including
the deductible. Client agrees to provide EEL with all insurance communications, both written and verbal, and to authorize EEL to
negotiate with the insurance company on Client's behalf to secure the funds necessary to complete the contracted Scope of Work.
EEL shall hold in trust any payment received from the Client until EEL has delivered roofing materials at the Premises or
has performed a majority of the roofing work on the Premises.
1. All proposals are subject to approval of EEL management.
2. EEL will perform the Scope of Work in accordance with generally accepted roofing and construction guidelines, adhering to local
codes in effect at the time of construction.
3. EEL's standard payment terms are as follows: 50% when material is delivered and 50% when work is completed. Endorse and/ or
make all checks payable to Exceptional Exteriors, LLC. Any joint checks issued by Client's insurance company shall be
immediately endorsed and tendered by Client to EEL
4. You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you
plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may also rescind this contract
within 72 hours after you receive written notice form the property and casualty insurer that your claim has been denied in whole or
in part. However, EEL is entitled to retain payments or deposits to compensate EEL for roofing work actually performed in a
workmanlike manner consistent with standard roofing industry practices. EEL cannot pay, waive, rebate, or promise to pay, waive,
rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property.
5. To rescind, send by certified mail or personally deliver a signed and dated copy of the cancelled contract within 72 hours of
contract signing, or 72 hours of written notice of denial of claim from the insurance carrier to the EEL address on this contract.
Client may also email a signed and dated copy of the cancelled contract to contactus@exexco.com.
6. All excess materials will remain the property of Exceptional Exteriors, LLC
7. Client is responsible for timely securing all required Homeowner's Association approvals of the roofing products and color(s).
8. EEL shall not be liable for failure of performance due to labor controversies, strike, fire, hail, weather, acts of God, inability to obtain
material from usual sources, or any other circumstances beyond EEL's control.
9. EEL shall not be responsible for any leaks or water damage below the roof line, or any damage caused by excessive wind, ice or
hail during the period of the warranty.
10. Replacement of code required materials/upgrades not covered in Client's insurance policy will be additionally charged to Client on
a labor and material basis.
11. EEL will not be held responsible for slight scratching or denting of gutters, oil droplets in the driveway, hairline fractures in concrete,
or damage to plants or shrubbery. Furthermore, EEL will not be held responsible for exterior damages such as broken or fallen
crown molding or fascia, or interior damages such as cracked plaster/sheet rock or nail pops.
12. EEL's liability coverage insurer is the AHBE Group and can be contacted through Deborah York of York Insurance Agency at 720-
201-9671
13. This contract and all attachments hereto represent the entire contract between parties, and supersede all prior written or oral
contracts between the Client and EEL.
14. This contract cannot be changed, modified or terminated by any other contract unless the same is in writing and signed by the
party against whom enforcement of the change, modification or termination is sought.
15. This contract shall be binding upon the parties and their respective successors, heirs, legal representatives and permitted assigns.
16. If any one or more of the provisions contained in this contract shall for any reason be held invalid, illegal or unenforceable in any
respect, such invalidity, illegality or unenforceability shall not affect any of the other provisions hereof, and this contract shall be
construed as if such invalid, illegal or unenforceable provision had never been contained herein.
17. An account is past due when more than thirty (30) days have passed after the roofing work was completed. If an account is past
due by 60 days a late charge of $120 will occur. If an account goes to into collections, Client shall pay EEL interest at twenty-
one (21 %) percent per annum for all past due accounts. If Client does not pay all sums when due under this contract to EEL, then
Client agrees to pay all costs and fees incurred by EEL for its collection, including reasonable attorney fees and costs. EEL
reserves the right to place a mechanic's lien on Client's property for any default in the timely payment of amounts due under this
contract. . Client shall pay EEL interest at twenty-one (21%) percent per annum for all accounts 90 days past due.
18. The parties waive the right to a jury trial in any action or proceeding based upon or related to any aspect of the transaction in
connection with this contract, or any document executed or delivered in connection with such transaction.
19. Venue for any legal action brought pursuant to or involving this contract shall be in the City and County of Denver, State of
Colorado, or any other location mutually agreeable to the parties.
20. All attachments to this contract shall be part of this contract and are incorporated herein by this reference.
21. It is the Client's sole responsibility to provide a safe -keeping area for all pets. EEL shall not be responsible for gates left open
during or after its work.
22. After Client has paid all sums due under this contract, the inspection will be called in to the city/county/municipality and Client will
receive a five (5) year Workmanship Warranty for the roof and one (1) year for all other work. EEL must be notified of all Warranty
claims within five days of the discovery.
Exceptional Exteriors, LLC
3679 S. Huron Street, Suite 402 — Englewood, CO 80110
1 August 14, 2017
Client Sig ture Date
August 14, 2017
Exceptional Exteriors, LLC Representative Date
Phone: 303-3864649 E-mail: contactusr7a exexco.com
Printed Name
Printed Name
Michael Mizek
Kevin Kisner
Nt l A 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:
Job Address:
Permit Number:
❑ No one available for inspection: Time �A-M/PM
Re -Inspection required: Yes C�o
When corrections have been made, call for re-in_pe__cti n at 303-234-5933
D�', Inspector:
ate: -
DO NOT REMOVE THIS NOTICE
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: �� y
Job Address: t
Permit Number:U%°�'C�/ c
❑ No one available for inspection: Time i "fir' AMI
Re -Inspection required: Yes n
When corrections have been made, call for re -inspection at 303-234-5933
Date: ~� �� 1 Ins ecto�
N
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancy/Type
®'INSPECTION LINE: (303) 234 -5933
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION' INSPECTIONS
DATE :
INSPECTOR
.INITIALS -
COMMENTS;
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Dram
Sewer Service Lines
Water. Service Lines
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
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
'DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED -
ROUGHS
Sheathing
Lath / Wall tie
Mld Roof
Electrical Service'
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
-ABOVE INSPE
Framing
.Insulation
Drywall Screw
nONS TO BE SIGNED PRIOR TO PROCEEDING "
FINALS'
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
ROW & 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 AUTHORIZATION
OF A CERTIFICA TE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARL FROM THE WEATHER
♦ 41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 6,z AZ
Job Address: o?7Fe_1 A(,14RO e-7
Permit Number: jeql2; Vo
❑ No one available for inspection: Time AM/M�
Re-Inspection required: Yes
When corrections have been made, call for re-inspection at 303-234-5933
Date: i9 Inspecton.
DO NOT REMOVE THIS NOTICE
Jul 26 2010 3:40PM Kape Roofing
Ci of
WhcatR'dge
CommimiTY Drvfiw M6NT'
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
Building Permit Application
3037629006
P. 1
Gate:
PMn #
Penn&# j c u +L -
Prop" Owner (Pleam Pdnf)- MA4 l _ ki i ",, K wwrtr. 39
Failing Addmea: (NdMer+ent than property eddmss)
Addrese; 1' 6V41 U CIT
City, stria, zip:
N OW 1 f- ZoaFr�� + �xur7�'S
Contractors city License #: f) 1- — 2-9 3 4 Phone:: ':�5 D 3 -- q Z'Z 7
Ebdticai: PliRnbing: MedaaNwl:
City License # Ofty Lloonse # City License #
' Con / p ct Value:
Review FN (duo at s/rra of sabmiXa!):
Squares v� J BTU's Gallons Amos So Ft, F
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND APREENUNT
I hereby ce14 that the setback distances proposed by this permit applimdon are aooun* and do not violate applicable ordinances,
Hiles or regulations of the City of Wheat Ridge or covenants, easeweW or restrictions oiremrd; that all measurements shown and
allegations made are ncmnate; that I have read and agree to abide by aMconditions printed an this applicaalm and that I assume MI
responsibility for compliance with applicable City of Wheat Ridge codca and ordinances for wo3 under any pertnh issued based on
this eppUcatim; that I= the legal onsrer or have been autoize by rte legal owner of the property to pufaam the deacribedwwk
and am also authorized by the legal owner of any mdiy i:acftx d on this appliantko to list that realty on this application.
Cn2Crx OAT ((/OirV EAQ / /
( Pd p (� DM ORrvcn
J'�NAMM: UkC.t�- k -- )p P9k elON .
/
DATE1. /x'10 /ID
Bldg Valuagon: S
' DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14218
BUILDING INSPECTION LINE - 303-234-5933 Date : 7/24/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: MARIE MICEK
Property Address : 2980 WARD CT Phone : 233-0917
Contractor License No. : 19569
Company : Candlelight Electric Phone : 935 9841
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 m urements shown, and allegations
made are accurate; that I have read n agre~to all conditions printed on this
application, and that I assume full r sp nsibil for pli nce with the Wheat Ridge Building
Code (U.B.C.) and all other applic hea IRidg nces, for work under this permit.
(OWNER)(CONTRACTOR) SIGNE DATE~
Construction Value :
$4,000.00
Permit Fee :
$9725
Plan Review Fee :
$0.00
Use Tax :
$48.00
Total:
$14525
Use:
Description : SERVICE UP GRADE TO 200 AMP. AC DISCONNECT AND A SUBPANEL INSTALL
BUILDING DEPARTMENT USE ONLY -
Z" w 0 SIC : Sq. Ft. :
Approval:
Zoning :
Approval :
. ~
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 :
(1) This permit was issued in accordance with the provisions set forlh in yopur application and is subject to the laws of the State of Coloratlo and to the Zoning
Regulations antl Builtling Code of Whea[ Ritlge, Colorado or any other applicable ortlinances of the Ciry.
(2) This permit shall expire if (A) the work au[horized is not commenced within sixty (80) days tmm issue tlate or (B) the builtling authorized is suspendetl or
abantlonetl for a period of 120 days.
(3) If this permit expires, a new permit may be acquiretl For a fee of one-half the amount normally requireQ provided no changes have been or will be made in the
original plans and specifcations and any su5pension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (7) year, full Fees shall be paitl for a new permit.
(4) No work of any manner shall be tlone that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notiry the Building Inspector twenty-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card before
proceetliing with successive phases of the job.
(6) The issuan of a permit or the approval of tlrewings and specifications shall not be construed to be a permit for, nor an approval of, any violation of Ihe
provisions.of e bu din Ddes or any other ordinance, law, rule or regulation.
Chief Building Ins ctor
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
- BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
AP'PLIc T1a
Property Owner: C E? VL
Property Address : ;~C~ ~
Contrac,or License No. : L` ~ ~--1
CompanY :
Phone:'k)l 'r~ ~ 3_~CP
l
k- f'\L_ Phone:~o'~ 'CVW-51-i 15
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby c=rtify that the setback distanczs proposed oy this oermit application are accurate,
and do not violate applica6le ortlinances, rules or regulations of the City of Wheat RiGqe or
covenants, easements or restrictions of recortl; that all measurements shown, and allegations
made are acwrate; that I have read and agree to abiCe by all conditions printed en this
application, and that I assume iull responsibility ior compliance with the Wheat Ritlge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this pertnit.
(OWNER)(CONTRACTOR) SIGNED DATE
Descriptian
~o ao0'#m'0
Construction Value :#Z/0cl O
.
P=rmit Fee :
U52 TaX :
Total :
Use
u~d a Sltk Par1Pl !l14-1 1/
BUILDING DEPARTMENT USE ONLY
ammommam SIC : Sq. Ft. :
Approval :
Zoning :
~
Approval :
Approval :
Occupancy : '.'dalls : Roof : Stories : Residential Units :
E!ectrical License No
Company:
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval :
Mechanical License No :
Company
Expiretion Date :
Aporoval :
(i) This pertnit was issuetl in accardance with the provisions set farth in yapur applica0on and is 5u01ect ro the laws of the SWte o! Colo2da and ro the Zoning
RegulaUOns anE Builtling Code of Wheat RiCge, Colorzdo or any oNer applirahle ortlinances oRhe City.
(2) This pertnit shall expire rf(A) the work authonzea is not commencLW wiNin siocty (60) tlays from issue tlate or (B) Ne huilding auNatlzeO is susDeneeG or
ahantlonetl (Of 3 petlod Of 120 Day3.
(a) I( this pertnil expires. a new permlt may be acquireC for a fee of one-nalf the amount normalty repuire0, provitletl no changes have been or will be matle in the
onginal plans anC speaficatlons antl any suspension ar abandonment has not exceede0 one (1) year. If changes are maEe or if suspension or aoanEOnment
exceetls one (7) year, NII fees shall 6e paitl for a new pertnit.
(4) No wark ot any manner shall 6e done lhat wiil changa the naNral ilow of water nusing a Erainage pm6lem.
(5) Contractor shall notly the Builtling Inspector hvenry-four (24) hours in atlvance (or all inspections anC snall receive wntten approval on inspection wrtl Oefare
praceetliing with successive pnases of the job.
(e) The issuance of a pertntt or the appmval of drawings anC specifiptlons shall not 6e construed to be a pertnit (or, nor an approval o( any violatlon of the provisions
o( the builtling cotles or any oNer oNinance, law, rule or regulauon.
.S~rU fCe UP 9radE
i9G dlSContrc j
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-1135
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :6/2/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : MIZEK MICHAEL A
Property Address : 2980 WARD CT
Phone : 233-0917
Contractor License No. :
Company :
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
15 .00
$
I hereby certify that the setback distances proposed by this permit application are accurate,
PBffT11t FE2
.00
and do not w olate applicable ordinances, rules or regulations of the City of Wheat Ridge or
easements or restrictions of record; that all measurements shown, and allegations
covenants
Plan Review Fee :
:
.00
,
made are accurete; that I have read and a9ree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Use Tax
.50
Code (U.B.C.) and all other applicable Wheat Ridge or ces, f work under this pe it.
Z l
Z
'
Total
2.50
ij
SIGNED DATE
C
OR
T
)
(OWNER)(CONTRA
Description : REROOF
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) Th is permit was issued in accordance with the provisions set forth in yopur application and is subjec[ to the laws otthe State oF Coloratlo and to the Zoning
Regula4ons antl Building Code of Wheat Ritlge, Colorado or any other applicable ordinances of the City,
(2) This permit shall expire if (A) Ihe work authorized is not commenced within sixry (60) days trom issue date or (B) the building authorized is suspendetl or
abantloned for a period of 120 days.
(3) If this permit expires, a new pertnit may be acQUired for a fee of one-halt the amount normally requiretl, provitled no changes have been orwill be ma0e in Ihe
original plans and speafca6ons and any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment
exceeds one (1) year, tull fees shall be paitl for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a tlrainage problem.
(5) Contraclor shall notiy the Building Inspector twenry-four (24) hours in atlvance for all inspections antl shall receive written approval on inspection cartl betore
proceediing with successive phases of the 1ob.
(6) The issuance of a permil or the approval of tlrawings and specifica6on5 shall not be construetl to be a permit for, nor an approval of, any violation of the provisions
of ih£bui1dim9 codes or Wy other Wdinanc4, lavy; mle qr regulation.
ding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
mo
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 671- Phone : 77-
Contractor License No. :
Company : Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby cGrtify that the setCatlc Aistences pro0a$ed by this pertnrt appliCation are atcU2te.
antl do not violate appllcable ortllnances, rules or regulations of the City of Wheat Ridge or
cGVenants. easements or resMetions of record; that all measurements shown, ana allegations
matle are accura[e: that I have read and agree ro ablEe by all contlitions prmtetl on this
appGCation, ana that 1 assume full rosponslblliry for compliance wiM the Wheat Ridge Building
Cotle (U.B.C.) antl all other appllcable Wheat Ridge ortllnances. for work under this pertnn.
(OWNER)(CONTRACTOR) SIGNED DATE
Descnption
Approval:
Zoning :
P,pproval:
Pq61MW„OckTS-MftRlDnts:°.
Approvat :
Occupancy : Walls : Roof : Stories : Residential Units :
BUILDING DEPARTMENT USE ONLY
COOStNCtiOf1 V81UE :
~
Permit Fee :
Use Tax :
_5
Total :
Electrical License No :
Company :
Plumbing License No :
Company
Mechamcal License No :
Company :
Expiration Date :
Approval :
~Pq
Expiretion Date :
Approval :
Is Plrhs Reguired ,1
Expiration Date :
Approval :
gI rP _,_,muir87J~
(1) This permrt was issueE m aaortlan[e witb the pmvisions set forth m yo0ur apphwGOn ana is su0ject ro the laws of the State of ColonOO anC ro the Zomrg
Regulauon5 anC BuilCmg GoCe of YMeat Ritlge, Cobratlo or any oNer sOPliUble ommances of the City.
(2) This pertnrt snall ezpire R(A) the xronc autbonzetl is not mmmenaza wimm sixry (60) Cays hom issue Cate or (B) the Cuiltling auNOnzeC is suspentletl or
ab8n0on[a for a penotl of 720 Gays.
(3) If this pertnrt exoirea, a new pertnit may be acQUiretl /or a fee of ono-natt the amount nortnalry reemre0. pmvioetl no Uanges have been or will Ee matls In Me
onginal Olans an0 specrfirsUOns anC any suspenaron or abantlonment nas not exceeaeG one (1) year. I I Uanges are maae or if suspenawn or aoantlonment
Excee05 One (1) yGec full fees sball be paltl faf a new permrt.
(a) Nb worK of any manner shall be tlone Nal will cltange Ne naiU21 floW of water Uusing a tlrainage proDlem.
(5) ConUaaor snall nolity the Building Insoectar twenry-tour (24) houn in aEVance for ail inspecuons antl shau rearve wntten approval on mspection wr0 DNoie
prOCeeonng wnh sucCessne pnases of ine job.
(6) The issuanw of a permrt or tne approval Of tlrawmg5 antl 5peufitati0n5 Shall not be mnSlrueO to be a pertnrt far, nor an approval of. any vlolation o/ the p1ovlsions
of the bummnq cotles or any o[ner artlmance. law. rme or regulabon.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 2345933 24 HOURS PRIOR TO INSPECTION