HomeMy WebLinkAbout2920 Webster StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application
Date: Wednesday, December 8, 20217:35:41 AM
Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT 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
Is this a new install or New Unit Installation
replacement for an
existing AC unit?
Is this Residential or Residential
Commercial?
Property Address 2920 Webster St Wheat Ridge, CO 80033
Property Owner Name Carol Lorenzen
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
r`z8bAIQe091
Property Owner Email carol_I_lorenzen@msn.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Wheat Ridae Payment Form Credit Card.odf
CONTRACTOR INFORMATION
Contractor Business Blue Sky Plumbing & Heating
Name
Contractor's License
017835
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-407-7967
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
randyp@blueskyplumbing.com
Address
Retype Contractor
randyp@blueskyplumbing.com
Email Address
DESCRIPTION OF WORK
What type of
Air Conditioner
replacement unit are
you installing?
How many tons is the
2.5
unit?
For AC - what is the
16 SEER
SEER?
For Evaporative
Coolers, what is the
CFMs?
Where is the unit
Outside, side of house
located (for example,
rooftop, backyard on
ground etc)?
Is electrical needed for
Yes
re -hook?
Provide Electrical
017835
Contractor's Wheat
Ridge License No.
Project Value (contract
6919.00
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
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 Randy Palato
Permit
Email not displaying correctly? View it in your browser.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Wednesday, December 8, 20217:32:03 AM
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - 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.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 2920 Webster St Wheat Ridge, CO 80033
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Carol Lorenzen
720-291-4473
carol_I_lorenzen@msn.com
CONTRACTOR INFORMATION
Contractor Business Blue Sky Plumbing & Heating
Name
Contractor's License 017835
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-407-7967
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
randyp@blueskyplumbing.com
Address
Retype Contractor
randyp@blueskyplumbing.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
66,000
What is the efficiency
99%
(%) of the unit?
Is the unit GAS or
GAS
ELECTRIC?
Where is the furnace or
basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
7746.00
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
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 Randy Palato
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspectionf-division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -d03- Sewer- U n �_ l'x IL
Job Address: a 9 a n k) -e - S
Permit Number: a /,S p a 3 o�
❑ No one available for inspection: Time 2 = SR AM -0
Re -Inspection required: Yes S
When corrections have been made, call for re -inspection at 303303-2
r
Date: / c Inspector:_ -T-J
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802803
PERMIT NO: 201802803 ISSUED: 10/22/2018
JOB ADDRESS: 2920 Webster St EXPIRES: 10/22/2019
JOB DESCRIPTION: 35 ft long sewer service repair in front yard. 6 ft deep install dual sweep
cleanouts.
*** CONTACTS ***
OWNER (303)549-6440 LORENZEN PHILIP R
SUB (303)519-0240 R Andrew Russell 120161 The Elite Pipe MD
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,900.00
FEES
Total Valuation 0.00
Use Tax 81.90
Permit Fee 109.20
** TOTAL ** 191.10
*** 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 - 201802803
PERMIT NO: 201802803 ISSUED: 10/22/2018
JOB ADDRESS: 2920 Webster St EXPIRES: 10/22/2019
JOB DESCRIPTION: 35 ft long sewer service repair in front yard. 6 ft deep install dual sweep
cleanouts.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
6(e6_ /0 Z r_Zr
Signature of OWNER or(CONTRACTO ircle one) Date
1, This permit was issued base on t e information provided in the permit application and accompanying Flaps 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 an 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
applicab�ode or any o finance 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
W h6at j�iCl�e
COMMUNITY DEVELOPMEPdF
3uilding & Inspection Services Division
7500 W. Z91h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email:�errnits@cimheatridg, .co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #3
Plan Review Fee: /? /I / 0
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: _ _ Z 0iZO W 2 5A Cr—
Property Owner (please print):O r CV -L n Phone D3- SLG( 6Li c4D
Property Owner Email: Al 1A,
Mailing Address: (if different than property address)
Address: 15AAf, 14S AT)Ot/IFE
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: t
Phone:
Contractors City License #: ) Zo 1 G ( Phone: -7 Z-0 -6 Z 'tet 3 S
Contractor E-mail Address: &Xi"
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
ek%kef)-
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
9PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas.
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. FULF
36' Lo r5 s�e � S e r" , C -c rC f r- r 0
Btu's
swe-,ef C I ee. V -c-) L" k 5
Gallons
Amps Squares Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 3 Roo
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:n lydf �S
w
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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: ri -F
Job Address: 74 9, 0 W e b j��"
Permit Number:
Ca C er r Ac -/ "'-
0
❑ 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: - Inspector:
r
DO NOT REMOVE THIS NOTICE
-�_ q 0 (!.-v 54-r�
INSPECY1b1llli RECORD
INSPECTION REQUEST LINE: (303) 234-59331
,Occ anc/T e
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Wall Sheathing
Foundation Inspections Date Inspector
Initials
Comments
Pier
Plumbing
Concrete Encased Ground (CEG)
Lath / Wall Tie
Foundation / P.E. Letter
Rough Electric
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
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
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
6 .27
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.
-i-or low voltage permits — Nlease oe sure tnat rougn inspections are completed trom the Tire uistrict and electrical low voltage
by the Building Division.
"For Inspection Time Window — Please email insptimerequest@ci.Wheatridge.Co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
r
City of Wheat Ridge
`�' �•- Residential Roofing PERMIT - 201701722
PERMIT NO: 201701722 ISSUED: 06/07/2017
JOB ADDRESS: 2920 Webster ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Permit for a reroof: Remove existing roof and install Tamko Heritage in
storm grey. 5/12 pitch. 23 squares
*** CONTACTS ***
OWNER (303)549-6440 LORENZEN PHILIP R
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,861.00
FEES
Total Valuation 0.00
Use Tax 207.08
Permit Fee 204.30
** TOTAL ** 411.38
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding Al/2-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€'"s 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's 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201701722
PERMIT NO: 201701722 ISSUED: 06/07/2017
JOB ADDRESS: 2920 Webster ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Permit for a reroof: Remove existing roof and install Tamko Heritage in
storm grey. 5/12 pitch. 23 squares
*** CONTACTS ***
OWNER (303)549-6440 LORENZEN PHILIP R
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,861.00
FEES
Total Valuation 0.00
Use Tax 207.08
Permit Fee 204.30
** TOTAL ** 411.38
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms 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's 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201701722
PERMIT NO: 201701722 ISSUED: 06/07/2017
JOB ADDRESS: 2920 Webster ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Permit for a reroof: Remove existing roof and install Tamko Heritage in
storm grey. 5/12 pitch. 23 squares
I, by my signatw•e, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as partles to the work to be
performed and that all work to be perforrged rs disclosed in this document and/or its' accompanying approved plans and specifications.
�-
Signature of OWNER or CONTRACIfOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalermit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 apermit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Ap of work is subject to field inspection.
ltd..
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
U®` -G
City of
W heats
C OMMUNny DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
U L+
Date:
Plan #
Permit# ZcJ1��r� Z
PA
Property Address: M70 j !2 b f* �-�-
Property Owner (please print):cA)� i ` L uyia-ei-a Phone: 3 • (;qq •(y440
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractors City License #: �� Phone:
Sub Contractors:
Electrical: Plumbing: Mechanical:
City License #
City License #
City License #
Descriptionofwork1:`.��=�t-,,n,,
�i * t \Cc) l�✓� , \ �� �1 tJ —V v I Contract Value: c� �^�
� S / V7- P', JCC� $ I b Ili
Review Fee (due at time of submittal):
Squares 2 BTU's Gallons Amps Sq Ft.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that l have read and agree to abide by all conditions printed on this application and that 1 assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that 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) (Cl NT O or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: `( M�,k )(A )(.�jl~'.s A—S--('SIGNATURE: � L-� i_ Y �1 1J d.Wh.DATE: (01,2_1 i
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
BUILDING DEPARTMENT COMMENTS
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
OCCUPANCY -
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required I Bldg Valuation: $
Certificate Of Completion
Building Division
7500 W 29TH AVE
WHEAT RIDGE CO 80033-8001
Permit#:201500954 Issued: 07/15/2015
Stipulations: Replace Decking and Railing on Existing 182 sf
Deck.
This certificate verifies that the building constructed and/or
the use proposed of the building and/or premises, under the
above permit number and on property described below, does comply
with the Wheat Ridge Building Code and development standards of
the zone district in which it is located and may be occupied.
All other licensing requirements for the City must be met.
Owner: LORENZEN PHILIP R
2920 WEBSTER ST
WHEAT RIDGE Co 80031
Contractor: Nathan Reynolds
4639 S ALKIRE ST
MORRISON CO 80465
-20 e Editions NO change shall be made in the USE of
2012 ICC/2014 NEC this building without prior notice
— 2006 ICC/2011 NEC and a new Certificate Of Completion
— 2006 ICC/2005 NEC from the City of Wheat Ridge.
Other
Zoning----- rator
CERTIFICATE MUST BE POSTED BY FRONT DOOR OF
COMMERCIAL OCCUPANCIES
P R
uk v —
FOR OFFICE, USE T
City of Dater �
COMMUNITY LOPM : jK" Wh6atp 'd
PranlPe rl #
Building & Inspection Services Division
7500 W, 29h Ave., Whet Ridge, CO 80033 Pram Review
Office: 3013-235-2855 * Fax: 303-237-8929
Inspection Line: 313-:234-5933
Building it AppliCation
Please tomplete all highlighted amas on both sides of this form. incomplete rlete applicat s may not bo rocose d�
Property Address,., h4iflef 511,
Pro
Property OwnerEmail:
Mailing Address: (if different than property address)
Address
Cit , at�te i
r+ h ectlEng neeell: Phone:
r
Contractors ractors City ie #-
Phone..
contractor
Sri% ContrAotory'
Electrical: Plumbing: Mechanical:
KR, City License # Wk City License # W.I . City License
Other City Licensed Sub: Other City Licensed Saab:
City License ## City License ##
Complete all information on BOTH sides of this form
Ae4.4►W 6t / #13 Attsi'ti jC/.f : ii
Sq. FULF Stu's Gallons
Amps SquaresOther
~ COMMUNITY DEVELOPMENT DEPARTMENT Buildin
ermit Number : 15954
BUILDING INSPECTION LINE -(303-254-5933)
Date : 7/30/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: PHIL LORENZEN
Property Address : 2920 W EBSTER ST
Phone : 232-8129
Contractor License No. : 19983
Company : J& K Roofing Inc.
Phone : 425-7531
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
C
n
truction Value : $3,752.00
I hereby certify that the setback distances proposed by this pertnit applicaGon are accurate, and
Permit Fee : $126.50
do not violate applicable ordinances, rules or regulations of the City of W heat Ridge or
00
$0
Covenants, easements or restrictions of record; that all measurements shown, and allegations
I
.
n Review Fee :
made are accurate; that I have read and agree to abide by all conditlons printed on this
USe T8X : $45.02
application, and that I assume full responsibilit f r compliance with the W eat Ridge Building
Code (U.B.C.) and all other applicable Whea idge ordinanc s, for wo under this permit.
Total $171.52
:
DATE
SIGNED
OR
(OWNER)(CONTRACT
)
Description : TEAR OFF 3 LAYERS / REROOF. 25 SQUARES W/ HERIT
BUILDING DEPARTMENT USE ONLY
Zoiiing Golmments:
Approval :
Zoning :
30 SHINGLES
Sq. Ft. :
Building Cgmmenta:'.
Approval :
Pulillc Works Co'mments:1
Approval :
Occupancy : Walls
Roof : Stories
Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval :
(1) This permil was issued in accordance with ihe provisions set forth in yopur application and is subject lo the I
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date o
abandoned for a period of 120 days.
(3) If ihis permit ezpires, a new permit may be acquired for a fee of one-half the amount normally required, prov
original plans and specifcations and any suspension or abandonmeN has not exceeded one (1) year. It ch
exceeds one (7) year, tull fees shall be paid for a new pertnit.
(4) No work of any manner shall be done that will change the naturel flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspeclor hventy-four (24) hours in advance for ali inspections and shall r
proceediing with successive phases of the job.
(6) The issuan of a permit or ihe approval ot drawings and specifcations shall not be constmetl to be a perm
provisio ~ of h!.2bxldi g? odas or any other ordinance, law, rule or regulalion.
/~^e
Chi uilding In ector
Please sign Terms and Conditions on reverse sid
License No :
Date :
of the State of Colorado and to the Zoning
the building authorized is suspended or
no changes have been orwill be made in ihe
s are made or if suspension or abandonment
written approval on inspection card before
nor an appmval of, any violalion of the
page.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855 Date :~/03
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : V`"47-c~
Property Address : c~ q~02-~ ~
Contractor License No. : / / 9~3
Company :
OWNER/CONTRACTOR SIGNATURE OF
AND AGREEMENT
I hereby certify that the seWack distances proposed by this pertnil applintion are accurate,
and do not violate applieable ordinances, rules or regulations of the Ciry of VJheat Ridge or
covenants, easemenls or restrictions of record: lhat all measurements shown, and altegations
made are accunle; that I have read and ayree to abide by all conditions pnnted on this
application, and that I assume full res onsibility for wmpliance with the Wheat Ridge Building
Cade (U.B.C.) and all olhar applieaU e heat Ridg"rdinances, tar work under this_ pe~rtn,d,.~
(OWNER)(CONTRACTOR) SIGNE DATE_'
Construction Valu&'
Permit Fee :
Use Tax :
Total: $0.00.
Use:
Description
4JI~k2~~~ 3D ~__4~-~
BUILDING DEPARTMENT USE ONLY
SIC : Sq. FL :
~ .
Approval:
Zoning :
mt8fn'mc3amm~"L~
Approval:
P_QlS1~c~V11bfR~~~~
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
ElecVical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expira6on Date :
Approval: Approval:
Approval:
(1) This pe(mil was IssueC in aaadance wiN me VmAsims sM IoM In YWur aDWicabo^ aiW is suDea ta me ia.s m me suie a cowraao.ne a me zanN+u
Re9ulauau anE BuiMin9 CoGe ol Wheat R'Mge, CdaaAO a any olher aDp~~ ~fi^a^~s of the City.
(2) TTia pefmt sfw4 axpire A(A) Ne wak authaized b nol ~Y (80) Eays hom Issue mte or (B) ~ a+~~~^7 aulhaized 'u suspaMeE u
M CMn9es hava Deen of will Ce rtuEe Na
aparMOneC ip a peAOO o/ 770 Eays.
(J) If Nis pemN expires, a naw permt m+Y ~ K9ulrcd Iw a lee o/ one-~aH Ne amounl nartuly reyuire0. provideE
wpinal plans aM specRwUOns arW any suspensbn a abaMOnment lus not ex[e<deC one (1) Year. II dharga arc maEe w A wspensbn a sEanAU~ment
ezceeGa aa (1)1roar, luli rees ahan be pald tor a new DenniL
(4) No work al am/ manner sAall be tlone Uwt wiII Wnqe Ihe rolwal Ibw ol water ausilg a dninage podem.
(5) Conuactw ssnall noury No BuiWln9 Inspeda twenry-/our (24) Iwurs in a0vance /or ail inspeNOns anA shail receivo vrtitten appowl an insPxtion nid belara
poceeeunq wM sucxessNe haxa ol ihe b.
W~ns anan rot De consuueE to be a D~t fa. nor an aCGrwal ol. aM Ndatla+ d Ns provisbne
(8) aTne Lhe issua~ol~'Pe ~ ~y COW ° ~v~Nle a repwl'an
Chief Buiiding Inspector For Mayor
THIS PERMIT VALID I
CALL 234 5933 24 HOURS PR OR TO I~N PI E TION PECTOR AND MAYOR
i'9--P'G
Phone:'50 B 3°7 -g«1
Pnone:a3- VaS- 7S31
2920 Permit Number: 6807
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 : ~kv Gf 2- e~k;
Property Address : ,5?~j'~ ,57,
Contractor License No. : /9c/3
Company : e'Z„Zne,
Phone : a,3.q
Phone e~''kQ
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit appliwtion are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of recrord; that all measurements shown, and allegations
made are accurete; that I have read and agree to abide by ali conditions printed on this
appliwtion, and that I assume full responsibility for eompliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat "e ordinances, far work under this parmit.
(OWNER)(CONTRACTOR)
Construction Value : .5?,~~~
Permit Fee :
Use Tax :
Total: $0.00
Use
Description
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning :
Approval:
Approval:
Occupancy:
Electrical License No :
Company :
Expiration Date :
Approval:
SIC : Sq. Ft. :
Stories : Residential Units :
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This pertnit wes issued in acmrdance with the provisions eM lorth in yopur applicadon and Is suqecl to Ne laws of iha State of Colorado and to ihe Zoning
Regulations and Bulltliny Code of VMeat Ridye, Coloredo or any other applicable oMinances ot ihe Ciry.
(2) This permil shall ezplre 9 (A)1ha work authonzetl is iwt canmencetl wiNin sizty (80) tlaya trom issue tlate or (B) the building auCwrizetl Is suspeMed or
abantlonetl fof a peAOC of 120 tlays.
(3) Ir this permit ezpires, a new pemnt may be acqulred ror a fee ot one-hslt tlie emount nortnalty require4 provided no changes nave been or wlll De matle in Ihe
original plans and spedficaUOns and afry suspension or abarMonment has not exceetletl one (1) year. I/ Uangas are made or if suspension or abandonment
e.ceeds one (1) year, NII fees shall be paltl /w a rrow permiL
(4) No work of arry manner shall be tlorre Nat will change the naWral Ilow of water causing a tl2inage proElem.
(5) Contractor sha4 notiry the BuilEing Inspeclor twenry-(our (24) houra in aAVan~e /or all Inspeclions and shall receive written approval on Inspection prC before
praceetliing wiN auccesstve ohaxe of Ne job.
(e) The issuanca of a pertnit w the approval of Erawings and specifiealions shall not be consWed to Ee a permit lor, nor an apprwal of, arry vblation ol the pmWSbna
of the builtlinp co0es w arry other ortlinanw, law, rule w regulation.
Chief Building Inspector
Wails : Roof
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION