Loading...
HomeMy WebLinkAbout3045 Xenon StreetINSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERM IT: P� / /_76 8 5� ADDRESS:', 66 k � t. JOB CODE: � (-,,); Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:, / VI) 09%� ADDRES& JOB CODE: 1 Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board/ shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door C1 nes 5 W n doe W 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 '`**For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. Cf A i CITY OF WHEAT RIDGE BuifdingAnspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: (4/ 0 Job Address: -36L-1<7- n „ S -- Permit Number: G -7 0 '9'9 S' -'g P !j,f s c W ('A CIO w S AI e COY S r-& e ,le,)4[ ❑ No one available for inspection: Time c = _9g A( I�/PM Re -Inspection required: Yes 0 When corrections have been made, call for re -inspection at 303-234-5933 Date: 'd. t A C Inspector: d DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miscella PERMIT - 201708858 PERMIT NO: 201708858 ISSUED: 01/24/2018 JOB ADDRESS: 3045 Xenon ST EXPIRES: 01/24/2019 JOB DESCRIPTION: Residential window replacement for 2 egress windows installed in basement cut size 33inx5lin window sizes will be 29 1/2x47 1/2 both windows *** CONTACTS *** OWNER (303)827-9871 HOLMBERG JOHN R AND LARISA SUB (720)309-2955 Lee McGonigal 160282 L & M Construction, 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: 8,300.00 FEES Total Valuation 0.00 Plan Review Fee 122.49 Use Tax 174.30 Permit Fee 188.45 ** TOTAL ** 485.24 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I further attest that I am le Ally authorized to include�ll entities named within this document as parties to the work to be erformed an �allwprkt 1be per r ed is disclosed in this d u ent and/or its' accompanying approved plans and specifications. i ignature of OWNER or CQ TRACTOR (Circle one) Date I. This permit was issued based on the information provided int rim application and accompanying plans and specifications and is subject to the compliance with those documents, and all appliq ble statutes, ordinances, regulations, po icies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grantingV l not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any orlation of this jurisdiction. Approval of work is subject to field inspection. 14,A 91 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wh6a-tPjj--ddge COMMUN['IY DEVELOPMENT 7500 W. 29th Avenue * Wheat Ridge, CO 80033 * O: (303)235-2855 * F: (303)235-2857 Contractor Waiver for Workers' Compensation Insurance I, (print your name), k* -;,e f,�, verify that I am the solewner or partner of (company name): / -2 , Contractor No. which has no employees and is not required by the State of Colorado to carry workers' compensation insurance. I further state that if I hire subcontractors, they are in compliance with the State of Colorado Workers' Compensation insurance requirements and have obtained the required contractor's business license from the City of Wheat Ridge. Signature:.4 Date: R=_ City of Y�orWheatj COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit #�% �j g Plan Review Fe f Building Permit Application G *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 1? 4 '- X(nc: r-% S-1— Property i— Property Owner (please print): !' «r; j�1,,� ool� Phone: '3- �,) -T W-71 ` Property Owner Email: /_S//) e na- j% Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Engineer: 10/e% o 4 maer" c..►1�. tY�cnv� „�r :�C Architect/Engineer E-mail: t osy e'AiAS Phone: q 0 S- -- y %l9 Ce, , COM (2 k4- j'6_5 Contractor: 1_ m c c,;tis �- i���<�m. t "A � Contractors City License #: b __L `?S-- Phone: 7�C.- 3C 11- ?_9 S-3- 4-<e— Contractor E-mail Address: ))o5, t ; �i �,� ,.,,�;`) Ivo q Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL 4 RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ® WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) -1v CUc;-e— /c(acc� in lS:rrj Gv� 3sA SI 12- x % XYZ Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ `3300 y OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED R PRESENTATIVE) of (OWNER) (CONTRACTOR) v Signature (first and last name): G \y� = �A DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPIARTMENT CQNIM Reviewer: �� OCCUPANCY CLASSIFICATION: �- Building Division Valuation: $ I'�pQ ' 00 I � • r 4* IN s� Dam I,- ''- - mEv n m o a m Z 22 ocfm o Z i z m 'J'A Dm a� �_ m M C11m -+ m EZ to m rn r4 m> NXf zd Ec X Din r �m Dy az ��c N M 0 ❑ 3 S r i cr a • �xc SQA s ,� .. • 1, r Cl A a - . ♦ .p. ` a na.- .. b; - • ° ism.' TI M ZnD [[ -a . �•°_ a 4 .. a .a. _ t7C2 D mrn ,a. ♦ = by M C7 ,A . _ 4 .. .'` _ a CD mrd m p ; a • . f 'a. Sze w ! 0 E3 p a. o 8'6x/3 • ♦ ruX I I `�� •.. � � ♦ - � m NI 0 X �� o •---I s'7 I A • . ♦ ! a' - it . y fwU z _ anZ � • p "- P as ♦ r �_ J N LZ'1 f q X 70 o �� �.m ..` � k o z �z . , a'- .♦ ° _ .per `f jj�X co C� • 8'6X43 I � I a a ♦ ' .. Nm ` C7 a 4 ' - n • ♦§ aC ' p p Co a C Nm o iii ♦ ° C4 m co 1 a ° ° . a rD ` .. I a_ a • EZ I t • p ' ° • � n n .A : �� \ �- y ¥ r \ © «� \¥y6., z , ^ . « < % . © : » - |� ¥� ». �� ° )�»\.: &Z' ) . ,y\/>�_/ �� �22� � - \ \ � `��\//}<� . \ . z�°�/� \ - . . \-!g. �. 2�� � ��\\ - . «: ƒ� w » \� /;»\ <�. .\2\2�� © ? 2 y���.��«� . . \ \` % �� �� � �\��< y�2 » , \�� \ � t � �\ �/�\ \ �� � � : � � \ , .. . < : .t . . , � . � � : t ! .. »: \ \ : )� %��� d\�. GENERAL NOTES (BASED ON 2015 IRC) 32'X12' a• 1. LOADS Larisa Holmberg 11 ROOF SNOW 30 PSF 1 2 FLOOR LIVE 40 PSF 1 3 ROOF DEAD 15 PSF 1 4 FLOOR DEAD 15 PSF 1 5 WIND SPEED 130 MPH (EXP C) SIMPSON STRONG -TIE HD3B USED TO PUSH TOP OF C7X9,8 FLUSH AGAINST WALL, BOLT CANNOT EXCEED 2' UN -SUPPORTED. NOTE? THE CONCRETE WALL MUST BE SAW CUT TO EXTEND THE WINDOW TO EGRESS SIZE. THE TOP OF THE EXISTING WINDOW CANNOT BE DAMAGED OR ALTERED, FOUNDATION WALL ••'w•• 0o`�e ° 0.00 06. , 282,53 y� r e1r•. ®••o w �' •rr•frrr �1 4 f '• a 1 . d -• • d• • f , . j. . ! / 4 • A. , . ' f J ems•• f 1 • .. • • 4 • f' 4 • :J r +. A. • : •. , a: a d •. •./, A: • • ; 4 f a SELF LOCKING BOL THROUGH k' PLATE WELDED ON J BOTTOM OF C -CHANNEL, MUST C REACH CONCRETE FOOTING, d J# d. S So6l(T EXISTING 2X8 FLOOR JOISTS EXISTING WINDOW LINE UP STEEL CHANNEL TO JOIST CLOSEST TO WINDOW ELEVATION OF EGRESS WINDOW (EAST WALL)' SCALE, V2'44' ADM riifKT aVIN,s 32'X12' a• crwvtrx:.aw- Larisa Holmberg NEW 32'X48' 3045 Xenon Street, EGRESS WINDOW (• Wheat R1d CO 80215 StA £ DnTF X ' 14 AS SHOWN + ,w bo °_ k •,F_ ., (::N t . -. m as If 1 + ' �! , - d' " , o •' a • • ` A • f • .. ,. • *• •1 d. . • • • (.'CONCRETE' • 'd' ' i FOO.T;NG . i t d. ♦ • LINE UP STEEL CHANNEL TO JOIST CLOSEST TO WINDOW ELEVATION OF EGRESS WINDOW (EAST WALL)' SCALE, V2'44' ADM riifKT aVIN,s crwvtrx:.aw- Larisa Holmberg ary 3045 Xenon Street, O1 Wheat R1d CO 80215 StA £ DnTF onawa Br , . c[ ;U BylAid, Egress Window AS SHOWN 1Af2R017 ,w Sz °_ k •,F_ ., (::N t . -. City of W heat midge CoMMUN:TY UFVFtOPINENT APPROVED Reviewed for Code Compliance � PiJn: E,aminer Date Validity of permit The issuance of o permit m opprovoi of plons specifrcatim, and computations sholl not be a permit for, or on opproval of, any violation to any of the Provisions of the building code or of any Ory ordinances. Permits presuming to give authority to violate of cancer the provisam of the lttitdhV Codes or other ordinances of the City shot) not be volid. I 'City of Wheat Ridge y o n N n 2 -f -n r _ 0 �+ o g r D to 29.75' �a y mo n m O $ � p c o 3 0 7 3 A A a " Bath m a A n n J7 N ^ ? 6 Z p O 0 3 O 3 N � 0 yOj N N a x 3 a a SL"$Z m A w a 29.75' m ,°�pp' W 91 Nco gV. laundry va a Ln a a a a 3 in 4�4v. 3 d dO F a b m y G a N N Lf 4.{L 4 7.55' Z'ZZ ,SL'SZ m o'bi 2 c N n, o N `"11 �� N a, �� a In s x x x x x ° m x NN x x N x x ° v° g i n �D N tvn N a .A. Gi iD A N 22.2' m 14.9' 1 II II II II II II ii II II II ,ss'c V N 90 N co iO co A W tT r V iO d A T 91 _ Q1 N V W N 00 iO .A r City of 1Nheat Ridge ,Building Divison V,, � L -S 3A I -So -fiN on Cn -t IPA i A T 79 ti. C-14 -s -z; r e nr 4w. 46" * Ik. Q I VJ& tj (.1h X 3A to I city of Wheat Ridge 'Building Divison CIV .,,> LT-w� U3,1 ,, J6 to Li City of Wheat Ridge uilding LT-w� U3,1 ,, J6 to Li City of Wheat Ridge uilding Gil -N, RAI. N'011:', if3A5E.iJ ON 1U1, IR(:! 01 1 LOAD$ x � _ z} 1 l R00if 5114(WJ 30 PS( t7 Ft 00R I.IVP. Aat"a 13 ROOF UEA0 .5 PSF 1-1 F(f)OR DlZAD ±5'IS F ! b '!QlNU SP[! G IN MPH ([XP C) SIMPSON STRONG -TIE HD3B USED TO PUSH TOP OF C7X9,8 FLUSH AGAINST WALL. BOLT CANNOT EXCEED 2' UN -SUPPORTED, NOTE, THE CONCRETE WALL MUST BE SAW CUT TO EXTEND THE WINDOW TO EGRESS SIZE, THE TOP OF THE EXISTING WINDOW CANNOT BE DAMAGED OR ALTERED, 6u PERPENDICULAR FOUNDATION WALL 0 EXISTING 2X8 INE UP STEEL CHANNEL TO FLOOR FLOOR JOISTS (JOIST CLOSEST TO WINDOW J' SELF LOCKING BOLI' THROUGH J' PLATE WELDED ON BOTTOM OF C -CHANNEL, MUST REACH CONCRETE FOOTING, • 14' ' : Id; +. 'CONCRETE" FOOTING . `• d % .. 4a. . ; A. ELEVATION OF EGRESS WINDOW (EAST WALL)i SCALE, 1/2'=1'-0' AOX Lansa Holmberg 3045 Xenon Street 01 - Wheat Rjd e CO 80215 x � _ z} S'A.i OM1': .ai111011 :.K.u1'. P.i ,.^. !!: N• M SiK)WN J s� _ ..:: Egress Window 4 ., - '. 3``�O� EXISTING WINDOW i'' .:.• 4. AA. 32' X 12' +. • ' 1', ; , 4 'I Id a NEW 32X48" ,. + ♦• ' a , EGRESS WINDOW I• `, r 4 • . +. •• 4' 4 • w4 03 d ' r• • JJ i • r. d ♦ f +. , :4 +' • d ♦ !, 17 A d + •A + •' ..' �a • +'' d A 44, Alf a •• , ; J' SELF LOCKING BOLI' THROUGH J' PLATE WELDED ON BOTTOM OF C -CHANNEL, MUST REACH CONCRETE FOOTING, • 14' ' : Id; +. 'CONCRETE" FOOTING . `• d % .. 4a. . ; A. ELEVATION OF EGRESS WINDOW (EAST WALL)i SCALE, 1/2'=1'-0' AOX Lansa Holmberg 3045 Xenon Street 01 - Wheat Rjd e CO 80215 x � _ z} S'A.i OM1': .ai111011 :.K.u1'. P.i ,.^. !!: N• M SiK)WN J s� _ ..:: Egress Window City of Wheat Ridge LBuilding Divison . City of Wheat Ridge Residential Roofing PERMIT - 201708849 PERMIT NO: 201708849 ISSUED: 11/03/2017 JOB ADDRESS: 3045 Xenon ST EXPIRES: 11/03/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 30 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)827-9871 HOLMBERG JOHN R SUB (720)663-7766 Darrin Azar 170217 Rocky Mountain Enterprises 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: 7,710.00 FEES Total Valuation 0.00 Use Tax 161.91 Permit Fee 172.60 ** TOTAL ** 334.51 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708849 PERMIT NO: 201708849 ISSUED: 11/03/2017 JOB ADDRESS: 3045 Xenon ST EXPIRES: 11/03/2018 JOB DESCRIPTION: Residential Re—roof to install OC asphalt shingles — 30 sq Pitch = 5/12 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 plicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized bythe legal owner of the erty am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further a that I legally authorized to include all entities named within this document as parties to the work to be performed and that wor to e formed is disclosed in this document and/or' co panying approved plans and specifications. W%�1-7 Signature of OWNER oCrONTRAUTOR a one Date This pel it was ' ued based on the info provided in the permit application and accompanying plans and specifications and is subject th ompliance with those d ents, and all applicable statutes, ordinances, regulations, policies and procedures. This permit shall expire 365 days e date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of ation. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subjec to a fee equal to one-half of the originalpermit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. No work of any manner shall be performed that shall results in a changeof the naturalffllow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a permit shall not be construed to be a permitr, or an approval of, anviolation of any provision of any applicable code or any ordinance or re i of this jur A 1 of work is subject to field inspection. h Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 2 017OU e�q From: no-reply@ci.wheatridge.co.us Sent: Friday, November 3, 2017 8:39 AM G To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed C Residential Roofing Permit Application S This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) r} � 3045 Xenon Street John and Larissa Holmberg 303-827-9871 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. jholmberg22@gmail.com Yes Attach Copy of Executed Holmberg Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Rocky Mountain Enterprises Name k - Contractor's License21-78 Number (This is a 5 or 6 digit number for the City Z) Z 1-7 of Wheat Ridge) Contractor Phone 720-663-7766 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 14 Inverness Dr. SUite G-210, Englewood, CO. 80112 (Primary address of your business) Contractor Email Address mike@rmeroofing.com Retype Contractor Email mike@rmeroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 30 6,500.00 No Pitched roof (2:12 pitch or greater) 2 both? (check all that apply) What is the specific pitch 5/12 of the PITCHED roof? How many squares are 30 part of the PITCHED roof? Describe the roofing OC duration shingles materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional re -roof house detail here on the description of work. (Is this for a house or garage? Etc) 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 this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to C 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 Darrin Azar Email not displaying correctly? View it in your browser. ROCKY MOUNTAIN ENTERPRISES ROOFING - SIDING - GUTTERS PAINT - DOORS - WINDOWS - HVAC (720) 663-7766 300 E Miller Court #1571 ggg Castle Rock, CO 80104 um Customer Information Insurance Information Property Owner is _X/ is not intending to make payments from the proceeds of a property and casualty insurance policy. Project Manager: oLIt Insurance Company: 41 -�,t�LafC � Policy Number: City: t,J 5—L(cq Claim Number: o Adjuster Name & Phone: 11 Date of Loss: 5 r J CONTRACTOR AGREEMENT Name: c----- U6L lam•s5 oLIt Phone: Address: -�,t�LafC � Cell Phone: Z.:7.1 t City: t,J State: Zip. Fax: Email Compensation/Price: Contractor estimates the cost of the Work to be $ 'RCV (the "Price"). Upon approval from Customer's insurance company, the "Price Agreeable" with the Contractor and the insurance company shall become the Price of> is Agreern and shall replace the estimate of Price immediately above. Customer shall make a down -payment of � S, 0(n �' upon Customer's in urance company approving this Agreement. Duties and Responsibilities of Contractor: Contractor shall _ _ install a new roof on the Property repair the roof on the Property (check one), according, to the specifications below. / Manufacturer/Style of Shingle: Color of Shingle: S �, i SLixf Valley: Vents: Permit:_ � Tear Off: X Layers:_ Replace All Boot Jacks: 'X Drip Edge Color:/4'i,,,-.,A Special Instructions/Upgrades: Cost of Upgrades: $ Deductible: $ �, St"rC>. Initials: Customer is responsible for payment of the cost of any and all upgrades regardless 7wvhethver or not Customer's insurance company is paying for such upgrade costs. Customer has read and agrees to be bound by the Terms and Conditions set forth below. Contractor shall hold in trust any payment received from Customer until Independent Contractor has delivered roofing materials at the site or has performed a majority of the roofing Work on Customer's property. Contractor estimates that this Work will commence on kk ("Substantial Commencement") and will last approximately N days ("Contract Term'). Customer hereby authorizes and instructs the insurance company and all lien holders to communicate with Contractor and include the name Rocky Mountain Enterprises as co -payee o ks issued related to the loss. Any contract with the insurer or any scheduled inspections shall be made through Contractor. (Customer Initials). Customer hereby authorizes and instructs any lei re resentative and/or agent of Contractor to obtain any and all information necessary to negotiate the ment of the claim as well as any information necessary to complete the fundin CM�elative to the claim number listed above. (Customer Initials). Customer will be responsible for HOA requirements (Customer Initials). ustomer Date Rocky Mountain nterprises Rep. Date Certificate Of Completion Building Division 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 Permit#:20101035 Issued: 10/29/2015 Stipulations: Rebuild porch roof and Reroof 30 sqs 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. Parcel No: 39-293-11-005 #wner: Gerladine Rosenthal 3045 XENON ST WHEAT RIDGE CO 80215-6560 Contractor: For the Following Purpose: Homeowner Roof Code 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/200 NEC from the City of Wheat Ridge. k '2 _Z Other of BuildinZ THJ56�5�r � --o—n-i"' n �gA �i n i s �tr a t T®r CERT I-IICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 23 71 ro' SJ 1035 `ISSUED: 04/23/2010 45 XENON ST s' '.EXPIRES: ebuild porch roof and Reroof30 sqs: 10.11 : (303) City of Wheat~idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29t" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Anym- 7cs L-1 n p Property Owner (please print): (f-re Q c, ~ CID \ Mailing Address: (if different than property address) Address: Contractor: Contractors City License M Phone: 8ub`_Cooodors Electrical: Plumbing: Mechanical: 2 City License # City License # City License # be§crln#ton=~of work~i Contract Valye $ Review Fee (due at time of submittal):. -30 Squares BTU's Gallons _ Amps Sq Ft. 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 can. on this. application. CIRCLE ONE: (OWNER) (CONTRACTOR) 0 1UTHORIZED REPRE TA of (OWN ) ((FONTRACTOR) PRINT NAME: SIGNATURE: DATE: 'L1 /a~~/ F{rjE DEPARTMENT ap fov„edtivvl comm~Pts q disappJOVecj Bldg n- _ Date: Plan lIJ) Permit # ~ X11-1 R, N. 31 x 31 9 G a W T~u V W 4 .2 N tf ~ s C% n ° J ) ~ VY IIS3 Cf ~ _ i N I~+1 o~ W oa i r4 c E a; ~ e e u g RS ( j0 q y N d ~ m O Y 'C~j d m A O O o _ d ` C,N J o t 'C Q E ° rn'S a + C U a•E e 8 m co LL m a~c Q! LL uAddco •j~.~~ 81 Q e .a F w d D- ,dadd Z om INYi _.._t z O_ d Of J_a as _ 3 m CL W W T~ V N t C Q M ui D V ~o ~ M 'Xx f 1 a~ Y ~ ar ~ O N ® y C Q. W _c a ) m Z i a~ g d ui c N f 1 I ~ r = ' s X 4V CI& p+ Y 1 4 111 ! ~S1 ~r C l~ J r•, -z!w U c a v O U N 0 C ~6 ® C 0 W C 0'a j m W.T o. U. Q1 \ Q O w ~ d ° to s ~ rn ID Q 0- ko lp » nvim ! t f w 6 ~ u t ~ 9 ~ 9 e 4 r< ~a CEPARTMENT OF COMMUNITY DEVELOPMENT 7500 wEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M921118109 297-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN iGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED OELOW. '2 APPLICATIpN FOR MISCELLANEOUS PERMIr /NN y 6 r„~~ o(d OWNER UQ u" JOB ADDRESS u CONTRACTOR ADDRESS_..,~~~~_ ADDRESS CITY_ PHON ZIP CODE _ LICENSE NO PHONE U ✓ `~~ZIPCODE~t [.i/_i~-i CONTRACT PRICE $ i. TYPE GrounA ❑ Woll❑ Proieefinp❑ 0ther S a 0 Faoe 2. MATERIAL To1al Square Fesf . SIGNS ILLUMINATION Ya❑ No❑ 3 Typs Eleef Pvmit No. . 4 SET BACK FROM PROPERTY LINE N (SDeci/y whicA is front) _ ❑ S_ E ❑ _ W ❑ ❑ . Zom_ Approved,2one lnspeetor Diwpprwed I, TYPE Solid[:] More Than 80% Opan[D Less Thon 80% Open MATERIAL Heipht FENCES 3. SET BACK FROM PROPER7Y LINE N (Spscify whithiefront) _ ❑ S_ E _ W ❑ ❑ Zone_ Apprwed,Zons ImDeeta Disapproved L A0 ~ ~ -'I/~ ~L6d0 2 OTHER ' 3 . DRAW SKETCH OR SHOW BELOW,THE FENCE,SI6N, OR OTHER STRUCTURE, GNIKv DISTANCES FROM PROPERTV lINES. (SETBACKS OR PROJECTIONS INCIUDEA) z ~ J FY Cµ~ 4 SPECIFY NORTH ~ N STREET NAME $HOW DISTANCES FROM THE MAIN BUILDING TOADJOINING MOUSES, STREETS, AND PROPERTY lINES; ON IRREGULAR LOTS, SNOW LEAST DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE. AF'PLICATIGPI FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMfT TO PERFORM THE INDICATED WORK ONLV UPON VALIDATION BV THE BUIIDING INSPECTION DIVISION. PERf.AIT 4YILL EXGIRE 60 DAYS FROAd DATE OF ISSUANCE !F WORK IS NOT STARTED WITHlN THAT TIME. ELECTRICAL PERMIT STATE LICENSE NO, 0,i!JRA1ha,pM V,ryREI!IVOERSRE81lLEGAL PLUMBING PERMIT STATE LICENSE N0. FLOOR BSM IST 2ND iRD 4TM MECHANICAI. PERMIT NQ FlJELChclsOneC+a4011Propaa ElxSoloi ryp, WATER CLASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMVS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISF REFRIGEFATION SYSTEM POWER SUB-CIFCUITS UTILiTY(RANGE,DISPOSER,E7C.) FIXTURES WA7ER HEATER AUTO. WASHER DISH WASHER Retri erant GouO Pounds CMr e AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CON7ROLS FLOOft DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 6 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAI FIxTURES 1 hereby acknowledqe that thia ap0lico- tion is Correct ond understond fhaf I eonnof stort fhis Drojeet until this aDpli- eation ia apDroved. I ehall comply with tha laws oi the State of Colorado and to ihe Zoninq Rspulelions ond Buildinq Code of the City of Wheoi Ridpe. Any vioiation of tAe abovs terma will couse ,ilmmmediate rev eafwn of tt}is~perm,-K? PERMIT FEE </j- C;L& 1ED N07 _ usE Tax . ~-el 5 TOTAL FEE $ S- U-~J PROV ' Ct< . 7 '1L'up p ~ DISAP ~ , - CHIEF BUILDI _ INSPECTOR,City f Wheat Ridqe CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE ~_c/; c~ ~ FOR INSPECTIONS Date Issued