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3020 Saulsbury Street
INSPECTION RECORD Inspection online formt http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted vi ewT*nt-form-beforeA a.m. the day of the inspe n 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: ) �qj ADDRESS: OB 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 -!/L ADDRESS: 1.'y' 1,13 CODE: r R Rough Inspection (continued) Date Inspector Comments Initials 316 Rough Mechanical Residential 402 Gas Meter Release 317 Rough Mechanical Commercial 403 Final Electrical Residential 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 405 Final Mechanical Residential 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 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. PERMIT I' � ADDRESS: 3 7O S �T 101 7J ATCB CODE: INSPECTION 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 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 ; -; a.: , 4. •. 311 Electrical Meter Commercial 312 Temp. Const. Meter 4 y 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS -11Z'I�i4 C� -12Z/ J6 Z' u 7 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 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. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to rec�U=B owing business day PERMIT' ADDRESS:?56Z CODE: 16W 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 / Z 7 �Ali Q. 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. / Z 7 �Ali Q. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector I itia Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation / Z 7 �Ali Q. 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residentialf%�i % J b- 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential C % L7 -3 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:/ ����/��_� /� �f� • . • Rough Inspection (continued) Date Inspector Comments Initials 316 Rough Mechanical Residential r 317 Rough Mechanical Commercial 403 Final Electrical Residential 318 Boiler / Furnace 36 319 Hot water tank 320 Drywall screw and Nail 405 Final Mechanical Residential J • 8• /e J6 321 Moisture board / shower walls 406 Final Mechanical Commercial 322 Rough Grading 407 Final Plumbing Residential 323 Miscellaneous 136 Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 36 404 Final Electrical Commercial 405 Final Mechanical Residential J • 8• /e J6 406 Final Mechanical Commercial 407 Final Plumbing Residential Z /8' 136 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ��01 1z,,r5 A;,trA 14 46 Job Address:cwt" / Permit Number: ❑ No one available for inspection: Time Re -Inspection required: Yes (No When corrections have been made, call for re -inspection at 303 -234 - Date: • F' AF Inspector: DO NOT NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:��G� Job Address:s'--� Gtr ? �•,. 6".I Permit Number: 2z 2- I 01 d t) I TS '_ ,d ❑ No one available for inspection: TimeAM/�M„_._. Re -Inspection required: �`'�(es No *When corrections have been made, call for re -inspection at 303-234-5933 Date:,/1-51 /(131"Inspector: \)ei '�s — DO NOT REMOVE THIS NOTICE *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. 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 1 am the legal owner or have been authorized by the legal owner of property and am authorized to obtain thispermit and perform the work described and approved in conjunction with this permit. I fu e tt st that I am legally authorized to include all entities named within this document as parties to the work to be per ed a t all or k to performed is disclosed in this document and/yyr its' accompanying approved plans and specifications. 9�R 7-7 Signature of OWNER' or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans 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 ermit 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 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 o nting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable co a or y ordinance or regulation®® of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official .0 Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Electric PERMIT - 201707551 PERMIT NO: 201707551 ISSUED: 09/21/2017 JOB ADDRESS: 3020 Saulsbury ST EXPIRES: 09/21/2018 JOB DESCRIPTION: Residential electric temp electric needed due to house fire. Move meter riser, install new panel for temp electric power.125 amps *** CONTACTS *** OWNER (303)269-9994 CHIPS MARTIN J SUB (703)450-6580 Jeffrey M Yoh -160183 Jenkins Service LLC DBA Jenkin *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassignea SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00 FEES Total Valuation 0.00 Use Tax 42.00 Permit Fee 77.50 ** TOTAL ** 119.50 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. 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 1 am the legal owner or have been authorized by the legal owner of property and am authorized to obtain thispermit and perform the work described and approved in conjunction with this permit. I fu e tt st that I am legally authorized to include all entities named within this document as parties to the work to be per ed a t all or k to performed is disclosed in this document and/yyr its' accompanying approved plans and specifications. 9�R 7-7 Signature of OWNER' or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans 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 ermit 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 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 o nting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable co a or y ordinance or regulation®® of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official .0 Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat Iiclge 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: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # _;0V Plan Review Fee: 1 �6 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _3 0,7- Q <A id �6:M L, -I, j :��C Property Owner (please print): h�(� art-, ��; CN t pp,S Phone: 303 -;ZLq - Qqq11- Property Owner Email: ke_CL! 6_) Cy" Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: z hr iei iv S Qu 1 cis 1-� Phone: Contractors City License #: 14vO tS3 Phone: Contractor E-mail Address: t hr` ►d f_LyA'rtR Co Sub Contractors: Electrical:5Ljo VAU-9- &_ec W.R. City License # 1 705 i $ 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 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 SYSTEMMLAPPLIA CE REPAIR or REPLACEMENT OTHER (Describe) I etm j2 (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 Amps 'let Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) pie 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 (C�CTOB , (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WjIEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3ol 4eto Job Address: Sac /S 44r _ f Permit Number: 22769 l ❑ No one available for inspection: Time c', - AM/PM r Re -Inspection required: Yes No When corrections have been made, caH for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE J%. i CITY OF WHEAT RIDGE n Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3CF1 CF. wzo Job Address: O���- Permit Number: O/ ❑ No one available for inspection: Time , CLQ AM/PM) Re -Inspection required: Yes/ ' No When corrections have been made, catl-for re -inspection at 303 -234 - Date: ' C0' / 7 Inspector: ex/C / DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 M pi ! Job Address: D 0 5 Permit Number: ❑ No one available for inspection: Time All/PM Re -Inspection required: Yes o .j When corrections have been made, call for re -inspection at 303-234-5933 Date: '/7—inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Remodel PERMIT - 201708621 PERMIT NO: 201708621 ISSUED: 11/07/2017 JOB ADDRESS: 3020 Saulsbury ST EXPIRES: 11/07/2018 JOB DESCRIPTION: Residential remodel due to fire damage. Remove and replace existing ceiling joists and plaster in kitchen and in the stairwell. Remove and replace kitchen cabinets and countertops. Rewire electrical as needed. Move electrical service as required by Xcel Energy(reference permit#201707551). 238 sqft *** CONTACTS *** OWNER (303)269-9994 CHIPS MARTIN J GC (703)450-6580 Jeffrey M Yoh 160183 Jenkins Service LLC DBA Jenkin SUB (303)646-6339 k;a279,1L. Pfeifer 170518 Sun Valley Electric Inc. SUB (720)281-5428 Kenneth Fritzler 100278 K&L Mechanical *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 42,761.00 FEES Total Valuation 0.00 Plan Review Fee 421.88 Use Tax 897.98 Permit Fee 649.05 ** TOTAL ** 1,968.91 * * * CO1,1MENTS * * * *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. City of Wheat Ridge Residential Remodel PERMIT - 201708621 PERMIT NO: 201708621 ISSUED: 11/07/2017 JOB ADDRESS: 3020 Saulsbury ST EXPIRES: 11/07/2018 JOB DESCRIPTION: Residential remodel due to fire damage. Remove and replace existing ceiling joists and plaster in kitchen and in the stairwell. Remove and replace kitchen cabinets and countertops. Rewire electrical as needed. Move electrical service as required by Xcel Energy(reference permit#201707551). 238 sqft I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, apphca le 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 the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_perm t- I further est that I am legally authorized to include all entities named within this document as parties to the work to be performed aft wctrkfto be ppettormed is disclosed in this document and or its accompanying approved plans and specifications. Signer e of OWN R or CONTRACTOR (Circle one) Da e 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 BuildinL, 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 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 to accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. G Signature of Chief Building Official Date REQUESTS MUST HE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat�idge- 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: perm its(oki.wheatridge.co.us I FOR OFFICE USE ONLY I Date: lO �910 J)'_7 Plan/Permit # c2 G 17 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3 Cid o :5AaL-SaatzV -5�r Property Owner (please print): MA Ztui Cil lPP5 Phone: 303 Property Owner Email: cc Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor? uy_,os _ 2ViG£s MA T����� /�FsTG��i'f7vu� Contractors City License #: Phone: Z, 0c 5L_5J2--/x,77 Contractor E-mail Address: �br�c{et�,,rf�l^ ;�;,c,7se,s-tr�R•u /w,�>s,c-t Sub Contractors: Electrical: j (,t r VA"J£'( CUC- W.R. City License # f U 5 / ! Other City Licensed Sub: City License # 1 Plumbing:Gwv 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 ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT j4 OTHER (Describe) 7),A"A&C— (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.) izs-Kovc- 4- T PLAC'L iax tS' -w(cc, C&tL).k }(:7 -'MkL ff'lJ A/Jt7 S-rAtRi,:v�;� , iZ��t.o✓� � 42�P�tr_�. wrcw� �az�s � cvuv7�2'raPS , S,�,t,;�2 �ivisE� w©v"!7 fit. c+A25 , �A �/✓T [,/AS �£1 t i.ve> Alf w eR� A.�/K.a DL Ee'T� ICBG R taws , Ci-cA,%, t v 4 G4.MAu &4rr& r Pkc7S l?' --U.,2 V-4 C€ As 2E< -D ay XccL. C w%v£iZrt�T �t���o7ss� Sq. FULF 2 313 * Btu's Amps Squares Afvv,i�- ti 44> : 72 t ---X L 15;9-- VLC.0 Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNS -(CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Sienature (first and last name): / DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewerc DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Draftstopping & fire stopping shall comply with Sections 302.12 & 302.11 of the 2012 IRC. Smoke alarms shall be required in each sleeping room and outside each sleeping area per 2012 IRC, Section 313. Carbon monoxide detector(s) shall comply with Section R315 of the 2102 IRC & not more than 10' from the entrance of any sleeping room. Water hammer arrestors are required at quick -closing valves R2903.5. ui.0 L'�, v %,,i Outlets are required to be arc - fault protected. Unprotected wall openings between garage and residence are not permitted. Separation using minimum of/z inch drywall is required. Wheyat e COMMUNITY DEVELOPMENT APPROVED Reviewed for Code Compliance Wens Examiner p :Ifeewanceeleoc omrdowwd4//Ms,reeprapwp oedo orwWaioro shoem, AeepearAfar, ren oiOrorWat sow WAIM 10 onre1Meorwis4oesMteeOW&VcodearstoWeas'erdkones.Atm a ✓ AV to ghw owwo to vkbee oJtenMthe poNtioia atom Mn1Ae f codes r otk-rJwonces oJMe Cqy ~#w Oe v0" Te -FL -A C C yt C F_ i �_I N C-1 -ro S 15 16' 11" yy_ ice' i N 5-rA LL 1Vxu,.� 9Y51 F�f1♦i i54.� _ VW :L EE F -W Rs ;;r Outlet _ L type, location and spacing Kitdhen _ shall comply with 2012 IRC and 2014 NEC. r, 4, 221111 26' 1" 1--- 3' 5" - 'HIPPS APPROVED SCOP ; Im Livi 4" 3" T 13' T I N 00 2615" 1 Garage - 00 N N 00 M 13' 12' 4" A KA (L,';_ `RPA Cr Pa � C 1 12O e c�ose 8' 61, Hallw Bathroom J fait: f5 sA C.2. Line c os c��m c oset C Living Room M 12' 5" Bedroom N 00 2615" 1 Garage - 00 N N 00 M 13' 1 Main Level 10/25/2017 Page: 1 12' 4" Office 0 3L n 12O e c�ose 8' 61, Hallw Bathroom ' 4' 6' 1" Line c os c��m c oset N 12' 5" Bedroom 1 Main Level 10/25/2017 Page: 1 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: 30")U Permit Number: ❑ No one available for inspection: Time I 1 `', AM/P,�M,,/ Re -Inspection required;�Ye-s ,,.No When corrections have been made, call for re -inspection at 303-234-5933 Date: /-017—Inspector: 111,16-1 ��-f- DO NOT REMOVE THIS NOTICE � � o6 i CITY,OF WHEAT RIDGE Building Inspection Div:� ision (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: INSPECTION NOTICE S ❑ No one available for inspection: Time I Re -Inspection required:,./Yes/No When corrections have been made, call for re -inspection at 303-234- Date//'/3'/7—Inspector: 03-234- Date//'/3'%%Inspector:+"— DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Demoliti PERMIT - 201708644 PERMIT NO: 201708644 ISSUED: 10/26/2017 JOB ADDRESS: 3020 Saulsbury ST EXPIRES: 10/26/2018 JOB DESCRIPTION: Permit to demo Linoleum floor covering 140SF Asbestos, located in kitchen. State permit number: 130463 *** CONTACTS *** OWNER (303)269-9994 CHIPS MARTIN J SUB (720)335-4004 Roy White 170637 Eagle Environmental Solutions *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,000.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** 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 withal I accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tflie 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 all entities named within this document as parties to the work to be perfo a t all wo b in this document and/or its' accompanying approved plans and specifications. ._ _ r_� Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. 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 andprocedures 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 re uired 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 ofany applicable code or any ' nice or regulation of this jurisdiction. Approval of work is subject to f eld inspection. qt� .,A . l Signature of Chief Building Official Wate REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �`J`I heat j�idge MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(aD_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: .I C_� I .Z�' // 1—� Plan/Permit # Plan Review ee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 30,70� is�a�t2v DRI QE (it,%%j eeii/1� r_ �ZJ FsCi0311 Property Owner (please print): s Phone: _3o3 - 2 �,9 - j?y Property Owner Email: /71 tfi h%v wLz4 Mailing Address: (if different than property address) Address: ,'11j - State. Zip: Architect/Engineer: 6�/ Architect/Engineer E-mail: Contractor: ;n/ Phone: Contractors City License #: I / V! I Phone: 7z0, 33-5; cy Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL /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.) P�PCVL4L- 0F= 140 SP: OP AJAX"T-0-1 CaVTA.AICNU tT,/,j0tJ;,wtn FLGQ(Z COVLW— Fmk- I—"-(3 'Cb4MA/„ Sq. Ft./LF l `A O F" Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, 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)NTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: 17 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Colorado Department of Public Health and Environment Air Pollution Control Division — Indoor Environment Program — Asbestos/IAQ Unit 4300 Cherry Creek Drive South, APCD-IE-61 Denver, Colorado 80246-1530 4F io e: 303-692-3100 — Fax: 303-782-0278 E-mail: asbestos@state.co.us This permit is granted subject to Colorado Air Quality Control Commission Regulation No. 8, Part B, adopted December 21, 2007, and effective January 30, 2008, the Colorado Air Pollution Prevention and Control Act (25-7-101 or 25-7-501 et seq., C.R.S.) and the following provisions. It is only for the purpose of allowing asbestos abatement. ADDITIONAL PERMIT PROVISIONS: By performing work under this permit the abatement contractor agrees that the Division may revoke or suspend this permit should the Division find that the contractor: • has violated or has aided and abetted in the violation of 25-7-101 or 25-7-501 et seq., C.R.S. or Regulation No. 8, Part B, or an order of the Division or Commission, • has failed to meet any permit and notification requirement or failed to correct any violations cited by the Division during any inspection within a reasonable period of time, as may be determined by the Division, • has used misrepresentation or fraud in obtaining this permit, or. • has committed any act or omission which does not meet generally accepted standards of the practice of asbestos abatement. As a contractor, you may be subject to other licenses and permits, depending on the requirements of the county and municipality in which the work is being performed. The Colorado Department of Public Health and Environment, Air Pollution Control Division strongly suggests that you check with county and municipal authorities in order to determine any other local building'permitting requirements that must be met. THE ORIGINAL PERMIT MUST BE POSTED ON SITE AT ALL TIMES. /rnmedialely notify the Asbestos/1AQ Unit gfproject modifications byfax (number above) or e-mail (address above) and the appropriate coun(y health deparonent ky fax. Project modilications include changes in the scope of work or the scheduled work dates, etc. This asbestos abatement permit is valid beginning 9/6/2017 through 11:59 PM on 10/5/2017. The actual scheduled work dates are from 9/6/2017 through 9/15/2017. Approval issued on: 8/30/2017 Fee paid: $180.00 Record number: 130463 Notice Number: 17JE5246A Variance: None Comments: None For the location specified below: Martin Chipps residence 1st floor kitchen 3020 Saulsbury Dr. Wheatridge Jefferson County This permit has been issued to: Eagle Environmental Solutions, Corp. 794 Ventura St., Unit C Aurora, CO 80011 Check number: CC 6031 Project Supervisor: David Tinajero Cerification No.: 10195 Project AMS: Rich Kreuscher Cerification No.: 15812 Project Manager: Issued by: SM v3a)imCD =CD 0 < =r U)i @ @ @ @ aaa0 -• 0. 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N)EQ 93� O '0 Q 0 T ID N @ @ O Z _ o o 0 0 n O Z n 0 v O R O CL 2 �] a a Cl) C.13 - CL a rn(owaan j V N W N co N w j O O �1 �I N N • (T O ❑❑❑❑❑❑❑`Q En to OD IV EA OD (A CO 09CO 0 p N 0 0 0 0 0 0 T O O Q OWioozz0 O_ O_ O (Un C,) -n @(D Q Q N Q N (� (D a n (R p0 C N D Tv 9000 � 0 b 03 ()D s n it O (n -rt T (. lD = Cn Q Q N 2 z o -0m CD o TCD , wOO o=MTW m c as @' m c o5 d . 3_ ^N Ww- �(n�o(7 Q V �W Q 6D �' fJ 0 D o @ a CD 0NN" 3�9'O N A @ mO 0 j m, T O c o 0 C N O (T= 6 o (D n' (n = o m c w m m F. (A p �D n M o> K� D KZ <m 7 op 20 o -4 � 0 r Z m m� :3a r -m 0 /u i �_ 0--1 U) D r r— my ;q —1 Q C 7 m -n oX r City of Wheat Ridge Residential Roofing PERMIT - 201703324 PERMIT NO: 201703324 ISSUED: 07/05/2017 JOB ADDRESS: 3020 Saulsbury ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with ROOF DECKING - 29 sq. (25 sq. pitched / 4 sq. flat) *** CONTACTS *** OWNER (303)269-9994 CHIPS MARTIN J SUB (303)756-4400 Arik Connell/Chad Lidtke 090152 Connell's Custom Exterior 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: 10,500.00 FEES Total Valuation 0.00 Use Tax 220.50 Permit Fee 220.15 ** TOTAL ** 440.65 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201703324 PERMIT NO: 201703324 ISSUED: 07/05/2017 JOB ADDRESS: 3020 Saulsbury ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with ROOF DECKING - 29 sq. (25 sq. pitched / 4 sq. flat) I, by m 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 permAl further attest that I am legm ally authorized to include all entities naed within this document as parties to the work to be perform d that a wok to be ertormed is disclosed in this document a d//ori 'rWfompanying approved plans and specifications. 44 AN ( l Signatu /or CO CTOR (Circle one) Dat 1. This pen -nit 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 Budding 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 pen -nit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding 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 andspecific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable c_Qde or any ordinance or regulation of this jurisdiction. Approval of work is subject to Held inspection. 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 insptimerequestgci.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. Kimberly Cook 201%01 32H From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 22, 2017 12:29 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. 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. Permits are currently being processed within 5 business days, subject to change based on volume. 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 3020 Saulsbury Street Property Owner Name Martin Chipps Property Owner Phone 3032699994 Number Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Connell's Custom Exteriors, Inc. 442t — 0((0152 3037564400 Contractor Email Address ccexteriors@comcast.net Retype Contractor Email ccexteriors@comcast.net Address DESCRIPTION OF WORK Are you re -decking the Yes / roof? Description of Roofing Tamko Heritage Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 25 / material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 4 on the flat roof? TOTAL SQUARES of all 29 / roofing material for this proj ect N Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) Reroof House, 5/12 pitch 10500 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 submit this application and to perform the work described above. Name of Applicant Heather Connell Email not displaying correctly? View it in your browser. 3 caa r.t it AN—A a 1U.Na ROOFING: ( - Height: _ Pitch. 4 E t'L Layer. Shingle Brand: T^_nV<jo Type: __14 V.l d� Color -I Owners' Initials: � f Tear off hoofing (clean, haul debris & magnetize yard): 9U6f, c "uw4%2Q Sd house �] Garage C Other i_: Remove existing exhaust vents and seal off bole& Install New Roofing: Shingle entire hoof area including ridge cap. Instal f ice and water barrier on eaves. )i Install 15# Tar paper or 300 Tar paper i Install D -style drip edge on eaves and gable edges. Color: ..rQ�!t,1 Owners' Initials: Install roof vents. 7 Replace soil stack covers. ,',Replace the following furnace pipe accessories: 7 Base flange o Storm collar C China capClosed Closed cap. �lnstall new vents: 3it0alvanized C Aluminum Turbine Vent 'ti Ridge Vent ! rtstall new plumbing boots. - Install "W' valley. I] Install rain divert= - CJ Dormer Flashing. Si Step Flashing. Iqutter Apron. oil Siding (clean, haul debris & magnetize n House .� Garage C Other }' Remove soffit and fascia Rel 4e gutters, i_? Remove downspouts. Install N los Inst~, Siding Squares _ Install New LF: Install New LF: _ Install Al L F: Install ear Siding: 11 house wrap car dryer C Vint' C Install Fanfold Insulation [_j Install new siding corner posts. 1 Steel Siding 71 Hardboard Siding Manufacturer Color 9/\jPre-beat r Tyne: Calor. iinum Wrap: N _ Type: Seamless Aluminum Color A of DuwtLvpouts: _ SPECIAL INSTRUCTIONS-. Deliver Color. _ Color: and Downspouts: S,— Size: Owners' initials Location: EONNELL'S LocatioW Size: Location- Office =4 Wbtl ►alermatyn CUSTOM EXTERIORS, INC. SM E tvass Ave, Salle 3% Roofings Siding a Windows Deaner, M N= otlke; 303.756410 (E Fes: 3113-756-210) Superior CraftsmanshipWait:teerler;areca�astrasl act 1'eWift www.eeesterionuen FrapQsa}Submitted Ta��� P P'sc3 Home .S �!a—e Data 5 i — Insurance Copan rn Address jo ,?� 1s 6 r s+. , s v�� Cell Phan Gsty, State, 73p yj1Work X500 �3 Phone Fancy Sales person VPhone Email Claim N Billing Address (if diff _It Own fob address) City, State. Zip caa r.t it AN—A a 1U.Na ROOFING: ( - Height: _ Pitch. 4 E t'L Layer. Shingle Brand: T^_nV<jo Type: __14 V.l d� Color -I Owners' Initials: � f Tear off hoofing (clean, haul debris & magnetize yard): 9U6f, c "uw4%2Q Sd house �] Garage C Other i_: Remove existing exhaust vents and seal off bole& Install New Roofing: Shingle entire hoof area including ridge cap. Instal f ice and water barrier on eaves. )i Install 15# Tar paper or 300 Tar paper i Install D -style drip edge on eaves and gable edges. Color: ..rQ�!t,1 Owners' Initials: Install roof vents. 7 Replace soil stack covers. ,',Replace the following furnace pipe accessories: 7 Base flange o Storm collar C China capClosed Closed cap. �lnstall new vents: 3it0alvanized C Aluminum Turbine Vent 'ti Ridge Vent ! rtstall new plumbing boots. - Install "W' valley. I] Install rain divert= - CJ Dormer Flashing. Si Step Flashing. Iqutter Apron. oil Siding (clean, haul debris & magnetize n House .� Garage C Other }' Remove soffit and fascia Rel 4e gutters, i_? Remove downspouts. Install N los Inst~, Siding Squares _ Install New LF: Install New LF: _ Install Al L F: Install ear Siding: 11 house wrap car dryer C Vint' C Install Fanfold Insulation [_j Install new siding corner posts. 1 Steel Siding 71 Hardboard Siding Manufacturer Color 9/\jPre-beat r Tyne: Calor. iinum Wrap: N _ Type: Seamless Aluminum Color A of DuwtLvpouts: _ SPECIAL INSTRUCTIONS-. Deliver Color. _ Color: and Downspouts: S,— Size: Owners' initials Location: Size: LocatioW Size: Location- Ste: Location - Owners' Initials CO2012-2 Colorado insurance turvemoni CONN ELL'S ufo, and Caud hilemtation /04 CUSTOM EXTERIORS, INC. S303EEvans,lve.Smile 306 Is lite rr, t0 iNY�' PF -M • Roofing • Siding Windows Omer: 3413.756r10 Fax 1: CSuperior Craffis 11anshi rntarasl.arl i� � Email: rcexterlurs{ R`elisitr. www.ceetier€ors.com Proposal Submitted To t€ ne Pltune Date L. —ac- )- F7 Address 171 1 Cell Plione Insurance Con: any a� a to City, state. Zip�i' Waris Phone � � 3 � Palley # Sales Person t F.maii Claim tt Mar ;}tom G'lt s Ft �.�rn n1Y'311M0Q Riliing Address (if different from inh dress) t:ity, S Zip B ased, dama es icn wn t eexist upon execution of this Agreement, the approximate cost to repair your home is '% �� dollars (S. _ 1, which cost is subject to adjustment following the approval of the insurance company's authorized scope of repair. P -E" i � tr Ct O f i'' -:.'a 1 vt s -Jrrt n. r..( .S,,aP(alg,•.A et +.T. ` The approximate start date`is M tts 1'l The approximate completion date is cJ''-''Q l bZZ i-7_. ,. [PAYMENT elivery Instructions: err �u r►4 �`. ty rL'¢, c 1+rz Q reo� ms's 'x 1" AYMENT TERMS: THIS AGREEMENT IS SUBJECT TO THE PARTIES' APPROVAL OF INSURANCE COMPANY SCOPE. PRICING, AND TERMS. Any insurer -approved supplemental work shall form a part of this Agreement: CONNELUS CUSTOM EXTERIORS, INC. ("CCE") shall be entitled to all direct cost overhead and profit paid by your insurer relating to work performed by CCL:. All work requested by you beyond that approved by your insurance company shall be your payment responsibility. This Agreement does not obligate you or CCE in any way unless CCE accepts the scope, pricing, and payment terms offered by your insurance company. Unless otherwise provided in this Agreement, 50% of Cite price pius the insurance deductible is due upon final approval; balance due on completion. Payment Information: Dale: Check Number Amount: ACCEPTANCE OF AGREEMENT By signing this Agreement, you authorize Connell's Custom Exteriors, Inc. to discuss the damage to your real property with your insurance company for the purpose of coming to an agreement on project scope and price. Upon agreement by Connell's Custom Exteriors, Inc. to the scope and price as defined on the insurance loss statement provided by your insurance company, you authorize Connell's Custom enors, Ii C. to complete the replacement of said damaged property With it tr r ca_I east to rszu except ,(ur jht! insurull�a deductible�bject to the terms and conditions on the reverse side. Payments will be made as outlined above. We will hold in trusr>� payment from you uratic we have delivered roofing materials to your Property. This proposal must be accepted within thirty (30) days or it is automatically withdrawn. Terms on page 2 and on additional pages also form a part of this Agreement and are hereby accepted. ACCEPTED f � / r $- I (,p - 1-1 Date woe ignat t Contractor's Representative Owner Signature in the event this Agreement was procured through a home solicitation sale as defined by Colorado Revised Statutes Section 5-3-401., you may rescind your agreement as set forth in the accompanying Notice of Cancellation. You, the buyer, may cancel this purchase at any time prior to midnight of the third business day after the date of this transaction. See attached Notice of Cancellation form for an explanation of this right. In all other circumstances, this Agreement is binding when signed by you and ars. CO2015 CITY Y 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: a Permit Number: All LZ jAA C 7-42 U c 7 f0 -✓ ``, _A k r r , t ❑ No one available for inspection: Time 7 AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspe do "t 4-5933 / `//;'Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 )0 XMA \30, T4 me % Job Address: 3090 -5 5 Alr— Permit Number: ?0/7 O 7 ] ❑ No one available for ins tion: Time L- qr 1 _ AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at jai -_234-5M Date: )d N / Inspector: I i l DO NOT REMOVE THIS NOTICE I* � t i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION �--s X NOTICE[ Inspection Type: � P Job Address: 02-0 Permit Number: 2Gl90 S X21/ ❑ No one available for inspection: Time `> A/PM Re -Inspection required: Yes * When corrections have been made, call for re -inspection at 303-234-5933 Date: _ Inspector: DO NOT REMOVE THIS NOTICE W 1,nII.)n nr)/_). SPECTINI 0 N RE %14D Occupancy/Type INSPECTION REQUEST LINE: (30, 234-5933 Inspections will not be performed unless this card is po:. d 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 Foundation Inspections Date Inspector Comments Initials Pier Plumbing 10 137 - Concrete Encased Ground (CEG) Foundation / P.E. Letter Lath /Wall Tie - Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing 10 137 - Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing 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. Mid -Roof Fire Inspection / Fire Protection Dist. Lath /Wall Tie - Final Electrical Rough Electric Final Plumbing Rough Plumbing/Gas Line Final Mechanical Rough Mechanical Roof Rough Framing Final Window/Doors i Insulation Final Building Drywall Screw / Nail NOTE. All items must be completed and approved by lanning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. 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. Fire Inspection / Fire Protection Dist. - Final Electrical 0 Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE. All items must be completed and approved by lanning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window Requests — Please email insotimereouestCa�ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Protect This Card Ero,.c i"L CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line ___2�?;r(303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: ? 0 u g u g t 7' Permit Number: U © 3 ❑ 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: I T I / Inspector: _4a4e_� i DO NOT REMOVE THIS OTICE 41 CITY OF WHEAT RIDGE j Building Inspection Division (303) 234-5933 inspection line (303) 235-2855 Office •,(303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: f, d _n At Pe t 1 e2al ter` n ❑ No,�one available for inspection: Time ," A /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: h Inspector: -- r DO NOT REOV THIS NOTICE -1,) 3 i CITY OF WHEAT RIDGE 1 U Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -P .F T Job Address: 0 ein S cam. -L r .� Permit Number: Qo) �, 0 aJcD_3 (1) C) M)___ ti 0M ❑ No one available for i7Yes'� tion: Time % f�M PM Re -Inspection required: No When corrections have been Made, call for re -inspection at 303-234-5933 Date: -1 � f Inspector:'P-) DO NOT REMOVE THIS NOTICE C�- f/ 5 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: P . Job Address: n & C) Permit Number: csi <;) 00'.3 �. Q) 9 po ❑ No one available for inspection: Time ' t; �? IVV PM Re -Inspection required: Yesf 'No) When corrections have been made, call for re -inspection at 303-234-5933 ....,._.__--~'- Date: da 1' _ Inspect(J gip,' ._ f I DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miscella PERMIT - 201602003 PERMIT NO: 201602003 ISSUED: 12/30/2016 JOB ADDRESS: 3020 Saulsbury ST EXPIRES: 12/30/2017 JOB DESCRIPTION: Remove tile walls around shower, install drain/trap conversion for shower, install pressure sensitive valve, install new Mowall backers, install solid surface wall panels and shower base *No relocation of walls or plumbing *** CONTACTS *** OWNER (303)269-9994 CHIPS MARTIN J GC (801)746-4080 Michael Allen 100364 Re -Bath of Colorado SUB (719)544-4922 Rick Patterson 150191 Patterson Plumbing & Heating *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Total Valuation 0.00 Plan Review Fee 39.33 a Use Tax 27.00 Permit Fee 60.50 t„ ** TOTAL ** 126.83 *** COMMENTS *** *** CONDITIONS ***, 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 I Bally authorized to include all entities named within this document as parties to the work to be performed that llwork to be preformed is disclosed in this document and/or its' accompanying approved plans and specifications. SignaturE of OWNER or CONTRACTOR (Circle one) Date ' 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and 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 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 a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date I I 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. Of �;rwl�'eatdge 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 4 w fn FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: �,YT '� Building Permit Application `* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be prdcessed. Property Address: Sc7 ,4 15 Vo q le Property Owner (please print): 4;4e_�,qa,Phone 3a3 d C.� Property Owner Email: INY+t �-%�G(n� n.� S ArAC ,� C OM Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: AC 0CA (<2A I Contractors City.License #: 1 o -- Phone: 3 1 Contractor E-mail Address: inr,�c a n n �� : r (' P h a4_1no- All s _ fvv 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 Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL 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) L-ke C, (; hge rh.,ae/ l -,�laG�irie�li" (For ALL projects, please provide a detailed description of work to be perfotmed, 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.) > -%%v p, �:le, Wa,113 around a„ IrA54ti�I AA" nI+rwI(i �6�1aGISion �C'ef �(OvJ Sq. Ft./LF Amps JA5�,Jt preJdUte- Sen --044-".6 Lt's;I Ve- //' n 5 � 4 l I jo l : � s J � t -G► CGe� Ill o e i o Gc,. - 00 o — ,V` tr�� � o < �(%1 J,✓> 10, Btu's Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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 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 an orized by the legal owner of any entity included on this application to list that entity on tbi . CIRCLEONE: (OWNER) (CONTRACTOR) g&(AUTHORIZED PRINT NAME:,kci C&n ?�t'IC fl C�j SIGNA DEPARTM ZONING COMMMENTS. Reviewer 'ATIVE) of (OWNER) (CONTRACTOR) USE ONLY DATE: I OCCUPANCY CLASSIFICATION: BUILDING ARTMENT COMMENTS Reviewe %�Gt J -L PI L—,HL 12 I C PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ fV N 67" 26" 36"" Like for Like Shower Installation Scope of Work 1. Remove Tile Walls around Shower 2. Install drain/trap conversion for shower 3. Install pressure balance valve 4. Install new M -Block wall backer 5. Install Solid Surface wall panels and Shower Base *No Relocation of walls or plumbing Scale: 1/2" = 1' 0"- 01city of -� Wheat iclge COMMUNITY DEVELOPMENT Wheat Ridge Building Division Approved Plans ..� - ai Plans Examiner Date Martin and Rebecca Chipps 3020 Saulsbury St Wheat Ridge, CO 80033 (303) 269--9994 Bathtub Liners of Colorado Validity of permit: The issuance of a permit or approval of plans, specifications and cvn potations shall not be a permit for, or an approval of. any violot on to any of the provisions of the building code or of any City ordinances. Permits presuming to give authority to violate or cancel the provisions of the Building codes or other ordinances of the City shall not be valid. Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before H: 59 p.m. to receive an inspection the following business daII y, Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Inspector Monolithic Slab Reinfbrcement-1 I Footing/Stemwall P.E. L er Inspector Initials --- Electrical (Underground) Water Service (Undem und) anical Gas Piping 11 11-1-11-111-11 "1 1 ____ Rough Framing Insulation Drywall Screw / Nail ec—ti- Final Inspections• o Comments Initials Final Electrical Final Plumbing Final Mechanical 'Roof Final Building Frame agna MON Inspections from these entities should be request one week In advance. For landscaping and parking ROW & Drainage / Public Works Dept. inspections call 303-235-2846, For ROW and drainag inspections call 303-235-2861. For fire inspections Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project, "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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather Plumbing (Below! In -stab) 31'42`6 Heating (Below / In -slab) Do Not Cover Underground or Belowfin-Slab Work Prior Inspector V5, Rough Inspections Date 0" 125, Initials "4'0`1",' Wall Sheathing Roof Sheathing loath / Wall Tie Rough Electric anical Gas Piping 11 11-1-11-111-11 "1 1 ____ Rough Framing Insulation Drywall Screw / Nail ec—ti- Final Inspections• o Comments Initials Final Electrical Final Plumbing Final Mechanical 'Roof Final Building Frame agna MON Inspections from these entities should be request one week In advance. For landscaping and parking ROW & Drainage / Public Works Dept. inspections call 303-235-2846, For ROW and drainag inspections call 303-235-2861. For fire inspections Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project, "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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather FOR OVFICE USE ONLY &. ref i Date. CoMMUNIT ' DEVE1,OPM . "r lamp It Building & Inspection Services Division � � s 00 W. 291hAve., Wheat Ridge, CO 80033 Plea Review Foe. Office: 333-235-2855 * . 303-237-99 Inspection tine: 303-234-5933 Fa il:t its j; fa t id .c%g Building Permit Application please comitlete all highlighted areas on both sides of this fonn. Incomplete apclic tl a may not be Processed. Property dare: 3020 Saulsbury Street Pro lkfr: Martin Clips Phone: 303-269-9994 Property Owner ail; Mailing rens; (if different than property 3 Address: ArohitectlEngineer E-mail:Phone: Contractor: Connell's Custom Exteriors, inc, Contractors City License ContractorE-mail Address: ccextedors@comcast.net Sub Contractors: Electrical: Plumbing-, Mechanical: W. : City License # W.R, City Lic ns 3l WR City Ucense Other r City LicensedSub: Other r City Licensed Sud; City License # City license #; Complete all information on ROTH sidti of this form (Check all that apply) Q NEW COMMERCIAL STRUCTURE ELECTRICAL L E `I E UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION I REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (garage, shed, deck, etc.) RESIDENTIAL ACCESSORY s"rRUCTURE (Garage, shed, deck, etc. MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING S' " l l 'L,,6 E REPAIR or REPLACMENT ELECTRICAL SYSTEM AP L LANCE REPAIR or REPLACEMENT OTHER (Describe) (For ALL protects, please provide a tied description of work to be perfomned, Including current use of areas, proposed uses, squarefootage, existing condition and proposed now condition, appliance size and efficiency, type and amount of materials to be used, to. Reroof 24 squares with Tamko HeritageShingles, 2 layer tearoff, 5 pito VSs Squares Other DEPARTMENT OF PLANNING AND DEVELOPMENT BU!LDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : 95-655 Date :3/31/95 Property Owner Property Address Contractor License No. Company MUELLER WILLIAM J 3020 SAULSBURY ST 17951 Benninghoven Roofing Phone : 232-8397 Phone : 288 0337 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby ceRify that the setback distances proposed by this permit application are accurate, and do not violate appliwble 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 ayree to abide by all conditions printed on this application, and that I assume full responsib' for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wh idge orflmVces, for work under this pertnit. (OWNER)(CONTRACTOR) SIGNED DATE 3 3I qS Description : REROOF Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: m a 0 (1) This permit was issued in accorCance wiM the provisions set torth in yopur aOPlicatlon and is sub1~ect to the laws of Me State ot Cobredo antl to ihe Zoning RegulaUOns antl Buildirg Code of Wheat Ritlge, Colorado or any other appliwble ortlinances of tl~e Ciry. (2) This pertnit shall ezpire it (A) the woilc authonzed is not commenced within sinty (80) tlays from issue date or (B) the building authorized is suspended or abandoned for a penotl ot 720 tlays. (3) If this pertnit expires, a new permit may be acquired for a fce of one-half the amount normally requireA, provitletl no chanpes have been or will Oe matle in the original plans and specifications and any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment exceeds one (1) year, lull fces shall be paitl for a new pertnit. (4) No work of any manner shall be Eone that will chanye ihe natural flow of watar causinq a dreinage problem. (5) Contrador shall notiy the Building Inspector twenly-four (24) hours in advance for all inspections antl shall receive wntten approval on inspection card before procee0iing with successive phaus of tlie I~ob. (6) The issuance of a permit or the approval of drewings and specifications shall not be consWed to be a permit for, nor an approval of, any violation of the provisions of thabuildjng codes or any other ortlinance, law, rule or regulabon. Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION Construction Value : $2,500.00 Permit Fee : $54-00 Use Tax : $37.50 Total: $91.50 ~ ~ ~ DEPARTMENT OF PLANNING AND DEVELOPMENT Application Number : BULLDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 31 31 /Ierr~ 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: t ~ \Ctu~n NIUP(~ilr _ Phone: 232 S3q"7 Property Address : 3d -)_O Sz~ Islo~ r ti Contractor License No. CompanY : ' 1 1~o~e K~oc•,~i ~~a Phone : 2 a' $ U 33-] OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposetl by this permit application are accurete. and do not violate applicable ordinances. rules or requlations of the Cdy of Wheat Ridge or wveqants, easements or restric[ions of record: [hat all measurements shown, and allegaUOns made are acwrete; that I have reatl and agree to abide by all conditions printed on this application, and that I assume full responsibiht r comp6ance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheay dge ordinances, or work under this permit. (OWNER)(CONTRACTOR) SIGNED / ' DATE C3 6 ( 1q Construction Valu " 2SQ0 Permit Fee : ~ Use Tax : Total: • 5~ Description :R&roo~ T 0 ~'i Ska`tj Ta ~D 3-lir,"i 2-C1LO5 BUILDING DEPARTMENT USE ONLY ~T~ii,,~ -~':~+mments• Approval : • Zoning : A;'Comm„ents: Approval : Rti4U~ . , rks Comments: 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 : ~ ^p.~tis;~xt6quired. , :J Plans Required (1) This permit was issuetl in accortlance with the provisions set foM in yopur application antl is subject ro the laws of the SWte of Colorado anA ro the Zoning Regula[ions antl Building Cotle ot Wheat Ritlge, Coioratlo or any other applicable ordinances of the Ciry. (2) This permit shall espire ii (A) the work authonzed is not commencetl within sizry (60) days trom issue date or (B) the builtling authonzed is susperMed or abandonetl for a penotl of 120 tlays. (3) If ihis permit eacpires, a new permrt may be acquired for a fee of one-halt the amount normally reqwreQ provitletl no changes have been or will be maAe in the on9inal plans antl specifications anE any suspension or abantlonment has not exceetletl one (1) year. If changes are matle or if suspension or abantlonment eaceeAS one (1) year, full fee5 Snall be paid for a new permit. (4) No work of any manner shall bE aone tnat wJl cnange tne natural flow of water causin9 a tlraina9e problem. (5) Contrector shall notiy the Builtling Inspector M1venry-four (24) hours in advanre (or all inspections antl shall rECeive wntten approval on inspEClion Certl bEfore proGeediing wRh suCCessne phases of the 7ob. (6) Ttie issuance of a permit or the aooroval o( tlrawings antl specificabons shall not De consvuetl to be a permit for, nor an aDPraval o(, any violation of the provisions of the Duilding wtle5 or any olher ordinance . iaw. rule or reguladon. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94#19440 2345933 P.O. BOxe38 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WNEN SIGNED BY THE rNfEF BUILDING INSPECTOR AND RECEIPTED BELOW. APP IC 71QN FOR MISCELLANEOUS PERMIT JOBADDRESS~/~/~~ ~~u S~ ~j pWNER M4 e CONTRACTOR e- f vt ~ ~(C ADDRESS .20-10 ..Sn~ Ie 1~r~/ ADDRESS 49-7y S' /QDRL P I µ a PHONE -23 -~-,!3/ ~5~, r7~ ZIP CODE 902I S CITY L"~e-'f O ZIP CODE CONTRACT ~P+RICE $~15c.W1 / PHONE -3-7r LICENSE NO. DATE 1. TYPE Ground U WoIIL] Proietlinp❑ 0ther. S a D Face 2. MATERIAL Tofal Spuon Fset SIGNS 3. ILLUMINATION Yes❑ No❑ Typa ElW. Psrmil No. 4 SET BACK FROM PROPERTY LME N_ 5_ E_ W Zons_ ApprovW,Zone Ins"NOr (Spseify which is front) ❑ ❑ ❑ ❑ Dhappra,ed 1. TYPE Solido Mora TAan 80% Opsn[] 1ess Thon f" FENCES MATERIAL 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W_ (Specifywl,ieh isfroM) ❑ ❑ ❑ ❑ I. i- Fl c~/ n/ OTHER IZ INSPECTION-41CKET JOB _;~j,?n ADDRESS I 3 /9w0 DATE: ~ BLDG. PERMITM ~ DRAW SNETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhv' C (SETBACK$ OR PROJECTiONS INCLUDED) PERMITM BLDG. CONTR. 4 4 ff SUBCONTRACTOF DATE INSP. REQ. 4 ~ ~ TYPE OF INSP. ~-J-40L'~` INSPECTION MADE REMARKS STREET NAME SNOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS,AND PR( DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; M W.R. FORM 619 THIS APPLICATION WILL BECOME A PERMIT TO PERPORM THE INDICATED WORK ONLY UI PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORi ELECTRICAL PERMIT STATE LICENSE NO. PLUMBWG PERMIT STATE UCENSE N0. ALUMINUTA WIRE UNDERSIZE B ILIEGAL FLOOR BSM IST 2ND 3FD 4TH N0. FIELCicNOM Op EINSdor P10. WATER CIASET FONCED AIR - BTU TEMPORARV METER WASH BOWL HpT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINN OTHER HEATING GARBAGE DISP REFRIGERATION SVSTEM POWER SUB-CIFCUITS WATER HEATER qefri eront Goup UTILITY(RANGE,DISPOSER,ETC) AUTO. WASHER pq„y~ Charge FIXTURES DISH WASHER AUTpMATIC SPRINKLER $YSTEM WIRING MOTOFtS 9 CONTROLS FILIOR DRAIN EIEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI7(TURES I hareby acknowledqe tho1 this aDOlica' fion is correct ond understand that I cannof start tAis Drojtlct until thie oppli- tation is opproved. I sholl comply with fAa lowa ai the Slofe of Colorado and to fhe ZoninQ Repulationa and Buildinp Lode ofthe City of Wheai Ridpe. Any violation ol the above terme will couse immsdiote revocaflp"t tnia penryf) , PERMIT FEE NOT VALiD l1N1E55 RECEIPT USE TAX TOTAL FEE PPR DISb VED 4R - ~ - ~FiIEF BUILDING SPECTOR,City of Wh t Ridqe / CALL 2345933 ~ uyfe Issued ~ `03"9LI 24 HOURS IN ADVANCE FOfl INSPECTIONS