HomeMy WebLinkAbout4571 Saulsbury StreetCity of Wheat Ridge
Residential Sewer Repair PERMIT - 201901789
PERMIT NO: 201901789 ISSUED: 08/26/2019
JOB ADDRESS: 4571 Saulsbury St EXPIRES: 08/25/2020
JOB DESCRIPTION: Sewer line repair - 20 ft in front yard
*** CONTACTS ***
OWNER (303)421-4573 DOHERTY M MAUREEN
SUB (303)766-7500 JEFF BELK 021818 PLUMBLINE SERVICES LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201901789
PERMIT NO: 201901789 ISSUED: 08/26/2019
JOB ADDRESS: 4571 Saulsbury St EXPIRES: 08/25/2020
JOB DESCRIPTION: Sewer line repair - 20 ft in front yard
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, anall 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
thispenmrt. I further attest that I am leg�ally authorized to include all entities named within this document as partes to the work to be
performed and that all work tobperrmeisdisclosed in this document and/or its' accompanying approved plans and specifications.
l 4,
Signature of OWNER orCONTRACTOR/ (Circle one) Date
I. This permit was issued ba fo'r'mation 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 originalpermit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permits all not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code ora ordinance or r lation of this jurisdiction. Approval of work is subject to field inspection.
Va4 /XA'**1
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
In
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Monday, August 26, 2019 10:19 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Sewer or Water Line Repair Permit Application
Categories: Kim
Residential Sewer or Water Line Repair Permit Application
This application is exclusively for RESIDENTIAL SEWER OR WATER LINE
REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
residential sewer line or
water line repair - in yard
only?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS"
*
4571 Saulsbury St
Maureen Doherty
(303) 421-4573
Field not completed.
20190826102202.pdf
CONTRACTOR INFORMATION
1
Contractor Business Plumbline Services
Name
Contractor's License 021818
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-356-8578
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address permits@plumblineservices.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this a sewer line or
water line repair?
Length of repair
Location of repair
(backyard, frontyard, etc)
Provide additional details
including installation of
clean -outs.
permits@plumblineservices.com
Sewer Line
20
Front
Sewer repair yard
Project Value (contract 3000.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
2
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Tim Cardinal
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT.RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M \ b
Job Address: y ? /; v urt �T
Permit Number: 4
❑ No one available for inspection: Time 9� ? U AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -6-,? t f "7 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: M -1—f)
Job Address: L� S {7 1 S [A Cl 15 Lf r k -i
Permit Number: a U 12 6 I 7 7 9 ��—
�j r
❑ No one available for inspection: Time O AM/PM
Re -Inspection required;:' Yet No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -b4? 21KZ 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: HIZ
Job Address: 57 lk/S -5 j -
Permit Number:
❑ No one available for inspection: Time f d .--C.A
Re -Inspection required: Yes No
When corrections have been made, call for re-inspection
at 303-234-
Date: % Inspector: 1, N `r
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
9� Residential Roofing PERMIT - 201701779
PERMIT NO: 201701779 ISSUED: 06/08/2017
JOB ADDRESS: 4571 Saulsbury ST EXPIRES: 06/08/2018
JOB DESCRIPTION: Tear off 1 of 1 layer and install Dimensional IR - 28 squares
*** CONTACTS ***
OWNER (303)570-1214 DOHERTY MAUREEN
SUB (303)296-8551 AVI 019898 AVI, 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: 7,117.00
FEES
Total Valuation 0.00
Use Tax 149.46
Permit Fee 172.60
** TOTAL ** 322.06 -
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€lms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701779
201701779 ISSUED: 06/08/2017
4571 Saulsbury ST EXPIRES: 06/08/2018
Tear off 1 of 1 layer and install Dimensional IR - 28 squares
I, by my signature, do heattest 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 enntt. I further attest that I am le ally authorized to include all entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I • This permit was issued based on the information provided in thepennit 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 pen -nit 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
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.
City of Wh6atR7
/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
Email: pe rmits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Add to Permit # Q
1
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. —
Property Address: 1(5-71
.5/ -
Property Owner (please print): �6 �,,� p „ Phone: -,?f?.?-- ,1/ _ 115-23
Property Owner Email:
Mailing Address: (if different than property address)
Address: �5 7� Sayf 5� v ; ,; S
Zip: ZA)
Ws.
F:
1e
Contact Person: %yv\ - 'Pe ,, r., -Its Phone: 7d C> tf -2 ? - `% 3 V
Contractor: A V l Pn , i-=
Contractors City License #: tl Phone: 303 - 02a y - 95-5- /
Contractor E-mail Address: 76
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour - 2 hour minimum).
Description of revised/amended work:
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include ail general and subcontracted work to be performed related to revisions/amendments described above)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: &/W lin cul f t — SIGNATURE:
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DATE: 46 —%
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
. . , , ..s ,r , . . .
' Y DEPARTMENT OF PLANNlNG AND DEVELOPMENT Building Permit Number : 6879
BUILbING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 4/15/98
75001AIEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 4571 SAULSBURY ST Phone : 421-4573
ContraCtor License No. : 19034
Company : APH Service Co., Inc.
Phone: 2956622
OWNER/COMTRACTOR SIONATURE OF UNDERSTANDING AND AGREEMENT
the
(OWNER)(CONTRACTOR) :
DescripGon
Construction Value :
$1,900.00
Permit Fee :
$60.50
Plan Review Fee :
$0.00
Use Tax :
$28.50
Total:'-~
$89.00
. r{ ~ U3B:
INSTALL 70K BTU FURNACE'1°f9"EXISTING GAS 8 ELECTRIC
, . i . y ~ . . V i: q. ~ _cr--.. BUILDING DEPARTMENT USE ONLY
Occupancy : Walis : Roo'f : StoHes
Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company,;,., Company': Company :
Expiretlon Date : Expiretion Date : Expiratiort Date :
Approval. ApproV;1G APProvaf:
(1) ThinPohm wtlNitswetl:meowrdpncewllAtlieProvisWnaaelfoMinYaWrapplratlonentlbaubhctlothelawSaMeStaOeaCdUedoanGtothezoniny
RepubWns mE BUiI~p CaM W Wheat Rdpg Cobratlo a aM ~ epplksCk ortlinences Wthe Ciy.
(2) Thla PertMt eMN aplxnre fl W) tla wWk au~hor(zetl Ia not Commencsd wlthin 6&ty (80) dpya kan leauB tlete or (B) the bullft euUqrizal la suepended a
ebendbnad fOr a perbtl Ot t?0tlaya
(a) . n Mb pmNt ex~~Ae, ~ ~aw PermR mev ha ecqulred for a fea:of onsheM the amouM normsly requketl.pr~vItle~ no cnan0as hava bean «will be made in the
orqfnel We~s eiM ePe~Jllcetlons aiM arofwe~n a abanCOnmeM has not exceeded aro (1) Year. lt ehanpea are matle or if euaPaneton a abarMOnmeirt
ez~eeacuu (il Year, t~rra etreN ne paw far an~ewpermn:
(4 No vrdlc danY ma~ner eM1all bedone the! witl dianpa ihe natu'a111aiw of waror ausi~ e tlnWpe probkm.
(5~ ConVacla eAall,nq~fy the BuddN~p InscecMr lwenb-tour (24) troun in advarwe for atl u~apeetlons enE ahaA re~eivemHten approval an Inepedlon cerd before
pro wMwccasaWe ofthe~ob (B) The~iewe~ of apemit a~y'roval ol~rewinpe and apedficetlona ehell nM be conatrued to be a pertnk for, ~or an approval W, arry videtion M the proviabns
oi tha diNdlnH.~1pB w atp,q~et adinence, lew, rub a reBWatlon: hiefWuildingInsP2pF.
THIS PERMlT YALID ONLY WHEN 81GNEDBY-TiiE-C+IiEF BUILDIN6INSPEGTOR AND MAYOR
CALL: 234.59~3 24 HpUR.Ss PRIOR TO INSPECTION :
SIC : Sq. Ft. :
F
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