HomeMy WebLinkAbout3005 Upham Courti CITY OFWHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: J � ,�(7 \ Q)\ -j
Job Address: `� j��( , Y -Y, C -
Permit Number: (Dt%�
❑ No one available for inspection: Time Via` 1 AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ' �t Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201800923
PERMIT NO: 201800923 ISSUED: 04/04/2018
JOB ADDRESS: 3005 Upham CT EXPIRES: 04/04/2019
JOB DESCRIPTION: Replacing 2 game room windows and 1 master window; like for like; uvalue =
.30 or better
*** CONTACTS ***
OWNER (303)918-5636 SNELL LANE
GC (303)945-1519 Matthew Seiler 130206 Renewal by Andersen
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / EARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,159.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 129.34
** TOTAL ** 179.34
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
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 enmt. I further attest that I am leggally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be prformed 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 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 maybe subject to a fee equal to one-half of the originalpermit fee.
1 If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 of regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building (ffficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat j�idgc
COMMUN17i' DLVELOI'MENi
Building & Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date: N
Plan/Permit # I M 0�j
�OIl ��v
Plan Review Fee: �_JJ
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 3005 Upham Ct
Property Owner (please print): Lane Snell Phone: 303-918-5636
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: Matthew Seiler
Contractors City License #: CL3-130206
Contractor E-mail Address: mseiler@renewalcolorado.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 303-945 -1519
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION [ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF
Amps
Replacing 2 game room windows and 1 master window. Like for like. U factor will be
.30 or better.
Btu's
Squares
Gallons
1*110T,
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
C 6159
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 1 assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 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: Matthew Seiler
ZONING COMMMENTS.
Reviewer
BUILDING DEPARTMENT COMMENTS'
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
SIGNATURE: �t p: DATE: 4/4/18
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Insnections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector Comments
Initials
Wall Sheathing
--
Mid-Roof
Lath / Wall Tie
�—
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
`r Residential Roofing PERMIT - 201706674
PERMIT NO: 201706674 ISSUED: 08/28/2017
JOB ADDRESS: 3005 Upham CT EXPIRES: 08/28/2018
JOB DESCRIPTION: Residential Re -roof to install rolled roofing asphalt shingles with
re -decking 24sq(21sq pitched,3sq flat)
House only
*** CONTACTS ***
OWNER (303)393-6997 SNELL LANE
SUB (720)372-3619 Alexa Lamm 170119 Crown Exteriors, 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: 12,000.00
FEES
Total Valuation 0.00 '-' t' 4_
Use Tax 252.00 r`
Permit Fee 236.00
** TOTAL ** 488.00
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when -25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may.be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
x City of Wheat Ridge
Residential Roofing PERMIT - 201706674
PERMIT NO: 201706674 ISSUED: 08/28/2017
JOB ADDRESS: 3005 Upham CT EXPIRES: 08/28/2018
JOB DESCRIPTION: 'Residential Re -roof to install rolled roofing asphalt shingles with
re -decking 24sq(21sq pitched,3sq flat)
House only
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 furt attest that I am legally authorized to include all entities named within this document as parties to the work to be
per an tall wo o be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
_... 49- —2
Signature of OWNER or ONTRACT ircle one) Date
1. This permit was issued base on a information provided in thepermit 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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicablecode or any?;;;
ction. 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.
Dan Schultz r>IJ ) ' N
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 24, 2017 9:58 AM
To: CommDev Permits` C;P`
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof? JjA 4
, Qq 8 Iq
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
30Upham Court wheatridge
Lane Snell
Property Owner Phone 7203723619
Number (enter WITH
dashes, eg 303-123-4567)
125
xm�ka�0\�*
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed File 000 (4).ipeg
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Crown Exteriors, LLC i
170119
7203723619
4343 South Buckley Road Suite 305
Contractor Email Address lizzyb@crownexteriorsllc.com
Retype Contractor Email lizzyb@crownexteriorsllc.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 21
the entire scope of work.
Project Value (contract 12000.00
value or cost of ALL
materials and labor)
Are you re -decking the Yes
roof?
126
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
How many squares are
part of the flat roof?
Describe the roofing
material for the flat roof:
Type of material for the
flat roof:
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
Yes
3
Roll roofing
Yes
21
Asphalt Shingles
Asphalt
House only
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
Yes
Yes
127
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.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Elizabeth Barrios
Email not displaying correctly? View it in your browser.
128
9/7/2017
CROWN EXTERIORS, LLC
4343 S Buckley Rd. Suite 305
Aurora, CO 80015
LOCAL: 720-372-3619
TOLL FREE: 1-855-427-6960
E-mail: sales.crownexteriors@gmail.com
www.crownexteriorslic.com
yISAa� oascoyQr
Homeowner:
File_OOO.jpeg
EXTEFUoRS, LLC
Street Address: M C, 7
Email Address: LAV42, S,V, aC GMA3,C0M
INSTALL Ur 6 r %�h
Manufacturer/Style
House Roof I Gutters: (Ay/ Partial
Home Phone #:
City & State:
LAMINATED SHINGLE
Work Being Done
❑ Detached Garage I Shed
Front:
LF Gutters
LF Downspouts
Rear:
LF Gutters
_ LF Downspouts
❑ Siding
Left:
LF Gutters
_ LF Downspouts
Right:
LF Gutters
LF Downspouts
❑
Upgrades
Account Manager
Contact #
Insurance Com an Information
Company
Policy #
Claim #
Mortga a Cornnpan Information
Company
Loan Number
_91�1 �� j�l Cell Phone #:
t
Q zip Code:
Date: Q
M C lou C �i A✓.D 41 t
Color Drip Edge
Partial
❑
Colter A
11Siz�:�
❑
[' � LL'
❑
G 2PAM '
AmhBartural Chinnlgs $ ❑ ra Vents $ ❑
❑ Ridge Vent IF $ Warran r _ r T ❑
C
Wood decking replaced at $40.00/sheet installed. The first two \she/ets Aare covered by Crown Exteriors, LLC
CONTRACTOR NOT responsible for pre-existing conditions: s
Crown Exteriors, LLC, will assist the Homeowner with the insurance claim. This proposal is contingent upon the insurance company paying for the
roof, gutters, and or siding and will be void if the claim is disallowed by the Insurance Company. The Homeowners authorize Crown Exteriors,
LLC,to discuss all information concerning insurance loss and payments with the above listed insurance and mortgage companies as well as perform
all work as specified by insurance loss sheet.
Acceptance of proposal - The above terms and conditions and those contained on the reverse side are satisfactory and are hereby accepted, as
authorized to do the work as specified by the Insurance Company. Payment w=surance
as outlined below.
❑ Cash Bid $ Bid
Total amount due upon job completion.
Total Insurance Price $ 9 Total Upgrade Price $
d08P
Total Price $
Plus any unforeseen amounts tated above supplements an
1 st check: ACV (including deductible) and upgrades due at 2nd check: preciation overhead/profit and any supplements/taxes
installation , O J requested and ved from insurance company.
$ ({,rte ,� � $ S 3��, 75
I the undersigned have read and understand all statements and conditions of this agreement and agree that all details of this agreement are
accepted and satisfactory. I further understand that this agreement constitutes the entire agreement between the parties and that any further
changes or alterations to this agreement must be made in writing and agreed to by both parties.
NOTICE TO OWNER:
FAILURE OF THIS CONTRACTOR TO PAY THOSE PERSONS SUPPLYING MATERIAL OR SERVICES TO COMPLETE THIS
CONTRACT CAN RESULT IN THE FILING OF A MECHANIC'S LIEN ON THE PROPERTY WHICH THE SUBJECT OF THIS
CONTRACT PURSUANT TO CHAPTER 429, RSMo. TO AVOID THIS RESULT YOU MAY ASK THIS CONTRACTOR FOR
"LIEN WAIVERS" FROM ALL PERSONS SUPPLYING MATERIAL OR SERVICES FOR THE WORK DESCRIBED IN THIS
CONTRAgr FAILURE TO SECURE LIEN WAIVERS MAY RESULT IN YOUR PAYING FOR LABOR AND MATERIAL TWICE.
Authoriz d Crown Representative *Prtyer Gate
You authorize our supplier on driveway to load roof. We accept no liability. If you decline it's $10 per sq for crew to carry up material-,
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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 I D Eke
Job Address: X Z _j��� 4� M (27.
Permit Number: 2 j(„7L
s
❑ No one available for inspection: Time Am
Re -Inspection required: Yes No `�
When corrections have been made, call forPnfpection 303,234-5933
Date: ) Z Inspector:
DO NOT REMOVE THIS NOTICE
Contractors Ciy Licenso M Phone:
..
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15955
BUILDING INSPECTION LINE -(305-2345933) Date : 7/30/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: KRIS KAISER
Property Address : 3005 UPHAM ST
Contractor License No. : 19569
Phone : 393-6997
Company : Candlelight Electric Phone : 935 9841
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or re9ulations 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 the Wheat Ridge Building
Code (U.B.C.) and all other applicable V)LLLii_dge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)SIGNE24' DATE [ -&-5
Construction Value :
$2,100.00
Permit Fee :
$108.30
Plan Review Fee :
$0.00
Use Tax :
$25.20
Total:
$133.50
Use :
Description : 200 AMP SERVICE CHANGE. ADDING (1) 30 AMP CIRCUIT TO 220 V. GARAGE &(1) 20 AMP
CIRCUIT 110V. TO GARAGE
~BUILDING DEPARTMENT USE ONLY
Zorting Comment§: SIC : Sq. Ft. :
Approval :
Zoning :
Building,Comments.:
Approval :
Ryblic.Works GPmFnents::Approval :
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No : 19569 Plumbing License No : Mechanical License No :
Company : Candlelight Electric Company : Company :
Expiration Date : 2/28/2005
Approval : OK/KS Expiration Date : Expiration Date :
Approval : Approval :
(1) This permit was issued in accordance with the Orovisions set forih in yopur application and is subjecl to ihe laws of the Sfate of Colorado and to ihe Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall eapire if (A) the work authorized is not commenced within sixty (80) days trom issue date or (B) ihe building authonzed is suspended or
abandoned (or a period oF 120 days.
(3) If lhis permit expires, a new partnit may be acquired for a fee of one-half lhe amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shali be done that will change the naturel flow of water causing a drainaga problem.
(5) Contracror shall notify ihe Building Inspector lwenty-four (24) hours in advance for all inspeclions and shall receive wntten approval on inspection card before
proceediing with successiva phases of tha job.
(6) The issuance of a permit or the approval of drawings and specifcations shall not be consWed to be a permit for, nor an approval of, any violation of the
pmvisions of ih~uilding cotles or any other ordinance, law, rule or regulation.
Chief Buil in n p
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTbI-ENT Building Pemut Number:
of W"EAr ~ BUILDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WAEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
~ot oa noo
~~~UCATION
PropertyOwner: K0(;-S L,q~-) e~'e-
PropertyAddress: 3cc>,5- l/t i°h'a~
Contractor License No.: -5'j,
Phone: 3o5-3~3 - V77?
nC- - Phone: jcS -y~ SY75
OWNER/CONTAACTOA SIGIiAT[JRE OP UP7DERS7'ANDING AND AGREEMENT
I hereby certify that [he seWack distances proposed by [his perrxti[ applicauon aro acwra[e,
and do no[ violatc applicablc ordinances, rules ormgulatlons of the City of Wheat Ridge or
covrnants, eazements orrutrictions ofrecord; that al] measuremrnts shovm, and allegations
made aze acwrate; [ha[ I have read and agree [o abide by all conditions printed on [his
application and [hat I assume full responsibility for compliance with the Whcat Ridge
Building Code (U.B.C) and all other applicable V✓hwt Ridge Ordinances, for work under
ttus pemtit.
(OWNER)(CONfRACiOR):SIGNED._--~ DA7E UJQ
/
Construction Value:$ Z/ /L"
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
DESCRIPTION: ~G~~ .9+'n7° 5~~. L 6t+5ny~, /1rl~yg -3c7 4vw10 C'2cyi'4- yL
61') Cr.CG" ~/0 jzj
1.
(l6✓
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
20NING COMMENTS:
Approval:
Zoning:
BUILDIN6 COMMENTS:
ApprovaL•
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: <;-o j~ Plumbing License No: Mechanical License No:
Company: /',,r-",~Ge `/t'•-t~2I,`Company: Company:
Expiration Date: 1/0Expiration Date: Expuaflon Date:
Approval: Approval: Approval:
(1) This pe`mit wu issued in ucordnnce with 1he provisions ut fMh in Your epplicauov avd is sublect b rhe laws af t6< Shm otColondo eud b Ne Zaniug
Regutstioas aod Birildiog Codes of Whea[ Ridge, ColoMa w avy aha applicable ordivanea of We City.
(2) 7Lis pamit shall cxpirz if (A) the work authorized is not covunenced witL'm sviry (60) days Crom issue daa or (B) 0e bwlmvg authorized'u suspmded or
abandoned fm a yeriod ot 120 days.
(3) If t6is yennit expues, a new pmmit may be acquired for a fee of ooe-haltthe amowt normally xequircd, provided vo clunga Lave been or will be mnde iv
the oripvilplavs andspecificatiow, avdaoy sucpmsiov or abmdonmevthas not necxded one (1) yw. Ifchanges 6ave been orif suspeasion orabandonment
exceeds aoe (1) yw, Nll Ctts siull be pud for a new yemtit
(4) No woilc of my menna sLdl be done tLat wi➢ change the naAW flow of water causing e dninage ploblem
(5) ContrumrshallnotlfytheBvilmoglnspectornveory-fow(2a)bowsivadvanceforallinspectoatvndshallraeivewrittmappmva]oninspecriovcazdbefore
procxding wifL succwive phasa ot0ejob.
(6) 7Le issuaoce of a pami[ vr tLe approval of Mwiugs and specifiutons sLall uot be construed m be a pemiit (rn, nor an approva] 04 mY viokfion ot the
pmvisioac ot the bwlding <odes or any other ordivancq kw, >ule rn Iegulatioa
Chief Building Inspector
DEPARTMENT OF GOMMUNITY DEVELOPMENT
~5o0WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. MP93il~6
234-5933 P.O. BoXe38 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONI.Y WHEN SIGNED BY THE CNIEF BUIIDING INSPECTOR ANC RECEIPTED BELOW.
JOB ADDRESS
CONTRACT/O~R
ADDRE~S^S~ !wJ°'~
CITY L~
UYYUil•% 1 OWNER `
)rnlJ~nc~ ADDRESS S A M t~
PHONE u q30Z ZIP CODE
ZIP CODE CONTRACT PRICE $ 140n
LICENSE NO. 16-?-7GV I DATE
L TYPE GrounA❑ Woll❑ Proieotinp❑ 01hOr
2. MATERIAL
SIGNS 3. ILLUMINATION YaS❑ No❑ TYDe
4. SET BACK FROM PROPERTY LINE N_ S__ E_ W_
FENCES
OTHER
I. TYPE 5olid❑ More Than 80%
MATERIAL
3. SET BALK FROM PROPERTY LINE
(Soecifv whicA it }ront)
N_ 5_ E_ W_
❑ ❑ ❑ ❑
I.
2.
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE, GIVING
(SETBACKS OR PROJECTIONS INCLUDED)
5 a D Feoe_
INSPECTION TICKET
b
Joa
ADDRESS
g
;M p93 P~
DATE: BLDG. PERMITM J S E
PERMITN
BLDG. c`ONT__-_--R-WpQ'Y l~(W Pl•
SUBCONTRACTOR
DATE INSP. REQ. V J
TYPE OF INSP.
INSPECTION MADE I
REMARKS ~
STREET NAME W.R. FORM 619
$HOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES,STREETS,AND P
DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
NOT VALID UNLE55 REGEIPTED
~t,,~,~25( CC2 Z (03 ~
,
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE UCENSE NO t~ pC70Z
STATE LICENSE NO.
ALUM
INUMVAREUNDERSIZE8ILLEGAI
F1001i
BSM
IST
2ND
3R0
4TN
N0.
FUEUC'~Js . ~ EbeSdm
~
WATER CIASET
FORCED AIR - BTU
HOT WATER - 8TU
TEMPORARY METER
WASH BOWL
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
AIR CONDITIONING-BN
CHANGE SERVICE-AMPS
SHOWER
LIGHTIN6
SINK
OTHER
REFRIGERATKKJ SYSTEM
GARBAGE D~SP
HEATING
POWER SUB-CIFCUI75
WATER HEATER
Rafri eront Cxou
DISPoSER,ETC.)
UTILITY(RANGE
AUTO. WASHER
Poundi CMr s
,
AUTOMATIC SPRINKIER SYSTEM
DISH WASHER
FIxTURES
WIRING MOTORS 9 CONTROLS
FLOOR DRAIN
EIEVATOR
RS 'f'd Z.' (20
SIGN$
URINAL
I 2- vS?omeR
TRANSFORMERS 9 RECTFIERS
SEWERS
~
ADDITION TO OLD WORK
OTHER
MOTORS OVER 1 HP
TOTAL FIXTURES
I hsreby acknowladqe that this aODIICa'
lion u Correct and understond Mat I
tonnot sfart tAis Droltlct until this appli-
totion it opproveA. I shall comply rifh
the low, of the State of Colorado ond to
ths Zoninq Requlationa ond Buildinq
Code affha Cify a! Wneat Ridpe. Any
violation of the above terms will couse
immediote ~evocolion of this permit
~y0lieenb 9iyna~w~ ~ ~
APPLICATION FOR PLUMBING; ELECTRICAL;
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY urUrv vHLiUnI iUN tlY I Ht 6UILDING INSPECTION DIVISION.
..Ir i ovoicG ian navs VanM THE DATE OF ISSUANCE IF WORK IS NOT STAfiTEO WITHIN THAT TIME. _
Lou Thonl
PERMIT FEE
I USE TAX I J` '4(J J
[ TOTAL FEE ~ I $L4.f?l I
CHIEF BUILDI
,City of Wheat Ridqe
Date Issued ~ U 2"
~
~
CALL 234-5933
24 HOURS IN ADVANCE
FORINSPECTIONS