HomeMy WebLinkAbout4435 Pierson StreetPERMIT: ADDRESS: JOB COD?
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 receive an inspection the following business
Foundation Inspections Date Inspector Comments
Initials
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
Rough Inspection (continued)
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
Date
inspector
Initials
Comments
IFinal Inspections I Date I Inspector I Comments
Initials
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
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
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.
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.
► ' City of Wheat Ridge
Residential Roofing PERMIT - 201707271
PERMIT NO: 201707271 ISSUED: 09/14/2017
JOB ADDRESS: 4435 Pierson ST EXPIRES: 09/14/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 24 SQ
Pitch = 4/12
*** CONTACTS ***
OWNER (720)206-4709 UTLEY CURTIS
SUB (720)216-0704 Tom A Krause 170075 Advanced Constr. Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,043.00
FEES
Total Valuation 0.00
Use Tax 168.90
Permit Fee 188.45
** TOTAL ** 357.35
*** 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.
Midrocf & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201707271
201707271
4435 Pierson ST
ISSUED: 09/14/2017
EXPIRES: 09/14/2018
Residential Re -roof to install asphalt shingles with ROOF DECKING - 24 SQ
Pitch = 4/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as 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
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
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 7 d 170 7 z 7 I
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, September 12, 2017 7:34 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
?,r
Property Address 4435 Pierson St.
Property Owner Name Curtis Utley
Property Owner Phone 7202064709
Number (enter WITH
dashes, eg 303-123-4567)
c�—
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
D17-033 Contract. pd
Contract
CONTRACTOR INFORMATION
Contractor Business
Advanced Construction Roofing
Name
Contractor's License
170075
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
720-216-0704
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
972 Poplar St.
(Primary address of your
business)
Contractor Email Address
ACR@AdvancedConstructionRoofing.com
Retype Contractor Email
ACR@AdvancedConstructionRoofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
24
the entire scope of work:
Project Value (contract -.-7150-
value or cost of ALL
materials and labor)
Are you re -decking the
Yes
roof?
18
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
What is the 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? Etc)
No
Yes
4:12
24
Composite asphalt shingles, ice/water shield, synthetic
underlayment
Asphalt
House and Detached Garage
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
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
19
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 Tom A. Krause
Email not displaying correctly? View it in your browser.
20
CONTRACT AGREEMENT
AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL
ADVANCED CONSTRUCTION ROOFING LLC
972 Poplar St.
Denver, CO 80220
(720) 216-0704 (M)
(720) 216-0706 (F)
GENERAL CONTRACTOR: Owner acknowledges Advanced Construction Roofing LLC (ACR) as a general contractor, and as such, will be entitled to —10% overhead and 10% profit, as allowed by
insurance company standards.
INSURANCE/MORTGAGE NOTE: Owner hereby authorizes the insurance and/or mortgage company below to make any checks payable jointly with ACR.
TERMS: This agreement does not obligate the owner or ACR in any way unless it is approved by the insurance company and accepted by ACR. By signing this agreement the owner authorizes ACR to
pursue the owner's best interest for roof replacement and/or repair at 'agreed upon price' to the insurance company and ACR with no additional costs to the owner except the deductible. When 'agreed
upon price' is determined it shall become the final contract price noted above and owner authorizes ACR to obtain labor and material in accordance with the 'agreed upon price' as well as the
specifications set out herein and on the reverse side hereof to accomplish the replacement and/or repair. Any and all monies received from the insurance company as general contractor overhead and
profit and/or cost increases (supplements) will be paid to ACR in addition to the final contract price above. Owner reserves the right to cancel this transaction at any time prior to midnight of the 3r°
business day after the date of contracting.
SIGNATURE
Accepted by owner(s): / 2-2��Wt) I Date:
Accepted by owner(s). 1-01 I lzeLq— Date:
\JACCOUNT INFORMATION (Office use only)
Insurance Company: Account: Claim:
Mortgage Company: Account: Phone:
Approval: .r- _
Date: g/t, / t.7
PAYMENT DETAILS
CUSTOMER INFORMATION
Name:
G�►a�c�S cHws-r7 vrLe
Date: 9/1,11-7
Address:
4113T PtEfLs0.1 s -r-.
City/State/Zip: wme^-r Q,�E
Billing Address:
� APV 1 5W=AtJ vf,sk-s m&
City/State/Zip:
Email Address:
c,sta co
Email Address:
Phone:
112a
Phone: 72TO Loc `i71I � Iy
GENERAL CONTRACTOR: Owner acknowledges Advanced Construction Roofing LLC (ACR) as a general contractor, and as such, will be entitled to —10% overhead and 10% profit, as allowed by
insurance company standards.
INSURANCE/MORTGAGE NOTE: Owner hereby authorizes the insurance and/or mortgage company below to make any checks payable jointly with ACR.
TERMS: This agreement does not obligate the owner or ACR in any way unless it is approved by the insurance company and accepted by ACR. By signing this agreement the owner authorizes ACR to
pursue the owner's best interest for roof replacement and/or repair at 'agreed upon price' to the insurance company and ACR with no additional costs to the owner except the deductible. When 'agreed
upon price' is determined it shall become the final contract price noted above and owner authorizes ACR to obtain labor and material in accordance with the 'agreed upon price' as well as the
specifications set out herein and on the reverse side hereof to accomplish the replacement and/or repair. Any and all monies received from the insurance company as general contractor overhead and
profit and/or cost increases (supplements) will be paid to ACR in addition to the final contract price above. Owner reserves the right to cancel this transaction at any time prior to midnight of the 3r°
business day after the date of contracting.
SIGNATURE
Accepted by owner(s): / 2-2��Wt) I Date:
Accepted by owner(s). 1-01 I lzeLq— Date:
\JACCOUNT INFORMATION (Office use only)
Insurance Company: Account: Claim:
Mortgage Company: Account: Phone:
Approval: .r- _
Date: g/t, / t.7
PAYMENT DETAILS
WORK DESCRIPTION / SPECIFICATIONS
Brand of Shingle:
owE�as cetZr.to
toc)
Notes:
Style of Shingle:
Chlcs_w'r%0.4 (�1
$
� APV 1 5W=AtJ vf,sk-s m&
Color of Shingle:
A teev-
1, vc�oCo
Final Contract Price (owner and/or insurance approved amount)
Ridge Material:
oc pR o _ gQGE
8esc 10-t2S . ��
Color of Flashing:
n�,,.o�+o Tem
t41t� iGt. + T t s, o0 oc w2nTw, t
Underlayment:
oc n¢Y,ocz pte,�
GVW -ET-: i-169L.as
Ice/Water Shield:
04=- tsE-, Eaa1Es
J
REcty. r : 4 -
Valley:
Valley:
t6-
Ventilation:
F-4-9-
a-2Plumbing/Mechanical:
Plumbing/Mechanical:
t_ -¢._ eti
PEc�-
Gutters/Guards:
(Zriz pu
Skylights:
w
Decking:
TTsD
Noted Damages:
Access/Waste:
Tear off: I
AAP.
Layers:
I
Other:
Roof Pitch: y . tz
Stories:
1
GENERAL CONTRACTOR: Owner acknowledges Advanced Construction Roofing LLC (ACR) as a general contractor, and as such, will be entitled to —10% overhead and 10% profit, as allowed by
insurance company standards.
INSURANCE/MORTGAGE NOTE: Owner hereby authorizes the insurance and/or mortgage company below to make any checks payable jointly with ACR.
TERMS: This agreement does not obligate the owner or ACR in any way unless it is approved by the insurance company and accepted by ACR. By signing this agreement the owner authorizes ACR to
pursue the owner's best interest for roof replacement and/or repair at 'agreed upon price' to the insurance company and ACR with no additional costs to the owner except the deductible. When 'agreed
upon price' is determined it shall become the final contract price noted above and owner authorizes ACR to obtain labor and material in accordance with the 'agreed upon price' as well as the
specifications set out herein and on the reverse side hereof to accomplish the replacement and/or repair. Any and all monies received from the insurance company as general contractor overhead and
profit and/or cost increases (supplements) will be paid to ACR in addition to the final contract price above. Owner reserves the right to cancel this transaction at any time prior to midnight of the 3r°
business day after the date of contracting.
SIGNATURE
Accepted by owner(s): / 2-2��Wt) I Date:
Accepted by owner(s). 1-01 I lzeLq— Date:
\JACCOUNT INFORMATION (Office use only)
Insurance Company: Account: Claim:
Mortgage Company: Account: Phone:
Approval: .r- _
Date: g/t, / t.7
PAYMENT DETAILS
Insurance Contract Price (noted payment w/o permit or supplements)
$
IZS 3 L . Be
Insurance Check On hand (1" check (typically used as down payment))
$
11141.0(-
11`i1 OVDeductible
DeductibleAmount (due from owner, unless already deducted by insurance)
$
I CX20. o0
Down Payment (due upon delivery of material on site)
$
1, vc�oCo
Final Contract Price (owner and/or insurance approved amount)
$
17-51L. , as 4- PE2w„ FEE
GENERAL CONTRACTOR: Owner acknowledges Advanced Construction Roofing LLC (ACR) as a general contractor, and as such, will be entitled to —10% overhead and 10% profit, as allowed by
insurance company standards.
INSURANCE/MORTGAGE NOTE: Owner hereby authorizes the insurance and/or mortgage company below to make any checks payable jointly with ACR.
TERMS: This agreement does not obligate the owner or ACR in any way unless it is approved by the insurance company and accepted by ACR. By signing this agreement the owner authorizes ACR to
pursue the owner's best interest for roof replacement and/or repair at 'agreed upon price' to the insurance company and ACR with no additional costs to the owner except the deductible. When 'agreed
upon price' is determined it shall become the final contract price noted above and owner authorizes ACR to obtain labor and material in accordance with the 'agreed upon price' as well as the
specifications set out herein and on the reverse side hereof to accomplish the replacement and/or repair. Any and all monies received from the insurance company as general contractor overhead and
profit and/or cost increases (supplements) will be paid to ACR in addition to the final contract price above. Owner reserves the right to cancel this transaction at any time prior to midnight of the 3r°
business day after the date of contracting.
SIGNATURE
Accepted by owner(s): / 2-2��Wt) I Date:
Accepted by owner(s). 1-01 I lzeLq— Date:
\JACCOUNT INFORMATION (Office use only)
Insurance Company: Account: Claim:
Mortgage Company: Account: Phone:
Approval: .r- _
Date: g/t, / t.7
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
,� r
Inspection Type: 4�lyll L '� �a
Job Address: -// e13 S 1)5 e� C 7—
Permit Number: 2-O/ `J 0 `%fie `%/
❑ No one available for inspection: Time
Re -Inspection required: Yes 'No{
When corrections have been made, call for re -in
Datel iI Inspector: G�'
AM/PM
at 303-234-5933
41 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: 41,15 i -s-,- 'L S C_r,,
--2-
Permit Number: 617 0`7 2-
" , 0 (-- f]�,01 Al, 7e illZ-11
r` jzy
.17
)Vw
IJ No one available for inspection: TimeAM/PM
Re -Inspection lrequired:,,iy es No _/
When corrections have been made, call for re-insp c
111.j9, tion at 303-234n5933
/y
Date: Inspector:
DO NOT REMOVE' THIS NOTICE
0
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTIC
Inspection Type: A// Z-,—)
Job Address:
Permit Number: Vo 2 %/
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes/i-No
When corrections have been made, call for re-inspe to t 303-234-5933
: _
Date'�`/ �, : �A:__,"�Inspector,
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16286
BUILDING INSPECTION LINE -(303-234-5933) Date : 9/30/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: CURTIS UTLEY
Property Address : 4435 PIERSON ST
Phone : 271.6618
Contractor License No. :
Company:
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : $3,000.00
I hereby certify lhat the setback distances proposed by this permit application are accurate, and
Permit Fee : $108.30
do not violate applicable ordinances, rules or regulations of the City of W heat Ridge or
00
$0
covenants, easemenls or restrictions of record; that all measurements shown, and allegations
.
Plan Review Fee :
made are accurate; that I have read and agree to abide by all conditions printed on this
Use Tax : $60.00
application, and that I assume full respon ibility fo compliance with the Wheal Ridge Building
Code (U.B.C J and all other applicable at Ri e ordin A, , r work under this permit.
~„p
~
Total: $168.30
DATE
(OW NER)(CONTRACTOR) SIGNED _
Use:
Description : RE-ROOF W 30 YEAR
BUILDING DEPARTMENT USE ONLY
Ztyriing Com ' ents: SIC : Sq. Ft. :
~
Approval :
Zoning :
~u~ra~n~ co~;ments: i OKAY
Approval: DM
Pub11c Workl Gomrnsnt
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State o( Colorado and lo lhe Zoning
Regulations and Building Code of Whea[ Ritlge. ColoreOO or any olher applicable ordinances of ihe City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the builtling authonzed is suspended or
abandoned for a period ot 120 days.
(3) If this permil expires, a new pertnil may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill 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, fu0 fees shall be paid for a new permit.
(4) No work of any manner shall be done lhat will change the natural Flow of water causing a drainage pmblem.
(5) Contredor shall notify ihe Building Inspedor hventy-four (24) hours in advance for all inspedions and shall receive writlen approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a 6OFqltt or the approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the
provisions o%ild~ w e ny other ordinance, law, rule or regulation.
;hli
Chief Building Inspect ,
Please sign Terms and Conditions on reverse side of page.
CObiMUNITY DEVELOPb1ENT DEPARTMENT Building Pemtit Number.
BUILDWG INSPECTION LINE - 303-234-5933 Dare:
; P
° CITY OF WHEAT RIDGE ~ /c, ~
V 7500 WEST 29TH AVENUE
N'HEAT RIDGE, CO 80033 - (303-235-2855)
°~c oa noo yryyi y~+~~+~ y~~~~y
r'iS"~"~r11.~77 / ~17Y V
PropertyOwmer: GU~~ L/11~'t
I~
Property Address: ~ 3~ ~~'e~) c`~r Phone :<v3) Z t~-~
Contracror License No.:
Company: Phone:
ONN"NER/COFTRAC70R SIGRATURE OF GNDERSTANDIIG AND AGREEMENT
1 hereby cenify that the sel6ack dislances proposed by lhis pemit appliwtion are accurate,
and do not violatt applinble ordinancu, rules or regulations of thc Ciry o( A'heat Ridgc or
covenanls, easemcnu or restnctions of record; that aIl mcasuremenu shown, and ailegauons
madc are accuale; thal I have read and agee to abide by all conditions pnnted on this
application and that 1 assunx full responsibiliry (or compliancc with the Wheat Ridge
Building Code (U.B.C) and all olher applicable Wheat Ridge Ordinances, (or work under
mis pem,it.
(ONTERHCOMRACTOft)~SIGTED DA7EJ-,~F?
(ONTERpCOhTRA(TOR): PRIhTED DATE
DESCRIPTION: /,P~ ~JZ ~-P~
Construction Value:$~~
Permit Fee:$ 146~1-2`i12
Plan Review Fee:$
Use Tax:$ (pQ, ~D
Total:$ ,.s.
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft:
ZONIN6 COMMlNTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUlLIC WORKS COMMEHTS:
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: Approvai:
( I) Thrs pcmnii wu iuucd m amordance wiUi the pmvisbns se (oM In yow applinnon and is subjat w Ne laws of thc Stau of Cobndo and w the Zoning
Regulations aid BuiWing Codes of W'6at Ridge, Cobndo or my oth<r applicabk ordimmces of the Ciry.
7his permil shall upirt if(A) Lhe work authorizcd is not commenced wiNin sixry (60) days from issue dat<or (B) Lhc building authonzed is suryended or
a Wndoncd !or a penod ot 120 days.
(J) 1(Ohis pemit expires, a ncw permit may be acquired frn a ftt afonchalf Lh<amoum nwmally requir<d yrovidcd no changc5 hauc been or will bt made
in ch< onginal pluis and specifintions md any suspension m abandonmrnt hss na eaceeded onc (p ycar. If changu hrve becn or if suspension or
abvdommrnt c.ceeds one (q ycac full kes shall be paid (or a new pemit
(4) Ro ww4 of uiy manner sh>II be done 1hat will chmge Ne nuuol ibx of.arer causing a dnimgc probkm.
(5) Conuaciw thall notify fie Building Inspcttw twmry-four (24) hours in advance for all inspecbons ud shall rtceiv<wnnen appmval on inspectlon card
befort proceeding wiih wccessive phues of rAejob.
(6) The issuantt o( a pemit or the appmwl of dnwings md specificnions shall no1 be conswed b ba a pemit for. mr an appmval of, any violauon of th<
prorisions ohhe buiWing codes or any othet ordimnce, Iaw, ruk or rcguhnon.
Chief Building Inspector
INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
AanvP HAS BEENSIGNEO
CONCRETE SLAB FLOOR
(Underground)
ROUGHS
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
Mechanical oS
Roof
Building Final
Fire Department
R.O.W & Drainage START ALL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS.
i
Parking & Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER j
l
i
J
4'
CITY OF WHEAT RIDGE
Building Inspection Division
400 (303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ~ii7sra,.f1. sett Fa a/
Job Address/Permit Number: -1t'iS Psg,so,. s~ . o,~c,S?z~
❑ No one available for inspection: Time 2f gra AM/PM
Re-Inspection required: Yes , d
When corrections have been made, call for re-inspection at 303-234-5933
Date: zAZ / Inspector
DO NOT REMOVE THIS NOTICE
2sxMzr rrp: _ 080e216 IssuW: oz/a~~~ao~ •
JQS AIIURO3: 4435`8I8AffiON~ST' EXPiRESs 91J20/20b9 DESCATF'TX`AN: InsEall waod burning stove as a 2nd heat source rro
owner 3Q1j431-3¢90 Cfurtiis Utley
~tx PAilCEp: INEV i~r + , , • ZONE COAB: . UA~ . . USFi : . . UA . , .
SUBDIVI3IQN;A Ol:fil . . HLOCK/LOT#: -0/ **FfiE SDMARY ESTIMATEDPROJ&CT.:VAI,iT113'ION: ..},.SQQ.~fI,r• , ,
. . 'FEES . . .
Permit Fee . . . . 70.25 .
Total V~luffiLicxn .00
Use Ta~c 27.06 e~ TOTAL.e♦ 97.25
Condi tibtl9 i
Muet met;~r A'phdse ZI Or Colorado phase III certifimaiton
Iliereby gexEif~ tYtat rSle aeCbaak.diptances prapased by triie permit application are accura"y aq! (sq ppt Vip20Gg,asp3tQaE1k
orflinanada,.iUSB$ pz YifgulaClm6.oftha City.of Wheat Ridge or cavenante,easemcmt6 or xeetstotitl[i9.ot i{emzA; Cbdt a13 .
neaeur9vrents ixWwq, md altegatiomemade areaccurate; that Ihave seafl snd agsee toabide by 81Yidon4lC#oa .g=iiat&si•op kMe
:p~pl' sCFOri aNd'tdn'~ 7aequmrt Et1kY.rdep'~oneibilltyfor compliance witR the WheaY Ri~:BUfldiug Cbdp?(S.H,C) aryd tl3.i tlCLeF"
.,app e qe,: fpr;work timder thie pesmit. PYane. e4bject Co filldinepectipn,'~,
uro Of ta ' ori%mer dete
1..'.Thie peavl',C, #a@' la9}ia¢7y.n acCPSdance witri the provieiono eee forth inyour applicatlpn and SYw~eub'a'etck to•Etie S,~q A~ pLl~ ,
Hcate pf GOlat~lq and..:.Lro the" Loaiag R,~gulakion¢ apd BuilQing Cmdee oF- vfieat Aidoe, Cqlorado oY ,aeig+ nChK
. arditlanorti -:oC[1qi- CtLY.' . . , . . . ,
a.-This pGSsit sh,31exptre 1804lysfrom.tLe.iseue date. Requeete for an.extension rtnieE be rpCeiV" pti,or to..'expirationdate. Au lxCeTTeioq ooy be gLanEAd a4 the diecretion of the Building OYficia2. 31 ..I£IChSRjetroiE sY[piri48, a rieV ¢kcmlt may beacquired fora feeoE one-halECheamoynE ncxmaxly,k4gµl;ed, JlCO0JW, nd cMl7gep have been pT aLll 159 mejde in the~oiiginal.plane andepecificatione and.any euepeneion vrislFeqdvqin4icT~m$b ewi :.mccaeded oLiB (1) yaaY:,it e4utgGe have been oz if euepenelon:os abanCOnment excee3sorse (11 yaer, SU11 £.p4,8piuiS2 . : be paid tor a naw Ptri-Lt. . . . ' . , 6:.'NOvor~C Oi aqy panneYfsEr13 bE.doaethat will change the natuzal flow of waCer cauaing a drainaejq yzf9bY~..~
5:~.COdttasCOSptwlk noki'Ey thdAuilQing In§pecGOr twenty-four (24) twurs in aEVance forall inepecyio¢~ aatli~pall rtpeiv¢,
'wniKCeYi appib++al.m ,1nBpeCtam casd befo;e.psoceeding wSth eucceeaive phaees of the job. . i . 6.Tht SsiOnBOe of a permik ar £Te:approval of driwinge and epeciflcationa.ehell not tie coaetrued ta GC a;pet,Mf4 for, npt,:an appkavaT`bg, a»y Y1o7a4yon~:o£the psovieionsof.thr bullding.;wdee,orany oehar ordinance, lav., zuld tlnyrdgultttSeh<.. .
oF'""~°''q, City of Wheat Ridge Building Division Date: • j2`7"U
~ m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-235-2857 Plan
C~~ORA~~ ~ Inspection Line: 303-234-5933 permit#: )t5'6 e6~)p
Building Permit Application
Property Address: , > ~
Property Owner (please print): C-~ ( }r~_v Phone:'j -~~qU
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: N~J~-
Contractor License
Sub Contractors:
Electrical City License
Company:
Phone:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description):
Description of work: +
,kj5~~_4T~~-Q aF wboU
~UW~I ~,.1C7 STUI~ q Znc1 11`C6T
Construction Value: $ ~r. x"n , dU
(as ca/culafed per the Buildinq Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: SIGNATURE: Date:
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer:
FIRE DEPARTMENT:: ❑ appfOVed W/ COrtlfitBfl[S ❑ dlSepprOVEd ❑ n0 feViBW fequifBd Bldg Valuation: $