HomeMy WebLinkAbout3221 Routt StreetSent: Monday, April 25, 2022 9:49 AM
To: CommDev Permits <Permitsnci.wheatridge.co.us>
Subject: Online Form Submittal: PERMIT APPLICATION Residential Egress Window
CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless
you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Residential Egress Window
This application is exclusively for RESIDENTIAL EGRESS WINDOWS
ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM
AND ENGINEER LETTER STAMPED DETAIL SHOWING THE U -VALUE
OF THE WINDOWCUT 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
existing EGRESS
window(s) needing
vertical cuts only?
PROPERTY INFORMATION
Property Address 3221 Routt St Wheat Ridge Cc 80033
Property Owner Name Stefani Niesent
Property Owner Phone
Number (enter WITH
dashes, eg303-123-456'7)
Property Owner Email
Address - Do not enter a
contractor email address
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
3073492204
Field not completed.
ATTACH A PICTURE
OF A CREDIT CARD"
X610111:LC"C0]:a101111i7:7di/_TAIto] 011
Contractor Business TOPSTAR EGRESS / EJI EGRESS
Name
Contractor's License 210386
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 7202065762
Number (enter WITH
dashes, eg303-123-456'7)
Contractor Email Address tonstarearess0amail.com
Retype Contractor Email tonstarearess5amail.com
Address
DESCRIPTION OF WORK
Number of EGRESS
windows being replaced
Location of EGRESS open space
window(s) being replaced
(for example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of the .24
EGRESS window(s)?
City of Wheat Ridge
requires the u -value to be
.30 or better on windows.
Attach copy of Engineer 3221 Routt st 1 odf
stamped letter showing
vertical cuts detail and u -
value
Project Value (contract 5400
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
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 Angelica Candia
Permit
Email not displaying correctly? View it in your browser.
TO
Gnmirp, di
Suspect:
R. ol53 PETwNon,CAr,CAa�,wpatress am,�
Hello,
m.n",r�.„<
CAUTION The email originated from outside of the organization of LIG links or open attachments unless son
recognizethe sender and know the content is safe report any suspicious actividespothen Division.
payment
On Mon,
Apr 25,
2022 at3.13 PM Consul Permits <12egentsia wbeary
dge co.Qeus wrote
Hello,
Please fill outlhe attached form and send backto us so we can issue your permit
Thank you,
Chen ee Villa
Permit Technician
Building Division
WCly Of
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VIII2021
From: no replv&i wheat no us <no replv&i theme fin dee no us
i •CITY OF WHEAT RIDGE.
Building Inspection Division
234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: (6 --( VN -L-_
Job Address:Z'-
Permit
,Permit Number:
❑ No one available for inspection: Ti MVPM
Re -Inspection required: Yes'f
When corrections have been made, call r re -inspection at 303-234-5933
Da - --')" Inspeci#or:
DO NOT REM0VF THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303)) 2 55 Offi 3) 237-8��
5 Z7701A tgt5L-1) N
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Tirn6 7 AMS
Re -inspection required: -No_
When corrections have been made, cai\for re -in —ction�at 330-3-234-5933
Dat Inspdc
DO NOT R =WyE THIS NOTICE
A 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: Z '+� • + S, -
Permit Number:
❑ No one available for inspection: Time . 0'4u AM/PM
Re -Inspection required: Yes 6)
When corrections have been made, call for re -inspection at 303-234-5933
f r"'
Date: Inspector: 111
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Water Heater Replemnt PERMIT - 201900527
PERMIT NO: 201900527 ISSUED: 03/27/2019
JOB ADDRESS: 3221 Routt St EXPIRES: 03/26/2020
JOB DESCRIPTION: Replace 50 gallon, 40K BTU, gas water heater located in utility room
*** CONTACTS ***
OWNER (307)349-2204 NIESENT SETH
SUB (303)232-6611 Josh Ward 018236 Applewood Plmb, Heat, & Elec.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,336.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 70.06
** TOTAL ** 110.06
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 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.
'bmy 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 erre I further attest that I am legally authorized to include all entities named within this document as parties 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 originalpermit tee.
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, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
/"- 4404
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, March 27, 2019 12:10 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application
Categories:
Kim
Residential Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
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 a Yes
replacement water heater
like for like?
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**
3221 ROUTT ST
STEFANI NIESENT
307-349-2204
permits@applewoodfixit.com
608005 CC FORM.pdf
CONTRACTOR INFORMATION
Contractor Business APPLEWOOD PLUMBING HEATING & ELECTRIC
Name
Contractor's License 18236
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-458-5988
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address PERMITS@APPLEWOODFIXIT.COM
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of gallons
Is the water heater GAS
or ELECTRIC?
If GAS, enter # of BTUs
If electric, enter n/a
Where is the water heater
located (for example,
basement, crawlspace,
etc)?
Project Value (contract
value or cost of ALL
materials and labor)
PERMITS@APPLEWOODFIXIT.COM
50
GAS
40000
UTILITY ROOM
3336
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 work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
2
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 CINDY WULF
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. Electrical Service Upgr PERMIT - 201900330
PERMIT NO: 201900330 ISSUED: 02/27/2019
JOB ADDRESS: 3221 Routt St EXPIRES: 02/27/2020
JOB DESCRIPTION: 200 amp electrical service change
*** CONTACTS ***
OWNER (970)443-1235 NIESENT SETH
SUB (303)340-3400 STEPHEN JUSSEAUME 120169 DOCTOR FIX -IT
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,634.00
FEES
Total Valuation 0.00
Use Tax 76.31
Permit Fee 109.20
** TOTAL ** 185.51
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 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.
1, by my signature, do hereby at
that the work to be performed shall comply with all accompanyin�ap
proved plansand specifications,applicablebuildingcodesand all appicable municipal codes, policies and procedures,and that ame legal ownerorhave been authorizedbythe legal owner of the property and am authorized to obtain this permit and perform the work descbed and approved in conjunction with
this erm t- 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
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 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 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 ordinanc regulation of this jurisdiction. Approval of work is subject to field inspection.
P6�dy Ax"Cal
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, February 26, 2019 2:44 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit
Application
Categories: Dina
Residential Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
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
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
3221 ROUTT ST
SETH NIESENT
970-443-1235
CC AUTHORIZATION FORM 3221 ROUTT STgdf
CONTRACTOR INFORMATION
Contractor Business DOCTOR FIX IT HEATING COOLING & ELECRIC
Name
1
Contractor's License 120169
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-340-3400
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address permits@calldoctorfixit.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this an electrical
service upgrade or
change?
Number of Amps
Location of
upgrade/change (garage,
house, etc)
permits@calldoctorfixit.com
Change
200
HOUSE
Provide additional details, REPLACE A 200 AMP SERVICE CHANGE STANDARD
if needed.
Project Value (contract 3634
value or cost of ALL
materials and labor)
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 work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
z
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 OFELIA RIVERA
Permit
Email not displaying correctly? View it in your browser.
' City of Wheat Ridge
Residential Roofing PERMIT - 201706471
PERMIT NO: 201706471 ISSUED: 08/23/2017
JOB ADDRESS: 3221 Routt ST EXPIRES: 08/23/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 36 sq
*** CONTACTS ***
OWNER (303)239-6300 MOSS DAVID WAYNE
SUB (720)449-2662 Joel Lucius 170281 Colorado Construction & Restor
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATIONo 12,000.00
FEES
Total Valuation 0.00
Use Tax 252.00
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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
3221 RO(A44--5+,
20►70C` 7(
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 Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Floodplain Inspection (if applicable)
Plumbing
Final Electrical 01
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical 01
Mid -Roof
Final Plumbing AY
Final Mechanical
Roof
Lath / Wall Tie
Final Window/Doors
Final Building
Rough Electric "
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.
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 01
Final Plumbing AY
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
6535 S. Dayton St. Ste. 1500
Greenwood Village, CO 80111
COLO��O 720.449.2662 Office
CONSTRUCTION 720.836.3349 Fax
& RESTORATION www.ColoConsIruction.com
I
i
RESIDENTIAL AGREEMENT
/ 111i9/� THIS AGREEMENT IS SUBJECT TO INSURANCE COMPMilitary
,/ANY APPROVAL Veteran
Name: ,0001 i W Date: C� % YES—
NO-Address: :3.22,1 4 u 19- City/Zip: X'a� i_ti' g �� Rank @ EAS
Phone: 36Y k) -�Email: I)obr Alo_5-SCQ- Gc�1G�,,f7rjgBranch
/ SCOPE OF WORK
_ o Zi'oui ?,
i�G3J in G C.
PAYMENT SCHEDULE
Total C)ontraK��t P ce * _ $ 24212oLiu e�Down Payment
Paid Date: _ /_ /_ CK# @ $
Balance Due Upon Completion
Paid Date: _ /_ /_ CK# @ $
*Contract Price equals insurance Proceeds plus Supplements
approved by Insurance Company for work rendered by Colorado
Construction & Restoration, LLC.
ROOF SPECI FICA
Manufacturer:
Style of Shingle:
Color of Shingle:
Ridge Material:
Lt 7I4
Valley:
Closed
Valley Metal
Vents / #:
Replace
Plumbing Stacks / #:j
Replaces*f
/ 4&r— (jm
Metal Edging*Color:
(Yes? No *i
)
Tear Off / # Layers:
s' No
%
Underlayment:
G
# of Stories:
/
_
Pitch / Pitch c 2 / 12
/ 12
/ Yes No
Remove Trash From Roof, Gutters,
& Yard
Protect Landscaping Where{
Applicable
Roll Yard With Magnetic
Roller
Furnish Permit
0 *Homeowner acknowledges that contract price will change based on supplements approved by insurance company; and
homeowner agrees to furnish a copy of updated insurance paperwork to Colorado Construction & Restoratic n, LLC upon request.
TERMS: This agreement DOES NOT OBLIGATE THE HOMEOWNER or Colorado Construction & Restoration, LLC in any manor unless it i approved by the insurance
company and accepted by Colorado Construction & Restoration, LLC and the homeowner. By signing this agreement the homeowner authorizes Colorado
Construction & Restoration, LLC to pursue the homeowners' best interest for a roof replacement or repair and/or exterior restoration z t a "price agreeable" to the
insurance company and Colorado Construction & Restoration, LLC with no additional costs to the homeowner with the exception of their insurance deductible.
CONTRACTOR CANNOT PAY WAIVE OR REBATE INSURANCE DEDUCTIBLE pursuant to Colorado State Law C.S.R. 6-22-105 (1) and Pi rt 1 of Article 4 of Title 10,
C.S.R. and Paragraph 4 & 5 as declared in the terms and conditions of this agreement, if applicable. COLORADO CONSTRUCTION AN RESTORATION, LLC SHALL
HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL CONTRACTOR HAS DELIVERED ROOFING MATERIALS TO THE JOB ITE OR HAS PERFORMED A
MAJORITY OF THE WORK ON THE PROPERTY. General Liability insurance is provided through Wt!lker-Dilworth 1p4urance—Denver, CO. (3 3) 370-0930
Accepted by Insured on: Date: �/ f By;
Insurance Company: A,-10 - 010"J �'S Claim#: CC) -0 0L ' vl
Date of Loss: S - t Project Manager: A, I/ e f
Approximate Date Start/Completion: Management Approval:
Proud
Supporter of
VETERAN OWNED COLORADO PROUD
WOl'I�DM.11 WARRt1R
PRNIA"f
r City of Wheat Ridge
' f Residential Roofing PERMIT - 201706471
1
PERMIT NO: 201706471 ISSUED: 08/23/2017
JOB ADDRESS: 3221 Routt ST EXPIRES: 08/23/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 36 sq
*** CONTACTS ***
OWNER (303)239-6300 MOSS DAVID WAYNE
SUB (720)449-2662 Joel Lucius 170281 Colorado Construction & Restor
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00
FEES
Total Valuation 0.00
Use Tax 252.00
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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
'I# � 4 r City of Wheat Ridge
Residential Roofing PERMIT - 201706471
PERMIT NO: 201706471 ISSUED: 08/23/2017
JOB ADDRESS: 3221 Routt ST EXPIRES:• 08/23/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 36 sq
'b my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable buildi codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by t Yegal o er of the roperty and am authorized to obtain this permit and performe work described and approved in conjunction with
thi a that I am legally authorized to include all entities named wit n this document as parties to the work to be
per Orin t at all wo to be performed is disclosed in this document and/or its' a compiying approved plans and specifications.
Siature of O R orNTRACTOR (Circle one) Date
1,
it,
t was issued l5ased 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 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 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 ermit shall not be construed o be a permit for, or an approval of, an violation of any provision of any
applicable code or any o na epo�r�regulthis ' As 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.
6535 S. Dayton
Greenwood Vil
COLORADO
720.449.2662 1
CONSTRUCTION 720.836.3349 a
& RESTORATION www.ColoCons
RESIDENTIAL AGREEMENT
THIS AGREEMENT IS SUBJECT TO INSURANCE COMPANY APPROVAL
Name: ;Ilalld fi1fw Date: CJ - s
Address: 3,2 2 4, u,�- Sk City/Zip: whia4�
Phone: 30..?— k V -1 2 3�2 Email: UCS
SCOPE OF WORK
u
u� s -' o Df'owyi
e®on`r e.,L
PAYMENT SCHEDULE
Total Cpntratt Ppce'* $ ���0
J)ae d� fDkn Payment
Paid Date: — /— /_# @ $1
Balance Due Upon Completion
Paid Date: _ / /_ CK# @ $
*Contract Price equals Insurance Proceeds plus Supplements
approved by Insurance Company far work rendered by Colorado
Construction & Restoration, LLC.
Y-0
I
s S _ Cv�rcgr�
ROOF SPECiFICA
Ste. 1500
CO 80111
.Com
Military
Veteran
YES_NO_
Rank @ EAS
Branch
Manufacturer:
Style of Shingle:
Color of Shingle:
�)
Ridge Material-
h
Valley
Closed
Valley Metal
Vents / #-
Replace
Plumbing Stacks / #:
Replace$
Metal Edging*Color:
Yes No *
y )
Tear Off / # Layers:
No I/
Underlayment:
# of Stories:
/
Pitch / Pitch < 2 / 12
J 12
J Yes No
Remove Trash From Roof, Gutters,
& Yard
Protect Landscaping Where
Applicable
Roll Yard With Magneti
Roller
Furnish Permit
k*Homeowner acknowledges that contract price will change based on supplements approved by
homeowner agrees to furnish a copy of updated insurance paperwork to Colorado Construction & RestoJ
TERMS: This agreement DOES NOT OBLIGATE THE HOMEOWNER or Colorado Construction & Restoration, LLC in any manor unless it
company and accepted by Colorado Construction & Restoration, LLC and the homeowner. By signing this agreement the homi
Construction & Restorabom LLC to pursue the homeowners' best interest for a roof replacement or repair and/or exterior restoration
insurance company and Colorado Castnuticm & Restoration, LLC with no adchhbonal costs to the homeowner with the exception o
CONTRACTOR CANNOT PAY WAIVE OR REBATE INSURANCE DEDUCTIBLE pursuant to Colorado State Law C.S.R. 6-22-105 (1) and P
C.S.R. and Paragraph 4 & 5 as declared in the terms and conditions of this agreement, if applicable. COLORADO CONSTRUCTION AP
HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL CONTRACTOR HAS DELIVERED ROOFING MATERIALS TO THE JOE
MAJORITY OF THE WORK ON THE PROPERTY. General Liability Insurance is provided through WgJker-Dilworth
Ur
Accepted by Insured on: Date: �I BY:
,�r
I)
,r}
Insurance Company: I�`LI /D - (/w", ey_( Claim#: X() ^0
Date of Loss: Sr - " ( Project Manager: ,
Approximate Date Start/Completion:
Management Approval:
—Denver, CO.
rice company; and
LLC upon request.
approved by the insurance
owner authorizes Colorado
t a "price agreeable" to the
their insurance deductible.
I 1 of Article 4 of Title 10,
I RESTORATION, LLC SHALL
ITE OR HAS PERFORMED A
3)370-0930
V -Vo.
Proud
Svppflrter of
VETERAN OWNED COLORADO PROUD
wo�+wuen w..xaaos
►u.u�;cr
Antoinette Kulick
2oITObypl
From: no-reply@ci.wheatridge.co.us
Sent: Monday, August 21, 2017 4:11 PM
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
U,
Property Address 3221 Routt St
Property Owner Name David Moss
Property Owner Phone 303-239-6300
Number (enter WITH
dashes, eg 303-123-4567)
65 4 q ��, 00
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Agreement - Moss.pdf
Contractor Business
Colorado Construction
Name
Contractor's License
170281
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)
303-906-0221
6535 S Dayton St Greenwood Village, CO 80111
Contractor Email Address ericka@coloconstruction.com
Retype Contractor Email ericka@coloconstruction.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 36 sq /
the entire scope of work:
Project Value (contract 12000
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
66
Does the scope of the No /
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)?
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
36
Certainteed Pres. TL
Asphalt
5/12 pitch House
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
67
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 Ericka Schamberger
Email not displaying correctly? View it in your browser.
68
A i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: Z Z Qc>T
Permit Number:/ `7 Q t; G/ '�`7 i
❑ No one available for inspectio Time
Re -Inspection required: Yes N
When corrections have Jbeen made, call for rel -in
Date: - f� Inspector: 11-
AM/PM
A i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ Np one available for inspection: Time s %y r A'N/PM
Re -inspection required:
*When corrections, have been made, call for re -inspection at 303-234-5933
Date: i -' Inspector:,
1 I
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ Np one available for inspection: Time s %y r A'N/PM
Re -inspection required:
*When corrections, have been made, call for re -inspection at 303-234-5933
Date: i -' Inspector:,
1 I
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ Np one available for inspection: Time s %y r A'N/PM
Re -inspection required:
*When corrections, have been made, call for re -inspection at 303-234-5933
Date: i -' Inspector:,
1 I
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ Np one available for inspection: Time s %y r A'N/PM
Re -inspection required:
*When corrections, have been made, call for re -inspection at 303-234-5933
Date: i -' Inspector:,
1 I
DO NOT REMOVE THIS NOTICE
x
i CITY OF WHEAT RIDGE
�;17(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: AA
Job Address:
Permit Number: ,70 06(�/(�
❑ No one available for inspection: Time /17/ic) AM,
Re -Inspection required: Yes (N
When corrections have been made, call for re -inspection at 303-234-5933
Date: l`�`' Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancy/TVDe
`Z°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
-
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR NNTII- AROVF HAS HFFN SIGNFD
~r
ROUGHS`
Sheathing
Lath / Wall tie
Mid Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
' ABOVE INSPEC I IONS IU BE SIGNED PRIOR TO PROCEEDING
'Framing
Insulation
Drywall Screw
°FINALS
Electrical
`Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O W &Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
**NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY JS 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
♦ 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: 0 t (J
Job Address: ICAt!
Permit Number: ' P7
p,
❑ No one available for inspection: Time /PM
Re-Inspection required: Yes No
*When corrections have been made, call for re-inspection at 303-234-5933
Date: 42-22 f Inspector:_ t LAI
I
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
Buildinginspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: jy( ( ~t? r5(
Job Address:
~ll u
Permit Number: r(;a)r.-?7
~~l ~^Fl f. d'it ~~(:l. t~(~~ f JT~ i!f'[g 'f l•fll~..
9
I
I
1
❑ No one available for inspection: Time f(/ Q01VI
Re-Inspection required: Yes (flo
When corrections have been made, call for re-i pection at 303-234-5933
Date: 10' -(Oq Inspector: tc > I J rl i
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
f~ Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: AA
Job Address:
10 P\ ~F 0C:/ 2
Permit Number: n
e. ,
r
r
I;
❑ No one available for inspection: Time A PM
Re-Inspection required: Yes~
t ,
When corrections have been made; call for re-inspection of 303-234-5933
Date; dh Inspector: r
DO NOT REMO F HIS NOT C
City of Wheat Ridge
Residential Roofing PERMIT - 092073
PERMIT NO: 092073 `ISSUED: 09/08/2009
JOB ADDRESS: 3221 ROUTT ST EXPIRES.: 03/07/2010
—DESCRIPTION: .T/o:Install 3.3 sqs.: Certified So yr shingles..'
.CONTACTS.***
Towner 303/239-6300 Dave Moss
c gc - 303/426-7370 Kurk Tiley 02-1395 Tiley Roofing Inc.
o PARCEL INFO
a 'ZONE CODE: UA USE: `UA
R'SUBDIVISION: 0660
.BLOCK/LOT#: OL
FEE SUMMARY ESTIMATED PROJECT VALUATION: 8,535.00.
FEES
Permit Fee 217.50
Total Valuation .00
.v Use Tax 153.63 ttFF
c * * TOTAL * * : 371
.13,) r()
.Conditions:
~6.nail installation & mid-roof inspection required. Board sheathing spaced more
-than al/2ofan inch apart requires plywood overlay on entire roof. Ice and
'G',water shield required from eave edge to 2' inside exterior walls.'
.;;,Subject to field inspection.
-
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
measure is h wn, and. all egations ade are accurate; that Ihave read and agree to abide by all conditions printed on this
; applicat' n th I assume full sponsibility for compliance with the Wheat Ridge Building Code (I.B.C):and all other
a licab
PP 9e rdinances, f r k under this permit. Plans subject to field inspection.:.
-6 n
1
Signature of. tra for/owner '-.date
"1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
F
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to 'expiration
date. An extension maybe granted at the. discretion of the Building Official.
'3. If this permit expires, a new permit may be acquired for a fee. of one-half the 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: have been or if suspension or abandonment exceeds one (1) year, full fees shall
yr, be paid for a new permit.
`4. No work of any manner shall be done that will `change the natural flow of water causing a drainage problem.
;5. Contractor: shall notify:. the. Building Inspector twenty-four (24) hours in advance for all. inspections' and shall receive
r' written approval on inspection card. before. proceeding with successive phases of the job:.
„6. The. issuance of a permit or the 'approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building. codes or any :other ordinance, law, rule or regulation.'
All plan review~µs set to field in
s Signature of ¢ iet ildmg Official date
INSPECTION! REQUEST LINE: y.(303)234-5933 BUILDING OFFICE: (303)235 2855
:REQUESTS MUST BE MADE BY 3PM-ANY BUSINESS DAY FOR INSPECTION THE'' FOLLOWING. BUSINESS DAY.
°FW HEgTRi City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033 Date:
Office: 303-235-2855 « Fax: 303-235-2857 Plan
°°cORPO° Inspection Line: 303-234-5933
Permit
Building Permit Application
Property Address\ 2
Property Owner (please print): k-~/. Phone: ~ J1~ ~U
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractor License Phone: 2+JJ -°-7t)
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: AnnrnvaP
Use of space (description): Construction Value: ;
Description, of work:
(as ca/culated per the Building Valuation Data sheet)
Ian Review (due at time of submittal): $
V,&Yc) no y- nv-Lq Sq. Ft./L.Ft added: Squares 3-2:-) 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 1 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.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of(OwNER) (CONTRATOR)
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City of Wheat Ridge
Residential Roofing PERMIT - 061015
PERMIT N0: 061015 ISSUED: 10/20/2006
JOB ADDRESS: 3221 ROUTT ST EXPIRES:
DESCRIPTION: t/o existing, inst. underlymnt, flashing, 50 yr.
CONTACTS
gc 303/426-7370 Kurk Tiley 02-1395 Tiley Roofing Inc.
owner 303/239-6300 Dave Moss
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,782.00
FEES
Permit Fee 162.90
Total Valuation .00 mm
Use Tax 104.08 TOTAL 266.98 Comments:
Ice and Water shield two feet from exterior walls eaves, drip edge (eaves)
required.
Subject to field inspection
I hereby certify that the setback distances proposed by [his permit applica[ion are accurate, and do not violate applicable
ordinances, rulea or regulationa of the City of wheat Ridge or covenants, easements or reetrictions of record; that all
measurements ehown, and allega[ions made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I asaume full responsibility for compliance with the Wheat Ridge euilding Code (I.e.C) and all other
appY, c le Whe i 'Ordinances, for work under this permit. Plans subject to field inspection.
e'~1
Signature of cont*.acto wner date
1. This pe[mit was issued in accordance with the prwisions set forth in your application and ie subject to the laws of the
S[ate of Colorado and to the Zoning Regulations and Building Codes oE Whea[ Ridge, Colorado or any o[her applicable
ordinancea of the City.
2. Thia permit ehall espire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the
building authorized is suapended or abandoned for a period of 180 days.
3. If thie permit expires, a new permit may be aequired for a fee of one-half [he amoun[ normally required, provided no
changee have been or will be made in the original plans and specifications and any suspension or abandonment hae not
exceeded one (1) year. If changes have been or if suspeneion or abandonment exceeds one (1) year, full fees shall
be paid for a new pezmit.
a. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor ahall notify the Building znspector twenty-four (24) hours in advance Eor a11 inspectione and shall receive
written approval on inapection card before proceeding with succeseive phases of the job.
6. The issuance of a pezmit or the approval of drawings and specifications ehall not be wnstrued to be a permit for, nor
an approval of, viola ion o roviaions of'the building codes or any other ordinance, law, rvle or regulaCion.
All plan rev'Leubj~ tq~~~ctions.
1-4 9 Signature dbG$ief Building
date
INSPECTION REQUHST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2655
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Documents fran the manufacturer shall be
onsite for final roof inspection whrch spec~'y
roofing materials have 6oerr instolltd Av nteet
110 MPH thriee-seaond wind gurt--IBC
COMMUNITY DEVL' LOP,4FNT PEPARTMEhiT Building Pamit Number~
oF w`~"r q BUII.AIN6 TNSPECTIOPI T.INE - 309-234-5933 Date:
CTiY OP WHEAT RIDGE
7500 WEST 291'H AVENUE
WHEAT RTDGE, CO 80215-(303-235-Z855)
OR+ APA'D} ~j~~7HY~lj
ia[4vll!!{R!♦
Property Owner: V\() )3 /
Proptfty Address' 3 c~ UJ~ ~~.~JY~-~-~f i~ PMone :~Q v~UU
ConRactor License No.:a \
Lvi Pbone:U7f.-7Z7~1
OwNLWCONiRACl'OR SiGNATVNk OP IINDFJIS7ANbING AND AGREHNEN'f
Q
hOII V31llL:S 5-1
2-,
C
W
I hereby cwufy thal the cetbuk distfnw praposed 6y this pc[mitapplicwon ue acctaa9c.
OI15
G
6
enddomcvwlateappHCaNeorem.nces,rulmwfcgmaimcofcheCitya(Whcat [cia6eor
PermitFee:$
wvrnants.0sementaorrectrietions oTfecord:thNdl mdsure~rouhe4own,ud altepcons
mode ve ircnvire; thu l luvt ttad nd apee to gibiM by au wnditions qinud on this
Plan Review Fee:$
aPPliution mA Ihat i assume 16i1 ttsPmsibiHtY for umqlmce with the Vihcu Ridge
jJSC ~3~C:S
Huilding Code (U.B.C) end a11 olhu ayplicabk Whcyt Ridga Ordinaneea, fa wurk wd«
misperrnsc I. ' ,
Tot81:S
(OWNER)(COHTRACTOR):9GNE~ DAlE
D$SCRIPTION: CJ ~ VU(S
"-Q~, WO-.
' BUII.DING DEPARTMEN'[ USE ONLY
SIC: Sq.Ft.:
],pNING COYMl111i:
Aj1P70VaL
ZOIIIII$:
B W Lom6 COMMlNTS:
Appzuval: PuauC Nlon" CoMMENTS: App[OVaI7
Occvpmcy: Walls: Roof: Scories: RcsidcutialUtuts:
fitectrical License No: Phrmbing Licm+c No: Mecl+anical Licrnse No:
Company: Compeny: Compsny:
Expiration Date: Aipintion Date~ Expaaaoa Dau:
Appmval: APptoval: Appxoval: imi~
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ChiefBuilding inapecror
ZO'd trS:Li £OOL LL JeYI Z58Z5£Z£0£: xeJ md 89NINNtild
; 4HP
City of Wh
eat Ridge
Residential Mechanic PERMIT - 060950
PERMIT NO: 060950 . ISSUED: 10/04/2006
SOB ADDRESS: 3221 ROUTT ST EXPIRES:
DESCRIPTION: replacing furnace, adding a.c.
CONTACTS
gc 720/929-1680 Mike Kappler 02-1202 Kappler Mechanical & Elec Inc.
owner 303/239-6300 Dave Moss
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUMMARY
Permit Fee
Total Valuation
Use Tax
TOTAL
Comments:
electrical must meet 2002 NEC
subject to field inspection
ESTIMATED PROJECT VALUATION: 10,000.00
FEES
235.70
.00
180.00
415 . 7 0 ~a'~'~'u~
I hezeby certify that the setback distancee proposed by this pemit applica[ion are accurate, and do not violate applicable
ordinancea, rules or regulatione of the City of wheat Aidge or covenante, easemente or restrictions of record; that all
measuzements shown, and allegations made are accurate; that I have read and agree to abide by all condi[ions prin[ed on this
application a that I assume full responeibility for compliance with the wheat Ridge Building Code (I.B.C) and all other
Xyat Ridge Ordinances, for work under thia permit.,Plans subject to field inspection.
Signatu`re oontractor/owner da[e
1. Thie pemit was isaued in accordance with the proviaions eet forth in your application and is subject to the laws of the
S[ate of Colorado and to the Zoning Regulations and Building Codes of wheat Ridge, Colorado or any other applicable
ordinancea of the City.
2. Thie pezmit ehall espire if (A) the work authorized is not commenced within aixty (60) days from ieeue date or (B) the
building authozized is suspended or abandoned for a period of 180 daye.
3. If thie pemit expires, a new permit may be acquired for a fee of one-half the amount nosmally required, provided no
changea have been or will be made in the original plane and specifications and any suapension or abandonment has not
exceeded one (1) year. If changes have been or if suepension or abandonment exceeds one (1) year, full fees ahall
be paid for a new pexmit.
4. No wotk of any manner shall be done that will change the natural flow of water cauaing a drainage problem.
5. Contractor ehall notify the Building Inspector twenty-four (24) houre in advance for all inspectiona and shall receive
wri[ten approval on inspection card before proceeding with succeasive phases of the job.
6. The isauance of a permit or the approval of drawings and specificatione ehall not be coneC;ued to be a pemit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan r.,),A ie eu!L*ctJt~1 inspections.
Signatu4f afobief Huildin~OfficN date
INSPBCTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CMt or Wneot ~°.i~ PoFCrR~p rnE ENERGY CODE
BOILERS i FURNACES A MINIMUM OF 90% AFUE
Gp$ WATER HEATERS A MINIMUM OF.60 ENERGY FACTOR
ELECTRIC WATER HEATERS A MINIMUM OF.93 ENERGY FACTOR
SETBACK
R•21 WAL ~R38 CEIQLI~NGS (ER 18 CRAWLSPACE8 n
COMMUNITY DEVELOPMENT DEPARTMENT
oF w"E'1T,~ gUILDING INSPECTION LINE - 303-234-5933
~ a CITY OF WHEAT RIDGE
" "c' 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
~(ORPO~ APPLICA
Property Owner:
PropeRy Address: ~a I
Contractor License No.:
Company:
r' /7? eC'~~u,~
Building Permit Number:
Date:
Phone: 3 -ci 39-(`; 7J 00
Phone:'%,2Q --,?a 9_~&)P-b
OWNERICONTRACTOR SI6NATURE OF UNDERSTANDING AND AOREEMENT I Buildlna Devt. Valuation Figure: $Iv, O OO
I hereDy ceRdy that the setback distances proposetl by this pertnk application are
axurate, and do not violate applicable oMinances, rules or regulationa of the Ciry of
Wheat Ridge or wvenants, easemenb or restrictions of recortl; that all measurements
shown, and allegations made are eccurate; that I have read and agree to abide by all
condRions printed on this applicetion and that I assume full responsibilily for
complience with the Wheat Ridge Building Code (I.B.C) and all other eppliwbk Wheat
Ridge Ordinances, for work under this pertnit. Plans subjed to field inspedion.
(O W NER)(CONTRACTOR):
Use of Space (description):
Description of work:
~'.L~ _
•t-LL-G •
Sq. Ft added
Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approvai:
(1) This permd was iasued in exordance wilh the provisbns set torth in your application and is subjeet to the laws of the State of
Coloretlo and to the Zoning Regulations and Building CoOes of Wheat Ridge, Colorado or any other applicable ordinancea of
the Ciry.
(2) This permit shall expire N(A) the work authorizsd is not commenced wilhin sixty (90) days from issue daie or (6) the building
authorized is suspended or abandoned for a period of 180 days.
(3) If this permit expires, a new pertnit may ba acquired for a fee of one-half the amount normalty required, provided no changes
have been orwill be made in the original plans and specificetians and anysuspension or ebandonment has notexceeded one
(1) year. If changes have been or if suspension or abandonment ecceeds one (1) year, full fees shall be paid for a new permk.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problam.
(5) CantraGOr shalt notify the Building Inspector twenty-four (24) hours in advance tor all inspeGions and shall receive written
approval on inspection rartl before proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drewings antl spedfications shell not be wnstrued to be a permtt tor, nor an
approval of, any viclation cf the provisions ofthe building wdes or any other oMinance, law, rule orregulation. Atl plan review
k subject to Tield inspectiona.
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M93#18933
234-5933 P.O. BOXSSa CITV OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BNLDING INSPECTOR GNC RECEIPTED BELOW.
/ APPLICATION FOR MISGELLANEOUS F'tTK~mi i
JOBADDRESS OWNER _S[~['✓r ~~'-~S
l ; 9 / _lTC if ~
CONTRACTOR ~i✓ 52✓~i ADDRESS.y-~-~ ~
ADDRESS S'7 PHONE 4= 3y" ZIP CODE Z/yS'_
_
CITY -&7X2~ 6 ZIP CODE CONTRACT PRICE $
PHONE ,2d2 -ggV LICENSE NO. DATE
I, TVPE GroundU
2. MATERIAL
SIGNS 3 ILLUMINATION Yea❑
PERMIT FEE
Woll❑
4 SET BACK FROM PROPERTV IINE N_ S_ E- W Zons_ Apprwed,ZOne Inspecta
(Spltily which ia front I ❑ ❑ ❑ ❑ DisopDraed
1. TYPE Solid[3 Mon Than BO% ODan[] Lest Than 80% Opm
FENCES MATERIAL HeipM
3. SE7 BACN FROM PROPERTV LINE N_ S_ E_ W Zone_ Apprwed,2onts InsOecta
(Soeafv wnich if front) ❑ ❑ ❑ ❑ daopprovaA
OTHER ` " .
4
s
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIIiG
(SETBACKS OR PROJECTqNS INCLUDED)
USE TAX
s_5~
DATE: BLDG. PERMITM 8Y~-3
PERMITB
BLDG.
SUBCONTRACTOR
STREET NAME DATE INSP. REQ.,7"~ '
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING MOUSES, STREETS,AND I TYPE OF INSP.
DISTANCE TO PROPERTV LMES, NOT MAXIMUM OR AVERAGE DISTANCE. ~
APPLICATION FOR PLUMBING; ELECTRICAL; INSPEC71oN MADE
THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONL
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF N REMARKS `
ELECTRICAL PERMIT
PLUMBING PERMIT
STATE IICENSE N0.
STATE LILENSE N0.
ALUMINUA WIRE UNDER SIZE 8 IIIEGAL
FLOOR
~
WATER CLASET
FORM 619
W.R.
TE MPORARY METER
WASH BOWL
NEW SERVICE - QMPS
BATH 7UB
M
CNANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
HEATING
GARBAGE DISV
rtc?rtib[nFINN 5751[M
'
POWER SU9-CIFCUITS
WATER HEATER
eront Grou
Rsfr
DISPOSER,ETC)
UTILITY(RANGE
AUTO. WASHER
~~0f
,
AUTOMATIL SPM NKLER SYSTEM
DISH WASHER
FIXTURES
WIRING MOTORS 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 REGTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
REMARI(5
1 Mreby ocknowladpe that this opDlica-
tion ta torrect and understand that I
connot ftort this projbct until thia aDOli'
Cotion if opproved. I shall comply with
Me lowa ai the State ol Colorado and to
tM Zoninp Repulatiom ond Bwldinp
Code of tha Gty of Wheot RidQe. Any
violation of the above ferma will cause
immediate revocation of Ihis Oermit
Date Issued o-~ S l3
~oo~iwnt. sia^^~~,•
plner S a 0 FeoS
Tolal Squon Fnt
Eied. Pvmit No.
INSPECTION tICKET
JOB . ~
ADDRESS ~J°'"~'~
30.3$
I TOTAL FEE I$';? S6- ,3 $ I
APPROVED ~v~.~L~V~rrl-Qe~-, U-~
CHIEF BUILDIN INSPECTOR,City Wheat Ridqe
NOT VALID UNLE55 RECEIPTED
,Sj ~g-93
A J1_s~ds s
1 U'i KvO 7 E
CALL 2345933
24 HOURS IN ADVANCE
FORINSPECTIONS