HomeMy WebLinkAbout3936 Simms StreetINSPECTION RECORD 0// Z
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 receiv an inspection the following busine4ddaPERMIT:`I� ADDRESS: JOB CODE:
Foundation Inspections
Date
InsInt ctor
ials
Comm nts
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
R �
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.
R �
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
R �
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: 6 O&ADDRESS: �� 3cp &/27//nSS�OB CODE: P,(Qr
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof`(
410 Final Window/Door
'
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
The City of Wheat Ridge
Third Party Form Check List
Property Address �3 01 j 1/1-1 vet
Permit Number 1140/1�(alog �
Permit Issued Date `/ 1 _S 1 Ir
Owner Information
Property Owner Information e r-1 e, �
Property Owner Address ,39 362 5 s�
inspector Information
Inspection Company LG( e LL
Inspector Name �z�c r t -y -c9 -1
Inspector Contact info. 76,0 6606) 2,521 -7
Inspector Statement and Acknowledgement
' I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of heat Ridge Policies and Procedure and Manufacturer's
recommendatio a ' i ' tions.
Inspector: a� -���f Date:
r
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspect,on, company to perform my roof inspection
in Neu of the City of Wheat Ridge Building i 'n inspection.
Pro a Owner/ - _
P rN Agent: _� �-� �' ' Date:
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Lr7 Pass
❑ Fail
Flashing for roof and walls
❑ Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
aN/A
❑ Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
11�r Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
JR Pass
E]Fail
Verify vent caps
ElN/A
a Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
15 Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
[�-N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
12�_Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
a Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
k5- Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
J�"ass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
a Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
V Pass
❑ Fail
Dripedge shall be mechanically fastened 12" OC
[ N/A
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2.12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
t.' N/A
❑ Pass
❑ Fail
Above roof insulation R-25
IT N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the
N/A
❑ Pass
❑ Fail
same material as roof
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4.12 and under require double underlayment
G
Company Name:
Inspector signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
7
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A-
Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Flashing for roof and walls
❑ Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
MIA
❑ Pass
❑ rail
Verify sheathing nail pattern (See Policy & Procedures)
�N/A
❑ Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
O -Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
O -N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A.
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
54 Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanically fastened 12" OC
E�g'N/A
Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
n,
patios, carports, open on three sides with min. slope of
t
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A
❑ Pau
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material
N/A
❑ Pass
❑ Fail
as roof
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
r
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double undedayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
C%
Company Name: y�%� — C, �.
Inspector signature: - ..._.
Date of Inspection: _ Li _ 36 "l
0
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201801042
201801042 ISSUED:
3936 Simms ST EXPIRES:
Reroof remove and install Certainteed Presidential
Composition Shingles with 28 squares.
�,��
Pitch 6/12.
04/13/2018
04/13/2019
Shake TL Asphalt
*** CONTACTS ***
OWNER (303)968-6244 MEIGS JOE V
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,298.00
FEES
Total Valuation 0.00
Use Tax 363.26
Permit Fee 331.10
** TOTAL ** 694.36
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201801042
PERMIT N0: 201801042 ISSUED: 04/13/2018
JOB ADDRESS: 3936 Simms ST EXPIRES: 04/13/2019
JOB DESCRIPTION: Reroof remove and install Certainteed Presidential Shake TL Asphalt
Composition Shingles with 28 squares.
Pitch 6/12.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t7�e 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 parties to the work to be
performq and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of O ER CONTRACTOR (Circle one) Date
I . This permit wasi ued 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, potlicies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of an 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 ofpermit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable or -any ordilajice 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.
nia Reimer
Nf)lo 1_�
From: no-reply@ci.wheatridge.co.us
Sent: Friday, April 13, 2018 11:16 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
3936 Simms
Joe Meigs
303-968-6244
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
Meigs contract.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Contractor Email Address
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
J & K Roofin
019983,
303-425-7531
13000 W. 43rd Dr., Golden Co 80403
kathyv@jkroofing.com
kathyv@jkroofing.com
28
17298
Pitched roof (2:12 pitch or greater)
2
both? (check all that
apply)
What is the specific pitch ;6/12
of the PITCHED roof?
i
How many squares are I/ 28
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)
CertainTeed Presidential Shake TL - Asphalt Comp
Asphalt
House
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
3
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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
—i
4� CONTRACT 011&,AAA
J&K Roofing
BBB 13000 W. 43rd Drive Golden• CO 80403 pPINIVERgggy'
' -Its,
tss,�o}- 1�
Phone: 303-425-7531 Fax: 303-425-1562 6 "''
www.jkroofing.com
-- A''
t�- _6(Y -�''S� Date !t lZh, 20
�epresentatl� e` e' `� 1 (tl 5 tlWi15 _ Contact- -------------
Name ���- 5-�5:�.1 t 5 Phone (3°3)- 76V bZ q email j uo t t 25, aCl5m(A S�L,
Address 3936 _.._ S`~.'�$ ---- Sf City ��I.�T �[Zip 1900
Pinnacol Assurance Cincinnati Specialty Underwriters
303-361-4000 303-653-0023
Workers Compensation Insurance General Liability Insurance
Policy #4079290 Policy #CS00061742
LABOR AND MATERIAL SPECIFICATIONS, TERMS, ❑ Extra work l m -Pi AdI}�.�� Awn�y�
AND CONDITIONS. PLEASE READ CAREFULLY:
Recover roof with C,- "td t 4'e4ed !"%PsiL-e-J44 T —
= Color of shingles
Manufacturer's Warranty�-
Tear off 14 5k -L Gia-- -FL-
Install
LInstall Underlayment 15 (t -—
Double all Eaves airoA f1UZ-0S W/
Re -Flash
New Valleys &) A p
Replace Ridge ri'l � �� L4 4A
Ventilation — C0^1;^Ko-A�5V4+�-
Galvanized Fasteners so rid r (5 p:y- 5 Lq�'/`Q_�
= Replace < < Plumbing Jacks
Paint roof stacks to match
Install 7— ,1 Metal Edging
Patio or Flat roof
Year Warranty on labor
J & K Roofing to furnish all material and labor
Permit: _ Included NOT Included
= Clean-up debris and haul off all trash from roof
= Roll yard with magnetic roller
— Gutters cleaned of roofing debris /
Decking Repairs $ per
— Hidden Layers (tear off) $er ler
a
5--i� F -A rw, 06-�62.36-`TS3
'Cal., (Policy Number)
i3(aZ31T53
Cum 0:!
(Adjustor)
Kaf Pd
The property owner is%� is not_ using proceeds from
property and casualty insurance policy.
$
O�
Deductible if applicable $OZ3
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible. �
Estimated Start Date Z —
�'{--
TOTAL ESTIMATE $� -reIQz5
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
J& K Represent tiv Daley—/ ijZ_(9r
Homeown Date
Homeow r pate t0/ (/
'�+�-� (Mortgage Loan Number) Expiration Date
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J &K Roofing Is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
Way
INSPECTION RECORD
'PINSPECTION LINE (303) 234-5 3
Jnsper-flo"will notbe made unless this lard is posted on the building site
,—. Call icy 3,.,OO, recolve inspection the following business day.
0 i rnrnc A4- r
'INS I i
SIGN ALL SPACES PERTAINING TbTfas .JOB
I NSPECTIONS FOUNDATION IM DATE INSPECTOR
)N INMAQS
C9MMEN7 ,,5:
Footings /Caissons
temmil I (CEO) Concrete
S St 1 (3) Concrete
EnGased Oroun
Grou
. r, I im, fA sq . s
ffm
Reinforcing orMorialithic
th
W eatherproof erproof ]French Drain
- 16&.98
Sew
SewerServiceLfnes
.. ... ..... ....
Water
Water Service Lines
OCCUPANCY
..NOT
J
-- RECEIPT
11M 31
mlle
. r, I im, fA sq . s
ffm
278.'98 -1
- 16&.98
Use Tax-
.. ... ..... ....
.. . i96 88
.-AYMENTUMNEV .
-0011T.
Me 7m
M.98
k5tude:
151431:
_
OCCUPANCY
..NOT
J
16 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: rx,/tL 62~a~
Job Address:
Permit Number:t ~f3r`3 /
i
No one available for inspection: Time / .-5 > AMA
Re-Inspection required: Yes , N'q
' When corrections have been made, calf for re-inspection at 303-234-5933
Date: Inspector: 1/
DO NOT REMOVE THIS NOTICE
INSPECTION NOTICE
Inspection Type: f r tU/~ hoD~
Job Address: _ 393 6 S nos S4
Permit Number: rr 09 388I
Lii S1~ ~rP1~r~y(?G~
t coL- u:~TiT ,~o7a~..J
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection fine
f (303) 235-2855 Office • (303) 237-8929 Far
,KXNo one available for inspection: Time 2. S^ AM
Re-Inspection required: es No
x:
' When corrections have been made, call for re-inspection at 303-234-5933
Date: I I- i'i-c>q Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
" Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: PV I i a lr o /
Job Address: 2 ~ ~ e9<r,c,f
Permit Number: J 9 3 k911
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
"When corrections have been made, call for re-inspection at 303-234-5933
Date: ///D 0 1 G, ing DO NOT REMOVE THIS NOTICE
Page 1 of 1
Melissa Mackey
From: Sterling Roofing Cc [sales@sterlingroofs.com]
Sent: Tuesday, November 24, 2009 10:23 AM
To: Melissa Mackey
Subject: Fw: Sterling Roofing Final Inspection - Permit # 093114 (Piza) and 093881 (Meigs)
Melissa,
This email is to authorize the City of Wheat Ridge to charge the reinspection fee of $61.00 (Failed, due to snow
on roof), for Permit# 093114.
Also, please authorize two (2) reinspection fees for Permit #093881,of $61.00/each (1117/09 - Failed the mid-roof
inspection - roof not ready; and the second- Failed for snow on roof).
Please use the credit card on file for Sterling Roofing Co - William B. Dietz to pay the above fees.
Per our conversation - the inspection for Permit #093114, will not fail inspection today, due the permit not being
available - possibly "blew away".
Thank you,
Cindy -Sterling Roofing Co
720-620-2433
sales@sterlingroofs com
Bill Dietz - Owner
Sterling Roofing Cc
720-338-0261
CITY OF WHEAT RIDGE
11/24/09 11:29 AN
cdba
Sterling Management
RECEIPT NO:CDA003323
AMOUNT
BPSP T/o: Install 28 sqs
61.08
093114
Reinspection Fee
61.00
BPSP Reroof 30 sqs
122.00
093881
Reinspection Fee
61.80
Re-insp fee 2
61.80
PAYMENT RECEIVED
AMOUNT
MC 7250
183.00
Auth Code:
123138
TOTAL
183.00
11/24/2009
~ A i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1- 0 jCov
Job Address: SqA S, 5 f{ _
Permit Number:
~,3fI
PO-5
%G~JK a~~ v~ o -7,C.
S-All-141 fl4 ~91-
s
,
❑ No one available for inspection: Time 2: dd AM(
Re-Inspection required: Yes No
*When corrections have been made, call for re-inspection at 303-2345933
Date: Inspector: ('v
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Faxed Roof Permit PERMIT - 093881
PERMIT NO: 093881 ?ISSUED: 11/05/2009
JOB ADDRESS: 3936 SIMMS ST EXPIRES: 05/04/201`0
DESCRIPTION:` Reroof -30 sqs
CONTACTS
owner 303/940-7273 Joe-Meigs
sub 720/365-3383 William Dietz 09-0397 Sterling Roofing Co..
**:PARCEL INFO
ZONE CODE: UA 'USE: UA
SUBDIVISION:z 0125 BLOCK/LOT#: 0/.
FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,000.00
FEES
Permit Fee 162.90
Total Valuation .00ynf/y`-f-,
Use -Tax 108.00 °~/~J\U7~J f
**'TOTAL ..270.90 n':
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT'. BE PERFORMED.
6 nail installation & mid-roof inspection required. Board sheathing spaced more
than ra 1/2 of an inch apart 'requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exterior walls.
***Contractor/Property owner. shall provide ladder(s) secured in place for
inpsections.
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
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.
Signature of contractor/owner 'date
2855
)WING BUSINESS DAY. '
INSPECTION RECORD OccupancvlTVpe
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 ION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Caissons
/ (CEG) Concrete
Ground
"
g or Monolithic
roof / French Drain
rvice Lines
vice Lines
YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
-
Mid-Roof
- -
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
- -
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PI
Framing
CITY OF WHEAT RIDGE
Insulation
11/05/09 2:13 PM cdba
Drywall Screw
- - ~Sterlinq -Management - -
RECEIPT NO:CDA003138
AMOUNT
FINALS
DPSP Reroof 30 sqs
270.90
093881
Electrical
- Permit Fee - -
162.98 -
Use Tax
100.00
Plumbing
Mechanical
PAYMENT RECEIVED
AMOUNT
MC 7250
270.90
Roof
Auth Code:
151431
Building Final TOTAL 278.90
-
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 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
:m:MyFax -Cindy Chumacas To:Application for Roofing Bldg. Permit (13032376929) 13:42 11105109GMT-05 Pg 02-02
i City of e Date: ///_5-/Q
`7~Theat
COMMUNITY dg DEVELOPMENT Permit
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property-Address:
Property Owner (please print):
Mailing Address: (if different than property
Address:
- 7a7,3
City, State, Zip:
Contractor S\ cr\ nc00~c w
Contractor License Q4644 7 Phone: ?,Po- 33E- 62,?lol
Phone:
Sub Contractors:
Company Name: License M Expiration Date: TradelProfessiorr Approval:
Use of space (description):- IF
Description of work:
Plan Review. (due at time of submittal): $
Sq. Ft./L.Ft added: Squares 3Q BTU's Gallons Amps
OWNERICONTRACTOR 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 fie spaction.
CIRLCEONE.: (OWNER) NTRACTO or PERSONAL REPRESENTATIVE of (CO TRATOR)
PRINT NAME _64~&L LlAM I&TC= SIGNATURE: Date:// S Q
1-7- 1 Bldg Valuation: $
Credit Card Payment: Use credit card listed on file. Date:
Print name: Signature:
3930 S,~„~ S-b, t-dl~esn~-nd,~e
~W City of Wheat Ridge
~ m
C~[ORp~ Residential Mechanic PERMIT - 070135
PERMIT N0: 070135 ISSUED: 02/26/2007
JOB ADDRESS: 3936 SIM415 STEXPIRES: 08/25/2007
DE5CRIPTION: water heater replacement - 50 gallon 40,000 BTU
CONTACTS
gc 303/757-5661 Larry D. Bell 01-7174 Bell Plumbing & Heating
owner 303/940-7273 Joe Meigs
PARCEL INFO
ZO$lE CODE : UA USE : UA
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SLThRQARY ESTIMATED PROJECT VALUATION: 940.00
FEES
Permit Fee50.40
Total Valuation •00 3r"!D
Use Tax . 16.92
**TOTAL 67.32
Comments:
Subject to field inspection
x hereby certify that the aetback dietancea proposed by thia pezmit application are accurate, and do not violate applicable
oidinancee, rulee or zegulatione of the City oY wheat Ridge or covenante, eaeemente or reatrictions of record; Chat all
measurements shown, and allegationa made are accurate; that I ha~e read and agree to abide by all conditiona printed on thie
Application and that I aeeume full responeibility for compliance with the Wheat Ridge Building Code (I.H.C) and all other
applicable wheat Ridge Ordinancee, for vrork under thie permit. Plana eubject to field inepection.
8ignature of contractor/owner date
1. Thie pemit wae ieaued in accordance with the provSeiona eet forth in your application and ie subject to the lawe of the
State of Colorado and to the Zoning Re9ulations and auilding Codea of Wheat nidge, Colorado or any other applicable
oidinancea of the City.
2, Thie permit shall expire 180 daye from the ieeve date. Requeate for an extenaion muet be received prior to expiration
date. An exteneion may be granted at the diecretion of the euilding Official. ,
3. If thie pemit expiree, a new permit may be acquSred foz a fee of one-half the amount normally required, provided no
changeehave been or will be made in the original plane and epecifications and any euspension or abandonment has not
'.exceeded one (1) year. IC changee have been oz if euapeneion or abandonment exceede one (1) year, full feea ehall
be paid for a new peYmit.
4. No work of any mantler ehall be done that will chan9e the natural flow of water cauaing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inepectione and ehall receive
written approval on Snepection cazd before proceeding with eucceeeive phaeee of the job.
6. The Saeuance of a peimit or the approval of drawinge and epecificatione shall not be conetiued to be a pemit for, noz
an approval of, ny violation o provieione of the building codes or any other ordinance, law, rule or re9ulation.
All plan revj~~e euh~t t~Jhepectione.
Signature ief Huilding fical date
INSPSCTION RSQIIBST LINB: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3YM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION UNE - 3103-234-5933
C1TY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
CO~ Vpp~ APPLICATION
Property Owner:
Property Address
Conrractor License No.:
Company:-// !J' ~1q F 17 7' ~
e Lc/af~ s~ . P,4 i ~l S
OWNER/CONTRACTOR SIGNATURE Of UNOERSTANOING ANO REEME4T
I here6y certity Nat the setback distances proposeC 6y ihis permit application are
accurate, and do nol violate applicaCle ortlinances, rules or regulations of the Ciry of
W heat Ridge or covenants, easements or restnctions of recortl; that all measurements
shown, anC allega[ions made are accu2te: thal I have reatl and agree :o aCide by all
cantlitions pnnted on this applicaaon- and that I assume full resGOnsibiliry fcr
[omplianc= with Ue Wheat RiAge Building Code (U.8 C) and a11 other aGGlirap!e
W heat Ridge OrCinances, tor w,Qrk unoer this per". r\ I
Building Permit Number.
Date:
Phone: _~U3/W
Phone:
)nstruction Value:3
Per,nit Fee:S a o
Plan Review Fee:S
Use Tar:S
TOi21:s
Description: Ileqlee
Sq. Ft. addad
CCMMENTS:
ApprovaC
Zoning:
3 Cu^MMENTS:
Approval:
L'ILD[NG DEPART>1EN'T CSE ONLY
W ORKS CCMMENTS:
Approval:
Walls: Roof: Stories:
SIC
Residential Units:
Sq. F;.:
i ~
Electricai License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approvai: Approval: Approval:
-(1) This pertnil was issued in accordance with the provisions set forth in your application and is sublec[ to the laws of the SUte of
Colorado and to Lhe Zoning Regula6ons and Building Codes o( W heal Ritlge, Cobrado or any other applicable ortlinances of
the City.
(2) This pertnit shall expire if (A) the work aulhorized is not commenced within sixry (60) tlays from issue date or (B) the builGing
aumonzed is suspended or abantloned for a penod of 720 days.
(3) If this pertnit expires, a new pertnit may be acpuired for a fee of one-half the amounl nortnally required, provided no changes
have been or will be made in the original plans anC specifications and any suspension or abandonment has not exceedetl one
(1) year. If changes have been or if suspension or abantlonment exceeds one (1) year, full fees shall be paid for a new pertnit.
(a) No work ot any manner shall be done that will change Ne natural Aow of water causing a tlrainage problem.
(5) ConVacror shall noUfy the Building Inspector twenry-four (24) hours in advance for all inspections and shall receive written
approval on inspec,ion carG he(ore proceetling wiN successive phases o( the joh.
(6) The issuance of a pertnil or the approval of tlrawings antl specifcations shall not be construed to be a permit br, nor an
approval of, any violation of the provisions ot the builtling cotles or any other ordinance, law, rule or regulatlon. ~
Chief Buiiding Official
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DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
9234
7/27/99
Property Owner :
Property Address : 3936 SIMMS ST
Contractor License No. : 18236
Company : Applewood Plumbing & Heating
Phone : 424-6713
Phone : 433 9983
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity 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 responsibilitv for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat ftidge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Use:
Description : Install A/C unit with 5 ton
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Construction Value :
$4,480.00
Permit Fee :
$111.25
Plan Review Fee :
$0.00
Use Tax :
$67.20
Total:
$178.45
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This pertnit was issued in aaordance with the provisions set forth in yopur application antl is subject to the laws otthe State of Colorado and to the Zoning
Regulations antl Building Cotle of Wheat Ridge, Colorado or any other applicable ordinances otthe City.
(2) This permit shall expire if (A) ihe work authonzetl is no[ commencetl within sixry (80) days from issue tlate or (B) ihe building authorizetl is suspended or
a6andoned for a period of 120 days.
(3) If this permit expires, a new permR may be acquired for a fee of one-half ihe amount normally required, provitled no changes have been or will be made in the
original plans antl specifications antl any suspension or abandonment has not exceeded one (1) year. It changes are matle or if suspension or abantlonment
exceeds one (1) year, full fees shall be paid tor a new pertnit.
(4) No work ot any manner shall be tlone that will change ihe natural flow of water wusing a drainage problem.
(5) Contractor shall notify the Builtling Inspedor hventy-four (24) hours in advance for all inspections and shall receive wntten approval on inspection rard before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval ot d2wings and specifcations shall not be constnied to be a permit tor, nor an approval of, any violation of the provisions
of the building codes or any olher ortlinance, law, rule or regulation.
Chief Building nspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPLICATIo N
Property Owner Ze
Property Address :39 36 S~ wi✓"~ S S'~` Phone 6>/3
Contractor License No. : I 9<.)_3 ~
Company:(~af,_,)c,e>d Phone:3o3 977-6S7/
OWNER/CONTRACTOR SIGNATURE OFUNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are aeeurate,
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 accurete; 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
Cotle (U.B.C.) and all other applicable Wheat RidAe ordinapces, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ~sj DATE
Description : ~"t~
\ti s 14 Q_
Construction Value : y y8o^
Permit Fee :
Use Tax:
Total :
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
Approval:
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :a ~
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This pertnit was issuetl in acwrdance wrth the provisions set forth in yopur application anC is subject to the laws of the State of Coloretlo an0 to the Zoning
Reguletions antl Builtlin~ Cotle of Wheat Ridge, Colo2CO or any omer applicable aNinances otNe Ciry.
(2) This pertnit shall expire if (A) the work authonzeC is not commenceA wiMin say (60) days from issue date or (B) the building authonzetl is suspentletl or
abantlonetl for a penotl of 120 Eays.
(3) If this permit expires, a new pertnit may be acpuireE for a fee of one-half the amount normally requireA, provided no changes have been or will Ee maCe in the
onginal plans and specificetions antl any suepension or aCandonment has not exceeded one (1) year. If chanqes are made or if suspension or abantlonment
exceeds one (1) year, lull fees shall be paitl for a new permtt.
(a) No work of any manner shall be done itiat will change the naW 21 Ilow of water causinq a d2ina9e problem.
(5) ConVactor shall notly the Building Inspector twenry-tour (24) hours in advance for all inspeclions antl shall receive wntten approval on inspecUOn card be(ore
proceetliing wiM successive phases of Me 1~00.
(6) The issuance ot a pertnit or the approval of 02wings anA specifirations shall not be construed to be a permit for, nor an aDGroval of, any violation of the provisions
of the building coCes or any other ortlinance, law, rule or regulatlon.
Chief Building Inspector
DATE• December 11, 1991
A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR:
3936 Simms Street
PURPOSE OF $TRUCTURE: sing1P family racidanrA
Building Dept. Approval:
Remarks:
Zoning Approval: CY--C~~1 ~Z--
Remarks:
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DATE: , 7
TO: PUBLIC WORKS DEPARTMENT
FROM: Building Department
RE:
The property at has been
signed off by the Building Department and is ready for a CO
inspection.
Once the inspection has been completed, please inform the
building department as to the status.
Thank you.
~I. .
,1~
~o
(OPTION D or E)
ESCROW AGREEMENT
LANDSCAPING
TO: City of Wheat Ridge
P.O. Hox 638
Wheat Ridge, Colorado 80034
The sum of One Thousand and no/______________________________________________
DOLLARS
1,000.00----) to be held in escrow with
(C3ty of Wheat Ridge, Option D)
(Hank, Option E)
until landscaping is completed at 3936 Simms Street
(Description)
Wheat Ridge, Colorado by
Cto~hPn nr R^ Pn 7.elie
(Contractor/Developer/Owner)
The City of Wheat Ridge shali have the absolute right to withdraw the
Escrow funds for the purpose of completing the landscaping of
3936 Simms Street
ShOUld St~n or xaren 7w7iP
(Contractor/Developer/Owner)
fail to complete or provide said landscaping prior to the date of
June 13, 1992
The only requirement to withdraw the Escrow funds in behalf of the City
of Wheat Ridge shall be a letter from the Planning & Development Department
of the City, executed by the Director of said Department and witnessed by
the Mayor of the City of Wheat Ridge. Said letter shall state that the
landscaping, as above set forth, have not been completed or provided by
Stephen or Karen Zelie
(Contractor/Developer/Owner)
and that the date of June 13, 1992
has expired.
(over)
(OPTION D or E)
ESCROW AGREEMENT
LANDCrnorun
-2-
ACCEPTED:
(Director of Planning & Develop nt Dep r ent - City of Wheat Ridge)
(Bank - Option E)
Address
Phone Number
Address
Date
(Contractor/Develope
~Jl'~"i ~S Sz' • 6
~vwner) -
~~r~2 (h
~'-/~C~, /j_ ~
Phone Number
Temporary Certificates of Occupancy for structures covered by this
agreement may be issued by the Mayor of the City of Wheat Ridge for a time
period not to exceed six (6) months upon acceptance of this agreement by
the City.
. INSPE4 "ONS WIL L
THIS CAF►I) IS POS'~ L~- ~N
BE MADE UNLESS
THE BUILDING SITE
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE 237-6944 Ext. 255
INSPECTION RECORD
JOB ADDRESS 3936 Simms Street Single family residence
BUILDING PERMIT N0. B91#4534 DAiE ISSUED 5%20/91 TYPE OCCUPANCY
OWNER i._ E. r`amnhell
CONiRACTOR Bullard Concepts 15558 W. Ellsworth Drive, Golden, CO 80401 279=7268
SETBACKS FROM PRGPERTY LINES: NORTH
SOUTH
EAST
West
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
I NSPECTION
DATE
I NSPECTOR
Foundations
Footin s
(o /
Caissons
Reinforcin orMonolithic
Weather roofin
, (1-/ 2
POUR NO CONCRETE UNTIL ABOVE HAS BEEN Si[;NFn
Concrete Slab Floor:
Elactrical Ground Work
Plumbin Ground Work
Heatin Ground Work
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Rou h Electrical - q ll~e
Rou h Plumbin
Air Test Gas Pi in ` ' : -
Rou h Heatin 8 Ventilation
~
(aoove musr oe sianea onor to tramrn(i in.cner.tinnI v
Framin
EHE
I d C'
Insulation
)
q c,/
Dr wall nailin
Roofin
Refri eration
Electrical under round
Final
Electrical Fixtures
Plumbin Fixtures
Heatin & Ventilation
Landsca e & Parkin
R.O.W. R Draina e
Fire De artment
Job Com leted
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE F
OCCUPANCY IS ISSUED ~
PROTECT THIS CARD FROM THE WEATHER 11
A
7500 WEST 291h AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-6944 EXT. 255 P.O. aox 638 BUILDIN6 INSPECTION DIVISION PERMIT N0. B91/I4534
- CITY OF WHEAT RIDGE, COLO. _
7HIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPELTOR AND TME MAYOR - CALL 24 HOURS PRIOR
TWO SETS T INSPECTIoN
OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCOMPANV THIS APPLICATION
BUSWESSNAME_Bnllard ('onc ntc ADDRESS_15SSR ki Fll surnr-th n 'r 1' roj
COPY OF DEED AND IMPROVEMENT SURVEY REOUIRED $.OS{.0.1-
REAR PRpPERTY LINE
w w
z
r >
a [ee att. plot plan w
o a
a 0
yw a
a w
a
N
FRONT PROPERTY LINE
~
SPECIFY NORTH
STREET NAME Cimmc 4t (CIRCLE FRONT) N E S W
SMOW DISTANCES fROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPER7Y LINES ON ABOVE SKETCH;
SHOW LEAST DIS7ANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
OWNERSNAME L.E.Camobell
CONTRAC70R Bullard Concents Lic. No. 14730
nookESS15558 W Ellsworth Dr PHONE 27 -7 68
cnr Golden Colo ZIPCODE8O4O1
LOT WIDTH /DO DEPTH /OS AREA 42. SOiZ+_
LEGAL DESLRIPTION
METES AND BOUNDS DESCRIP710N ATTACHED
ADORESS 3936 Simmc SY FTtip-r g{ •g eni
wr No. 43 BIOCN NOI
sueoivisioN Apnlewood McLmAgh] ; n~
INDICA7E THOSE OF THE FOLLOWWG OFF-SITE IMPROVEMENTS NOW E%ISTING: CurbBGuNer1S1reelPovlnpAWo}erlxSewer~kStamDroinope-A
HAVE ARRANGEMENTS BEEN MADE 70 PROVIDE FOR THOSE NOT NOW EXISTINfiYES_NO_
AR[ THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES_NO_
7c.L• fA-wi/GJ
~ EXTERIOR MA7ERIALS: WALLS AKWSlJ/MAOOF_S~i,/!/YES
UNITS r FEMARKS+
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
i heroDy c¢r1iTy fhof the above seiback disfances shown on fhis permit opplicofion ore accurate, and do not violate
v9pl¢able aainonces, rules or regulafions of the City of Wheot Ridqe or covenanfs, easemenis or rostrictiona ot re-
co,d; }hot all meosuremenis shown, and allegations mode ore occwuta; ihof I have reod and ogrea }o abiEe by all
condifons prinfed on ihis application, ond tkat I ossume full rasponaibility for compliance with the Wheat Rldqe
Building Code (U.B.C) and all other oDDlicobl~Wheat Ridg`yinonces, tor work under this permit.
(OWNER) (CONTRACTOR) SIGNED_
PERMIT FEE ` ~/j
USE TAX / SN /
a a.
DATE S--16- 9/
~ a sr.r
REM
-~vnvv v~rqrt i IvIGN I UJt UNLY
SQ. FT COST i~
THE PROPERTY
S
I
PRE/SEry~LY ZONED LY
' 5(
BASEMENT-ROUGH / 4 ( G iLIV 3 z
THE PROPOSED USE (_~.1$) ( IS NOT) ALWM'ED UNDER THE ZONING RDI IANCE.
BASEMENT- FINISHED
GROUND FLOOR &y° COMMENTS-
SFCOND FLOOR I-To 7 H 7 z,( ,3
GARAGE SO $ ~
OiHER
OTHEk t
U LDI COST $
ELECTRICAL PERMIT
~
PL
U
M
B
ING PERMIT
MECHANICAL PERMIT
_SiRTE NO.
CITY NO.
~
~
p
~
~
STATE NOi LQrL.! QTY N0. S, ~66
S(J Z z
PLANSREVIEWED (_OK)(_NOTOK)
PLANSREVIEWED (_qO(_NOTOK)
. pTY Np.
PLANSREVIEWED
(
p~O(
p4p7
NO PLANS NEEDED
NO PLANS NEEDED
_
_
_
0K)
NO PLANS NEEDED
fLANS NEEOED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE OF
ELECTRICAL PER~
M
IT__
PLUMBING PERMIT
MECHANICAL PERM
I
T
7
.
F'ERMIT ISSUED TO/GJ~LCLIkyr1eG
pERMIT ISSUED TO ~~i
~
/
pERM1T ISSUED TO
y[~
PER REQUEST AS PER PLANS NO
PER REOUEST AS PER PLANS N0.
,
PER REQUEST AS PER PLA/~5 Np
AS APPROVED AND ON FILE IN MY OFFICE
AS APPROVED AND ON FILE IN MY OFFICE
,
AS APPRpyED AND ON FILE IN fAV OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
DO NOT ISSUE PERMIT UNTIL CLEARED BY
DO NOT ISSUE PERMIT UMTIL CLEAf7ED BY
CMIEF BUILDING INSPECTOR
CHIEf BUILDING INSPECTOR
CHIEF BUILDING INSPECTOR
_CATE C RED BY_
DATE rLEARED BV
DATE CLEARED BY
HI BUILDING NS CTOR
F UILDING INSgEC7pR
CHIEF BUILDING IHSPECTqt
BY
BV v ' Z.i4~✓
,
~10
~
~
DATE-
1
DATE
DATE
RKS:
A
% 1\iL
Al1L4A
I~ j
111 TMIS PERMIT Wq5 iSSUED IN GCCORDANCE WITM THE PROVISIONS SET FORTH IN YOUR APGLICATION AND IS SUBJELT TO THE 41W5 OP THE STATE Oi COLOqA00
ANO TO THE ZONING REWLATIONS AND BWLDING COOE OF WHEAT q10GE, COLOXADO OR qNY OTHER qPPLICABLE OROINANCES OF THE CITY.
(2) THIS PEFMIT SH/LL E%PIRE IF (q) THE WOqN FUTHORRFD IS NOT COMMENCED WITHIN SI%TY (60) DAYS PROM ISSUE DATE OR (B) THE BW LDING PUTIIOFIZED IS
SUSPENpED OR F04NDONED FOF A pEq10D OF120 DAYS.
(3) IF THIS PERMIT E%GiRES, A NFW PERMR MqY BE ACOIIIFEDFOR 4 FEE OF ONEXALF THE GMOONT NORMGLLY REOUIRFD, PROVIDFD NO GMAHGES MAVE BEEN Oq WLL
BE M4pE IN THE ORiGINPL FLONS AND SPECiFlCAT10N5 AND ANY SUSPENSION Oq q8AN00NMENT Mq5 NOT E%CEEDED ONE (I)YEAR. IF CMRN6ES ARE YADE OP Ii
SUSGENSION OF 4BANDONMENT E%CEfDS ONE (I) YEAR, FULL FEES SHqLL BE PAID FOX 4 NEW PERNIT
(4) NO WOFN OF ANY MANNER SMALL BE DONE THAT WILL OBSTRIICT THE NATUF FLOW OP WATEF CAOSING A DFHINAGE PROBIEMLANDSHALL (S) CONTPCQOR SMALL NOTIFY THE BUILDiNC INSPECTOR TWENTT - FOUR (24) FS IN PDVANCF FOR L IN LTIONS RECEIVE WqITTEN PPPpOVAL
ON INSPE ON Lq BfFOFE PROCEEDING WITn SOWESSNE PH4SE5 OF T E JOB
PPROVED
CMIEF BUILDING INSPECTOR FOR MAYOR
3 73 r, -!L",T-j
-7 •
INSPECTION TICKET INSPECTION TICKET
doe JOB
l
ADDRE9S DDRESS
DATE: (2 ` 1 BLDCa. PERMIT# V.$ -31
PERMIT#
~7p
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. 9~" Z
TYPE OF INSP. c~~-
INSPECTION MADE ~ - / ^-e~
REMARK3 C~~
4
WA. FnpM zi0 ~
INSPECTION TICKET
~
JOB
c~v~tiWt~
ADDRESS 31C~36
/ ~09'/
DATE: 17 BLDG. PERMIT# u-53 u
PERMIT#
Q
BIDG. CONTR. OC-SUBCONTRACTOR
DATE INSP. REO. FJ `~Q
TYPE OF INSR
INSPECTION MADE
REMARKS_
CJ
W.R.FORM E19 ~
,57/
DATE: G- CBLDG. PERMIT# ~3`
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. /TYPE OF
INSPECTIO
REMARKS
INSPECTION TICKET
JOB
ADDRESS 393G
.,d9/
DATE: BLDG. PERMIT# `{S~55~
PERMITN
r
BLDG. CONTR. 4j T ~
SUBCONTRACTOR
DATE INSP. REO. / -
TYPE OF INSP.
INSPECTION MADE
HEMARKS
W.R. FOPM 6-19
INSPECTION TICKET
JOB
ADDRESS DATE: -I `I C) BLDG. PERMIT# 13 Y
PERMIT#
BLDG. CONTR.
INSPECTION TICKET
JOB
ADDRESS J y -3G
DATE: BLDG. PERMIT# PERM ITM
BLDG. CONTR.
SUBCONTflACTOR
SUBCONTRACTOR
DATE INSP. REO. ~ I~l--
TYPE OF INSP. ~i-
INSPECTION MADE
REMARKS O
rw~-
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Jos
ADORESS
DATE: 17 C/ BLDG. PERMIT# q ~-J y
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DATE INSP. REQ.
TYPE OF INSP`-1r' f_' '
INSPECTION MADE g
REMARKS 7/(
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FORM &19
DATE INSP. REQ. 1 y
TYPE OF INSP. .
INSPECTION MADE
REMARKS 9 aUYMiob C~
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ADDRESS
DATE: g✓ lO BLDG. PERMITM `7~3
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DATE INSP. REQ. y-6
TYPE OF INSP.
INSPECTION MAfDE
REMARKS
W.R.FORM &18
INSPECTION TICKET ~
JOB
ADDRESS a7
DqTE: C~ C
BLDG. PERMIT# PERMITN
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. qEQ. R Y~
TYpE OF INSP.
INSPECTION MADBf/
REMAqKS
W R FltO1., e_lo
\
INSPECTION tiCKET
JOB C
ADDRESS S"~/.~G dx-~~
DATE: BLDCa. PERMIT# '~~3 V
PERMIT#
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DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE_ `7-
REMARKS _ on/~
W.R.FORM E18
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ADDRESS 5;7-Y 6
DqTE: '~5
---~_BLDG. PERMITN Y
PERMIT# BLDG. CONTR.
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DqTE INSP. REO.
TYPE OF INSP.
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ADDRESS 3G
DqTE: `i S~
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DqTE INSP. REQ.1~2 -
TYPE OF INSP. /
INSPECTION MADE ~
REMARKS 12 ?2~
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ADDRESS
-/O BIDG. PERMITB y S "
DATE:
PERMITN
BLDG. CONT
SUBCONTRACTOR n,.
DATE INSP. REQ.
TYPE OF INSP. ~
INSPECTION MADE
REMARKS
W.R. FORM &19
,lCALE 90 , ~
9P.oLE/i/EW
.f'u,gp~✓/J/O/V
N 00 ~/O .yg {I /00 • 00
/D uT/A /TY f a/TC.✓ CJMT.
-
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NOO'i0'39 i'W /00. 00
~r~^F~•
s_.r r.e Be r
PLOT PLAN
uuiLoen+
,BULG.9i20 CONCE.oTS
HUFFSTUTLER ENGINEERING
SERVICE
INC
;
1'LAN N0:
APPPOVED:
14618 WEST 6ih AVE
,
,
NUE I
ADURESS:
OA7E: ia
GOLDEN, COI.ORADO 80401 ~
.~836
J'/MMS ~f'Ti2E T
_
HOU9E 9 ORADES
CNfCKED `
3UBDIVISION:M~L.~[/GNL/NS ~i°ALE'{✓OCp
EDATE:
19
DA7E: /7 199
MGS
DATE: 19
OT '¢'j
B~O
f Yf
BUILDER'S' SIGNATUPE
BY:
,
pYf V
I
_
CI
RIDOEWOOD
NO. JOB N0.
H I-60 -1
DEPARTMENT OF PLANNING & DEVELOPMENT
REQUEST FOR PUBLIC WORKS REVIEW
Date:
Location:
17/91 Case/Building Permit No.
ia•iF S;mmG Street
Please review the attached materials submitted in application for approval
of a building permit , and indicate your decision on those items
ctieck below, and please add any other comments which you may have under
number 16.
1. = Boundary C1~
2, C:] Area:
3. o Drainage:
a. Drainage
b. Drainage
c. Drainage
be:
)sure:=OK r7NOt OK; refer to Stipulations
Acres Square Feet
plan (and report) needed E-7
Plan not needed rJ
provisions have been reviewed and are found to
CIOK = Not OK; refer to Stipulations
4. L-D Legal Description: M OK C3Not OK; refer to Stipulations
if not okay, please explain:
5.Ca-Public Improvements:
a. Street Paving needed Y b. Curb & Gutter needed Y ~!v /
c. Sidewalk needed Y d. Street Lights needed Y f~~
e. Storm Sewer needed Y N f. Escrow required Y~J If
Escrow required, for what improvements? In what amount?
6. O
Development Agreement required
If Yes, for
7. Cl All necessary documents have been initiated by Public Works and are
attached hereto:
8. cl Is a traffic impact analysis and report required? Y N
9. i=3 New roadway or alley R.O.W. dedication is recommended:
Zf yes, what is recommended:
10.0 All existing dedicated roadways and alleys meet the standards of
the City:
If no, which do not and what is requested:
11.r-:3 All existing and proposed ded'ications have been reviewed and found
to be: t~ OK O Not OK; refer to numbers 8& 9.
12.FI Approvai: The Public Works Department has reviewed this request
and hereby gives its approval, subject to the above and/or attached
stipulations.
,w.._
i ure Da e
13. cj The Public Works Department has reviewed this request and does not
approve for the reasons stated:
Signature Date
14. [-j Stipulations attached: Yes No
15. O DEADLINE DATE FOR PUBLIC WORKS DEPARTMENT REPLY:
16. Summary Comments: _ T~~ 4c-'~ nenAs 4~ az!P4
Y N
pc/reqPWreview
rev.01/89
Reception Nu.
RCiOfdCd 91 _
o'duck _ M
ftecurdcr.
WARRANTY DEED
THIS DEED, Made this 29th day of June .19 90 ,
between
MIDWEST BUILDERS, INC.
a corFwruion duly organized and exisiing unJer and by VIfIIIC Of lI1C IaWs O( Illt SIeII'
of Colorado , granwr, and
L. E. CAMPBELL
whosr legal address is 15558 W. Ellsworth Dr.
Golden, Colorado 80401
ofthe •Coumyof Jefferson
, Slate ol Cularadu, grantee:
K'ITNESSETH, Thut the granmr, (or anJ in consideraiion o( the wm ol
ONE HUNDRED SEVENTY THOUSAND AND N01100 - - - - - - - - - - - - - - - DOLLARS,
the receipt and wfficiency of whkh is hereby acknowledgeJ, has grunted, bargained, sold unJ conveyeJ, and by the>e prcsems does
gram, bargain, scll, cunvey and conhrtn, umo the gramee, his heirs and acsigns (orecer, all the rcal propeny, togethrr with
improvements, if any, situate, lying and bting in ihe County of Jefferson
State o( Colorado, descnbed as fullows: '
Three
Lots , A Part of
MC LAUGHLIN'S APPLEWOOD SUBDIVISION, AMENDED
FULLY DESCRIBED AS PARCELS I, II, AND III IN ATTACHED EXHIBIT A- LEGAL DESCRIPTION
also known by street and number Vaeant Land
TOGE1'HER with all and singular ihe hereditamenu and appunenances therclu belunging, or in anywise appenaining, and the
revenion and rcvenions, rcmainJer and rrmainden, rents, iasuts and proliia lhercuf, and all lhe eswtc, righi, iille, intercst, claim and
Jemund whal5oever of the gramor, eiiher in Iaw or equity, of, in vnd io the above bargained premisas. with (he htredilamtnts und
appunenanczs.
TO HAVE AND TO HOLD ihe said premixs above burgained and Jescnbed wiih (he appunenance,. untu the graniee, his heirs and
sssigns furcvec And the granwr, for iiself. anJ iis weeeswrs, dors cocenant, gram, bargain nnd agrce tu and wi[h the gramer, his hein
and :usigns, ihat at ihe time of the enseuling and delivery of iheee presents, it is uell seiezd of the premi,rs abose cunrzyed, hus goal,
sure, ptAect, absolute and inde(easible esiaie o( inhtritsna, in laa, in lec >imple, and has gnod right, lull puwer anJ auihoriry to grant,
bargain, tiell and comey the snme in manner and (onn as aluresaid, and that ihr samr are Iree and clear irom all furmzr and uthtr erants,
6nrguins, sales, liens, t:ues, assessments, encumbrancea and res(rictions ol ahamvtr kind or nmure suever, except taxes for
current year and subsequent years; and subject to easements, restrictions,
reservations, rights of way, and restrictive covenants of record, or apparent, if any;
Tha grantur shall and will WpRRANT AND FOREVER DEFEND the aboce-b:ugained premix., in the yuiet and pzncesble
pouession o( the grantee, his heirs and assigns, against all and ecery xnon ur penons laaiull) claiming the uholz or anp pari ihercu(.
The singular numb,er shall include the plural, the plural the singular, and the ust ol nny grnder shall br applicuble m all ecnden.
IN~W{yU6'I~SSt1i'HF,REOF, The grantor has caused its corpuraie name w ba hercunm subxribad by iu
Rr~;ident:'andfiis-corate sral to be hercumo affixed, nuested by its SecreWry, the day and year hrst
'abnv'e wntW"o:i'; _
~P.eiest`/S.:
~ k.n~,>
CN
1~'
STATE OF COLORADO
Councyof Jefferson
The (oregoing ins«umem uas acknouledgrJ belore me in the
Statc of C 1
MIDWEST BUILDERS, INC.
BY ex . a
1 ]S.
Couni.v ui Jefferson
0 orado , ihis 29th day of June , 19 90
bY Rex L. Haag ~ Prcsidem
und as gu~kiqpe-M.,'Haag~.
°f Id.tDW§ST OILDERS, INC. a` Secre(ar),
My cajnmusion OxPrrqs "June 20, 1994 a corporaiiun.
. `
4851 Independence Street 11 228
y.
qJart.~
'I(inDenver,~imen"Ciiy~and." Wheatridge, Colorado
Nu, iON. IZev. S•W. NARNASTY DEED ICu,poryuunl tlnJi.,rd H,pi t p Sn]£ N Lip { c L.1c...U. CO eU'_IJ - fuL'1).eMp .
a~ .
7
~ .
Westridge Sanitation Distric[
3705 Kipling S[reet • Sui[e 101
Whea[ Ridgq Cobrado 80033
(303) 424•9467
May 16, 1991
To Whom It May Concern:
Sewer service is available to lot 29, lot 42
and lot 43 of the McLaughlin Applewood Subdivision.
Service is provided by Westridge Sanitation District.
Westridge Sanitation District
/1----~-~c~
Madge Kulp, Office Manager
fflwt1Li1 I-wPazC2mr'L
....tsi~uu wuncy~ _
~Certitiute of Matsr and SeKr S°r°ice xvail&hd2tty
ress
ci.mit Ho.
43
McLaughlins A:
sv~vision
t be Ijrued ritbout this CeKificate of Sawe= ar~d
Appli~t: gu11d~y permit ri11 m
XuPP19inyi~ Ayailabilitg stqned by tte Disiriei or age+~cy 4 ierviees.
~
yiLG
& ) iRTER SER9IC.S Jl97LI7A8LE
y~ af ga~sitauon Distsict or .'lgency
f 3 sEWER .sExvscs avazzatsZ.E
copmenu oz Conditions:
coments or Conditions:
IberebY Ccrti-'y that evai2abi2,It9 of sezviee is as tadicated above•
Date
Signature of authorized a9enz
son Couaty Health DepL.: Sygnature Date
Mater District or .19u+c9
f 7 SEWER SERVSCE NOT AVRTIABLE
ZNDMDU7,y ,SEWAGE PERNIT X0. _
( ) WATER SERVICE NOT AVAI:.7i8LE
CDIARADO WE'~ PER''ST NO -
Shenby certify tyat availabiSitg of service is as indlcated above.
Dete
Signe e of ~uthonzed ag~t
M:
rson Countg Health DeP=.: Date
,Signature