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HomeMy WebLinkAbout3940 Simms StreetCity of Wheat Ridge E -Res. Window Replacement PERMIT - 202101214 PERMIT NO: 202101214 ISSUED: 06/08/2021 JOB ADDRESS: 3940 Simms St EXPIRES: 06/08/2022 JOB DESCRIPTION: Replace windows in kitchen (1), living room (2), mudroom (1) and office (1) with .30 or better u -factor *** CONTACTS *** OWNER ( 3 0 3) 809-8347 NE POMUCENO AMY KATHLEEN GC (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,125.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 254.63 ** TOTAL ** 304.63 *** 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 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Window Replacement PERMIT - 202101214 202101214 3940 Simms St Replace windows (1) with .30 or in kitchen (1) , living better u- f actor ISSUED: 06/08/2021 EXPIRES: 06/08/2022 room (2) , mudroom (1) , and office I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally 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 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 requ�ired 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 �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 06/08/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. RENEWAL byANDERSEN" Order Summary dba: RENEWAL BY ANDERSEN OF COLORADO Legal Name: Window Warmth LLC I License # CO244783 1401 W Bayaud Ave, Suite 7 1 Denver, CO 80223 Phone: 303-217-4100 1 Fax 303-217-4099 1 rnansen@renewalcolorado.com Measure Tech: Brian Andrews, Image 1 Image 2 JOE NEPOMUCENO 3940 Simms Ct Wheat Ridge, CO 80032 H:(720)480-37611 C: Image 3 04/09/21 Page 3 / 13 RENEWAL brANDERSEN'" Sales Jeff Zapp Tech Brian Andrews Product Order Form dba: RENEWAL BY ANDERSEN OF COLORADO Legal Name: Window Warmth LLC I License # CO244783 1401 W Bayaud Ave, Suite 7 1 Denver, CO 80223 Phone: 303-217-4100 1 Fax 303-217-4099 1 rnansen@renewalcolorado.com Measure Tech: Brian Andrews, windows 5 Specialty 0 Patio Doors 0 Misc. 1 JOE NEPOMUCENO 3940 Simms Ct Wheat Ridge, CO 80032 H:(720)480-37611 C: Floor Insert Ext. Checkrail Perf• Exact Exact Sill Ext. Int. Glazing Glazing Glazing Sash Hardware Grill Grille Lites Lites Screen Plan Product Ext. Trim Order Order Sash Ratio Lifts Locks Hardware ID# Frame Jamb Style Upgrade Width Height Angle Color Color S1 S2 S3 Oper. Style Pattern Type S1/S3 S2 Type 101 GL NO NO 47 42" 1:1 BK BK X3 X3 HP 1 AP Standard Black S Floor Insert Ext. Checkrail Perf• Exact Exact Sill Ext. Int. Glazing Glazing Glazing Sash Hardware Grill Grille Lites Lites Screen Plan Product Ext. Trim Order Order Sash Ratio Lifts Locks Hardware ID# Frame Jamb Style Upgrade Width Height Angle Color Color S1 S2 S3 Oper. Style Pattern Type S1/S3 S2 Type 101 GL NO NO 47 42" 1:1 BK BK X3 X3 HP 1 AP Standard Black S 34„ Additional Options: NORMAL OPENING Mlsc: Wdw - R&C - Pine (With Sill) Order Notes: Floor Insert Ext. Checkrail Perf• Exact Exact Sill Ext. Int. Glazing Glazing Glazing Sash Hardware Grill Grille Lites Lites Screen Plan Product Ext. Trim Order Order Sash Ratio Lifts Locks Hardware ID# Frame Jamb Style Upgrade Width Height Angle Color Color S1 S2 S3 Oper. Style Pattern Type S1/S3 S2 Type 102 GL NO NO 47 60" 1:1 BK BK X3 X3 HP 1 AP Standard Black S 34„ Additional Options: NORMAL OPENING Mlsc: Wdw - R&C - Pine (With Sill) Order Notes: Temper - Step. 04/09/21 Page 12 / 13 RENEWAL brANDERSEN'" Product Order Form dba: RENEWAL BY ANDERSEN OF COLORADO Legal Name: Window Warmth LLC I License # CO244783 1401 W Bayaud Ave, Suite 7 1 Denver, CO 80223 Phone: 303-217-4100 1 Fax 303-217-4099 1 rnansen@renewalcolorado.com Measure Tech: Brian Andrews, JOE NEPOMUCENO 3940 Simms Ct Wheat Ridge, CO 80032 H:(720)480-37611 C: Floor Insert Ext. Checkrail Perf• Exact Exact Sill Ext. Int. Glazing Glazing Glazing Sash Hardware Grill Grille Lites Lites Screen Plan Product Ext. Trim Order Order Sash Ratio Lifts Locks Hardware ID# Frame Jamb Style Upgrade Width Height Angle Color Color S1 S2 S3 Oper. Style Pattern Type S1/S3 S2 Type 103 GL NO NO 47 60" 1:1 BK BK X3 X3 HP 1 AP Standard Black S 34„ Additional Options: NORMAL OPENING Mlsc: Wdw - R&C - Pine (With Sill) Order Notes: Floor Insert Ext. Checkrail Perf• Exact Exact Sill Ext. Int. Glazing Glazing Glazing Sash Hardware Grill Grille Lites Lites Screen Plan Product Ext. Trim Order Order Sash Ratio Lifts Locks Hardware ID# Frame Jamb Style Upgrade Width Height Angle Color Color S1 S2 S3 Oper. Style Pattern Type S1/S3 S2 Type 104 GL NO NO 47 48" 1:1 BK BK X3 X3 HP 1 AP Standard Black S 34„ Additional Options: NORMAL OPENING Mlsc: Wdw - R&C - Pine (With Sill) Order Notes: Floor Insert Ext. Checkrail Perf• Exact Exact Sill Ext. Int. Glazing Glazing Glazing Sash Hardware Grill Grille Lites Lites Screen Plan Product Ext. Trim Order Order Sash Ratio Lifts Locks Hardware ID# Frame Jamb Style Upgrade Width Height Angle Color Color S1 S2 S3 Oper. Style Pattern Type S1/S3 S2 Type 105 GL NO NO 3 4„ 48" 1:1 BK BK X3 X3 HP 1 AP Standard Black S Additional Options: NORMAL OPENING Mlsc: Wdw - R&C - Pine (With Sill) Order Notes: 04/09/21 Page 13 / 13 From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Date: Monday, June 7, 20215:51:28 PM Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 3940 Simms ct Property Owner Name Joe Nepomuceno Property Owner Phone 720-480-3761 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed. Address Attach City of Wheat cc auth nenomuceno Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Seiler Construction Name Contractor's License 180220 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 Email Address Retype Contractor Email Address DESCRIPTION OF WORK What is being replaced Number of window and/or doors being replaced Location of window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): Ki8xMt1�1�ti mbeaudoin@renewalcolorado.com mbeaudoin@renewalcolorado.com NVA Morel, 5 1 kitchen 2 living 1 mudroom 1 office What is the u -value of .30 or better the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. Attach copy of window/door cut sheets showing sizes and u - value neoomuceno soecs.odf Project Value (contract 12125 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 Yes been 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 Mackenzie Beaudoin Permit Email not displaying correctly? View it in your browser. The City of Wheat Ridge Third Party Form Check List Property Addressp Y U S i .v► vn 5 5 �" Permit Number Permit Issued Date l C� -fes ? 0 r 7 Owner Information Property Owner Information Property Owner Address 3 Y 0 S 1.-7 rr-"l 5 T Inspection Company Inspector Name Inspector Contact info. u ' Z -L, C_ fir`, /a 4a, e 6 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 Wheat Ridge Policies and Procedure and Manufacturer's recommend ons a ific tions. Inspector: � � / �� +cr,(Date: _// - l '/ 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 inspection company to perform my roof inspection 47'fuilcin lieu of the City of Wheat' Divi iosp Propery Owner/Agent: Dater 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 n. saection ❑ N/A ❑ Pass ❑ Fail I❑ N/A to Pass ❑ Fait Structural roof components t. 1 N/A 1A Pass ❑ Fail Verify that no more than 2 layers of shingles exist N/A U' Pass E] Faii dashing for roof and walls ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the ❑ NJAPas permit description (Valuation must be adjusted) C] Fail Verify sheathing nail pattem (Soo policy .& Procedur ❑ N/A Pass ❑ Fail Crickets and saddles where needed 'OS ❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as i ❑ N/A �- Pass ❑ Fail Verify vent caps pipe ❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A ❑ Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ,QNJA ❑ Pass ❑ Foil Verify scuppers allow for proper drainage ❑ N/A Pass ❑ Fail Ice and water shield 2` in heated wall spaces ❑ N/A � Pass EJ Fail tdnderla ❑ N/A Pass yments must follow 2012 IRC / 2012 IBC ❑ 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 rof ❑ N/A Pass ❑ Fail Dripedge shall be mechanicaly fastened 12nOCeck _,,EIN/A ❑ Pass ❑ Fail 90 LB roil 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 N/A ❑ Pass ❑ Fait Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 NIA ❑ 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 metal p®off warranty with the address on the leiter for final inspection �I}y��cgB�s Reax�ir�rrlrtaen�s N/A LJ Pass Fail Metal roof ahingleS Shall not be installed on slnpe less 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail 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 the shall have a min. 2-9/2:12 slope Slopes 4:92 and under require double underlayment G he City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company WaFtte; f Inspector signature: ©ate of Inspection: The City of Wheat Ridge Inspection Check List notes Final Roof Roof Irtsoe%t ❑ NIA ❑ Pass Q Fail Q N/A ❑ NIA A Pass Pan Q Fait Structural roof components NtA ❑ Fait ❑ Fait Verify that no more than 2 layers of shingles exist Flashing for roof and walls ❑ Pass ❑ Fail if new sheathing is installed verify that it is listed in the ❑ N/Apermit description (Valuation must be adjusted) Q Vass ❑ Fail Verify sheathing nail pattern (See Policy & Prneadura—q) NSA ❑ N/A Pass Q Feil ❑ Fail Crickets and saddles where needed ❑ NIA14. Pass Verify B vent must have boot same gauge as pipe O N/A ass ❑ Fail ❑ Fail Verify vent caps Verify no flashings are dams � g damaged or rusted Q N/A JD -14/-A l�-Pass ❑ Paw ❑ Fail ❑Fail Step flashing shall be min. of 4x4iece P per Shingle Q NIA ❑ Fall Verify scuppers �Y ppers allow for proper drainage Ice and water shield Z in Q N/A /Z'Fass ❑ Fail heated wall spaces Undedayments must follow 2012 IRC / 2012 IBC Q N/A 1EI-Pass Q Fail Verify roof slope for proper drainage ❑ N/A '0 Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A ❑ WA Jig Pass Pass ❑ rail Q Fail Dripedge should extend down min 2" roof deck Dripedge /�' ❑ Pass Q rail shall be mechanicaly fastened 12" OC 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 ' NIA ❑ Pass ❑ ❑ Fail 1:12 Modified Bitumen, EPDM, TPU min slope 114:12 slope NIA Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 NIA ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 114:12 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 Meatal MOW Shingles Recauirerirl<ents /A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less (NWA 3:�2 /A Pass ❑ Pass ❑ Fail 0 Fall Metal valley flashing shall be the 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 rile Roofs a min. of 4" Reauirernents Nis Q Fess ❑ Fail Clay and concrete file shall have a min_ 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge inspection Check List notes Final Roof ........ ....... Company Name: Com_ Inspector signature: Date of Mspection; LIO 4 INSPECTION RECORD Inspection online form: http://www,ci.wheatridge.co.us/ins ecti Cancellations must be submitted via the online form before Inspections will not be performed unless this card is posted e co.us/inspection Request an inspection before MIDNIGHT (ed u PM tot i Phe day of the inspection the project site PERMIT:'. freceive an inspection the following business day ` ADDRESS: °' (t �; m�,s JOB CODE: Foundation Inspections Date Inspector 102 Caissons / Piers Initials Comments 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector 201 Electrical / Cable/ Conduit Initials Comments 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections 313 Rough Plun 314 Rough Plurr 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS :RMIT: igh Inspection (continued) Roug Mechanical MM hanical Residential Rough Mechanical Commercial 4 Boiler 1 Furnace Hot water tank Drywall screw and Nail 1 Moisture board I shower walls 2 Rough Grading !3 Miscellaneous inal Inspections ADDRESS: Inspector Date Initials 02 Gas Meter Release 03 FinEElectrical rical Residential 104 FinCommercial 105 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 LandscapelParklPlanning* 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. l Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* ection ri Date Inspector Initials JOB CODE: Comments Comments 01 Inspections from these entities shall be requested one week in advance. ections please *For landscaping and parking insp call 303-235-2846 lease call **For ROW and drainage inspections p 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 418 Building Final Insp Fire and Building roved by Planning, Public Works, occupancy is issued. Approval of the Final Building Inspection does not Note: All items must be completed and app ' before a Certificate of p constitute authorization of occupancy. inspections are completed by the Fire District and For Low Voltage permits please be sure that rough Electrical low voltage by the Building Division. ► ' , City of Wheat Ridge Residential Roofing PERMIT - 201708138 PERMIT NO: 201708138 ISSUED: 10/10/2017 JOB ADDRESS: 3940 Simms ST EXPIRES: 10/10/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 37 sq Pitch = 10/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)809-8347 NYGAARD DIRK SUB (720)999-4882 Robert Anderson 170321 Recon Restoration LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,509.00 FEES Total Valuation 0.00 Use Tax 199.69 Permit Fee 204.30 ** TOTAL ** 403.99 *** 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 - 201708138 PERMIT NO: 201708138 ISSUED: 10/10/2017 JOB ADDRESS: 3940 Simms ST EXPIRES: 10/10/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 37 sq Pitch = 10/12 (3rd party inspector required) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perform ddaanndd that all work to bb lDioegally disc sed in this document and/or its' accompanying approved plans and specifications. : ' L/ 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, po plans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building OfNiff ' Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. -- Recon Restoration LLC Roofing I Construction I Remodeling 6170 Falcon Lane, Morrison, CO 80465 720 -999 -4882 ROOFING AND GUTTER SPECIFICATIONS Owner: Date: 1 / '�?' Av" z�/ 7 Address: _City: State: Zip: Zip: Daytime Phone: 3 Evening Phon6' Email Address: �►!-, :'L-'kz� Ilk 1---, -1 — . ;; Claim #: Buildings Involved Tear off Existing Underlayment. Drip Edge LF and Color Step Flashing LF and Color I 14 Vents PW,-,A-UVP�Olum-bing Stacks i ga Valleys L05 Shingle Brand Shingle Style L---` Shingle ColorJ Material Placement Dumpster i Decking Replacement Chimney Flashing Gutters LF and Location �� I,-- Downspouts LF and Location Gutter ColorI ,!& Downspout Color- Additional Specifications: OWNER'S SIGNATURE DAT E/\� OWNER'S SIGNATURE DATE Recon Res, SIGNATUR Subject to Recon Restoration Management Review www.reconrestorationllc.com DATE Owner:_ o Address: Daytime Phone Email Address: Recon Restoration LLC Roofing I Construction I Remodeling 6170 Falcon Lane, Morrison, CO 80465 720 - 999 - 4882 RESTORATION CONTRACT ', r . i 1 Owner agrees to pay Recon Restoration, LLC for the work performed as detailed on the attached specifications as follows: $; ,!. f, , . plus supplements and permits paid by the owner's insurance company for all work performed. $ due upon signing this contract. $ due upon first material delivery. Balance due upon final completion of project and funds received from the owner's insurance company. Upgrades of $ shall be paid prior to the start of work. Recon Restoration, LLC agrees to perform all work detailed on the following specifications in accordance with applicable building codes and ordinances for the owner at the said address. a Roof and Gutter Specifications _ Window Specifications General Specifications By signing below, the right and power to contract for such services is represented by Owner and this becomes a contract be- tween Owner and Contractor. Owner has read and understands the terms and conditions on the reverse side of this contract. Owner understand that any person or company has the right to file a lien against your property if not fully paid for materials and labor supplied for this improvement to your property within 120 days upon the completion of the work. Recon Restoration, LLC will obtain and furnish lien waivers for each trade upon request. Owner authorizes owner's insurance company to communicate with Contractor and authorizes owner's insurance company to assign payments directly or jointly to the Owner and Contractor. Additional Specifications: DATER �"- (? -17 OWNER'S SIGNATURE DATE Recon Res- SIGNATUR Subject to Recon Restoration Management Review www.reconrestorationIIc.com DATE -,-7 170 Dane Lovett �� V From: CommDev Permits Sent: Friday, October 20, 2017 10:39 AM c� To: Dane Lovett; CommDev Permits Subject: FW: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed C You can issue this permit. He updated his licensing. Thanks, From: no-reply@ci.wheatridge.co.us [no-reply@ci.wheatridge.co.us] Sent: Friday, October 06, 2017 11:36 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 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 3940 Simms St. Property Owner Name Dirk Nygaard Property Owner Phone 303-809-8347 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email dirk@resignature.com Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Nyaaard Contract .pdf Contract CONTRACTOR INFORMATION Contractor Business Name Recon Restoration Contractor's License r' 170321 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number 720-999-4882 (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary 6170 Falcon Lane Morrison address of your business) Contractor Email Address reconrestorationllc@gmail.com Retype Contractor Email reconrestorationllc@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of the 37 entire scope of work: Project Value (contract 5400.00 value or cost of ALL materials and labor) v Are you re -decking the roof? No Is the permit for a flat roof, Pitched roof (2:12 pitch or greater) pitched roof, or both? (check all that apply) What is the specific pitch of up to 10/12 the PITCHED roof? 22 How many squares are part 37 of the PITCHED roof? Describe the roofing Asphalt materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional detail House Roof here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes 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 may Yes not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Robert Anderson Email not displaying correctly? View it in your browser. 23 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. v INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB ION INSPECTIONS DATE aissons 7Stemwal[/ (CEG) Concrete round Sheathing =INSPECTOR g or Monolith ic Lath / Wall tie oof / French Drain Mid -Roof vice Lines Electrical Service Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. 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 Fire Department Electrical Service Rough Electric INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Plumbing * * 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. Gas Piping Rough Mechanical - Framing ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department ROW & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping I * * 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 VGGUVANGY IJ IJJUCU PROTECT THIS CARD FROM THE WEATHER e e CITY OF WHEAT RIDGE ' Building Inspection Division ]~1303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 FaX INSPECTION NOTICE Inspection Type: v 0 Job Address: ~i fG1 i~z , a~ ✓ .S 0 Permit Number: O ❑ 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: 3f ///j Inspector: 77DO NOT REMOVE THIS NOTICE ~oFw"~r~a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033. . Office: 303-235-2855 * Fax: 303-235-2857 °I ~o~otxaoo Inspection Line: 303-2A45933 0- Ao Building Permit Application Date: (1 g U I U,Y Plan v P•grmit Property Owner (please print): W Zt < bat, tiR. 4 z4dLue Phone: ~'~z3'S5P(o Mailing Address: (if different than property address) Address: City, State, Zip: (,t ur-&,t X0033 Contractor License l'Iq 0D 3 Phone: ?03-4z5--/ 6 WHISMEM Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of s ace descri tion): hea~L- 0" c~F d`°J Construction Value: $ 6t9, 605,av (as calculated per the Bulldination Data sheet) £lfC'. ~dGhaL~z"Tv~t 50 v t-4 - Plan Review (due at time of submittal): $ Sq. Ft./L. Ft added: Squares 31 BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements:-shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that'l 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:: (OWNEt CONTRACTOR r PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: bate: 55/0 I 7500WEST29thqyENUE DEPARTMENTOFCOMMUNITYDEVELOPMEN7 234-5933 P.O.BOX638 BUILDING INSPECTION DIVISIpN PERMIT VALID ONLV wHEN SiGNED Bv THE ~H;EFCTYnOF WHEAT RIDGE, COLO. PERMIT N0. ME94#5853 JOB ADDRESS 3940 Si.rtuns APPLICATION FOR MIS CONTRACTOR Denver Burglar AIdL'Iti ADDRESS 1955 Sherman St. cirv Denver 80033 PHONE ZIP CODE Z92_ZZZZ 1- LICENSE NO. 7142 PTED OWNER IY°''L bendever ADDqESS 3940 Sl.l[HI1,9 PHONE 947-8420 ZIP CODE 80033 CONTqqCT PRICE $ ' DATE Au9U-t 9 1994 1. TYPE Ground ❑ _ ll❑ W I ~ 2. MATERIAL SIGNS a proietfinp❑ OMtr 5 a o Foe, 3. ILLUMINATION Ya❑ No❑ Typs Tofol SQuon paaf 4. SET BACK PROM PROPER7V LINE N S ElK}. Parmit No. (SDkify whitA is fronl) 1 E a ~ W ~ ❑ Zon~ A7Drwo0,Zone Inspettor . TYPE SolidO Mo11 TAOn BO % ODenO ~ D180Pap'ad . MA7ERIAL FENCES ' Less TAan 80% Open 3. SET BACK FROM pROPERTY LINE N Heiphf (SDecify whitA it front) Intl a 5~_ E ~ ~y ~ ❑ Zon~ q DWaW,ZoM lespeeta i. s a 1 security alarm system with one 1 D~s~D~~ 2 ~ ) smoke detector. OTHER 3. DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,pR OTHER STRUCTURE, GIViNu D1STANCES FRQM ppppEpry LINES. (SETBALKS OR PROJECTIONS INCWDED) ~ SPECIFY NORTM STREET N4ME SHOW OISTANCES FROM TF/E MAIN BUILDING TQADJOINING HpU5E5, STREETS, AND PROPERTV LINES; ON IRREGULAR IATS, SMpW i cecr DISTANLE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANf;E. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT iHIS APPLICATION WILL BECOME A PERMii TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY iHE BUILDING INSPECiION DIVISION. - PERMIT WILL EXPIRE 180 DAYS FROM THE DAiE OF ISSUANCE IF WORK IS NOT STARTED WITHIN iHAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. METER _ q /ICF - A MOTORS TRANSFORMERS 9 4DDITION TO OLD V NOTORS OVER I HF I Aareby ocknowledqe thot thie oDGlico- i0n ik torrect ond understond thof I annot srarr tnis projecr unti, fnis appfi- afion is opproved. I sAOll comply wifA 10 lowa of Ihe Stofe of Colorodo and to +s ZoninQ Requlofiona ond Buildinp ode of}Ae Cify of Wheot RidQe. Any olotion of the above terma will couse imediote revocahon of tn;s permit pfioaef. slone1 w. PLUMBING PERMIT MECHANICAL PERMIT STATE LICENSE NO BOWL ru~+~:ED AIR iua HOT WATER e--+--I-I-I ~ 1 STEaT- M GARBAGE DISP WATER HEATER AUTO. WASHER DISH WASHER FLDOR DRAIN URINAt, SEWERS OTHER PERMIT FEE 45.00 NOT VAUD UNLESS RECEII USE TAX License # C-01084 m TOTAL FEE $ 45.00 ADOOh\i~n i _ _ CHIEF BUILDING APEC70R,City of Wheat Ridqe CALL 234-5933 Date Issued U~ ~ F24 O URS IN ADVANCE OR INSPECTIONS DEPARTMENT OF COMMUNITY DEVELOPMENT 75poWEST28thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94#19187 234•5933 P.O. eoX638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WNEN SiGNED BY TNE CHiEF BUILDING iNSPECTOR AND RECEIPTED BELOW. APPLICATION FOR MISCELLANEOUS PERMJ,i ' S ) e (l yr OWNEF h/ r JOB ADDRESS ADDRESS ~S~S•~ w/` I~i'l~~,C!'%Y/ CONTRACTOR f~ I PHONE ZIP CODE ~¢1 ADDRESS _ DE I CE $ CONTRACT PR CITY ZIP CO ~ j P_ GYi.'J (i' ~.iec 17ATE ,J -n vrvt - li❑ Proieotinp❑ 01her SorOFOu 2 SI W ❑ o ~ 7_ 1. TYPE GrounA 2. MATERIAL Total Squort F"t Pomit No El ef ❑ ❑ SIGNS . . e No TYDe 3. ILLUMINATION Ya 4. SET BACK FROM PROPERTY LME N__ 5_ E_ W Zone__ AOMrnad.Zme Intpeator Droved ❑ ❑ ❑ ❑ Diso p h is f ronl ) hit (SPocify w / ^ L TYPE Solidlld" Mon Thon 80% OpenO Lns Thon 80% Open MATERIAL e, HeipM ~ ? FENCES , 3. SET BACK FROM PROPERTY LINE N= S= E.1L W ~L Zau prw one Inspeeta i Drovsd ❑ ❑ , L~f O (SPaci}ywhieh iefront) ❑ 1. OTHER z' 3. DRAW SKE7CH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhG DISTANCES FROM PROPER7`I LINES. (SETBACNS OR PROJECTIONS INCWCIED) w Fi; J Y F2 ~ ~ ~ y~ SPECIFV NORTN SHOW DISTANCES FROM THE M41N BUILDING TQADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LATS,SHOW Leecr DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR pVERAGE DISTANCE. _ APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY l1PON VALIDATION BY THE BUILDING INSPECTION DIVISION. oFannii wii i FXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT LUMBING PERMIT MECHANICAL PERMIT STATE LICENSE N0. ICENSE N0. ALUMINUAIWIREUNDERSIZEBIILEGAL BSM IST 2ND 3RD 4TH N0. FUELCirCIedMGGia~R7PaM EIscSda T FORCED AIR - BTU TEMPORARY METER j FpT WATER - BTU NEW SER VICE - AMPS STEAM - BTU CHANGE SERVICE-AMPS AIR CONDITIONINC-BN LIGHTING OTMER HEATING SP REFRIGERATION SYSTEM PpWER SUB-GFCUITS WER Refri eront GrouO UTILITY(RANGE,DISPOSER,E7C) AUTO. WASHER Fbunda CMr s DISH WASHER AUTOMATIL SPRINKIER SYSTEM FIXTURES WIRIN6 MOTORS 9 CONTROLS FIDOR DRAIN ELEVATOR $IGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAI FIXTURES lico- ni PERMIT FEE p'j ;1, GYJ NOT VALID UNLE55 RECEIP ~ N~~ e aD0 I Aereby ocknowledpe that t t I h o tion ia correct and underatand t USE TAX connot stert tme vroied until tnis appli- ~y totion is oDVroved. I snall comDlY with TOTAL FEE a(~ Me lows ot the Slate o! Colorado and to ths Zoninq Requlotions ond Bwldin0 PROV c#~& q 9 Code of tAe City oi Wneat Ridpe. Any se dl ~SA D T of t Ridge GHIEF BJJiLD1NG INSPE cau violotion of the obovs terma w 1 immediate revocation o( this Dermit CALL234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS Date Issued ~OO~~<an1. 9io~aN . STREET N4ME ~ ` 75001NE5T 291h AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-69E4 EXT. 255 P.O. BOx 638 BUILDING INSPECTION DIVISION PERMIT N0. B92I/4697 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONL7 WHEN SIGNED BY THE CMIEF BUILDING INSPECTOR AND THE MAYOR - CALL 4 H TWO SETS OF BUILDING PLANS AND TWO PLOT 7LANS MUST ACLOMPANV THIS APPLICATION BUSINESS NAME Bullard Concepts ADDRESS 15558 W. Ellsworth Dr. LOPY OF DEED 4NDIMPROVEMEN1 SURVEY REOUIRED - ~ SPECIFY NORTH STREET (CIRCIE FRONT) N E S W SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH; SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE. OWNERS NAME L. E. Campbell LEGAL DESCRIPTION CONTRACTORBll118Td CORCBIJCS LIC.NO.1SJSZ METESANDBOUNDSDESLRIPTIONATTACHED ADDHESS 15558 W. ELLSWOYtIl Dr pHONE 279-7268 ADDRESS 3940 Simms Street arr Golden 80401 42 ZIP CODE LAT N0. BLOCK N0. I.OT WIDTH DEPTH _ AREA sueoivisiorv McLaughlin S L~m2W00C1 INDICATE THOSE OF THE FOLLOWING OFP-SITE IMPROVEMENTS NOW EXISTING: Cur68GuHer-X Sireet Pavlnq?{ Wofer X Sewer X Sfam Droinoqe3{ HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW E%ISTING- YES_NO- ARE -?iiERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES X N0._ occu%NCr_ Single familv residenceE%TERIOR MATERtALS'WALLS Frame ROOF Sildit0 Ir- $TORIES__? UNITS_ 1 REMAFKSOWNER/CONTFACTOR SIGNATURE OF UNDERSTANDING AND FGREEMENT f+ereby certity thot fhe a6ove setback distances shown on this permif application are accurafe, and do noi violote ,pP!!cuble o!dinances, rules or raqulations of Me City of WAeat Ri]qa or covenonis, easements or resincfiona of re- r.od; rhat all measuramenis shown, and allaqations made are accurate; ihot I hove read ond agree to abide by oll ronJitions printed on fhis application, and ittat I ossume full rssponsibility for compli nce with the Whwt Ridqa 6uilCmg Cotle (U AC ) antl all other apphcable W t Ridga orEiJs, for Awor n r th parmif IOWNER)(CONTRACTOR) SI6NE[(-,.t/; nqTE BA.iEMEiNT-ROUGH BASEMENT-FINISHF.D GRGUND FLOOR SFCOND FLOOR GARAGE OTHER O1HER ELECTRICAL lSO~FT,~ C,JOS~T,~p ` 7HE PROPERTY IS PR~ESENTLY ZONED~ y t` ~f- ~'THE PROPOSED US ( ~_IS)( IS NOT) ALLOM~ED COMMENTS ~ e t~_ 2')o1j' 21L BUILDINGCOST $ 16 7✓ JD ~ PERMIT PWMBING PERMIT ME PERMIT FEE 'aJJ 6., USETAX TOTAL FEE $ NOT p ~ Ja I 1 ~ UNDER THE ZONING ORDINANCE _ PERMIT PLANS FEVIEWED (-OK)(_NOTON) PLANS REVIEWED (_qO(_NOT OK) PLANS REVIEWED (_pK)(_rpTOK Ia0 PLANS NEEDED NO PLANS NEEDED NO PLANS NEEDED i=LANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE 0F, ELECTRICAL PERMIT_ PWMBIN6 PERMIT MECNANICAL PERMIT PERMIT ISSUED TO/~ r~h" PER REOUEST AS PER PLANS IIO. A`; APPROVED AND ON FILE IN MY OFFICE DO 'JOT ISSUE PERMIT UNTIL CLEAFED BY Gi1IcF BUIL.OWG INSPECTOR REMFRKS PERMIT ISSUED TO /T/50h47YJL PER REOUEST AS PER PLANS N0. ~ AS APPROVED AND ON RLE IN MYOFFlCE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR DATE C,bEARED BY BY PERMIT ISSUED TO--~014 PER REQUEST AS PER PL{W$ rp. AS APPRWED AND ON FIIE IN fAYOFFICE DO NOT ISSUE PERMIT UHTIL CLEARED BY CHIEF BUILDING INSPECTOR n BY GONDI LIONS- (11 THiS PERMIT Wq5 ISSUED IN CCCOPDANCE WiTH THE VROVISIONS SET FOHTH IN YOUR APPLICATION 4N0 IS SUBJEQ TO THE LAWS Oi TXE STATE OF COLORADO AND TO THE ZONING FEGULATIONS PND BOILOING COOE OF WMEAT flIDGE, CIX.ORADO OR ANY OTMER APPLIC4BLE ORDINANCES OF iHE GITT. (2) THIS PERMIT SNGLL E%PIRE iF (A) THE WORK AUTHOR¢ED IS NOT COMMENCED WITMIN SiiTY (607 DAYS FFOM ISSUE DNTE OR (B) TME BW LDING 40TIIORIZE015 SIISPENUED OF qBANDONED FOR A PERIOD OF 120 DAYS. (3) IF TMIS PERMIT E%PIqES, A NEW PERMIT MAY BE ACOUIFED FOF A FEE OF ONFHPLF TXE NMOUNT NORMALLY REQUIRED, PROVIOED HO LMANGES W1VE BEEN OR WILL BE M4pE IN THE ORiGIN4L PLFNS AND SPECiFiCAT10N5 NNp PNY SUSPENSION OH <BONDONMENT HAS NOT E%CEEDED ONE (pYEPR. IF CHANGES 4RE MADE ON IF SOSGENSION OR ABANDONMENT EXCEEDS ONE (I) TEAR, NLl FEES SNFLL BE PAIO FOF P NEW PERMIT (4) NO WOFN OF qNV MINNER SMALL BE DONE THpT WILL OBSTRUCT TNE NANkAL F OF WATER CAU p DRAINAGE VR08lEM . :51 CONTRPCT SHALL TIFY THE BOIL~JiNG MSPE OF TWENTT-FOUR(247NOU IN ADVANGE FOR IN ECTIONS AND SMALL IiEGEIVE WFITTEN PPPROVAL ON INSP Li N C4R BEFORE PF EE G WR ULCESSrvE PM45E5 OF THE O. - ~ APPROVED CHIEF BUILDMG INSPECTOR FOR MAYOR DEPARTMENT OF PLANNING fi DEVELOPMENT REQUEST FOR PUBLIC WORKS REVIEW Date: Case/Building Permit No. ~1s ~ 6~7 Location: 3 9V0 Please review the attached materials submitted in application for approval a and indicate yoUr decision on thoseitems ctieck below, nd please add any other comments which you may have under number 16. 1• p Boundary Closure:o OK n Not OK; refer to Stipulations 2• M Area: Acres Square Feet 3. CI Drainage: a. Drainage plan (and report) needed r3 b. Drainage Plan not needed F-i c. Drainage provisions have been reviewed and are found to be: C70K LD Not OK; refer to Stipulations 4• o Legal Description: O OK CINot OK; refer to Stipulations If not okay, please explain: 5. dPublic Improvements: a. Street Paving needed Y b. Curb & Gutter needed Y~ c. Sidewalk needed Y d. Street Lights needed Y e. Storm Sewer needed Y N f. Escrow required Y if Escrow required, for what improvements? In what amount? 6.i=i Development Agreement required Y N if Yes, for 7. C~ All necessary documents have been initiated by Public Works and are attached hereto: 8• il Is a traffic impact analysis and report required? Y N 9• i= New roadway or alley R.O.W. dedication is recommended: If yes, what is recommended: 10.i~ All existing dedicated roadways and alleys meet the standards of the City: If no, which do not and what is requested: 11,1~ All existing and proposed dedications have been reviewed and found t be: q OK Ca Not OK; refer to numbers 8& 9. 12•Approval: The Public Works Department has reviewed this request and hereby gives its approval, subject to the above and/or attached stipulations. i t r /~t Z 13. L~] The Public Works Department has reviewed this requesteand does no- approve for the reasons stated: Signature D 14. p Stipulations attached: Yes No 15. L DEADLINE DATE FOR PUBLIC WORKS DEPARTMENT REPLY: 16. Summary Comments: InIg," !~2 /t . ~4 1TYA0 1 pc/reqPWreview rev.01/89 Hc:cpiwu Na. Rc.urded at _ o~a.~A _ M. ~ WARRANTY DEED ~ THIS DEED, Made ihis 29th day oC June ~ ~ bttueen MIllWEST BUILllERS, INC. iy 90 a corporation duly organized and exisiing unJzr and by virwe of the luws o( tht Smtc Of Colorado , granwr, and L. E. CAMPBELL ~ ` C:) « z \M J c = Q v, whotit Icgal address n 1$$58 W. E115woTth Dx. ~ Golden, Colorado 80401 u( the 'Couny ot JePfeT90n , Statt ul Colurido. erinec: K'ITNLJSE'fH,'Ihai mt ,,runwe lur 4nd in comlderution ol tht sum uP ONE HUNDRED SEVENTY THOUSAND AND N01100 - - - - - - - - - - - - - - - DOLL.4RS, iha receipt and :ult7cicncy ol which is hereby acknuwledeed, hns grented. barguined, sold and eonveyad, and by these presems does grxni, burgsin, selL cunvey and confirm, unto the gruntee, his heirs and atssigns (orever, all the real propenc, iogethtr with improvements, if any, siwuie, lying and br.ing in the County of Jefferson . Si„nc ot Colorado, describcd as tollowv: Three Lots , A Part of PiC LAUGHLIN'S APPLEWOOD SUBDIVISION, AMENDED FULLY DESCRIBED AS PARCELS I, II, AND III IN ATTACHED EXHIBIT A- LEGAL DESCRIPTION nbo known by street and number ns: VacdAt Land '(OGF'If-IL:K wilh all and singular thr hercJicuneno and appunenancn therctu belunEing, or in un}wise appenaming, and ihe revenion and recenionl, remmnJer anJ rcm:iinden, renu, issues and prulih ihtrcoL anJ all ihe rNtaic, rieht, ude, inicrest, tlaim and demand whmsnc%er ul ihe grumor, ei!her in law ur eyuii}, of, ir, and io the above barguined prtmises. with the ntreiitamtnu and appunenanctS. TO HAVE AVU'f0 HOLU the said prcini>es abu~e burgained and describrd with ihe uppuricnunce,, unto the erannee. his hein and ,,»igns torever. And the grunwr, Cor iuelC and Its successors, does covrnant. prani. bureein and arree to and wiih the eiantee, his heirs ynJ a.signs, thai ai the timz ot thz enszaline and delivzry of these prexnu. ie is uzll seited ol thc premiw+ above conveyzd, ha> good. wre, perteei, ubsolute nnd indeRasible esi3te ot inheritance. in la". in fee ,imple. and hu5 gouJ rieht. tull poaer and awhoniy io grant, burk.,in, .ell anJ cunecy ihe sumt in manner and (onn m uloresaid. and thai iht wme are Get and cleur Irom ;,II former and oihtr grunb, h;.rg;,im, suks. liens, tuae., as,aasmenU, tncumbrunce> and restrictions v( \+haiertr 4.ind or nmure sooer, exapi taxes foi current year and subsequent years; and subject to easements, restricCions, reservations, rights of way, and restrictive covenants of record, or apparent, if any; ~ ss. Cuunis oi Jefferson thi, 29th da,oi June .IV 90 as Prcsidzm 'n Fu i2ee M Hriag Secreiur~ ut KPDWC~S1 BVILDERS, INC. ~ u eorpor'tiun. .Vy cojvmi's2oneapir~s June 20> 1994 4851 Independence Street 11 228 A~Jrta Couniqof Jefferson l-ht (oregoing irotrumcni Nas acknoaledpeJ belore mc in ihr SistC uf Colorado nY Rer. L. Haas d T6c gramor shall and will W'ARkANT AND FOREVLR DEFEND ihe abo,e-bargaincd prcmixi in the yuiei and peaceable l>ossession of thz graniee, his heirs and assigns, against ell and ecery pzrson or persons law(ully ciaiming the whole or anp pan ihercuf. "fhz singular numbzr shall include the plural, the plural ihe singular. und thz use of any gender shall be applicable tu all ecnders. Iti R9,TNtSS;Si;HFREOF, The gramor hus causeJ i[s corpurare nsme tu be hereunto subscribzd by its Rre~sidem:andIiscI~poiate seal to bz hereunm a(fixed, anested by iis Secretar}', thz day and ytu hrst to.Ve Wn[lei1. ` \K~SI / ' r _ ' W ~ MIDWEST BUILDERS, INC. 'J . U L. a~g~ C"f.1TF f1P ('!11 (1RA fl() By 'll in Denver, m,en °City und." Wheatridge, Colorado RECEPTION N0. 90056120 00 7/03/90 13:20 RECORDED IN COUNTY OF JEFFERSON STATE OF COLORADO \u. illtl. Rtv. 5-84. NrpNA5T1' DEED ICurWrvium buJi"N Wninniny 5M:5 N oin i" . L,ia.."U [0 eJ'u - ~fi131 `);.u" 7 .x1 RECEPTION NO. 90056170 EXHIBIT A - LEGAL DESCRIPTION PARCEL I: Lot 30, MC LAUGHLIN'S APPLEWOOD SUBDIVISION, AMENDED, PARCEL II: Lot 42, MC LAUGHLIN'S APPLEWOOD SUBDIVISION , AMENDED, EXCPET THAT PART OF THE EAST 6.1 FEET THEREOF WHICH LIES IMMEDIATELY WEST OF AND ADIACENT TO LOT 23, APPLEVIEW SUBDIVISION AS CONVEYED BY QUIT CLAIM DEED RECORDED OCTOBER 17, 1987 AT RECEPTION N0. 87131901, PARCEL III: LOt 43, MC LAUGHLIN'S APPLEWOOD SUBDIVISION AMENDED, EXCEPT THAT PART OF THE EAST 6.1 FEET THEREOF WHICA LIES IMMEDIATELY WEST OF AND ADJACENT TO LOT 16, APPLEVIEW SUBDIVISION AS CONVEYED BY QUIT CLAIM DEED RECORDED OCTOBER 17, 1987 AT RECEPTION N0. 87131902, ~ ALL IN THE COUNTY OF JEFFERSON, STATE OF COLORADO / SCFJLE: 30' S~ ~/0~38"E I I 9S0o' io'EAtE. Y/ u ~a LoT s~2 3 qj ` I p N O y N IV ~ i .ai /f2S 19 ry G/.7J' ~ ' ' ' ~ BULLA,E D CONCEPT~ ~ H2-97 M M i4!0~ ~ ~ . ~ N i a ~ 3L.75 ~ 13"Z I , ^ ^ O n ~ - - - / /y oa" 10'38"W, S/MMS STREET 50' R.O. W. PLOT PLAN BUILDER: ,BULL.¢RD CaNCEaTS HUFFSTUTLER ENGiNEERING SERWICE, INC PLAN NO' //O`// nrvnoveo: ~ ~ 6_ ENW COLORA00 80401 ADDRESS; 39y0 4'/M/"/$ ,STREET OpTE, ~19- LOT~ W HOUSE S aRADE9 CMECKED DATE' _19 DATE: 7-30 18?Z DATE. I9.. sueniv[ siox: MCLA//GNL/N'Sh!a'/~_ er: SUBI~/l~~S/ON~MENJEJ- TEFF, CD. COLO, er. e~v: - BUIIDEflVS SIGNATURE LOT ~ DLOCK _ N0. JOB N0. H2 - 97 -1 J.::ersor: GDt.zs:y baa.~:d Lej.a.zm:: Certifiuts af Mite: and S rer Service dvallahiZtty 3940 Simms Street J 29, 1992 Addre+s . itice 42 McLaughlin's Applewood on Lct One Unit Residential PermiL No. Oie of Building ibte to•xpplicsnt: Bui2dinq permit riZl not De isrued rithovi tRis Certificate o: Sewer vrd Mater Service Availabiliiy siQned by t.Ae District or •geney sapplying iervices. Steve Bullard 15558 West Ellsworth Drive Golden, Colorado 80401 279-7268 Craer Address Teiephone $aMIR J1am of Sanitation Disiriet or Agency . ( J SEWER SERVSCE EVlSIABLE ( I SSWER SERYSCE NOT AVTSIAB.*...r INDIVSDURL SEf.'AGE PERlfIT X0. Cammrnts or Conditions: I Ixxby ceriify that •vailabillty of service fa ss Sndicated above. Signature oP auihorised agent Da=e Cctmty 8ealth DepL.: Signaiu=e Dnie NA?ER THE CONSOLIDATED MUTUAL WATER COMPANY Fame of Watez DisLriet or Jlgency (X) WAM SrR71CE A9ASI.aBLE ' ( ) WATER SERVICE HOT AVS,S:ABLE COIAW.DO W£:.L PERY= NO. Comments or canditions: Water service is subject to compliance with the Company's rules, regulations and requirements for such service. I hereby certify that availability of service is ss Indlcated above. ~ ~7` 1:5 v- 5X2 Sa ture of authorized .tgent Aate RC92CY: Je°_erson County Bmlth Dept.: Sigaatuzr A:Le WESTRIDGE SANITATION DISTRICT 3705 Kipling Street - Suite 101 Wheat Ridge, Colorado 80033 J uly 29> 1992 To Whom it may concern: This letter certifies that sewer service is availabe to 3940 Simms Street, Lot 42, McLaughlin Applewood Subdivision, Wheat Ridge, Colorado. WESTRIDGE SANITATION DISTRICT Q~"'0_ Madge Kul , Office ManaGER ;s INSPECTION TICKET JOB ADDRESS `~~p~ DATE: 6~~ y BIDG. PERMIT# O PERMIT# 2 BLDG. CONTR. / SUBCONTRACTOR DATE INSP. REQ TYPE OF INSP. INSPECTIO REMARKS INSPECTION TICKET JOB n ADDRESS ~-l~o ~ p-l ` DATE: ~BLDG. PERMITM~1(n~Q PERMIT# s~..6\(Y<1C'~1 BLDG. CONTR. SUBCONTRACTOR S ~ DATE INSP. REa. .1QTICT) TYPE OF INSP. Q INSPECTION MADE F' REMARKS W.R. FORM 619 ~ INSPECTION TICKET Jos ~ ADDRESS ' 697 DATE: '7-(1-SZ BLDG. PERMIT# PERMIT# ~ ~ BLDG. CONTR. c!~~'~`p-~ ° , r' \ SUBCONTRACTOR DATE INSP. REO. TYPE OF INSP. C-4 - INSPECTION MADE_ REMARKS-- INSPECTION TICKET a JOB ADDRESS 69~ DATE: BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE=~ REMARKS &(/L~ F- ~ _ W.R. FORM 9 O~ ~ 114 INSPECTION TICKET JOB ADDRESS 9 r~ DATE: BLDG. PERMIT# PERMIT# BLOG. CONTR. SUBCONTRACTOR DATE INSP. REQ. iYPE OF INSR INSPECTION MADE 11-12- 7; REMARKS _ - - ~ INSPECTION TICKET ,y JOB ADDRESS ~ ~ vO vzzw+.~-~ DATE: BLDG. PERMIT# qG* ' PERMIT# BLDG. CONTR. SUBCONTRACTOR C ~q DATE INSP. REQ.~~' TYPE OF 11 INSPECTIO REMARKS W.R. FORM 679 ~ ~ INSPECTION TICKET ~a JOB ADDRESS J ~I ~O ~L q~ DATE: I11- BLDG. ERMITk ~EL~ 1 7 PERMIT# BLDG. CONTR. Y oz 1 SUBCONTRACTOR DATE INSP. REO. TYPE OF INSP. INSPECTIOWL- REMARKS TICKET INSPECTION ~ JOB ~,f ADDRESS~~'~IO 2-~uwi ~'l DATE: / BLDG. PERMIT# (169 ~ PERMIT# BLDG. CONTR. kcx "-,4 SUBCONTRACTOR DATE INSP. REQ. ~ l- TYPE OF INS137L~_ INSPECTION MADE_ l, ~ cf J REMARKS _ LA W.H. FORM Fl9 / ?-7 9A BUILDING DEPARTMENT 'i` 237-6944 Ext. 255 INSPECTION TICKET JOB CITY OF WHEAT RIDGE • nooaess 3 . . DATE: 16-1S BLDG. PERMITM '4691 Correction Notice ~ 4- Job Located at .C/. ~.'~..5........:~ You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date / ~ . ,.Inspectorfor Building Dept. apMwps== DO NOT REMOVE THIS TAG PERMITM BLDG. CONTR. 6A~-J _ . SUBCONTRACTOR DATE INSP. REQ.,~O ; i I ; TYPE OF INSP. ~ C DG ~ INSPECTION MADE I ! REMARKS ~ L F N W.R. FORM 6-19 / / > INSPECTION TICKET JOB ADDRESS J CI `l C' L~ A DATE: ~ BLDG. PERcrMITq (,c C ~ PERMIT# BLDG. CONTR. -I~U~J' SUBCONTRACTOR DATE INSP. REQ. 7YPE OF INSP. E~~ ~ - INSPECTION MADE I 2- /.3/~ Z' REMARKS~ INSPECTION TICKET Joe 3 ej~o 'glrh ih s ADDRESS DATE: )2- 3-4tZ BLDG. PERMIT# PERMIT# BLDG SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. ~2/7 5 m & t"? C l" INSPECTION MADE I REMARKS / W.R.FORM 619 V INS TION TICKET JOB 2n t-~ww/J ADDRESS ~1 ( vo DATE: l~ BLDG. PERMIT# F~4y PERMIT# BLDG. CONTR. SUBCONTRACTOfl DATE INSP. REQ. TYPE OP INSR INSPECTION MADEo REMARKS 2- `7 l ~ INSPECTION TICKET JOB ADDRESS 3 `7 G~v S/In Ir.. ¢ DATE: 2- OY 3 BLDG. PERMIT# PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. -I ^ 2 0 TYPE OF INSP.T~ INSPECTION MADE l~ L- 3 REMARKS OX w«c- {hGl~ - ~ W.R. FORM 6-19 ~.a i ~I ,I ~ ` / DATE: 93 TO: PUHLIC WORKS DEPARTMENT FROM: Building Department RE: C~ a The property at "Yi,~w,.Kv ~c. signed off by the Huilding Department and is ready for ahCO been inspection. Once the inspectioa has been completed, please inform the building department as to the status. Thank you. t DATE: A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR: 3 94l0 ~ ~ ,kc,o PURPOSE OF STRUCTURE Building Dept. Appro Remarks: Zoning Approval: Remarks; )n fy-q3 INSPECTIONS WILL riOT-BE MADE UNLESS THIS CARD IS POSTE[' ON .,THE BUILDING SITE ti 24 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE (303) 234-5933 INSPECTION RECORD JOBADDRESS 3940 Simms Street BUILDING PERMIT N0. B92#4697 DATE ISSUED $/12/92 TYPE OCCUPANCY OWNER L. E. Camnbell, 15558 W. Ellsworth Drive 279-7268 CONTRACTOR SETBACKS FROM PROPERTY LINES: NORTH SOUTH EAST West INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB INSPECTION DATE INSPECTOR Foundations Footin s ~ Caissons Reinforcin orMonolithic t L- ,4 T-OJL ~ t4 Weather roofin POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Concrete Slab Floor: Electrical Ground Work Plumbin Ground Work Heatin Ground Work ~ DO NOT POUR FLOOR UNTIL ABOVE HAS.BEEN SIGNED Rou h Electrical Rou h Plumbin ~ AirTest Gas Pi in ~ Rou h Heatin & Ventilation ' (above must be signed prior to framinq inspection) Framin Insulation Dr wall nailin Roofin Refri eration Electrical under round Final Electrical Fixtures Plumbin Fixtures Heatin &Ventilation Landsca e 8 Parkin R.O.W. 8 Draina e Fire De artment Job Com leted OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANtY IS ISSUED PROTECT THIS CARD FRUM THE WEATHER M C~ ~ rl N N ~ N A O U O U ° z ° <4 a V W U ° O O o Q m v° w ~Qa'c W C ~ 9 LL WL 33~ C~ ¢ t U ° 3 ~ E 9 W U m LL O 3 ~ a O ~ O ~-U C ; o c ao O a O~3 ~Dm ~oa 0a ~ m v O ~ U ~ry rv~ r c gO ~ 9 $nm2 C ai V ` O m n L ap c°mtow U m O ~ O~VL cEc« D»_ a E c m t > v o nsss m ~ p T E > > mamW U j q p - ~a Cm2¢ m a LmtL a 3 3 '-I O V 0 00 2 LU 2 0 G a N 4J d V C U H Cd ti CA U ~ W 3 O O 1-~ N ~ ~ N y NE S .N N CD ~ ~ M ~ Z W 2 ¢ ~ s o < a W L694#Z69 tl9Y1111N LNtl3/ N U ❑ N b N d ~i T N ~I w LL ¢ a O Z O J LL w S H ¢ LL 0 ~ O 4 ~ 0 ~ 0 a 'o r 3 ( c o v ¢ a' m p L O O ~ a U o m m ~ « c O ~a ~ U E m ~ ~ a U rO p `o O « q U L ~r U Y O p Z (J ~ 1 a ~ Eo C « o C c 9 m O W m C ~ LL U A ' $E LL d 3