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Home My WebLink About4655-4665 Simms Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L) z) Job Address: 5 :3 - Permit Permit Number: cD 0 6 g y y { tz 2 �nr� ❑ No one available for inspection: Time `� �� (AWPM Re -Inspection required: Yes N�) When corrections have been made, call for re -inspection at 303-234-5933 Date: 'i 13;�i i -6 Inspector: R -T 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: L1 Q 3 t b s Job Address: %55 SIMMS S?' Permit Number: 20) -2 0,7 V (IS X4_4- �o i- e- L" ,l c - ,v1� r2 Cc, c# (cu r-) ,rte Y�1 'i;e ZIT � ( s.::)0 'SR -i L, -,&4-c. c C_ `icjr�y6z— - C. G ' I S y� I N � �Z�L— �c�c-�G. i ►.-� � Y ,G.� '3 �J2 Q� �'C � C�,( m � ` de-,--h� p Ick -S C-TC_cQ-�S j' J- n+—, U� ❑ No one available for inspection: Time 8'. q�M Re -Inspection required: Qe) No When corrections have been made, call for re -inspection at 303-234-5933 Date: `�Inspector.. A I DO NOT REMOVE THIS NOTICE City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: September 21, 2017 Reason: Homeowner cancelled work for Permit No. 201701770 at 4655 Simms Street Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 201.48 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100% use tax: $ 265.04 (acct 01-500-02-505) Total: $ 466.52 TO: Team Construction Services 88 Inverness Circle East Suite A103 Englewood CO 80112 Thank You! Kms. Cao4 Permit Technician city of W heat midge --.; COMMUNITY DEVELOPMENT coAo)413� 0 q11 ) City of Wheat Ridge Municipal Building 7500 W. 29'b Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29h Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): I tQ Vit l (htl_C d^ U (% lJlii J141) f VII C e Address: TV111 P'Y'L��r �1 rC I0 City: State: C-0 Zip: Phone: 30�-3, J Y 3�yS Fax: �'A i � �. �� mail: a VI �; ��lM V'Co s Permit #: �Q 1()1 1 � 0 Permit Address: Reason for request: /k- —\ i Printed Name: NSignature: Date: �J For office use only C This request has be n" Approved 0 Denied (Refund Amount: $ Approved by: Date: j �_ INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 P to receiv an inspection t e following business day PERMIT:I DDRESS: JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground uo Not Gover underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS � r c' PERMIT:. bJ-9-U--34, � GiADDRESS: %� -) JOB CODE: Rough Inspection (continued) Date Inspector CommentsInitials 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 1)16zlz H- 322 Rough Grading 323 Miscellaneous 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. Final Inspections Date Inspector CommentsInitials 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 1)16zlz H- 410 Final Window/Door 411 Land scape/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. .._-____ ___---- _a_ -i____ b.,. 44-4—..-.h ir.nr.on#inns oro rmmnlotori hvthin Pira nictrintnnrl City of Wheat Ridge Residential Mechanic PERMIT - 201709445 PERMIT NO: 201709445 ISSUED: 12/05/2017 JOB ADDRESS: 4655 Simms ST EXPIRES: 12/05/2018 JOB DESCRIPTION: Residential Mechanical permit for remove and installation of furnace 80% efficient 75K BTUs and adding a 1.5 ton 13SEER Air Conditioner. *** CONTACTS *** OWNER (303)886-5685 BEEHLER LLC SUB (303)798-0500 Joe Collida 170685 Indoor Air Quality Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,300.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 111.30 ** TOTAL ** 211.30 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 theroperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesfthat I am legally authorized to include all entities named within this document as parties to the work to be performed and Khat work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. iz-S-1-7 Signature of OWNER or CONTRACTOR (Circle one) Date I , This permit was issued based on the information provided in the permit application and accompanyingplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to I 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 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- w t t t written approval of such work from the Building and Inspection Services Division. .l 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Of Wheat I� COMMUNITy DEVELOPMENT FOR OFFICE USE ONLY I Date: 4-W-5// - / -, / j 7 Plan/Permit # 26 7 () 17 7 CZ Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **' Property Address: y G 6_� S 'r�t; S Property Owner (please print): 0.,.. C_ 6 e -L,itf Phone: 3c>3- ?3&-S(,s� Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itectlEngineer E-mail: Phone: Contractor: Contractors City License #: / /,� ��:`� Phone: 3os-7r s-�,svo Contractor E-mail Address: , P— C) � A � � > i � ;^AJm . � :,, For Plan Review Questions & Comments (please print): CONTACT NAME (please print): SV e- c iP .L Phone: CONTACT EMAIL(please print): L ZAP Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) I I i f ✓e'npet 1"V-.j4� i /,j seee Sq. Ft./LF `T 3 i Btu's 7S', 609 Gallons Amps 70 Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ OU.Do OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER)ONTRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ 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: lOq ROF Job Address: VV/ 6-6- S, M /j'15 0— Permit Number: 2o/ %o 3 6.3 �- ❑ No one available for inspection: Time /c�-J AM/PM Re -Inspection required: Yes 0 When corrections have been made, call for re -ins pection at 303-234-5933 Date:—) 1 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Ir IAW Residential Roofing PERMIT - 201703632 PERMIT NO: 201703632 ISSUED: 07/10/2017 JOB ADDRESS: 4655 Simms ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re-roof to install Owens Corning Duration asphalt shingles with 34 sq. *** CONTACTS *** OWNER (303)886-5685 BEEHLER DAVID RAY SUB (303)472-3655 Daniel Montez 090249 Team Construction Services Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,621.00 FEES Total Valuation 0.00 Use Tax 265.04 Permit Fee 251.85 Misc. Fee 25.00 ** TOTAL ** 541.89 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to firia'_ approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703632 PERMIT NO: 201703632 ISSUED: 07/10/2017 JOB ADDRESS: 4655 Simms ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 34 sq. 'b y my signature, do hereby attest t at the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable buil g codes, and all plicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal own of the pro erty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I fii e tte t t I leggally authorized to include all entities named within this document as parties to the work to be performed and that a r to1b peri�rmeisclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CO CTOR (Circle one) Date I. This permit was issued based n 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 andprocedures. 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 Off-cial 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 withao 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 or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official 'W Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Roofing PERMIT - 201701770 PERMIT NO: 201701770 ISSUED: 06/08/2017 JOB ADDRESS: 4655 Simms ST EXPIRES: 06/08/2018 JOB DESCRIPTION: Residential roof tear off and reroof. 4:12; asphalt shingles; 31 squares *** CONTACTS *** OWNER (303)886-5685 BEEHLER DAVID RAY SUB (303)472-3655 Daniel Montez 090249 Team Construction Services Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,621.00 FEES Total Valuation 0.00 Use Tax 265.04 Permit Fee 251.85 ** TOTAL ** 516.89 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufactureriems 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's 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201701770 201701770 ISSUED: 06/08/2017 4655 Simms ST EXPIRES: 06/08/2018 Residential roof tear off and reroof. 4:12; asphalt shingles; 31 squares I, by my signature, do her 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 le 1 owner of theroperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this pe I further attes, that I am le ally authorized to include alI entities named within this document as partes to the work to be performed hit al to be performed is disclosed in this document and/ror its' accompanying approved plans and specifications. Signattrre of OWNER or'` CONTRACTOR`JCircle one) Date I . This permit was issued baseroh—oh-info` fi ation 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 Budding 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 D vision 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 perm •all not be construed to.b� permit for, or an approval of, any violation of any provision of any applicable code or any ordinance o., do Q is j ' i n 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Kimberly Cook jo)or/�o From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 7, 2017 11:08 PM To: Permits CommDev 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. 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. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 4655 Simms Street, Wheat Ridge, CO 80033 David Beehler 303-886-5685 david.beehler@redi-eng.com Yes CONTRACTOR INFORMATION Contractor Name Team Construction Services Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number 90249 303-472-3655 Contractor Email Address dan@teamroofs.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Asphalt Shingles Material How many squares of 31 material? Provide additional detail Residential roof tear off and reroof. 4:12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract $12,621 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 this Yes application is NOT a z 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 owner of the property to submit this application and to perform the work described above. Name of Applicant Dan Montez Email not displaying correctly? View it in your browser. CONSTRUCTION RUB, TIG 6 EXTERIORS BBB Team Construction Services, Inc. Licensed/insured Roofing & Exteriors www. teomconstruct. biz 88 Inverness Circle East, Suite A-103. Englewood, CO 80112 Fax: 303 933 6374 Ph: 303 287 0800 Owner/Buyer: 1 K yid AddressAV5-5i-4(�W5 �I(�1115 5fi City: �L I� U i1 CO. zip: go 4c, Phone: Email: CONTRACT SPECIFICATIONS (Labor & Material) Tear off layers: LA4 Install: OC ntA(QA-1-1 DO ShingleeColor: LSI Ate. � IZ .y � Year (s) Manufacturer limited warranty Two Years Company limited warranty Hip/Ridge:(type) P 4`) ED(16 Felt/Underlayment:1)' _ _ '"Ice&Water: G PA/ ,e!5 "Code require/,d: No / Yes Roof Deck: JVI1 le XPi' 0 Ct i J 1Z(h 1)d "sm item W9 nn reverse side Valley: (type) I C{'' 11 L1.tGC Metal Edge: (Save): tq ]( color: c (K Metal Edge: (Rake): A x 2z_color.C1 (Z Pipe Jacks: '�3 Jacks: �y Ridge/ Roof Vents: I I (4 (JCl:L cut in: C/ Gutters: I q 1 LF/Col: Downspout: ��_LL LF/Cog -. Roofing pennit/inspection as required included Special fnstructionsAf)Cl ?r 1i a1 5 SI&(Zt71LYtr_ Team Conslructiou fully abides with regulations: CO SB38 SN eC N5 * q -z,. LAr, �im.ud rieVM' � ( tl r.; onr.' I Roof * Ground Drop - Left / Right / Drivewav L' Protect landscaping as needed ✓Clean out gutters of roofing trash only vMagnetic sweep of yard at completion 'Clean up and haul off construction debris /Clean up around bushes/shrubbery Paint Roof Jacks (if needed) INSURANCE ALLOWANCE AGREEMENT TEAM CONSTRUCTION SERVICES, INC. will assist homeowner/buyer with the insurance claim process, including meeting an adjuster at the home. INSURANCE WORK TERMS INCLUDE: This agreement is for the *"FULL SCOPE OF INSURANCE REPLACEMENT COST PROCEEDS and does not obligate the homeowner or TEAM CONSTRUCTION, unless repairs are approved by homeowner's insurance carrier. This signed agreement indicates and authorizes TEAM CONSTRUCTION SERVICES, INC. to pursue all repairs at the price agreeable to the insurance company and TEAM CONSTRUCTION SERVICES, INC., at no cost to the homeowner except for the insurance deductible. A0 cc — "Final pricing will be agreed upon between the insurance company and TEAM CONSTRUCTION, and shall become the final contract price of full scope of insurance proceeds. The terms and specifications stated herefore & special conditions on the reverse side hereof are hereby accepted authorizing my insurance company/or mortgage company to make payment for completed repairs/re-roof tear off and installation of new roofing material directly to TEAM CONSTRUCTION SERVICES, INC. n Claim# ZZ1`J 71. 01 13t`I'LC� �6t� **Will include all required supplements, permit fee, taxes and contractor overhead/profit per insurance scope of work. -YA ( 111.(, t_' St(lr, ( eat tr I law been ooti d that I nary cancel fhr, n reerneuf at any tune prior to midnight of Nm third business day after date of this agreement. Accepted by OunterBu est rfc): 1 x _-144Y ✓/1G> L Date: 1 I Accepted by Team Construction; Valid for days. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AIV�IPIVI , Re -Inspection required: Yes No: When corrections have been made, call for re -inspection at 303-234-5933 /Inspector: Date: W-11 DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703632 PERMIT NO: 201703632 ISSUED: 07/10/2017 JOB ADDRESS: 4655 Simms ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 34 sq. *** CONTACTS *** OWNER (303)886-5685 BEEHLER DAVID RAY SUB (303)472-3655 Daniel Montez 090249 Team Construction Services Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,621.00 FEES Total Valuation 0.00 Use Tax 265.04 Permit Fee 251.85 ** TOTAL ** 516.89 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703632 PERMIT NO: 201703632 ISSUED: 07/10/2017 JOB ADDRESS: 4655 Simms ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 34 sq. I, by in si mat re, do hereby a st that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable ing codes, an all applicable municipal codes, policies and procedures, and that I am t1�e legal owner or have been authorized by the legal ow er f the pr erty and am authorized to obtain this permit and pe form the work described and approved in conjunction with this permit I fu e att t at l am leggally authorized to include alF entities na ed wit in this document as partes to the work to be performed n a� 4 o oto be performed is disclosed in this document and/ r its' alfompanying approved plans and specifications. Si nature g OWNS CONTRACTOR (Circle one)D e 1. This permit was is d based on the information provided in the permi application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po ieies and procedures. ?, 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 repaired 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 retred inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division, 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us bQtween 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett eD6 1% ()_S�3 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 3:37 PM I To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application 1 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 4655 Simms Street David Beehler 303-8865685 V5((,.6_7 Property Owner Email david.beehler@redi-eng.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Team Construction Services Contractor's License 90249 Number (for the City of Wheat Ridge) Contractor Phone 303-472-3655 Number Contractor Email Address dan@teamroofs.com Retype Contractor Email dan@teamroofs.com Address DESCRIPTION OF WORK Are you re -decking the No I, roof? Description of Roofing Owens Corning Duration Asphalt Shingle Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 34 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? z TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 34 Z House reroof with a 4/12 Pitch 12621 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 owner of the property to submit this application and to perform the work described above. Name of Applicant Dan Montez Email not displaying correctly? View it in your browser. 3 CONST fVi RDQII�G & iXlERtE1R5 �� " ' BBB` Team Construction Services, Inc. imu Licensed/Insured Roofing & Exteriors www. teamconstruct. biz 88 Inverness Circle East, Suite A-103, Englewood, CO 80112 Fax: 303.933.6374 Ph: 303 287 0800 Owner/Buyer:C(�,_}�.'�'� Address: j ? 55 4G-'� city: CO. -Zip: i Phone: Email: CONTRACT SPECIFICATIONS (Labor & Material Tear off layers: t Lck;�! f 4", Install: � �) Ak;10 Shingle Color: . ', "T (v; ,moo i Year (s) Manufacturer limited warranty Two Years Company limited warranty Hip/Ridge: (type) i E }.,il,1 Felt/Underlayment:? **Ice & Water: Ct" (''Lk, t',5 **Code required: No / Yes Roof Deck A'r(1I C T **see item #9 on reverse side }} r Valley: (type) Metal Edge: (Eave):_ � 1 ' color: $' Metal Edge: (Rake): Xcolor t.�" Pipe Jacks: Jacks: Ridge/Roof Vents: Lx� 14��") cut in: �- Gutters: -7 LF/ Col: Downspout LF/Col#: Roofing pennitlinspection as required included r i Special Instructions: _�E� �,f'` � �O � .. Teaur Construction fidly abides With regulations: CO SB38 M Roofoac1, Ground Drop - Left / Right / Driveway L-` Protect landscaping as needed t -'Clean out gutters of roofing trash only t --Magnetic sweep of yard at completion `'"Clean up and haul off construction debris v -Clean up around bushes/ shrubbery I Paint Roof Jacks (if needed) INSURANCE ALLOWANCE AGREEMENT TEAM CONSTRUCTION SERVICES, INC. will assist homeowner/buyer with the insurance claim process, including meeting an adjuster at the home. INSURANCE WORK TERMS INCLUDE: This agreement is for the **FULL SCOPE OF INSURANCE REPLACEMENT COST PROCEEDS and does not obligate the homeowner or TEAM CONSTRUCTION, unless repairs are approved by homeowner's insurance carrier. This signed agreement indicates and authorizes TEAM CONSTRUCTION SERVICES, INC. to pursue all repairs at the price agreeable to the insurance company and TEAM CONSTRUCTION SERVICES, INC., at no cost to the homeowner exce t for the insurance deductible. $ 1 00— ) **Final c --- **Final pricing will be agreed upon between the insurance company and TEAM CONSTRUCTION, and shall become the final contract price of full scope of insurance proceeds. The terms and specifications stated herefore & special conditions on the reverse side hereof are hereby accepted authorizing my insurance company/or mortgage company to make payment for completed repairs/re-roof tear off and installation of new roofing material directly to TEAM CONSTRUCTION SERVICES, INC. **Will include all required supplements, permit fee, taxes and contractor overhead/profit per insurance scope of work. I have been notiod that 1 pray cancel tln� a regiment at any time prior to rrridniglrt of the third business day after date of this agreernent. Accepted frit Ozuner/Btu er(s): x 4 Date: `" r Accepted by Team Construction; Valid for days. 0 m Nam c rtth bear ZO trt "€ brad �'tr�a �`t etertrsg Date "# t6 # ## tt t ra r tr r r k # & Descri ion �,. F � p t 7 µW `�/" t ,..;„..,,,»u.., �... ...n.....a..,.. ,,. W,.»,.:.....« ..... .........«.„.. ....,..�...« gg „ F(d y......'..„„ 1 1 .¢ ^p mo 18 L 2 22 6 2 2 - 2 x' - 1014 2 29 0 m., f. ga gg 31 =Check if no driving is rf rm d during this month and the first 7 days of the fret rig month. � m r, x� + g s p "l .a °,� „rs,,.,�,+� 1.m �.� .rCaT,. A P t Date, or shall comply with the following codes 2006 IRC, 2006 1ECC' & 2005 NEC. Rafters shall bear ftilly at heel cut and sball have one H2.5 clip per rafter at bearing point,, All shingles shall be nailed wit a 1 rimum of 6 nails per shingles and ,inid roof inspection required on tile, concrete, or inetal roofi , Ice and water shield underlayrnent extending 2 t' ^t inside exterior walls is required at the eaves. ml ♦ ♦ CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ 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: ZL2 . o 09 Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE ~-j- Building Inspection Division ~ (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax Inspection Type: Job Address: Permit Number: INSP NOTICE ❑ 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: - Inspector: g Z DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE =,- , Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NICE Inspection Type: ( ^ Job Address: .. ,, Permit Number: ❑ 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 k Date: Inspector: - DO NOT REMOVE HIS NOTICE City of Wheat Ridge Faxed Roof Permit PERMIT - 092035 'PERMIT NO: 092035 ISSUED: 09/04/2009 JOB ADDRESS: 4655 SIMMS. ST _ EXPIRES:. 03/03/2010 -DESCRIPTION: Reroof33.33 sqs CONTACTS -owner 303/88G-5685 David Beehler =v sub 720/979-6587 R.Hendricks - 09-0249 Team Construction Services Inc * * PARCEL INFO ',ZONE CODE: _UA FUSE: UA rSUBDIVISION: 0103 BLOCK/LOT#: 0/ FEE SUMMARY , ESTIMATED PROJECT VALUATION: 9,000.00 FEES Permit Fee 217.50 `~..~..'-.-.f-~.........'. ` Total Valuation _ Use Tax 162.00. *a.. TOTAL. 379.50 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. nail installation & mid-roof inspection required. Board sheathing spaced more ';than a 1/2 of an :inch apart requires plywood overlay on entire roof. Iceand ,i water shield required from eave edge to 2' inside exterior walls... Subject to field inspection. `I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all +a` measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this. application and t a2 I assume full responsibility for compliance with the wheat Ridge Building Code (I.B.C) and all other ap li cable Wheat Be RidOrdinances, for work under this permit. Plans subject to field inspection. x... Signature of coi ractor/owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of . the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge. Colorado or any other applicable wr' ordinances of the city. - -,2. This permit shall expire. 180 days from the issue date.. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1). year, full fees shall be paid for a new permit. "4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections. and shall receive written approval on inspection card before proceeding with successive phases of the job. ,6. The issuance ofa permit or the approval of :drawings and specifications shall not be construed to be a permit for, nor an approval of, hn-y violation of the provisions of the building codes or. any other ordinance, law, rule or regulation.. y All plan re ew subject to field inspections Signature C f Building Official date "INSPEC ION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 'REQUESTS- MUST BE MADE BY3PM ANY. BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.` j - OccupancylTVpe --INSPECTION LINE: (303)234-59,33.. _ inspections will not be made unless this earl is~osted on`the tiuillin site Gil by 3:0.0 PMto receive inspection the following business day. INSPECTOR MUST Sm ALL SPACES PERTAINING TO THIS JOB PECTIONS ff DATE INSPECTOR COMMENTS: s Concrete EncasedGroiind ' Reinforcing or Monolithic Weatherproof-/ Fre nch Drain - - - Sewer Service Lines water service Lines ' POUR NO CONCRETE 'UNTIL ABOVE: HAS BEEN SIGNED - CONCRETE SLAB FLOOR - Electrical (Underground) Plumbing (Underground) Heating (Underground) D;d N OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED c; V, R oUGHS Sheathing - Lath / Wall tie - - Mid-Roof Electrical Service l RoughElectric Rough Plumbing z~ Gas Piping Rough Mechanical ABbVE INSPEjO10N5 TO$E`SIGNED PfoOR,TO-TROOEEPING rFraming - x. Insulation Drywall Screw - + FINALS " CITY OF WHEAT RIDGE Electrical fl91fl4l69 11:58 AM CDBB - Plumbing Nlechanical Rosa T Hendricks Roof RECEIPT NG:CDB662344 AMOUNT BPSP Reronf 33.33 sqs 379.56 wilding Final 692635 - Permit Fee F+re Dep iiVnent 217.56 , use tax 162.00 ' R.O.W.& Drainage°, 1NSPEu PAYMENT RECEIVED AMOUNT ' ` Parking & L ndscapmg` sHOUL .'o VG 9727 Auth Code: 379.50 MOTE: A'LL ITEMSMUST BE i OjdWLETED AND APPROVED J§1 P (ANNING ANA 673538 CERTIFICA;TE OF OCCUPANCY lS ISSIYED.FINAL IIVSI?E'CTION B,Y THE BUILTJIF TOTAL 379,56 F - O(= A CgRTIFICrgTE.OF OGCLJPANCY^ NOR PE1d ' OC;CUPANCY NOT PEf2MITTED UNTIL CERTiFIGATE OF OGC.UPANGY IS ISSUE[) PROTECTTHI.SCARD'FROMTHEINEATHER ' , 09/03/2009 20:42 3039336374 TEAM CONSTRUCTIO PAGE 01/01 1 7~ A: City of .-vats: C ~i0 TheaLle i COAAMUNiIY DEYEI.OYMEN i Permit Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 X . ~X~3 - 375 Property Atldreee: p s,ZC Property Uvuner (pease print): phone:~3 -1 Facalmlls Building Permit Application Mailing Address: rif different than properly address) Address: v Contractor: ~r yY 5 Gc C D E r a f G C S Contractor License S. Phone: 7o?D Sub Contractors: COMRIDy the" Cicenee # Expiration Date• _ Trade/Profoselon: Approval: Use of apace (description): r Desn of work. Construction Value:_EALLV ~ O ' t Plan Ra 1" (due of Nor. ercu8mfftaljt S OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMNNY I heroby car* that the aeftek distances proposed by this permit application ara' accurate, and do trot violate applicable ordinances. mica or reguretlana of the City of Wheat Ridge or covenants, oaaemernts or resMdlona nr record; that all measurements shown, and allegations made ale efxurete; that I have read and agree to abide by all conditions printed on this application and that 1 a3stme full responsibility for compliance with the Wileat Ridgge Bulldldg Code (I.B.C) and at other appfcablo Wheat Ridge Ordinances, for work underthrs petndf. Plans subject to field inspoctfon. CALCE ONE: EIiIdI NAME: ZONING rGOMMEtiJD: 2onhig: ' Reviexier. .PUBLICNiohxs CdR71NEN1'9: . Ravlewer. or ONLY sUILDINr. DSrnRTNaNT CONIMP.Nre: OCCUPANCY _ Reviewer. FIRE DEPARIMENru ❑ approved w/ rminrneMs 0 disapproved P no review required Bldg VAi4atlOn: S SIGNATURE: Credit Gard Payment: Ubeff~d. apff listed on ffle, Print name: 7 P54~ aJ. l7Cf1 N) O'S Signature: _ CITY OF WHEAT RIDGE - MEMORANDUM To Accounting Department From qgnes Thoma Refund oate MaY 22, 1996 subject Date Approved Please refund $15.00 to Alsco Cardinal Home Improvement, 1277 S. Cherokee Denver, CO 80223. They paid their use tax on the attached building permit using the 2.5% rate. Thanks. DEPARTMENT OF COMMUNITY DEVELAPMENT 7500 wEST 29th AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M921I17921 237-6944 ExT. 255 P.O. eOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLV WHEN SIGNED BY THE CHIEF BUILDIN6 INSPECTOR AND RECEIPTED BELOW. APPLICATION FOR MISCELLANEOUS PERMIT JOBADDRESS 4655-65 Simms Str P+ OWNER Da.vid Raehlar CONTRACTOR Ranco Roofing Inr ADDRESS 6200W.13th Ave CITY Lakewood ZIPCODE 80214 PHONE 988-$043 LICENSE NO15240 ADDRESS 23~ Kimhall Ava PHONE 23 5-0 "3 00 ZIP CODE$9.Z.0.1_ :ONTRACT PRICE $ q 1()q _ pn i. TYPE Ground❑ Woll❑ Proisatinp❑ Othb SwOFau 2. MATERIAL Tofol Squan Fnt SIGNS 3. ILIUMINAT10N Yss ❑ No❑ Typs Eloet. Perm if No. 4 SET BACK FROM PROPERTY LINE N (SPecifywhich iafront) _ S_ E ❑ ❑ _ W ❑ ❑ Zon*_ ADDroved.Zom Inspeefor DiwDDrWed 1. TYPE SolidO Mon TMn 80% ODano Less TAon 80% Open FENCES MATERIAL 1 SET BACK FROM PROPERTY LINE N (SDecity whieh ittront) _ S_ E ❑ ❑ _ W ❑ ❑ Heipht Zom_ qpprwed,Zone InsOaeta Disapprovad i. remove one laver and rerooF with 34sa o£ 3-ta b OTHER 2 3. DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GMhG DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTqNS INCLUDED) ~ SPECIFY NORTH STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TUApJ01NING MOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR lATS. SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BV THE BUILDING INSPECTION DIVISION. PERMIT Wlll EXPIRE 60 DAYS FROM DATE OF I$$UANCE !F WORN IS NOT STARTED WITH9J TNAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE LICENSE NO. MECHANICAL PERMIT ALUM INUMWIREUNDERSREBILIEGAI FLOOR BSM IST 2ND 3RD 4TH NQ FLELCirGeOneCw$qlProporNCodEIeeSolar M0. WATER CLASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HpT WATER BTU NEW SERVICE AMPS BATH TU8 STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING StNK OTHER HEATING GARBAGE DISP REFRIGERATqN SYSTEM POWER SUB-CIRCUITS WATER HEATER Refri e.ont Grap UTILITY(RANGE,DISPOSER,E7C.) AUTO.WASHER pounds Cnar e fIXTURES DISH WASHER AUTOMATIC SPRINKLEF SYSTEM WIRING MOTORS 9 CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADOITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES I hereby ocknowledpe thot this applica- PERMIT FEE fion is eorrect and understand ihaf I USE TAX eannof ftort fhif Drojset until tAia appli- cotion is avOrovee. I shall comply witn TOTAL FEE ths Iawa ot the Sfote of Colorado ond fo ths Zonina ReQulations and Buildinp ppROVEC Code of the City of Wheat Ridpe. Any DIS violotion of the above terms will cause CHIEF BUILDI immediafe rovocation of }his permil. 15456 - Date Issued_ NOT VALID UNLESS rziim-rmmk 1(l_# c~3[ SS- (4 6EF- 3 INSPECTOR,City oY' Wheat Ridqe CAL1237-8944 EXT.255 24 HOURS IN ADVANCE FORINSPECTIONS