HomeMy WebLinkAbout3395 Quail StreetThe City of Wheat Ridge
7500 W. 29th Avenue, Wheat Ridge, CO 80033
Third Party Form Check List
Property Address 33ci5 0(..x4,1
Permit Number 2 11 C2 -)Q It -1
Permit Issued Date '1 /'t / Zv r C,5
Owner Information
Property Owner Informationc�U G� LeZ a
Property Owner Address, -
Inspector Information
Inspection Company cvau:r,\ > d_<
Inspector Name C,
Inspector Contact info. q -10 2. Z 4
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
recommendatio ' s and specifica�t+ons.
Inspector: Date:
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
in lieu of the City of Wheat Ridge ilding Division ' spection.
Propery Owner/Agent: l -I ate: /j—
77 ell
/ 9_�'
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
a�
tea
Do LIC,',..
7500 W. 29th Ave
Wheat Ridge CO 80033 �oe•��_ ec
Draft Date: 7/26/17 of .^ ,• ••. �\ , ,
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Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Flashing for roof and walls
�] Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
❑ N/A
Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
❑ N/A
IF, Pass
❑ Fail
Crickets and saddles where needed
N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
�- r
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ 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
[YN/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
[Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
❑ N/A
Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
❑ N/A
Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
V Pass
Jr-71Fail
Modified Bitumen, EPDM, T PO min siope 114:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
❑ N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
❑ N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the 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 tile 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
Mid -Roof
Notes
Company Name:
Inspector signature:
Date of Inspection:
Mark Benjamin PE
PHI -D&E Inc. dba
Crown Jade (com)
Design and Engineering
PO 17, Ft. Collins CO 80522
970-472-2394
-7i
�Rp,DO LI�Fit��`
i 33390
sS�oiva�E
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
N/A
N/A
(] N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
❑ Pass ❑ Fail
Pass
❑ Fail
Structural roof components
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
Pass
❑ Fail
Flashing for roof and walls
14 Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
Pass
❑ Fail
Crickets and saddles where needed
( Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
Pass
❑ Fail
Verify vent caps
14 Pass
❑ Fail
Verify no flashings are damaged or rusted
W Pass
❑ Fail
Step flashing shall be min. of 44 piece per shingle
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
F f Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
C� Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
Pass
❑ Fail
Verify roof slope for proper drainage
Pass
❑ Fail
Dripedge shall have min of 2" overlap
M Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
Pass
❑ Fail
Above roof insulation R-25
❑ Pass
❑ Fail
Below roof residential R-38
❑ Pass
❑ Fail
Below roof commercial R-32
Pass
❑ Fail
Modified Bitumen; EPDM, TPn min s!owe 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
❑ 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 tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
Company Name:
Inspector signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Mark Benjamin PE
PHI -D&E Inc. dba
Crown Jade (.com)
Design and Engineering
PO 17, Ft. Collins CO 80522
970-472-2394
��p,QO Z1�F,;•..
• eErd, '° o
38390
I . /ONALE-
_ City of Wheat Ridge
r
Residential Roofing PERMIT - 201703487
PERMIT NO: 201703487 ISSUED: 07/07/2017
JOB ADDRESS: 3395 Quail ST EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 45 sq.
*** CONTACTS ***
OWNER (720)724-6588 SCEZNEY JEROME F
SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 22,600.00
FEES
Total Valuation 0.00
Use Tax 474.60
Permit Fee 410.35
** TOTAL ** 884.95
*** 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 - 201703487
PERMIT NO: 201703487 ISSUED: 07/07/2017
JOB ADDRESS: 3395 Quail ST EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 45 sq.
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
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
(2 i 7
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This pen -nit was issued based on the information provided in the permit application and accompanying flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
ap.ai�le code or an o nance gr gulation 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 $USINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.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.
Dan Schultz _00-170,34-y?
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 26, 2017 2:04 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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 5 business days, 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. 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? LIT
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
3395 quail st
ferry scezney
7207246588
Property Owner Email scezneyj@gmail.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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
monarch construction
100243
3039811265
Contractor Email Address ascott@monarchroofs.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
ascott@monarchroofs.com
No l/
owens corning
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 45
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No
Field not completed.
2
TOTAL SQUARES of all 45
roofing material for this
proj ect
Provide additional detail house reroof
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 2600
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
pen -nit. 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 alicia scott
Email not displaying correctly? View it in your browser.
3
Customer Name
Address 3395 Quail st
Top 1% of roofing contractors
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Scezney Job #
Wheatridge CO 80033
Phone 7207246588 Aft. Phone
Email Sceznevi(a)omail.corn
Insurance Company Auto Owners Claim# 300-0118443-2017
Ins.Policy #
Monarch Construction & Roofing, LLC will be referred to in this contract as Monarch. The scope of work and materials identified below are the scope of work recommended by Monarch
Construction & Roofing, Monarch is not obligated to perform any pad of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay
for this additional work.
Shingle Manufacturer Type: Color Int.
X Tear off all existing layers (^layers) 0 Tear off one layer of wood shake shingles
_ Install Decking (7/16" OSB) _ sheets of OSB are included, each additional sheet will be $65 per sheet
X Install New Undedayment
_151b. _3011b. X Synth.
X Install Pre -Painted metals to code Brown Charcoal Tan Gray White Other Int.
X Valley(s) will be closed with ice & water shield 17 Valley(s) will be open
_ Ridge (s) to be color -coordinated with shingle
X Ridge(s) to be High -Profile and color -coordinated with shingle
X Install new pipe jacks
X Replace vents as needed
_ Re -flash chimney(s) and all wall abutment as needed
—Install Ridge Vent _LF
X Install Ice & Water shield per code, as well as all vents and skylights
X Install 4-6 nails per shingle as required by city/county codes.
_ Satellite/ Dish Alignment (each customer will need to contact the provider to re -align dish after roof installation) Int.
X Final Inspections will be completed as city/counties allows, I have read the back of contract # 23 Int.
—
X 5 -year workmanship warranty on roofing, all other construction trades will receive a 1 yr. workmanship warranty
T Extended Warranty Per Sq. $ Circle: Owens Corning Platinum GAF Other: _
X Monarch Construction & Roofing will provide general liability insurance coverage of $2,000,000 general aggregate
X Perform magnetic sweep of driveway and yard for removal of any nails
X Remove all trash and debris from work listed
X Gutters LF Size: 5 -inch or 6 -inch Color: Int.
_ Replace Gutter Screens Type:
_ Insurance funds include Mortgage Company Yes X No (If yes please complete the third party authorization form) Int.
Special Instructions
s `
The approximate cost of the services based on damages known at the time this contract is entered is X0,000.00 Evan Kelley
determined by
insurance. Monarch will perform the scope of work approved by the insurance company. Monarch will supplement for items priced low, not included or items needed to pass city/county
codes, which may increase initial dollar amount that insurance is paying out. Supplemental claims billed by Monarch that are approved by the insurance company for additional work or
increases in costs become a pad of this contract. The final scope and price agreed on between the insurance company and Monarch shall become the final contract price for the insurance
approved scope. Customer will be responsible to pay for any upgrades; deductible, non-recoverable deprecation or additional work authorized by the customer that the
insurance company determines is not covered within the scope of coverage provided by your insurance policy.
Approximate Dates of Service: these dates of service are subject to change due to unusual delays in transportation of materials,
paymentdelays, insurance approval, ordinary weather delays, or by any othercauses beyond reasonable control of Monarch. Monarch will provide communication to customer
to show tentative dates.
Notice: If the property owner plans to use proceeds of a property and casualty insurance policy issued pursuant to part i of article 4:10, C.R.S., to pay for the roofing work, pursuant to
section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment
on the covered residential property.
I(we) hereby authorize & instruct the insurance company & lien hollers to include the name of Monarch Construction & Roofing LLC as co -payee on any subsequent loss draft or checks
after today's date as indicated above. I (we) authorize any legal representative and/or agent of Monarch Construction to obtain information necessary to complete any funding process
relative to the claim number referenced above. I (we) further authorize Monarch to pickup in person any loss drafts or checks on my/our behalf and behalf of Monarch.
Deposit Amount: $ Dale: Rep. Initials
Monarch Construction &Roofing LLC shall hold intrust any payment from the property owner until Monarch Construction & Roofing LLC has delivered roofing materials at the residential property site or has performed
a majority of the roofing work on the property.
I (we) agree, by signing below, to all the contract conditions, both front and back of this agreement.
Date of Acceptance: 5/1y' 11/22017 2:36:34
Customer Signature(s):(
nature(s): Customer Signature:
Monarch Representative: Evan Kelley
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
t
Inspection Type: i~ ~,7_ -47_p? ;
,o -
Job Address: i S S E Q S
Permit Number: } y,,;
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, calf for re-inspection at 303-234-5933
Date: 1! O Inspector: IZeg/Ifit", .
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: irt~l r ` ~r
Job Address: 23~?r Ovefi l 37y,
Permit Number: 011VP!
❑ No one available for inspection: Time AMA
Re-Inspection required: Yes 140
When corrections have been made, call for re-inspection at 303-234-5933
Date: f- Inspector: Nn .Y~tr~o 'r,"
DO NOT REMOVE THIS NOTICE
~oF "'"E?rgo City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
~ptoR o° Inspection Line: 303-234-5933
Building Permit Application
Date:
Plan
Permit #:l
Property, Address 1331?15- UCAtI ~1 lsJtle( ~I~GP ~Q 0~ 3
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
State,
Phone:
(74Contractor:
Contractor License # 0 19 5,70 J Phone: 303 -931) - (r7 91
Sub Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description):'RErvlcat,)& -~a ~PciV . Construction Value: $ 9-005S. 00
Des I crtiption of WOrk,:I.pt t~ts4 CM,6n-V (as calculated per the. Building Valuation Data sheet)
Umar-v, ~~b1(t~0 It),S`tin5ai~ Plan Review (due at time of submittal):$
J4SS eo Sa-P c sL-a Over V14 oar; .s'sgrs.,
ti}u,m
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
C/RLCE ONE:: °°(OWNER~)`t q,oc RACTOR or PERSONA EPR ENTATIIVE of WNER) TRATOR)
PRINTNAME: Joe SIGNATl114E:. n~.•t of , Date: #
] Bldg Valuation: $ 1
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tl3YNfINLlltl3d
DATE: a
A CERTIFICATE OF OCCUPANCY HAS BSEN RBQUESTED FOR:
J- ~A
PIJRPOSE OF STRUCTIJRE :
Building Dept.Approval:
Remarks
Zoning Approval: _
RPmarks
_OK'_tf-l-
VVIA-
c U
4 ' 3 ( ' 9 to
INSPECTIONS I
THIS CARD IS PC
24 HOURS NOTIGE
MADE UNLESS
'E BUILDING SITE
t _ ,3 INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE
INSPECTION RECORD~4~``
(~u3) 234-5933
JOB ADDRESS 3395 Quai 1 Street
BUILDING PERMIT N0. 96-3030 DATE ISSUED 5/6/96
OWNER Timothy CourcP,r
CONTRACTOR Culligan Construction Co., Inc.
SETBACNS FROM PROPERTY LINES: NORTH
SOUTH
EAST
West
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
I NSPECTION
DATE
I NSPECTOR
Foundations
Footin s
Caissons
Reinforcin or Mo lithic
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 AB#VE HAS BEEN SIGNED
Rou h Electrical
~
Rou h Plumbin
Air Test Gas Pi in
Rou h Heatin & Ventilation
r..... .....+...;nr fn frnminn inencetinnl
_ ~ ' _ _ _
Framin
Insulation t
%o
Dr wall nailin G•~
G
~
Roofin 0.
k
Refri eration
Electrical under round
Final
Electrical Fixtures '
Plumbin Fixtures
Heatin & Ventilation
Landsca e & Parkin
R.O.W. & Draina e
Fire De artment
Job Com leted ~ •
A
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCUPANCY IS ISSUED
TYPE OCCUPANCV
PROTECT THIS CARD FROM THE WEATHER
DEV!ELOPMENT
rN - 235-2856
3E ,
80215
2SEY TIMOTHY F
QUAIL ST
,~dv •I CbIlfaan ConstrucHon Co., Inc.
R-T
UNDERSTANDING AND AGREEMENT
Roof
;'S
Stories : Residenflal Units :
Phone : 232-8797
Phone : 420 5544
Construction Value : $12,500.00
Pertnit Fee :
$144.00
Plan Review Fee :
$0.00
Use Tax :
$150.00
Total:
$294.00
< /
EXISTtNG ROOF; REPLACE PATIO ROOF OVER EXISTING S{.AB
BUILDING DEPARTMENT USE ONLY
SIC : Sq• Ft :
APPROVAL OF PATIO ENCLOSURE. PAT10 Ml1ST BE SET BACK$0'
FROM FIiONT PROPERTY LINE; 15 FT FRONF StDE PROPERTY LMtE.
Plumbing License No :
Company :
Expiration Date :
approval :
x a nmw
I~chenps =allbx of water eawqq e dr~na0e ProWem.
N+«ar~+a+r t2+) houre m wvance r« WI (nepedbna ena ena8 recaNe wriftn avDovel a+ Mveabon card arore
r~'mMnp...nd .vaGMeaWns ana0 ria ue conswsa l0 6e s x ror, na en. mvN a, arry vldena, a ma wNIstona
Isw, da a repul~tlcn. ~
For yor
WH234d933M~ HOU S PRIOR TO N P CTIONpE~R AND AMYOR
Mechanical License No :
Company :
ExpiraYion Date :
Approval :
~ r
1 pmwwm se rorm an roaur +aWicallon ond u"ammeawa ame sm.a caoraao ana wmma zoMw
ro. cdoraao «+m anx aawftaa wm.ues a cny.
red. is not commenoedvAKhin fbAY (e% Cera Nom leeue aate a(B) the bulqnq eutlwrized M auaPwWW or
puirod tw abe of onahalf Ne anquM rorm* r89uLed, ~°d no dMnYes have been a will ba rtmtle M Me
wsi0n or abendOnmnN hu not aMaided ona (1) Ym. d~srq~ e~e matk or H auspenelon or abanCOnmeM.
Building Permit Number :
Date : 5/6/96
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : 1?41fRrJ N 1G'6(,(R5EX
Property Address : 3395 Qa,4-16
S~
Contractor License No. :
Company : 6GL6(.(6 rQ/V C44l57. &/A~-
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : 6Z QQ
I hereby certify that the setback distances proposed by this pertnit applitation are accurate. '
and do not violate applieable ordinances, rules ar regulations of the City of Wheat Ridge or Permit Fee :
covenants, easements or restnctions of record; that all measurements shown, and allegations
made are aecurate; that I have read and a abide by all conditions printetl on this Use Tax :
application, and that I assume full resp sibility f co pliance with th Wheat Ridge Building
Code (U.B.C.) and all other applicab he g ances, for k unde t' pertnlt.
(OWNER)(CONTRACTOR) SIGNED ' ATE `5~ 9G a .
Description a-ZAa
U O.l/i,4tre';4_4 AD,./.
BUILDING DEPARTMENT USE ONLY
APProval :~vv~. /~PP2rNai o~ pn310 `~~-oSVpE . ~o µ,~dS'` 13~ SzT131~GK-
Zonin9 'f2~ 30' ~ru~nn 'Frwr~'~~~T`C LitsE; I'7l_' FV"vt~ sIbe 3'"?14U'
LA Nc'.
Approval :
Po41121WggJQ3=C men'tsp
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Phone : Z3Z ' S] 9 i
Phone : sy[1S/
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date :
Approval :
Expiration Date :
Approval:
Expiration Date :
Approval :
' Plans:R~ uired'"
e9 . _ 1 ~ Plans Required P;lansi3piqui
(1) This permrt was rssuetl in accortlance with the prowsions set forth in yoDUr ap0~ica(ion antl is subject to the laws of ihe State ol ColoraEO antl ro the Zoninq
Regulations antl Building CoOe of Wheat Ridge, Cobratlo or any oNer applirabte ortllnances o1lne Ciry.
(2) This permit shall e.pire R(A) the work authorizetl is not commencetl wiNin sixry (60) days fmm issue tlate or (B) the 6uilCing auNOnzetl is suspentled or abandonetl tor a perioE of 120 tlays.
13) If this Oermit expires, a new permR may be acquired lor a tee ol one-half the amount normally repuired, proviaetl no changes have been or will be matle in the
original plans antl speCifitations antl any suspensian or abanEOnment has not ezceeEed one (1) year. It thanges are matle or il suspension or a0antlonment
excee0s one (i) year. full (ees shall be paitl for a new permit.
(4) No work of any manner s0all Oe Eone that will change t0e naturel Bow o( water causing a arainage problem.
(5) Contractor s0all notiry the Building Inspector lwenry-four (24) hours in aEVance for all mspections antl shail receive written approval an inspection cara Defore .
O'oCeetliing with SuCCe55ive pha5e5 Of lhe job.
(6) The i nce of a permit or the appwval of drawings antl specifications shall not be struetl to Ce a permtl (opnoap',cvai ot any violation o( the provisions
01 th bu Itling des or any ot r ortlinance. law, rule or regulation.
YL ~
Chi Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
7500 WEST 29th AVENUE
237-6944 EXT. 255 P.O. BOX 638
PERMIT VALID ONLY WHEN SIGNED BY
JOB ADDRESS
CONTRACTOR
CITY _f
PHONE
SIGNS
DEPARTMENT OF GOMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
fHE CHVEF BUILDING INSPECTOR P.ND RECEIPTED BEL^W.
eoci ir.4TiON FOR MISCELLQNEOUS PERMJI.
ZIPCODE h~`" -
LICENSE NO.
OWNER _-~4 1
ADDRESS ~
PHONE
CONTRACT PRIC~
DATE ~
PERMIT NO M911117701
ZIP CODE
1. TYPE Ground❑ Wall❑ Proiactinp❑ 01hsr SwOFoas
2 MATERIAL Total Squan FeH
.
3 ILLUMINATION Ws❑ No❑ TYDe Eloef. Pomit No.
Zom_ ADOr~b~Ze^~ Insp~ctor
4. SET BACK FROM PROPERTY IINE N- 5 O E~ W~ DiseDDrwad
(Seecilv whith ie frMt ) 0
I. TVPE Solid~ Mors Than 80% ODan0 Loss Thon 80% OM^
HeiQhf
MATERIAL -
FENCES Zone_ AODraW,Zorn Impaeta
3. SET BACK FROM PROPERTY LINE N_--- S- E-- W
❑ r"I ~ Diaapproved _
(Soecifv w~icA i~ }rOnt) ❑
I.
OTHER
s.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIV1Nu DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDED)
~
SPECIFY NORTH
N0.
STREET N4ME
SHD S AfNCE N TO SPRFROM OPERT'YE LNSBNODI MAXIMUM J OR I AE~E E DISTANI;E S, AND PROPERTY LINES;ON IRREGUTAR LATS, SIKTN LEAST
ppPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEDWORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PEflMIT WILL EXPIFE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITMHIN
PERMIT
ELECTRICAL PERMIT PLUMBING LRM~
STATE LICENSE N0.
STATE LICENSE N0.
Cool EI«
_UMINDERS12E81LLEGAI FLOOR BSM IST 2ND 3RD 4TH N0. FUEL~C'nrleOrMGoip~~^~
WATER CIASET FORCED AIR BTU
.,nr werPa BTU
:TER
A
c-C
WASH BOW
6ATH TUB
DISP
E
9
TRANSFORMERS 9 REc
ADDITION TO OLD WORK
unT~RS O
1 hareby acknowledqe ihot 1his ap0lico-
tion u torrecl ond understand thar I
ooonot Starf tnis vroiecr untii +nie avpli-
calion ie apOroveC. I sholl comply with
the lowf of the Stete of Colorodo and to
fhe ZoninQ Re9ulati0ne and BuildinQ
Code of tna City of Wt+eat RidQe. QnY
violotion of the above terme will couse
immediate revocahon of tnie Oermlt
1
FIDOR DI
URIN CL
SEWERS
PERMIT FEE
USE TAX
TOTAL FEE
CHIEF
Date Issued
AIR
NOT VAUD UI
lell-;1S'o6/
'V_1L ~
INSPECTOR,City of W aoi Ridqe
L
-`7i
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS