HomeMy WebLinkAbout3405 Ward RoadCity of Wheat Ridge
Residential Sewer Repair PERMIT - 202001699
PERMIT NO: 202001699 ISSUED: 08/26/2020
JOB ADDRESS: 3405 Ward Rd EXPIRES: 08/26/2021
JOB DESCRIPTION: Sewer repair in yard - 40 ft long
*** CONTACTS ***
OWNER (720)224-4707 SEYFER REVOCABLE TRUST
SUB (303)766-7500 JEFF BELK 021818 PLUMBLINE SERVICES 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: 7,000.00
FEES
Total Valuation 0.00
Use Tax 147.00
Permit Fee 156.75
** TOTAL ** 303.75
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202001699
PERMIT NO: 202001699 ISSUED: 08/26/2020
JOB ADDRESS: 3405 Ward Rd EXPIRES: 08/26/2021
JOB DESCRIPTION: Sewer repair in yard - 40 ft long
I, by my signature, do hereby attest that the work to be perfonned 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 authonzed
bye legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am legally authorized to include alI 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
I . 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 pennit shall expire 365 days after the date of issuance regardless of activity. Reqquests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made
granted at the discretion of the Chief Budding
Official and may be subject to a fee equal to one-half of the originalpenmt 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 Official Date
REQUESTS MUST B8 MADS BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
t
Online Form Submittal: Sewer or Water Line Repair Permit ... - ... https://wnnail.ci.wheatridge.co.us/owa/#viewmodel=ReadMessage...
Online Form Submittal: Sewer or Water Line Repair Permit
Application
no-reply@ci.wheatridge.co.us
Wed 8/26/2020 1:49 PM
To:CommDev Permits <Permits@cimheatridge.co.us>;
Categories: Kim
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for sewer Yes
line or water line repair - in
yard only?
PROPERTY INFORMATION
Is this Residential or
Commercial?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat Ridge
Electronic Payment Form -
**DO NOT ATTACH A
PICTURE OF A CREDIT
CARD**
1 of 3
Residential
3405 Ward Rd
Margie Seyfer
720-224-4707
Field not completed.
Wheat ridge payment form.pdf
08/31/2020, 8:42 AM
Online Form Submittal: Sewer or Water Line Repair Permit .......
CONTRACTOR INFORMATION
Contractor Business Name Plumbline Services
Contractor's License 021818
Number (This is a 5 or 6 digit
number for the City of Wheat
Ridge)
Contractor Phone Number 303-766-7500
(enter WITH dashes, eg
303-123-4567)
https://wrmail. ci.wheatridge. co.us/owa/#viewmodel=ReadMessage...
Contractor Email Address permits@plumblineservices.com
Retype Contractor Email permits@plumblineservices.com
Address
DESCRIPTION OF WORK
Is this a sewer line or water Water Line
line repair?
Length of repair 40 ft
Location of repair (backyard, Front yard
frontyard, etc)
Provide additional details Emergency sewer repair in yard to TAP
including installation of
clean -outs.
Project Value (contract value 7000.00
or cost of ALL materials and
labor)
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 work may Yes
not begin on this property
until a permit has been
issued and posted on the
property.
2 of 3 08/31/2020, 8:42 AM
-- t
Online Form Submittal: Sewer or Water Line Repair Permit... - ..
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 stated Yes
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 Permit TIM CARDINAL
https: //wrmail.c i. wheatridge. co.us/owa/#viewmodel=ReadMessage...
Email not displaying correctly? View it in your browser.
3 of 3 08/31/2020, 8:42 AM
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:�� E'
Job Address: �V l,Jr-�r6 A
Permit Number: Cid 0 U
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes Flo -
When corrections have been made, schedule for re -inspection online at:
httpYlwww. ci. wheatridge. co. uslinspection
Date:' -A - -D,c_,, G InspectoHL,
DO NOT REMOVE THIS NOTICE
E
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes Flo -
When corrections have been made, schedule for re -inspection online at:
httpYlwww. ci. wheatridge. co. uslinspection
Date:' -A - -D,c_,, G InspectoHL,
DO NOT REMOVE THIS NOTICE
s City of Wheat Ridge
Residential Sewer Repair PERMIT - 202000638
PERMIT NO: 202000638 ISSUED: 04/02/2020
JOB ADDRESS: 3405 Ward Rd EXPIRES: 04/02/2021
JOB DESCRIPTION: Sewer repair in front yard, install cleanouts - 10 ft long
*** CONTACTS ***
OWNER (720)224-4707 SEYFER REVOCABLE TRUST
SUB (303)766-7500 JEFF BELK 021818 PLUMBLINE SERVICES 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: 2,750.00
FEES
Total Valuation 0.00
Use Tax 57.75
Permit Fee 93.35
** TOTAL ** 151.10
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202000638
PERMIT NO: 202000638 ISSUED: 04/02/2020
JOB ADDRESS: 3405 Ward Rd EXPIRES: 04/02/2021
JOB DESCRIPTION: Sewer repair in front yard, install cleanouts - 10 ft long
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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless Of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 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 ranting of a p rmit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable co any ordman 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.
C�tv uf Wheot Ridge
84/O2/2O2O O8�37 �UVo
CUA022542
151 1O
8PSP 3485 Word Rd .
APPL/PERMIT NO: 2O2OOO638
15\ 1O
PP / 7643
CO0E� ?33548D4 \51.1O
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, April 1, 2020 3:39 PM
To: CommDev Permits
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Categories: Kim
Sewer or Water Line Repair Permit Application
This application is exclusively for RESIDENTIAL SEWER OR WATER LINE
REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
residential sewer line or
water line repair - in yard
only?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
3405 Ward Rd.
Margie Seyfer
720-224-4707
Field not completed.
Attach Credit Card Field not completed
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
CONTRACTOR INFORMATION
I
Contractor Business Plumbline Services
Name
Contractor's License 20484
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-356-8578
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address Permits@plumblineservices.com
Retype Contractor Email Permits@plumblineservices.com
Address
DESCRIPTION OF WORK
Is this a sewer line or
water line repair?
Length of repair
Location of repair
(backyard, frontyard, etc)
Provide additional details
including installation of
clean -outs.
Sewer Line
10'
Front
Sewer repair in yard. Add cleanouts
Project Value (contract 2750
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
i
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Scott Cutting
Permit
Email not displaying correctly? View it in your browser.
PERMIT: ADDRESS: yaf
INSPECTION RECORD
JOB CODE: I�I� F
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
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
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
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
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
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
1410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
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: t-- I L, a00E-
Job Address: Z 5 w
Permit Number:
❑ No one available for inspection: Time L S AM//'
F
Re -Inspection required: Yes No
When corrections have been made, call fo�-inspection at 303-234-5933
Date: �1,4
1-1
Inspector: � �� ut -
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION ANO/ TICE
Inspection Type: -30J l / f
Job Address: 3 t10
Permit Number: 0 9 1
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes (0
When corrections ve been made, call for re -inspection at 303-234-5933
Date: 13 / 7 Inspector: AT 6
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 NOTICEA.
�%
Inspection Type:116 liC�
Job Address:31105: WwI' gal
Permit Number: 5;�-o / 7o S 17
❑ No one available for inspection: Time`(� 171 / AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: %% Inspector: M7
DO NOT REMOVE THIS NOTICE
e . City of Wheat Ridge
f F
Residential Roofing PERMIT - 201708175
PERMIT NO: 201708175 ISSUED: 10/10/2017
JOB ADDRESS: 3405 Ward RD EXPIRES: 10/10/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 23 sq Pitch = 4/12
*** CONTACTS ***
OWNER (720)588-2317 DONALD C SEYFER REVOCABLE TRUS
SUB (720)626-5866 Francisco Miery Teran 130035 USA Roof 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: 12,000.00
FEES
Total Valuation 0.00
Use Tax 252.00
Permit Fee 236.00
** TOTAL ** 488.00
*** 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 - 201708175
PERMIT NO: 201708175 ISSUED:
JOB ADDRESS: 3405 Ward RD EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 23
10/10/2017
10/10/2018
sq Pitch = 4/12
I, by my signature, do hereby attest ihat the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes anta
bythelegalownerofthe proathis permit.Ifurtheratttthmperformed and that allwork tp, ormed is disclosed in this document and/or its' accompanng approved plans and specifications.
%//7
Signature of OWNER or ICONTRACTOR (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 ides 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offcial and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code ordinance o�rrreg'ulation sof this jurisdiction. Approval of work is subject to field inspection.
'40�b
Signature of Chief Building Official - Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
.T
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 9, 2017 10:55 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3405 Ward Rd.
Property Owner Name Margie Seyfer
Property Owner Phone 720-588-2317
Number (enter WITH
dashes, eg 303-123-4567)
17
Property Owner Email
Field not completed.
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
Sevfer Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
USA ROOF Restoration, LLC
Name
Contractor's License
130035
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
7204494129
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
11765 W. 33rd. Place
(Primary address of your
business)
Contractor Email Address
usaroofrestor@gmail.com
Retype Contractor Email
usaroofrestor@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
23
the entire scope of work:
Project Value (contract
12000
value or cost of ALL
materials and labor)
Are you re -decking the
No,
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
18
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
23 _
Architectural dimensional asphalt shingles
Asphalt
Re roof
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
19
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 Francisco Mier y Teran
Email not displaying correctly? View it in your browser.
20
- USA ROOF Restoration, LLC
11765W. 33rd PI. Wheat Ridge, CO 80033 720-449-4129 FAX 866-596-4981
RETAIL ! ORDER FORM
Name Margie SCV1er
Address 3405 Ward Rd
City/ State/ Zip: Wheat Ridge, CO 80033
Phone: 720.588-2317
Cell:
usaroofrestor@gmail.com
Date: 10/4/2017
Work:
USA ROOF Restoration offers a 10 year warranty on installation
HOUSE Tear off all asphalt shingles down to decking: 23.82 SQ
Install ice & water shield 23.82SQ
Install new dimensional 35yr asphalt shingles 23.82SQ
Replace and paint 2 pipe jacks and 1 metal turtle vent and chimney flashing
Install high profile ridge cap
Install Drip edge metal 4"x2" 225 LF
TOTAL: $12.079.37
Material, labor and clean up: $12,079.37 plus any supplements paid by the insurance company
for this job only.
Price does not include any other work but the instalation of building materials. Any other work needed to finish
this job, like masonry, carpentry, etc. And not especified above will be an extra charge.
CITY PERMIT IS AN EXTRA COST AND WILL BE DETERMINED WHEN OBTAINED
57W' Ctd n4m V ?clout
Field specialist
Cisco Mier v Teraii
Print name
All payments must be made to USA ROOF Restoration, LLC.
I✓
Homeowner'
Print name
10/4/2017 /D/ ::-, l
Date Date
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
�r (303) 234 -5933 Inspection line
r (303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: 6)
Job Address: e
Permit Number: OR
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
'When corrections have been made, call for re-inspe at 303 - 234 -5933
Date: nspector: !'r,F,a f7i
DO T 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 NOTICE
Inspection Type:
n
Job Address: 5tili� Wff k i
Permit Number: PLI ; �U11
❑ No one available for inspection: Time W Il f" &/Om
Re- Inspection required: YestVo}
When corrections have been made, call for re- inspection at 303- 234 -5933
Date: c� Inspector: ,„ i 1, rr
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
.rte
/ Residential Roofing PERMIT - 091349
PERMIT NO: 091349 :ISSUED: 08/17/2009
JOB ADDRESS: 3405 WARD RD `EXPIRES: 02/13/2010
DESCRIPTION: Reroof 25.. sqs with 30.. yr dimensional shingles
CONTACTS
:..owner '.303/233-0836 Margie Seyfer
sub 30.3/484-1115 - 08-0146 , TKO Custom Construction Inc
PARCEL -INFO
ZONE CODE: UA USE: '.UA
SUBDIVISION: .0695. BLOCK/LOT#: 0/
FEE SUMMARY ' ESTIMATED PROJECT VALUATION: 8,00.0.00
FEES:
Permit Fee 199.30 mod
Total Valuation .00 ~~r 41
3
Use Tax 144.00
TOTAL 343.30
Conditions:
-6 nail installation &.mid-roof inspection required. Board sheathing spaced more.
than a'1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave,edge to 2' inside exterior walls.
Subject to field inspections.
I. hereby certify that the setback distances proposed by. this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
'measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and. that I assume full responsibility for compliance with. the Wheat Ridge Building Code (I.B.C). and all rather
appli ble Wheat Ridge. rd inan es, for work under this permit. :Plans subject to field inspection.
Signature of ontractor/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
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.
3. If this permit expires, a new permit may be acquired for 'a .fee.' of one-half the amount normally required, provided no
changes have been. or will be made in the original plans and specifications and any suspension: or abandonment has not
exceeded one (1) year. If changes. have been or if suspension or abandonment. exceeds one.(1). year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing adrainage 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 bea permit for, nor
an approval of;'. any. violation of the provisions of the building codes or any. other ordinance, law,. rule or. regulation..
All plan review s ect to field inspections.
/-7 Signature of C e lding.Official Aate
INSPECTIO REQUEST LINE: .(303)234-5933 ..BUILDING OFFICE: (303)235-2855
REQUESTS ST BE, MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION. THE FOLLOWING BUSINESS DAY.
v 4
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-237-8929
Inspection Line: 303-234-5933
Date: 6911
Plan
Permit 0
Building Permit Application
Property Address: (a [A) 0&-
Property Owner (please print): Phone:
Mailing Address: (if different than property address)
Address:
State,
Contractor: ~~k a ~a &S~6r~Ll. 004 ST -M 4 0-1--" -Zt l
Contractor License C) <3 Phone: -303 -'R7 / `-7( 6,g
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): 1c),"0. O-J~? Construction Value: $ ,
Description of work: a (as calculated per the Building Valuation Data sheet)
3 0 y i11111 Plan Review (due at time of submittal): $
Sq. Ft./L. Ft added: Squares Z- S BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
C/RLCEONE::yf(OWNEER) (CONTRACTOR) or PERSONAL REPRES NTATIVEEJoof(O//WNER (CONTRATOR)
PRINT NAMEhPS L_, L"A411SAn-ea~- SIGNATUREj-Z ~t/ Date:
9,dOO,cra
Bldg Valuation: $
. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11736
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 1/30/2001
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3405 WARD RD
Contractor License No. :
Company:
Phone : 233-0836
Phone:
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 accurete; that I have read and agree to abide by all conditions printed on this
application, and that 1 assume full respon ' fo compliance w' the Wheat Ridge Building
Code (U.B.C.) and all other applicable eat ie ordinances wo/k under this permit.
u ~Construction Value : $6,200.00
(OWNER)(CONTRACTOR)SIGNEDk4ATE I-3D-O~
Permit Fee :
$139.25
Plan Review Fee :
$0.00
Use Tax :
$155.00
Total:
$294.25
Use:
Description : APPLY STUCCO & STONE TO EXISTING BRICK FACADE. NEW WINDOWS & GARAGE DOOR
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval:
(1) This permtt was issued in accordance with the provisions set forth in yopur application and is sub7'ect to the laws of the SWte of Coloretlo antl to ihe Zoning
Regulations antl Builtling Code of Wheat Ridge, Colorado or any other epplicable ordinances M the City.
(2) This permit shall expire if (A) the work authorizetl is not commenced within sixry (60) tlays from issue date or (B) the builtling authorizetl is suspentletl or
abandoned for a penodof 120 days.
(3) If this permit expires, a new permit may be acquire0 for a tee of one-half the amount nortnally require4 provitletl no changes have been or will be matle in the
onglnal plans and specifcaUons antl any suspension or abantlonment has not ezceeded one (1) year. If chan9es are made ar it suspension or abantlonment
exceeds one (1) year, full tees shall be paitl tor a new permit.
(4) No work of any manner shall De tlone thal will change the natural flow o} water causing a drainage problem.
(5) Confreclor shall notiy the 8uiltling Inspector twenry-FOUr (24) hours in advance for all inspections antl shall receive written approval on inspection cartl before
proceediing wkh successive phases of thejob. (8) The issuance of a permit or the approval of tlrewings and specifcations shall not be construed to be a permit tor, nor an approval of, any violation ot the provisions
of the building cotles or any other ordinance, law, rule or regulation.
DEPARTMENT OF PL,4NNING AND DEVELOPMENT Buiiding Perrnit Number :
BUILDING INSPECTION L1NE - 303-234-5933
CIT( OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT R1DGE, CO 80215 - (303-235-2855)
ProPertl Owner : 'f ` c~<~ - U ~ ~ i-Z
4"l v1l~..-
ProPerty Address ' ~
7
Q ~ 3 3 -~~f3~•
oj ~/C S `r~:?~ Phone
3~ 3 - ~
Contractor Licanse No. .
Company ;
?hcre:
OWNER/CONTR,>CTOR SIGNATURE QF UNCERST,:.NDING,:NO AGRE=:b1ENT /
I hereby certify that !he sethack distances provasetl hy fhis pemit application are accurate, V31U@
anc Co not violate apoliCable oftlinanCes, Nles or regulations of (he Ciry of Wheat Ritlge or /
covenants
:
, easemen[s or restnCions of record; Nat all measurements shown, anC allegations it F??
maCe are accurate; that i have read antl agree ro abiCe by all contli[ions pnntetl on lhis application, antl that Iassume full respen5t "ry far cqmpliance /iith the Wheat RiCge Building e TdX :
- CaCe (U.B.C.) and all other applicable Whea RiCye'ordinancqj for w rk under this pertnrt.
(OWNER)(CONTRACTOR) SIGNE TOtal :
OATE ~ DZ7
Use: 1
Descriptian: Fu~/'"~~( ,,/.r~,w U-, ..~1~<ce~ ~/,I~Ca.L~c_ ~7co-C4eLs+~;,
ZSBIH~
Approval:
Zoning :
Approval:
?b7
Approval:
Occupancy: Walls
6UIlDING DEPARTMENT USE ONLY
SIC
Roaf
Sq. Pt :
Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
(t)
Thu pemut was iswaC in a
Regulatlons anC BuilOlnq p
(2)
Thn pertnit $hall ezpua a (P
abanCOneE !ar a perlpE a/ 7
i/ Nis PertnR exPirei, o new
an9inal Plana anC apeplk7i
(4)
exceeaa one (1) year, Np te
No wOtk af anY minnel f11a
(51
Cantracror anaU natl/y, t1K B
(e)
ploceeEifnq wiTh auccft"
7Te issuance ot a pe(m( a
a! Ufe Ouiltling coCm pr yry
Plumbing License No : Mechanical License No :
Company : Company :
Expira0on Date : ExpiraGon Date :
Approval: Approval:
7rovitiana xt IoM in yoWr aPMimtlon anE is aub act to phe laws ot Ne State o! Calo2Ea anC lo pie Zanin
It Rkqe. CAbrddo af ury otllx aPPI1tl01e atdinanW of Cle City. 9
uNanxaE is nat eommeneeC wiyhin siMy (80) Erya 5vm i,,,, Qate or (g) ryie huiltlinq auNOrizeC is susoendetl or
W aWUiRV (ar a!Ge o( one.italt ttta am0unt nortnally Myyjmy PMyided no Clar9es have heen or will Oe maEe in Vie
I wspenwn or abanWOnment haa not eaceetleO one (t) year p Uan9w am matle or it suspansion or a0anaonment
wE (ar a new pmnit
rt M+Y dnnye Na nawral iow at water ausinq a ardinaqs pmplem.
~~ry-fwr (24) toun in aEVancp !pr all iroPKtlans aM yiall reCsrie wntten aPProY+I on insPecdan mb 6efore .
Ns aC rcapedllgWatlanCatlcns.tPal1 not be eonsCVed pp pe a p~i~ tor. nor an appmval o(, am/ Walatlon ol Ne pmvisions
.
Chief Building Inspedor
r DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 10462
' BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 5/2/00
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3405 WARD STREET Phone : 979-1641
Contractor License No. : 19585
Company : Over-all Electric Phone : 979 1641
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I he2by certiry that the setback distences proposed by this pertnit appliwtion are accurete,
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 eccurete; thet I have read and agree to abide by all conditions printed on this
appliwtion, and that I assume full responsibilitv for compliance wfth the Wheat Ridge Building
Gode (U.B.C.) and all other applicable Wheat Ftidge ordinances, for work under this pertnit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Service change to 200amp
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax :
Total
$38.75
$0.00
$14.25
$53.00
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval:
Zoning :
Approval:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : 19585 Plumbing License No : Mechanical License No :
Company :Overvall Electric Company : Company :
Expiration Date : 2l28/01
Approval : Expiration Date : Expiration Date :
Approval : Approval :
(1) This pertntt was issued in accordance with the provisiona aet foM in yopur application antl is subjecl to Me laws M the SYate M Colorado and ro Ne Zonirg
Regula6onsantlBUiltling CadeotWhealRitlpe ColoredooranyotherapplicableordinancesNMeCtty.
(2) This peimit shell eupire If (A1 the work authorizetl Is not commencetl within siMy (BO) tleys from Issue tlate or (B) the buiWing autliwizetl Is suspended or
abandoned for a paAOC M 120 tlays.
(3) If this pertni[ azpires, a new peimrt may be acquired tor a fee of ane-half the amouM nortnalry required, provitletl ra changes have been or will be made in the
original plans and apeaficetfons and eiry suspension or abeMonment has not ezceetletl one (7) year. If changes are metle or if suspensbn w eEandonmenl
exceeds ona (t) year, lull Tees ahall be pe10 Mr a newpem~ it.
(4) No xrork ot any manner shatl be dona thal will chanpe the nalurel flow of waler causinp e dieinage problem.
(5) ConVactor shall notly the Building Insoector lwenry-four (24) Fwurs in advance for all inspeclions and shall receive wrttMn approval on inspectlon card before
pnceetliinp with successive pheses oi tM 1"ob.
(e) The fasuance W a permil or the epproval W drawinps entl epecficadons ahell nol be consWed ro he a pemtlt for, nor an appmval of, arry violation of the provisions
ot the building cotles or arry other ordinance, law, ruk or repulaHon.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDINGCNTY OF WHEAT RI GE_ 235-2855 Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 qppLICATIo N
Phone : ~02-q -~Cj -p 41
Property Owner :
Property Address :
Contractor License No. :
Company : V-ve ~~/~z L C~.eC-17L i C~ c L~ Phone :~j7> 11_VJ (0 Z
OWNER/CON7RACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value
I hereby certify that the setback distances proposeC by this permit appliwtion are accurate, PEfR1it FEE :
and do not violate applicable ordinances, rules or regulations of the Ciry of 1Nheat Ridge or
covenants, easements or restriUions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to ahide by all conditions printed on this Use Tax :
applicatian, and that I assume full res onsibiliry for eomplianca with the 4Vheat Ridge Builtling
Code (U.B.C.) and all other appli le eat Ridge ordinances, for work under this permit.
~1 - , „ „ , Total :
(OWNER)(CONTRACTOR) SIGNED_)p '4 Vo/ / u. ~y4L~ DATE
Description
",a tz~
BUILDING DEPi\R NLY
on _ , _ om, ~ ~ SIC : Sq. Ft. :
..y" ~
ApProval : RE Ct,=1 V CD Zoning: i "j
- -O "l' F" /kY L 2900
Approvai :
Approvai :
Occupancy : Walls : Roof : o ~es : Residential Units :
Electricai License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiretion Date : Expiration Date : Expiration Date :
Approvai: Approval: Approval:
(1) This pemut waa isauatl in acwrdance with the provitians xt torth in yopur appliratlon arW is auEject to the laws of the SWte of ColanEO anC W the:.oniny
Regulationa arW BuilEing Code W VMeat RiCge, CobraEO or any otner a00linble adinanms ot the Ciry.
(2) This pertnk shall expire if (A) the work authonzeC is not commenceE wiNin aixry (80) Cays hom issue Cate or (B) the builEing aWhonzetl is suspenCeE or
a6antlonetl tor a penatl W 120 Cays.
(3) If this Oertnit expircs, a nm permrt may be acQU'ued kr a tee of onMalf the artrount narmally repuiretl, OmvitlM no changes have Oeen or vnll Ee maae in Me
onginal plans anC epecrtlraVOna an0 any euspenaion or abanCOnmerrt has not eztteEeC one (1) year. II Uanges arc ma0a or i/ suspension or abanOOnment
exceeES one (t) year, tull feea eryall 6e pai0 br a new pemnt
(1) No vrork o( any rtunner ahall Oe tlone Mat will cha'ge the nawral Ilow of water ausinq a d2inage probkm.
(5) Conlraclor shall naCy the BuilCi'p Inapettor lwenty-four (21) houn in advanca for all inspettions and shall receive written appmval on inspection orE bekm
oroceeEiing wM Suxaasive Ptim ot thep' b.
(6) Tl~e iasuance of a permit w the apD~wal of C2wfngs aM specfiqtlons ahall not Ee cansWeC to De a Oertnit (w, nar an apDmal of, arry vialation al Ne pnviawns
ot the Ouiltling co0n or atry oMn ortlinance, law, Me or repulation. -
Chief Building Inspector
,AEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 10454
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 5/1/00
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3405 WARD ROAD
Contractor License No. : 17713
Phone : 233-0836
Company : Aron Heating & A/C Phone : 431 1556
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certiy that the setbadc distances pro os
and do not violate eppliceble ordinences, rul or
covenants, easamenW or restridiona of re rd;
made are accurete; that I have read and ree o
application, and Mat I assume tull respo if ~
Code (U.B.C.) and all other applicable a'
application are accurate,
i City of Wheat Ridge or
rnts shown, and allagations
itions printed on this
i the Wheat Ridge Building
r work under this pertnft.
(OWNER)(CONTRACTOR)
Description : A!C System
ConsUuction Value :
$1,900.
00
Permit Fee :
$69.
25
Plan Review Fee :
$0.
00
Use Tax :
$28.
50
Total:
$97.
75
Use :
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date : Expiretion Date : Expiration Date :
Approval : Approval : Approval :
(t) Thie pertMt was iseuetl In acmrtlance with the pmviaione eel toAh in yopur application and is sublx.t to the lews o1 Ma Sfete of Coloia0o antl lo the Zoning
Reguletion8 end BuiHi CoOe W Wheffi RWge caorado «am ~ a~ncade ominencea a~~re cny.
(z) This pertnd shall e~cpire~ (n) me wonc aum.r(zed Is rat cornmenced wNfin sudy (80) days (rom ieaua EaM or (B) the buiWinp auNOrizetl Is auspeMed or
abantlabtl for a peMOtl of 120 deys. (3) H thie pertnk e~irea, a new permR may be aequireC tor a fee oi one-half the emouM nortnaly required,pro vWetl no charigea hava been or wili be made in the
originsl plans entl epeaficatfons antl eny suspenswn or abeMOnmaM has not ezceeded ane (7) ywr. If chenges are made or N auspeneion or abandonment
exceeds oire (1) Yeat, NII teea ahall be paW M a new pennit.
(4) No woAc of arry menner shall be tlone Mal wlll chanpe thenaNrel flow of water ceuslnp e Creinape problem.
(5) Contractor sneli irotlry Ma Building Ineoector Mrenh-~ur (za) Mura in atlvance tor ali inspections entl shall receive written appiovel on inspaotion ceM before
oceetl~ I~thsu
pr p~ eaee oi the ob. (8) Th tlie approvel ~dtawinga antl specXkatlona aheil nol be construed to ba a pertnit for, nor an approvai of, anry vidatlon of the provlsions
of i other ortlinance, law, ruie a repulatlon.
Chief Building
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 qppLICATio N
Property Owner :~~~~~f
Property Address : 3 c~~S w~~/ y2c)
Contrector License Na. : 12213
Company : 'J4~ /,/15.
OWNER/CONTRACTOR SIGNATU REOF
Phone : C~ ,3 30 CJ
Phone
-6
AGREEMENT
I hereby ceRify that the setbaek distances proposed by this pertnit application are accurete,
and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ritlge or
covenants, easements or restnctions of record; that all measurements shown, anC allegations
made are accurete: that I have read antl agree to id all c ditions pnnted on this
appiiwtion, and that I assume full responsibiliry c ianc ith the Wheat Ridge Building
Code (U.B.C.) antl all other appliwble =t g o inan for woik under this pertnit.
(OWNER)(CONTRACTOR) SIGN56:,6/t pAT " 00
Description : C -S y~~
i i ~
Construction Value
Permit Fee :
Use Tax :
Total :
Use
BUILDING DEPARTMENT USE ONLY
o SIC: Sq.Ft.:
Approval:
Zoning :
w o
Approvai:
Approvai :
Occupancy : Walls : Roof : Stories : Residential Units :
Electncal License No : Plumbing License No :
Company:bus,~~~~ CCompany:
Expiration Date :
Approval:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) This pemit was iuuetl in accortlance wipi yhe pim~isions aet kM in yo0ut apDlintlon anC is au0ject M Me laws of Me Slate ot COb2tlo anE tp pie Zoninq
Regula6ona antl BuiWing CoEe W Wheat Ritlye. CoWraAO or any oNx appliqDle ortfinances M tha Clry.
(2) 1Ti5 pertnit sMall expire i( (q) yie work auttronzed is nat commenceC wiNin sixry (BO) Oays Rom iasue Oate or (8) Me Euiltling authonzetl is suspenEeE or
a0antloneE for a penotl o! 120 Eays.
(3) It Ihis pertnit expiro, a new pefmit may pe atpuireE for a tee of ono-hall Ne amount normalry reQuireO, provitleC no Uanges nave been or will Ce matle in the
anginal plans anE specifiq6one anE arry auapenaion or abantlonment has not exteeEed one (1) year. I/ cranges are maEe or if euspension or aWntlonment
exceeCy one (1) year, full feea shall be paitl fpf a new pemiit
(4) No work of arry manner sfull Ce pone tlhat will Uange Ne naWnl flow o/ water pusing a 02inage pm0lem.
(5) Con4aCtor shall notlty ihe Builtling inapeClM Nronlylaur (24) pouq in aEvance tor all inspections anA shall receive wrilten appmval On inspettion oN Ceb2
proteeCiinq wipf au¢euiva P~aes of tha7'ob.
(6) The issuanx of a pertni( pr Iha eODrov+I o( Crnviriqs anC SpepficaEpnS shall not Ee ConsWtd to Oe a pemut Iw. rwr an approval of, any violatlon ol tlie 0roviswns
of ine Cuiltling mpn or airy otner ordinante. law, iule or reyulaUan. -
Chief Building Inspector
~
;
r..cee_uu~v m.ar ~v ov:a ~na. evvzv+-..vva
CITY OF WHEAT RIDGE Date : 8/30/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3405 WARD RD Phone :
Contractor License No. : 17713
Company : Aron Heating 8 AIC Phone : 431 1556
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
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 ayree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.CJ and all other applicable Wheat Ridge ordinances, tor work under this permit.
(OWNER)(CONTRACTOR)
Description : Furnace replacement 100,000 btu
Construction Value :
$2,000.00
Permit Fee :
$69.25
Plan Review Fee :
$0.00
Use Tax :
$30.00
Total:
$99.25
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval:
Zoning :
~ IN
Approval:
M0,11""195. _ N
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is sub~ed to the laws ot Ihe State of Colorado and ro ihe Zoning
Regulations and Builtlin~ Cotle of Wheat Ritlge, Cobrado or any other appliwble ordinances of t~e City.
(2) This permit shall expire if (A) the work authonzed is not commencetl within sixry (60) tlays From issue date or (B) the building authorized is suspentletl or
abantloned for a period of 120 days.
(3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, provided no changes have 6een or will be made in the
original plans and speafcations antl any suspension or abantlonment has not excee0etl one (1) year. If changes are made or if suspension or abantlonment
exceetls one (1) year, full fees shall be paid for a new pertnit.
(4) No work of any manner shall be tlone thalwill change ihe natural flow of water causing a draina9e problem.
(5) Contrector shall notiy the Builtling Inspectortwenry-four (24) hours in advance for all inspecllons antl shall receive written approval on inspection card bekre
proceetliing with successive phases of the'ob.
(6) The issuance of a permit or the approval o~Orawings antl specifcations shall not be construed to be a permit for, nor an approval of, any violation of lhe provisions
of the building codes or any oNer ordinance, law, rule or regulahon. ~
Chief Buildin Inspector ~
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPLICATIo N
- -
Property Owner : vc;'opG' ( G/ _~~i~c~l j-c-/
~ ~
Property Address : i,J d -d 2- dq Phone :
Contractor License No. : I -7 3 O
Company : ~ ~~Y" Phone : a/
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND
I hereby certify that the setback tlistances proposed by this pertntt application are au
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ric
covenants, easements or restrictions of reeortl; that atl measurements shown, and all
made are accurete; that I have read and agree to abide by ali conditions printed on th
applieation, and that I assume full responsib~ ~ry for com liance with the Wheat Ridge
Code (U.B.C.) and all other applicable Whe~f~dge ornances, for work under this q
(OWNER)(CONTRACTOR)
Descriptian
zonmEEC
:
Zoning :
Approval:
SIC : Sq. Ft. :
Approval: I
Occupancy : Walls : Roof : Stories : Residential Units :
Electricai License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(t) TTis petmit was is6ue0 in aCeorEente wiN the provisions set foM in yopur appliwUOn antl is suEject to the laws of the State o/ CWoraCO antl ta the 2oning
Regula6ons antl BuilCing Cotle of VMeat Ritlge, Cobrado or any other applicable ordinances of the Ciry.
(2) This permtt shall ezpire if (A) the work authonzeC is not commence0 wtthin sixry (80) tlays hom issue tlale or (8) the Cuilding authonzetl is suspentleE or
aDantlonetl Wr a penotl W 120 Eays.
(3) If this permit expires, a new pertnit may be aCquiratl tor a fee of one-halt the amount nortnelly fepuife0, proviCeE no C1langes have been or will be mHEe in the
onginal plans antl specifiptlona antl arry suspenNOn or abantlonment has not ezceeEeO one (t) year. If changes are maCe or if suspension or abanEOnment
exceeds orro (1) year, NII fees ahall Ee paitl for a new permit
(4) No vrork of any manner shall be tlone that wiil tlunpe the natural flow of weter wusing a tlrainage problem.
(5) ConVactor shall notiry the Builtling Inapeeta tweny-four (24) hours in aCVance Wr all inspections and shall reteive writlen appmval an inspection rard btlore
proceetliing with successive phases of Ne7'ob.
(6) The issuance of a permit or the epproval of E2winps anC apecifiwtlons shall rwt be consWed to be a permit for, nor an approval of, arry violation of the provisions
o( the Cuiltling codes or any other orEmaxa, law, rule ar regulation.
JJ~
'y
i
5 b
Construction Value : ~ O -
Permit Fee :
Use Tax:
Total :
Use:
BUILDING DEPARTMENT USE ONLY
Chief Buiiding Inspector