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HomeMy WebLinkAbout3805 Robb StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement Date: Tuesday, April 12, 2022 10:40:44 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Furnace/Boiler Replacement This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. 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 a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3805 Robb Street Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Patrick Lagodny 720-930-5586 Property Owner Email patrick.lagodny@gmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CCF 000127.Ddf CONTRACTOR INFORMATION Contractor Business Gustafson Heating & Air Conditioning, Inc. Name Contractor's License 019977 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-922-6289 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email info@gustafsonheating.com Address Retype Contractor info@gustafsonheating.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 60000 What is the efficiency 96 (%) of the unit? Is the unit GAS or Gas ELECTRIC? Where is the furnace or Basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 11405.50 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Leigh Wright Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler Date: Tuesday, April 12, 2022 10:32:09 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Air Conditioner/Evaporative Cooler This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT 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. PROPERTY INFORMATION Is this a new install or replacement for an existing AC unit? Is this Residential or Commercial? Replacement of Existing Unit Residential Property Address 3805 Robb Street Property Owner Name Patrick Lagodny 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" 720-930-5586 patrick.lagodny@gmail.com CONTRACTOR INFORMATION Contractor Business Gustafson Heating & Air Conditioning, Inc. Name Contractor's License 019977 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-922-6289 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email info@gustafsonheating.com Address Retype Contractor info@gustafsonheating.com Email Address DESCRIPTION OF WORK What type of Air Conditioner replacement unit are you installing? How many tons is the 3 unit? For AC - what is the 20 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit Backyard located (for example, rooftop, backyard on ground etc)? Is electrical needed for No re -hook? Project Value (contract 22811 value or cost of ALL materials and labor) Yes 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. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Leigh Wright Pe rm it Email not displaying correctly? View it in your browser. PERMIT: �(,�� �� ADDRESS: JOB CODE: 6PF INSPECTION RECORD Inspection online form: http://www.cl.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. X204 PIirnbi,:y Underground Int. 205 Plumbing Underground Ext. 206 Water Underground f - / a _ 1-7- 7307 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 f - / a _ 1-7- 7307 307Metal / 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 1317 Rough Mechanical Commercial 1318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous j t - 17 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 j t - 17 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. I cq i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Ll a 9 - ;:--- �'n 11 f Job Address: Q. L L S 4 Permit Number: �2 o r / o -7 <3 62. F- n a, 1 ❑ No one available for inspection: Time <Z ` a @/PM Re -Inspection required: Yes e) When corrections have been made, call for re -inspection at 303-234-5933 Date: I /1-7 Inspector: T -- DO NOT REMOVE THIS NOTICE ► ' . City of Wheat Ridge f 4 Residential Roofing PERMIT - 201707861 PERMIT NO: 201707861 ISSUED: 09/29/2017 JOB ADDRESS: 3805 Robb ST EXPIRES: 09/29/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 30 sq Pitch = 3/12 *** CONTACTS *** OWNER (303)517-3863 LAGODNY PATRICK JOHN SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,530.00 FEES Total Valuation 0.00 Use Tax 305.13 Permit Fee 283.55 ** TOTAL ** 588.68 *** 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. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, 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. City of Wheat Ridge Residential Roofing PERMIT - 201707861 PERMIT NO: 201707861 ISSUED: JOB ADDRESS: 3805 Robb ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt 3/12 09/29/2017 09/29/2018 shingles - 30 sq Pitch = 1, by my signature, do hereby attest that the work to be performed shall comply with all accompany in 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. Signature of OWNER or CON CTOR (Circle one) Date d 1, This permit was issued ba on the information provided in the permit application and accompanyingplans and specifications and is sub*ect 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of an manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holy der 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, an 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 Build 'pto REQUESTS MUST BE MADE".59P1 ANY BUSINESS DA R INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett G 0� From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 27, 2017 11:11 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed C� 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 tnj eA J l 6117 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 3805 Robb St. Property Owner Name Patrick Lagodny Property Owner Phone 303-517-3863 Number (enter WITH dashes, eg 303-123-4567) 49 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 Lagodny Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business J & K Roofing Name Contractor's License 019983 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-425-7531 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 13000 W. 43rd Dr., Golden Co 80403 (Primary address of your business) Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 30 14530 , No r' Pitched roof (2:12 pitch or greater) 50 both? (check all that apply) What is the specific pitch 3/12 of the PITCHED roof? How many squares are 30 part of the PITCHED roof? Describe the roofing MALARKEY LEGACY materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional House detail here on the description of work. (Is this for a house or garage? Etc) 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 51 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Kathy Vendegna Email not displaying correctly? View it in your browser. 52 CONTRACT "' J&K Roofing 4 BBB. NNERSARY 13000 W. 43rd Drive • Golden, CO 80403 1984 -?0 Phone: 303-425-7531 a Fax: 303-425-1562 14 www.jkroofing.com ii!CReplace Ridge _ Ventilation a ✓`tr vti� Galvanized Fasteners i1�► ! f 4WReplace 1-14c W a.✓4 Plumbing Jacks _S Paint roof stacks to m tch vW'�_ Deductible if applicable $ 3 0 ,1 10 Insttall_ . ►Nlei,v Metal Edging o -A atA t' ,. Per Colorado State Law CRS§6-22-105 which states; 100% t-o�.✓ p� t { e responsibility of the homeowner to pay this amount. J & K Retie -v toof �u0� .� > r� .► 44LL�' sivelioofing will not reimburse or promise to reimburse in whole or � ___g__Year Warranty on labor In part any amount of the deductible. ,erJ &K Roofing to furnish all material and labor Permit: — Included —NOT Included ytti I -Clean-up debris and haul off all trash from roof toll yard with magnetic roller Gutters cleaned of roofing debris Decking Repairs Hiddenanyers (tear off) $ _ per layer (Gamer) fClaim #) O 1 DUvoc 16- �L (Policy Number) Estimated Start Date ! + we C TOTAL ESTIMATE $__� ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL J&K Representative Date_���_[ Homeowner/_/�______ Date��lf (Ad)ust«) Homeowner — ---- ----- —f b Co) (Mortgage Loan Numbor) Expiration Date ( ! Date You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. H you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J & K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION j- Representative �i`� Contact_ 303- V -7 - �P l GO Date L 20 Name PAI -1 L'k L aPhone n� h 3 03 • 5)) - 3 863 email Address 3 �So s /TA City LJh e_ r/.o Zip s0 3 Pinnacol Assurance 303-361-4000 Cincinnati Spe44 Underwriters 303-653-0023 Workers Compensation Insurance Policy #4079290 General Liability Insurance Policy #CS00061742 LABOR AND MATERIAL SPECIFICATIONS TERMS 4 Extra work RiP pi 4=4. f 4ZVVI I"a C -op . AND CONDITIONS. PLEASE READ CAREFULLY: f r 4 �5�� Sw�+tin Cvo $r Recover roof with n4-1"UV tlf– �1D Qe Color of shingles M i 'Manufacturer's Warranty e r + , y e_t A iA 87Tear off 1 /�r�.. S"/' +-ta f �y t1r 300 1 �.� ceded c.Q Install Underlayment , _1� [!l Double all Eaves a Lt-�j ` 4e ri w $4 e I The property owner is is not_ using proceeds from Re -Flash Chimney ander Skylights P1Mk property and casualty insurance policy. .� New Valleys -w w "�X/ S6�� t d $ ii!CReplace Ridge _ Ventilation a ✓`tr vti� Galvanized Fasteners i1�► ! f 4WReplace 1-14c W a.✓4 Plumbing Jacks _S Paint roof stacks to m tch vW'�_ Deductible if applicable $ 3 0 ,1 10 Insttall_ . ►Nlei,v Metal Edging o -A atA t' ,. Per Colorado State Law CRS§6-22-105 which states; 100% t-o�.✓ p� t { e responsibility of the homeowner to pay this amount. J & K Retie -v toof �u0� .� > r� .► 44LL�' sivelioofing will not reimburse or promise to reimburse in whole or � ___g__Year Warranty on labor In part any amount of the deductible. ,erJ &K Roofing to furnish all material and labor Permit: — Included —NOT Included ytti I -Clean-up debris and haul off all trash from roof toll yard with magnetic roller Gutters cleaned of roofing debris Decking Repairs Hiddenanyers (tear off) $ _ per layer (Gamer) fClaim #) O 1 DUvoc 16- �L (Policy Number) Estimated Start Date ! + we C TOTAL ESTIMATE $__� ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL J&K Representative Date_���_[ Homeowner/_/�______ Date��lf (Ad)ust«) Homeowner — ---- ----- —f b Co) (Mortgage Loan Numbor) Expiration Date ( ! Date You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. H you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J & K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION s 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: 3 E) 1,- d Job Address: 3 a r C- 2" S -�- Permit Number: o f -7 O> R 6 1 (c) - Cc o3aFlo ve �1 ❑ No one available for inspection: Time Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: i C be / -7 Inspector: DO NOT REMOVE THIS NOTICE ,i FF 0 R 0 OM" ICT 1UJ SE 0 N IL Y wilding frspett+c Sen►es t3iv9aR <" 7 W. R{d" CCS $0033 caf . 303 235- ` ` , 303-237- 4 "` Few Ery an Lire« ti3�2 5033 ?.,:�titit}�xhj}ITT o-". 5t ,�,„ GC�m�§ ♦ ♦ M 11,. i s State, a x> xss ..t •. IY i Electrical;Plumbing: Mechanical, W.R. City License # W.R. City License # WA. City license # Other City Licensed Sub: Other City Licensed Sub. City License # 04 License # COMP10tt all Information on BOTH sides of this form' 60/I0 3SVd SNOIIV63dO 0Gz6E0vE0E »0I 0t0 /OT/60 0 measure, hgg 39vd SNOIIV83dO VGZ66OOEOC LZ:QT GTOZ/VT/80 i tv 09 r] yc- 1021 JL' \.JR,4X-FA A A% -,X', I -F I'll., A Em PlanlPermit •I!'! 11glig 11♦11! 1•' oll I'lt.l! 111•11 1-111 A1ko>)bD 5 Property ddress:. -3 tZo* — Owner (please print): Fa�'�J-VC-K .12 Address: gLty Architect/Ennineer: Contr Contr Contractor E-mailAddress: 4- �101 I I �Vsmr C�-0110N- WRH��* � Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete till information on BOTH sides of this form Des,c[j121!Mgf work. (Check all that apply) El NEW COMMERCIAL STRUCTURE Q ELECTRICAL SERVICE UPGRADE E] NEW RESIDENTIAL STRUCTURE El COMMERCIAL ROOFING El COMMERCIAL ADDITION El RESIDENTIAL ROOFING El RESDENTIAL ADDITION [I WINDOW REPLACEMENT EICOMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc,) VV ESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT E] PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT F) ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT El 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 arnount of materials to be used, etc,) 1414-cf ^ -1 000t=41 W 4 V.- ^ C. W wvc Scl. FULF Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURF OF UNDERSTANDING AND AG.REEMENT I hereby cerfi6, that the setback distances proposed by this pernift application are accurate and do riot violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, casements or restrictions of record that wall ineasurenients.shown wid allegations made are accuratethat I have read and agree to abide by all conditions printed on this application and that I assurne full responsibility Im compliance M nh apiflicable City ot'Wheat Ridge codes and ordinances Im ivork- 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 arta also authorized by the legal ov,,ner of any entity included on thisapplication to list that entity on this application. -0 CIRCLEONE: (01VNETi t3 I C Ci r�r(,,iU7'IIORIZI,,DREPRI,,SEN7,,klll,'L�') of(OWNT"R) (CONTRACTOR) P R I NT NAVTE: SIGNATUREDATE: :0;411 Building Division Valuation- cit% Y of - 6 Inspection Line: 303-234-5933 k F 0 R 101 F F I C E USS, El 0 N'Ll- Y 0 0 ate UMENSMIMEM r ease compFeTe areas on both sides of this form, Incomplete applications may not be processed. "' Property Owner (please prino: Patrick Lagodny Phone: 303-550-4824 Address: City, State, Zip: Archi Contractor: Controlling Systems Contractors City License #: Phone. 303-762-1421 Contractor E-mail Address: BiIleast@ Electrical: WR City License # Plumbing: W. R, City License # W.R. City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form C A 1)111V ? Sq. FULF --l --- Amps ­­1 ­ --- - ------------ . .............. Squares Other OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this perm itapplication are accurate and do not violate applicable ordinances, rLdCS or regulations of the Cily of Wheat Ridge or covenants. casements Or restrictions of recott that all measurernents shown and alle-w ions made are acCUIMIC. that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility tbrcoinphancc with applicable City of' Wheat Ridge codes and ordinances for Nvork under any perinit issued based on this application: that I am the legal ti vrwr or have becii UL11110rized by the legal owner of the property to perform the described work and warn also authorized by the legal owner of any tmiity hicluded on this application to list that entity on this application, CIRCLE 0AIE: ((AVATT) (COMWACTOR) L)r (>f (014 PRINTNAME�, e La SIGNATURE DA'a � 2/24/1 City of Wheat Ridge Faxed Plumb. Permit PERMIT - 110553 PERMIT NO: 110553 ISSUED: 05/13/2011 JOB ADDRESS: 3805 ROBB ST EXPIRES: 05/12/2012 DESCRIPTION: Replace 50 gallon hot water heater * ** CONTACTS * ** owner 303/424 -4503 Mary Cavarra sub 303/421 -2161 01 -7835 Blue Sky Plumbing ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0193 USE: UA BLOCK /LOT## : 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,400.00 FEES Permit Fee 40.00 Total Valuation .00 Use Tax 25.20 ** TOTAL ** 65.20 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. Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. Subject to field inspection. 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. Signature of OWNER or CONTRACTOR (Circle one) Date 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. 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. 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. 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. 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. 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 pny applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field_jns Signature /$ Chi/eyf Building Offical Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. INSPECTION RECORD Occupancv/Tvpe 'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: sons E.Ground G) Concrete nd Monolithic SIGNED PRIOR TO PRO( CITY OF WHEAT RTDOE 05/'13/11 1:09 PM edba Blue Sky Plualbilig & B1 Weatherproof/ French Drain Rough Plumbing Sewer Servi ce Lines Gas Piping Water Service Lines Rough Mechanical I L AMUVL nAJ bLLN . JUNLV CONCRETE SLAB FLOOR Electrical (Underground). Plumbing (Underground) Heating (Underground) UU NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service SIGNED PRIOR TO PRO( CITY OF WHEAT RTDOE 05/'13/11 1:09 PM edba Blue Sky Plualbilig & B1 Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE Framing Insulation Drywall Screw Electrical nuauri no. �unuoa ibo miwni BPSP Replace 50 gallon ho 65.20 11@533 Permit Fee 40.00 Use Tax 25.20 Mechanical PAYMENT RECEIVED AMOUNT MC 4619 65120 Roof Auth Code: 013244 Building Final TOTAL 65.20 Fire Department - --------------------------- R.O.W & Drainage INSPECTIONS FOR PLANNING E. ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ' * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER City of "till WN ITY � OVE t Id =Permft#1 COMM DEE LPMENT 9 Building 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 -235 -2855 * Fax: 1303- 237 -8929 inspection Line: 303 -234 -5933 Facsimile Building Perm itiApplication Property Address: CAS V-106 Property Owner (please print): V Mailing Address: (if different then property address) j Address: X24 — y5'c�3 use of $Pace.(description): Description of work: 5� e �lon ►�ai�x�ns�a�N Plan Review (due al Sq. FtJL.Ft added: Squares BTU's Gallons E�Q Amps _ OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEOeNT rules or regulations t he f the Clty of Wheat R oo r e co v ynan s B Uasem 6 � l [sorjas[ri elf rece shown, nd ll esponsib lity (or cormpl accurate; that I the have BRldge Bu Cade (Ib .C) anp othe a 1100le Wheat R age O dinance s work under this Po rmit. Plans subject tofield inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR or PERSONAL REpRE i TATIVE o ER) ( CONTRA TOR) r OnS PRINT NAME; B 17111/1 SIGNATURE; 5 i3 '(_""',— Date: ZONING COMMENTS; DEPARTMENT USE D'rY Zoning: Reviewer; PUBLIC WORKS COMMENTS: Reviewer. BUILDING DEpARTMENTCOMMENTS; Reviewer. FIRE DEPARTMENr.; m approved w1 comments EJ disapproved ❑ no reyiev/ required Credit Card Payment: Use credit card listed on h Print name: _k{,, ( , y1`� signature; OCCUPANCY: Valuation: TO /TO 39Vd 9NIEWn"ld AAS 3ma S6b0VZb£O£ ZZ:£Z TTOZIZT/90 Contractor: l�j �Ue �� t' ��1 v� t 1 ✓l Contractor License #: �� 3 Phone: 1 off[ ^o�[Cal INSPECTION RECORD- OGcupancvlTvDe INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the buildina site INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic - Weatherproof/ French Drain Sewer Service Lines Water Service Lines ROUGHS Sheathing Lath /Wall tie Mid-Roof Electrical Service C'J~vJ01e7 011y 4 dYl [ 7 Rough Electric - Rough Plumbing Gas Piping Rough Mechanical Framing Insulation Drywall Screw FINALS - Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING FIRE AND PUBLICE WORKS Parking & Landscaping , SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. **NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION - OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. ♦ 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: f t tJ k L 2vd~ Job Address: 3~3os' stn RC S~ Permit Number: G'q z 17 r ❑ No one available for inspection: Time A PM Re-Inspection required: Yes No When corrections have been made, call for re-i sp ction at 303-234-5933 Date: 16 -22 -c.~°I Inspector: k DO NOT REMOVE THIS NOTICE F ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line f (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1-1;n RO n -,Job Address: 3PBS ?n Rc, SI Permit Number: 0193 i`71 ❑ 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: f o - i a - n9 Inspector: in,_! DO NOT REMOVE THIS NOTICE REQU.'kk IrUST BE e1tyY0fM%,"e ItNJKeFOR INSPECTION THE FOLLOWING BUSINESS DAY. r4oooor' Residential Roofing PERMIT - 093171 PERMIT NO: `093171" ISSUED:' 10/08/2009 JOB ADDRESS:.: 3805 ROBB ST :EXPIRES: 04/06/2010 DESCRIPTION: Reroof 28.33 sqs ***CONTACTS owner 303/424-4503 Mary Cararra >PARCEL `INFO ZONE CODE: UA USE: UA SUBDIVISION:' 0193. BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,014.41 FEES Permit Fee 162.90 Total Valuation ,pp Use :Tax 90.26 Cy~rhrC,'~,,e ' TOTAL 253.16Y - 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. ***Contractor/Property owner shall'. provide ladder(s) secured in place for inpsections.' Subject to field inspection. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge. or covenants, easements or restrictions. of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Whea Ridge Ord 'ne for work under this permit. P1 s a ject to field inspection. Signat re of contvdcto /owner 'date _G 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 anew 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 of a permit: or the approval of drawings and. specifications shall. not be construed to be a permit for, nor an :approval of, Any violation of the provisions of the. building codes or any other ordinance, law, rule or regulation. ' Allf planae ew subject to field inspections. Signature Ch :BUilding:Dfficial '.:date INSPEC ON REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM. ANY BUSINESS DAY FOR INSPECTION THE `FOLLOWING BUSINESS DAY. Fw"~??R City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 oocoaPO° Inspection Line: 303-234-5933 Building Permit Application Property-Address ;ET- Property Owner (please Mailing Address: (if different than property address) Address: Date: Plan Permit /f,224- Phone: , ~ City, State, Zip: Contractor: Contractor License Phone: 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): Construction Value: $ Descrip/tiion Ot WOrk3 (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: SguaresG-~5BTU's Gallons Amps OWNEIi/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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Pla "ect to field inspection. CIRLCE ONE'* (OWNER CONTRACTOR) or PERSONAL REPRESE TATIVE f (Q NER) (CONTRATOR) / PRINT NAME: 411'4eK SIGNATUR Date: DEPARTMENT OF PLANNING AND DEVELOPMENT - BUILDING INSPECTION LINE - 303-234-5933 ' CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number : 11781 Date : 2/12/2001 Property Owner : Property Address : 3805 ROBB ST. Phone : 3034244503 Contractor License No. : 19402 Company : Aaark Heating & Air Conditioning Phone : 431 8015 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I h@reby certify that the setback distances proposed by this permit application are accurate, and do not violata applicable ordinances, rules or regulations of the CRy of Wheat Ridge or covenants, easements or restridions 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 responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ktidge ordmances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : INSTALL EVAPORATIVE COOLER WITH 110 VOLT Construction Value : $1,425.00 Permit Fee : $54.00 Plan Review Fee : $0.00 Use Tax: $21.38 Total: $75.38 Use : BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Occupancy : Walls Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiretion Date : Expiration Date : Expiration Date : Apbroval: Approval: Approval: (1) This permit was issued in accortlance with the provisions set forth in yopur applicaUon and is subjed to the laws of the State of Coloredo antl to the Zoning Regulations antl Builtlin~ Cotle ot Wheat RiGge, Coloretlo or any other applicable ortlinances of the Ciry. (2) 7his permit shall expire if (A) ihe work authorized is not commenced within siuty (60) days trom iwue tlate or (B) ihe builtling authonzetl is suspended or abandoned hr a period o! 720 days. If this permit expires, a new permit may be acquired !or a fee of one-half the amount normally required, provided no changes have been or will be matle in the . original plans and specifications and any suspension or abandonment has not exceetletl one (1) year. It changes are made or if suspension or abantlonment eacceetls one (1) year, full fees shall be paitl for a new permit. (4) No work of any manner shall be tlone Mat will change the natural fiow of water causing a drainage problem. (5) Contrector shall no6ty the Buildinp Inspector twenry-four (24) hours in advance (or all inspectlons antl shall receive written approval on inspeclion cartl before proceetliing with successive phases of the lob. (6) The issuanca of it or the epproval of drewings and specificaUOns shall not be consWed to be a pertnit for, nor an approval of, any violation of the provisions of the buil ' e r any othWprdinance, law, rule or regulation. DEPARTME►!T OF PLANNING AND DEVELOPMENT Building Permit Number : PJILGii,,. INSPECTION 71VISION - 2'"'-2855 CITY Gr WHEwT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address Phone Contractor License No. : .Il ~-~'yC7 Z. ~f Company : Phone yD OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that thesetback di:dances proposed ~ this permit application are accurate, and do not violate applicable ordir..,nces, rules or reg:.!ations of the Ciry 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 abiae by all conditions printed on this application, and that I assume full responsibdiry for compliance with the Wheat Ridge Building Code (U.O.C.) and all otner applicabla Whl Rioge ordmans,es, fg~.work under i'nis permit. (OWNER)(CONTR,4CTOR) SIGNED2~-~~ Construction Value : Permit Fee : Use Tax : 2,1 3L Total : 7 , 0'i- Descri~ption : Sle~4- L BUILDING 15EPARtMENT USE ONLY asummigm Approval: Zoning Approval: ; 12 Approval : Occupancy : Walls : Roo\~~ S:. Stories : 4 Residential Units : Electrical License No : Company : Expiration Date : Plumbing License No : Company : Expiration Date : Mechanical License No : Company : Exoiration Date : Approval : Approval : Approval : !M WANUK, ~ Lql'hsaftCplm (1) This pertnit was issuetl in aaortlance with the provlsicns set torth in yopur applitation and is subject to the laws of the SWte of Colorado and to the Zoning Regulations ard Bmlding Cotle of Wheat Ritlge, Colorz.do or any other applica6le orAinances ot the Ciry. (2) This permit shu!I exDire if (A) the work authonzed is not commenceA within sixry (60) days from issue Eate or (B) the building authonzed is suspended or abandoned for a penoC o1120 tlays. (3) If Nis permit exF 4es, a new permit may Oe acquired for a fee of one-half the amount normally require4 provitletl no chanBes have Deen or will Ee matle in the onginal plans antl specifiraM1Ons and any suapension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or aban0onment exceetls ona (7) year, full fees shall be paid for a new pertnit , (4) Na work of any manner shall be tlone Nat will change the natural flow of water causing a drainage p oblem. (5) Contractor shall notity the Bw :ing Inspector twenry-four (24) hours in advance for all inspec6ons ana shall receive written approval on inspecGOn car0 before proceetliing with successive tases ot the lob. (6) The issuance of it or ap roval of drewings antl specificaUOns shall not be wnstrued to be a permit for, nor an approval o( any vialation of the pravisions o( the buildi s r n i tlinance, law, rute or mgulation. Chie` Build;. Inspect6( For Mayor , 11S PEP JIIT VA!_ID ONLY 1NHEh SIGNC-D BY THE CHIEF uJILDInG INSPECT :)R AND MAYOR CALL 234-5933 24 HOURS PRIOR TO INSPECTION