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Home My WebLink About12410 W 31st AvenueINSPECTION R CORD °°°upanov/Type INSPECTION ONLINE FO http://www.ci.wheatridge.co.us/inspection ��Cancellations INSPEC R QUIz,lD1E 303 234-5933 must be submitted via the online orm�beforea.m die day of the inspection Inspections will not be performed unless this card is posted on the project site. "Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project I Foundation Inspections Date Inspector Comments Initials Pier Sewer Service Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Inspector Comments Initials Sewer Service Plumbing Mid -Roof a I Tie Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections M Rough Inspections Date Inspector Comments Initials athing Mid -Roof a I Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Q / Final Window/Doors Final Building 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 from the Fire District and electrical low voltage by the building Ulvlsion. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather } City of Wheat Ridge Residential Roofing PERMIT - 201707065 PERMIT NO: 201707065 ISSUED: 09/08/2017 JOB ADDRESS: 12410 W 31st AVE EXPIRES: 09/08/2018 JOB DESCRIPTION: Residential Re -roof to install laminated asphalt shingles - 28 sq (24 sq pitched / 4 sq flat) Pitch = 4/12 NOTE: Adding decking also. *** CONTACTS *** OWNER (303)948-0337 DORRIS THOMAS S SUB (303)948-0337 Mike Bye/Bill Szymanski 150175 ProWorx Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,800.00 FEES Total Valuation 0.00 Use Tax 205.80 Permit Fee 204.30 ** TOTAL ** 410.10 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) 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 OVER 6/12 PITCH: 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 - 201707065 PERMIT NO: 201707065 ISSUED: 09/08/2017 JOB ADDRESS: 12410 W 31st AVE EXPIRES: 09/08/2018 JOB DESCRIPTION: Residential Re -roof to install laminated asphalt shingles - 28 sq (24 sq pitched / 4 sq flat) Pitch = 4/12 NOTE: Adding decking also. 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 properyanam 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 all entities named within this document as parties to the work to be performed and that all work to beIgcnl�c# ts�asclosed in this docwnent 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 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 Off�ial 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 f an approval of, any violation of any provision of any, applicable code or any ordinance or regulation of this jurisdiction. Appro'a, o ork 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. LP office. -303-948-0337 Fax:303-948-0237 Emai1Jnfa@P_row_arxC_Qxom Website:www.ProworxCocom gga'MADE- IN PREFERRED (ONTRAGOR ___THE USA CedainTeed 8 11J I ";? ) A 1, (- cqt'. spl, Z. Coca E _t offic" -; I Agents Nmwi V - I clam 0; When the insurance Co. and ProWorx come to an agreement on price, that price will be the final contract amount. Pro�orx will receive all insurance proceeds for the work completed. ProWorx ld in trust any payment received �om the customer until roofing materials have been delivered to your propertyt�a_ (Customer initial) LT--ct ProWon Rep. initial) Lavers Underlaymeat Material Roof Pitch: DfipEdge Type Valley Underlayment Percc-A Drip Edge Color k,_/ Ice/Water Shield ft -1 2" 1-34"X Clean Up & Ha,1 Off Trash Nails: I - 1 W 1-1 ! )4 L I A —1 ,nf' Replace PiRe Jacks: Pro k'Vorx to furnish Perrni+ Step Flashing e Counter Flashing Oe _Cae P t6f X C- _ Included OTHER CHARGES DESCRIPTION AMOUNT Damaged Decking f. ejairr Pep;ace Gutters C' k. k'�'rs Weor Nose to furnish material ,& labor ta-complete work in accordance With specifications abowe, for the sum of: 'A oroxin-rate dat P. nate dat of service: C&IM"AFUll f`iLkJfJD0T AIAV DEPOSIT VOTHIN HOURS Ai IENTERiNG THE 'J ""j"'t! K,f PJLICY NJ Pk F OR I HE FMIFING WORK. YOU MAY RIES(;AND TtitS CONTRA(.1 WITH N 72 "WF45 ArER � W KCIENt WRITTEN HOWE'VEIR PROWORXISENTfTLE,[)TOrLTAINPA',WENTSOADEP064TtTOCOMPENWfP A WtAWMANUOT MANNED CONSISTENT WITH STANDARD AOOFV4G NOUSIRY PRACTIf"ES ,i OR,Dry SENATE BILL 38 COMPLIANCE: PROWORX CANNOT PAY, WAIVE, REBATE OR PROMISE To pAy. WAp& OR REBATE ALL OR PART OF ANY iNSU11ANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR ROOFING WORK ON YPM PROPERTY. ED BY - 47% DATE: idprice with the insurance comoarry. akxqwe the al dr* eeable replacement/repa not Obligate the homeowner unless approved by the insu!anL* Co(*ApSnV & ProliilWwN The cukStOrnfr'S 11hie amount plus any added upgrades and,or additional roquftted work by the CVS10f1w. This 't'` lErrrrS and r0"Ortions on the front and baokside ol this doctimew., I % V, I 51101n_ City of W heatP, idge �MUNITy DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its0ki.wheatridge.co.us I FOR OFFICE USE ONLY I Date: R�<<,� Add to Permit # Z -L--) ► 1 � o �0.s Building Permitevision/Amendment Application *** Please complete all highlighted areas on b91h sides of this form. Incomplete applications may not be processed. *** Property Address: 12ci I c> i„.)G`, 3 (, fi ftue . uk-�_ Owner (please print):] r," Dt% � Phone; �`! 3'x3 Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zi C)LID10(Z; Contact Person: 1 �/j'Y�l.,.rS j�4� Phone::3z ��`'i6.5',' Contractor: i Contractors City License #: Phone: Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending.on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. Ft./LF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ C) e" OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perforin the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) 7(CONTRACTOR) or (AUTHORIZEDREPRESENTATIVE)of (OWNER) (CONTRACTOR) PRINT NAME: SIGNATURE;ete DATE: 1 ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: IBuilding Division Valuation: $ 91w Dane Lovett -2 o 17o 7 0 6 7 From: no-reply@ci.wheatridge.co.us Sent: Friday, September 8, 2017 8:42 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? r� PROPERTY INFORMATION Property Address 12410 We st 31st Avenue Wheat Ridge 80215 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Tom and Paula Dorris 303-948-0337 Field not completed. 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 Dorris.pdf Contract CONTRACTOR INFORMATION Contractor Business ProWorx Name Contractor's License 150175 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-948-0337 5938 South Van Gordon Street Littleton, CO. 80127 Contractor Email Address info@proworxco.com Retype Contractor Email info@proworxco.com Address DESCRIPTION OF WORK TOTAL SQUARES of 28 / the entire scope of work: Project Value (contract FOO-0 value or cost of ALL materials and labor) Are you re -decking the No / roof? Does the scope of the project include a flat roof (less than 2:12 pitch)? z Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? 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) Yes average pitch is 4/12, 4 squares of 2/12 pitch on patio roof Laminated asphalt shingle Asphalt Remove and Replace with Laminated Asphalt shingles. 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 9 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 William Szymanski Email not displaying correctly? View it in your browser. } City of Wheat Ridge Residential Roofing PERMIT - 201707065 PERMIT NO: 201707065 ISSUED: 09/08/2017 JOB ADDRESS: 12410 W 31st AVE EXPIRES: 09/08/2018 JOB DESCRIPTION: Residential Re -roof to install laminated asphalt shingles - 28 sq (24 sq pitched / 4 sq flat) Pitch = 4/12 NOTE: Adding decking also. *** CONTACTS *** OWNER (303)948-0337 DORRIS THOMAS S SUB (303)948-0337 Mike Bye/Bill Szymanski 150175 ProWorx Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,800.00 FEES Total Valuation 0.00 Use Tax 205.80 Permit Fee 204.30 ** TOTAL ** 410.10 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) 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 OVER 6/12 PITCH: 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 - 201707065 PERMIT NO: 201707065 ISSUED: 09/08/2017 JOB ADDRESS: 12410 W 31st AVE EXPIRES: 09/08/2018 JOB DESCRIPTION: Residential Re -roof to install laminated asphalt shingles - 28 sq (24 sq pitched / 4 sq flat) Pitch = 4/12 NOTE: Adding decking also. 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 properyanam 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 all entities named within this document as parties to the work to be performed and that all work to beIgcnl�c# ts�asclosed in this docwnent 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 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 Off�ial 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 f an approval of, any violation of any provision of any, applicable code or any ordinance or regulation of this jurisdiction. Appro'a, o ork 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. rD ir < Ajjaf� -j LP office.-303-948-0337 Fax:303-948-0237 Emai1Jnfo-&P-row-QrxC-QC0M Website:V/Ww.ProworxCocom MADE. IN PREFERRED K.2LX'U0 WIN =P CedainTeed 8 (ONTRAGOR THE USA I ";? ) A 1, (- cqt'. spl, Z. C— E —t offic" -; I Agents Nmwi V - I clam 0; When the insurance Co. and ProWorx come to an agreement on price, that price will be the final contract amount. Pro�orx will receive all insurance proceeds for the work completed. ProWorx ld in trust any payment received �onn the customer until roofing materials have been delivered to your propertyt�a,-_ (Customer initial) LT—( ProWon Rep. initial) Lavers Underlaymeat Material Roof Pitch: DfipEdge Type Valley Underlayment Percc-A Drip Edge Color t,-/ Ice/Water Shield ft -1 2" 1-3X Clean Up & Ha,1 Off Trash Nails: I - 1 W 1-1 ! )' 4 4" L I A —1 ,nf' Replace PiRe Jacks: Pro k'Vorx to furnish Perrni+ Step Flashing c- Counter Flashing Oe -Cae P t6f X 0AP Included OTHER CHARGES DESCRIPTION AMOUNT Damaged Deckir-g f. e�jairr Pep;ace Gutters C' k. k'�'rs Weor Nose to furnish material ,& labor ta-complete work in accordance With specifications abowe, for the sum of: 'A oroxin-rate dat P. nate dat of service: C7lIM"AFUI-1- f`iLkJfJD0T AIAV DEPOSIT VOTHIN HOURS Ai IENTERiNG THE 'J ""j"'t! K,f PJLICY NJ Pk F OR I HE FMIFING WORK. YOU MAY RIES(;AND TtitS CONTRA(.1 WITH N 72 "WF45 ArER � W KCIENt WRITTEN HOWE'VEIR PROWORXISENTfTLE,[)TOrLTAINPA',WENTSOADEP064TtTOCOMPENWfP A WtAWMANUOT MANNED CONSISTENT WITH STANDARD AOOFV4G NOUSIRY PRACTIf"ES ,i OR,Dry SENATE BILL 38 COMPLIANCE: PROWORX CANNOT PAY, WAIVE, REBATE OR PROMISE To pAy. WAp& OR REBATE ALL OR PART OF ANY iNSU11ANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR ROOFING WORK ON YPM PROPERTY. F -D B,(- 47% DATE: idprice with the insurance comoarry. akxqwe the al dr* eeable replacement/repa not Obligate the homeowner unless approved by the insu!anL* Co(*ApSnV & ProliilWwN The cukStOrnfr'-3 11hie amount plus any added upgrades and,or additional roquftted work by the CVS10f1w. This 't'` lErrrrS and r0"Ortions on the front and baokside ol this doctimew., I % V, I 51101n— City of W heatP, idge �MUNITy DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its0ki.wheatridge.co.us I FOR OFFICE USE ONLY I Date: R�<<,� Add to Permit # Z -L--) ► 1 � o �0.s Building Permitevision/Amendment Application *** Please complete all highlighted areas on b91h sides of this form. Incomplete applications may not be processed. *** Property Address: 12ci I c> i„.)G`, 3 (, fi ftue . uk-�_ Owner (please print):] r," Dt% � Phone; �`! 3'x3 Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zi C)LID10(Z; Contact Person: 1 �/j'Y�l.,.rS j�4� Phone::3z ��`'i6.5',' Contractor: i Contractors City License #: Phone: Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending.on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. Ft./LF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ C) e" OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perforin the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) 7(CONTRACTOR) or (AUTHORIZEDREPRESENTATIVE)of (OWNER) (CONTRACTOR) PRINT NAME: SIGNATURE;ete DATE: 1 ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: IBuilding Division Valuation: $ 91w Dane Lovett -2 o 17o 7 0 6 7 From: no-reply@ci.wheatridge.co.us Sent: Friday, September 8, 2017 8:42 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? r� PROPERTY INFORMATION Property Address 12410 We st 31st Avenue Wheat Ridge 80215 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Tom and Paula Dorris 303-948-0337 Field not completed. 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 Dorris.pdf Contract CONTRACTOR INFORMATION Contractor Business ProWorx Name Contractor's License 150175 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-948-0337 5938 South Van Gordon Street Littleton, CO. 80127 Contractor Email Address info@proworxco.com Retype Contractor Email info@proworxco.com Address DESCRIPTION OF WORK TOTAL SQUARES of 28 / the entire scope of work: Project Value (contract FOO-0 value or cost of ALL materials and labor) Are you re -decking the No / roof? Does the scope of the project include a flat roof (less than 2:12 pitch)? z Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? 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) Yes average pitch is 4/12, 4 squares of 2/12 pitch on patio roof Laminated asphalt shingle Asphalt Remove and Replace with Laminated Asphalt shingles. 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 9 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 William Szymanski Email not displaying correctly? View it in your browser. 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: L-/ °q - • ;, I Job Address: ►-D v w 3) Permit Number: 7_4 o /-70 7 c 6, $' ❑ No one available for inspection: Time '5t' :-D) a/PM Re -Inspection required: YesNc When corrections have been made, call for re -inspection at 303-234-5933 Date: 61119 Inspector: ?-N, DO NOT REMOVE THIS NOTICE 1 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: - A /4 Job Address: W l P_e Permit Number: _20170 7061- IJ Q61- ❑ No one available for inspection: Time V AM/PM Re -Inspection required: Yeso ) When corrections have been made, cf or re -inspection at303-234-5933 Date: cf/ 7 Inspector: M -t hL DO NOT REMOVE THIS NOTICE INSPECTION RECORD occupartcvrr 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. '(IQ IV f al I ), I 1 n 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 POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof 0 ElectricaLService Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W &Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE ANDPUBLICE 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. VCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 4' ~ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office " (303) 235-2857 Fax INSPECTION NOTICE n { Inspectio Type: ®t~ Job Address/Permit Number: P~tFF G/, 1 Ste, , rv J i t a _i l A J v ❑ No one available for inspection: Time AM M Re-Inspection required:. Yes /go-) When corrections have been made, call for re-inspection at 303-234-5933 fA_ Date: Inspector: I l~n DO NOT REMOVE THIS NOTICE L ♦ CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address /Permit Number: 6 1A i Pn �1n/ " D/A P1 i ('r'Pir d �trLfllPfl1 bk [. ❑ No one available for inspection: Time 2 AM/l Re- Inspection required: 'Yes No . When corrections have been Mg11,, Fafi fo re ins}iection at 303 - 234 -5933 Date: q�� Inspector: ,;1/, DO NOT REMOVE THIS NOTICE 1 r 7 CITY OF WHEAT RIDGE � Building Inspection Division � (303) 234 -5933 Inspection line (303) 235 -2855 Office " (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address /Permit Number: I nt(1`I' fi f � • fdu: r t �¢- f`� ��f lrQ(}(#'C � rF•(' /I f/� < <r. t `v f ❑ No one available for inspection: Time -Li' A PM Re- Inspection required: d No When corrections have been made, call for re- inspection at 303 -234 -5933 z Date: Gi ;t' Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address: ! ;�zJ 16 f) "3 1 A Permit Number: tf� F ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No * When corrections have been made, call for r ins ection at 303 - 234 -5933 Date: d C / Inspector: ✓ ✓� DO NOT REMOVE THIS NOTICE 11, A 4, ♦ V , CITY OF WHEAT RIDGE Building inspection Division 000iii iiilllil� (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: A Job Address /Permit Number: (AWO 1_t), /� v;? fi u'p r't q V e Ei No one available for inspection: Time (0_9pm Re-inspection required: Yes E No When corrections have been made, call for re-inspection at 7 $03- 234 -5933 Date: Inspector: Jc DO NOT REMOVE THIS NOTICE ' City of Wheat Ridge Residential Remodel PERMIT - 091305 PERMIT NO: 091305 ISSUED: - 08/14/2009 - JOB ADDRESS: 12410 W 31ST AVE EXPIRES: 02/10/2010 DESCRIPTION: Replace.. patio cover CONTACTS owner 303/233-.3024 Thomas Dorris PARCEL INFO ZONE CODE: R-2. USE: 'SFR SUBDIVISION:. ..'.0705 BLOCK/LOT##:. _.0/ **'FEE SUMMARY ESTIMATED PRO rET VAI,U N5,105.10' FEES Permit Fee 162.90 Plan Review Fee 58.57 ~.e..& Plan Review Addtiona 47.32 Total Valuation .00 Use Tax 91 . 89 TOTAL 360.68 d Conditions: AT: Approved. KC: Approved per drawings. and. notes (both front and back sides). Subject to field inspections. .Must comply :with _2003IRC.andall applicable City of Wheat Ridge Municiple_Codes. 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 Ordinayces, for work under this permit. Plans subject to field inspection. ~0771ai ' J e~i9~iy Signature of contractor/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 maybe 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 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. All plan review is W~bject to field inspections. Signature of C it ding Official "date INSPECTS, 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. a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-235-2857 Inspection Line: 303-234-5933 Building Permit Application Date: Plan Permit Property Address: /-2-410 60 . 3 / s7` A.47 Property Owner (please print): -7-hgfYl Rs OoRR l5 Phone: 303 -233 -36X4 Mailing Address: (if different than property address) Address: City, State, Contractor: I-kn7E 0&;)A,-,!f /Z Contractor License Phone: 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): Description of work: ~,r C 2 lpaao~, Sq. Ft./L.Ftadded: Squares _ o Construction Value: $ a4~W (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ 6,~` f:" BTU's Gallons _ Amps OWNER/CONTRACTOR SIGNATURE OFUNDERSTANDING 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. Plans subject to field inspection. CIRLCE ONE:: WNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: 'Tf70MJ?.5 5 1 OR21C5 SIGNATURE:~J/O1~JCd0 . 004114t0 Date: b V~ 1v1AND PAULA DORt-,(S 30,1-601-1170 CELL 12410'AI f F t i$YHE.kTPID E,Ct `,rt1C1 303,233~3424;HRA 3rc:q~;S.. ^a1~32i96655; FAA 5d PLYWOOD F Att{~f~t~a,SMk1;~F}FE #fitL~tvl4TuHlf7~SHEN+aLES' 2,R 61}*1R BAFIE4, 24 & ea't ,s <rr ,la osq~e c o r i- m77~t in ~+~il4iEsV tsars . u, < t rs i rF i 3, ~~n~_ _ 4112 PITCH .,u~~..r~.~w~^'~ t..i• ss 4=It'I/?/F?Gifir/C /fU~Sd` S/YsiYGGf2I12 PITCH (OPEN Irv-~£ ~f"z ~i c~ s~su 13~ C'G~UE!,<fd cu%iC-t ~u%'r2 .SC1fu'l~ a CE ILlFtc x..16 1. s 1 t EXISTING, HOUSE 4X4SUPPGRTN) T,[ I VV17HTOPTIES AND Pt} TI BASE l EXISTINGDEC K ' <T DIA R .76 t3tf Ir7✓~J Jrv 4)- ,2 9,4 EX16TING CONCRETE ANC AJaSONS 81x - 25016. i s "s` ..ea7%4 s5 066 /L--Ws FC7c7T PFi[NT J$ Work shall comply with the following codes: 2003 IRC, 2003 IECC & 2005 NEC. BAR tNG PAST PLACEfvIEfdT j4j ;IKJ{ y Rafters shall bear fully at heel cut and shall have one H2.5 clip per rafter at bearing point. All shingles shall be nailed with a minimum of 6 nails per shingle and a mid-roof inspection is required. AoF YdHEgT~' v COtORp~O Wheat Ridge Building Department p ved U BUILD r FFICIAL D-Wff~ Validity of permit: The issuance of a permit or approval of plans, specifications and computations shall not be a permit for, or an approval of, any violation to any of the provisions of the building code or of any City ordinances. Permits presuming to give authority to violate or cancel the provisions of the Building codes or other ordinances of the City shall not bevalid. APPROVED Subject to Field Inspections Wheat Ridge Building Dept. Date. T/111*G Signed/...Plan Checker COLORADO ENGINEERING ~►a. 98-744 C SVRMING INC. cDORRI3, ON 4990 90.9hermen 94 8olie 1 . • SOXX 7- ~ Bpuodeokrada G 8x110 • 7fi1-BOSS SurvOyinp C010,W0 $180e 7872 FAX: 767.OB47 V~fl=S"f ~lx7 AJB~IilE FLoWLIkiE a - _ 06 G;Q 6 e~ '11-~ LoTzz- zi', , 7 Q r ~ W PAD ~ Q . a Z5. 4• PEtx ila t3' ~ ~ ~ p , IZ$iO alL~ 2ab ~ r~ 5E. F LEGAL DESCRIPTION. TAT 22, BLOCK 4, MAPLE GROVE VILLAGE-BLOCKS 2 THROUGH 10, COUNR!Y OF JEFFERSON, STATE OF COLORADO. ALSO KNOWN AS 22410 W 31ST AVE ~Y➢1}WeYtlpau {AQK f4 WFl I.... Wapnr¢'j.__ Tw.unnnn%h~xfID1P~~.WN Nm. rv.§ww nwalav,me Rapnm_ bifetl~F,cF +rr4wemeamen F3 NO'( wane.mm.awon.,w . E'^'18~1'k+^.8anu¢HIhKY 7FEa.). °v1MUYH~•+->c-).•~^F^romo-wow,mu,arcmmno..~ma,em~u,nlFwM).Proa~a Fn anxremgwa 2 ' ^ ~6 rammu .a.wm«-~.~-G ea 4°1 o.Manma, OC>~"(r. HOMEAMERICAN MORTGAGE CORP / DORRI3 -1 ) - T'd FEOMI2 02ml ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ,fit'. Job Address: 12 r; o w , _74<7- Permit Number: C°75,9 X0.5 ❑ No one available for inspection: Time $f!_Ve AM/PM Re-Inspection required: Yes e~ When corrections have been made, call for re-inspection at 303-234,6933 Date: Z,_// e Inspector: , V_ 1 DO NOT REMOVE THIS NOTICE 7s ~oF W"E?rno City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 ~OCORr°° Inspection Line: 303-234-5933 Building Permit Application Date: 6 Plan Permit Nn~ Property Address: 4~0 V`. VS /\\/e L Ke l x Y`J co, 80Z ( S Property Owner (please print): -Dc) aizz Phone: ( 1 i Q EQe I L51 Mailing Address: (if different than property address) Address: City, State, Contractor: Contractor Li 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). Description of work: ~.~YLK Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR 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. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PE RSONALREPRESENTATIVIbof OWNE (CONTRATOR) PRINT NAME 'CSIGNATURE: c~i Date:Q COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 77281 BUILDING INSPECTION LINE -(303-234-5935) Date : 6/25/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: TOM DORRIS Property Address : 12410 W 31 ST AVE Contractor License No. : 18135 Phone : 944-1323 Company : Delmark Electric Phone : 922-8811X11 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, antl 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 W heat Ridge Building Code (U.B.C.) and all olher applicable Whe Rid/ge! or anc , f work under this permit. (OWNER)(CONTRACTOR) SIGNED ~~C - DATE Construction Value : $1,000.00 Permit Fee : $50.40 Plan Review Fee : $0.00 Use Tax : $12.00 Total: $62.40 Use : Description : 200 AMP SERVICE CHANGE BUILDING DEPARTMENT USE ONLY Z461ng Comri'lents: SIC : Sq. Ft. : Approval : Zoning : 6u~lctl~hg Cornmertks: i Approval : Public Wajrlis-Gomments; Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : 18135 Company : Delmark Electric Expiration Date : 2/28/2005 Approval : OKIKS Plumbing License No : Company: Expiration Date : Expiration Date : Approval: Approval: Mechanical License No : Company : (7) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the 2oning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authonzed is suspended or abandoned for a period of 120 days. (3) If this pertnit ezpires, a new permit may be acquired for a fee of one-half the amount normally required, providetl no changes have been or will be made in the onginal plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a naw 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 Inspactor lwenty-four (24) hours in advance (or all inspections and shall receive wnnen approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a permit or the approval of drawings and specifcalions shall not be construed to be a permit for, nor an approval of, any violalion of the provisions of the uilding codes or any other ordinance, law, rule or regulation. hief B ' ing Please sign Terms and Conditions on reverse side of page. `"E, r COMMUNITY DEVELOPMENT DEPARTMENT /oE ; - BUILDING INSPECTION LINE - (303-234-5933) rl CITY OF WHEAT RIDGE - / 7500 WEST 29TH AVENUE \?oRe4° WHEAT RIDGE, CO 80033 • (303•235•2855) APPLICATION Properry0wner: Qfn n~orCt,~~~_~~~,~~L~~ Property Address: ~~4-1 w' J Contractor License No.: /g 135 Company.~/f4V1'~~/' k eeGTI"1~J 1-i 1 c= OWNERICONTRAGTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT Building Permit Number: Date: Phone: )qi fe/ - 042 3 Phone. 3) g"j, `1- -O S I j I here6y cer9fy that the setback dlstances pmposed 6y thls permit appllcation are acarate, and do not violate ulations of the City of Wheat Rldge oc covenants, easements or restricttons o( l CO11StTUCtl017 V81U2: 40 es or reg appllca6le ortllnances, m i that all measurements showq and allegaGOns made are accu2tei that I have read and agree to ablde by [>emLf F2C: $ re 211 coodl0ons printed on thls applicafon and that I assu e full responsibllity for compllance with the Wheat Ridge BuildingCode(U.B.C)andallotherappfca~Whdg) Ordinaoces,~q workpr~$erthispermlt`^' ; i ii /A Plan KeV 10W N ee: Use fax: $ /,~r, G (owNea)(coNrancroR) aaiNreo_ DESCRIPTION: / 519 Am n / ~Serv~ c'e- CF~ a ~~e I Total Fee: $ I BUILDING DEPARTMENT USE ONLY 20NING COMMENTS: Approval: Zoning', BUILDING COMMENTS: Approval: SIC: ]Units: PIIBLIC WORNS COMMENTS: Approval: Occupancy: Walls: Roof. Stories: ResidentElectrical License No: Plumbing License No: Mechanical License No: r.. Company: company: - - • Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This permit was Issued In accordance wi[h the provisions set forth in your application antl is subject to the laws of the S[ate of Colaratlo antl to the Zoning Regulations antl Builtling Godes of Wheat Ritlge, Colorada or any other applicable ordinances of the City. (2) This permit shall expire lf(A)theworkaulhorizedisnolcommencetlwithinsixty(fi0) daysfromissuedateor(B)Ihebuildingau[honzedissuspentletlorabandoneEtora period of 120 Cays. rovided no c~an have been or will ba made in the original (3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, P 9es plans and specificalions antl any suspension or abantlonment has not exceedetl one (1) year. If changes have been or if suspension or abandonment exceeds one (1) yeaplull fees shall be paid tor a new permil. (Q) No work ot any manner shall be aone that will changethe nalural flaw of water causing a drainaqe pmblem. (5) Contracror shall notify the BuilOing Inspector twenty-four (24) hours in atlvance for all inspections and shall receive written approval on inspection cartl before violation of Ne provisions o! proceeding with successive phases of the Iob. (6) The issuance of a pertnit or the approval of drawings and specifications shall nol be cons(rued to be a pertnit for, nor an appmval of, any the building mdes or any other ortlinance, law, mle or regulation. Building Inspector ' DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 wESr 29tn AvENUE BUILDING INSPECTION DIVISION 237-e944 ExT. 255 P.O. BoX sse CITY OF WHEAT RIDGE, COLO'^ ^^w THIS PERMIT VALID ONLY WHEN SIGNED BY PLUMBING PE 14 ta l'~7 'SiA v- OWNER I2 - JOBADDRESS ADDRESS q CONTRACTOR - ) PHONE ~ SR ~ ~ ~ ~ ~jG `L~S ZIP CODE L11s-L+i ~ o , 7 i o lG _ / ADDRESS CONTRACT PRICE $ - ~P CODE ~ ' Z t^~ 6 DATE > LICENSE NO. ~ z' PHONE Woll❑ Proiectinp❑ GrounO ❑ 6"*r 5 a D Faee I. TYPE Total SQuon FNt 2. MATERIAL ❑ No❑ TYDe Y Elkt. permi1 do. es SIGNS 3. ILLUMINATION E W Zone__ Approvild Z~~ ~nweeta ~ 4 SET BACK FROM PROPERTY LINE N__ S_.- ❑ ❑ ❑ ❑ wpDrw~d Di (SDkifywhic i~front) Mon TMn BO% OpenO Uss Thon BO% OM^ 1. TYPE Solid MATERIAI.s 1) 49 ~ N 31 5 E1.Q-- `N FENCES Z -ppprwed,Zem IroD6eta -f-" ❑ 3. SET BACK FROM PROFERTY LINE ~ ❑ ❑ awvwowe (SPecify whieh is tront) I. OTHER Z 3. THE FENCE,SIGN,OR OTHER STRUCTURE,GMNG DISTANCES FROM PROPERTY LINES. OW BELOW , pRAW SKETCH OR SH (SETBACKS OR PROJECTIONS INCIUDEA) REAR PROVERTY IINE _ ~ J Y Yr K saec~r rwr+TH w o ~ a W a{ STREET NAME $HOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND PROPERTY lINES; ON IRRECaULAR IATS, $FId* LEAST DISTANCE TO GROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. ppPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT BEC VALIDATION UPON NLY THE PERFORM LDING THIS APPLICATIONP RMIT WIOLMEXPIRE M80 DAYS f OM T H E ATE Of ESSUANCEOIF WOHK IS NOT STAR ED WITHIN TIHAT TIMEPECTION DIVISION. RMIT MECHANICAL PERMIT ELECTRICAL PERMIT STATE LICENSE N0. Aµ1M VYIRE UNOER SRE 8 ILLE TEMPORARY METER NEW SERVICE . - AMPS CHANGE SERVICE-QMPS LIGHTING HEATING pOWER SUB-GFCUITS UTILITY (RANGE, DISPOSE R, I FIXTURES WIRING MOTORS 9 CONTROI.: SIGNS TRANSFOFtMERS 9 RECTFIEI ADDITION TO OLD WORK unrnas OVER I HP 1 hereby ocknowlsdpe thot ihin opD'lco- fion is correct ond underatand thof I eonnot start this Drolect until Ihis WpD^i' cotion i+ oDCroved. I sAoll camDly ths lawl of 1he Stale ol Colorado ond to ths Zonina ReQutationa ond Bulidinp Code of tne Cily o} Wt+eai Ridpe. Any viololion of tAe above terma will cause immediote revocofion of thie permil ►plieanb Si0nalur~ STATE LICENSE N0. WASH PERMIT FEE USE TAX TOTAL FEE GHIEF BUILDI AND INSPECTOR,City of Wheot Ridqe PERMIT N0. M921117911 A4 Date Issued 2~ ~ ~7"/ d-~ y a CALL 237-8944 EXT. 255 24 MOURS IN ADVANCE FORINSPECTIONS ~ ~ . i R.E. PORT R ASSOGIATES, INC. DATE 0`//10/9~EE $0. jOB4, 90-4333 LAND SURVEYING ATTN: FALILA MOR7GAGE CO. STUAkT TITLE 5460 Ward Road Suite 160 ADDaESS 12410 W. 31ST AVENUE Arvada, C080002 eoRROWeaS NAME DORRIS (303)420-4788 IMPqOVFMENT LOCATION CERTIFICATE N C r LEGAL DESCRIPTION \ (PERCUENn ~C LDT 22. bIOCK 4} MAPLE GkOVE VILLAGE N COUNTY OF 7EFFERSON STATE OF COLORADO q L ' a ~ I 16'4 I ~ W ; a ~ ~ 1- o - ; ~ a ~ : ~ 1oc0.5 ~ I V N GO ntC • ~ » 3~~0 ZI•~' ~'~'F ]0~~~-I i8.5' ~2zck_ e 4 n&ta, ~.6 ~ r V~ L) 0 ~J ~ BaC..~~ ~ r ~ a I ~ r I a c; Q ? I N N s•~ 8'z ~3 uc-~Q. •-~pc++, ~ 5 I hereby certify that thie improvement locatontcertificate wse prep~ for°rmation and bolief, Plat or Impro+~~Tt , that it ie not a Land 8urvey fence, building, or other fue 'unprovement lin e I further cerh'fy thst fthe impraovem~enb on the above deecribed parcel on thie date, except utility connectione o entirelywithin the boundazies of the parcel, except ae ehown, that there are no encroa improvemente on any adjoinin8 premieee, except a. the described premiees by evidence or eign of any eaeement croeeing or burde ~ • at there is no apparent "NOTICE: qccordiny io Colorado law you nust comanee ~~~,exeepta~noted. survey wichin three ajai aceio nany defect in tAit years aFter you Firat dlseovbr suC ~Ven . a •any -{~OS5o79o005~ ~ccion basad u n It is hereDy cenified thet tAe above deuribed any defec Sn Ss c P° f~~ th~ ed eore than ten yeart ~ propeny /S.~.or Ia8~wi~a '1~Yw he cestlf~ J&hom hereon." flood huud bound ery in ucordtnce with t6e ~i~'1 ~ ~y ` current HUD Federal p t~ ` dmioistratlou Flood • ~ Hazard Boundary Maps Da4d 1968 , ROberl E. POhP4.W 21 0 DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT NO.M91#17683 237-6944 EXT. 255 P.o. Box ssa CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. ..~ru~..iiviv rvrt mlJl.tLLANtOUS PERMIT , - JOB ADDRESS ~ ~ OWNER CONTqACTOF ADDRESS , VU ADDRESS__j%/ f. rr7Wvlq ~ PHON~~J~ ZIP CODE F(' " 4 CITY rp ZIPCODE CONTRACTPRICE$ ~ PHONE ~.~1I0,3 LICENSE NO. L TYPE Ground ❑ Wall❑ Projectinp❑ Other S or D Foce 2. MATERIAL Total Squore Feet SIGNS 3. ILLUMINATION Yes❑ No❑ Type Elect. Permit No. 4. SET BACK FROM PROPERTY LWE N_ S_ E_ W Zone_ Approved,ZOne ~nspector (Specify which is front) ❑ ❑ ❑ E] nisnnn.n.on 1. TYPE SolidU More Thon 80% Open❑ FENCES 2. MATERIAL 3. SET BACK FROM PROPERTY LINE _ (SpeCify which ie frpnt) N_ S_ E_ W Zone_ ApprwsE,Zone Inapettor 0 ❑ ❑ ❑ Disaoernvad 1. OTHER 2 3. -7-"4'S'Z 1 74F' Q 'i> .iF-'cF ~*,-T j ~ . - /i" A,r~w' DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRI (SETBACKS OR PROJECTIONS INCLUDED) STREET INSPECTION TICKET JOB / I ADDRESS W J 9 / 7 DATE: / I BLOG. PERMITk )R7N PERMITM BLDG. CONTR. ~ SUBCONTRACTOR SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, DATE INSP. REQ. DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DI APPt-ICATION FOR PLUMBING, E THI$ APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDIC PERMIT WILL EXPIRE 60 DAYS FROM DAYE OF ISS TYPE OF INSP. INSPECTION MADE i 1 DIVISION. ELECTRICAL PERMIT STATE LICENSE N0. PLUM REMARKS T STATE LICENSE ALUMINUM WIRE UNDERSIZE 8 ILLEGAL FLOOR B f G Coal Elee S l N0. WATER CLASET o ar TEMPORARY METER WASH BOWL NEW SERVICE - AMPS BATH TUB W.R. FORM bt9 CHANGE SERVICE-AMPS SHOWER LIGHTING SINK HEATIN6 GARBAGE DISP ~ POWER SUB-CIRCUITS WATER HEATER UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER ppuys Chorpe FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRWG MOTOFiS 9 CONTROIS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 81 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I hereby acknowledge that ihis aODllco- tion is correct and understand }hat I cannot siari this project until ihis oppli- coti0n i5 approved. I shall comply wifh the laws of the Stote of Colorado and to the Zoning Regulations ond BuildinQ Code of the City of Wheat Ridqe. Any violation of the above terms will cause immediote revocation of ihis permil. Lsss Thon 80% PERMIT FEE USE TAX TOTAL FEE APPROVED DISAPPROVED_ CHIEF BUILDING Date Issued Q NOT VALID UNIESS RECEIPTED $1 V,\ ,City of Wheat Ridge 2? CALL 237-6944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS