HomeMy WebLinkAbout5253 W 29th Avenuei CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 31 CD v L A03- p7wq
Job Address: ,2,7__5� LJ Zq .-/ A V �
Permit Number: 7_10 ! ` 0 � z lg
❑ No one available for inspection: Ti f PM
Re -Inspection required: Yes No
When corrections have been m caU� for re pectier� a 3- -59 3
Dat4:? Inspe`ct�r) y
DO NOT REMOVE VE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3/6 25)1-1k
JobAddress%�V,3 W �;WT f�ic,
Permit Number:
i�i•Y��i�i�T�*r
❑ No one available for inspection: Ti
Re -Inspection requireQ[f:6�e No
li
When corrections have been made, call for re -inspection a ,.393-2.4-5 3
Date: 2' (q—(cS Inspctor.
r
DO NOT RE VE THIS NOTICE
...CITY OF WHEAT RIDGE.
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIOR NOTIC
3 ?o - M e e c- e-
1
Inspection Type: `4 ° 3 - r t"IeL I F- !e c
Job Address: S'D S-3 L,/ 09 -6 A v�C
Permit Number: a 0 113 0 75 a t 0
/l %tet iit�. &MI
❑ No one available for inspection: Tim AM/PM
Re -Inspection required es No
When corrections have been made, call for re -inspection at 303-234-5933
DatejZ t '--L `(�-' Inspect r•
DO NOT REMO E THIS NOTICE
City of Wheat Ridge
Residential Electric PERMIT - 201803210
PERMIT NO: 201803210 ISSUED: 12/12/2018
JOB ADDRESS: 5253 W 29th Ave EXPIRES: 12/12/2019
JOB DESCRIPTION: 200 amp service panel upgrade.
*** CONTACTS ***
OWNER (303)249-0077 RICHARDS KEITH A
SUB (303)358-4632 Tony Boscia 060241 Electron Power
*** PARCEL INFO ***
ZONE CODE: UA /
Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2412
/ LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION:
2,500.00
FEES
Total Valuation
0.00
Use Tax
52.50
Permit Fee
93.35
** TOTAL **
145.85
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012
IRC & 2017 NEC. Subject to field
inspection.
I, by rn 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�n this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
l . 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection �ervices
Division.
6. The issuance or granting o!f a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
apphcabl e or any or nce or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
► t ,- City of
dgeiR:Wh6atN
MUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: / Z l
Plan/Permit # 8 v `J
�G� 1
Plan Review Fee:
/y5— Fs --
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
r
Property Owner (please print): 1� `} �Z i c ��� Phone: _�03 - 2 l - C>c 7
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Phone:
Contractor Name: Z" C -+i 5A
City of Wheat Ridge License #: 0 / Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): -clA1/ c I Phone: 3e, S
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # 5 C� W.R. City License # W.R. City License #
27-SvLi
Other City Licensed Sub:
City License #
Other City Licensed Sub:
City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
p c�'A- e k
Sq. FULF
BTUs
Gallons
Amps & � 11 Squares For Solar: KIN # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OVVNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
) f
Signature (first And last name):'— DATE: i C c i
Printed Name: C M'` �f )S C. `
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
®i700'� 3
INSPECTION RECORD
INSPECTION ONLINE FORM: h .ci.wheatridge.co.us/inspectio
INSPECTIO
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Tyne
R
IV 12
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
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Dat Innitial spArApr 1 Comments
Mid -Roof �_( Zr2, E..fn ., �..
alI 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 IV— —
Final Window/Doors
Final Building
ZZ
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 Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card Frr• The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201.707033
PERMIT NO: 201707033 ISSUED: 09/07/2017
JOB ADDRESS: 5253 W 29th AVE EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 18 sq (16.5
sq pitched / 1.5 sq flat) Pitch = 11/12 (3rd party inspector required)
*** CONTACTS ***
OWNER (720)271-2562 VITASKA MATT
SUB (303)438-1007 Doug Breinig/Melodi Breinig 140189 J&N Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 136.50
Permit Fee 156.75
** TOTAL ** 293.25
*** COMMENTS ***
CONDITIONS ***
::tfective December 1, 2014, asphalt shingle installations require an approved midroof
trspection, conducted when 25-75 percent of the roof covering is installed, prior to final
af.proval. 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.
The City of Wheat Ridge
Third Party Form Check List
Property Address S� 5�3 t_J
Permit Number 2,0 (2, 7 ;
Permit Issued Date % — 7 — / 1
Owner Information
Property Owner Information
Property Owner Address 5- 5- t h _'zl
Inspector Information
Inspection Company r% E? '
Inspector Name 0 P1 yt, L to .I
Inspector Contact info. ( (D ip Gam`
inspector Statement and Acknowledgement
" i hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
K I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendations and specifications.
Inspector; m k/e, Date:
Property Owner Statement of Acknowledccement 7
*I hearby acknowledge that I am the owner of the building referenced above and l give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ri ge Buillin Mv!s*ninspection.
PropM Owner/Agent: `..AN_'G� Date; La—
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W_ 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
_Roof In mesion
❑ N/A Pass ❑ Fail
❑ N/A !9�` `"'s ❑ Fait Structural roof components
❑ N/A � ❑ Fail Verify that no more than 2 layers of shingles exist
ass 9 ❑ Fail Flashing for roof and walls
Pass ❑ Fail if new sheathing is installed verify that it is listed in the
NIA
Permit description (Valuation must be adjusted)
Q Pass El Fail Verify sheathing nail paftomm (Soo policy
ElN/A Pass ❑ Fail Crickets and saddles where needed Procedures}
❑ N/A [ Pass Q Fail Verify B vent must have boot same gauge as pipe
❑ N/A ass ❑ Fail Verify vent caps
❑ NIA Pass Q Fail Verify no flashings are damaged or rusted
�F1 N/A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle
Pf/A Pass [] Fail Verify scuppers allow for proper drainage g
❑ N/A AL -Paw ❑ fail Ice and water shield 2' in heated wall spaces
❑ N/A Pass ❑ Fail Underlayments must follow 2012 IRC 12012
❑ N/A Pass ID Fail Verify roof slope for proper drainage lBC
❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap
❑ N/A Pass [] Fail Dripedge should extend down min 2
" past roof
❑ N/A Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OCeck
)6—Y/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages
patios, carports, open on three sides with min. slope of
9:12
N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 sloe
N/A El Pass 171 Fail above roof insulation R-25 p
N/A ❑ Pass ❑ Fail Below roof residential R-38
N/A Q Pass Q Fail Below roof commercial R-32
N/A ❑Pass ❑Fail Modified Bitumen,
EPDM, TPO min slope 1/4:12 slope
must be installed in accordanCe with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
lttie i i2®of Shingles Rec�uire�tal ;:
❑/A ElPass Q Fail Metal roof shingles shall not be installed on
3:12 slope less
4/A Q Pass El Fail Metal valley flashing shall be the
same material as roo
fA ❑Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the f
$ centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
Tile Roofs Fie rreierem#sn• n. of 4"
❑ N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-112:12
Slopes 4:12 and under require double underla lope
yment
I
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name: 1 L (' SZ L cf�-
Inspector signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
j6 ---Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Flashing for roof and walls
ED
❑Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
[I N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
❑ N/A
Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
91Pass
❑ Fail
Verify vent caps
❑ N/A
aPass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Ef'Fass
'} Fail
Step flashing shall be min. of 4x4 piece per shingle
0 N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
- Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
121 Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
MN/A
❑ Pass
M Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
Pass
❑ Fail
Above roof insulation R-25
N/A
t❑—i
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
N/A
❑ Pass
❑ Fail
metal roof shingles shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
1
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
Company Name:
Inspector signature:
Date of Inspection:
1/5
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
-� ✓1�t-Gb vc
4 1( City of Wheat Ridge
-�� Residential Roofing PERMIT - 201707033
PERMIT NO: 201707033 ISSUED: 09/07/2017
JOB ADDRESS: 5253 W 29th AVE EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re-roof to install OC Duration asphalt shingles - 18 sq (16.5
sq pitched / 1.5 sq flat) Pitch = 11/12 (3rd party inspector required)
*** CONTACTS ***
OWNER (720)271-2562 VITASKA MATT
SUB (303)438-1007 Doug Breinig/Melodi Breinig 140189 J&N Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 136.50
Permit Fee 156.75
** TOTAL ** 293.25
*** 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
�r Residential Roofing PERMIT - 201707033
PERMIT NO: 201707033 ISSUED: 09/07/2017
JOB ADDRESS: 5253,W 29th AVE EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install OC Duration asphalt shingles - 18 sq (16.5
sq pitched / 1.5 sq flat) Pitch = 11/12 (3rd party inspector required)
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
pert"ormed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
3/�`�
Signature of WNER or TRACTO (Circle one) Date
1. This permit was issued based on the m ormation provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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 originalpennit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division_,,
6. The issu a or granting c iTermqFhh not be construed to be a permit for, or an approval of, an violation of any provision of any
apphc ord' ation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
& N Roofing rbnti`act
Address 1180 S Balsam St Id 125482
Lakewood, CO 80232
Phone 303-438-1007 Date 07/13/2017
Fax 303-438-1216
Email jnroofingl@comcast.net
Customer Matt Vitaska Property Address 5253 W 29th Ave
Address
Wheat Ridge, CO 80214
s
Detached Garage
Install Owens Coming: DURATION TRU DEFINITION- Architectural shingles- Lifetime manufacturer warranty.
680 SF
Tear off the 1st layer of existing composition roofing.
648 SF
Install Painted Metal Drip Edge at the eaves on the structure.
54 LF
Install Rake Bleeder at the Rakes for a straighter edge on the structure.
48 LF
Install Underlayment on all roof areas where Ice & Water Shield is not being installed, prior to the roof installation.
648 SF
Install starter course to meet manufacturer's specs at all eaves prior to the roof installation on the structure.
54 LF
Install all new Hip and Ridge shingles to meet manufacturer's specs on the structure with the installation of the new roof.
27 LF
Seal or flash any vents, flues or walls as needed.
House, Main
Replace Pipe Jacks
2 Ea
Install Owens Coming: DURATION TRU DEFINITION- Architectural shingles- Lifetime manufacturer warranty.
950 SF
Tear off the 1st layer of existing composition roofing.
864 SF
Install Painted Metal Drip Edge at the eaves on the structure.
90 LF
Install Rake Bleeder at the Rakes for a straighter edge on the structure.
100 LF
Install Step Flashing at all vertide walls on the structure.
18 LF
Install Undedayment on all roof areas where Ice & Water Shield is not being installed, prior to the roof installation.
594 SF
Install Ice & Water Shield at the eaves of the structure prior to the roof installation.
270 SF
Install starter course to meet manufacturer's specs at all eaves prior to the roof installation on the structure.
90 LF
Install valley material to meet manufacturer's specs in the valleys prior to the roof replacement on the structure.
66 LF
Install all new Hip and Ridge shingles to meet manufacturer's specs on the structure with the installation of the new roof.
85 LF
Seal or flash any vents, flues or walls as needed.
Paint any stacks, pipes and vents dose to the color of the new roof on the structure.
Prices include an additional charge for tear off a steep roof with a roof pitch 9/12-12/12.
864 SF
Prices include an additional charge for installation on a steep roof with a roof pitch 9/12-12/12.
864 SF
Prices include an additional charge for no immediate access to the roof.
864 SF
House, Fiat
Install 60 mil EPDM Fully Adhered System
161
Install Dens Deck prior to roof installation
154
Tear off the 1st layer of flat roofing.
154
Seal or flash any vents, flues or walls as needed.
Install 2" x 4" metal drip edge at the eaves prior to the roof installation on the structure.
14 LF
Selected Roof Color: Brownwood-O
Based on Industry Standards, RBI has found evidence of AVERAGE HAIL DAMAGE to the roof. Depending on the ins. co., this most likely will
qualify for a new roof. RBI has prepared a whole roof bid in case you file a claim and the ins. totals the roof.
Although we have found some hail damage to the roof, this does not guarantee the insurance will pay for a new roof. Please do not make any
financial decisions assuming the insurance will pay until you have written confirmation from the insurance.
WE WILL GLADLY BID OTHER SCOPES OF WORK SUCH AS GUTTERS, PAINT, SCREENS, ETC. BASED ON THE INSURANCE ADJUSTMENT.
IF OUR QUOTES ARE MORE THEN THE INSURANCE AMOUNT FOR THE ROOFING PORTION OF THE CLAIM, WE WILL WORK WITH YOUR
INSURANCE COMPANY TO MATCH PRICING FOR ROOFING ITEMS COVERED IN THE CLAIM/POLICY.
Clean up and haul off debris at completion of work.
Provide a 5 year workmanship warranty upon completion of work.
Provide a 5 year Roof Certification that covers all roof leaks, upon completion of work.
Contractor will provide Customer with a lien wavier upon payment in full.
Provide Customer with proof of insurance.
It is the customer's responsibilty to check out any covenants regarding the roof and notify Roof Brokers Inc. if the roof needs to be re -quoted
with a different product. We will gladly help you with this process.
Roof Brokers will inspect the work after completion free of charge if the work is performed by a contractor that we recommend, otherwise the
cost is $285.00 + $85.00/ hour.
FURNISH PERMIT: Install the roof to meet all local building codes. In the event that local codes change from the time of this quote to the time
of roof installation, these quotes may need to be adjusted accordingly.
Price and Certification exclude all roofs attached to the main structure and that are not specifically included in this quote.
Price and Certification exclude all roofs that are not attached to the main structure and not specifically included in this quote
USEFUL LIFE: In its present condition, the roof is in need of the recommended repairs/replacement to certify the roof. After the work that is
recommended in this quote is completed, the roof will be certifiable for 5 years.
****** THIS WORK CAN BE PAID OUT OF CLOSING PROCEEDS****** If it is part of a Real Estate transaction, the work can be paid for from
dosing proceeds, providing it is under contract, there is enough equity and it doses on the scheduled close date .
The prices on this quote are guaranteed for 30 days. After 30 days it is recommended that you call Roof Brokers to see if the prices can still be
honored.
Preferred Contractors Insurance Company
Pinnacol Assurance - Policy # 4165710
720-9642471
$1,000,000
$2,000,000
This agreement is made by and between 3 & N Roofing (hereinafter'Contractor') and Matt Vitaska (hereinafter'Customer') on this day
07/13/2017.
The Customer or Contractor has 72 hours to cancel this agreement, in writing, which is acceptable via email, mail, fax, or in person. If the work
is scheduled during this 72 hours, Customer must pay any expenses incurred.
If the work has been scheduled as indicated by the Scheduled Complete By date below, barring any weather delays or circumstances beyond
Contractor's control (such as, but not limited to, unavailable materials), between now and the scheduled work dates, unless Customer and
Contractor agree otherwise, Contractor will make its best effort to complete the work by that date.
If Customer pays with insurance proceeds, the Customer and the Contractor agree that the deductible will not be paid for, waived, rebated, or
promised to do the same, of any or all deductibles.
Customer's down payment (if any) will be refunded within 14 calendar days of any cancellation that is made within the terms of this agreement.
Contractor guarantees that all materials will be specified above. Contractor will perform the work in a manner consistent with roofing industry
standards. Performance by Contractor is subject to strikes, accidents, and delays beyond the control of Contractor. Contractor is not
responsible for any damage to the property before the roof is applied. Contractor carries Public Liability Insurance. Three days after
acceptance, if canceled, Customer agrees to pay for any restocking charges, permit fee, or any other costs that Contractor has incurred as the
result of the acceptance of this contract.
The undersigned agrees to be liable for any reasonable costs incurred by Customer's request for a change in the above specifications, and that
Contractor will be bound by such a change in the specifications only if they are in writing. Property owner to carry fire, tornado and other
appropriate casualty insurance. The undersigned assumes responsibility to verify accepted shingle types and colors with any community
covenants that may be applicable.
All payments are to be made as stated above. The undersigned agrees to pay the rate of one and one-half (1-112%) percent per month, from
the date due, any unpaid portion of the contract price. Due date is defined as the date the roof work is completed. If payment is to be made at
dosing, and dosing does not occur on the expected dosing date, payment is due within 72 hours of the original dosing date. Also, the
undersigned agrees to be liable for all costs of collection, including but not limited to, the cost of executing a mechanics lien, court costs and
reasonable attorney's fees, and one and one-half percent per month interest on all costs of collection.
Contractor is not responsible for any damage inside the building due to normal work activity during installation.
Scheduled Complete By:
Authorized
Signature
Name Doug Breinig
Title President - 3 & N Roofing
Total Price:
Down Pmt:
$7,835.63
MOO
Customer���.
Signature
Name �� `1Xx•' 4 l V
Date
Dane Lovett
—Z,01 / 070?3
From:
Sent:
no-reply@ci.wheatridge.co.us
Wednesday, September 6, 2017 11:53 AM
To:
CommDev Permits
Al—
1Subject:
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Follow up
Flag Status:
Completed
O
C
Residential Roofing Permit Application
C�
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION L
Property Address 5253 W. 29th Ave.
Property Owner Name Matt Vitaska
Property Owner Phone 720-271-2562
Number (enter WITH
dashes, eg 303-123-4567)
85
�2a3,2�s
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
5253 W. 29th Ave Roof Brokers Contract 7.17.pdf
CONTRACTOR INFORMATION
Contractor Business
J&N Roofing
Name
L,
Contractor's License
140189
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)
303-438-1007
1180 S. Balsam St.
Contractor Email Address jnroofingl @comcast.net
Retype Contractor Email jnroofingl @comcast.net
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 18 /
the entire scope of work:
Project Value (contract 6500
value or cost of ALL
materials and labor)
Are you re -decking the No /
roof? l
86
Does the scope of the Yes /
project include a flat roof
(less than 2:12 pitch)?
What is the pitch of the 1/12
flat roof?
How many squares are 1.5
part of the flat roof?
Describe the roofing Verisco 60 MIL EPDM Fully adhered
material for the flat roof:
Type of material for the TPO/EPDM
flat roof: /
Does the scope of the Yes /
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch? 11/12
How many squares are 9 j
part of the pitched roof? ` � t
Describe the roofing Owens Corning Duration tru definition architectural shingles
materials for the pitched
roof:
Type of material for the Asphalt
pitched roof:
Provide any additional 9.5 Squares on house and 7 squares on detached garage
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.
87
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
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 Nathan Breinig
Email not displaying correctly? View it in your browser.
88
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: KA t o
Job Address: _ 2 moi'
Permit Number: 2-0 1-10 10 'zj 1
❑ No one available for inspection: Time AMkfg
Re -Inspection required: Yes No
When corrections have been made, call fe-inspection at 303-234-5933
Date: 171 Inspector:?Ikq�lcc au,
DO NOT REMOVE THIS NOTICE
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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: SF( _j H V idi � �rn a
Job Address: SZ 5r3 t✓ • Z. 9 Ty i4 Ve
Permit Number: 2 0 /SSZ
-�
r-(," .� 70" G?;9fov C( f
❑ No one available for inspection: Time PM
Re -Inspection required: Yes // No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: 12- "- Inspector: rt.ceZ.
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: E-0 V -9 --
Job Address: 2 5_3 W, q
Permit Number:
❑ No one available for inspection: Time D 'F2- AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 12- - � -I b Inspector: VkA�k
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
V, Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: S_cA
Permit Number: cam( U/( C-)
14
f,
❑ No one available for inspection: Time -C) `% 6 APM
Re -Inspection required: 0
No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: Z " Inspector: E :t ("/.
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�� Building Inspection Division
(/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 61A L-,
Job Address: 52 53 I -J • 2 g rM J9 IV
Permit Number: 2o/ (, o 15 _12-
❑ No one available for inspection: Time AM/PM
Re -Inspection required: r'Yee�No '}, i- E, , — S
When corrections have been made, call for re -inspection at 303-234-5933
1
I
Date: ` - Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 201601722
PERMIT NO: 201601722 ISSUED: 10/31/2016
JOB ADDRESS: 5253 W 29th AVE EXPIRES: 10/31/2017
JOB DESCRIPTION: 8' sewer repair in yard only.
*** CONTACTS ***
OWNER (720)271-2562
MAT VITAKA
SUB (303)287-9009
Brad Wakeham
130022 Trench Right LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: /
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS,
OLI
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION: 3,950.00
FEES
Total Valuation
0.00
Use Tax
71.10
Permit Fee
109.20
* * TOTAL * *
180.30
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Plumbing PERMIT - 201601722
PERMIT NO: 201601722 ISSUED:
JOB ADDRESS: 5253 W 29th AVE EXPIRES:
JOB DESCRIPTION: 8' sewer repair in yard only.
10/31/2016
10/31/2017
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 furthe a test that I am legally authorized to include all entities named within this document as parties to the work to be
performed and a work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
/- / —/ 6
Signatrect
OWNER or CONTRACTOR (Circle one) Date
1. Thit was issued based on the information provided in the permit application and accompanying plans and specifications and is
sub the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures.
2. Thispermit 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 originalermit fee.
3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a per it sha411l not be construed to be a permit for, or an approval of, an violation of any provision of any
applica a de or any ordin c r re ation f this jurisdiction. Approval of work is subject to field inspection.
I A&
Signature of Chief Building Official Date
REQUESTS MUST B8 MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Pjdge
COMMUNITY 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: permits(a ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Permit # vI l � (I 1 7/1Q,
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ""
Property Address: �_S U/, o? 1rh &=
Property Owner (please print): 4%t ✓�__2 Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer
Architect/Engineer E-mail:
Contractor:
Contractors City License #:
Contractor E-mail Address: _3;7e��e2
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone:3�J?
x— &'
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑
RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
ov M P,—
�
Sq. Ft.ILF 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 SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (�OWNER)% �(COONTRACIT'OR) or (AUTHORIZED REPRESENTA
PRINT NAME:
SIGNATURE:
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
of (OWNER) (CONTRACTOR)
DATE✓C' - -.
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
A i CITY OF WHEAT RIDGE
Building Inspection Division
�(303)
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: E LL 0 V%.— _
Job Address: � a 5 vy -a
Permit Number: -D b/ L 0 I S 9
U 6
j�a
U- f -P R
❑ No one available for inspection: Time . AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Res. Garage/Carport PERMIT - 201601552
PERMIT NO: 201601552 ISSUED: 10/06/2016
JOB ADDRESS: 5253 W 29th AVE EXPIRES: 10/06/2017
JOB DESCRIPTION: 480 Sq. Ft. detached garage (20' x 24') with electrical
*** CONTACTS ***
OWNER (303)249-0027 KEITH RICHARDS
GC (303)919-7471 Cliff Franklin
160128 Custom Image Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 26,000.00
FEES
Total Valuation 0.00
Plan Review Fee 294.81
Use Tax 468.00
Permit Fee 453.55
* * TOTAL * * 1,216.36 Cl)3 U
*** COMMENTS ***
*** CONDITIONS ***
LM For one- or two-family dwellings, the first twenty-five feet (25') of driveway area from
the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick
pavers or similar materials. A right-of-way permit may be required; contact Public Works
Department at 303-235-2861. Paving must be installed prior to final zoning inspection
BU Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and
all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Res. Garage/Carport PERMIT - 201601552
201601552
5253 W 29th AVE
ISSUED: 10/06/2016
EXPIRES: 10/06/2017
480 Sq. Ft. detached garage (20' x 24') with electrical
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�e 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 t erf"or disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. Thispermit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or/any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PK ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
W heat edge
COMMUNITY DEVELOPMENT
Building 8 Inspection Services Division
7500 W. 29"' Ave., Wheat Ridge. CO 80033
Office: 303-235-2855 ' Fax. 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(aki.wheatnd4e.co.us
FOR OFFICE USE ONLY I
Date:
Plan/Permit # '2-0 t 6 Q / SS2—
Plan Review Fee:
Building Permit Application
"' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "'
Property Address: S 3 -�-q7 ot I/ -e—
Property Owner (please print): r? t A ; G k cA rd 5 Phone: 30? -2- "1
Property Owner Email: jo• ZZOroL~
Mailing Address: (if different than property address)
Address:
City, State, Zi
ArchitecVEngineer _ __ __
Arch itectlEngineer E-mail:
I . co vv.
Phone:
Contractor:6 Vk STdy"+ r✓► (ArjZ C0 ^4rtn f t; oh --
Contractors City License #: Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical: to
W.R. City Licens # vl
Other City Licensed Sub:
City License #
+-r_, �;) F ren A"
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
2,o & b 5�v
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
gNEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑
RESIDENTIAL ADDITION WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
-
�.G %Z i 4 Gv (� GtA r'�1 Gl ��j L �� (/✓ i I � Il/ �. �� (M•f7 tl � r/` � �"`' � S � l'l iG� G} -L'
;v, 5e,►^-
Sq. FOLF Wo --S, I _ _ Btu's
Amps Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$1, , Doc
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application arc accurate and do not violate applicable ordinances, riles or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that 1 have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application: that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) o ' UTHORIZF_DREPRESENT47`I1"E of (OWNER)
i
PRINT NA%IF: �/ tv� �i G�i SIGN kTURE:��.. DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS
Reviewer
lam' JO b l(
BUILDING DEPARTMENT C MMENTS
Reviewer
Ilvv 1f
PUBLIC WORKS COMMENTS
Reviewer
OCCUPANCY CLASSIFICATION
TYPE OF CONSTRUCTION
SPRINKLERED
OCCUPANT LOAD
M u c �' Co,n� (y .v • t -Ii 10 r Z
y�F-QTnwh'o+tv1 IZNS:ai!'aF—'•I (O(�(' %%
Ct'tc( LDI`� IV C4. le, Fr.cer( t'aAP
a.1oQ a l(q l :cb (c C.'i-ry o f
wkt-,r,I ;JCyar Cvd,e, 5
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District n Received ❑ Not Required
Building Division Valuation: S__
9/9,13
Colorado Chapter of the International Code Council
How to Use this Guide
Provide two sets of plans, drawn to scale and complete the following ({lint: use graph paper
xvith 114" squares. Example: '/4" = V): Check with your jurisdiction for additional requirements.
1 Complete this Building Guide by filling in the blanks on page two and four, and
indicating which construction details will be used.
2 Provide 2 Plot Plans (site plan) showing dimensions of your project and its
relationship to existing buildings or structures on the property and the distance to
existing property lines, drawn to scale. See page3.
3 FII out a building permit application.
The majority of permit
applications are processed
with little delay. The
Y
�
t t 4
submitted documents will,
help determine if the
i.
project is in compliance
with building safety
codes, zoning ordinances
and other applicable laws.
The Colorado Chapter of the International
`I
Code Council is a professional organization
seeking to promote the public health. safety
and welfare to building construction. We
appreciate your feedback and suggestions
To obtain a master copy of this building
guide. please write to the Colorado Chapter
of the International Code Council. PO Box
961, Arvada. CO 80001.
,
http //www coloradochaptericc org
This handout was developed by the Colorado
Chapter of the International Code Council as a
basic plan submittal under the 2012 International
Residential Code. It is not intended to cover all
circumstances. Check with your Department of
Building Safety for additional requirements.
IF Cky .
Wheat R�d9e
ill
99 13
Directions
�. Fill in the blanks on pages 2 and 4 with dimensions I
and materials which %vill be used to build the
structure. Please print legibly.
2. Indicate in the check boxes on page 4 %vilich details front page S %will be used.
Note: lleatcdsaraYes will require iusulatirnt, stuc/1 as ccililk�s, Ivalls, anal /nitridation.
Dimension _2D\
Locate and detail bracing
Indicate rafter or
truss direction
arage is heated
Garage is not heated
Show door and window header sizes and
location and size of landing in front of door
concrete slab )
le
fx header
jP.vdmUlP
02. 12
If roof trusses or rafters bear on header,
special header design may be required
II Double 2x4 or 2x6 trimmers each
end of overhead door header 1\,
Garage door
Garage door opening width 16
i t * If less than 4see Braced wall Panel Detail on
Dimension* page 5 to comply with section R602 10 6 2 ORC 1
(minimum width 16" with wall 10' high)
This handout was developed by the Colorado Chapter of the
International Code Council as a bask plan submittal under
the 2012 International Residential Code It is not intended to
cover all circumstances Check with your Department of
Building Safety for additional requirements
Floor Dimension
slope _ �L 'I
t
�)IlllenslOn*_��
city of
Wheat Ridge
121
SS –3 W / , /1"0— 9!9113
Note: For roofs with slopes less than 4 12, follow manufacturer's instructions for low slope application of roofing material.
�pp'
lr 2x rafters spaced° ().c. Sheathing adeo It AAus+ Mee f
et Checkmark 1n Dox -or- 2 x 10 Rafters Spaced 24' (example . extenor lyw )
109�.�r, W.roI
Minimum lx ridge board 7/T�
g 5 d es,5-1
(examp�e t .121 iexa le Class A3 Shmglesl
en5; n eve - u 55 rlayment +: c f
✓Q r /I 7s On Sr rL �C/ ins .e til` ample Ilaie,l+ felt)
12
pitch I
Provide roof tie downs
(veiling Insulation
1/
Solid 2x blocking between
(It heated -example 9-381
rafters that are 2x12 or greater
2x ceiling joists (a' _(l.C.
(exampfe 2 x 8 9 24'0 C)
1 1 x4"collar ties ,z 49"c.c.
Uouble 2x_�Ltop plate
- - - - -
(example 2x6)
Span o2.O
Span
(example. 23 5"1
Note: Pre-engineered roof trusses
wltruss clips may be used in lieu of
Ceiling height___
root structure shown.
exl,rtD'P R.
� Nth
Diagonal wind bracing or braced wall panelscid
Siding S'+"r• ccy
lap
✓f�bn
@ corners and each 20' of wall
example prr-rrn
of'4esh
y
-rt+1 S &A-e_'_Ee t S
Wall sheathings"
L�Pt._„�
Lt N r ON O'T-1 d ni r' D
(example '/.,"exlenot p,vwood)
Max 10**'. wall height S? Arc E
f2xstudsL C O.(:.
example 2 x 6 ,_4 24 0 C)
�Ja�U'eij�
.
'. Concrete Encased Ground ;•
A
Cont. 2xL/ sill plate
de�a
'• required for new service B
example ?x 61}r^^
Or
IiVall Insulation
%
tit heated - example R-20 Fiberglass Batts)
Foundation Detail A
J Foundation Detail B
Foundation Insulation
(see page 5)
1 it heated - example R-10)
Footing size _x
18xample 8' x 16
This handout was developed by the Colorado Chapter of the
Cly
International Code Council as a bask plan submittal under
the 2012 International Residential Code It is not intended to
ryheat
cover all circumstances Check with your Department of
R�d9e
Building Safety for additional requirements
e -
90 . 4
wgy nWynr
max . 7' min penetration max 12"
Lap siding over —
foundation a
from corner and 12' from each end
minimum of 1"
o1 plate (min 2 bolts per plate)
Finished
=
grade
i .•
wood or decay resistive wood
6" min
Note: Ch with local
r
�12�
building depart
swelling soils Caissons
grade
may be required.
concrete slab
s253 �,/ �2_f �4V-0- l
#4r ar min
c top 8
ottom with 18"
laps
I/., x to* steel anchor bolts 6.0" OC
Lap siding over
max . 7' min penetration max 12"
foundation a
from corner and 12' from each end
minimum of 1'
o1 plate (min 2 bolts per plate)
Bottom plate shall be min 8 -
above grade, or be treated
wood or decay resistive wood
6" min
Finished
3 'r?' Minimum
grade
►
concrete slab
Fiberboard expansion joint
Provide N4 rebar vert @ 4'•0'
36" min
O C insert rebar into concrete
Note: Check
fooling of key way
with local
building
x4 rebar min continuous top of
department for
-
stemwall d at footing with 18" laps
swelling soils
it
Caissons may
• —
. 3"
be required
s
Extent of header with double portal frame (two braced wall panels) —
Extent of header with single portal frame (one braced wall panel) —i
j. 2• -18' Finished width of opening
for single or double portal I
Min. 3- x 11.25' Net Header
1,000 lb strap opposite sheathing 1.000 lb
strap
Fasten top plate to header with two
rows of 16D sinker nails at 3" O.0 typ
Fasten sheathing to header with 8D common or
galvanized box nails in 3" grid pattern as shown and
3" O C in all framing (studs. blocking, and sills) typ.
Min length of panel per table R602.10.5
Min 2x4 framing Min double
3/8" min thickness wood 2x4 post
structural panel sheathing
Min 4.200 Ib tie -down device (embedded
Into concrete and nailed into framing
Min 1,000 lb
See Section R602.10.6.2 tie down
device
This handout was developed by the Colorado Chapter of the
International Code Council as a basic plan submittal under
the 2012 International Residential Code It is not intended to
cover all circumstances Check with your Department of
Building Safety for additional requirements.
Typical
portal frame
construction
For a panel
splice (d
needed). panel
edges shall be
blockedand
occur within 24'
of mid -height
One row of typ
sheathing -to -Ira
ming nailing is
required It 2x4
blocking is
used the W's
must be nailed
together with 3
16D sinkers
Cas— —
r
head
two r
16D
nai
Ol
M
Sir
shr
C110, Of
Wheat Q:_
5
9913
This handout was developed by the Colorado Chapter of the
International Code Council as a basic plan submittal under
the 2012 International Residential Code. It is not intended to
cover all circumstances Check with your Department of
Building Safety for additional requirements.
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City of
'� W heat dge
COMMUNITY DEVELOPMENT
Wheat Ridge Building Division
Approved Plans
IL -S. V, r,
Plans Examin r
70r k
Date
Validity of permit: The issuance of a permit or approval of plans
specifications and computations shall not be a permit for. or on
approval of. ony 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 be valid.
52-93 w 2-9" /t-C/t�
From: 06108/2016 12:42 #575 P.002/002
G, r—
TY)e
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will notbe perfortned unless this card is posted on the project site.
Call t1te inspection request line before 11:59 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Monolithic Slab Reinforcement
Caissons
Concrete Encased Ground (CE
Footing/Stemwall P.E, Letter
Underground/Slab Inspections
Electdcal (UndeVound)
Sewer Service (Underground)
Wall Sheathing
Roof Sheathing
Lath / Wall Tie
Rouen Electric
ME
Insulation
3��
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final BuiFd7ng !Fame
EM
..... . . . . . . . . . . . . . . ............ .....
Fire Inspection I Fire Protection Dist.
**Note.- All items most be completed and approved by Planning, Public Works, Fire and Building before a Cerfificate,
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
Ir w
au
•
INSPECTION RECORD
INSPECTION REQUEST LINE: (3031234-5933
Inspections will not be perfornied unless this card is posted on the project site.
Call the inspection ,request line before 11:59 p.m, to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Inspector rot
Foundation Inspections Date Comments
Initials
onolithic Slab Reinforcement
Underground/Stab Inspections Date Inspector Comments
InItIals
(Underground)
7—
's ervice (Underground)
Water Service (Underground)
m / Jn-slab)
7-1n- i�b)
Rough In s pe ctions Date
Wall Sheathiq
j,,'jcarat -Thtt 7'
is Electric
Rough PIUMbing
Rough Mechanical
Gas Piping
Do Not Proceed Without A rovall 00fAbove
Rough Framing
Tnsu'�a h�n
t3 galls r / Nail
Inspector
Final Inspections Date
Initials
Final Efef;tricai
Final Plumbing
Finat Mechanical
drat
Final Building / Frame
Landscaping & Parking lanning Dept.. TIns;ections from these entities should be requestet
one week in advance. For landscaping and parking
o'
ROW & Drainage / Public Woft Dept, li�nspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861, For fire inspections
Fire inspection / rrotectDist,
contact the Fire Protection District for your project.
Fie Pion
"Note: All items must be completed and approved by Planning, Public Works, it and Building before a Certificate
17
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
ncy Is Not Permitted Until A Certificate of Occupancy Is Issued
Prot ect'This Card From The Weather
111173 71 ZrZM.J Jr7VT= *#1 —r—T7T—.T--
Occunancv/Tvne
Inspections will not be performed unless this card is posted on the project site.
f1F Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.
Foundation Inspections
Drywall Screw/ NVIIil
ail
Monolithic Slab Reinforcement ..............
Inspector I
Concrete Encased Ground (CEG)
(z]
Do Not Pour Concrete Prior o A
Electrical (Underground)
rvice (underground)
Landscaping & Parking Planning Dept.
Water Service (Us,
Heating (Below In -slab)
1 RIP!
51100M 1111111101111
Rough Inspections
Wall Sheathing
Roof Sheathing
Lath / Wall
Rouqh Electric
Mechanical
df -Above
EEU=
Loaurwx =-
Rough Framing I I I Wt,,eat Ritn,,,',�,
==01- 11
Drywall Screw/ NVIIil
ail
Final Inspections
Inspector I
Fii W I�ectiic:a I
Landscaping & Parking Planning Dept.
f It J"_ 1"Aff 77-FliT, M-Plio -
one week in advance. For landscaping and parking
ROW & Drainage / Public Works Dept,
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861, For fire inspections
GO M#t
contact the Fire Protection District for your project.
"Note: AM 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._
U1113111 M I z 11
11111JI1111111 111111111111111 1��
m'7""w # #MT 10�0 i
planmermit
Property Address:5253 W 29th Ave
Pro arty Owner ase Mau vuska Phorw*720-271-2562
Propgft Owner Email:
Address: I
Ciy,,State, Zip:
ArchitecttEngineer E-mail: Phone:
Contractor: Coffrnan/B&F Heating & AC Inc.
Contractors City License #: '418464 Phone- 303-798-8,7-83;
Contractor E-mail Address: p6chmidt65@comcast.net
Mechanical:
W.R. Cit*
,L License #
Other City Ucensed Sub: Other City Ucensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
Jute 08 10 03;06p Patty Schmidt 303-421-1298 p.
t►- # r' #111111 21 1.�•
COMMERCIAL0 NEW RUPGRADE
RESIDENTIALNEW - COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
DENTIAL ADDITION H WINDOW REPLACEMENT
STRUCTURECOMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY
MECHANICAL SYSTEWAPPLIANCE
REPAIR
M M A r or REPLACEMENT
• A
PLUMBING
SYSTEM/APPLIANCE
uIkA REPAIR
f yM o REPLACMENT
ELECTRICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT
OTHER
cribe
amount of materials to be used, etc.)
Sq. pt,lt iF 's Gallons
Amps Squares outer
ProjeO Value: (Contract value or the cost of Amaterials and labor included in the Sggrj pmj t)
OWNEpjCONTRACTOR SIGNATURE OF UNDERSTANDING D AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordmanom rules or
regulations of the City of Wheat Ridge or cavenants, cAsements or restrictions ofr rat.. all measuremnts shown and all tions made are
ac rate, that t have read and agree to abide by all conditions printed on this application and that l assume find responsibility forcompliance
with applicable City of Xklheat Ridge codes and ordinances for %, under any permit issued based on this application; that T ant the legal o"ter
or have been authorized by the legal owner of the propetiy to perform the described work and atm also authorized y the legal owner of any
entity included on this application to list that entity on this appliceation. T, tits applicant for this building permit application, Warrant the
truthf€alne;ss of the information provided �, , plicafion.
CIR EO . (O YER) { -Uit 7ftPtr (AUTHORIZED ;l'R A"�". TIT ) of (O 'ER) (CONTRACTOR)
Electronic $ r (first and last ra a): Patricia J SCi1midt DATE: 618/20,16
✓ l understandtliat cheddrig this box, that l acknowledge that this constitutes a lagal sipature.
DEPARTMENT USE ONLY I
ZONING COMMENTS: OCCUPANCY C CA
Reviewer d
a
BU C DEPARTMENTCOMMENTS:
I
F
Sultell"gi Division Valuation: $
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before It: 59 p.m. to receive an inspection the following business day.
Inspector Must Signproject
-----
Foundation # :ctions Comments
Monolithic , # Reinforcement
Caissons
Footing/Stemwall P.E. Letter
901W01 111%44-1 AU Mill" -wu- agigzl-u I
UndergroundiSlab • s Ins r 11 Comments
Initials
Electrical (Underground)
Sewer Service (Underground)
Water Service d, f #
Plumbing C• # s
« • (Belo
• s • • ri s • s • • a •♦ s # sr •:
Rough
# gI InspectiInitial's Comments
ons
11111 AI tMl 1 u* ! V#
Roof Sheathing
Rough Plumbing
Rough e « «Rou
Gas Piping
#•.
DrywallScrew Nail 7100-
biwimiwiw�
Final Inspections
Jill I
Inspector
Initials
.:�....
Final Mechanical
Final Building / Frame
one week in advance. For landscaping and parking
ROW & Drainage / Public Works Dept.
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861, For fire inspections
Fire Inspection / . Protection
"Note., All items must be completed and approved by Planning, Public Works, Fire and Building before a i
of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy.
1 0. ':i '� 'i. " ♦;.
UUMINME
City of
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'75M W. 2SPI AWheat Ridge, CO 8=3
Me. 303-235-2855 * Fax 303-237-M29
InspecOon Urw. 303-234-5933
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Or Current owner/Occupant
JOANNE HAASE
5253 W 29TH AVE
WHEAT RIDGE CO 80214
Regarding Permit: 201401619; Reroof 16 sqs with Owens Corning Duration shingles.
5253 W 29th AVE, Wheat Ridge, CO 80214
Our Records indicate that the above noted permit was issued on 10/20/14. Our last
inspection related to that permit was on NONE.
Recause of the inactivity on this permit, it will become void as of 12/31/2015.
Please contact this office within one week from the date of this letter to update us on
the status of this permit, or call for a final inspection on the property. You may call
303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed
are permit number, property address, type of inspection and date to be inspected.
If you do not contact this office, and wish to resume work at a later date, you will be
required to submit a new permit application, drawings with appropriate code edition
information and pay applicable fees. Incomplete or inactive permits may be reported to
agencies such as Jefferson County Assessor, title companies, etc., and could affect future
transactions related to this property.
Thank you for your cooperation concerning this matter. If we can answer any questions,
please don't hesitate to contact us at 303-235-2855, option 7.
Melissa Mackey
Senior Permit Technician
I +N I
:ion
Complete, all information on BOTH sides of this form
S q. FULF tutu's Gallon
Am ps Squares .� Other
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16459
BUILDING INSPECTION LINE -(303-234-5935) Date : 11/10/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: VERNON STOLTZFUS
Property Address : 5253 W 29TH AVE Phone : 271-0848
Contractor License No. :
Company: Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the selback distances proposed by this permit applicalion 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 [o abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable h t Ridge ordi a ces, fo work under this pe it.
(OWNER)(CONTRACTOR) SIGNED DATEi~ j~~
Description : INSTALL 50 GAL WATER HEATER (REPLACEMENT)
Construction Value :
$300.00
Permit Fee :
$30.55
Plan Review Fee :
$0.00
Use Tax :
$6.00
Total:
$36.55
Use:
BUILDING DEPARTMENT USE ONLY
,N. SIC : Sq. Ft. :
Approval:
Zoning :
NN. Q0649
Approval:
mma~i`ts:
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval :
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subjed to the laws of the SWte of Colorado and to ihe Zoning
Regulations and Building Code ot Wheat Ridge, Colorado or any other applicable ordinances of ihe City.
(2) This permit shall expire if (A) fhe work authonzetl is not commenced within sixry (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) I(this permit expires, a new pertnit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill be matle in the
orlginal plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made 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 thal will chan9e the naturel Flow of water causing a dreina9e problem.
(5) Contractor shall nolity the Building Inspector hvanty-four (24) houre in advance for all inspedions and shall receive writfen approval on inspection card befora
proceediing with successive phases of the job.
(e) The issu ( a pertni w the approval of drawings and specifcations shall not be construed to be a permit for, nor an apProval of, any violation of the
pro of h ~odes or any other oMinance, law, rule or regulation.
~ , -
Chief Building Ins¢ector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT
Of WHEqt
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WIIEAT RIDGE
7500 WEST 29TH AVENUE
W HEAT RIDGE, CO 80033 -(303-235-2~855) y~,*~y
~oc oa r.o~ APPLIl.~fTIl~y ♦
Property OHmer: V~f r y7 O/l
Property Address: 5a-~-3
Contractor License No.: Ua/n -e r-
Building Pemtit Number:
Date:
-~u f,
✓~Q- Phone:Jv3~2~Z~~0 ! p
Company: Phone:
pN?NER/CORTMCTOR SIGNATURE OF GNDERSTANDIFG aRD AGREEMERT
1 herebyttrtify that the setback distanca pmposed by lhis permil application are accurzte,
and do not violate applicable ordinanccs, nla or rcgulations of the City o( N'bwt Ridge or
covenanB, cazcmrnts or rcsmctions of rocord; that al l measurcmcnts shown, and aliegations
madc are accurstc; that 1 have read and agrcc to abide by all conditions printed on this
appiication and that I assume full responsibility for compliance with the LVheat Ridge
Building Code (U.B.C) and ail other applicable Wheat Ridgc Ordinances, (or work undtt
mis a,mit. J
(ON'kER)(CONTRACfOR).SIGTED DATE/ d
(ORTER)(COMRACTORp. PRI!.TED DATE
Construction Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
DESCRIPTIO Sa
..~s~~ ~ BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONIN6 COMMCNT3:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
Pusuc WoIucs CorMeNrs: Approval:
Occupancy: Walls: Rool: Srories: Residentiallinits:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expvation Date: Expiration Date:
Approval: ApProvah Approval:
(1) This permit uss issued in accordance w'iiG Ne proviswm sn forth in your spplic+uon and is subja, m the laws of tAe Sute of Cobndo and w the 7nning
Reguletions and BuiWing Codcs of RTut Ridge, Cobndo or my olher apphcabk ordinances of ilm Ciry.
This permil shall capirt i((A) die mork authorizcd is not commmced wiihin Sinry 00) daY+hom issua dau or (6) the buiMing amhorized is suspended or
abandoned for a period of 120 days.
(7) If fiis pemdi enpircs, a nc..- permk may be uqwred fm a ftt of onclul( ihe amount nomwll) rtquirc4 pm"ided no changes hava been or x ill bc made
in the oriynnal pWs and specificnions "d anY suipension rn abandonmml has na <xceedcd oM (1) ycar. If clunges luve becn or if suspension or
abmdonmrnt cxcecds one (1) yeu. Poll kes shall be pud fm a new pamIL (a) M1o work of any manner shill be done 1ha1 will chmge the oa[unl Ibw of waler causing a Mimge problem. . . .
(5) ConVaclor shell no[i(y the BuiNing Inspeclor iwmry-fow (24) hours in ad~~ntt (w all imyecbons and shall rccerve xnnen appro`'a1 on mspecuon card
beforc proccedinx wnh successiv< phases of dw job.
(6) Ths issuance of a pamit or the appmvai of dnwings a'M spn'ifiouons shall no, bc conswed b be a penoi, fw, nor an apProvd of, am violarion of the
pmrision5 of the buiWing coda or any other ordinanc<, law, ruk or rcyuhnon.
Chief Building Inspector
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500wEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. MP94#3581
234-5933 P.O. eOXS38 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONIY WNEN SiGNED BY THE CHIEF BUIIDING INSPECTOR ANC RECEIPTEDBELOW.
, i, APPLICATAON FOR MISCELLANEOUS P~RMIT
JOB ADDRESS
CONTRACTOR
ADDRESS _
CITY
PHONE _
ZIP CODE -
LICENSE NO.
OWNER ty JL /r
ADDRESS ~
PHONE yz,
CONTRACT PRICE $
DATE
1. TVPE Ground❑ `NalI❑ Praeclinp❑ Othar SaD Fae,
2. MATERIAL Total SQuon FNt
3. ILIUMINAT10N Ysa❑ No❑ Type Eieet. Permif No.
4. SET BACK FROM PROPERTY LINE N- 5__ E- W Zone_ Apprwsd,2om Inspeclor
(SDScify whicn is fronl) ❑ ❑ ❑ ❑ Disoppraad
1. TYPE SolidE] Mora TAOn 80% ODSnC] Lost Thon BO% Open
SIGNS
T -7
MATERIAL HeiQht
FENCES 3 SET BACK FROM PROPERTY LINE N_ S_ E_ W__ Zone_ ApprwW,ZoM Inepeelor
($petify which ie tront) ❑ ❑ ❑ ❑ DisapOrowd
I.
OTHER 2
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,CIV11iv" DIST
(SETBACKS OR GROJECTqNS INCLUDED) JOB
REAR PROPERTV LINE ADDRESS
INSPECTION TICKET
/^~''s~
DATE: - ~ ~ BLDG. PERMITM Al
PERMITM
BLDG. CONTR.
~
SUBCONTRACTOR
DATE INSP. REQ.
STFEET N4ME
SHOW DISTANCES FROM TME MAIN BUIIDING TQADJOINING HOUSES, STREETS, AND VROi
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MI
THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATEDWORK ONLY UP
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORN
TYPE OF INSP.
INSPECTION MADE
REMARKS C40 0/
ELECTRICAL PERMIT
STATE LICENSE NO.
PLUMBING PERMIT ~
STATE LICENSE N0.
ALUM
INUM WIRE UNDERSIZE 8 IIIEGAL
FLOOR
BSM
IST
2ND
3RI
19
Np.
WATER CLASET
W.R. FORM 6-
TEMPORARY METER
WASH BOWI
NEW $ERVICE m- AMPS
BATH TUB
/
CMANGE SERVICE-AMPS
SHOWER
LIGHTIN6
SINN
HEATING
GARBAGE DISP
REFRIGERATqN SYSTEM
POWER SUB-CIFCUITS
UTILITY(RANGE,DISPoSER,ETC)
fl%TURES
WATER HEATER
P.UTO. WASHER
DISH WASNER
Rafri ronf Gwp
Pa+ndf Clror e
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS d CON7ROL5
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
'
ADDITION TO OLD WORK
OTHER
MOTORS OVER I NP
TOTAL FIXTURES
1 AareDy acknowledqe thot this apDlica-
fl0n li COrrett afld underSlanE tAat I
connot ttart this projecf until this oppli-
cofi0n if apOroveA. I shall tomply with
Ms lowa oi the State ot ColoraEO and to
ths Zoninq Requlations and Buildinq
Code ofthe Cily of Wheat Ridqe. Any
violation of the obove ferma will couse
immediate revocation of Inls Oermii
PERMIT FEE
USE TAX
TOTAL FEE $
DISAPPROVED c ~ ' - ~ k'-~wc
CHIEF BUILDI INSPECTOR,Cit f Wheat Ridqe
Date Issued
ZIPCODE _LaClW
NOT LID UNLESS RECEI
~ a'-4 ~G Q 8
rr C'0
CALL 234-5933
24 HOURS IN ADVANCE
FOR INSPECTIONS
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