Loading...
HomeMy WebLinkAbout10895 W. 38th AvenueS 4 17C)"'_7 5-k, Occu anc 3?ylINSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection , I INSPECTION REQUEST LINE: (303) 234-5933 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 Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof ' Lath /Wall 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 J 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 Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 30IION SIH13AOM13EI ION 00 /:Aoloodsul f ,� :alga ££6S-b£Z-£0£;e uoi;oadsui-aa aol //eo `spew uaaq aneq suoijoaaaoo uayM„ ON)SPA :paainbaa uoi}oadsuj-aH WdfiNd awil :uoiloodsui aol apepna auo ON n %JC L� 02 %C7 :aagwnN Iivaaad :ssaippd qor :ads .L uoiloadsul 331ION NO11O3dSNI xe4 6z69-ZOe (000) • 9q/40 ssSz sOz (OOO) au►/ uo►joadsul S£69-b£Z (£00 uoisinia uoiloodsul 6uippe 3JaM lV3HM d0 A113 A y 141 A s City of Wheat Ridge r Residential Roofing PERMIT - 201703756 PERMIT NO: 201703756 ISSUED: 07/11/2017 JOB ADDRESS: 10895 W 38th AVE EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -Roof to install owens corning asphalt shingles with 24 sq. 5/12 *** CONTACTS *** OWNER (303)421-1477 IDA JEAN TYLER TRUST SUB (303)744-9000 Rick Langley 150079 Western Maintenance & Construc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,168.00 FEES Total Valuation 0.00 Use Tax 129.53 PAID Permit Fee 156.7S ** TOTAL ** 286.28_�- *** COMMENTS *** ** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. r City of Wheat Ridge Residential Roofing PERMIT - 201703756 PERMIT NO: 201703756 ISSUED: 07/11/2017 JOB ADDRESS: 10895 W 38th AVE EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -Roof to install owens corning asphalt shingles with 24 sq. 5/12 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 per it. I furthar attest that I am legally authorized to include all entities named within this document as parties to the work to be perfo ed d �Iw rform�isci sed in/th�is document and/ its' (accompanying approved plans and specifications. 1r ) �i 1 G -7 Signature of OVVNTER. orvCONTRACTOR (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 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 changeof the natural flow of water without prior and specific approval. 5. The permit border 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..grgnting 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, y ordinan=,�gula 'oh of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building OfI Date REQUESTS MUST BE MADE BY 11 INESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett n( U J ' / O ' A;qn From: no-reply@ci.wheat ridge.co.us Sent: Wednesday, June 28, 2017 12:05 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 10895 W 38th Avenue Ida Tyler 303-421-1477 Field not completed. �^ _$ c� ` 0� Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Western Maintenance and Construction 150079 303-744-9000 Contractor Email Address gkelley@westernmc.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: gkelley@westernmc.com No yJ Owens Corning r Asphalt �O Field not completed. How many squares of the 20 'o material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 4 �p on the flat roof? TOTAL SQUARES of all 24 �p roofing material for this project Provide additional detail 5/12 %0 here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) ,10! 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 submit this application and to perform the work described above. Name of Applicant Gena Kelley Email not displaying correctly? View it in your browser. 3 TITT Bes ©®ROOFING CONSTRUCTION Agreement Date /State: Zip: -r' -0A013- E -Mail: ne: T0't- VZ If - /SI 7 Work: A(, Cell: 6 -- Sales Rev!2,<4_ /:,,,,_,.� PhnnP:FV,^rl tam Cr _ juin Ctnrm rto. _ i V, I A ROOFIVG ASSE ENT roW4 Woo JGrade of Shin le: G Style: ` g tY OwUl. � Pitch: /12 2 -Story: vi _ If ---. ... ­ ' GUTTER ASSESSMENT Size: LF: Color: Tear off: Ridge Cap: SIDING ASSESSMENT Felt: Valley: Vents: 750's Turbines: Pipe Jacks: Skylights: Grade of Siding: Style: Color: Fascia: Color: Ice/Water: Drip Edge: Contract Total:' Remove debris from roof, gutters, and yard 1st payment $ moi, G 20 . 3 y Protect landscaping and gutters Furnish Permit as required by City/County Final Payment due at completion $ �� Q Z /� L2 DAMAGE ASSESSMENT/NOTES JCk-5 wt ,ig� C t C Ac]h xoonng & Construction Limited Warranty 5 YEARS ON REP A M NT AND 90 DAYS ON REPAIRS Right To Cancel: You, the consumer, may cancel this transaction at any time prior to midnight of the third business day after date of this transaction. General Contractor: Homeowner acknowledges ACE ROOFING & CONSTRUCTION as a general contractor and as such shall be entitled to over head and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead and profit 'rernlS: This agreement does not obligate the homeowner or ACE ROOFING & CONSTRUCTION in any way unless the damage is approved by your insurance company and accepted by ACE ROOFING & CONSTRUCTION. By signing this agreement the homeowner authorizes ACE ROOFING & CONSTRUCTION to pursue homeowner's best interests for a Roof and/or Gutter replacement or repair at a "price agreeable "to the insurance company and ACE ROOFING & CONSTRUCTION with no additional cost to the homeowner except for the insuranc deductible. When "price agreeable "is determined it shall become the final contract price of the INSURANCE PROCEEDS+INSURANCE DEDUCTIBLE AND HOMEOWNER AUTHORIZES ACE Roofing & Construction to obtain labor and material in accordance with the "price agreement" and the specifications set out therein and on the reverse side thereof to accomplish the replacement or repair. Homeowner or A en Signature Date ACE Representative InsuranceCo. Cen4ur77 l Claim# Z Z o ZZ. Z.. . awn- I ri I 1 , • _ I PREFERRED'° CONTRACTOR T.steam9athatlesi 1795 W. Yale Ave. Englewood CO. 80110 Office (303) 223-6623 www.aceroofco.com Document must be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more information or to print copies of filed documents, visit www.sos.state.co.us. Colorado Secretary of State Date and Time: 05/14/2015 11:12 AM ID Number: 20151322727 Document number: 20151322727 Amount Paid: $20.00 ABOVE SPACE FOR OFFICE USE ONLY Statement of Trade Name of a Reporting Entity filed pursuant to §7-71-103 and §7-71-107 of the Colorado Revised Statutes (C.R.S) 1. For the reporting entity delivering this statement, its ID number, true name, form of entity and the jurisdiction under the law of which it is formed are ID Number True name 20091634899 (Colorado Secretary of State ID number) Western Maintenance, LLC Form of entity Limited Liability Company Jurisdiction Colorado 2. The trade name under which such entity transacts business or conducts activities or contemplates transacting business or conducting activities in this state is Ace Roofing and Construction 3. A brief description of the kind of business transacted or activities conducted or contemplated to be transacted or conducted in this state under such trade name is roofs, construction 4. (If the following statement applies, adopt the statement by marking the box and include an attachment) ❑ This document contains additional information as provided by law. 5. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a date.) (If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.) The delayed effective date and, if applicable, time of this document are (—'ddlyyyy hour:minute am/pm) Notice: Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is such individual's act and deed, or that such individual in good faith believes such document is the act and deed of the person on whose behalf such individual is causing such document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent documents and the organic statutes, and that such individual in good faith believes the facts stated in such document are true and such document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State, whether or not such individual is identified in this document as one who has caused it to be delivered. TRDNM_RE Page] oft Rev 12/01/2012 6. The true name and mailing address of the individual causing this document to be delivered for filing are Langl Rick (Last) (First) — (Middle) (SuJJ2xJ 2911 S. Umatilla St. (Street number and name or Post Office Box information) Englewood CO 80110 (City) (State) (Postal/Zip Code) United States (Province — ijapplicable) (Country— ii(not US) (If the following statement applies, adopt the statement by marking the box and include an attachment) This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should be addressed to the user's legal, business or tax advisor(s). TRDNM_RE Page 2 of 2 Rev 12/01/2012 A s City of Wheat Ridge r Residential Roofing PERMIT - 201703756 PERMIT NO: 201703756 ISSUED: 07/11/2017 JOB ADDRESS: 10895 W 38th AVE EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -Roof to install owens corning asphalt shingles with 24 sq. 5/12 *** CONTACTS *** OWNER (303)421-1477 IDA JEAN TYLER TRUST SUB (303)744-9000 Rick Langley 150079 Western Maintenance & Construc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,168.00 FEES Total Valuation 0.00 Use Tax 129.53 PAID Permit Fee 156.7S ** TOTAL ** 286.28_�- *** COMMENTS *** ** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. r City of Wheat Ridge Residential Roofing PERMIT - 201703756 PERMIT NO: 201703756 ISSUED: 07/11/2017 JOB ADDRESS: 10895 W 38th AVE EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -Roof to install owens corning asphalt shingles with 24 sq. 5/12 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 per it. I furthar attest that I am legally authorized to include all entities named within this document as parties to the work to be perfo ed d �Iw rform�isci sed in/th�is document and/ its' (accompanying approved plans and specifications. 1r ) �i 1 G -7 Signature of OVVNTER. orvCONTRACTOR (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 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 changeof the natural flow of water without prior and specific approval. 5. The permit border 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..grgnting 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, y ordinan=,�gula 'oh of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building OfI Date REQUESTS MUST BE MADE BY 11 INESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett n( U J ' / O ' A;qn From: no-reply@ci.wheat ridge.co.us Sent: Wednesday, June 28, 2017 12:05 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 10895 W 38th Avenue Ida Tyler 303-421-1477 Field not completed. �^ _$ c� ` 0� Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Western Maintenance and Construction 150079 303-744-9000 Contractor Email Address gkelley@westernmc.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: gkelley@westernmc.com No yJ Owens Corning r Asphalt �O Field not completed. How many squares of the 20 'o material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 4 �p on the flat roof? TOTAL SQUARES of all 24 �p roofing material for this project Provide additional detail 5/12 %0 here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) ,10! 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 submit this application and to perform the work described above. Name of Applicant Gena Kelley Email not displaying correctly? View it in your browser. 3 TITT Bes ©®ROOFING CONSTRUCTION Agreement Date /State: Zip: -r' -0A013- E -Mail: ne: T0't- VZ If - /SI 7 Work: A(, Cell: 6 -- Sales Rev!2,<4_ /:,,,,_,.� PhnnP:FV,^rl tam Cr _ juin Ctnrm rto. _ i V, I A ROOFIVG ASSE ENT roW4 Woo JGrade of Shin le: G Style: ` g tY OwUl. � Pitch: /12 2 -Story: vi _ If ---. ... ­ ' GUTTER ASSESSMENT Size: LF: Color: Tear off: Ridge Cap: SIDING ASSESSMENT Felt: Valley: Vents: 750's Turbines: Pipe Jacks: Skylights: Grade of Siding: Style: Color: Fascia: Color: Ice/Water: Drip Edge: Contract Total:' Remove debris from roof, gutters, and yard 1st payment $ moi, G 20 . 3 y Protect landscaping and gutters Furnish Permit as required by City/County Final Payment due at completion $ �� Q Z /� L2 DAMAGE ASSESSMENT/NOTES JCk-5 wt ,ig� C t C Ac]h xoonng & Construction Limited Warranty 5 YEARS ON REP A M NT AND 90 DAYS ON REPAIRS Right To Cancel: You, the consumer, may cancel this transaction at any time prior to midnight of the third business day after date of this transaction. General Contractor: Homeowner acknowledges ACE ROOFING & CONSTRUCTION as a general contractor and as such shall be entitled to over head and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead and profit 'rernlS: This agreement does not obligate the homeowner or ACE ROOFING & CONSTRUCTION in any way unless the damage is approved by your insurance company and accepted by ACE ROOFING & CONSTRUCTION. By signing this agreement the homeowner authorizes ACE ROOFING & CONSTRUCTION to pursue homeowner's best interests for a Roof and/or Gutter replacement or repair at a "price agreeable "to the insurance company and ACE ROOFING & CONSTRUCTION with no additional cost to the homeowner except for the insuranc deductible. When "price agreeable "is determined it shall become the final contract price of the INSURANCE PROCEEDS+INSURANCE DEDUCTIBLE AND HOMEOWNER AUTHORIZES ACE Roofing & Construction to obtain labor and material in accordance with the "price agreement" and the specifications set out therein and on the reverse side thereof to accomplish the replacement or repair. Homeowner or A en Signature Date ACE Representative InsuranceCo. Cen4ur77 l Claim# Z Z o ZZ. Z.. . awn- I ri I 1 , • _ I PREFERRED'° CONTRACTOR T.steam9athatlesi 1795 W. Yale Ave. Englewood CO. 80110 Office (303) 223-6623 www.aceroofco.com Document must be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more information or to print copies of filed documents, visit www.sos.state.co.us. Colorado Secretary of State Date and Time: 05/14/2015 11:12 AM ID Number: 20151322727 Document number: 20151322727 Amount Paid: $20.00 ABOVE SPACE FOR OFFICE USE ONLY Statement of Trade Name of a Reporting Entity filed pursuant to §7-71-103 and §7-71-107 of the Colorado Revised Statutes (C.R.S) 1. For the reporting entity delivering this statement, its ID number, true name, form of entity and the jurisdiction under the law of which it is formed are ID Number True name 20091634899 (Colorado Secretary of State ID number) Western Maintenance, LLC Form of entity Limited Liability Company Jurisdiction Colorado 2. The trade name under which such entity transacts business or conducts activities or contemplates transacting business or conducting activities in this state is Ace Roofing and Construction 3. A brief description of the kind of business transacted or activities conducted or contemplated to be transacted or conducted in this state under such trade name is roofs, construction 4. (If the following statement applies, adopt the statement by marking the box and include an attachment) ❑ This document contains additional information as provided by law. 5. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a date.) (If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.) The delayed effective date and, if applicable, time of this document are (—'ddlyyyy hour:minute am/pm) Notice: Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is such individual's act and deed, or that such individual in good faith believes such document is the act and deed of the person on whose behalf such individual is causing such document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent documents and the organic statutes, and that such individual in good faith believes the facts stated in such document are true and such document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State, whether or not such individual is identified in this document as one who has caused it to be delivered. TRDNM_RE Page] oft Rev 12/01/2012 6. The true name and mailing address of the individual causing this document to be delivered for filing are Langl Rick (Last) (First) — (Middle) (SuJJ2xJ 2911 S. Umatilla St. (Street number and name or Post Office Box information) Englewood CO 80110 (City) (State) (Postal/Zip Code) United States (Province — ijapplicable) (Country— ii(not US) (If the following statement applies, adopt the statement by marking the box and include an attachment) This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should be addressed to the user's legal, business or tax advisor(s). TRDNM_RE Page 2 of 2 Rev 12/01/2012 (j i CITY OF WHEAT RIDGE tt 9r(303) Building Inspection Division _:�(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: P'CJ Job Address: iL i4 VV 74)P -' _t& -ye Permit Number: ❑ No one available for inspection: Time! 6M/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234- Date:- z Inspector: DO NOT REMOVE THIS NOTICE Inspections . be performed unless this card is posted n the project site. Call the inspection request line before 11:59 pm. to receive an inspection the following 4 # 4 4. 4 "_. 4 Foundation Comments i 4 s " • 4 • I p w 4 4(Below 4 �1 TI o I� IW Inspections WRIt # 4 r,44 Rough Rough Mechanical Gas Piping - —J 4 4 4 4 4 Final Inspections Comments II Final1- M142=1 Final Plumbing anical Building / Frame Landscaping & Parking / Planning Dept, ROW X91 Drainage Public� SII Works Dept, Fire Inspection Fire IINq IN IM�IIII Il p IIII ��i g�i�ll 1i! 111411 # 4" 4 : 4 r 12/09/2015 09:58 72024951 JOSH -WARD A 0 .«. ' = �� . . � -� •rte � «�� * wt» ww PrO' t w # m» z Phone:ZED 7j kaffinf wwm__differ&nt thenpmpelty :r• Addrew k/00 w w . . a. P' IMM"• ," w " ;� +Mi #.. .ail a fi - #. " w +!♦ # ## #,. t ! c S S ^ oil "RtML NL# wm City of Wheat Ridge I J, TO: Accounting Department FROM: Melissa Mackey, Building Division DATE: March 20 2014 Reason: A same day inspection fee was charged, but due to a number of issues at the property, the inspection was cancelled and a refund would be issued per the Building Official, John Schumacher Jr., for 10895 W. 38 Ave., Permit #201400328. Please refund: Contractors License$ (acct 01-510-00-513) 100% permit fee: $120.00 (acct 0 1 -510-00-516) 0% plan review $ (acct 0 1 -550-05-55 1 ) 0 % use tax: $ (acct 0 1 -500-02-505) ©t $120.00 TO: Blue Sky Plu mbing 4765 Independence St. Wheat Ridge, CO 80033-2937 I al. . 0 Cite of lat R �xlgc City of Wheat Ridge I unicipal Building 7500 W. 29 "' Ave. Wheat Ridge, CO 0033 -8001 I': 303.235,2846 F`.303235.2857 COMMUNITY DEVELOPMENT & PUBLIC WORKS DEPARTNIENTS ECONOMIC DEVELOPMENT . 720- 838 -4706 f 303- 235.2857 PLANNING & ZONING fir. 303- 235 -2846 f 303 -235 -2857 BUILDING INSPECTION p. 303-235-2855 f 303 - 235-2857 ENGINEERING p. 303 -235 -2861 f 303 - 235 -2857 Ica: l lull Confidentiality Notice This facsimile transmission and any accompanying documents may contain information belonging to the sender which may be confidential and legally privileged. This information is intended only for the use of the individual or entity to whom this facsimile transmission was sent. If you are not the intended recipient, any disclosure, copying, distribution, or action takers in reliance on the contents of the information contained in this facsimile transmission is strictly prohibited, irww.ei.wh atridgexo.us Facsimile Building Permit A R « ► ..' +III! .* A w t.« $ �ddresw (it different then piWeity . r ` M- t_ t ,M A GREEMONT t i r r t F' x. ww�ee�.rrMMrr.�wrr�; �rrwrrrrirr..�� SUI UM + RwAawar r i;p� 111`! 11 r • M WI M W*7'V� - IM r*%CSZXZLZ 'TR*NNS ZTTAL SHEET T. TOTAL NO. 00'PAGES INCLUDINO w.vw� F REVIEW 0 PLEASE COMMENT PLEASE RIPLY E3 PLEASE RECYCLE VRONNT E3 • . Facsimile Building Permit App lication w A ddress: prope ♦ * A added: .a # 5 # MI 4 • # " • illi 1 i M ,. "a ".:R.. a r ♦a• 'F a. „.a a .. ..:G i F • w •� w Ff ': . a_ F: - a a a F F F" FC � u O N F # FR , it a. ar W 4 MM w ., ■1 j � � . �"°..Mw"�NNiIM�iM111111�N��A11� 03/10/2010 WED 13:55 Fax 303 237 8929 303 Best way --- b/f heating 14002/002 INSPECTION RECORD Occupancy/Two INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:08 PM to receive ins ction the following business day. M `) m. !t I kl 1 17 I I 7 �—,3t'P v _ INSPECTOR MUST SIGN ALL SPACES PERTAINING TO TH S JOB FOUNDATION INSPECTIONS DATE :=OR COMMENTS: Footings/Caissons NO- CDBN4894 - --- --- mwNT -, BPSP g6 Stemwall / (CEG) Concrete Encased Ground 48.88 ; .184618 - Reinforcing or Monolithic Permit Fee Weatherproof / French Drain ABOONT_i VS 5611 Seiner Service Lines _Ruth Cade: - ....._. — ...._._. -i Wafer Service Lines .............. . _._ TO -. 48.8 ? CONCRETE SLAB FLOOR Electrical(Underilround) ROUGHS Sheathing Lath / Wall tie Electrical Service Rough Electric Rough Plumbing Gas PiDina Mechanical Insulation Drvwall Screw FINALS FleCtrical Mec Roof Building Final Fire Departme R.O.W & Draii IGNEDPRIORTOPROC'_:: CITY OF WHEAT RIDGE E3111I18 —1iv46 AN _edbb ..... .... _ ' &uditEi T Ouinlaii - - RECEIPT NO- CDBN4894 - --- --- mwNT -, BPSP g6 688 btu furnace r- 48.88 ; .184618 - - - -_ - ..._ _ -. -. -.._ Permit Fee _:._. PAYNEWT.RECEIVER__._.___. -- ..... ABOONT_i VS 5611 48.89 _Ruth Cade: - ....._. — ...._._. -i 84576D .............. . _._ TO -. 48.8 ? INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED ATLEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. - NOTE: ALL ITEM MUST DE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AAID PUBLIC WORKS BEFORE CERTIFICATE OF OCCUPANCY is 133UED. FINAL INSPECHONBY THEBUEDING DNJSION DOES NOT CONSTITUTEAUTHORIZAHON OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ 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: Bade Job Address: /OPL es? 26 - A)e- Permit Number: O937/6. l ., ❑ No one available for inspection: Time 2•. .5 AM /PM ' Re- Inspection required: Ye No s ' * When corrections have been made, call for re- inspection at 303 -234 -5933 €k? Date: _12- i,5-o? Inspector: RV 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: IMik ffnr? t p Job Address: 1OLO � kj sy(" jifl/p, Permit Number: () G i" f o is ❑ No one available for inspection: Time 2 G ( AM1 Re- Inspection required: Yes No "When corrections have been made, calf for re-inspection at 303 - 2345933 Date: _ Q Inspector: P It ti i»� n� nin Alnr 13=A //l1 1G rLl /B A1.'%", %= I N ♦ 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: Job Address: c . 261 faA. Permit Number: F ❑ No one available for inspection: Time c� AMj0Q Re- Inspection required: Yes No When corrections have been made, call for re- inspection at 303 -234 -5933 10/29/2009 THU 11:38 FAX 303 237 8929 30.3 Best way /4004/004 INSPECTION RECORD Occuaancv/TVpe 'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FION INSPECTIONS DATE INSPECTOR COMMENTS: INITIALS aissons' (CEG) Concrete round. g or Monolithic - oof / French Drain ice Lines - - Water Service Lines -- CONCRETE SLAB FLOOR Electrical (Underaround) ROUGHS Lath / Wall tie - - Mid -Roof fa X61 :•J - — Electrical Service L7 Rough Electric Gas Mechanical I -- Framing - --- ..__..- --- lnsulation I6/29/89 CITY OF NHEAT RIDGE Drywall Screw - - 18e26 - AM - cdbb 7erad N Raisc -4 FINALS RECEIPT NO:CDg883152 Electrical IiPSP Reroof 56 sqs W/ OC 893789 AMOUNT 654.91 Plumbing 9 eroit Fee Use Tax 363.18 Mechanical eras sqs a/ 3 893716 29L71 Roof Permit Fee Use Taz 162.90 Building Final _ Fire Department — PAYMENT RECEIVED VG 2691 AMOUNT R.O.W & Drainage Auto Code: 522.97 INSPECTIONS FC - ®92712 - Parking &Landscaping SHOULD BE CAL TOTAL 922, 'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED SY PLANNING AND;_ _ 87 CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION. BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUIHUH"H OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED ----- P- ROTE- T- T- HfS -C-ARD FROM T HEWEAfiHE12 - _ _ ____- ♦ `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: vblk i Job Address: _/ ,�� S `� Lf; Permit Number: ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes // "When corrections have been made re- inspection at 303-234-5933 Date: L/ Inspector: DO NOT REMOVE THIS NOTICE 1 d 100610 ino 0s 'w lamu A lacemen X-11 03/10/2010 09/06/2010 switch: on l w' 1 n ~,E INSPECTION RECORD Occupancy/Type INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB 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 Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROC Framing CITY OF WHEAT RIDGE Insulation 03/11/10 11:46 AN edbb Drywall Screw Judith T OuiDlan - RECEIPT NO.CDD004094 - - AMOUNT FINALS DPSP 30 000 btu furnace r 40.00 106610 Electrical Permit Fee 40.00 Plumbing PAYMENT RECEIVED AMOUNT Mechanical VS 5611 40.00 Auth Cedes _ Roof 04576D Building Final TOTAL 40.00 Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parkino & LandSCaDlno 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 OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER Mar 10 10 11:49a Patty Schmidt 303-421-1298 P.2 CELV of Dafe: h/ *CC~L, 1.~ Permit#:~(,+1,(/~° 66 V CO.tiAMUNITY DEVELOPMENT Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-2345933 Facsimile Building Permit Application Property Address: 10 N 6 1 Property owner (please print):-. Mailing Address: (if different than property Address: e- V, N77 OWNERICONTRACTOR SIGNATURE OF UNDoERSTNDING AND AGREEMENT N accurate, and do not violate applicable ordinances. I hereby certify that the setback distances proposed by this permit ppli~tion rules or easurements shown, and regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all m that I the read and agree to abide by all conditions printed on this application and that I assume full allegations responsibility for made are are ac accc>uraratee; ; that Wheat Ridge Building Code (I B.C) and at[ other applicable Wheat Ridge Ordinances, for work co with under this permit. Plans subject to field inspection. @@ CIRLCE ONE:: (OWNER) ONTRACTOR or PERSONAL REPRESENTATIVE Of (OW ER) ON fRAT~r2) 0 D PRINT NAME.a~ILIQ' rll SIGNATURE: t,~~r1t Late: DEPARTMENT USE ONLY ZONING COMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: OCCUPANCY:- BUILDING DEPARTMENT COMMENTS. - Reviewer: Bldg ValBation: FIRE DEPARTMENT:: 0 approved Wl comments 0 disapproved 0 no review required g41- f2h) .e Credit Card Pa ment: Use credit card li ted on file. Print name: /at' ignature, 1-/ Sq. Ft./L.Ft added: Squares 6TU's Gallons Amps ♦ 16 4 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: o Job Address: /C)M U), Permit Number: 0(717/O kr~ - k ~~R ffX 4pj tJ si~ti ,4 1,:) JLr~t~Pk J 4 ❑ No one available for inspection: Time V7_6 A PM > Re-Inspection required: Yes Vo *When corrections have been made, all for re-i speetion at 30$-234,E5933. I n Date: Inspector: , cz L DO NOT REMOVE THIS NOTICE ♦ 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line - - (303) 235-2855 Office • (303) 237-8929 Fax INSPE}}CTION NOTICE Inspection Type: k f~ r^ Job Address: Permit Number: ~65liGr ❑ No one available for inspection: Time l 3 AM/ Re-Inspection required: Yes No When corrections have been made, call for re-i.i spectlon at 303-234-5933 Date: -f t Inspector: AM V DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _W10, z:w Job Address: ✓06c 95 &e~ 3grar rf Permit Number: 61?3710 i i 3 ❑ 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: I/ 42:16-;r- Inspector:., c~ DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge Faxed Roof Permit PERMIT - 093710 PERMIT NO: 093710` .ISSUED:. 10/29/2009 JOB. ADDRESS: 10895.. W 38TH AVE"EXPIRES: 04/27/2010 DESCRIPTION: Reroof 11 sqs w/ 30 yr, laminate shingles CONTACTS Dwner 303/421-1477 Mike/Ida Tyler Sub 303/242-8444 Jerod Raisch 09-0053 Metro Construction Inc t * `PARCEL INFO ,ONE 'CODE: UA USE: UA iUBDIVISION:' 0189 zBLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,842.20 FEES Permit Fee 162.90 UseaTaxValuation .00 ?v° 105.16 t TOTAL .:_268.06 :onditions: nail installation & mid-roof inspection required., Board sheathing spaced more .hall a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and rater shield required from eave edge to 2' inside exterior walls.` **Contractor/Property owner shall provide ladder(s) secured in place for npsections.r' ubject to field inspection. I hereby certify. that the setback distances proposed by this permit application are accurate, and do not violate. applicable ordinances, rules or regulations of the City of. wheat Ridge. or covenants, easements or restrictions of record; that all measurements shown, and allegations made are ; accurate; that I have read and agree to abide. by all Conditions printed on this application and that I-assume full 'responsibility for compliance with the Wheat: Ridge Building Code "(I.B.C)and all other applicable Wheat Ridge Ordinances, for. work under this permit. Plans subject to field inspection. signature of contractor/owner '..date 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. 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. If this permit. expires,.: a new permit may be acquired fora 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. No work of any manner shall be done that will change the natural flow of water causing a'drainage problem. Contractor shall notify the Building Inspector. twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card ibefore proceeding with successive phases. of the job.` Theissuance 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 subject to field: inspections. gnature . Building ?Official :date 9SPEC ON EQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 3QUE S MUST BE MADE. BY 3PM ANY BUSINESS DAY FOR :INSPECTION THE FOLLOWING BUSINESS DAY. INSPECTION RECORD OccupancvlTvpe 'O-INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB 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 t•UUK NO 140NCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO N OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie - Mid-Roof Electrical Service - Rough Electric Rnnnh PLimhinn LGas Piping Rough Mechanical I - ABOVE INSPECTIONS TO BE SIGNED PRIOR 70 PRC Framing Insulation 10129909 CITY OF MEAT RIDGE Drywall Screw 16;26 AN edbb Serod N Raisch FINALS RECEIPT NO:CDE003152 Electrical BPSP Reroof 56 sqs NI OC 093709 AMOUNT 654.81 Plumbing Permit Fee Use Tax 363.40 Mechanical E ReToo sqs N7 36 299.71 093710 Roof ?'emit Fee Use Tax 162.90 Building Final - 105.16 - - PAYMENT RECEIVED Fire Department VS 2691 AMOUNT R.O.W & Drainage Anth Code, 922.87 fINSPELCTIONS FC 692712 arking 8 Landscaping OD BE CAL - TOTAL 922,87 *NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND CERTIFICATEOFOCCUPANCY ISISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUINUH,cm,,,,, OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT TH_ I-S-CARD-FROM THE WEATHER - 10/29/2009 10:16 3039352606 METRO CONSTRUCTION I PAGE 03103 ,1 4 ~r City of ~,,,i~WheatRiidge 9QO COMMUNITY DEVELOPMENT Building Division 7500 W.. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 x Fax: 303-237-8929 Inspection Line: 303-234-5933 Property Address: Property Owner (plee Me IIIng Address: (if arrreranr than property addnass) Address: Use Of s ece (description): Y Descr1 po A WO rl~ OWNER/CONTRACTOR I hereby cenlfy that the a rules or regulations of the allegations made are acC re, ponsibillty for compllar under this permlt. Plans s C/RLCEONE:: !OWNER PRINT NAME: 20NINO COMMENTS: zoning; Reviewer. PURUC WORKS COMMENTS: RevieweC Plen Revlow (due of Pima of submittal): S OF UNDERSTANDING AND AGREEMENT es proposed by this permit application are accurate, and do not violate applicable ordinances, It Ridge or covenants, easements or restdctfons of record; that all measurements shown, and Ive read and aggree to abide ball conditions Printed on this application and that I assume full rylBat.Rldge euliding Code (l,N) and all other applicable Wheat Ridge Ordinances, for work lnsp tion. or PERSONAL REPRE*NTA SIGNATURE: DEPARTMENT US LY BUILDING DEPARTMENTCOMMENTS: Reviewer, FIRE DEPARTMENT;: ❑ approved wl CoMMentR ❑ disapproved t] no review required Bldg Valuation: date: Z7 OCCUPANCY: Credit Card Payment: a redit and listed on fl/e. Date: Print name: _ X0.1 , , CSI Signature:. ~r r I Facsimile Building Permit Application DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO, M93#19054 234.5933 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. A JOB ADDRESS 10 "JW ' 3g-H PPLICATION FOR MISC A -Ail- ELLANEOUS PER 'M` I T+0 OWNER -~I- _ ~L rt4 L r CONTRACTOR , %S' ADDRESS 168 ADDRESS 6 Y_DGC. Joe - PHONE ZIP CODE 7~3-` CITY V ZIP CODE PHONE LICENSE NO. Z(g CONTRACT PRICE Y'f 17 G~ .e DATE I 1 ~1 1. TYPE Ground ❑ Woll❑ Proiocting❑ Other S or D Fooe 2. MATERIAL Total Square Feet SIGNS 3. ILLUMINATION Yes❑ No❑ Type Elect. Permit No. 4 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approved, Zone Inspector (Specify which is front) ❑ ❑ ❑ Disapproved 1. TYPE Solid❑ More Than 80% Open❑ Lees Than 80% Open 2. MATERIAL Height FENCES 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approved,Zone Inspector (Specify which is front) ❑ ❑ ❑ ❑ Disapproved c~t) ct.!/ 1 . 2' ~vt OTHER 3... - v I- Z DRAW SKETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUIRTURE, (SETBACKS OR PROJECTIONS INCLUDED) I INSPECTION TICKET STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TO-ADJOINING HOUSES, STREET DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRIC/ THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK''. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE JOB ADDRESS l o8~s W 3 $ A 43 DATE: BLDG. PERMIT0005°I PERMIT# BLDG. CONTR. M CX n eQ Uri SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. ELECTRICAL PERMIT STATE LICENSE NO. PLUMBING PERM INSPECTION MADE _ STATE LICENSE NO. q'z-J XN77 > lea REMARKS ALUMINUM WIRE UNDERSIZE B ILLEGAL FLOOR BSM IST r 2 No. WATER CLOSET / G TEMPORARY METER WASH BOWL NEW SERVICE - AMPS BATH TUB q CHANGE SERVICE-AMPS SHOWER LIGHTING SINK W.R. FORM 6.19 HEATING. GARBAGE DISK POWER SUB-CIRCUITS WATER HEATER UTILITY (RANGE, DISPOSER, ETC.) AUTO.WASHER FIXTURES DISH WASHER - WIRING MOTORS B CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES 1 hereby acknowledge that this applica- tion is correct and understand that I cannot start this project until this appli- cation is approved. I shall comply with the laws of the State of Colorado and to the Zoning Regulations and Building Code of the City of Wheat Ridge. Any violation of the above terms will cause immediate revocation of this permit PERMIT FEE USE TAX TOTAL FEE C-5 NOT VALID UNLESS RECEIPTED rt 3-g,3 S 46 6 Applicants Signature A~f"s9PPR6~ED ~~z te¢ . ~e f 1I,CP~ axed CHIEF BUILDI INSPECTOR,Cit of Wheat Ridge -1-5-3 CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS T500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 EXT. 255 P.O. BOX 638 BUILDING INSPECTION DIVISION PERMIT NO. B92#4668 CITY OF WHEAT RIDGE. COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPLICATION BUSINESS NAME ADDRESS COPY OF DEED AND IMPROVEMENT SURVEY REQUIRED SPECIFY NORTH h RUN I PKUPLH I T LING STREET NAME (CIRCLE FRONT) N E S W SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH; SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. OWNERS NAN CONTRACTOR LEGAL DESCRIPTION LIC. N0. PHONE 79fl 26b3 ZIP CODE I e) 196 METES AND BOUNDS DESCRIPTION ATTACHEpD ADDRESS f a 8q; 60 ,'~S LOT BLOCK LOT WIDTH DEPTH AREA I SUBDIVISION INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING: Curb a Gutter- Street Poving-Woter_Sewer-Storm Drainage- HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING: YES-NO- ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES-NO- OCCUPANCY f1 I1EXnTEERIOR MATERIALS: WALLS ROOF STORIES - UNITS REMARKS OWNER/ CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT PERMIT FEE t ~tI I hereby certify that the above setback distances shown on this permit application are accurate, and do not violate USE TAX easements or restrictions of re- Cit at Ridg or covenants ti f th f Wh l l i , ons o e y o e e nances, ru es or regu a applicable ord cord; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all TOTAL FEE $ conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge NOT TED Building Code (U.B.C) and all other applicable Wheat Ridge ordinances, for work under this permit. C~t'l~ (OWNER) (CONTRACTOR) SIGNED DATE BUILDING DEPARTMENT USE ONLY SQ. FT COST p ` & r- ' = BASEMENT-ROUGH THE PROPERTY LOCATED AT ~f /7 BASEMENT-FINISHED. IS PRESENTLY ZONED OT) ALLOWED U DER THE F ONING ORDINANCE. GROUND FLOOR THE PROPOSED USE ) (_IS N 1 SECOND FLOOR 7 Z y'y7>!<i_Y. ~C~ OMMENTS: AUCLM ev-; k'C~e§ C GARAGE Pprgp- y 4da!:Me-2-~r1. 9hF -rte ~J~ OTHER BUILDING COST $ 1 x✓6p ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE NO.°Z~J9 CITY N0. STATE N0. CITY NO. CITY N0. PLANS REVIEWED (-OK) (-NOT OK) PLANS REVIEWED (-OK) (-NOT OK) PLANS REVIEWED(-OK)(-NOT OK) NO PLANS NEEDED NO PLANS NEEDED NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF PLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT PERMIT ISSUED TO 3 `G eIEC, PERMIT ISSUED TO PERMIT ISSUED TO- PER REQUEST AS PER PLANS NO. PER REQUEST AS PER PLANS NO. PER REQUEST AS PER PLANS NO. AS APPROVED AND ON FILE IN MY OFFICE AS APPROVED AND ON FILE IN MY OFFICE AS APPROVED AND ON FILE IN MYOFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTIL CLEARED BY DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING I SPE TOR CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR ~ DATE CLEARED, Z BY - DATE CLEARED BY DATE CLEARED - BY CHIEF IL TOR CHIEF BUILDING INSPECTOR CHIEF BUILDING INSPECTOR 52 BY BY BY ,n DA Z- DATE DATE CONCrIITION§: (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 CODE OF WHEAT RIDGE, COLORADO OR ANY OTHER APPLICABLE ORDINANCES OF THE CITY. (2) THIS PERMIT SHALL EXPIRE IF (A) THE WORK AUTHORIZED IS NOT COMMENCED WITHIN SIXTY (60) DAYS FROM ISSUE DATE OR (B) THE BUILDING AUTHORIZED IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS. (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(I)YEAR. IF CHANGES ARE MADE OR IF SUSPENSION OR ABANDONMENT EXCEEDS ONE FULL FEES SHALL B PAID FORA NEW PE IT, (4) NO WORK OF ANY MANNER SHALL BE DONE THAT WILL OBSTRUCT THE NAT AL FLOW OF WATE C US[ A DRAINAGE PROBLEM. (e) CONTRACTO ALL NOTIqr THE BUILDING INSPECTOR TWENTY-FOUR (2 ) OURS IN ADVANCE AL IN ECTIONS AND SHALL RECEIVE WRITTEN APPROVAL ON INSP TI ! CARD B RE PROCEEDIN ITH CCESSIVE PHASES HE OB. - PPROV CHI F BUILDING INSPECTOR FOR MAY I 15 3 (gafz#fcttte of 0ixrven COSTIN ENGINEERING CIVIL ENGINEERING AND LAND SURVEYING 2656 SOUTH BROADWAY DENVER 10, COLORADO LICENSED & BONDED r I 'I l 1 ( r I 1 ti Y ! I ~ { ~el 71Y This certifies that a field survey has been made and the above is a true and correct plat of that survey made by me this %T`-° day of of the property described as Lc'F ",-xc--A f ?s ' )rth !.i fP. n 3'I th AV'`nllr, r 31LntV O' .Tn!'Oei-I and that the location and dimensions of all building improvements, easements or rights-of-way in evidence, or known to me, and encroachments by, or on, the premises are accurately shown. It is not advised that this plat be uiod for locating fence lines or other permanent improvements. eel C. R. Costin, Professional Engineer Certifirate of Aliuzb8n No. 1'' 3 COSTIN ENGINEERING I' CIVIL ENGINEERING AND LAND SURVEYING 2656 SOUTH BROADWAY DENVER 10, COLORAOO LICENSED 8 BONDED \7 \I 4~/ A_. C..S CI i C i I M r' C- )'F i 1;I `.Q This certifies that a field survey has been made and the above is a true and correct plat of that survey made by me this %T`= day of t p",' of the property described as a..;l Lot, rn -xc ,t t h5: ):-t r; I, 'r.. `.n -vc o. id ? 3r)~f'. .i !';11Cp r.Ot Cli.V 01' and that the location and dimensions of all building improvements, easements or rights-of-way in evidence, or known to me, and encroachments by, or on, the premises are accurately shown. It is not advised that this plat be used for locating fence lines or other permanent improvements. ettl C. R. Costin, Professional Engineer by _ . aIV' i j , ~ w ~ ; o \ ~ l _ i ~ ; - ~ 3y~ , N ~ il ~ ~ ~ ~~6 3- 13 ' INSPECTION TICKET INSPECTION TICKET ' JOB JOB .~I ADDRESS 4j N~5~s cti - 3ADDRESS I G$'l S w•~$ lJ~ i t`~j /a f-F DATE: BLDG. PERMIT# V66 k DATE: b- a 3 BLDG. PERMI aq6 S~ PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. 6 -1 9 TYPE OF II INSPECTIO REMARKS ~ INSPECTION TICKET ADDRESS 10 O CI S w- 3 &bL Z6 ga DATE: BLDG. PERMIT# 466 ~ PERM ITri BLDG. CONTR. W,61~ TYPE OF INSP. INSPECTION MADE PERMIT# BLDG. CONTR. Vlhe~`-'--~ SUBCONTRACTOR DATE INSP. REQ. ~ oi TYPE OF INSP. INSPECTION MADE 2- REMARKS ,G INSPECTION TICKET JOB ADDRESS co DATE: i~- c12- BLDG. PERMIT# BLDG. CONTR. PERM IT# SUBCONTRACTOR DATE INSP. REQ TYPE OF INSP. 99 ~ i w/¢'Z CL5e- INSPECTION MADE O 2'6 7,7, REMARKS ~t5,- W.R. FORM 619 . / W.R. FORM 619 SUBCONTRACTOR DATE INSP. REQ. l9-( 9 oqa L~ ~ INSPECTION TICKET O ~ JOB ADDRESS w DATE: / BLDG~ RMIT# qC a PERMITk BLDG. CONTR. 1!/~~ SUBCONTRACTOR DATE INSP. REQ. ~ a TYPE OF INSR INSPECTION MADE 7-2- 2- REMARKS / 2, ~ ~ L'Li.-t, ~Olt 6°S /~D N[~~ Ccn•.e ~ ~JV T W.R. FOflM 6-79 INSPECTION TICKET Jos IC)Fs~S ADDRESS DATE: ~BLDG. PERMIT# `~C 6 CS~ PERM ITp BLDG. CONTR. ~ SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. ~ INSPECTION MADOE REMARKS ~ W.R. FORM &19 v INSPECTIONS WILL' NOT BE MADE UNLESS THIS CARD IS PASTED ON THE BUILDING SITE 24 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 1500 WEST 29th AVENUE (303~33 INSPECTION RECORD JOB ADDRESS 10895 W. 38th Avenue BUILDING PERMIT NO. R99#4669 DATE ISSUED TYPE OCCUPANCY OWNER Ida Tyler CONTRACTOR David Martin 10825 Polar, Littleton, CO 801.25 791-2663 SETBACKS FROM PROPERTY LINES: NORTH SOUTH EAST West INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB INSPECTION DATE INSPECTOR Foundations Footings Caissons Reinforcing or Monolithic weatherproofing POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Concrete Slab Floor: Electrical Ground Work Plumbing Ground Work Heating Ground Work DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Rou h Electrical Rough Plumbing Air Test Gas Piping Rough Heating & Ventilation (above must be signed prior to framing inspection) , , Framing z-- U~ Insulation Dr wall nailin Z_ Roofing Refrigeration Electrical underground Final Electrical Fixtures Plumbing Fixtures Heatin &Ventilation C~ Z Landscape & Parkin R.O.W. & Drainage Fire Department Job Completed OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER CERTIFICATE OF OCCUPANCY CITY OF WHEAT RID(iE Issued Wlthout Fee 7500 W. 29th Avenue Date October 8, 1992 Wheat Rldge, Colorado 80034 This certiflcate verifias that the bullding constructed andlor the use proposed of the bullding andlor premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code, Zoning and other related lend use and development laws of the City of Wheat Ridge, and mey be occupied for the use speclfied. OWNEH Ida ADDRESS 10895 W. 38th Avenue m m CON7RnCTOR David Martin. 10825 Polar. Littleton. CO 80125 ~v e N 10895 W. 38th Avenue 6 ~ PROPERTYADDRESS Ww ' LEGAL DESCRIPTION: FORTHE FOLLOWING PURPOSE Addition to single family residence & Garage I No change shall be made in the use of this bullding without prior notice and a new I Certiflcate of Occupancy from the City of W heat Ridge^ Chief Bullding Inspector Zoning W.R. Form&B For Mayor ~ ~ b ~ ~ ~ w Y U H Z O U W a N Z ~ ~ ~I J~~ ~ ~W ~ a J m )D Q~ ~ w ~ N W 0 00 a o ~ f ¢ w a 2 F z O U a J m ~ N ~ W ¢ a w Z W a ~ rn ~ ¢ O 3 ` O m 0 w Q ~ ? ~