HomeMy WebLinkAbout11395 W. 38th AvenueFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Friday, September 17, 2021 10:31:17 AM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
11395 W 38th Ave
Anthony Newman
(303)916-7170
N/A
Electronic Daymet Ddf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or
Premier Excavation Services
ifi[l7dill
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Trevor Weston
Permit
Email not displaying correctly? View it in your browser.
6 digit number for the
City of Wheat Ridge)
Contractor Phone
3032109745
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
trevor@premierex.net
Address
Retype Contractor
trevor@premierex.net
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
a0' LONG
Location of repair
front yard
(backyard, frontyard,
etc)
Provide additional
Emergency sewer repair in yard only.
details including
installation of clean-
o uts.
Project Value (contract
4100.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
,=P-6176 IV,�U
�l 3Q6- GV N"`' Aic, INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancyj3Te
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
Initials
Comments
Pier
Concrete Encased Ground (CEG)
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.
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
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.
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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.
Mid -Roof
L}
Floodplain Inspection (if applicable)
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric
Final Electrical
Rough Plumbing/Gas Line
Final Plumbing
Rough Mechanical
Final Mechanical
Rough Framing
Roof
,Z k
Rough Grading
Final Window/Doors
Insulation
Final Building
Drywall Screw/ Nail
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.
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
,Z k
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
�44f
W,
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat
Residential Roofing PERMIT - 201704930
201704930 ISSUED: 07/27/2017
11395 w 38th AVE EXPIRES: 07/27/2018
Residential Re -roof to install COMPOSITION ROOF ASPHALT shingles with
re -decking 24.88 SQ
RE -ROOF HOUSE THE PITCH IS 4/12
*** CONTACTS ***
OWNER (303)912-0161 NEWMAN KOREN
SUB (303)688-7663 Quentin Ford
170338 Extreme Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,337.91
FEES
Total Valuation 0.00
Use Tax 175.10
Permit Fee 188.45
** TOTAL ** 363.55
*** 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.
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 - 201704930
PERMIT NO: 201704930 ISSUED: 07/27/2017
JOB ADDRESS: 11395 W 38th AVE EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install COMPOSITION ROOF ASPHALT shingles with
re -decking 24.88 SQ
RE -ROOF HOUSE THE PITCH IS 4/12
*** CONTACTS ***
OWNER (303)912-0161 NEWMAN KOREN
SUB (303)688-7663 Quentin Ford 170338 Extreme Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,337.91
FEES
Total Valuation 0.00
Use Tax 175.10 ---
Permit Fee 188.45
** TOTAL ** - 363.55
*** 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.
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.
E City of Wheat Ridge
Residential Roofing PERMIT - 201704930
PERMIT NO: 201704930 ISSUED: 07/27/2017
JOB ADDRESS: 11395 W 38th AVE EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install COMPOSITION ROOF ASPHALT shingles with
re -decking 24.88 SQ
RE -ROOF HOUSE THE PITCH IS 4/12
I byy m nature doh attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica a uildi co es, d all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the ega own of the pr erty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this p rmi a ly authorized to include alt entities named within this document as parties to the work to be
pe rt0 nd a wo 0 ormed is disclosed in this document and/or ids' accompanying approved plans and specifications.
Sigifature 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, po ides and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
• � s
Signature of i mg Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz of U ( / U y j
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 19, 2017 4:32 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application'
Categories: Gina
Residential Roofing Permit Application
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
residential roof?
How many dwelling units
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Yes
Single Family Home
11395 W. 38TH AVE1
Koren Newman
303-912-0161
Field not completed.
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
residential roof?
How many dwelling units
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Yes
Single Family Home
11395 W. 38TH AVE1
Koren Newman
303-912-0161
Field not completed.
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
Extreme Ro
ofing LLC
170338
303-688-7663
Contractor Email Address melanie@extremeroofingllc.org
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
melanie@extremeroofingllc.org
Yes
Re Roof composition shingles roof
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 24.88
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
W
Field not completed.
TOTAL SQUARES of all 24.88
roofing material for this
project
Provide additional detail Re Roof House the pitch is 4/12
here on the description of
2
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)
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 Quentin Ford
Email not displaying correctly? View it in your browser.
3
Office (303) 688-7663
Fax (720) 733-3448
Date: 7%13!2017
Job Address: 11395 w 38th Av
Owner: Koren Newman
Phone: 303-912-0161
1548 W. Alameda Ave, Ste. B
Denver, CO 80223
pope
EXTREME ROOFING PROPOSES TO: Tear off existing roof down to the base layer of felt and haul
away all debris. Replace any damaged plywood at 52.00 per sq. foot. Apply composition roof per New
Roof Installation below. The contractor will pull permit and charge fee to insurance as a supplement.
New Roof Installation:
I. Supply and install ice and water shield on all eaves and valleys.
2. Supply and install drip edge on eaves and rakes color to be determined.
3. Supply and install I -layer of Summit 60 synthetic felt underlayment, mechanically fastened.
4. All crickets must be framed with a pitch greater than a 2:12 for roof to be installed.
5. Supply and install all headwall and sidewall flashing.
6. Supply and install hip and ridge shingles.
7. Supply and install IKO Cambridge dimensional asphalt shingles. (Earthtone Cedar)
8. Mastic & seal all pipes and areas necessary.
9. Clean up all debris resulting from roof work.
TOTAL FOR MATERIALS AND LABOR:
S9,726.89
New Gutter Installation:
1. Remove existing gutter and haul away debris.
2. Supply and install new 5" K -Style steel seamless gutter system as per Manufacturer specifications.
3. Supply and install new 2"x 3"downspouts to match new gutter system.
4. Clean up all debris resulting from gutter work.
TOTAL FOR MATERIALS AND LABOR: 51,498.84
Supplement Plyivood (Ins has agreed to pay) $4,515,72
Supplement tee and water (Ins has agreed to pay) 51,183.34
Taxes TBD
Permit Fee TBD
TERMS: Once accepted, this proposal becomes a legal binding contract 72 hours from the date of
acceptance. First payment is due at material drop; final payment is due upon completion. All unpaid
balances more than thirty days delinquent will inquire interest at a rate of one and a half percent (1 ''/2 o) per
month. Extreme Roofing LLC sliall be paid all reasonable collection costs. Failure to pay can constitute a
mechanics lien filed against property.
Accepted by: j, Date.
Submitted by: Quentin Ford Date: 7;13 2017
Five -Fear Warranty on Workmanship Estimate Good for 30 Days
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: // ` S F o 3� v c
Permit Number:' ,5" r,
Ile
31
t
❑ No one available for inspection: Time -' 4�lVl/PM
Re -Inspection required: Yes .` No)
When corrections have been made, call for re -inspection at 303-234-5933
Date: �� Inspector: �1
DO NOT REMOVE THIS NOTICE
%_
e CITY OF WHEAT RIDGE
.� Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
r
Inspection Type:
Job Address:
Permit Number: c/� �/e; a0
❑ No one available for inspection: Time �G, ' AM/P''
Re -Inspection required: Yes t�No��
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:l��
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
- Building Inspection Division r
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE,
Inspection Type:
Job Address:
Permit Number:, f /
❑ No one available for inspection: Time/ Ll4qu/PM
Re -Inspection required: Yes No
When correctio s habeen made, call for re -inspection at 303-234-5933
}
Date: frT I Inspector: V
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: -Jt''
Job Address: 9 5` /2J 3 k t j4 Ue-
Permit Number: /!J J /j 6
y
ii
Y
t
E
1
❑ No one available for inspection: Time I� AM /PM
Re- Inspection required: Yes No 1
When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: // Inspector:
D0 NOT REMOVE THIS NOTICE
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.
I� &l C� IA -�S? do _
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
,(,..
%.
%z
e`i
ROUGHS
Framing
Sheathing -
COMMENTS:
Lath / Wall tie
Mid -Roof
Drywall Screw
Electrical Service
-
Rough Electric
-
Rough Plumbing
Gas Piping
Rough Mechanical
F
'
FOUNDATION INSPECTIONS
Framing
I I NITIALS NSPECTOR
COMMENTS:
Insulation -
u=
Drywall Screw
1
i$
-
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
I I NITIALS NSPECTOR
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
-
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
'UR FLOOR UNTIL ABOVE HAS BEEN SIGNED
FINALS
Electrical
Plumbing
Mechanical
-
Roof
Building Final
Fire Department
R.O.W $ Drainage
INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking $ Landscaping
' "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANA" ID ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTInAI yY .. 'YG DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE `: .. -S :+ON FOR OCCUPANCY.
OCCUPANCY NOT PERMITS l'r `,TE OF OCCUPANCY IS ISSUED
PROTEG WEATHER
s ✓ City of
Wheat~idge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Property Address:: ~~~95 ; ry", Alr
!q/
Property Owner (please print): Aji t r ~G+i^1 k (J Pho
Mailing Address: (if different than property address)
Address:
=~/6 -7/)D
City, State, Zip:
DD
des
Cori actor:
Contractors City License Phone:
onYracfors ?
§0-P
Electrical: Plumbing: Mechanical:
City License City License # City License #
bescrlp/tJlora of wo/r+k-. ~y
JfLe -,eda~ $ontractValu
7~
Review Fee (due at time of submittal):
Squares Zr BTU's Gallons Amps Sq Ft. $
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) (CONTRACTOR) or (AUTHORIZED REPRESENTA j (OWNER) (CONTRACTOR)%J~y)~
PRINT NAME: SIGNATUR DATE: p/ 1--(d
Date: '
Plan #
Permit # l ®(D(Q
Bldg Valuation:
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: 16171
BUILDING INSPECTION LINE - (303-234-5933) Date : 9/8/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: HUBBARD, MARK
Property Address : 11395 WEST 38TH AVENUE Phone : 271-8348
Contractor License No.: 18699
Company : R T P Roofing Co. Phone : 303791-2223
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full respons}~ility for gpmpI'ianncce with the Wheat Ridge Building
Code (U.B.C.) and all other applicable W at Rid or as, for work under this permit.
(OWNER)(CONTRACTOR)SIGNED-qzpff~~f. DATE ! -_-p3
Construction Value :
$2,750.00
Permit Fee :
$108.30
Plan Review Fee :
$0.00
Use Tax :
$33.00
Total:
$141.30
Use:
Description : 2 LAYER COMP TEAR-OFF. INSTALL 30 POUND FELT. INSTALL 20 YEAR 3-TAB. 27 213
SQUARE FEET.
BUILDING DEPARTMENT USE ONLY
- SIC: Sq. Ft.
Zoe ~n `,YCoSnrnents
Approval:
Zoning
I0tiildmg Co ents
Approval
ublc Works Com ents^
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 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 (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 that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance .As 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 gilthEllbuild ' r ~s or any other ordinance, law, rule or regulation.
"
Chief wildaing Insp for
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : q_19_031
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPL~cRT-~oN
Property Owner : X we't~ F u.0,9 4 0
Property Address : Ws,s r" ?S"" AV4 Phone: Contractor License No.: 1?6 9? Company : )6_10 I&OC"r✓rk LtS.a Phone :.`c3-:>9/ aa~3
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 responsibj(ity for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe t Ridg~orW, ances, fol work under this permit.
DATE Of
Construction Value :o77SO f°
Permit Fee
Use Tax :
Total :
Use
a~ l a yea ec ,P i£.ae D a5'-y'3 /7 sa rli/ ~0 yq/74.
Description: 1NS~R%t :90rt Ti48 S_klllhlf ~7 7~3 ¢
BUILDING DEPARTMENT USE ONLY
ZoTifng,_ om` a=fs SIC: Sq. Ft.:
Approval
Zoning
Btifd~ng dComments:~
Approval :
BUbI ci Mlil °CSmrrients
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 subject to the laws of the Stale 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.
(a) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made of if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) TThhe issuance of a permit or Ne apProval of drawings and specifrations 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.
Building Inspector
09/02/03 12:08 FAX 303 271 83 9 JEFFCO TREASURER 0001
TP ROOFING CO.
~INSUA>?D
✓ ROOFING AND GUTTER
SPECIALIST > Qo ble ~~C~
Mall: 2132 E, Phillips Lane • Littleton, Colorado 80122
OFlloW 4011 S. Federal Blvd.
Phone: (303) 791-2223 • Fax: (903) 791-3534
NAME/ADDRESS -
MARKHUBBARD pD
11395 WEST 38TH AVENUE ■ , `
WHEATRNDGE CO 80033
271-8348
HOUSE AND BACK PATIO ROOFS
9PF
PERMIT FEE
35.00
35.00
9T2
TWO LAYER COMP TEAR OFF AND HAUL AWAY.
25.67
55.00
1,411.85
1F30
SMOOTH DECK AND INSTALL 30 # FELT
25.67
13.00
333.71
7PJ
INSTALL NEW PLUMBING PIPE JACKS
3
10.00
30.00
REUSE
REUSE FURNACE JACKS
0.00
7RV53
INSTALL RV53 ROOF VENT
2
10.00
20.00
ADD-FOUR ROOF VENTS, NO CHARGE, THIS IS A
0
00
ADD
SAVINGS OF $120.00
.
SPRAY PAINT PIPS JACKS AND ROOF VENTS, NO
0
00
PAINT
CHARGE
.
9V
INSTALL 90 # VALLEY FLASHING. CLOSED VALLEY
1
20.00
20.00
ANY WOOD ROT FOUND WILL BE REPLACED WITH 4
WOOD ROT
X 8 SHEETS OF 1/2 "PLYWOOD Q $35.00 PER SHEET
1S20
INSTALL 20 YR FMRRGLAS 3-TAB WITH HIP, RIDGE
27.67
!
85.00
2,351.95
AND STARTER
SHOW
3% 2003 SHOW DISCOUNT
-126.07
-126.07
WE DO NOT RECOMMEND LAYING ANOTHER ROOF
OVER THE EXISTING TWO ROOFS DUE TO THE ROOF
CONDITION.
OPTIONS:
TEAR OFF ONE LAYER ONLY DEDUCT - 513.40
IF YOU CHOOSE THIS OPTION WE RECOMMEND
THAT YOU UPGRADE THE SHINGLES FOR A
SMOOTHER LOOK
INSTALL 25YR 3-TAB ADD+$276.70
INSTALL 30 YR TIMBERLINE SHINGLE ADD+$553.00
eea..
INSTALL 6T RIDGE VENT ADD + $310.00
p
TOTAL $4.076.44
WAi1Qb%e. k•. aQJVty-
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO. ME93#5304
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,
APPLICATION FOR MISCELLANEOUS PERMIT,
JOB ADDRESS S 7 J ! ✓,541~5 --~rn,s.[A
CONTRACTOR
ADDRESS
CITY ZIP CODE o) 5:1
PHONE Y S_Nd-3LICENSE NO.
PERMIT#
I. TYPE Ground El Wall[] Prolecting❑ Other S or D Face
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
-in
INSPECTION TICKET I
INSPECTION TICKET
FENf JOB E _
ADDRESS S- ` E'>✓ f w C JOB fS~~/Lt--
- ADDRESS
OTI- DATE: / BLDG.. PERMIT# S~ P ~7 ~~93 ~3 d
DATE: BLDG. PERMIT#
DF
JCTUF
OWNER .
ADDRESS
PHONE _
ZIP CODE
CONTRACT PRICE $ "9
DATE 2 - 9'-Z~l
/~~7/ PERMIT#
BLDG. CONTR. Ol
BLDG. CONTR. %,7 6 rYLN
SUBCONTRACTOR
DATE INSP. REQ.__/ - /3
TYPE OF INSP. ~7
INSPECTION MADE 3 Ot3
REMARKS 0
S G~
W.R. FORM 619
SUBCONTRACTOR
DATE INSP. RED.
~'~a
TYPE OF INSP.
INSPECTION MADE
PTY LIN REMARKS
,STREE
7STANCI
LECTF W.R. FORM 619`
)ATE W °I''j3 ✓ J.
OF ISSW
_r
ECt rcvcL r~rtrvn i['
STATE LICENSE N0. 1 I
-BING PI
STATE LICENSE NO.
ALUMINUM WIRE UNDERSIZE 8 ILLEGAL
FLOOR
8SM
IST
2ND
3RD
4TH
NO.
FLIEL:Circle One CaSOIIRropane Coal Elec Solar
NO.
WATER CLOSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
4
CHANGE SERVICE-AMPS C7
SHOWER
AIR CONDITIONING-BTU
1
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIRCUITS
UTILITY(RANGE,DISPOSER, ETC)
FIXTURES
WATER HEATER
AUTO WASHER
DISH WASHER
Refrigerant Group
Pounds Charge
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS B CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I hereby acknowledge that this applica-
tion is correct and understand that I
cannot start this project until this oppli-
action 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 NOT VALID UNLE!
ly/ t
mmi~
USE TAX 7- a O
TOTAL FEE $ /.tea _'50 " S3
AP4EILftDIINSPECTOR, ~C,r/l 14355 CHIEFCityty 61 Wheat Ridge -
Date Issued S
Appli le Signature
CALL 234-5933
24 HOURS IN ADVANCE
FOR INSPECTIONS
Building Permit ` 19334
CITY OF WHEAT RIDGE ,
10/11/2005
7500 West 29TH Avenue
Wheatridge, CO 80033 Inspection Line
303-235-2855 i,,yuvmfsudye' k 3U3-234-5933
Residential Plumbing
PROPERTY 11395 38th AV Unit:
OWNER: Kipper (303) 238-9943
Description
Outside sprinkler tap with back flow.
FEES
Fees Due Paid
Use Tax $5`.40 $5:40'
Permit Fee $30.55 $30.55
Total Fees $35.95 $35.95
CONTRACTORS
Name License # Phone
Greg Barbero 20043 000 455-4307
Units: Occupa Walls: .,Roof: '.Stories: SgFeet: 0..
I heretiy -ydfy that dunutb at tlblances props by t s jF77777 rate, antl do not violate appli able ordin nces, rules o gmafiona ofthe City of
Wheat Ridge or covenanhs a semenls 99r maul Ions of ahown, antl allegations made area urate; that I h e read a d agree to abide by
all conditions printed ont appgca[i6n, an that I a umliance with the Wheat Ridge Budtlmg Code (U.B.C.) and al l other applicable
Wheat Ridge ordinances, or work a ent ermi y
CO-"Ele(CONTRACT R) SIGNED DATE
1 This permit was issued In accordance with the provisions set forth in your application and is subject to the laws of the Slaleof Colorado antl to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. f
2 This permit shall expire if (A) Me work authorized is not commenced within sixty (60) days from Issue date or (B) the building authorized is suspended or
abandoned for h period of 120 days.
3 If this permit reply., a new permit may be acquired for a fee of onabalfth amount normally requked, 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 are made or if suspension or abandonment
seeds one (1) year, full fees shall he paid fora new permit.
0 No work of any manner shall be done that will change the natural flow of water causing a drainage problem
5 Contractor shag notify the Building Inspector twenty-four(24) hours in advance for all inspections and shall receive written approval on inspection card before.
: proceeding with samessive ph.. of the job.
6. The Iamence o(e or the a ra ad specNcatians shell not be construed to be a permit for, nor an approval of, any violation of the
provisions Ing c r any other ordina w, rule or regulation.
Chia adding lnsspe-d.r SIGNED DATE
Tuesday, October 11, 2005 Page 1 of 1
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
of w"r4T p BUE.DING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WEEAT RIDGE, CO §$215 - (303-235-2855) APITICATION
Property Owner:
Phone : a 3 C~ - ' J) L--J
Property Address:
Contractor License No.:
Company: Good c (7CQ ~zl ~n
~(A yyq b I vq:- Phone: Y55- 4307
OWNERICONIRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application am, accurate,
and do not violate applicable ordinances, rgles or regulations of the City of Wheat Ridge or
covenants, easements orrestrictions ofreco'rd; that all measurements shown, and allegations
made are accur ate; that I have road and agree to abide by all conditions. printed on this
application and that I assume full rosp0 sability for compliance with the Wheat Ridge
Building Code (U.B.C) and all other a li able eat Ridge Ordinances, for work under
this permit. / I
(OWNERXCONTRACfOR):
DESC;WTION:
~~v v
Construction Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
uq- LO
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING COMMENTS: O
L (
Approval: rF D
Zoning:. f t
BUILDING COMMENTS:®®5
Approval:
PUBLIC, WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
ExpirationDate: Expiration Date: Expiration Date:
Approval: Approval: Approval:
_ (1) This permit was, issued in accordance with thapmvisioat setfw& in your application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Codes of WheatRidge, Colorado m say 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 balding authorized is suspended or
abandoned for a period of 120 days.
(3) if this permit expirm an6wpermit maybe acquired for a fee ofono-hatfthe amount normally required, provided no changes have been or Will be made in
the original plans and spe4cations and any saspension or abandomnmtbas not exceeded one (1) year. If changes have been or if suspension or abandonment
exceeds one (1) year, fail fees shall be paid fir a new permit
(4) No work ofmymanner shaa be done that will change the natural flow of water causing a drainage problem
(5) CentrecNrahallnotltytseBnildinglnspectortwenty-four(24)hours in advance Small inspections and shall receive written approval on inspection card before
proceeding wits successive phases of thejob.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed robe apermit for, nor an approval of, any violation of the
provisions of the bonding codes or say other ordinance, law, rule or regulation.
Chief Building Inspector
I