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HomeMy WebLinkAbout5420 W. 41st AvenueCity of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: February 26, 2018 Reason: Customer cancelled work request prior to start of work. Contractor requested to have permit #201704029, for 5420 W. 41 st Avenue closed out. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 138.08 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 165.90 (acct 01-500-02-505) Total: $ 303.98 TO: Advanced Exteriors 2200 S. Valley Highway Denver, CO 80222 Thank You! " C1004 Permit Technician WM-0100 UKV� City of (. ' % / I � � , b wheat j CI l COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): o \( SC Q C Address: City:��)_ nL )-e State: C L Zip: I '7—' -L2 - Phone: `'L2 Phone: ] L 63 Fax: 1 �3 Email: C u �C2LOo_qv"e Permit #: 2 0 �_7 b 61Permit Address: 'z -_>C4 Z n t N L4 J<•-- A-� Reason for request: T) LA p i , c cd e - Printed Name: �(�d C C`� Signature: -1 Date: For office use only This request has been: ❑ ppr d ❑ Denied Refund Amount: $ Approved by: Date: www.ci.wheatridge.co.us City of Wheat Ridge Residential Roofing PERMIT - 201702287 PERMIT NO: 201702287 ISSUED: 06/21/2017 JOB ADDRESS: 5420 W 41st AVE EXPIRES: 06/21/2018 JOB DESCRIPTION: Residential re -roof to install asphalt shingles and ROOF DECKING - 21 Sq. * * * CONTACTS * * * OWNER (303)422-1163 LANGLEY AARON SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,900.00 FEES Total Valuation 0.00 Use Tax 165.90 Permit Fee 172.60 ** TOTAL ** 338.50 *** 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 A34 -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 manufacturera€T"s 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&#39;s 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. �' UO L 1 1)) ` Vh/'�ANSPECTION RECORD Occupancv/-1e INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter .►_�.\.��.r_trr-sr_Tia-r��-�v�r.\a�.>..\.�.\r.\rr_I�����.IJ=\.N V/tea ■. AlaGi.f ■1�1.1� �=w\w���+��w�•�+r_r_�-��r1►�\T11 fS��411�•1\L\r'�Jrfait.l••\.1.1//\•/■��\��.1��=\aa'l.�■. A1.1�1R\►�\.[�� VV '%%0L Roughvv�Vl V■■MV■ Rough Inspections -r r Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing �=w\w���+��w�•�+r_r_�-��r1►�\T11 fS��411�•1\L\r'�Jrfait.l••\.1.1//\•/■��\��.1��=\aa'l.�■. A1.1�1R\►�\.[�� VV '%%0L Roughvv�Vl V■■MV■ Rough Inspections Date Inspector ---- --- - CommentsInitials 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 I' 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 — mease De sure Lnat rouyn 111sPecuu1 15 dlU W1 11PIClGU II UI II LI IV 1 1,V viou wa w vivv. vu. �•• .. y by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather t 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: r2 V/ V/< ❑ No one available for inspection: Time, XAM/PM . Re -Inspection required: Yes�o When corrections have been made, call for re -inspection at303-234-5933 Date: 6 Inspector: DO NOT REMOVETHIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax PECTION NOTICE Inspection Type: / '' J Job Address: L Permit Number: 2 Q ®Z Z (4� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes DNo When corrections have been made, call for re -inspection at 303-234-5933 Date: j'r Inspector: :` a DO NOT REMOVE=THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201702287 PERMIT NO: 201702287 ISSUED: 06/21/2017 JOB ADDRESS: 5420 W 41st AVE EXPIRES: 06/21/2018 JOB DESCRIPTION: Residential re -roof to install asphalt shingles and ROOF DECKING - 21 Sq. *** CONTACTS *** OWNER (303)422-1163 LANGLEY AARON SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,900.00 FEES Total Valuation 0.00 3. Use Tax 165.90 Permit Fee 172.60 ** TOTAL ** 338.50 *** 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 A% -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 manufacturers€T"s 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&#39;s 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. I, byy my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable wilding 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 mm erit. I further attest that I am legally authorized to include all entities named within this docuent as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. t� Signature of 03 ER or CONTRACTOR (Circle one) Date 1. Thispermit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a pen -nit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any.ordmance or regulation oft is jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheath•idge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat Ridge Residential Roofing PERMIT - 201702287 PERMIT NO: 201702287 ISSUED: 06/21/2017 JOB ADDRESS: 5420 W 41st AVE EXPIRES: 06/21/2018 JOB DESCRIPTION: Residential re -roof to install asphalt shingles and ROOF DECKING - 21 Sq. I, byy my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable wilding 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 mm erit. I further attest that I am legally authorized to include all entities named within this docuent as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. t� Signature of 03 ER or CONTRACTOR (Circle one) Date 1. Thispermit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a pen -nit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any.ordmance or regulation oft is jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheath•idge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Kimberly Cook c p From: no-reply@ci.wheatridge.co.us Sent: Monday, June 12, 2017 2:57 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 5420 W 41 st AVE aaron Langley 303-422-1163 Field not completed. Yes �p This application is exclusively for new permits for residential roofs and for licensed c� 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. 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 r� contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. 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. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 5420 W 41 st AVE aaron Langley 303-422-1163 Field not completed. Yes �p CONTRACTOR INFORMATION Contractor Name advanced exteriors Contractor's License 090134 Number (for the City of Wheat Ridge) Contractor Phone 303-7254502 Number Contractor Email Address freddygreen@advancedexterior.net (permit pick-up instructions will be sent to this email) Retype Contractor Email freddygreen@advancedexterior.net Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re-decking the Yes roof? Description of Roofing asphalt Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 21 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 21 roofing material for this project 2 Provide additional detail 21sq with timb hd, 130mph here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7900 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 freddy g Email not displaying correctly? View it in your browser. 3 MWVANCEO Advanced Exteriors, Inc. 88s Owners) Customer proposal Date Primary Phone i t cft 8 C --t Q 0 2 t ..e.- Secondary Phone Insurance Company Claim # EpMciiaete ago � 4 ° Cs 41 Tearoff ! IaMsjofcomposition&e,,,_kxyegS) Inspect decking ❑ install decking ,. Install ice and water shield on Install 15 # felt ❑ Install 30 # felt Install premium synthetic deck protection f C Install starter course of shingles -entire perimeter t Install drip edge perimeter flashing - color install reinforcement in volt" using . Lr Closed valleys ❑ open valleys Replace step flashing on sidewalis, chimney and skylights Install 6 nails per shingle throughout field area Roofing product Tl»t l t,.zz— Roofing color Manufacturer Warranty p!` Special instructions/Additional Work ❑ Standard ridge [ High profit ridge ❑ Install ridge vent ❑ Install turtle vents install vents ❑ install pipe jack flashings 0 Install furnace caps Paint lacks/stocks to match roofing color Detach and reset ❑ Remove and cover Install beauty course of ridge shingles on headwalls Detach and reset satellite ❑ Remove satellite Clean up & remove trash Sweep with magnetic roller Clean out gutters Provide building permit Register ` .) Manufacturer Warranty Advanced Exteriors, Inc. Five Year Roofing Labor Warranty ❑ Advanced Exteriors, Inc. $2,000,000 Liability Insurance 2; l i it,i � Payment3. ? Terms: 14CV`/ CC r / '' 6 La t%� Appraxirrxate Gates) of Service: 11, eyg (Advanced Exteriors, Inc. is not responsible for any property and casualty Insurance carriee"s delay or denial of an insurance claim, in whore or in part), [Mork completed in accordance with these specifications for the price of: -• •i • • •• • • ••- �• - • R' •• •• • • v •• M • ••i • - swpec • for additional • to Customer♦- • s the agreed claim amount • e Insurance deductible, Customer Is is not r-1 Intending to make Payment from the oceeds of a BY e• i.. - By signing below l (wej agree to all contract conditions on front and back of this agreement, and have been provided notice of the right to cancel bath in writing and orally. - t Acceptance Date Company Project Manager Signature 2200 S. Valley Hwy.303-756-ROOF(7663) Office Denver, CO 80222 www.Adv(3ncedExteriors.com 303-756-3756 Fax s_ CITY -OF WHkAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: V Job Address: ��0 W L>'� Permit Number: Q/'� O Z- Z �� P) ,?e-2 0 1// ❑ No one available for inspection: Time./ ` AM/PM Re -Inspection required: Yes No; When corrections have been made, can for re-inspealt!on at 303-234-5933 Date:_ Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection; line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 0 F Job Address: 4 16 w Li / A V. � Permit Number: -10 / 3 Y 41 Ove- �c��Aa2� a'N ':LL ►_�- /�p< rN ,L0,P1?ey�-1 ❑ No one available for inspection: Time/Z:- 1d AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date: " '� Inspector: DO NOT REMOVE 61S NOTICE i CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (3 03) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: p_Of( " ^" Job Address: 5 -Cl Z e) !„W . t-( 1 5;- Permit Number: 2 ®l 0 I s 3�1 UJ,( _ t'lelg 11 V'60 . r Ail A ae W [I Ir ]-A - ❑ No one available for inspection: Time /0, ? O AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: 3` ly ' t _7 Inspector:4qA,A"'C1V. DO NOT REMOVE THIS NOTICE FM ®� CITY OF WHEAT RIDGE o Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: - Permit Number: ) ore 6, , ❑ No one available for inspection: Time A P Re -Inspection required: Yes �No *When corrections have been made, call for re -inspection at 303-234-5933 Date: / i -7_ Inspector• I DO NOT REMOVE THIS NOTICE 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: I -J Permit Number: X0 / / ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201601534 201601534 5420 W 41st AVE Reroof 17 Squares ISSUED: 10/03/2016 EXPIRES: 10/03/2017 *** CONTACTS *** OWNER (303)422-1163 DAVENPORT DIANNE GC (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,600.00 FEES Total Valuation 0.00 P41 Use Tax 100.80 Permit Fee 140.90 ** TOTAL ** 241.70 *** 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 A% -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&€'"s 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's 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201601534 201601534 5420 W 41st AVE Reroof 17 Squares ISSUED: 10/03/2016 EXPIRES: 10/03/2017 1, by m sicdo hereby attest that the work to be perfonned shall comply with all accompanying approved plans and specifications, applicable wilding 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 %vith this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 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, po plans and procedures. 2. This permit shall expire 5 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date o36f 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 en -nit fee. 3. If this pen -nit 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 perfonned that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a pen -nit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. o INSPECTION RECORD INSPECTION Rem INSPECTION REQUEST LINE: (303) 234.5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project 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 Underaround or Below/In-Slab Work Prior To Anoroval Of The Above Inspections Rough Inspections Date Inspector Initials Wall Sheathing Mid -Roof Lath /Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Final Electrical Final Plumbing Final Mechanical Roof Final Window / Doors Final Building Landscaping & Parking / Planning Dept. I ROW 8 Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist. City of Wheat Ridge 18/83/2816 11:88 CDBB Reroof 17 Squares CD11813764 AMOUNT EPSP 5428 W 41st AVE 241.78 APPL/PERMIT NO: 281681534 PAYMENT RLCEIVED AMOUNT VS / 9199 241.78 AUTH CODE: 855456 TOTAL 241.78 ---------------------------------------- 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. 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. **For Inspection Time Window Requests - Please email insptimerepuest(aDci wheatridoe.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather CCT-: -T15 09::8 F: cm: CvSa S To:3032352857 Page1/1 City of Wheat Ridge Building DlV/sion 7500 W. 290i Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-235-2857 -' Inspection Line: 303-234-5933 Huildtng Permit Application R 5 L(2n VLA L11-.'4- Atv�e Property Owner (Pies" prino: MaNing Address: (if different than properly addrass) Address: Date. Plan #: Permit (p, Phone: -� / 4 77_— It City, State, Zip: c6l ti t�toF. A6yj% c F - y iTor5 Contractor License #: �� .`71 _ Phone: stib�pltiQ�1: E*MCal City License #: Plumbing City license #: Mechanical City License tr; Company: Company Company: Exp. Date: Exp. Dote: Earp. Date: Approval: Approval., Approval: Use of space (description,): ge — rz— C)O-f descWpm.'oow f'.e C0 t-�sb t ►� Is MPS kN'f-- c -j, t -110- Corwvuctton value: ti Seo 0 d (as CaIMMed per 00 BUPWM V&WOM Daft ahoeU Ptan Revtaw (Otte at time of submAw): i I Sq. Ft,rL.Ft added: Squares , . , M's Gallons Amps OWNEROCONTRACTOR SIGNATURE OF UNDERSTANOVIG AND AGREEMENT I hereby ovVfy that the settmack disscanoesmposed by this pemit appkadaccurate,rdi on are and do nol violate appNceble onances, ues ror regulations of the City of wheat Ridge of covenants, easements or resaridivrro of record; that of measurenierlts shown, and allegations mads we accurate: that I have read and agree to abide by as conditions printed on Oft opptlrneioa end nett I assume U responobdity under parfor Pia auts� tthe o mat Ridge Code (LB.C) and ad other appacable wheat Ridge Ordinenom for work CIRI.CE ONE': (SPR) CONTRA or PERSONAL REPRESENT on (OWNER) (CONTRATOR) eMNAME:•._ SIGNATURE: ,� Defer j i" Bldg Valuation: COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15131 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 2/14/03 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: DIANE DAVENPORT Property Address : 5420 W. 41 ST AVE Phone : 303-422-1163 Contractor License No. : 18909 Company : DELTA T HEATING Phone : 343 2993 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 rewrd; 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 (U.B.C.) and all other applicable Wheat Ridge ordiqaqces, for work under this permit. (OWN ER)(CONTRACTOR) SIGNED ~~12r//~DATE,2-/Y_0 Description : INSTALL FURNACE, B-VENT, VENT LINER Construction Value : $5,490.00 Permit Fee : $125.25 Plan Review Fee : $0.00 Use Tax : $65.88 Total: $191.13 Use : BUILDING DEPARTMENT USE ONLY Zomn`g Comments:i, SIC : Sq. Ft. : Approval: Zoning : ¢uiliiingComments Approval : OKIMLC Pubhc;_Works Comments - Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This permit was issued in acwrdance with the provisions set forth in yopur application and is subjed to the laws of the Sfate of Coloredo and to the Zoning Regulations and-BUiltling Code of Wheat Ritlge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authonzed is not commenced within siMy (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If ihis permit expires, a new permit may be acquired for a fee of one-haif the amount normally required, provided no changes have been or will be made in the original plans and specifcations 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 permiL (4) No work of any manner shall be done Ihatwill change the natural flow of water causing a drainage problem. - (5) Contractor shall notify the Building Inspector hventy-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 of a permi[ or the approvai of drawings and specifcalions shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the builtling codes or any other ordinance, law, rule or regulation. . Chief Building Inspectar COMMUNITY DEVELOPMENT DEPARTMENT Buiiding Pemut Number: . CHEqT ,p BUILDING INSPECTION LINE - 303-234-5933 . Date: CITY OF WHEAT RIDGE U ~ 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) C~CORP~~ 4~1i" ,yHPi~ ~p~5,y 'li 4~3d d~pO7~~ 4 Property Owner: Property Address: .s'L/ -2 O L✓ Phone :Lf 2 2- Contractor License No.: Company: d C' Phone: -7 4/,?" OWNER/CON'1'RACfOR SIGNAT[IRE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by tlils permit appticarion aze accurate, and do not violate applicable ordinances, rules orreguiations ofthe City of Wheat Ridge or covenants, easements orrestrictions ofrecord; thatallmeasurements shown, and allegations made aze acwrate; that I have read and agree to abide by al] conditlons printed on this applicarion and that I assume fult responsibiliTy for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable V✓heat Ridge Ordinances, for work under tkus permit Construction Value:$ cS-~/TO, Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ DESCRTPTION: ..L 7Q,/`Iil C e f ~1✓! ~ c,~r~ 6 ~%crr ~J~ ov~ 7f-~ ~'u~` r/~~,✓ BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: - Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Elechical License No: Plumbing License No: Mechanical License No: Company: Company: Company: E7cpuation Date: Expirarion Date: Expirarion Date: Approval: Approval: Approval: (1) This pelmit was usued in accorda¢ce with tLe provisioas set forth in your applicafion and is subject W the laws ofthe SEate of Coloado and to the Zoning RegWafions and Building Codes of Wheat Ridgq Colomdo or any other applicable ordiuances of We City. (2) Tlils peanit shall exp've if (A) the wodc authocized is not commenced within sixty (60) days from issue date or (B) the building authonud is suspeuded or abandoned for a period of 320 da}rs. - (3) If tlds pelmit espires, a new pe:mitmay be acquired for a fee o£one-half the amouut nocmally cequired, provided no changes have been or wi71 be made in the originalplaus audspecifications and anysucpension orabandonmenthu not exceededone (1) year. Ifcha¢ges havebeen orifsuspens3on orabandonment exceeds one (1) yeaz, full fees ahall be paid Cor a new pelmit (4) No work of auy manner shall be done ihat will change the aaNal flow of water causing a drainage pxoblem. (5) CoutractorsLall nofitylheBuiidivg7nspecmrtwe¢ty-four(24)hoursinadvanceforallinapectionsandsLallreceivewrittenapprovaloninspectioncazdbefore proceeding with successive phases ofthejob. (6) The issuance of a pumit or the approvai of drawings and specificafious shall not be coasGUed to be a perrmit for, nor an approval of, any violatiou of the pmvisions of fhe buildiug codes or any other ordinance, law, mle or regulation. Chief Building Inspector Permit Number B. .ilding Permit 19183 CITY OF WHEAT RIDGE ~1'' 7500 wesc 29TH nvenue 9/7/2005 Inspection Line Wheatridge, co 80033 303-235-2855'. ~303-234-5933 . . . . Residential Roofing PROPERTY 5420 41st Av Unit: owNER: Dianne Davenport (303) 237-9500 . Description Teu off existing roof and putting down 30 yr. Elk with new flashing drip edge. IFEES CONTRACTORS Docun.ents finrr the mantafar.t:arer shadd 6e ' onsite for fzraai ~•nqf iraspection which specify roofn,q?nateriai s have been installed to mee! IIO IvlFif three-secand wind gv.st---IBC (90 P•.T'FPwtr;d loacl--JBC). Units: ..Accupancy:.. Walls RooE' Stories: SqFeet: 0..Ihercbywrtltytha[tM1eselbakdavh cespropoud6ytluspermiCppL tionare ccwa[qantlda't olneappticableord aces,.rvluor egWarionsoftheCity a( . Whea[ Ridge m coveuauts, eaxm<nts or resfnelions of record; Nst a11 measuremenfs showq antl ailegeHO¢s made are accwa[e, [M1a[ 1 have rud antl egree m abide by . all contlit oos prmred on [M1 s epp11 tian, and tha[ I essome full ruponsibility for campliance wifh the Whea[ ILtlge Buffiling Code (U.B.C.) ana all other appli<able Whev[ILdgeortlinaoces,forworkunduthispermit ~ (O . ER)(CONTRACF R~ SINEDATE . 1 This permit was issued in attordance wiffi Ne provisions se[ forth in yaw app4ceHOn vnd is sobject ro the 6ws ofNe Sta[e of Colorado and [o the Zowng . ReguletlousandBUildfugCodeo(Whu[RidgqColoratlooranyoNerapptirableordinancesoftheCity. . . . ' 2. 1Tis pemiit shell exp've if(A) fhe wark auNoriutlis not commenced rvitM1in suty (60) daya Gom isme dace ar (B) the building aufhoriud is sii.vpended or abautloved(ocaperiadat120tlays. . . . 3'Ifthwp tezpira prnu[maybeaaqnired(oraf afono-hal(fh [normelly qu'ved,provftldmaFangesha bee o Ilbematle(uNe .anginalplnns+ndayenfica4onsaudanysuspenstonorebandonwenfM1Um[ecceededane(1)year.l(changesvremadeorffsuspensonovnbvndonment ceedsane(i)yeayfll(ewahallbepaidtoranewpermie . . 4.. N. work of any mamer shvllbe done that wJl chmge [he ne[wel ilow ofwatu causmg a tlre(nvge pmblcm. 5 . ContracmrsM1allnotityNeBuildinginspectortwenry-four(24)houninatlvavrefarallinspecriousantlshallrmervew ttuapProvalooivapeetioncertlbefore . . . . proceeding with succeuive phases o(Ne lob. . . . . . . ' b Theismane ortM1e velofdrawi dspecrt tonsshallnotbeconsrcued[obeapermi[foynoranapprovalof,anyviolahanafNe . prov' ~din nyotM1Crord(nan w,roleorreguletton. Chi<BWWinginsPerror ~ . . . SIGNEDDATE . Wednesday,.September 07, 2005 Page 1 of 1 ' COMMUNITYAEVELOPMENT DEPARTMENT Building Permit Number. pf ~{Eqr~ BUILDING INSPEC710N LINE - 393-234-5933 Date: ~ g CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION Property Owner: JA~ "'c>t aNn.v~ -1>-0 PropertyAddress: 5t-1 ZV (,J, Phone:3p3-Z'3-(-oI 4,oC7 ConiractorLicenseNo.: a,a3 ?7 Company: Phone: 303 - 6L-l l- Sz3 OWNER/CON7RACTOR S1GNA7URE OP UNDERSTANDING AND AGREEMEN7 I Buildinq Depf. Va/uation Figure: $ I hereby certify that the setback distances proposed by this pemit applicaGon are accurete, and do not violate applipble ordinances, rules or regulations of the City oF Wheat Ridge or covenants, easements or restrictions of record; thatail measuremenfs shown, and allegations made are accurate; that I have read and agree to abide byall conditions printed on this applicaGon and that I assume tull responsibility for compliance with the Wheat Ridge Building Code (I.B.C)and all otherapplipble Wheat Ridge Ordinances, for work under this permit. Ptans subject to field inspectlon. (OW NER)(CONTRACTOR): Value:$ 300eD Pemut Fee:$ Plan Review Fee:$ se T Total:$ Use of Space (description): Description of work: --F!~ cod5 e / ~/Ne~,J FlLSIn~N s~,C.,p e~LS~ sq. Fc. ~ Expiration Date: Expiration Date: Expiration Date: APProvah ApProval: Approval: (1) This permit was issued in aa:ordance viith tlie 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 W heat Ridge, Colorado or any aiher applipble ordinances of the City: (2)- This pemit shall expire if (A) ihe work authorized is not commenced within sixty (90) days from issue date or (B) the building authorized is suspended or abandoned for a period of'18b days. (3) If this permit expires, a new pemit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been orv.dll be made in the origirnal plans and specifications and any suspension or abandonment has not exceeded one (1) year. !f changes have been orif suspension or abandonment exceeds one (1) year, full fees shali be paid for a new pertnit (4) No work of any manner shall be done that will change the nahiral flow of water pusing a drainage problem. (5) Contractor shall notity the Building Inspec[or twenry-four (24) hours in advance for all inspections and shall receive written approval on inspaction prd before proceedin9 with successive phases ot fhe job. (6) The issuance of a pemit or Me approval of drawings and speafiptions shall not be consWed to be a permit for, nor an approval of, any violation of the pmvisions of the building codes or any otherordinance, law, rule or regulation. All pian review is subject to field inspecHons. Chief Building Official Electricai License No: Plumbing License No: Mechanicai License No: Company: Company: Company: