HomeMy WebLinkAbout7790 W. 41st AvenueA41
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: ® �`
Permit Number:
❑ No one available for inspection,: -Time i ANi'/(?M
Re -Inspection required: YeNo
When corrections have been made, schedule for re -inspection online at:
http.I www. ci. wheatridge.co. ustlinspection
Date: cP% i`' Inspector:.��
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Boiler Replacement PERMIT - 202000186
PERMIT NO: 202000186 ISSUED: 01/27/2020
JOB ADDRESS: 7790 W 41st Ave EXPIRES: 01/26/2021
JOB DESCRIPTION: Replace 198K BTUs, 82% efficiency gas boiler in basement
*** CONTACTS ***
OWNER (303)421-0840
FIELD JOHN F
SUB (303)422-6606
JIM SANDERS
018083 SANDERS
& JOHNSON
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2406 / BEL AIRE,HILLCREST HEIGHTS,
ME BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
12,750.00
FEES
Boiler Replacement
40.00
Total Valuation
0.00
Use Tax
267.75
** TOTAL **
307.75
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
City of Wheat Ridge
E -Res. Boiler Replacement PERMIT - 202000186
PERMIT NO: 202000186 ISSUED: 01/27/2020
JOB ADDRESS: 7790 W 41st Ave EXPIRES: 01/26/2021
JOB DESCRIPTION: Replace 198K BTUs, 82% efficiency gas boiler in basement
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specificationsa
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e legal owner or have been authorized
by the legal owner of the property and am authorizes to obtain this ermit and perform the work described and approved in conjunction with
this permit. 1 further attest that I am legally authorized to include al�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
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 maybe 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 change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Cii: -.,i o f W t i d g e
C08022436 AMOUNT
8PSP 779O W 41st Ave 307.75
WL/PERMIT NN 202080186
PAYMENT RECEIVED AMOUNT
PP / 4046 307.75
AUTH CODE: 70276912
TOTAL 307.75
_____________________
1 �
Kimberly CookN"
From: no-reply@ci.wheatridge.co.us
Sent: Friday, January 24, 2020 2:33 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Categories: Kim
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
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.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
7790 W. 41st Ave
John Field
303-421-0848
Field not completed.
City of Wheat Ridge CC Form.pdf
CONTRACTOR INFORMATION
Contractor Business Sanders & Johnson
Name
I
Contractor's License 018083
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-422-6606
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address OFFICE@SANDERSANDJOHNSON.COM
Retype Contractor Email OFFICE@SANDERSANDJOHNSON.COM
Address
DESCRIPTION OF WORK
What type of unit is being Boiler
installed?
Number of BTUs 198
What is the efficiency 82
(%) of the unit?
Is the unit GAS or Gas
ELECTRIC?
Where is the furnace or Basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 12750.00
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
z
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Daniel Mingle
Permit
Email not displaying correctly? View it in your browser.
17qo to �/90/7 0,391/
�N
SPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/TvQe s
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
uu lVor r�nur r_nnf---rcara Wrinr i n onr%rn%i!mi r it i he Ahw� �r.�.......a:.... .
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Wall Sheathing
Sewer Service
Plumbing
1111111 1•,M►: l•14LW1.J•l=-r it :4UIKole IrUme] rT:Jr.1TP/r 1 fiQ.1 F_1.77yF.1 A IM JYT.T.i.A,rT. -.TTTV=1W •ICi r T_7a��r_� _
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
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.
I"'
�u ��1a. iuuyli 11�NGk'uUllb tilt-, wiriPieiea irum the rire usinct ano electrical how voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201703511
PERMIT NO: 201703511 ISSUED: 07/07/2017
JOB ADDRESS: 7790 W 41st AVE EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install TAMKO H30 asphalt shingles with 37 SQ
HOUSE AND GARAGE 7/12
*** CONTACTS ***
OWNER (303)421-0840
SUB (303)425-7531
FIELD JOHN F
John Borfitz
019983 J & K
Roofing Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2406 / BEL AIRE,HILLCREST HEIGHTS,
ME BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
10,391.00
FEES
Total Valuation
0.00
Use Tax
218.21
,
Permit Fee
220.15
** TOTAL **
438.36
*** 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.
11 by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
per : i,ed and that all work to /bbepfonned is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date 1
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 pen -nit. 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 issuanc ranting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable o e any ordinan�ce]�o`r regulastion of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official %.W 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 insptimerequestgei.wheatridge.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 -
201703511
PERMIT NO:
201703511
ISSUED:
07/07/2017
JOB ADDRESS:
7790 W 41st AVE
EXPIRES:
07/07/2018
JOB DESCRIPTION:
Residential Re -roof to install TAMKO H30 asphalt
shingles with 37 SQ
HOUSE AND GARAGE 7/12
11 by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
per : i,ed and that all work to /bbepfonned is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date 1
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 pen -nit. 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 issuanc ranting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable o e any ordinan�ce]�o`r regulastion of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official %.W 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 insptimerequestgei.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dan Schultz %/U
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 26, 2017 8:51 AM
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. 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. Permits are currently being
processed within 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.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Ise"
Property Address 7790 W. 42st Ave
Property Owner Name Katie & John Field
Property Owner Phone 303-421-0840
Number
Property Owner Email
Field not completed.
Address
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
J&K Roofing
Contractor's License
019983
Number (for the City of
Wheat Ridge)
Contractor Phone
303-425-7531
Number
Contractor Email Address
kathyv@jkroofing.com
Retype Contractor Email
kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
Tamko H30
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
37
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
2
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
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)
37
House and Garage 7/12
10391
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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
3
CONTRACT
J& K Roofin
Awl
s
13138 I 13000 W. 43rd Drive • Golden, CO 80403 e4_2
Phone: 303-425-7531 • Fax: 303-425-1562 -
www.jkroofing.com
Representative / wsc�� Contact Ido- Vd cj- Q3�0 Date 2017
Name JoU,K !t- Krim- -�-! e �� Phone 9N I /"I g y email AQ4 __I,n D tearash-tA�
Address �� l,•% q �5t``-� City zip a a
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS, TERMS,
AND CONDITIONS. PLEASE READ CAREFULLY -
Recover roof with k
Color of shingles_
`� Manufacturer's Warranty _���
NTear off
Install Underlayment_e�- LPN ` t
Double all Eaves _ 6b"
Re -Flash Chimney and/or Skylights
j New Valleys _ Lo -5` Lo
Replace Ridge LAw a.L.
y Ventilation__ C,,,
Galvanized Fasteners
Replace a �,l Plumbing Jacks
Paint roof stacks to match
Install W"'J-- Metal EdgingZ, /� �c�..�ia,�(�
Patio or Flat roof__. - �'
iAP-
Year Warranty on labor
1 J &K Roofing to furnish all material and labor
;CJ Permit: Included _X___ -NOT Included
Clean-up debris and haul off all trash from roof
Roll yard with magnetic roller
X, Gutters cleaned of roofing debris
Decking Repairs $ per
Hidden Layers (tear off) $_ per layer
{ryr�;rl (Policy Number)
Y la `�4 �sa�
(Claim b)— I (Ad)ustor)
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
Policy #CS00061742
Extra work .-,lry/-�1�•s�^�-
The property owner is_j( is not— using proceeds from
property and casualty insurance policy.
A-� Pam'` - s. LP
Deductible if applicable $_. P b
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible.
Estimated Start Date t�� �l l `� f
TOTAL ESTIMATE $_(J�VX]T-'�- niA, S `��s���C•t+a��at�5�
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
J&K
Hom(
Homl
(t`4 )age Co-) (Mortgace Loan Number) Expiration Date
Date 5 a -r
Date
Dates
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. if you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
`� = ;CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M I D
Job Address: %) qiD `tJ LI) 57 Avg
Permit Number: 2ot-203S'1 I
❑ No one available for inspection: Time 2 a,l /S_ l A PM
Re -Inspection required: Yes r'" No
When corrections have been made, call for re -inspection at 303-234-
1\L/
03-234-
� L
Date: Inspector: - s r -
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 i
Inspection Type: ~r~1;:
Job Address: Cam; q r
Permit Number: C7?'~ I 0
City of Wheat Ridge
Residential Roofing PERMIT - 093910
PERMIT NO: 093910 ISSUED:' 11/06/2009
JOB ADDRESS: (f 7790 W'41ST AVE 'EXPIRES: 05/05/2010
DESCRIPTION:1/0: Install 35 sqs decking dimensional shingles.
CONTACTS
owner 303/421-0848 Katherne Field
3c 303./232-0324 Bill Lynn 01-9976 Mills Roofing Co./Decker Lane
PARCEL INFO
ZONE CODE: UA ;USE: UA
SUBDIVISION:: 0328: BLOCK/LOT#: 0/
:FEE SUMMARY ESTIMATED PROJECT VALUATION: 16,580.00
FEES
Permit Fee 363.10
Total Valuation .00 Use Tax 298.44 I (-i~,~g1g
TOTAL 661.54 '-a't~.,:,-.~..
Conditions:
6 nail installation & mid roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exterior walls.'
-uontraczor/eroperuy owner snailprovxae iaaaerts) secures in place ior:
inpsections.
Subject 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
measurem s , an allegations made are accurate; that I have read and agree to abide: by all conditions printed on this
app, t I a sume 1 responsibility for compliance with. the Wheat Ridge Building Code (I.B.C) and all other
app) Is at Ri Ordcea, for work under this permit. Plans subject to field inspection.
Signature of contractor/owner date
L. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes: of Wheat Ridge, Colorado or any other applicable
ordinances of the City.:.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received ;prior to expiration
date. An extension may'. be granted) at the discretion of the Building Official.
3. If this permit expires, ,a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment. has not
exceeded one (1) year. If changes have been or if suspension or abandonmentexceeds one (1) year, full fees shall
be paid for a. new permit.
F. mo 4work of any manner shall be done that will change the natural flow of water causing a drainage :problem.
o. Contractor skull notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phase$ of the job'.
The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor'.
an approval of, y v' ation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan rev a ject to field inspections.
Signature of C f BB 1dmg Official S: date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE-: (303)235-2855
ZEQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR 'INSPECTION THE :`FOLLOWING BUSINESS DAY.
`r'IHEAT
~oF q City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
oo~oapoo Inspection Line: 303-234-5933
" u Building Permit Application
s%
Property Address; 27~ /alb
Date:
Plan
Permit
Property Owner (please print):
Phone: 3
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: ~l~Z~ ~,r39rsil/~
Contractor License
Phone: '3,,,23,2, 0 3a
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company:
Company
Company:
Exp. Date: Exp. Date:
Approval:
Exp. Date:
Approval:
Approval:
Use of space (description):
Construction Value: $ &I, ,5-SC)
Description of work: K Z✓ y,LSe S
(as calculated per the Building Valuation Data sheet)
L1QSr1,f11 Plan Review (due at time of submittal): $
0^J S~Le
Sq. Ft./L.Ft added: Squares 3 S BTU's
Gallons Amps
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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REP of WNER) (CONTRATOR)
PRINT NAME: A.6~ % SIGNATUR - Date:
OEPARTMENT OP COfNMUNi i Y DEVELOPMENT
7500 WEST 294h AVENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 ExT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO. M91#16851
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. FOR
JOB ADDRESS i I I v I A i .^i i n vr-
CONTRACTOR m f 11'e 96C1nF( .y~ C l`.('~)
ADDRESS &XA) 2Y0.i.{ 's'Fi
CITY.I)Q-✓» iQ r ZIP CODE 5,~~ 10
PHONE
i. TYPE
OWNER )UNn rA rI c. I L.I
ADDRESS 'na U IA) - /'I I 5} tl 1/P
PHONE /1421 - 08'~/R ZIP CODE800-.31
CONTRACT PRICE $ 0 1 In:55. CSC)
Wo11LJ ProieafinOLJ Ofher SorOFOOs
12. MATERIAL Total Squaro Feat
SIGNS 3. ILWMINATION Yas❑ No❑ 7ype Eleef. Permit No.
4. SET BACH FROM PROPERTY LINE
Zons_ ADproved,ZOnelnapsctor
1. TYPE SolidU More Than 80% OpsnU Lsst Than 80% Open
FENCES S. MATERIAL Hsipht
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ ApDrwed,Zone Inepeetor
(SDeciry whieh iefront) ❑ ❑ ❑ ❑ Disapproved
OTHER 12.
DRAW SKETCH OPt SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GIVIhG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
z ~
J ~Y
>
F
rc
SPECIFY NORTH
~
N
LICENSE NO.
STREET NAME
SHOW DISTANCES FROM THE MAIN BUIIDING TOADJOINING HOUSES, STREETS, AND PROPERTV LINESiON IRREGULAR IATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
~ APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAI. PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERAAIT WILL EMPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARYED WITHlN THAT TIfNE
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUlRIP1UaA WIRE UNDER SIZE 8 IILEGAI
PLUMBING PERMIT
STATE LICENSE N0.
FLOOR BSM I5T 2ND 3RD 4TN
MECHANICAL PERMIT
NQ FIF-UCirrJeOna Gog dl Propone Elx Solar
NQ,
WATER IXASET
FORCED AIR - BTU
TEMPORARY METER
NEW SERVICE AMPS
WASH BOWL
BATH TUB
HOT WATER - BTU
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WdTER HEATER
Refri eronl Group
UTILITY(RAN6E,DISPOSER,ETC.)
AUTO. WASHER
Poundt Char s
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLDOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 8 RECTFIERS .
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAI FIXTURES
I hereby acknowledqe iho} this apPlico-
fion ia eorreet and understand thof I
connof atarf tAis projeCf until this aOPli-
Cation in apDroved. I shall comply wifh
ihe lawa of Ihe Sfafe ot Colorodo and to
the Zoninq Raqulations and BuildinQ
Code ofthe Cify of Wheof Ridqe. Any
violotion of fhe above terma will eouse
immediote revocation of this permit.
J p011aanb 9' naluN
PERMIT FEE s' C~ ~ NOT VALID UNLESS RECEIPTED
USE TAX 3($ 6
TOTAL FEE
CHIEF BUILDING/jIVSPECTOR,City of Wheat Ridqe
Date IssuPd
"CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS