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10530 W. 45th Avenue
i 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 t �. AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at. http✓/www. ci. whea tridge. co. usrnspection Date Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: _ 6 E4 �7 Job Address: Permit Number: �2�7 .fit= g ❑ No one available for inspection: Ti Re -Inspection required: Ye :N:jD When corrections have been made;s for re -i ectian-ea " at: http✓/www.ci.wheatridge.co.usrnsp ction D - Anspec Y � i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: ' L - rT-(,0 Job Address: ( 0-!S ; Permit Number: -_-t.....-�*. ❑ No one available for inspection: Ti ` AM/PM Re -Inspection required: es_ No When corrections have been made, scl"u -inspection online at: httpY www.ci. wheatridge.co.uslinspection -V Da t%: pectora CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: JQ)0 0 U L)'4 0 No one available for inspection: Time ; AM/PM Re -Inspection required: Fes No When corrections have been made, schedule for re -inspection online at: httpYlwww. ci. wheatridge.co. uslinspection Date. � i Inspector:_ DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: " /= Job Address: /O 5 30 W 41SZ Permit Number: 74p,%� ef,120 !�®Q .k_1 /d.� ❑ No one available for inspection: Time - �S AM/ Re -Inspection required: Y� No When corrections have been made, schedule for re -inspection online at. h ttp ✓/www. ci. whea tridge. co. us4ns pection Date: % -2 z©Zc Inspector: DO NOT REMOVE THIS NOTICE 4 411 City of Wheat Ridge Residential Mechanical PERMIT ® 202000400 PERMIT NO: 202000400 ISSUED: 02/24/2020 JOB ADDRESS: 10530 W 45th Ave EXPIRES: 02/23/2021 JOB DESCRIPTION: Install 80K BTUs, 80% efficiency furnace; install new 2 ton, 14 SEER AC, install new 199K BTUs Navien tankless water heater *** CONTACTS *** OWNER (607)221-5856 TUETKEN KEVIN WILLIAM SUB (303)798-8783 J. PATRICK QUINLAN 018464 COFFMAN & CO HTG AND A/C LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,041.01 FEES Total Valuation 0.00 Permit Fee 251.85 ** TOTAL ** 251.85 *** COMMENTS *** *** CONDITIONS *** 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 I by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thisppermit. I f her attest that I am legally authorized to include all entities named within this document as parties to the work to be pertor a that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signa ure o 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, 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 Budding Official and maybe subject to a fee equal to one-half of the original ermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit 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 anting ofa pe it shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable inaficilyregulation 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. City of _AF--�7'Whcat j"jge CoN1%dum-nY DFVFLOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLY Date: PlanlPermit# 0111'u Ulu �( , v Plan Review Fee: Building Permit Application * Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** 4 - Property Address: Property Owner (please print):.<e illi / U �4A'�eY1 Phone: &Ot). �1 �JrlD Property Owner Email: Tenant Blame (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer Architect/Engineer E-mail: Phone: Contractor Name: LO t6//6CA,-7 4? d,41/4_ V City of Wheat Ridge License #: Phone: — 3l —111 2 Contractor E-mail Address: ,����' f'1 i'j2l Gi AL1 j• corrl For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: IY7Od II L'd )E�4Y/G Plumbing: Mechanical: W.R. City License # 150 �57`17 W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL J RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) t1ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) 6�Dioor� B 15hacej 90�e2ic1en) LAS I R�,D6o /A0'7��+1 �s5 �5 Sq. Ft./LF Btu's Amps Squares U)a*ia #a&tz) YLI*J Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the en ire project) ONVNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (ONTR4C'TO) or (A BORIZED REPRESENT,47IVE) of (OWNER) (CONTk4CTOR) Electronic Signature (first and last name): ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE c') Inspection Type: E Job Address: %1 th Permit Number: ❑ No one available for inspection: Time 0 76&1/PM Re -Inspection required: Yes No When corrections have been made, call r re -inspection at 303-234-5933 Date: I Insp, f, DO NOT RE; E THIS NOTICE City of Wheat Ridge Homeowner Electrical PERMIT - 201802894 PERMIT NO: 201802894 ISSUED: 10/31/2018 JOB ADDRESS: 10530 W 45th Ave EXPIRES: 10/31/2019 JOB DESCRIPTION: Homeowner electrical -upgrading electrical service to 200 AMP service. *** CONTACTS *** OWNER (607)221-5856 TUETKEN KEVIN *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ennit. 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 P"Evor CONTRACTOR (Circle one) Date I . This permit 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 originalpermit fee. 3. If this permit expires, a new permit may be required to I 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 an � manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit ho der 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 pswnce or granf of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ap c e c de ora rdinance 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. City of W heat R dge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(c1ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 100© Lt/ `YJ � t---He,,4T eCP&a_, L0 Ooc2.3,� Property Owner (please print):%Cl/f� j �G� T �L �� Phone: 62,7 Property Owner Email: k- 0-C,,:;4.4fL,G0.r% Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: Phone: City of Wheat Ridge License M Phone: Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(please print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL 0 RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. u! gArIT - f .�'TG'� L�".�.lw pT f/iLvClu�u� c-xart�- A4UXI(1► i Z ���P,� 9X /3dl E'�c� /3vvr 7� r?o., � exi:(� �i-1,✓ �v-vn�rL?a°v,° �ka�iey`uz ,�,�u.�Tiva 2vr� Pini' r'► ��2/i3�2cilir� ei�,.�,r�d w% LgaG-cit Sq. FULF BTUs Gallons Amps 2'X Squares For Solar: KIN # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: _ Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE:ER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): ` / DATE: J 3 2-% 1l Printed Name: JJ�/l� 7—&I G M C/C% ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: City of W heat f i e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): ���� 7/41 E7 e_1t/ Project Property: (0 3 0 W y r?—H J-vC w Project Type: 5e,,1Z0ZC- : roti G -/j•9 i7 0 Notarized signature of Applicant State of Colorado } County of � —),cMrson } ss The foregoing instrument was acknowledged by me this 31s} day of 0e_4e>bA , 201�r by 2-yi n T42� TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires __�_/ ./20 :Rd Notary Public City of Wheat Ridge P' 00" Residential Roofing PERMIT - 201702306 PERMIT NO: 201702306 ISSUED: 06/21/2017 JOB ADDRESS: 10530 W 45th AVE EXPIRES: 06/21/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles- 21 Sq. *** CONTACTS *** OWNER (303)717-8682 OLIVER MATTHEW *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,397.00 FEES Total Valuation 0.00 Use Tax 113.34 Permit Fee 140.90 ** TOTAL ** 254.24 *** 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 manufacturera€'"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. City of Wheat Ridge I, by n signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�ppermit. I further attest that I am legally authorized to include al( entities named within this document as parties to the work to be pertbrmed�d tha I work to be performed is disclosed in this document aryd/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 )tans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 w_r, tten approval of such work from the Building and Inspection Services Division. e 6. The issuance or granting of a permit shall not be construed t rmit fa , appr ual f, an violation of any provision of any applicable code or any ordinance or regulation of this juris o of t 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 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. Residential Roofing PERMIT - 201702306 PERMIT NO: 201702306 ISSUED: 06/21/2017 JOB ADDRESS: 10530 W 45th AVE EXPIRES: 06/21/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles- 21 Sq. I, by n signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�ppermit. I further attest that I am legally authorized to include al( entities named within this document as parties to the work to be pertbrmed�d tha I work to be performed is disclosed in this document aryd/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 )tans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 w_r, tten approval of such work from the Building and Inspection Services Division. e 6. The issuance or granting of a permit shall not be construed t rmit fa , appr ual f, an violation of any provision of any applicable code or any ordinance or regulation of this juris o of t 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 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. Antoinette Kulick � (� 6 2 :� OG From: no-reply@ci.wheatridge.co.us Sent: Monday, June 12, 2017 3:46 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application 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 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. 10530 W. 45th ave. Matthew Oliver 3037178682 Field not completed. Yes CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Masterpiece Roofing 150303 7202426404 Contractor Email Address scott@masterpieceroofing.com (permit pick-up instructions will be sent to this email) Retype Contractor Email scott@masterpieceroofing.com Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Tamko Heritage 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 property include a flat roof? If yes, how many squares on the flat roof? 1►C Field not completed. TOTAL SQUARES of all 21 roofing material for this project 2 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) single family dwelling, house, 5/12 pitch 1 layer t2'5e '53 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 scott campbell Email not displaying correctly? View it in your browser. 3 Angie ;list�CIP 4 i ;moi MASTERTIECE ROOFING & PAINTING Property Owner ("Owner") Email Street ("The Property") 10 r3b S" A&&_ City State zi `Y00;1 3 WA"Phone - G Mtf Cell 3 —'TO Z-- .c/yf ZMrs. Cell Insurance Company. -% rlr,*1 Claim # I i Adjuster Phone Shingle Manufacture IT^,C _ i c,� Estimated Xactimate Price • d 1 Year 30colorAg,[< F,1V1U �' Down Payment r it Tear off__Llayer(s) of asphalt/shake/tile shingles Balance _ Install Sheath ing_7/16"OSB_1/2"CDX plywood First insurance check, deductible & upgrades are d e prior o scheduling t b. Where The estimated dates of service for this job are Install felt _151b_K301b other Improvements in exchange for Insurance Scope. j( Ice & Water shield to code Breakdown and Supplemental Proceeds p g �� . Install Metal Drip Edge. Color Owner authorizes Masterpiece Roofing ("Contractor") to contact the Own '#Iinsurance. 6 nail pattern on shingle (+20mph wind resist) company regarding damage to the Property. Owner understands that th contractor Valley(s) will be closed ,open will assist the Owner in obtaining appropriate property insurance damage Pustments, Install new pipe jacks gaining approval of damage for repair and obtaining funds to repair Own " Pro I perty.', Install new vents as needed Owner authorizes Owner's insurance company to discuss all matters itly with _Install In. ft. of vent -a -ridge Contractor, or their representative. Owner agrees to provide Contractor wi ny and all', Re -flash chimney brick/wood size insurance information, claim number, insurance loss data information a cadjuster's _ Re -flash wall abutment as needed if possible report provided to the Owner by the Insurance Company. (Stucco or siding may be a deterrent) Upon authorization of the Owner's insurance Company, for a price agre Able to the' To clean up & haul away all job related debris Contractor, Owner agrees that the Contractor shall perform work presc ied by the Magnetic sweep of the yard for removal of nails Insurance Company's loss data sheet or adjuster's report which includes hie estimate 3<5 year workmanship warranty of repair as set forth in the insurer's claim file plus any upgrades selected b #1e Owner. I Special instructions w 1-J l) d S` i i t Owner is obligated to pay only the deductible required by the Owner's Insurance Company plus any upgrades requested by the Owner. Owner further agrees to endorse insurance checks payable to the Contractor or to pay the Contractor an equal amount. Owner owes the Contractor nothing in the event the Insurance Company does not authorize the repairs. Contractor shall hold in trust any payment received from you until Contractor has delivered roofing materials at the site or has performed a major ter of the roofing work on your property. i Owner has the right to rescind this contract and obtain full refund of any deposit within 72 hours after entering the contract. Contractor cannot pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property. Otherwise, Owner understands that this is a binding agreement. If the Owner breaches this agreement before commencement of the work, Owner Z Oees to pay the Contractor for the actual work performed. Owner understands that, aside from upgrades, a summary of the work to be performed, a description of materials to be used or a list of standard featu els included, the total contract price, or description of the basis on which the price will be calculated, is embodied in the insurance loss data information provided by the Owner's insurer. Further, Owner authorizes the Contractor to submit supplemental requests to the Insurance Company for additional payment required for o 'itted items from adjuster scope or due to price fluctuation caused by supply/demand issues orotherwise unknown at the time the contract was entered. Owner warrants that this contract is signed without any reliance upon any representwn specifically written in this contract, and that no additional promises or represents hav reading all the Terms and onditions on the reverse side of this document. Date Z( 1� Property Owner Representative Property Owner or promises by the C en offered i 770o E. Iliff Ave., Suite D, Office: 7zo-z42-6404 Denver, CO 80231 or, or its agents, except tt��e that are for signing. Owner also a loowledges City of " Wh6atpidge OMMUNITY DEVELOPMENT 7500 W. 29th Avenue * Wheat Ridge, CO 80033 * O: (303)235-2855 * F: (303)235-2857 Contractor Waiver for Workers' Compensation Insurance I, (print your name), u t verify that I am the sole owner or partner of (company name): Colblmdo which has no employees and is not required by the State of Colorado to carry workers' compensation insurance. I further state that if I hire subcontractors, they are in compliance with the State of Colorado Workers' Compensation insurance requirements and have obtained the required contractor's business license from the City of Wheat Ridge. Signature: Date: i CITY OF WHEAT RIDGE l Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /)�� % Job Address: a) L,lE f Permit Number: D-0170 _DZO(p ❑ No one available for inspection: Time Re -Inspection required: Yes IN When corrections have been made, cwirfor re -inspection at 301-234-5933 Date: LO -3-17 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:____7C_)5 D au--� Permit Number: 2f ❑ No one available for inspection: Time Re -Inspection required: Yes When cor rections have been made, call for re -inspection at 303-234- Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: j4ri) Job Address: /0530 66A Permit Number: , �2Q, %OTO(O ❑ No one available for inspection: Time`%& (M/PM Re -Inspection required:Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: &/C9 ��Ll nspector: b)�l r/ ( ka ; — DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 105 7 y. , 41 mod= Job Address: trS3® Permit Number: ❑ No one available for inspection: Time ..?0 , AM4M, Re- Inspection required: Yes No 3 When corrections have been made, call for re- inspection at 303-234-5933 Date: 6 i1 Inspector: ee DO NOT REMOVE THIS NOTICE i ♦ 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: /0 -//67 Job Address: /b_S qo In /Psl lys �- Permit Number: /coo" a k �iSFI PPk rJ ✓ef' ❑ No one available for inspection: Time 11.'4'W AM M Re- Inspection required:( Ye5 No When corrections have been made, oafi for re at 303 - 234 - 5933 Date: S - 27— /tom Inspector: f� DO NOT REMOVE THIS NOTICE INSPECTION RECORD I OccupancyTv)e 'V INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. C � ), 5 -00 Ave 01I ' INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB " FOUNDATION. INSPECTIONS.. DATE INSPECTOR NITIALS I COMMENTS: Footings /Caissons -. ,. Stemwall.I (CEG) Concrete Encased Ground -' Reinforcing or Monolithic /o /,a, Weatherproof I French Drain Sewer Service Lines Water Service Lines - POUR NO CONCRETE UNTIEA13OVE HAS BEEN SIGNED CONCRETE SLAB FLOOR <'r` Electrical (Underground) ` '.Plumbing (Underground) Heating (Underground) , DO NOT POUR FLOOR UNTIL ABOVEHAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service -Rough Electric Rough Plumbing Gas. Piping Rough Mechanical ' ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation .Drywall Screw FINALS Electrical Plumbing ,. Mechanical Roof /o /,a, Building Final Fire Department R.O.W &:Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS. SHOULD. '. 'BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking .& Landscaping "NOTE: ALL ITEMS .MUSTBE COMPLETED .AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFOREA- CERTIFICATE OF OCCUPANCY IS ISSUED. -FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A.CERTIFICATE OF OCCUPANCY. NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER City of Wheat Ridge Residential Roofing PERMIT - 101167 PERMIT NO: 101167 ` ISSUED`: 05/07/2010 JOB ADDRESS: 10530 w 45TH AVE EXPIRES: 11/03/2.010 DESCRIPTION:. T /o: Install 20 sqs of 30yr dimensionals * ** CONTACTS * ** owner 30.3/264 -7699 Andrea Burgess gC 303/519-0555 Shawn Carter 10 -0144 SM Carter Const. * *PARCEL INFO ** ZONE CODE: UA '. USE: UA SUBDIVISION:: 0143 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: ..3,540.00 FEES Permit Fee 126.50 '1 r"'e c -•»> h Total Valuation ,pp * * Us e TOTAL * *' '63.72 a� ,..190..22. .2 � 5J •33 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any greater than 1/2 requires panel sheathing overlay on entire :'roof. Sheathing inspection is required prior to covering. 'Midroof' inspection is not required on permits purchased after 4/18/10. Contractor shall provide ladder for inspections:' Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8 :30 a.m on the day of inspection or a re- inspection.: fee will be assessed. 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 th I ssume full responsibility for compliance with the Wheat Ridge Building Code..'(I.B.C) and all other" applica - heat" idge Ordinances, for work under this p rm Plans subject to`:field inspection. Sig. ure of contractor /owner ::date 1. This permit was issued in accordance with the provisions set forth . in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building 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 abandonment exceeds one (1) year, '. full fees shall be paid for anew 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 proceeding with successive phases .. of the job. 6. 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, any io t of the provisions of the building codes or any other ordinance, law, rule or regulation.' A11. "plan review is to field inspections. Signature of Chief Bu ding i: Official :date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE:: (303)235- 2855 REQUESTS MUST: BE MADE BY 3PM ANY :.BUSINESS DAY FOR :INSPECTION THE ':FOLLOWING BUSINESS DAY.' City of wheat I�iclge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO - 80033 Date: Plan # Permit # Office: 303 -235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application hropertyAddress: /L w. -L A' Y'C Property Owner (please print): f fU7 >4' Phone: 3cg ZbN• Mailing Address: (if different than property address) Address: City, State, Zip: Contractoe: SM C,422arL C�At 5 ^r . Contractors City License #: Phone: 0 3. S • Qg� Sub,�±gotracto Electrical: Plumbing: Mechanical: City License # City License # City License # bescrtlotton.�f work•:+ �p � .- �d � � (�Init �St euclR t--s l K Contract Value:se� Review Fee (due at time of submittal): Squares 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: (O NE (CONTRACTOR) or (AUTHORIZED REPRESENTATI E) of ER) ( PRINT NAME: (CONTRACTOR) ° • " yV�22. �>L SIGNATURE: DATE: r ++xe u PgliTiNENT q approved uv/ cpmmepts CJ disapproved p no review required J Bldg Valuation $ r/ -7 6 rl i CERTIFICATE OF OCCUPANCY - ~ CITY OF WHEAT RIDGE ` IssuedWlthoutPee 7500 W. 29th Avenue Date March 4, 1997 'V~s Wheat Ridge, Colorado 80034 Thls certificate verifies that the bullding constructed andlor the use proposed of the bullding andlor premises, under the above permlt number and on property described below, does comply wlth the Wheat Rldge Building Code, 2oning and other related land use and develop.ment lawa of tAe Clty of Wheat Ridge, and may be occupied for the use specified. OWNER Loran DeLong ADDRESS 10530 W. 45th Avenue coNTRncroR _ Sprinq Street Construction PROPERTYADDRESS 10530 W. 45th Avenue W . n LEGAL DESCRIPTION: FORTHEFOLLOWINGPURPOSE Garage No change shall be made in the use of this building without prior notice and a new . CertiflcateofOccupancyfromtheCltyofWheatRidgp-~ Chlef Building Inspector G Zoning Administ.4r W.R.FOrm&B FOf DATE: 1;2-G- c~ G TO: PUBLIC WORKS DEPARTMENT FROM: Building Department RE: 0~0 The property at / 0,9,30 "J C(l-&~- V~ _ has been signed off by the Suilding Department and is ready £or a CO inspection. Once the inspection has been completed, please inform the building department as to the status. Thank you. PUBLIC WORKS APPROVAL Remarks: 0'~. .}A,.Q- ~ 5k:~~ 8F . 7112 GxqVa o~R'"' • I'C'IO ~ T1.2 ~ U o-F ite- ~ r~-3e. _ ~ v-~ ~-ield Ih52~c~a~„ IZ/311~ 1 DATfi : A CERTIFICATE OF OCCUPANCY HAS BEEN RfiQUESTED FOR: 0 -7s- 3 a Co . y.S bt- a-v-k PliRPOSE OF STRUCTURE: Building Dept.Approval: Remarks Atp Zoning Approval: Remarks Z O N Q US ° ~ o Z a ~ ~ ~ ~ N Z 0 ( ) ~ o o 0 W W cr ~ W V 0 ~ ^ W z W ~ O O ~ W ~ W - ~ a V - cc W ~ N 0 ~ a a' W m ~ o W s N a Cj) Cl) T = _ ~ Z ~ N ~ ~ O._ N 3 ~ ~ > ¢ s ~ ~ ~ 3 0 M LO 0 ~ ~ Ui , W ~ , ~ ti 0 w D m ~ o = ~ ~ c 0 : ~ U ~ L N C O U ~ r) 4J ¢ o Z ~ -zt m ~ c to o CY) V) rn a N z J 0 a ~ r_ lu z o H J ~ W a C7 N O V a O a ~ ¢ Y ~ U) ° z z ¢ z - , o z W m a W Z W m U) a ~ = 2 a > O m m Q w a a Q U) o ~ F- z z Q Z) D LLI cc Z w p C7 Cl) U LL z , Cl) cr ~ v o 0 a o z o W °C Z D ~ Z a O O ~ Y Y p Z y U ~ ~ ` o o o ~ a 0 ~ fn ~ > > c Z ° ~ o ~ o ~ ! m C fl- m - rn c 0 c m; C o~ 'a as U ~ a m w a ~ _ ~eC', rn rn F m 0 h C M ~ O .`o n ~ ~ y ~ ~ ~ ~ ` m G o C C ~ a U C a a ~ > ea o r a ~ oa U c N a> ~ ~ p~ ~ c N . O / DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4139 ~ BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 11/1/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 10530 45TH AV Contractor License No. : 19021 Company : Spring Street Construction Phone: 940-6136 Phone: 231 6660 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : DETACHED GARAGE Construction Value : $8,000.00 Permit Fee : $138.00 Plan Review Fee : $0.00 Use Tax : $96.00 Total: $234.00 Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: u,~mm mmsr (1) This pertnitwas issued in accordance with the provisions set forih in yopur application and is sub'ect to the laws of the State of Colorddo and to the Zoning Regulations and euilding Code of Wheat Ridge, Coloredo or any other applicable ordinances of t~e City. (2) 7his permit shall expire if (A) the work au[horized is not commenced within sizty (60) tlays from issue date or (B) the building authorized is suspended or abandoned for a period of 120 tlays. (3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount nortnaily required, provided no changes have been orwill be matle in the onginal plans antl specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment e~cceeds one (7) year, full fees shall be paid for a new permit. (4) No work oFany manner shall be done thatwill change the natural flow of watercausing a drdinage problem. (5) Contractor shall notiry the Building Inspec[or twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediingwithsuccessive phases of the job. (6) The issuance of a permi[ or the approval of tlrawings and specifcations shall not be construe to be a permit for, nor an approval of, any violation of the provisions of the buildi g codes or ny other rdinance, law, rule or regulation. (~I ~~i~U/( , ~(1 C Building Inspector F ayor HIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: ( O/~'4 ICA) ~ PropertyAddress: 30 Phone: /q6 Contractor license No. : ljQ~) j Company : spl~^~5 Phone : 2 3/6(~~U OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this pemit application are accurete, 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 8uilding Code (U.B.C.) and all other applicable t Ridge rdi ces, for wor'rt under this pe it. (OWNER)(CONTRACTOR) SIGNED (DATF~O ~ Description : O lJ -eir BUILDING DEPARTMENT USE ONLY Zon(n.Zg. k(0 SIC: Sq. Ft.: Sloo (.~1 APProval :Grvw -~r.C.ccF ►..~e-~f-s~ -2- Dev. rzv~'s . `Cl.e,z a-.-e uAv Zoning:?2- ~Xi`~"~j~~ Itie-~w.~ 2u,v,.va<.e.,¢cQ,Buiftl~ng Cbmments~v.e, ~ Approval: . P,.y61ic Wo[Ks~~~ ^ \V- YfViGu Approval : ib ~ Occupancy : Walis : Roof : Stories : Residentiai Units : Construction Value : 80Z)7) ~ Permit Fee : Plan Review Fee : Use Tax : Total : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Approval: K.'] pPIanwRequaed Expiration Date : Approval : m Pla~'~Req Expiration Date : Approval: IM ~Plans- ~ (1) This pemit was issuetl in accordance with the provi5ions set forth in yopur application antl is su6ject to the laws of Ne State of Coloratlo and to lhe Zoning Regulations and Building Code of Wheat Ridge, Colotatlo or any other applicable ordinances of the Ciry. (2) This pemit shall expire if (A) the work authonxed is not commenced wrthin sixty (60) tlays from issue tlate or (B) the building authorizetl is suspentletl or abantlonetl for a periotl of 720 days. (3) If this permit ezpires, a new pemit may be acquired for a fee of one-half the amount nortnally required, provitletl no changes have been or will be made in ihe onginal plans and specifications and any suspension or a6andonment has nol exceeded one (7) year. IF changes are matle or if suspension or abandonment ezceetls one (i) year, full fees shall be paid tor a new permit. (4) No work ot any manner shall be tlone that will change the na[ural flow of water causing a tlreinage problem. (5) Contractor shall nolify the Building Inspedor twenry-four (24) hours in atlvance for all inspections antl shall receive e approval on inspection cartl 6efore proceed'~ with successive phases of the Iob. (6) The is ce o a permit or the ap roval o(.drawings an0 specifcations shall no[ be con jed to be a pemit for, or ap va any violation of the provisions ot th b tling des or any ther rdinance, law, rule or regulalion. L C ef uilding Inspector ' For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECT AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION PUBLIC WORKS REVIEW FEE STRUCTURE FOR BUILDING PERMIT APPLICATIONS PLEASE PRINT CLEARLY AND FILL OUT FORM COMPLETELY Building Permit Number Appiicant ~00~~ra. ~m~o Address City State Zip Date 10 1 70 1 414 Phone Location of Construction (address) 10 5-ti0 \V . q'St tky' ' Purpose of Construction e Building Permit Value $ YI DDU Commercial _ Residential X DEVELOPMENT REVIEW FEES (this section to be completed by City) Base Development Review Processing Fee: $50.00 minimum $~0.C)O 00 Singie Family Residential: .003 x(value of improvement) $25 minimum fee $ Z J~ [includes review of construction drawings for improvements in public right-of-way] Multi-Family/Commercial: .0050 x(value of improvement) $50 minimum fee [includes review of construction drawings for improvements in public right-of-way, review of preliminary/final drainage study and erosion control plan(s) if required] Site Plan: $50.00 (Not applicable for single family residential) Right-of Way/Easement: $40.00 + $5.00/page recording fee Development Agreement: Residential = $50.00 Commercial = $100.00 State Highway Access Permit: $75.00 application fee Traffic Impact Review & Report: $100.00 processing fee Flood Plain Variance: Class I=$75.00 Class II =$150.00 TOTAL REVIEW FEES: (due at time of building permit issuance) $ $ $ $ $ $ $ $75'. 0 The above fees include one follow up review to verify that initial deficiencies noted are corrected. Additional review and/or processing past the follow up review and/or processing will be charged against the building permit applicant at the above fee scheduie. Please note that additional fees will be assessed for those pertnits related to construction of public improvements. If you have any questions, please feel free to contact the Development Review office at 235-2868. Signature of Applicant Date 7500 WEST 29TH AVENUE • WHEAT RIDGE, COLORADO 80215 EA~O The City of ~wH T GWheat ~ ~m GRidge Cot O R SINGLE FANIILY MINOR EXCAVATION AND FILL PERMIT NAME OF APPLICANT: j ADDRESS OP EXCAVATION/FILL 1o K!!)d APPI:ICANT ADDRESS: DATL OF APPLICATION: All permits slialt be applied for through the Public \Uorks Department An approved permit is effective for a period of one (1) year from the date oi issuairce, aiid may be renewed. All fees shall be in accordance with those fees established by the Uniform Building Code (UBC), or by other applicable City adopted Resolution or Ordinances. Grading Plan Review Fees*: . . . . . . . . O to l0U cuhic yards 51~.0 101 to 1,0(pc;ubic yards . . . . . . 2.50 1,001 to 10,000 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $30.00 10,001 to 20,000 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $45.00 Grading Permit Fees*: SUB-TOTAL: iS. 1~0_ 0 to 50 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.0 51to100 cubic yards U 2.50 101 to 1000 cubic yards $22.50 for the first 100 cubic yards, plus S 10.50 for each additiona] 100 cubic yards or fraction thereof: C. Y. Amount Due: $ 1,001 to 10,000 cubic yards $117.00 for the first 1.000 cubic yards, plus $9.00 for each additional 1,000 cubic yards or fraction thcreof: C. Y. Amount Due: $ ] 0,001 to 20,000 cubic yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $238.50 00 TOTAL FE, ES DUE: $ (303) 234-5900 • ADMINISTRATION FAX 234-5924 • POLICE DEPARTMENT FAX. 235-2949 Building sites whose total excavation and fill exceeds 20,000 cubic yards must be processed under the provisions of Section 26-33 of the Wheat Ridge City Code. Upon conformance with Section 26-33 of the City Code, grading plan review fees and grading permit fees shall be established in conformance with Section 3310, Table A-33-A, and Table A-33-B respecfively of the Uniform Building Code. * Uniform Building Code, Secfion 3310 I HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT, AND UNDERSTAND THAT THE REQUESTED WORK CAN NOT BEGIN UNTIL THIS APPLICATION IS APPROVED BY THE CTTP OF WHEAT RIDGE. I AGREE TO COMPLY WITH THE LAWS OF THE STATE OF COLORADO, WITH ZONING REGULATIONS AND WITH THE BUILDING CODE OF THE CITY OF WHEAT RIDGE. ANY VIOLATION WILL BE CAUSE FOR IMMEDIATE REVOCATION OF THIS PERMIT, AND COMMENCEMENT OF ENFORCEMENT PROCEEDINGS BY THE CITY OF WHEAT RIDGE. THIS APPROVED PERMIT WILL BE KEPT IN MY POSSESSION, OR PERMANENTLY ON THE JOB SITE. APPLICANI`. Clll' OF WHEAT RIDGE: ApplicanYs Signature Owner's Signature (if different than above) City Engineer Approval Date mexfillp.frm ~ ~ ~ O Nl- ~ ~ ~i ~S . Y ~ Q ~ v;Q 1 ~ ~ ~ - ~ ~b ~ v ~ ~ ; , ~ ~i ~ ; ~ , ~ i o i ti QL~ ~ 3 ~ X . ~ ct I-q! <3 ~ r~ 0 , ~vl r 2-6 1MC) 6 vt& 5 ~ ~r ( 1 ~ ~ ~ I I I y ~ I ~v 5' . i - , I . . RECEPTION N0. F0305624 15.65 PG: 0001-001 230 RECORDED IN JEFFERSON COUNTY, COLORADO 9/24/96 12:58:16 ~ ~ ~ VA ) ) WARRANTY DEED THIS DEED, Made this 17th day of September , 19 96, between ' GREG MARQUARDT AND REBECCA BOYER NOW KNOWN AS REBECCA of the "County of JEFFERSON and State of.Colorado; grantor, and LORAN BALSE DELONG AND NICAOLE RENEE INTCHAUSPE whose legal address is 10530 WEST 45TH AVENUE WHEAT RZDGE, CO 80033 of the County of JEFFERSON and State of Colorado, grantees: WITNESS, that the grantor, for and in consideration of the sum of NINETY SIX THOUSAND FIVE HUNDRED AND NO/100-------------------------------------------------------- DOLLARS, the receipt and sufficiency of whicb is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm unto the grantees, theirheirs and assigns forever, not in tenancy in common but in jointtenancy, all the real property, together with improvements, if any, situate, lying and being in the . County of JEFFERSON and State of Colorado, described as follows: LOT 4, MARLIN SUBDIVISION, COUNTY OF JEFFERSON, STATE-OF COLORADO.. alsoknownbysireetandnumberas 10530 WEST 45TH AVE WHEAT RIDGE, CO 80033 aA TOGETHEp with all and singularthe hereditaments and appurtenances ihereunto rn reversion and reversions, remainder and remainders, rents, issuesmd profits thereof, and all the estate, right, tiGe, interest, claim and v G~_ demand whatsoever of the grantor, either in law or equity, of, in and to the above bargained premises, with the hereditaments and ~ appurtenances. TO HAVE AND TOHOLD the said premises above bargained and described, with the appurtenances, unto the grantees, their ~ heirs and assigns foraver. And the grantor, for himself, his heirs and personal representatives, does covenant, grant, bargain andagree cn to and wifh the gwantees, their heirs and assigns, that at the 6me of the ensealing and delivery of these presents, he is well seized of the premises above conveyed, has good, sure, perfect, absolute andindefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and fortn aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, emcumbrances and restrictions ofwhat- ever kind or nature soever, except gene2l taxes for the current year and subsequent years subject to restrictions, reservations,and covenants of recoM and except easements and rights of way of record, if any, and except The grantor shall and will WARRANT AND FOREVER DEFEND the above- bargained premises in the quiet and peaceable possession of the grantees, their heirsand assigns, against alland every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF the grantor has executed this deed on the date set forth above. .~d' Cx~ 2'~,~(.✓1/Vl'~~~.t~ GREG QUARDT OF The foregbing bY GREG Mi "If in Denver, insert "Ciry and." ; • iLpNpa JE~Bj ON ] ss . ~wledc~ remethis 17th dayof September .,7996 BOYER NOW KNOWN AS REBECCA BOYER MARQUARDT E pQ Witness my hand and official seal. Mycommis onexpires March 7th . 1998 • kl~ 4Pb SANDRA L. JANES . I I WARRANTY DEED (To Joint Tenants) DEPARTMENT OF PLANNING & DEVELOPMENT REQIIEST FOR PIIBLIC WORRB REVIEW Date: 10/3 0 96 Case/Building Permit No. Location: ie S 3 0 F' • 45- y4 4''c Please review the attached,1n aterials submitted in application for approval of a clcfa~SeW J~&-ye tSVOSd , and indicate your decision on those items check below, and please'add any other comments which you may have under number 18. 1. ~ Boundary Closure: X OK _ Not OK; refer to Stipulations 2. ~Area: Acres X Square Feet 3. ✓ Drainage: a. Drainage plan (and report) needed _ b. Drainage plan not needed X c. Drainage provisions have been reviewed and are found to be: OK Not OK; refer to stipulations 4. ~ NPDES Permit Required Y ON 5. `"~Legal Description: X OK _ Not OK; refer to stipulations If not okay, please explain: 6. Public Improvements: Street paving needed Y a b. Curb & Gutter needed Y . c. Sidewalk needed Y f d. f Street w E Lights needed Y uired Y re CDy ~ e. Storm Sewer needed Y . scro q If Escrow required, for what i ro vements? In what amount? 7. Development Agreement required Y ~ If Yes for , 8. ~ All necessary documents have been initiated by Public Works and are attached hereto: n a,.,C 9. ~ Is a traffic impact analysis and report required? Y( R~ 10. ,i Is a State Highway Access Permit needed? Y/ il. New roadway or alley R.O.W. dedication is recommended: n o. If yes, what is recommended: 12. ✓All existinq dedicated roadways and alleys meet the standards of the City: If no, which do not and what is requested: 13. All existing and proposed dedications have been reviewed and found to be*give OK; refer to numbers il & 12. 14.--""' Apub 'c Works Department has reviewed this request and heappr val, su ject to the above and/or attached st: o- i ~ ~ ° 96 Sianat e Date~ 15. • The Public Works Department has reviewed this request and does not approve for the reasons stated: Signature Date 16.---' Stipulations attached: Yes 17. DEADLINE DATE FOR PUBLIC WORKS DEPARTMENT REPLY: = 18. r"~