HomeMy WebLinkAbout10601 W. 45th AvenueA i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTIC7
,,,/Inspection Type:
Job Address: S
Permit Number: ;aZ.42T e9
❑ No one available for inspection: e/PM
Re -Inspection required: Yes( No
When corrections have been made, call for re -inspection at 303-234-5933
Date:-/' �' /! '_inspector:
�111a DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 201803196
PERMIT NO: 201803196 ISSUED: 12/11/2018
JOB ADDRESS: 10601 W 45th Ave EXPIRES: 12/11/2019
JOB DESCRIPTION: Replacement of 40gallon/40K BTUs gas water heater located in the utility
closet.
*** CONTACTS ***
OWNER (303)456-6064 SCHWINDT HAROLD L
SUB (866)898-0008 Mariana Kitchukova 080021 Colorado Delta Mechanical Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,600.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 33.60
** TOTAL ** 73.60
*** 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. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, doh ereby 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 fhe 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 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 thepermit 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 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 bf a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicab de or any o ance 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.
Lagenia Reimer ( SO 61
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, December 11, 2018 8:49 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application
Categories: Gina
Residential Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - 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 water heater
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 ATTACH
RANDOM
DOCUMENTS
10601 W 45th Ave ,
Wanda Schwindt
303-456-6064
coperm its@deltamechanical.com
557258 cc auth.pdf
CONTRACTOR INFORMATION
Contractor Business Delta Mechanical, Inc.
Name
1
Contractor's License 080021
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 866-692-5273
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address copermits@deltamechanical.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of gallons
Is the water heater GAS
or ELECTRIC?
If GAS, enter # of BTUs
If electric, enter n/a
Where is the water heater
located (for example,
basement, crawlspace,
etc)?
copermits@deltamechanical.com
40
Gas
40k
utility closet
Project Value (contract 1600
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
z
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 COLORADO DELTA MECHANICAL INC Plumbing
Permit
Email not displaying correctly? View it in your browser.
ri 0767
�t6khf_,, INSPECTION RECOK-. '
EV ,-ECTION ONLINE FORM: http://www.ci.wheatridge.co.us/Inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date Inspector
Initials
Comments
Pier
ROW & Drainage / Public Works Dept.
Concrete Encased Ground (CEG)
Fire Inspection / Fire Protection Dist.
Foundation / P.E. Letter
Plumbing
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date
Inspector
Initials
Comments
Electrical
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.
Sewer Service
Fire Inspection / Fire Protection Dist.
Plumbing
Final Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Mid -Roof
Fire Inspection / Fire Protection Dist.
i
Lath / Wall Tie
Final Plumbing
Rough Electric "
Final Mechanical
Rough Plumbing/Gas Line
Roof
2 l
f Rough Mechanical
Final Building
Rough Framing
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.
Rough Grading
nsulation
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
2 l
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division. pp.��/
Occur :, cv lc M-* Ofrmi±ted Until A certificate of Occupancy Is Issued
City of Wheat Ridge
Residential Roofing PERMIT - 201707187
PERMIT NO:
201707187
ISSUED:
09/12/2017
JOB ADDRESS:
10601 W 45th AVE
EXPIRES:
09/12/2018
JOB DESCRIPTION:
Residential Re -roof to install Tamko
Heritage asphalt shingles - 56.4 sq
Pitch = 5/12
*** CONTACTS ***
OWNER (303)842-0452
HORLACHER CRAIG
SUB (303)794-3573
Brad Gramke
140221 Heritage
Roofing Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2408 / FRUITDALE,
LEES, STONERIDGE
BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION:
18,330.00
FEES
Total Valuation
0.00
Use Tax
384.93
Permit Fee
346.95
** TOTAL **
731.88
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
►' City of Wheat Ridge
P( Residential Roofing PERMIT - 201707187
PERMIT NO: 201707187 ISSUED: 09/12/2017
JOB ADDRESS: 10601 W 45th AVE EXPIRES: 09/12/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles - 56.4 sq
Pitch = 5/12
*** CONTACTS ***
OWNER (303)842-0452 HORLACHER CRAIG
SUB (303)794-3573 Brad Gramke 140221 Heritage Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,330.00
FEES
Total Valuation 0.00
Use Tax 384.93
Permit Fee 346.95
** TOTAL ** 731.88
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
F.
City of Wheat Ridge
Residential Roofing PERMIT - 201707187
PERMIT NO: 201707187 ISSUED: 09/12/2017
JOB ADDRESS: 10601 W 45th AVE EXPIRES: 09/12/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles - 56.4 sq
Pitch = 5/12
I, by my signature, do hereby attest t k to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and plicab icippal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the pr an aut rized to obtain this permit and perform the work described and approved in conjunction with
thisperm�t. I further attes at I egally horized to include all entities named within this document as parties to the work to be
performed and that all w perfo "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, 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 originalermit fee.
3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, 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.
Dane Lovett 70707 V
From: no-reply@ci.wheatridge.co.us
Sent: Monday, September 11, 2017 1:20 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Flagged
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address 10601-10621 W. 45th Ave
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Craig Horlacher
3038420452
11
473�R
49
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed D00091117-09112017121855.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Heritage Roofing
Name
Contractor's License 140221
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3037943573
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 2270 W. Chenango Ave unit 400
(Primary address of your
business)
Contractor Email Address victoria@heritageroofing.com
Retype Contractor Email victoria@heritageroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 56.40
the entire scope of work:
Project Value (contract 18330
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
50
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof.
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
W
Yes
5/12
56
Tamko Heritage Asphalt Shingles
Asphalt
Tear off to deck install new shingles
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
51
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.
Name of Applicant Victoria Cullison
Email not displaying correctly? View it in your browser.
52
"Quality r is doing it right when no one is looking." - i y Ford
2270 West Chenango Ave - Unit 102
Littleton, CO 80120
www.heritageroofingcolorado.com
HeritaS
info. heritageroofing�abyahoo.com
H,_ Phone: 720-249-9605
hdt:�Lr iracz
Fax: 303-586-7074
Purchaser: Fruitdale Roof Maintenance Association, Inc.
Date: August 7, 2017
Address: P.O. Box 12961 �M
U � / f 0 Z y 5�t.
President: Craig Horlacher
Phone: 303 842-0452
City, State: Wheat Ridge, CO 80034
Property: 14 Duplex Buildings covered
by Insurance Estimate
Insurance Co: Travelers
Claim #:FAE0975001 H
X
Tear off shingles and felt to wood decking.
Uwe agree to retain Heritage Roofing and Contracting Inc to replace and/or
repair the roof with like material oil -the property aforementioned ontingent
X
FREE UPGRADE: Install: 2"x4" drip edge. Color to match
upon Heritage Roofing and Contracting Inc obtaining my insurance company's
approval and payment to have said work done It is understood and agreed that
shingles/fascia.
Heritage Roofing and Contracting, Inc. is to contact my insurance carrier and meet with
their representative in order to discuss the repair or replacement work to be done to the
property. Upon insurance carrier's and Heritage Roofing and Contracting, Inc.'s
X
FREE UPGRADE: Install Synthetic Felt
agreement to the extent of the damages and cost of fixing them, Heritage Roofing and
Contracting, Inc. may begin to work on said property. HOMEOWNER'S OUT-OF-
UTOF-
X
FREE UPGRADE: Install Ice & Water Shield along all eave
edges,
edges, in all valleys, and around all roof penetrations.
POCKET EXPENSE WILL NOT EXCEED HOMEOWNER'S INSURANCE POLICY
DEDUCTIBLE FOR WORK AGREED UPON BETWEEN THE INSURANCE CARRIER
AND HERITAGE ROOFING AND CONTRACTING INC Homeowner also agrees to
X
Recover roof with Tamko Heritage, 30 year shingles in Natural
Timber Color.
provide all necessary documentation of claim (also providing all pertinent
documentation to facilitate payment from insurance carrier/or Mortgage Company.)
X
Install Tamko Heritage ridge shingles to match field shingles.
Heritage Roofing and Contracting, Inc. reserves the right to file for supplemental
insurance claims if the insurance adjuster measurements are used and prove to be
X
Double All Eaves: ALL
incorrect.
Owner agrees that the equity in this property is security for this contract. This
contract shall become binding only upon written acceptance hereof by the Contractor
X
New Valleys: Closed Valleys
or by an authorized agent of the contractor: or upon commencement of the work. This
contract constitutes the entire understanding of the parties, and no other
understandings, collateral or otherwise, shall be binding unless in writing and signed by
X
Galvanized Nails: 6 Nails Per Shingle
both parties.
Labor warranty does not cover damage to roofs caused by lightning, hail, wind
X
Replace all plumbing jacks, vents and caps.
(50mph+), hurricane, tornado, impact of foreign objects, or other violent storm or
casualty. Also damage to roofs due to settlement, distortion, failure or cracking of the
X
Paint all roof stacks to match.
roof deck, walls or foundations is not covered. The contractor shall revoke labor
warranty if contract is not paid in full. The Labor warranty is non transferable. The
Material is not transferable unless otherwise stated by the manufacturer.
X
Manufacturer's Warranty: 30 year limited warranty with the
first 15 years tion -prorated.
All material is guaranteed to be as specified. ALL work is to be completed in a
workmanlike manner according to standard practices. Any alteration or deviation from
the above specifications involving extra cost will be executed only upon written orders
X
5 Year Guarantee on Labor
and will become an extra charge over and above the estimate. Labor and material
Warranty covers roof only. The property owner is to carry fire, tornado and other
X
Heritage Roofing and Contracting to furnish all material and
labor
necessary insurance. Heritage Roofing and Contracting, Inc. is not responsible for
mold or mildew. The warranty is limited to roof leaks and replacement of missing
X
Permit furnished by Heritage Roofing and Contracting
shingles, but does not include repair or reimbursement for water damage to the interior
of the home.
Upon substantial completion of the roof, final payment will be due. If not paid within
X
Clean-up and haul off all trash from roof
30 days a finance charge of 1.5% per month will be charged on account balances not
paid in full. The client agrees to pay all expenses of collection, including reasonable
X
Roll yard with magnetic roller daily.
attorney fees, and $50 for each returned check.
This proposal may be withdrawn by us if not accepted within 30 days.
I/We the owner agree to pay upon substantial completion the sum of: Insurance proceeds, including supplements and permit fees
for the roofs and all other repairs.
►' City of Wheat Ridge
P( Residential Roofing PERMIT - 201707187
PERMIT NO: 201707187 ISSUED: 09/12/2017
JOB ADDRESS: 10601 W 45th AVE EXPIRES: 09/12/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles - 56.4 sq
Pitch = 5/12
*** CONTACTS ***
OWNER (303)842-0452 HORLACHER CRAIG
SUB (303)794-3573 Brad Gramke 140221 Heritage Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,330.00
FEES
Total Valuation 0.00
Use Tax 384.93
Permit Fee 346.95
** TOTAL ** 731.88
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
F.
City of Wheat Ridge
Residential Roofing PERMIT - 201707187
PERMIT NO: 201707187 ISSUED: 09/12/2017
JOB ADDRESS: 10601 W 45th AVE EXPIRES: 09/12/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles - 56.4 sq
Pitch = 5/12
I, by my signature, do hereby attest t k to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and plicab icippal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the pr an aut rized to obtain this permit and perform the work described and approved in conjunction with
thisperm�t. I further attes at I egally horized to include all entities named within this document as parties to the work to be
performed and that all w perfo "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, 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 originalermit fee.
3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, 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.
Dane Lovett 70707 V
From: no-reply@ci.wheatridge.co.us
Sent: Monday, September 11, 2017 1:20 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Flagged
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address 10601-10621 W. 45th Ave
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Craig Horlacher
3038420452
11
473�R
49
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed D00091117-09112017121855.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Heritage Roofing
Name
Contractor's License 140221
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3037943573
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 2270 W. Chenango Ave unit 400
(Primary address of your
business)
Contractor Email Address victoria@heritageroofing.com
Retype Contractor Email victoria@heritageroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 56.40
the entire scope of work:
Project Value (contract 18330
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
50
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof.
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
W
Yes
5/12
56
Tamko Heritage Asphalt Shingles
Asphalt
Tear off to deck install new shingles
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
51
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.
Name of Applicant Victoria Cullison
Email not displaying correctly? View it in your browser.
52
"Quality r is doing it right when no one is looking." - i y Ford
2270 West Chenango Ave - Unit 102
Littleton, CO 80120
www.heritageroofingcolorado.com
HeritaS
info. heritageroofing�abyahoo.com
H,_ Phone: 720-249-9605
hdt:�Lr iracz
Fax: 303-586-7074
Purchaser: Fruitdale Roof Maintenance Association, Inc.
Date: August 7, 2017
Address: P.O. Box 12961 �M
U � / f 0 Z y 5�t.
President: Craig Horlacher
Phone: 303 842-0452
City, State: Wheat Ridge, CO 80034
Property: 14 Duplex Buildings covered
by Insurance Estimate
Insurance Co: Travelers
Claim #:FAE0975001 H
X
Tear off shingles and felt to wood decking.
Uwe agree to retain Heritage Roofing and Contracting Inc to replace and/or
repair the roof with like material oil -the property aforementioned ontingent
X
FREE UPGRADE: Install: 2"x4" drip edge. Color to match
upon Heritage Roofing and Contracting Inc obtaining my insurance company's
approval and payment to have said work done It is understood and agreed that
shingles/fascia.
Heritage Roofing and Contracting, Inc. is to contact my insurance carrier and meet with
their representative in order to discuss the repair or replacement work to be done to the
property. Upon insurance carrier's and Heritage Roofing and Contracting, Inc.'s
X
FREE UPGRADE: Install Synthetic Felt
agreement to the extent of the damages and cost of fixing them, Heritage Roofing and
Contracting, Inc. may begin to work on said property. HOMEOWNER'S OUT-OF-
UTOF-
X
FREE UPGRADE: Install Ice & Water Shield along all eave
edges,
edges, in all valleys, and around all roof penetrations.
POCKET EXPENSE WILL NOT EXCEED HOMEOWNER'S INSURANCE POLICY
DEDUCTIBLE FOR WORK AGREED UPON BETWEEN THE INSURANCE CARRIER
AND HERITAGE ROOFING AND CONTRACTING INC Homeowner also agrees to
X
Recover roof with Tamko Heritage, 30 year shingles in Natural
Timber Color.
provide all necessary documentation of claim (also providing all pertinent
documentation to facilitate payment from insurance carrier/or Mortgage Company.)
X
Install Tamko Heritage ridge shingles to match field shingles.
Heritage Roofing and Contracting, Inc. reserves the right to file for supplemental
insurance claims if the insurance adjuster measurements are used and prove to be
X
Double All Eaves: ALL
incorrect.
Owner agrees that the equity in this property is security for this contract. This
contract shall become binding only upon written acceptance hereof by the Contractor
X
New Valleys: Closed Valleys
or by an authorized agent of the contractor: or upon commencement of the work. This
contract constitutes the entire understanding of the parties, and no other
understandings, collateral or otherwise, shall be binding unless in writing and signed by
X
Galvanized Nails: 6 Nails Per Shingle
both parties.
Labor warranty does not cover damage to roofs caused by lightning, hail, wind
X
Replace all plumbing jacks, vents and caps.
(50mph+), hurricane, tornado, impact of foreign objects, or other violent storm or
casualty. Also damage to roofs due to settlement, distortion, failure or cracking of the
X
Paint all roof stacks to match.
roof deck, walls or foundations is not covered. The contractor shall revoke labor
warranty if contract is not paid in full. The Labor warranty is non transferable. The
Material is not transferable unless otherwise stated by the manufacturer.
X
Manufacturer's Warranty: 30 year limited warranty with the
first 15 years tion -prorated.
All material is guaranteed to be as specified. ALL work is to be completed in a
workmanlike manner according to standard practices. Any alteration or deviation from
the above specifications involving extra cost will be executed only upon written orders
X
5 Year Guarantee on Labor
and will become an extra charge over and above the estimate. Labor and material
Warranty covers roof only. The property owner is to carry fire, tornado and other
X
Heritage Roofing and Contracting to furnish all material and
labor
necessary insurance. Heritage Roofing and Contracting, Inc. is not responsible for
mold or mildew. The warranty is limited to roof leaks and replacement of missing
X
Permit furnished by Heritage Roofing and Contracting
shingles, but does not include repair or reimbursement for water damage to the interior
of the home.
Upon substantial completion of the roof, final payment will be due. If not paid within
X
Clean-up and haul off all trash from roof
30 days a finance charge of 1.5% per month will be charged on account balances not
paid in full. The client agrees to pay all expenses of collection, including reasonable
X
Roll yard with magnetic roller daily.
attorney fees, and $50 for each returned check.
This proposal may be withdrawn by us if not accepted within 30 days.
I/We the owner agree to pay upon substantial completion the sum of: Insurance proceeds, including supplements and permit fees
for the roofs and all other repairs.
i CITY OF WHEAT RIDGE
9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIO"TIC
//
Inspection Type: �' A
Job Address: A(_ 6
Permit Number:f ri
❑ No one available for inspection: Time�� Al�ll/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ? Inspector: �' !
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE "
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:,/�
1_J No one available for inspection: Time AM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ` `` '' r' Inspector:
DO NOT REMOVE THIS NOTICE
Or Current owner/occupant
WANDA SCHWINDT
Regarding Permit: 201401773; Replace Furnace 110K BTU
10601 W 45th AVE, Wheat Ridge, CO 80033-2665
Our Records indicate that the above noted permit was issued on 11/19/14. Our last
inspection related to that permit was on NONE,
gecause • the inactivity ♦ this permit, it will become void as • 12/31/2015.
Please contact this office within one week from the date of this letter to update us on
the status of this permit, or call for a final inspection on the property. You may call
303-234-5933 or request inspections online at www.ci.wheatridge.co-us. Information needed
are permit number, property address, type of inspection and date to be inspected.
If you do not contact this office, and wish to resume work at a later date, you will be
required to submit a new permit application, drawings with appropriate code edition
information and pay applicable fees. Incomplete or inactive permits may be reported to
agencies such as Jefferson County Assessor, title companies, etc., and could affect future
transactions related to this property.
Thank you for your cooperation concerning this matter. If we can answer any questions,
please don't hesitate to contact us at 303-235-2855, option 7.
Melissa Mackey
Senior Permit Technician
01 A 1
Building Permit App
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1:100 Kill
4
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CERTIFICATE OF OCCUPANCY
CITY OF WHEAT RIDGE
Issued Wlthout Fee 7500 W. 29th Avenue oate June 26, 1996
Wheat Ridge, Colorado 80034
Thls certlficate verifies that the bullding constructed andlor the use proposed of the building and/or
premises, under the above permit number and on property described below, does comply wlth the
Wheat Rldge Bullding Code, Zoning and other related land use and devalopment laws of the Clty of
Wheat Ridge, and may be occupied for the use specifled.
a
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OWNER R & JAssociates
ADDRESS 4570 Teller Street
CONTRACTOR Richard Todd
PROPERTYADDqESS
LEGAL DESCRIPTION:
10601 W. 45th Avenue
FOR THE FOLLOWING PURPOSE
1/2 of a Duplex
L No change ahall be made In the use of this bullding wlthout prior notice and a new I
Certificate of Occupancy from the City of Wheat Ridge.
Chlef Building Inspector ~
ZoningAdministrator
-~i<
w.R.FOrmse ForMayor
%SOO INEST 29TN AVENUE
P.O BOX 638 ThE Clly 0I
. .
WHEAT RIDGE CO 80034-0638 .(303) 234-5900 cWheat
Gty Admin. Fax # 234-5924 Police Dept Fax # 235-2949 qRidge
DATE: June 26, 1996
To: Accounting Department
FROM: Director of Planning & Development
SUHJECT: ESCROW REFUPID
Reimbursement requested for escrow £unds being held £or:
Completion of Landscaping at: 10601 W. 45th Avenue, 10621 W. 45th Avenue
10700 W. 45th Avenue, 10720 W. 45th Avenue
The Landscaping has heen completed to the City's satisfaction.
RELEASE TO: R& J Associates
LoCATION: 4570 Teller Street
Wheat Ridge, CO 80033
AMOUNT: $1,000.00
- , -,c
s_ ~~:'it%j:v:~i\ j~✓~. .
G1enGidley ,
Director of Planning Development
0
DATE : d '
AICERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR:
oC,o ( W. 4,s~
f
PURPOSE OF STRUCTURE:
Building Dept.Approval:
cz
Remarks
Zoning Approval: Remarks .-~/W
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CE1~,~I~iCATE OF OCCi~P~~CY 24-96
panding ldiYWAUT RIDGE
IssuedWlthoutFee 7500 W. 29th Avenue Dater 5-24-96
Wheat Rldge, Colorado 80034
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W 45th Ave .
12 Family Home
I No change shall be made In the use of this building wlthout prior notice and a new (
Certificate of Occupancy from the City of Wheat Rldge. ^
Chief Building Inspector
Zoning Admin
This certlficate verlfles that the bullding constructed andlor the use proposed of the bullding andlor
premises, under the above permit number and on property described below, does comply with the
Wheat Fidge Bullding Code, Zoning and other related land use and development laws of the City of
Wheat Ridge, and may be occupled for the use specifled.
OWNER Richard Todd ADDRESS 10601 W. 45th Ave.
CONTRACTOR R & J HOIRcS
PROPERTV ADDRESS 10601
LEGAL DESCRIPTION:
FOR THE FOLLOWING PURPOSE 8
W.R. Form &B For Mayor
@
DATE:
TO: PUBLIC WORKS DEPARTMENT
FROM: Building Department
~
RE: I ~
The property at In V U I l-/ `q ~ has been
signed off by the Building Department and is ready for a CO
inspection.
Once the inspection has been completed, please inform the
building department as to the status.
Thank you.
PUBLIC WORKS APPROVAL / (L ~
Remarks:
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BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at- 04G/ lAi,yS
I have this day inspected this structure and these premises and
have found the following violations of City and/or State"laws gov-
s erning'same:'
a ~f✓:~ T!i/~TC' {N!r'SSid+~r N'l~c-~c fv~f'I. L~/~
A'HQ. . . . . .
N A
You are hereby notified to correct the foregoing violations. •
When corrections have been made, call for inspection.
Date
. . - : inspector forBuilding Dept.
DO NOT REMOVE THIS TAG
..?'pORM W116-22 . . . . . . . .
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE ~
WHEAT RIDGE, CO 80215 ;
~
~
Property Owner :
Property Address : 10601 45TH AV
Contractor License No. : 17149
Company : Richard R. Todd
Building Permit Number : 95-2373
Date :12/13/95
t76c
Phone : 431-7911
Phone : 431 7911
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit 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 Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : EAST 1/2 OF UPLEX
Construction Value :
$75,000.00
Permit Fee :
$527.00
Plan Review Fee :
$0.00
UseTax:
$1,125.00
Total:
$1,652.00
BUILDING DEPARTMENT USE ONLY
Approval : SM 12/07/95
Zoning : R-2
Approval:
PER ATTACHED REVIEW SHEET
Approval : GK 12112195
Occupancy : SFR Walls : Roof : Stories : Residential Units
Electrical License No : 112 1 Plumbing License No :Lf Mechanicai License No
Company : D LU, Comp n Company :C6>6 ~e-I
(r+iuuN ec.
Expiration Date : Expiration Date : Expirailon Date :
Approval: Approval: ' Approval:
mmmom
,(7) This permit was issued in accordance wi[h the provisions set toAh in yopur application and is sub1'ec[ [o the laws of ihe Stale of Colorado and to the Zoning
Regulalions antl Building Cotle of Wheat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This penit shall expire if (A) the work authorizetl is not commencetl within sixty (60) tlays from issue tlate or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this penit expires, a new penit may be acquired for a fee of one-half ihe amount nortnally required, provided no changes have been or will be made in the
original plans antl specifications antl any suspension or abandonment has nol ezceetletl one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the naturel flow of water wusing a tlreinage problem.
(5) Contrector shall notiy the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card before
proceediing with successive phases of ihe job.
(6) The issuance of a penit or the approval of tlrewings and specifica6ons shall not be construed to be penit for, nor an approval of, any violation of the provisions
ofthe iild~ 9codes ranyoth rordina ce,law,ruleorregulation.
Vef Building Inspector For Mayor
THIS 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 INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
PropertyOwner: M' ~SS~1-y,~s
Property Address Phone : G/ 13/~
Contractor License No. C'Aq
Company : J2Xkyhog Phone
OWNER/CONTR.4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate appticable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictians of record: that all measurements shown, and allegations
made are accurate: that I have read and agree to abide by all contlitions prinfed on this
application, antl that I assume full responsibility for wmpliance with the Wheat Ridge Building
Code (U.B.C.) antl all other applicable Whgat ~oe ordina s o work under this pertnit.
(OWNER)(CONTRACTOR) SIGNED A~-~ DATEIL_,4 -
Description : 9~
/~!A('i j 'Z
BUILDING DEPARTMENT USE ONLY
lz
Approval : s,,,~
Zoning : 7Z2
Approval :
„Efflp110W. _ ,M
ApprovalJi
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbmg License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
~ Pfans Requiied Pl"s Required rFqnsq 6
(1) This permR was issuetl in accortlance with the pmvisions set forth in yopur apPlication antl is subject to the laws of Ne Stale of Coloratlo antl lo the Zoning
Regulations and Buiiding Cotle of Vvhea[ Ridge, Coloraao or any olher applicable ordinances of Ihe Ciry.
(2) This permit shall expire d(A) the work authonzed is not commencetl within sixry (60) days fmm issue tla[e or (B) Me builtling authonzed is suspentletl or
abantlonetl for a periotl of 120 days.
(3) If this pertnrt ezpires, a new permit may be acquiretl for a fee of one-half the amount nortnally required, provided no changes have been or wlli be matle m the
original plans antl specificalions and any suspension or abantlonment has not exceeded one (1) yeac If changes are matle or if suspension or abandonment
exceetls one (7) year, full fees shall be paiE for a new certnit.
(4) Na work of any manner snall be tlone Ihat will change the naNral flow of water causing a drainage problem.
(5) Conlracror shall notity Ihe Builtling Inspector twenry-four (24) hours in atlvance for all i9$pecnons and shall rec e written appmval on inspecUOn card before
proceediing wph successive phases of ihe lob. /1
(6) The issuan~f a permR or the approval o~rawings ano speci(cations shall not he~onstmea to be a permi o, nor~n agproval of. any violation of the provisions
of the huiltling cotles o~ny olhe~rtljflan law, rule or regulation.
Construction Value : iF~S,-Don
Permit Fee :
Use Tax :
Total :
Chief Bu ding Inspector For Mayor
THIS ~ERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INS OR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
?ARTMENT OF PLANNIN6 & DEVELOPMENT
REQIIEST FOR PIIBLIC WORRS REVZEW
ilate: Case/Building Permit No, yS=a373
Location: _%D 60/ zz/ 4l'S ~
Please revieG~-u~.a-~A-,G w ~the,~tta~ched materials submitted in application for approval of
a d-~GE , and indicate your decision on thos,e items check
below, {hd pleese add any other comments which you may have under number 18.
1. Boundary Closure: K OK _ Not OK; refer to Stipulations
2. ✓ Area: Acres Square Feet
3. Drainage:
a. Drainage plan (and report) needed _
b. Drainage plan not needed x P«,,,a„iy c,,~-d•
c. Drainage provisions have been reviewed~and are found to be:
_ OK _ Not OK; refer to.stipulations
4. i NPDES Permit Required Y `N
5. ~ Legal Description: x OK _ Not OK; rePer to stipulations
If not okay, please explain:
6. ! Public 2mprovements:
a. Street paving needed Y~ b. Curb & Gutter needed Y~
c. Sidewalk needed Y d. Street Lights needed Y
e. Storm Sewer needed Y f. Escrow required Y ~
If Escrow required, for what improvements? In what amount?
7. ! Development Agreement required Y ~
If Yes, for
a. ! All necessary documents have been initiated by Public Works and are
attached hereto: {-lo ~
9. ~
10. i
11.
Is a traffic impact analysis and report required? Y~
Is a State Highway Access Permit needed? Y~
New roadway or alley R.O.W. dedication is recommended: N~
If yes, what is recommended:
12. ~ All existing dedicated roadways and alleys meet the standarde of the
City: Y~
If no, which do not and what is requested:
13. i All existing and proposed dedications have been reviewed and found to
be: x OK _Not OK; refer to numbers 11 & 12.
14. / Approval:~~he Public Works De artment has reviewed this request and
her,eby gi es its approval, subject to the above and/or attached
sti ~pulat' ons
Sianatu 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 No
17. l DEADLINE DATE FOR PUSLIC WORKS DEPARTMENT REPLY:
18. _ Summary Comments:
10
A
As\PLAN&DEV.FRM (FORMS)