HomeMy WebLinkAbout7095 W. 45th Avenuei CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office . (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �`- �- C� CA
Job Address: ___711 -k 0 U)
Permit Number: L:) C-) 1_, (D _ C-) 1 r�
❑ No one available for inspection: Time AM/PM
Re -Inspection required: f1 e' No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -1 ` 1)AC
Inspector:
®O NOT REMOVE THIS NOTICE
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler/ urnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof,
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
.
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
ZO&O 75/700
704?s w 9%sm
Aft
PERMIT: ADDRESS: JOB CODE:
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
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 MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
�� (—(
Q1k1•-
(:)\Z--
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
�� (—(
Q1k1•-
(:)\Z--
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
City of Wheat Ridge
Residential Roofing PERMIT - 201707512
PERMIT NO: 201707512 ISSUED: 09/21/2017
JOB ADDRESS: 7095 W 45th AVE EXPIRES: 09/21/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 33 sq Pitch = 5/12
*** CONTACTS ***
OWNER (303)750-4287 JOHNSTON RYAN H
SUB (303)351-6478 Justin Anderson 170236 Anderson Builders, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,500.00
FEES
Total Valuation 0.00
Use Tax 199.50
Permit Fee 204.30
** TOTAL ** 403.80
*** 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 6/12 PITCH & OVER: 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
Residential Roofing PERMIT - 201707512
PERMIT NO: 201707512 ISSUED: 09/21/2017
JOB ADDRESS: 7095 W 45th AVE EXPIRES: 09/21/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 33 sq Pitch = 5/12
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 permit. I further attest that I am legally authorized to include all entities named within this document as partes 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.
Signakre 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 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 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 change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicab a or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Y 41
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 7
From: no-reply@ci.wheat ridge.co.us
Sent: Monday, September 18, 2017 8:02 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 Single Family Home
are on the property?
PROPERTY INFORMATION
`j
Property Address 7095 W 45th Ave
Property Owner Name Ryan Johnston
Property Owner Phone 303-750-4287
Number (enter WITH
dashes, eg 303-123-4567)
�o
s
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Johnston Contract.pdf.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Anderson Builders LLC
a
170236
303-829-6276
Contractor Address 6542 W Morraine PI Littleton CO 80128
(Primary address of your
business)
Contractor Email Address andersonbuildersllc@gmail.com
Retype Contractor Email andersonbuildersllc@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 33
the entire scope of work:
Project Value (contract 9500
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
Pitched roof (2:12 pitch or greater)
PJ
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
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)
5/12
33
GAF Timberline HD Shingles
Asphalt
House Only
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
3
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 Justin Anderson
Email not displaying correctly? View it in your browser.
AMMKIL Qu amity Cr Yr�w Caul. Trwt
lotPhone.303.829.6276
`Fax.303.997.1889
andersonbuildersllc@gmail.com
ANDERSONandersonbuilds.com
B U I L D E R S 6542 W. Mor rai ne Pl . Littleton. CO. 80128
LLC Licensed & Insured
Repair Re Agreement
a7 p
'Ireperty Ow r
Master Sill 1
vpticmew
BBB_
C;ertainTeedB
ACCREDITED
BUSINESS
Sfi .pp
�li7t'il4a D�S�NE��7
'Ireperty Ow r
Date
StreetAd���
n
Anderson Builders Rep.
/ , /''/
City, State, i
Insurance Company
Am�-2(,
Phone
3031 S-_�Qq
Cell
3 03 ql --
Claim Numbe
os- u a S_ 6
Scope of MWork:4--WI/ C
JA
t1l Tear Off _ layer(s) of comp. _layer of cedar
I1Inspect Decking ❑ Install Decking
EI Install Drip Edge, Color
dnstall Ice & Water
❑ Install 15# Felt ❑ 30# Felt ❑Synthetic
i�S��hingle Type
111 Shingle Color4 't 1LOZ
❑ Closed Valleys ❑ Hurricane Nail System
❑ Install Rubber Pipe Jacks ❑ Install Broans
❑ Install Turtle Vents ❑ Install Furnace Caps
❑ Paint Pipe Jacks & Turtle Vents to Match
❑ Step Flash Sidewalls ❑ Step Flash Chimney
❑ Sweep Yard with Magnet ❑ Clean Out Gutters
❑ Clean Up & Remove Trash
Remove & Reinstall Satellite
pecial Instructions, Additional Work I �G{ Ce- ���f� -u4 f � �76z,,eGs r(ort(
<� � ► res vr��,�1C e art, c�.��:
Payment Options get zi �� G G -' i t 3 t k�� St
Work to be completed according to the above specifications in the amount of:
I authorize Anderson Builders LLC to represent my best
interest in pursuit of damage replacement due to storm
damage. This contract does not obligate the
homeowner or Anderson Builders LLC until the claim is
approved by the insurance company & accepted by
Anderson Builders. I also authorize Anderson Builders
LLC to repair/replace my roof for the Replacement Cost
Value (RCV) provided by my insurance company.
Agreed upon price will become the final contract
price. The owner's out of pocket expense will not
exceed their insurance deduc "bl less upgrades are
added. Initial:
Deductible amount:
Homeowner's Signa
Anderson Build 41C8epotenature
Approximate Date of Service to Be Completed
ref .LMsvr�dl�.�
$ 1 pt--( sv✓6rr
Date
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
3
INSPECTION NOTICE
Inspection Type: 1 k14 - L �-
Job Address: 1CM5 A A51A Y
Permit Number: '��UII (�-15 12.
❑ No one available for inspection: Time 'Z)0&IM
Re -Inspection required: Yes No
When corrections have been made, call foFl e -inspection at 303 -234 -
Date: lQ Inspector: I `
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: J200r
Job Address: 1095 VAI .4574 A �—
Permit Number:
-4yv 1
r
❑ No one available for inspection: Time AM �M
Re -Inspection required: Yes No
When corrections have been made, call for e-inspecttiion at 303234-5933
DateJ D 4 1 `1 Inspector: `1 I c NLL-
DO
NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancy/Type
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day. * *
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/in-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath /Wall Tie
Final Electrical
Rough Electric
Final Plumbing
Rough Plumbing/Gas Line
Final Mechanical
Iz_7L-%
Rough Mechanical
I
1
Rough Framing
Final Window/Doors
Insulation
Final Building
Drywall Screw/ Nail
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Iz_7L-%
"r," T,
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
**For Inspection Time Window Requests — Please email insotimerecluest(o)ci.wheatridge.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
Inspection Type:
INSPECTION NOTICE
M /
Job Address: 70 :5�- L�/, `� ' `{
Permit Number: 2 o/ 6 0 1 9 6 4
r C') ip.
❑ No one available for inspection: Time f &/PM
Re -Inspection required: Yes ( o
* 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 7`�r
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: H - R'T__
Job Address: -7 Q) 9 S' W 45 J�, >r1
Permit Number: 1 (0
d' 1,Kf 'A
❑ No one available for inspection:TimeM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: i Inspector. ' tl
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanic PERMIT - 201601966
PERMIT NO: 201601966 ISSUED: 12/12/2016
JOB ADDRESS: 7095 W 45th AVE EXPIRES: 12/12/2017
JOB DESCRIPTION: Remove existing wood stoveand install new wood insert that is EPA approved
on the main level and installation of one new EPA approved wood insert in
the basement.
*** CONTACTS ***
OWNER (303)915-6439 JULIE YOUNG
SUB (303)887-4727 Jason Brendlinger
060165 Fireplace & Grill Experts
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,100.00
FEES
Total Valuation 0.00
Use Tax 37.80
Permit Fee 93.35
* * TOTAL * * 131.15
* * * COMMENTS * * *
*** CONDITIONS ***
Installation must comply with manufacturer specifications and meet EPA Phase II or Colorado
Phase III certification requirements. All work is subject to field inspections.
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 pennit2cll
Ther attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed wor�tobe pe ed is disclosed in this document and/or its' accompanying approved plans and specifications.
2 /Z -
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
th
subject to e compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Isuance 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 change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a ermit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
,app,VcaMe code or any oglinwice orfiegulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official %0 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest(q-),ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
�W heatj�jgie
cnMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # /—1 � O l 9 � (.0
Plan Review Fee:
Building Permit Application
— Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *
Property Address: 7093- W VS 6",4vc,7✓e
Property Owner (please print): j„l; e %o v,,G Phone: 3�3 9iS-G S`.T 9
Property Owner Email:
Mailing Address: (if different than property address)
Address: 2/Y9 C v v•, i Roa6) 325
, State, Zip: W is C G l i -Cf f,
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: r1'f W10 c c q n0' G n'll F,,ae, e S
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: T 3-607.Y727
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ 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.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL 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.) J) /
Re. Qve 4n P.��S/<..'n� WooO� In.i<r"ti 4 n.st-ill a ne— W000'�nS<^'�. ♦L%�'t , s EISA 4j0/J�o✓ C
1 n Cbe mIeve/, 4)s6in.5{6// ct 0e A'P/0,0y°oJK o&a %'.�s<i't intC/ c ex,'.5z.'-15
Vuaopl 45,' ,pla6C , n t%t b..5ee. -�
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 2100 Of
OWNEWCONTRACTOR 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) (CONTRACTOR or (AUTHORIZED/REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): �� �T �_'Gr/� DATE: 1.2 ZUA4
DEPARTMENT USE ONLY
ZONING COMMMENTS OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
Installation Manual
Installation & Appliance Set -Up
INSTALLER: Leave this manual with party responsible for use and operation.
OWNER: Retain this manual for future reference.
NOTICE: DO NOT DISCARD THIS MANUAL
VOYAGEUR WOOD INSERT
Automatic Combustion Control (ACC)
Model(s):
VOYAGEUR -MBK
VOYAGEUR -PMH
i
I
E1� us
tyn0
Intertek
A WARNING
Fire Risk.
For use with solid wood fuel only.
Other fuels may overtire and generate
poisonous gases (i.e. carbon monoxide).
Installation and service of this appliance should
r�� '►� be performed by qualified personnel. Hearth &
r Home Technologies recommends NFI certified
professionals, or technicians supervised by an
?IT NFI certified professional.
WARNING
6 If the information in these instruc-
tions is not followed exactly, a
fire may result causing property
damage, personal injury, or death.
• Do not store or use gasoline or other flam-
mable vapors and liquids in the vicinity of
this or any other appliance.
• Do not overf!re - If heater or chimney con-
nector glows, you are overfiring. Overfiring
will void your warranty.
• Comply with all minimum clearances to
combustibles as specified. Failure to
comply may cause house fire.
A WARNING
HOT SURFACES!
Glass and other surfaces are hot
It during operation AND cool down.
Hot glass will cause burns.
• Do not touch glass until it is cooled
• NEVER allow children to touch glass
• Keep children away
• CAREFULLY SUPERVISE children in same room as
fireplace.
• Alert children and adults to hazards of high temperatures
• High temperatures may ignite clothing or other
flammable materials.
• Keep clothing, furniture, draperies and other flammable
materials away.
NOTE
To obtain a French translation of this manual, please contact
your dealer or visit www.quadrafire.com
Pour obtenir une traduction frangaise de ce manuel, s'il vous
plait contacter votre revendeur ou visitez www.quadrafire.com
1 7063-513F March 10, 2016
1 Important Safety Information
A. Insert Certification
Model:
Voyageur Wood Insert
Laboratory:
Intertek
Report No:
100116597
Type:
Solid Fuel Type, Listed Room Heater
Standard:
UL1482 and ULC S628-93 and
(UM) 84 -HUD, Mobile Home
Approved.
NOTE: This installation must conform with local codes. In the
absence of local codes you must comply with the UL1482, (UM)
84 -HUD and NPFA211 in the U.S.A. and the ULC S628-93 and
CAN/CSA-8365 Installation Codes in Canada.
B. BTU & Efficiency Specifications
EPA Certification #: 790
EPA Certified Emissions: 4.1 grams per hour
*LHV Tested Efficiency: 77.0%
*'HHV Tested Efficiency: 71.1 %
***EPA BTU Output: 11,200 to 23,500 / hr.
****Peak BTU/Hour Output: 49,100
Vent Size: 6 inches
Firebox Size: 1.83 cubic feet
Recommended Wood Length: 16 inches
Fuel Orientation: ISide-to-Side
Fuel I Seasoned Cord Wood
* Weighted average LHV efficiency using Douglas Fir dimension-
al lumber and data collected during EPA emissions test.
**Weighted average HHV efficiency using Douglas Fir dimen-
sional lumber and data collected during EPA emissions test.
***A range of BTU outputs based on EPA Default Efficiency and
the burn rates from the low and high EPA tests, using Douglas
Fir dimensional lumber.
****A peak BTU out of the unit calculated using the maximum first
hour bum rate from the High EPA Test and the BTU content of
cordwood (8600) times the efficiency.
C. Mobile Home Approved
• This appliance is approved for mobile home installa-
tions when not installed in a sleeping room and when
an outside combustion air inlet is provided.
• The structural integrity of the mobile home floor, ceil-
ing, and walls must be maintained.
• The appliance must be properly grounded to the frame
of the mobile home with #8 copper ground wire, and
chimney must be listed to UL103 HT or a listed UL -
1777 full length six inch (152mm) diameter liner must
be used.
• Outside Air Kit, part OAK -ACC must be installed in a
mobile home installation.
VOYAGEUR
The Quadra-Fire Voyageur (ACC) meets the U.S. Environ-
mental Protection Agency's crib wood emission limits for
wood heaters sold after May 15, 2015.
This wood heater needs periodic inspection and repair for
proper operation. It is against federal regulations to operate
this wood heater in a manner inconsistent with operating
instructions in this manual.
D. Glass Specifications
This stove is equipped with 5mm ceramic glass. Replace
glass only with 5mm ceramic glass. Please contact your
dealer for replacement glass.
Quadra-Fire is a registered trademark of Hearth & Home
Technologies.
A WARNING
Fire Risk.
Hearth & Home Technologies disclaims any
responsibility for, and the warranty will be voided
by, the following actions:
• Installation and use of any damaged appliance.
• Modification of the appliance.
• Installation other than as instructed by Hearth & Home
Technologies.
• Installation and/or use of any component part not approved by
Hearth & Home Technologies.
• Operating appliance without fully assembling all components.
• Operating appliance without legs attached (if supplied with unit).
• Do NOT Overfire - If appliance or chimney connector glows, you
are overfiring.
Any such action that may cause a fire hazard.
Improper installation, adjustment, alteration, service or
maintenance can cause injury or property damage.
For assistance or additional information, consult a qualified
installer, service agency or your dealer.
NOTE: Hearth & Home Technologies, manufacturer of
this appliance, reserves the right to alter its products, their
specifications and/or price without notice.
Hearth & Home Technologies WILL NOT warranty stoves
that exhibit evidence of over -firing. Evidence of over -firing
includes, but is not limited to:
• Warped air tube
• Deteriorated refractory brick retainers
• Deteriorated baffle and other interior components
March 10, 2016 7063-513F 3
List of EPA Certified Wood Heaters December 2016
Manufacturer listed in parentheses owns the heater
Hearth and Home
Technologies Voyageur Grand
3.2
10700-25600
Non Catalytic
Hearth and Home
I
Technologies Northstar/Constitution
3.3
11300-51200
Non Catalytic
Hearth and Home
Technologies Quadra-Fire 4100
4.0
11.700-50500
Non C_ata_I 'c
Hearth and Home
Technologies Voeur
4.1
11200-23500
Non Cata '
Hearth and Home
Technologies 51001 ACC
4.2
10500-27900
Non Catalytic
Hearth and Home
Technologies 27001
4.2
11200-35900
Non Catalytic
Hearth and Home
Technologies 41001 ACC 4.3
11700-25900
Non_ Catalytic
Hearth and Home Mount Vernon E2 Freestanding and
Technologies Insert 0.50
13900-42200
Pellet
_
Hearth and Home
Technologies Quadra Fire C131200/Classic Bay 1200 1.1
13500-37600
Pellet
Hearth and Home
Technologies Harman Stove Co. TL 300 and TL300i 1.1
11200-34900 Non Catalytic
Hearth and Home
Technologies Harman Stove Company P68 1.3
11800-53500 Pellet
Hearth and Home Quadra-fire C812001/Classic Bay
Technologies 12001 1.3
11500-34600 Pellet
Hearth and Home
,Technologies P35i 1.5
9600-28800 Pellet
Hearth and Home
Technologies Harman Stove Company Accentra 52i 1.5
10300-39800 Pellet
'Actual Measured Efficiency - Per CSA 8415.1
Page 10
SAFETY NOTICE
If this stove is not properly installed, a house
fire may result. For your safety, follow the
installation instructions. Contact local
building or fire officials about restrictions
and installation inspection requirements in
you area.
I
I
SERIAL #
L
INSTALLATION
AND OPERATING
INSTRUCTIONS
We endorse
�, NATIONAL
FIREPLACE
U
�� u INSTITUTE
Qro Wood Energy
Technical Training
w—weH,nc.ce
Model:
PACIFIC VISTA INSERT
Series: D
200516-20 VISTA INSERT -D 5055.3231
Safety
READ ALL INSTRUCTIONS BEFORE INSTALLING
AND USING THIS APPLIANCE. FAILURE TO FOLLOW
INSTRUCTIONS MAY RESULT IN PROPERTY DAMAGE,
BODILY INJURY, OR EVEN DEATH.
We strongly recommend that smoke detectors be installed.
If smoke detectors have been previously installed, you may
notice that they are operating more frequently. This may be
due to curing of stove paint or fumes caused by accidentally
leaving the fire door open. Do not disconnect the detectors.
If necessary, relocate them to reduce their sensitivity.
SAFETY NOTICE: If this stove is not properly installed, a
house fire may result. For your safety, follow the installation
directions. Consult local building or fire officials about restric-
tions and installation inspection requirements in your area.
The services of competent installer, certified by the Wood
Energy Technical program (WETT) - in Canada, Hearth
Education Foundation (HEARTH) - in U.S.A. (or equivalent)
are strongly recommended.
Dimensions
2 3/8"
[ 59mm ]
6 5/8"
[ 170mm ]
19 3/4"
[501mm ]
191/2" [762mm]
495m m ] 26„
[661mm ]
141/2"61/8"
m
[ 368m ] [ 157mm ]
_ 205/8"
[525mm ]
Adjo
V i
200516-20
Clearances
Masonry or Factory Built Fireplace
The minimum required clearances to surrounding combustible
materials when installed into a masonry orfactory built fireplace
are listed below and in Fig. #1.
Minimum Clearances to Combustibles
(Measured From Insert Body)
Adjacent Sidewall ........................... 9 in. (229 mm.)
Mantel ........................................... 15 in. (381 mm.)
Top Facing .............................. 15 in. (381 mm.)
Side Facing ............................... 9 in. (229 mm.)
'42'
[1.07m]
361/2"
[ 927mm ]
*Oversized Surround
231/4"
[ 591mm ]
201/4"
[ 514mm ]
22 1/2"
[571mm
VISTA INSERT -D
m
9 3/4"
[ 249mm ]
Contents
Safety............................................................................................ 3
Dimensions............................................................................................
3
Clearances...................................................................................
3
Masonry or Factory Built Fireplace........................................................
3
Maintenance Checks...................................................................4
Installation..........................................................................•.........
6
Fireplace Specifications.........................................................................
6
Into a Masonry Fireplace.......................................................................
6
Full Flue Liner -(Required in Canada) ....................................................
7
Direct Flue Connection - (USA only) .....................................................
7
Into a Factory Built Fireplace.................................................................
7
Surround Assembly and Installation...................................................... 8
CombustionAir...................................................................................... 9
Blower...........................................................................................
9
BlowerOperation...................................................................................
9
ElectricalSupply.............................................................. ..........
9
Operation....................................................................................
10
WoodSelection.....................................................................................10
How to Test Your Wood.........................................................................10
Lightinga Fire.......................................................................................10
NormalOperation.................................................................................10
Restarting After Extended Burns..........................................................10
OverFiring............................................................................................11
Heat Output Calculation.......................................................................11
ProperDraft..........................................................................................11
AshRemoval........................................................................................11
Disposalof Ashes.................................................................................11
Chimney Smoke and Creosote Formation............................................11
ChimneyFires.......................................................................................11
In Case of a Chimney Fire....................................................................11
Avoiding a Chimney Fire.......................................................................12
Maintenance...............................................................................
12
Blower Maintenance.............................................................................12
BaffleRemoval......................................................................................12
AppendixA.................................................................................
13
Troubleshooting....................................................................................13
Firebrick Installation Instructions..........................................................14
Replacement Parts...............................................................................15
Replacement Parts - Blower.................................................................16
Optional Hearth Trim Kit.......................................................................17
Warranty Information.................................................................
18
Label.....................................................................................................19
PLEASE SAVE THESE INSTRUCTIONS
This manual describes the installation and operation of the Pacific Energy, VISTA INSERT wood heater. This heater
meets the 2015 U.S. Environmental Protection Agency's crib wood emission limits for wood heaters sold after May
15, 2015. Under specific test conditions this heater has been shown to deliver heat at rates ranging from 12,400 to
26,300 Btulhr.
NOTE: WE STRONGLY RECOMMEND THAT SMOKE AND CARBON MONOXIDE DETECTORS BE INSTALLED IN THE
AREA WHERE THE HEATER IS TO BE INSTALLED.
If smoke detectors have been previously installed, you may notice that they are operating more frequently. This may be due
to curing of stove paint or fumes caused by accidentally leaving the fire door open. Do not disconnect the detectors.
SAFETY NOTICE: If this stove is not properly installed, a house fire may result. For your safety, follow the installa-
tion instructions. Contact local building or fire officials about restrictions and installation inspection requirements
in you area.
Please read this entire manual before you install and use your new room heater. Failure to follow instructions may result in
property damage, bodily injury, or even death.
VISTA INSERT -D 200516-20
List of EPA Certified Wood Heaters December 2016
Manufacturer listed in parentheses owns the heater
Pacific Energy Fireplace IVista Seria&L Vista Classic, Vista
Products Limited Artisan ista In and Alderlea T4 2.9
Pacific Energy Fireplace Neo 2.5, Neo 2.5 Insert, and
Products Limited Newcastle 2.5 2.9
Pacific Energy Fireplace
_Products Limited FP16 3.1
Aldedea T5, Super 27, Spectrum,
Pacific Energy Fireplace Spectrum Classic, Standard, Fusion,
12400-26300 INon
11500-32600 74 INon
10766-24593 65 Non Catalytic
Products Limited
Step D1 - Design D
3.4
11000-34600
Non Catalytic
Standard, Pacific Ins, Spectrum
Pacific Energy Fireplace
Classic and Fusion, ALT5INS, Super
Products Limited
Insert
3.4
+
11000-34600
Non Catalytic
Pacific Energy Fireplace
FP25
3.5
12700-30200
i
67
Products Limited
Non Catalytic
Pacific Energy Fireplace
Neo 1.6, NEO 1.6 Insert, Newcastle
Products Limited
1.6, NEOSTONE 1.6
3.4
11300-33400
75 Non Catalytic
Pacific Energy Fireplace
Summit, Summit Insert, Summit
Products Limited
Classic, Aldedea T6 - Series B
3.9
10300-37500
Non Catalytic
Pacific Energy Fireplace
Products Limited
True North TN19
4.1
10700-32900
Non Catalytic
'Actual Measured Eff caency - Per CSA 8415 1
Page 22
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
I SPEC-79N NOTICE
Inspection Type: 7`j n f
Job Address: ids ~.J Q
Permit Number:.
l
fi
f.
❑ No one available for inspection: Time,. /3 AM%
Re-Inspection required: Ye
*When corrections have been made, call for re-inspection at 303-2345933:
Date_ Inspector.
DO NOT REMOVE THIS OTICE
♦ 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: U~ \d 0a
Job Address: ~~1~ ~.1 l S } a
Permit Number: c~c ~T
_ a
t
C:
r`
❑ No one available for inspection: Time ) Ld A !PM
Re-Inspection required: Yes ~No\
When correction? have been made call )or re-inspection at 303-234-5933
Date: ) L Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r4000or Residential Roofing PERMIT - 092898
PERMIT NO: 092898 ISSUED: 10/01/2009
JOB ADDRESS: 7095 W'45TH AVE - EXPIRES: 03/30/2010
DESCRIPTION:. Reroof 36 sqs -
CONTACTS
owner 303/456-4779 Ryan Johnston
sub 303/991-0504 Scott Mills 09-0254 Force 5 Roofing
**'PARCEL 'INFO
ZONE CODE: UA FUSE: UA
SUBDIVISION:.- 0298 -BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Permit Fee ` 217.50
Total Valuation .00".'x.`...'F
Use Tax 162.00
TOTAL 379.50 r( o- , tad
Conditions:
6 nail installation& mid roof inspection required.. Board sheathing spaced more
than :a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
watershield -required fromzeave edge to 2' inside exterior walls.
Subject to field inspection.
I hereby certify.: that the a back distances proposed by this permit application' are accurate, and do not violate applicable
ordinances, rules or re la ions of the City of Wheat: Ridge or covenants, easements or restrictions of record; that all
measureme showXgerdinances, egations made are accurate; that I have read and agree to abide by all conditions printed on this
applicat' and tme full responsibility for compliance with the Wheat. Ridge Building Code ;(I.B.C) and all other
applica Wheat.for work under this permit. Plans subject tofield inspection.
Sig ture ofconter date
1. This permit wa n 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 changeshave been or if suspension or abandonment 'exceeds one (1) year, full fees shall
be paid for a<new permit'.
1. No work of any manner shall be done that will. change the natural flow of water causing a drainage problem.
o. 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(:
The`iasuance a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an a r 1 any violation of the provisions of the building codes or any other ordinance, law;rule or regulation.
A11 iew is subject to field inspections.
3ignat e of Chief Building :Official <date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE': (303)235-2855
ZEQUESTS MUST. BE MADE BY 3PM: ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Oct 01 2009 a:45RM 3039934516 P.2
Office: 303-235-2855 " Fax: 303-235-2857 Plan
Inspection Line: 303-234-5933
X-, Permit OWN
Building Peffnit Application
Property Address; 2d 9s; LJ 7 ~5- Ay
Properly Owner (please print): F~I Ay ~50_ &btf 41„ Ad Phone 303 f4~~- 7~~f
Mailing Address: (if different than property address)
Address: -70 gC qC I-1j*-
City, State, zip: k4y}F T ezLp(o~C: ~Od 3
Contractor: _)ro.Cca jecoGan!(7
Contractor License * Phone: -1 p 9~y _ qg~~
Sub Contractors:
Electrical City License
Company:
Exp_ Date:
Approval:
Use of space (description):
Description of work:
nn,Qa-(L 36 S~ Co~,,p
M Ota F' UJ 17-111
f=if1'~ 3D
Sq. Ft.lL. Ft added: Squares
Plumbing City License Mecfi'~~nnwal City License
Company CI party:
Exp. Date: Exp. Date:
Approval: Approval:
Construction Value: III ( as calculated per the Bafrdfng VWUAVOn Data sheet)
S t~rni(y r,~S Plan Review (due atanre of setuniltaQ: S
yR f~ A co t„P
BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances.
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown, and
allegaliom 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 VvIheat Ridge Building Code i. nd-aa a Ridge Ordinances, for work
under this pem*. Plans subject to field inspection.
CIRLCE ONE— {_OwNER) (CONTRACTOR) ERSONAL REPRESE TYE of ( ER) (CONTRATOR
PRINT NAME: 60 r Guu.47- ~ Date: !t
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY:
FIRE DEPARTMENT:' 0 approved wr Comments 0 disapproved 13 no review required
07J1411994 10:47 3034223031 , ELECTRIMAX PAGE 01
09twI&M
6591 Braun Court
Arveda, Colorado 80004
Comp/ete E/ecMca/ Servlce 6 ContracNrtg
(303) 422-3818
Julv 1.3,1994
City ot Wheatridge
Building Deparlmcnt
Attn: 7ohn Fckeri
Re: Permit #MF.94#5$I 1
Aear Mr. E:ckert,
Ia ['cga['ds to lbe above permit uumber, as soon as a Sp amp 220 GN"I breaker
becanaes available, E(ecUimax Tnc. wili uastail it at 7095 West 45th A,venue.
Should yau 6ave any questions, please feel [ree lo contacl us. Thank you.
Sincerely,
Wayne E. Maxwell II
F4esident
~
q,q oqo~'._,/ DEPARTMENT OF COMMUNITY DEVELOPMENT
750o EST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94#4416
234-5933 P.O. aoxs38 CITV OF WHEAT RIDGE, COLO.
THtS_ PERMIT VALID ONLY WHEN SIGNED BY TNE CHIEF BUILDING INSPECTOR AND RECEIPTED BEIOW.
JOB ADDRESS
PHONE
$ s
-a
ZIP
1. TYPE Ground❑
Woll❑
Proieelinp❑
Other
SaDFaee
2. MATERIAL
Tofal Squors Feat
SIGNS
3. ILLUMINATION Yee❑ No❑
Typs
Elact. Permit No.
4, SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zone_
ADDroved,Zone Inspactor
(Specity which is fronl )
❑
❑
❑ ❑
DisapDrWed
I, TYPE SolidE3 Mora Than 80% Open❑
Less Than BO% Opsn
MA7ERIAL
Heipht
FENCES
3. SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zone_
ApprwW,Zone Inspseta
-
(Speci}y whieh iatront)
❑
❑
Q ❑
Disapproved
1.
OTHER 2
13.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVihG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDED) ~
SPECIFY NORTH
FRf1NT
OWNER V-2 I
ADDRESS ~ ~
PHONE "
ZIP CODE V L~//.~ CONTRACT
LICENSE NO. ~ DATE
STREET NAME
SHOW OISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LOTS, SHOW LEAST
DISTANCE TO PROPER7Y LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WIIL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY l1PON VALIOATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STAf1TED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE UCENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREUNDERSIZE8ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FUEUCircleOnsGaiqlPropona ElxSolor
N0.
WATER ClASET
FORCEO AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BA7H 7U8
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR LONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION S STEM
POWER SUB-CIFCUITS
WATER HEATER
Refri sranl Grou
UTILITY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
ppundt Char e
FIXTURES
DISH WASHER
AUTOMATICSPRINKLER SYSTEM
WIRING MOTOftS 9 CONTROLS
FLOOR DRAIN
ELEVATOR
$IGNS
URINAI
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
PERMIT FEE
1 nereby ucknowledpe thot this applica-
tion is correct and understand that I
USE TAX
connot sfort tnis project until this opDli-
wfion is apDroved. I shall comply with .
~TOTAL,FEE
fha lowe ot Ihe State ol Colorado andfo
tha Zonina ReQulations and Buildinq
AppROVED
Code of tha City of Wheot Ridpe. Any
DISAPPROVED
violafion of the above rerme will cause
CHIEF BUILDII
immediate revocation of this permit
NOT VALID UNlE55 RECEI
INSPECTOR,City of Wheat Ridqe
~
~ ~ oate lSSue~
pp0liCanb SiOnamn
CAIL 234-5933
24 HOURS IN ADVANCE
FOR INSPECTIONS
c- e~; C/ # ~,3 ~i
INSPECTION tICKET INSPECTION TICKET
JOB C, JOB 6 7S(~U S-"""
ADDRESS C~ l ADDRESS ~
lngq
DATE: V BLDG. PERM Tlf
PERMITS
BLDG. CONTR. ~S-c~
SUBCONTRACTOR
DATE INSP. REQ. ~ - r`,~ `q .
TYPE OF INSP. ~ • J✓~'`~ INSPECTION MADE ~
RFMORKC l~ ~ I `l
'30`5 /
W.R. FORM 619 z .
3
aqy -DATE: 7"~✓y ~ BLDG. PE MIT# S~1 ~
I PERMIT#
BIDG. CONTR. rn~ ~
SUBCONTRACTOR
DATE INSP. REQ. I ~ ~ ~l
TYPE OF INSP. ~MADE 0REMARKS
W.R. FORM 6-19
/ L~
Gjrrvvi
~
INSPECTION TiCKET
JOB
ADDRESS -qO L S W'C S~
DATE: BLDG.~ PERMITM
PERMITN .
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. ' Y ~ 'INSPECTION MADE~
REMARKS
W.R. FORM E19
~ F~! ~F.l~ ~ 3 J yyl ~~F~F cF u/6
BUILDING DEPARTMENT ;
3
237-6944 Ext. 255
;
CITY OF WHEAT RIDGE ~
;
* .
Correction Notice
Job Located at ~
~........:':~'.:.::.~.._a
I have this day inspected this structure and these premises and
have found the foliowing violations of City and/or State laws
governing same:
f`
, f
. .
G.. ! . .r ......Y
.
xt-:::...:.'cC?~.:.C~...z......................L...........................................
...................y;.
,
! dr~ //r~~.-~ !f
....~Y. 4.:....:..v .................r(.. .a..A.:..J.................§...r.......~........................
t ~ •
n'.. t..~
~
i% \
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
CEPA^n7hiENT OF COir1MUNl I Y DEVELOPMENT
7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. ME9405813
237-6944 EXT. 255 P.O. eoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIE.F BUILDING INSPECTOR AND RECEIPTED BELOW.
FOR
PERMIT
JOB ADDRESS Vl_v\vr-_ OWNER Vvk 1 I(( ~ 1 e-~
CONTRACTO[R~ ~ ADDRESS / 7
ADDRESS Y'~ D PHONE ZIP CODE ~Z,d
'pe V ZIP CODE 0 CUNTFACT PRICEp
CITY
PHONE -DY~2 LICENSENO. DATE _l!~'~¢'q~
TYPE Ground ❑
1
Wall❑
Proiectin0❑
Other
S or D Fees
SIGNS
.
2. MATERIAL
3. ILLUMINATION Yea❑ No❑
Type
Total Squore Feet
Eleef
Permit No.
.
4. SET BACK FROM PROPERTY LINE N
(Specily which is fiont )
_
❑
S_ E
❑
- W
❑ ❑
.
Zone_
ApDroved,2one Inspector
DisoBDroved
1. TYPE Solido Mora Than BO% OpenO
Leee Thon 80% Opan
.
?
MATERIAL
Heiphf
FENCES
.
3. SET BACK FROM PROPERTY LINE N
(Specify which ie tront)
_t
r- lJ
S_ E
❑
_ W
❑ ❑
Zone_
Approvsd,ZOfle IOBplC10f
Dieapproved
I
.
2
OTHER
7
a
.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVINB DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
Z I
W .1-
J 1Y
Y
H
K
SPECIFY NORTH
~
N
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULdR LOTS, SHONI LEAST
OISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THISAPPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE B111LDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTEO WITHIN THAT TIME.
ELECTRICAL PER4T
t~
STATE LICENSE N0. :~/~l ~
PI.UMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDER SIZE 8 IILEGAL
FLOOR
BSM
I ST
2 ND
3RD
4TH
N0.
Flffl: CircJeOne Cwa dl Propane Cool Elx Solar
Np.
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH 80WL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TU8
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BN
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISF
REFRIGERATION SYSTEM
POWER SU9-CIFCUITS
WATER HEATER
Reiri eront Group
UTILITY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
Pounds Char e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS B: CONTROLS
FI,DOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
REMARKS V 6eDa
i nereby acknowledqe thot this opplica-
PERMIT FEE
tion in correct and understand thot I
USE TAX
rojbct unfil this uppli-
t ftort this
p
conno
cation ia apvrovee. I shall comply with
TOTAL FEE
'
r
and to
St
t
l C
l
d
t th
o
a
o
e
o
a o
o
tha lowe a
}he Zoninq Requlations ond Buildinq
~RpVE
Code of the City of Wheat Ridqe. Any
~FRa
?
violation of ine above terme will cause
BUILDI
HE
INSPECTOR,City of
immediate revocoti of this permit
i
Dofe Issued
' `
~ y
4 OlieanU 9i0nalun
~ -a8-sy
~7 -7 d I (~/U
Ridqe
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPAR7MENT OF GOMiv1UNITY DEVELAPMENT
7500 WES729thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. ME94#5811
234-5933 P.O. BoX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY TFiE CHIEF BUILDING INSPECTOR AND RECEIPTE08EL7W.
,~7 ''A '/pPPLICA 0 FOR MiSCELLANEOUS P IT L
JOB ADDRESS L G1/~ `YS~ ~e-. OWNER ~
CONTRACTOR G"1 e-Pi7Yi Lti4.0,k ADDRESS 70 Q! S_ ~V'
ADDRESS 6S PHONE 2---2-0 ,#Z,6~~- _ ZIPCODE
CITY ZIP CODE CONTRACT PRICE $`f GJS~(7:'~
PHONE ~vZ ~l9 LICENSE NO. y~ z^ DATE 6 - -9
1. TYPE Ground❑
Wa11❑
Proiectiny❑
Othar
SaOFaee
2. MATERIAL
Total Squara Faet
SIGNS
3. ILLUMINATION Yes❑ No❑
TyDa
Eleef. Permit No.
4. SET BACK FROM PROPERTY LINE N
(Spxify which ia hont)
-
❑
S_ E
❑
_ W
❑ ❑
Zone_
Appwed,Zone Inspseta
DLwpWOVed
1. TYPE SolidO More TMn 80°/a ODenO
MATERIAL
lmsf Thon 80°Je Open
Heyht
FENCES
3. SET BACN FftOM PROPERTY LINE N
(Specify which is tront)
_
❑
S_ E
❑
_ W
E] ❑
Zone_
Apprwed,Zom Inspsefw
Disapproved
I
.
OTHER
3
.
DRAW SNETCH OR SHOW BELOW,TNE FENCE,SIGN,OR OTHER STRUCTURE,GMhG DISTANCES FROM PROPERTY IINES.
(SETBACKS OR PROJECTIONS INCIUDED)
w ~
z
J
Y
f
C
SPECIFY NORTH
~
N
STREET NAME
SNOW DISTANCES FROM THE MAIN BUIIDING TQADJOINING MOUSES,S7REETS,AND PROPERTY LINES;ON IRREGULAR IATS,SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFOf1M THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION OIVISION.
PERMIT WILL EXPIRE 180 OAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTEO WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREUNDERSIZEBILLEGAI
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
Fl£L:CircieOneGoShcPropane EleeSolar
N0,
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri eranf Group
UTILI7Y(RANGE,DISPOSER,ETC.)
AUTO.WASHER
Poundf Chor e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOF2S 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGN$
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
REMARKS D17' ~vV l e
i .
I hereby acknowledqe ihat fhis applica-
tion ia emrect ond understand ihof I
cannot atart }his project until ihis oppli-
eotion ie opOroved. I shall comply wifh
fhe lowe of Ihe State of Colorado and to
fh! Zonina Repulotiona and Buildinq
Code of the City of Wheot Ridpe. Any
violation of the above term will cau e
immediote revowtion of tnis s per i
PERMIT FEE
USE TAX
TOTAL FEE
APPROVEO
DISAPPROVED
CHIEF BUILDII
-71 U o
$5 a s- d
~
,City of Wheat Ridge
Date Issued
NOT VALID UNLESS RECEIPTED
CALL 234-5933
24 HOURS IN ADVANCE
FOR INSPECTIONS
4pDlieanle Sip^atur.
INSPECTION RECORD
Occupancy/Type
- INSPECTION LINE: (303) 234 -5933
c
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.
10 77 0 Z/0 - f)..m y
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR -
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
a
-
Reinforcing or Monolithic
D
Weatherproof I French Drain
Building Final
Sewer Service Lines
Fire Department
Water Service Lines
R.O.W & Drainage
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
a
Electrical Service
D
Rough Electric
Building Final
Rough Plumbing
Fire Department
Gas Piping
R.O.W & Drainage
Rough Mechanical
Parking & Landscaping
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
- Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
D
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
* NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
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