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7155 W. 42nd Avenue
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 day PERMIT: ADDRESS: 7%SS /,) 612 - JOB CODEtZ&S 0 ,,,) 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 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 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 PERMIT: c901'4 6%i� b ADDRESS: 7i-, S- t �%Z'--Y . t JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 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. A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECT ION NOTICE NOTICE Inspection Type: Job Address: /61 Permit Number: ❑ No one available for inspection: TimePM Re -Inspection required: Yes (!No 0 When corrections have been made, call for re-inspection � at 303-234- Date:- 7' �) 5' / Inspector: -)oR,/ DO NOT REMOVE THIS NOTICE / Oz, 71ST W �Zhj �ve, INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/,j.nspection INSPECTION REQUEST LINE: (303),x,8 5933 Occu anc e Inspections will not be performed unless this car i�-O�n he projectsite. **Request an inspection before 11:59 p.m. (midnight) to receive an inspbusiness day.** Inspector Must Sign ALL Spaces pertinent to this ' oje Date Foundation Inspections Date Inspector Comments Initials Pier Initials Concrete Encased Ground (CEG) '' &V Foundation / P.E. Letter Sewer Service Do Not Pour Concrete Prinr Tn Annrnual rlf Tho Underground/Slab Inspections Date Inspector Comments Wall Sheathing Initials Electrical '' &V Sewer Service Plumbing r%_ ..— .,-- -AN A MAINE -Awl\ ANAN'"Sw Is IN INA \1x1111111111-\JISIr,TfI 1. Rel VIAlr/1/,IA•m J1\-��r'.TITGI 11ffAhL3111 0T- All Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof '' &V Lath /Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. -- ---- -----a- r-•••••-� �•+�� •• .�•.+ ulua 1vuy11 1110VV"1VI 10 01U UU1I IP1",lCU 11 U1II Me rlre ulstnct ano electrical IoW voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridtn ge Residential Roofing PERMIT - 201703182 'ERAIT NO: 201703182 ISSUED: 07/03/2017 ,OB ADDRESS: 7155 W 42nd AVE EXPIRES: 07/03/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 23 sq. k** CONTACTS *** DWNER (303)424-6168 GRAEBING CASSIE 3UB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,940.00 FEES Total Valuation 0.00 Use Tax 187.74 Permit Fee 188.45 ** TOTAL ** 376.19 *`* COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Resid. Windows/Doors PERMIT - 201709670 PERMIT NO: 201709670 ISSUED: 12/21/2017 JOB ADDRESS: 7155 W 42nd AVE EXPIRES: 12/21/2018 JOB DESCRIPTION: Replacing 9 windows. Like for like. U factor will be.30 or better. *** CONTACTS *** OWNER (303)907-9403 GRAEBING CASSIE SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,351.00 FEES Total Valuation 0.00 Use Tax 280.37 Permit Fee 267.70 ** TOTAL ** 548.07 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be performed shall comply with atl 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 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. L Signature of OWNER or CONTRACTOR (Circle one) Date ! 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans 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 ermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without 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 applicabl�6r ii or r 1 ion of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of' Wheat Ijdgc COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY Date: Plan/Permit # '�)0/�L�Ito7 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: 7155 W 42nd Ave Property Owner (please print): Cassie Graebing Phone: 303-907-9403 Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Arch itectlEngineer E-mail: Contractor: Matthew Seiler Contractors City License #: CL3-130206 Contractor E-mail Address: mseiler@renewalcolorado.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 303-945-1519 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION Q} 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.) Replacing 9 windows. Like for like. U factor will be .30 or better. Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) s 13,351 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 1 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 1 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Matthew Seiler ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS; Reviewer. PUBLIC WORKS COMMENTS: Reviewer; PROOF OF SUBMISSION FORMS SIGNATURE: ��L�� DATE: Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ N3 �x h M ^3 H M ap}ojd Odxi owagod z 0 z o z uaai:)S MaH c c c c c c c D U O U D U D U D U O U D U O a_ Y d d s d a d O 4SDS a 3 lJ MO ¢ ¢ ¢ ¢ ¢ ¢ z ¢ O Q ZS ssD!O X X X X X X U a w Z }S ssD�O x x x X X X x X X WI ?l a U U U U U U U U U a u u U v U u u u u �!!Da v N a M alA}S u a 64 a P In N N�w�o Co wm OJ OJ w/w a m !4 !aH �ap,o a m z o 1 a}P!,O a U ti� M M M M m r> vs —W —/W z S Sam N .PV 1 !a M M c`7 M t`7 c7 c`7 t`7 (h T<27, o ¢ 4 0 O O O O O O O O O X� ° ¢I F! _DN O a� II!S ;q iaH u!ua O h — u!}s!X3 0 0 0 0 0 m cm a� 4}P!M � �n ::z ua O !u n ir, n � n i UI}51X3 l U ^ M M M ) N H!8 0 0 0 0 0 0 w 0 0 0 t� z z z z z z z z z > — + N a aWDJd m m w d d m w m v V a m m m m m m m m m n Al gdl 0 0 0 0 0 0 0 0 d c EE o O i O s o o O O m m x a F+ A i CITY OF WHEAT RIDGE �Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPEC�TION NOTICE f Inspection Type: zJ) Job Address: 15 Permit Number: ❑ No one available for inspection: Time _ AN Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 3033-223.4-,5,933 Date:ke/_/ Inspector: �)"Al (gi / p�-f' DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECT ION NOTICE NOTICE Inspection Type: Job Address: /61 Permit Number: ❑ No one available for inspection: TimePM Re -Inspection required: Yes (!No 0 When corrections have been made, call for re-inspection � at 303-234- Date:- 7' �) 5' / Inspector: -)oR,/ DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703182 PERMIT NO: 201703182 ISSUED: 07/03/2017 JOB ADDRESS: 7155 W 42nd AVE EXPIRES: 07/03/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 23 sq. *** CONTACTS *** OWNER (303)424-6168 GRAEBING CASSIE SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,940.00 FEES Total Valuation 0.00 Use Tax 187.74 PAID Permit Fee 188.45 ** TOTAL ** 376.19 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201703182 PERMIT NO: 201703182 ISSUED: 07/03/2017 JOB ADDRESS: 7155 W 42nd AVE EXPIRES: 07/03/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 23 sq. I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its` accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 I80 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new 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 ranting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable . e any ordina�n-c^e oar 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. Inspection time requests will be accepted by email only. Please email requests to ins ptimerequest@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. Dan Schultz 2017011 U From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 21, 2017 2:05 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 7155 W. 42nd Ave Cassie Graebing 303-424-6168 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name J&K Roofing Contractor's License 019983 Number (for the City of Wheat Ridge) Contractor Phone 303-425-7531 Number Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Malarkey Vista Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 23 material selected above? Does any portion of the No / property include a flat roof? If yes, how many squares Field not completed. on the flat roof? z TOTAL SQUARES of all 23 roofing material for this proj ect Provide additional detail House & shed 5/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 894 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Kathy Vendegna Email not displaying correctly? View it in your browser. 3 CONTRACT J&K Roofing BBB• 13000 W. 43rd Drive • Golden, CO 80403 Phone: 303-425-7531 • Fax: 303-425-1562 www.jkroofing.com Representative Contact "" `� 7 t Date S-4-1 20 i'1 Name CASSAr-;�Nre, Q2--c2CPhone 103-9C; 7-)q69 email Address -1 r, S- i-3 1-4 21L r1ci Aim. City i C-iI Zip Pinnacol Assurance Cincinnati Specialty Underwriters 303-361-4000 303-653-0023 Workers Compensation Insurance General Liability Insurance Policy #4079290 Policy #CS00061742 LABOR AND MATERIAL SPECIFICATIONS TERMS AND CONDITIONS. PLEASE READ CAREFULLY: ecover roof with r i ®"dolor of shingles M, gnufacturer's Warranty %a r off S tffstall Underlayment x ruble all Eaves b-- e- �. 13-g'e=Flash Chimney and/or Skylights '. U -410 -Valleys eplace Ridge 2- �•d - Najlenli ation ReeCC— V-N-Galvanized Fasteners Le tom. - eplace Plumbing Jacks aint roof stacks to match stall - `s Xsi Metal Edging 941�a-tio or Flat roof � Year Warranty on labor Roofing jo furnish all material and labor" LLP-ern)it: Included NOT Included O>Q_ n- p debris and haul off all trash from roof oll and with magnetic roller utters cleaned of roofing debris ecking Repairs $ per ❑ Hidden Layers (tear oft) $ per layer (Cartier) (Policy Number) (Mortgage Co.) ❑ Extra work i-Ap 10 it I The property owner is is not using proceeds from property and casualty insurance policy. .—OvIt-C, (Zoo - 1SVfk1A-1S1 $-5� . c-1 Deductible if applicable $ Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the +deductible. Estimated Start Date +C) s- i c. _s TOTAL ESTIMATE $ 0"I ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL J&K Representative _S14- Dater—a-7 Homeowner Dat ,�-77 (Adjustor) Homeowner (Mortgage Loan Number) Expiration Date Date You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION ACCLAIMED 1EII&D ` ROOFINGP�fFED CONTRACTOR C] F C C7 L O R A D U CONTRACTOR Office Location: 878 S. Lipan St. Unit 8, Denner, CO 8022.3 / Mailing Address: P.O. Box 102108, Denver, CO 80250 Sales: 303 -592 -ROOF (76631 Office: 303-997-8012 Fax 303-862-8508 SELECTION OF MATERIALSAND CONTRACT FOR CONSTRUCTION ADDENDUM "A" Actiaimei RooSr� of Colorado has its general liability, REPUBIX-VANGUARD INSURANCE.CA and may hemntxt d through ouragent,(baht hretuammce(;mup, Ll Cat 965 S Kipling Pkwy #B, Lakewood, C080226 AcddmedRoofinr of Worado shall hold in 1lustanVllawwnt received fmtn you u» dl Acclaimed Winfingnf Cnkhradn hac dalivanwh roofing materials at the site or has perfonned a maturity of the roofing wrnk on your grope ty. T'his mnoact may be restinded or taneeled within 72 hours Born the date of signature and/or ifthe insurance has denied coverage of the claim and you may receive a full refired of any deposits made. itis further understood that it is Woo and a criminal act firr any eunbactorm waive orpay fbrthe deductible portion ofthe claim compliant with Colorado Law SB3H Amiaimed RoofingofColoradoagrees to install the fallowing materials selected by the cusumur The autorner seleem the tbHow"utgmaterialsand directs Acdainnecl Roofing of Colorado to fiv`ttish this oatetial.rd its laborin a grad and wotimhaniike numneraceorling to standard practices in the industry. Any modifications, changes cradditions roust be in writngandagreed to bct%vmu dee parties as evidence by teirsip wtures Bysigringthaagreementl/1, espedfythatAcclaimedRoofingofCokxadoistobeincludedoilanyanialldiecksissuedbytheatstmren Nurnordawilibewithhelddueto inspectiom fivm the city being behind on inspections Acrimmed Roofingof n Colorado will not bill any additional money to ntomerand agrees to bill the insurance company directly for any additional work perinmted due to hidden site conditions ifthem is arty work perior med on the property duringmnstr oction that is not in the Original of loss provided by the insurance compam,,Acd3imedP"fingofColoradoretains die fight tobill the insurance company toranyadditonalwork performed, i/WeAgree to pay Acclaimed RoofingofColoado any additional funds received hent the insurance o.rmparry regarding this loss and work perforhed Attlairted Roofing of Color ado will not hold the cu tomer responsible for paying any additional funds not agreed to in this cont act ifthe htsurain e reuses to pay for the additional work performed. 1/We agree to pay ourdeduciibie portion of the Haim upon the start of the job. [/We agree amt ifthe mortgage lender is issued on any checks that Acclaimed Roofing of Cokhrado will assist with tae endorsement and communication with die mortgage company but is cwt responsible, for delayed or slow payment from the mortgage company. IJWeagree that if the endorsement otthe mortgage lender is required and treat I/We assume "eSPunsibility to handle this process a 90 day payable will be asse.ssed finarn the date ofthe completion ofthe project. I/Weagree. that ifanysupplenentsoradditional funds paid alxnr dme mntratt ahrrount for work pemibnmed this moiiw is cnved to Acclaimed Roofing of Cokatado for work compketest I/We agree to starve all infrrnaatkiiand or reports tti Atxlclainu:d RootingofColotado wid allow representatives m mmrnunfcatedimtiy wide atyirvwamv mmpany. PrtaperinsYatlatinnotiherwfsys[ernmaymquirernplacenientofrhdsiirag(lvisuig. During such replacemen4sidingadjacent thisliashingwhiciahasdeteriorated mayc wk, break or tear. Aninlned Roofing of Colorado'"ll cake every reasonable effort to amid damage, but will not he respomibie for any consequential damage to siding. During the application of the roof systern, vibration from the roof may be transmitted throughout the btulclbrg Acclaimed Roofing of Colorado is not responsible for rotted siding; paint and sheetrtrck damages due m vibration The customer bother assumes responsibility for all objects hung from exterior acrd interior walls and from ceiling and so%,, These have been known to fall during instaalbtion and Acclaimed RoolingofC,olorado will not he responsible forthese occurrences It is further understood t atventand gas pipes penetrating through the roof may shift during construction Amiajnted Roofing W. Colorado recommends that these pipes be inspected bya licensed plumber due to leaking gases but will not pay the expense of such an inspection By signing this agreernent I f VVe he eby agree to haven licensed plumber irtspm.11 pipes and peretratons aFlxrcorunvcvon has been completed on die property f M-( Brand_ 'jL _ Tvoe N;(Ct i Ifi0 - .. i' Color V r6.L,41 inn 30� IV Remove Existing Roof And Ins/pest Decking D/eck Roof Using ; ,+ Inch Decking Board (if Required) CD Install � Inch Edge Metal /Color Ff%,'7 l t5 Apply A 1 j 7 Underlayment System CV Install 91 J b Vallev Svstem Rry Q/ Nails Ytt/+� DEP = 0/Starter Course Shingle C�9//'Sidewail Flashing Where Needed C9%. Chimney Fiat/�.Ija`ipg: Flash, Caulk And Paint VJ/Wall 1' ' 1 I Covers For PVC Pipe Jacks And Vents M Install j L (' � � Type Ventilation oll/Run Magnet For Nails /Clean Up Construction Site And Haul Away Debris J/ SPECIAL INSTRUCTIONS / NOTES / UPGRADES ACV = DED = # SQ's Off # SQ's On Insurance Co. CLAIM # �CC"< [Jil\i,4 Ctkr( F C_'1_it "Quality Without Question" rage PREFERRED CONTRACTOR certnkil Insurance Claim Specialists 5 -Year Workmanship Warranty j� U � GRAND TOTAL: = (RCV)$ / 1 "! q + rail Suapletnents/Permit, Approved Cly 1--g— PAYMENT TO UE MADE AS FOLLOWS FIRST Payment of $_,_//� + pEUUC'176L.E OF $ 0 will be due upon the date of this contract. FINAL Payment of $ b o f �_ _ + (all supplements approved fly the Insurance company/includes permit fee) will he due after all work hh�assbeen completed by Acclaimed Roofing of Colorado. ) /tom / r� Address: ���` / t�'If`�'�7 �, I � City/State/Z.ip: tvi`i-(4 R'd av �tff TOO 7 X03-'�6f - �3�19 / ' /j� Home Phone: Cell/Work: EMAIL N iT Ah k 1 6 (Im ?"It z have read rhe following contract known as Addendum "A" and agree with d Conditions. By the acceptance of this Contract, the 0wne glees pay for the wrrk and materials at the prices set forth in Addendum "A". Customer Signature: _ Date:_____ Amlaimed Roonng OtColorado Representative: Date: `�� CER TIFICA TE OF COMPLETION Permit #: 201700238 1*�A�( ICity of Date: 03/13/2017 � Wheatldge COMMUNITY DEVELOPMENT 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 -Stipulations: Detached carport - 360 eq ft This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code, Zoning and other related land use and development laws of the City of Wheatridge, and may be occupied for the use specified. OWNER: SPANIEL CASSANDRA M ADDRESS: 7155 W 42nd AVE, Wheat Ridge, CO 80033-4862 CONTRACTOR/ADDRESS: PROPERTY ADDRESS: 7155 W 42nd AVE, Wheat Ridge, CO 80033-4862 PARCEL #: 39-234-05-015 OCCUPANCY: R-3 TYPE OF CONST: V -B OCC LOAD: N/A FOR THE FOLLOWING PURPOSE: Res. Garage/Carport Code Editions: No change shall be made in the Use of this building without Sprinklered: 2012 ICC / 2014 NEC prior notice and a new CERTIFICATE OF COMPLETION No from the City of Wheat Ridge Chief Building OfficiataLLy C%. /.,, 2L,34 It ()in i I nn `� �r INSPECTION RE O D� °°�� e 3 `p� CW. A, SPECTION 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 n,itials Pier Concrete Encased Ground (CEG) i Foundation / P.E. Letter uo not Pour concrete Prior I o Annrovai c)t I MP_ AMnva Incnaetinne Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service •0 Plumbing 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. uo Not cover unaerwouna or lielownn-blab Work Prior To ADDroval Of The Above Insnectinnc Rough Inspections Date Inspector Initials Comments Wall Sheathing •0 V ✓� 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. gid -Roof ) 1� Fire Inspection / Fire Protection Dist. Lath -/Wall Tie Final Electrical Rough Electric Final Plumbing Rough Plumbing/Gas Line Final Mechanical Rough Mechanical Roof Rough Framing Final Window/Doors Insulation Final Building Drywall Screw /Nail NOTE: All items must be completed and approve '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. _ t V ✓� 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 Roof Final Window/Doors Final Building NOTE: All items must be completed and approve '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. ror row voltage permits — Please De sure tnat rougn inspections are completed trom the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window Requests — Please email insi)timerequest(a-)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 NOTICE BOG'/ Inspection Type: f f i Job Address: -"? d . " c! 2. _ A u F Permit Number: �- a I 1 6 0 -A-3y ❑ No one available for inspection: Time ,` 6: - AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -ins ectio at 303-234-5933 j'�./-7 %.?vA4 Date: Inspector: DO NOT REMOVE THIS NOTICE 0 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: ISS w• WL Permit Number:. -aori.� ❑ No one available for inspection: Time 1 I , \ U( AM/PM Re -Inspection required: Yes No ) -------- * corrections have been made, call for re -inspection at 303-234-5933 Date: I —�� Inspector: ► "''s° DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: a v 7 7 ©° 3 er __ 1.1 Vh rs , _ ..r _ .. , r -✓ _ A —�-�r^ r� � � � \ A 1 .. ❑ No one available for inspection: Time I ` Q f� AM M Re -Inspection required Ye No * When corrections have bgen-made,,caH for re -inspection at 303-234-5933 Date:.? P Inspe DO NOT REMOVE THIS NOTICE..- t - A i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f� C ti Job Address: -7 1 j r �! 2- A, vt� Permit Number: ► i t) C 3 I / N 1 ' /; 7- / o . 2 VSO ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date Inspector: DO NOT REMOVE THIS NOTICE s i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: C) �i. 3 ❑ No one available for inspection: Time ('_' k--,2- --AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ^1 d-" Inspector: DO NOT REMOV4TiHiNOTICIE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `fie i _ Job Address: `r / .S C w Q 'I- r' -4 v Permit Number: '. g 1 -?o 6 ❑ No one available for inspection: Times AM/PM ' Re -Inspection required: Yes No When corrections have been made, call for. re-inspectidn at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: );x A u 4E Permit Number: 4- -3 91 2PkUVe0 r 2N r, 'Id 1-7 P c i( r; TN, ❑ No one available for inspection: Time (.) AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: -h DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: !� 1l t" _ Job Address: :,A, ;� :- w q Permit Number: 0L a 1-7 ()0 -A /V 0l:�' l' ❑ No one available for inspection: Time—/ AM/PM Re -Inspection required No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: i DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division / (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax ,u INSPECTION NOTICE Inspection Type: P1ev Job Address: ,Q Permit Number: %-U( 7o09� M ❑ No one available for inspection: Time AWPM Re -Inspection required: Yes No When corrections have been made, call for -i ipection at Date: Inspect ;\ DO NOT REMOVE THIS NOTICE A City of Wheat Ridge Res. Garage/Carport PERMIT - 201700238 PERMIT NO: 201700238 ISSUED: 02/16/2017 JOB ADDRESS: 7155 W 42nd AVE EXPIRES: 02/16/2018 JOB DESCRIPTION: Detached carport - 360 sq ft *** CONTACTS *** OWNER (303)424-6168 SPANIEL CASSANDRA M *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation Plan Review Fee 0.00 122.4 Use Tax 162.00'_..._.,_.__.__ Permit Fee 188.45 * * TOTAL * * 472.94 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. MR: Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Carport cannot exceed 15' in height at mid -roof. For one- or two-family dwellings, the first twenty-five feet (25') of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861.All work shall comply with applicable codes and ordinances and is subject to field inspections. A City of Wheat Ridge Res. Garage/Carport PERMIT - 201700238 PERMIT NO: 201700238 ISSUED: 02/16/2017 JOB ADDRESS: 7155 W 42nd AVE EXPIRES: 02/16/2018 JOB DESCRIPTION: Detached carport - 360 sq ft 1, 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 1 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 teat 1 am le ally authorized to include all entities named within this document as parties to the work to be performed and that all wo to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNE or ANTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. if this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new 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. 5. 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 co e ` r any, ordi ce or r ulation of this jurisdiction. Approval of work is subject to field inspection. �1iL,1Y-7 Signature of Chief Building Official Date I ' REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.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. FOR OFFICE USE ONLY I City of Date:` I _� �W heatj�idge r� MUNITY DEVELOPMENT plan/Pennit#i Building & Inspection Services Division u 1—)00 + 7500 W. 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee: f Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a ci.wheatridge.co.us Building Permit Application rau- -- m *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ' Property Address: �l ��J� 64) Property Owner (please print): � s,q �, ,� �q,� ;;�}e-- Phone: Property Owner Email: Cixa i e Aaa (d. nm, Co M, Mailing Address: (if different than property address) Address: City State Zip: Arch itect/Engineer• Arch itectlEngineer E-mail: Contractor: 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: 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) CA -Ir 00 P-, (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.) F R P� PT C rJ 606--7" OF �2 Sq. Ft./LF Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 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 1 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. CIRCLEONE. (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRUNT NAME: OJfl'/tbgk (,' k- Ul —SIGNATURE: ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer PUBLIC WORKS COMMENTS Reviewer DEPARTMENT USE ONLY PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DATE: OCCUPANCY CLASSIFICATION TYPE OF CONSTRUCTION SPRINKLERED OCCUPANT LOAD Building Division Valuation: $ City of w heatPjdge COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Property: 7l Notarized signature of Applicant State of Colorado } County of 'KaMa&n } ss t,Z (_— (mak' C6 9-0-D -? 3 The foregoing instrument was acknowledged by me this /&"'~day of r„LQ r 20117 by TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 I ,rte---- C�QAI_ My Commission Expires 120Z Notary Public Property appraisal system ( Property 41 " !'N" " " �w1 r 1 Information I i _.—A GENERAL INFORMATION PIN/Schedule: 300025646 AIN/Parcel ID: 39-234-05-015 Status: Active Property Type: Residential Property Address: 07155 W 42ND AVE WHEAT RIDGE CO 80033 4862 Mailing Address: SAME ADDRESS AS PROPERTY Neighborhood: 2405 - BARTHS, COULEHAN GRANGE, WHEAT RIDGE AREA PROPERTY DESCRIPTION Subdivision Name: 120000 - CHAMBERS Owner Name(s) SPANIEL CASSANDRA M Mock Lot Key Isection [rownship lRange lQuartersection Land S ft 0007 23 13 169 1 10365 otal 110365 Assessor Parcel Maps Associated with Schedule ornao39-234.odf PROPERTYINVENTORY Property Type RESID Design: Ranch Item Quality No. FULL BATH AverageI MAIN BEDROOM 2 Adjustment Code Adjustment Sq Ft WALL/FLR HEAT 11088 SALE HISTORY Interactive Mao Year Built: 1948 Adjusted Year Built: 1948 Improvement Number: 1 V reas lQuality 1construction Sqft FIRST FLOOR Average M 110881 Page 1 of 1 Sale Date Sale Amount IDeed Type lReception 03-11-1993 Warranty Deed 63,0010Quit 93034189 12-29-2004 Warrant Deed F2161411 05-22-2009 Claim Deed 2009050555 TAX INFORMATION 2015 2015 Payable 2016 View Mill Levy Detail For Year 2016 Actual Value otal 202,200 3139 Assessed Value otal 16,095 Treasurer Information http://atsjeffco.us/ats/displaygeneral.do?sch=025646 02/16/2017 2015 Mill Levy Information Tax District 3139 County 24.2120 School 47.4870 WHEAT RIDGE 1.8300 REGIONAL TRANSPORTATION DIST 0.0000 URBAN DRAINAGE&FLOOD CONT DIST 0.5530 URBAN DRAINAGE&FLOOD C SO PLAT 0.0580 WHEATRIDGE FIRE DIST 12.5270 WHEATRIDGE SAN DIST 0.4680 WHEATRIDGE WATER DIST 0.0000 otal 87.1350 http://atsjeffco.us/ats/displaygeneral.do?sch=025646 02/16/2017 RESIDENTIAL Building Permit - Plan Review Worksheet Address: 4 1 5 5 V) 3 Zoning: R - Lot Size: I D I _J ( 'J 1� sq. ft. Lot Width: Property in the flood plain? V-A) If yes, add surveying condition FLD. Type of project (applicable survey conditions in parenthesis): ft. Rev. 06/2014 Accessory ISP, ILC or site plan none if in floodplain (FLD) ❑ Addition ILC and site plan if w/in 2' of setback or in floodplain (FND) if in floodplain (FLD) if w/in 2' of setback (NRS) ❑ New ILC and site plan yes (FND) if in floodplain (FLD) Maximum Lot Coverage: 40 % Existing Improvements: House: (D Se) sq. ft. Shed: sq. ft. Detached garage: sq ft. Other: sq. ft. Total Existing Lot Coverage sq. ft sq. ft. Proposed Improvements: House/addition: sq. ft. Shed: sq. ft Detached Garage: 3 (10 sq. ft. Other: sq. ft. Proposed+Existing Y sq. ft Lot Coverage y % v - Required Setbacks: FR ' S S 5 R J Provided Setbacks: FR 1 S (5' S N (A R hI' For additions or new construction, is the structure within 2 feet of minimum setbacks? If yes, add surveying condition FND. Maximum Height: (, . ft. Proposed Height: ° ft. Maximum Size: i O 6 O sq. ft. Proposed Size: 3 (a b sq. ft. Parkland: If the permit is for new construction, have parkland dedication fees been paid? If no, add condition PFEE, notify owner, and notify building division. Streetscape: Does the permit result in any of the following conditions? ❑ Construction of new roads ❑ Platting of new lots ❑ New development ❑ Additions that increase floor area by 60% or more (see formula) (proposed floor area — existing floor area ) / existing floor area = % inc. If any box is checked... SF/DUPLEX—Is there existing ❑ Curb ❑ Gutter L15 -foot sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Rev. 06/2014 Other notes/considerations: Access For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. ❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. ❑ In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. ❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. ❑ For all uses, one access point per property is permitted. Landscaping ❑ For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Street trees required: Street trees provided: ❑ 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. ❑ In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements are in place. %/,,6- w qa'%-' AvC 2-0/-2v6 �3 g vi ioorS with S� °AL—FA pes fess than 4. t2, fojjow manufactu s t Truss or 2x dons for low slapplication of roofingPel ____rafters spaced tv " g material. or+edcmarkinbox-or-2x 10Raryers 0. C. Shet9i sPaCad24^ Minimum1X� ridge board low (e +Pie: 1x t2) / Underlaymen Provide roof fie downs pitch Solid 2x blocking between rafters that are 2x12 or greater Ceiiing Insulation _ LVA_ (lr heated - example:�— '"' t x4:caiar a 2x ceiling joists @,. �0 (exmple a2x6@24` O.C.) - - - Double 2x p to P plate — ----------- - Span y2 s (example:2.16) - - Note: Pre-engineered root trusses wAruss clips SPan�L_ (example, may be used in lieu of roof structure shown. 23'S) Dia wind bracin Ceiling Ceiling height or braced wall panels h @ corners and each �p ' of wall. (exam gt Siding . Dasr a C (examp/e: lap orT_ I 1 r) '— 1 ' Max,10'.* wall height • Wall sheatbin �-_�i%� (example: '/�^exterior :[d ,.�::. • . ° .''"'.i ` .•:' Concrete Encased Ground '•., ,. required studs Q' @— 0_ O.C. (example: 2x 6 @ 24- 0.c) '°°• • for new service •' •. '` Cont. 2x�iV' ,71 p 1 late ;. • r (example.2x6) -► oundation Detail A •••' •' Foundation Detail s <i ��''� '• M 1 9 : (see page 5) NSPpG , of Id pr Buii I p� e �Rt10) l�ff� V re A n" "'e This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional re quirements. size I ri Y `? ` vootf Permit: the OM Ono issuonce of a Perrnit or 0WOVal of - aPProvolOf on �►+rr"Otiarto � � thenot be Q Permit for, g��b, Code Or of onY Cif y p�� pa�,o��.�ons of the bl 9/9/13 Max. 10' wall height Lap siding over tourn a minimum um oOlf 1". 6"_ Ile � anchor bolts 6,-0" O.0 max., T min. penetration max. t2" from comer and 17 from each end of plate (min 2 bolts per Plate). Bottom plate shall be treated or be separated hom.concrete by an impervious Moisture barrier and be f3^ above grade. -. g Minimum �� concrete Slab Finished rade` - }'" ' r min. l ''_ #4 rebs 18" `e ~' : ' cont. top & �_ ' bollom with 1 S" laps Note: Chet*withlocal tfcoal 12 building department swelling soils.Caissons may be required. Lap sing over tourrdrn a minimum o1 t i 6 Finished .g grade 36' min. Note: Check wt1h local bul department for swelling soils. Caissons may be required. . - 919113 sleet e �t j �" i a penetration 12 from each from corner 2a �s � plate). of plate (� mi Bottom plate shall be n 8' above grade, or be treated wood or decay resistive woo 3Minirnum �ete slab Fiberboard expansion joint :'. 4,-0" -- Provide 04 rebar rt rel into concrete } ` toWBi9�or key waY srebafrn& at l oling o us top 01 tew ll with a laps 3' Extent of header with double Portal hams (two braced wall panels) �ne braised wall panel) —i Extent of header with single portal frame (o 2 .f6' Finished width o1 opening y� �— for single or double portal Min. 3' x 11.25" Net Header 1,000 Ib. 1,000 lb. strap OPPo site sheathing strap —Fasten top plate to header with two rows of 16D sinker nails at 3" O.C. typ rid attern as shown and with 6D common o Fasten sheathing to header galvanized box nails in 3" g P 3' O.C. in all framing (studs, blocking, and sills) typ Min length of panel per table R602.10.5 Min. double � Min. 20 framing 2x4 post 318^ min. thicknesswoodR struCtura�t ganef sl1 9 Min' i 26016°tie-down d" (embedded in into'iraming into concrete and Min. 1,000 Ib. \tie down �. see Section R602.1o.6.2 device rer�� This handout was developed by the Colorado Chapter of the Code Council as a basic plan submittal under International Cod Department of the 2012 international Residential Code ck With our ntended to cover all. circu of a itionalerequir requirements. Building Safety Typical — porlal frame construction For a panel — spiice (il needed), panel edges shall be blocked, and occur within 24 of mid•height. One row ol tt sheathing-to-1,a ming nailing is required. l 2x4 blocking is used, the 2X4'S muni be nailed together with 3 16D sinkers Fasten plal header two rov 16D si nails O.C. N 51 sl M Directions 1. Fill in the blanks with dimensions and materials which will be used to build the structure. Please print legibly. 2. Indicate in the check boxes which details from page 4 will be used. Please note if any of the sides of your carport addition are closer than 5'-0" to the property line, that side of the carport must be enclosed with a solid 1 hour fire rated wall as shown in Alternate Details B and C. You must however, keep at least two sides of the carport open to conform to the building code requirements. Zoning approval is required. $. Roofing to be installed per manufacturer's instructions, including low slope application and required inspections made. Roof coveringk J I Underlayment j` , � ok Lls- j' (e mple: lass A to s ing es) exam e: 55r ie t wit i 1 ° aps 9/9/13 Size and Amount of Lags Sheathinr (�a e a p : 11' extenoto (example: Two 1/2'x4 12"lags ® 16"0C) 12 Pitch `� 2x rafters spaced i � " 0. C. Patio Section (example: 2 x 6 rafters spaced 24" O. C.) Note: Walls, posts, and overhangs closer than 5' to the • �• Overhang property line to be 1hr. rated C "'•••..• • No closer than 2 feet • to property line Beam splices to occur over posts with 1 1/2" bearing ❑ Detail A ❑ Detail B . ❑ Alternate A ❑ Alternate B ( "X "beam ❑ Other (provide detail) (see page 4) Existing (see page 4) (example: (2) 2'x10') building San Span Maximum rise 7 (example: 12'0'7 3/4" at top of door ❑'Detail C threshold ❑ Alternate C (see page 4) 6'-8" Siding. Isolate from Slab minimum(for Alternate B only) 777777- 77777, -77 Slope • •"� ;;a: :; •': „• ,.A .. `nX posts (example: 4x4') spaced Concrete Slab :?' 31-011 minimum apart (exa ple: 6) Minimum Diameter Pier 8" (size determined by load)�.ny__•; Footing : X • .n y •.• �.� (forAlternate C only) This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under 'f li PeC- D e�t=t.� IJ the 2012 International Residential Code. It is not intended to Po Ga cover all circumstances. Check with your Department of fy,. Building Safety for additional requirements. 3 Existing roof rafters or trusses Galvanized metal joist or rafter hangers Extend underlayment from 3 new roof a minimum of 18" ®! onto existing roof Remove existing fascia Cont. 2x ledger Secure ledger to wall with lag screws @ 16" O.C. Locate lag screws to penetrate top plate or studs of Note: Remove brick veneer at top o a wall before installing continuous 2x ledger Lap underlayment a minimum of 18" under existing roofing felts Solid 2x blocking on 202 or greater �— Roof tie downs required Existing \ wall Existing Roof 9 (remove existing Cont. 2x6 secured to existing roof with fasteners at each rafter or truss 9/9/13 Solid 2x blocking on 2x12 or greater Solid 2x fire blocking on 2x12 or greater Roof tie downs required Roof tie downs required 2x facia 5/8" type "X" exterior A, gypsum sheathing Galvanized metal post/beam connector No closer than 2 feet to property line Exterior siding Two layers of 5/8" type "X" Galvanized metal Infill between posts exterior gypsum board soffit / p t/beam con ctor / ill be @ 16" O.C. 30 Less than 5' to property line This handout was developed by th� a ora o Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. 141 Treated or decay Bottom plate shall Infill between posts resistive post be treated wood w/ 2x4's @ 16" O.C. Mk' num 3 1/2" 1" Galvanized column base Minimum 3 1/2"1 2 Galvanized concrete slab w/ 1" spacer tocolumn concrete slab base w/ 1" :;• :.: concrete �,�.;..; r r:,: ;r; ,:=, spacer to concrete .i5,.�, Isolate:,;;: Isolate from Slab <,.•:. ;1 Anchor bolt from Slab •�:a�,.:a:;: Anchor bolt 7" minimum : ; 7" minimum penetration qheck local r; } a "' penetration 8" minimum 3'-0" bdlilding 3'-0" diameter minimum department for minimum concrete > caisso�; ? we soils. caissons may ^: be required. ,,�;:; Footing 8" ». This handout was developed by th� a ora o Chapter of the International Code Council as a basic plan submittal under the 2012 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. 141 75` 0 .v r - — -1 ® n V N 1/S' The first 25' of a driveway from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick paver or similar material. Contact Dept of Public Works for ROW Permit 303-235-2861. �S r777�7= Vt, N 1/S' The first 25' of a driveway from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick paver or similar material. Contact Dept of Public Works for ROW Permit 303-235-2861. ♦ i CITY OF WHEAT RIDGE Building Inspection Division 'r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax IN§PECTION NOTICE Inspection Type: F Job Address: t« - i Permit Number: 01~ ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call fore-inspection at 303-234-5933 Ml- 1 Date: Inspector: All DO NOT REMOVE THIS NOTICE u, 'a INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemwall/ (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain - Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS-BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS.: Sheathing Lath / Wall tie Mid-Roof W19-0 1R Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical. Framing.. Insulation Drywall Screw FINALS Electrical Plumbing'.. Mechanical _Roof r Building Final Fire Department j R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. '*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 r: PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: i[I Job Address: °TW4 (v, Permit Number: ❑ No one available for inspection: Time t :j AM�M� Re- Inspection required: Yes No, * When corrections have been made, oafs for re- inspection at 303-234-5933 Date: Inspector: rY� o ✓ t DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 091373 PERMIT NO: 091373 ISSUED: .08/17/2009 JOB ADDRESS: 7155 W 42ND AVE EXPIRES: 02/13/2010 DESCRIPTION: T/o:. Install 11.73 Timberline.. HD30 - ***CONTACTS s;owner 303/424-6168 Cassie Spaniel gc 303/425-7531: John Borfitz 01-9983 J.&'K Roofing Inc., PARCEL INFO ZONE CODE: UA SUBDIVISION:.. 03.55 BLOCK/LOT#: '0/. FEE SUMMARY - ESTIMATED PROJECT VALUATION: 2,07G.21 FEES Permit Fee -108_30 Total Valuation . 00556 Use Tax : 37 . 37 z TOTAL 145.67 4 k ' i Conditions , 6 nail installation & mid-roof inspection required. Board sheathing spaced more ill; than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and if, water shield required from:.eave edge to:2'.inside :exterior walls. r; !.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 r; application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I .H.C). and all other x applicable Wheat RiA rdinances, for work under this permit. Plans subject to field inspection. s Signature of oatractor weer date 1. This permit was issued in accordance with the provisions set forth. in your application and is subject to the laws of the I,2 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, anew permit may be acquired fora fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one.(1) year. If changes have been or if suspension or abandonment.. exceeds one (1) year, full fees shall be paid for a new permit. r' 4. No work of any manner shall be done that will change the natural'. flow of water causing adrainage problem. 5. Contractor shall. notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive :written approval on inspection bard before proceeding with successive phases of the job. 6. The issuance . of ap mit or the approval. of drawings. and specifications shall. not be construed to be a permit for, nor an approval: of,. n iolation of.. the provisions: of the building codes or any other.. ordinance, law, rule or regulation. All. plan r subject to. field inspections. e, r Signature of.' ief Building Official -date INSPECTION REQUEST LINE: (303)234-5933 `BUILDING OFFICE: (303).235-2855 :-REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 2^. City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan ~coanoo Inspection Line: 303-234-5933 Kermit t55 ~avL~ G4,,C-, Property Owner (please print): Mailing Address: (if different than property address) Address: Building Permit Application Phone: ~3_41Q( City, State, Zip: Contractor License Phone: 30a - S- MEMEARM Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Use of s ace descri tion): Construction Value: $ e.. - (as calculated per the Building Valuation Data sheet) ~Cv~~ ~X ~`TCZ Plan Review (due at time of submittal): $ ~QFSZ. W rl 77G Sq. Ft./L.Ft added: Squares t'Z3 BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements:.shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject tog ection. CIRLCE ONE:: ( NER (CONTRAC R) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINTNAME: V ATURE:n Dater/~ ` DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9688 Y" BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 10/27/99 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 7155 W 42ND AVE Phone : 424-6168 Contractor License No. : 20005 Company : Public Service Co. of CO Appliance Repair Phone : 722-7587 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiry that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : Install furnace Construction Value : $2,331.42 Permit Fee : $$3.25 Plan Review Fee : $0.00 Use Tax : $34.97 Total: $118.22 Use: Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This permit was issued in accortlance with the provisions set forth in yopur application and is subjecl to the laws of the State of Colorado antl to the Zoning Re9ulations and Building Cotle of VJheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days fmm issue tlate or (e) the building authorized is suspended or abandoned for a period of 120 tlays. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provitletl no changes have been or will be made in the oriqinal plans and specifcations and any suspension or abandonment has not exceeded one (7) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid tor a new permit. (4) No work of any manner shall be done that will change the natural Flow of water causing a dreinage problem. (5) Contractor shall nofiry the Building Inspector hventy-four (24) hours in advance for all inspedions and shall receive written approval on inspection cartl before proceediing with successive phases of ihe job. (6) The issuance of a permit orthe approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ortlinance, law, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTiON DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE NW4 WHEAT RIDGE, CO 80215 Property Owner: 00"~SRY)0' SPD-n IP-( ~-Fa Property Address : -7/55 ' Phane : ConVactor License No. : a Oc)p 5 Company: Pc.tbl;e Servic.P-Co Phone:79-0-7Sc7 OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : q"73jr 4,9, I hereby certify lhat the set6ack distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations o( Ne City ot Wheat Ridge or covenants, easements or restridions of record: that all measurements shown, and allegations made are accu2te; that I have read and agree to abide by all conditions printed on this application, and that 1 assume full responsibility for compliance with lhe VJheat Ridge Building Code (U.B.C.) and all olher applicable Wheat Ridge o'qances, (or work under this permit. ~ (OWNER)(CONTRACTOR) SIGNE15 ATtjU - 1/ - USE : Description : BUILDING DEPARTMENT USE ONLY 401f~o Monts] SIC Approval: Zoning : EMrdlt~dSC~Gs~ APproval : Approval: Occupancy : Walis : Roof : Stories Electrical License No : Plumbing License No : Permit Fee : Use Tax : Total : -~'!-~~}5~ r 25 3`!-, / so.oo 91 ~l,7,22 Sq. Ft : Residential Units : Mechanical License No : .-Compan-u.- Comoanv_;_--- -----Com_panV DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. ME93#5202 234-5933 P.O. Box638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONI.Y WHEN SIGNED BY THE CHVEF BUILDING INSPECTOR AND RECEIPTED BELOW. / APPLICATION FOR MiSCELI.ANEOUS PERMIT JOBADDRESS 410 Ir 7 Z= 2? - OWNER _ CONTRACTOR S,lP 1 n (;11~[.ICQ.J .C~/1vnAI ADDRESS. ADDRESS LCI 646Uil~ONI PHONE _ CITY G t/OO .rr ~ D ZIP CODE CONTRACT p PHONE ✓ n OY 3~ 3 LICENSE NO. a~as DATE _ 1. TYPE Ground❑ Wall❑ 2. MATERIAL SIGNS 3. ILLUMINATION YeaD No❑ Type 4. SET BACK FROM PROPERTY LINE N _ S- (Specity which ia front ) ❑ ❑ lidD More Than 80% OpenO TYPE S 1 . o FENCES ? ' MATERIAL 3. SET BACN FROM PROPERTY LINE N _ S_ (Specify whieh is front) ❑ ❑ I. OTHER 2 13. y ZIP CODE (lVS63,3 5!S"O.Od Proieciinq❑ Other SorD FOOe ~ Total SQuoro Fast Elxt. Permit Na - H'-_.---z.,.~'---._ . e~~.m..n.7.. ❑ ❑ S LsstThon! INSPECTION TICKET W_ JOB r 1 r-1 ADDRESS DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVING (SETBACNS OR PROJECTIONS INCIUDED) DATE: BLDG. P RMTM PERMITB BLDG. CONTR._ Mk-e.- SUBCONTRACTOR DATE INSP. REQ. l~a TYPE OF INSP. INSPECTION MADE L~22~ l REMARKS co /Rc/ LLs z STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND I DISTANCE TO PROPERTY LINES,NOT MA%IMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; THISAPPLICATION WILL BECOMEA PERMIT TO PERFORM THE INDICATED WORK ONL PERMIT WILL EXPIRE 180 OAYS FROM THE DATE OF ISSUANCE IF W I Z.) v-! i ELECTRICAL PERMIT STATE LICENSE NO.21 a5' PI.UMBING PERMIT STATE LICENSE N0. ALUMINUTAWIREUNDERSIZE81LlEGAL FLOOR BSM IST 2ND 3RD 4TH N0. FIffUC'nxleOneG0801I1roponeCodElxSolor Np, WATER CLOSET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE - AMPS a. SHOWER AIR CONDITIONING-BN LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIFCUITS UTIIITY(RANGE,DISPOSER,E7C.) FIXTURES WATER HEATER AUTO. WASHER DISH WASHER Refri erant Group Pounda Char s AUTOMA7IC SPRINKIER SYSTEM WIRING MOTCRS B CONTROLS FLAOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS Bi RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES I hereby ocknowledae thot this opplico- fion ia conect and undersfond thoi I cannof afart this project until ihis appli- cation ie aDProved. I shall comply wifh ths lawe ot the State ol Colorado and to ihe Zoninp Requlationa and Buildinp Codeofthe Cify oi Wheat Ridqe. Any violotion of the above terme will couse immediote revocation of this permit 4till 79n0ur• PERMIT FEE s~{J NOT VAIID UNLESS RECEIPTED uSE TAX TOTAL FEE CHIEF BUIL/Dj/1~` INSPECTOR,City of Wheat Ridqe v CALL 234-5933 /24 HOURS IN ADVANCE Da}e IssuPd_~/ % -3 FOR INSPECTIONS _ ~ ` W.R. FORM 619 / 6'n-~""'