HomeMy WebLinkAbout6260 W. 45th Placei
A 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: Y' ir- -?549
Job Address:-�
Permit Number:f
❑ No one available for inspection: Mme - �
Re -Inspection required: Yes, No
When corrections have been made, call for re -inspection at 303-234-5933
Date: & `�c - 6- Inspector: .1*1_�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Siding Replacement PERMIT - 201802447
PERMIT NO: 201802447 ISSUED: 09/05/2018
JOB ADDRESS: 6260 W 45th P1 EXPIRES: 09/05/2019
JOB DESCRIPTION: Replace 7 squares of steel siding on right elevation only per
manufacturer's specifications.
*** CONTACTS ***
OWNER (303)521-3599 LINVILLE CAROLYN S
SUB (303)776-5263 James Hooven 140187 Northern Lights Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00
FEES
Total Valuation 0.00
Use Tax 105.00
Permit Fee 125.05
** TOTAL ** 230.05
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, 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 ermit. I further attest that I am legally authorized to include al
entities named within this document as parties to the work toe
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying )Tans 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting,of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applic code or any finance or regulation of this jurisdiction. Approval of work is subject to field inspection.
�-11
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
FOR OFF -ICE USE ONLY
City, of Date:
Wheat I
7TT7
�C.' NjgPMET
Plan/Permit
Building & Inspection Services Division
7500 W. 29t " Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan Review Fee: ! ��
Inspection Line: 303-234-5933 �?Y
Email permits a('_.ci.wheatridge co us
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ••'
Property Address: _. 6260 West 45th Place
Property Owner (please print}: Carolyn Linville Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
ArchitectlEnaineer:
Architect/Engineer E-mail:
Contractor: Northern Lights Exteriors
Phone:
Contractors City License #:/ u �U Phone: 303.776.5263
Contractor E-mail Address: NLE-Office@NorthernLightsExteriors.com
Sub Contractors:
Electrical.
W.R City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
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 I 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 SYST /APP� �NC REPAIR Or REPLACE ENT
[10THER (Describe):.,/;TFA , 18Z. ---� f �
(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.)
oe Y
Sq. FtAF
Amps
_._ Btu's
Gallons
Squares 7 Outer
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
s 55,000
OWNER/CONTRACTOR SIGNATURE OF UNDEWSTANDINC, AND AGREEMENT
I hereh% certifj 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 coxenants. easements or restrictions of record: that all measurements sho%%n and allegations made are
accurate: that I have read and agree to abide b% all conditions printed on this application and that I assume full responsibility for compliance
%%ith applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application: that'l am the legal o%%ner
or have been authorized by the legal o%%ner of the propery to perform the described work and am also authorised b,% the legal owner of an%
entity included on this application to list that entity on this application. I. the applicant fir this building permit application, warrant the
truthfulness of the information pro%ided on the application.
CIRCLE ONF. (AUT ORIZF.D R"E�f'7V' of(0WNER) (CTRACTO ►
Electronic 5igw4ture (first and Fast nanx ): Anila Pete
DEPARTM
ZONING COMMMENTS
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer
ONLY
DATE: 8?/018
OCCUPANCY CLASSIFICATION'
Building Division Valuation: $
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 qn inspection before MIDNIGHT (11:59 PM) to receive an inspectlQnthe following business day
PERMIT: ADDRESS: �� CJS JOB CODE:
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 1 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
j
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
j
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 Sow err Pan
h
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT:klj�)qCk-�ADDRESS:' N,, 44#Pb 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
(ya
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�
(ya
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.
The City of Wheat Ridge
Third Party Form Check List
Property Address
Permit Number
Permit Issued Date
Owner Information
Property Owner Information
Property Owner Address
inspector Information
Inspection Company
Inspector Name
Inspector Contact info.
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommenda ' s specifications.
Inspect �, k?C Date: — 4�
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Rid!EBding Di 'sion ' spection.
Propery Owner/Agent:Date:
This original document and perrd, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
inspection Check List notes
Mid -Roof
_Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
❑ N/A
A -Pass
i4—Pass
❑ Fail
❑ Fail
Verify that no more than 2 layers of shingles exist
"ass
❑ Fail
Flashing for roof and walls
If
new sheathing is installed verify that it is listed in the
N/A
,Pass
❑ rail
permit description (Valuation must be adjusted)
❑ N/A
Pass
F1Fail
Verify sheathing nail pattern (Seo policy ,& Procedures)
Crickets and saddles where needed
❑ N/A
❑ N/A
ass
ass
❑ Fail
❑ Fail
Verify B vent must have boot same gauge as pipe
Verify vent caps
❑ N/A
El N/A
1 Pass
O-Pa<s
❑ Fail
El
Verify no flashings are damaged or rusted
,�/A
❑ Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
Verify scuppers
❑ N/A
OPass
❑ Fail
allow for proper drainage
Ice and water shield 2' in heated wall spaces
❑ N/A
,� Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
El N/A
Pass
ass
❑ Fail
❑Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fait
Dripedge shall have rein of 2" overlap
Dripedge should extend down min 2"
❑ N/A
gINIA
Pass
❑ Pass
❑ Fail
past roof eck
Dripedge shall be mechanicaly fastened 12" OC
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
N/A
N/A
❑ Pass
❑ Pass
❑ Fail
❑ Fail
1:12
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
Below roof residential R-38
N/A
❑ Pass
[] Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modred Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the leiter for final inspection
Metal Roof Shingles Requiremenis
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed
on slope Ie55
N/A
EJPass
❑fail
3:12
Metal valley flashing shall be the
N/A
ElPass
❑ Fail
same material as roof
Metal valley flashing shall
extend a min of 8" from th
centerline with a min. of 3/4 " high splash diverter e
rib built-in at the flow line with sections overlapping a
Tile Roofs Requirea min. of 4"
ments
�,! �N/A
EJ Pass
❑Fail
Clay and concrete tile
shall have a minl 12 slope
Slopes 4:12 and under
equ re d uble underla yment
G
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name:
Inspector signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
ass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
ass
❑ Fail
Flashing for roof and walls
ass
❑ Fail
If new sheathing is installed verify that it is listed in the
❑
Pass
❑
permit description (Valuation must be adjusted)
N/A
Fail
Verify sheathing nail pattern (See Policy & Procedures)
❑ N/Apf"PEss
❑ Fail
Crickets and saddles where needed
❑ N/A
rzrpass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
1`72Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
VrPass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
10 N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
9 —Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
`''Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
A Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
O -Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
jjN/A
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
i
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
i
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material
N/A
❑ Pass
❑ Fail
as roof
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
_Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double undedayment
M*
C%
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Company Name: C — cl e—
Inspector signature:
®ate of Inspection:
City of Wheat Ridge
Residential Roofing PERMIT - 201709297
PERMIT NO: 201709297 ISSUED: 11/28/2017
JOB ADDRESS: 6260 W 45th PL EXPIRES: 11/28/2018
JOB DESCRIPTION: Residential Reroof: OC Duration asphalt; 5/12 pitch; 17.33 squares
*REVISION: Add new sheathing inspection as space decking found prior to
installation and after initial permit was submitted. Added valuation.**
*** CONTACTS ***
OWNER (303)521-3599 LINVILLE CAROLYN S
SUB (303)776-5263 James Hooven 140187 Northern Lights Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,342.61
FEES
Total Valuation 0.00
Use Tax 217.19
Permit Fee 220.15
** TOTAL ** 437.34
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201709297
PERMIT NO: 201709297 ISSUED: 11/28/2017
JOB ADDRESS: 6260 W 45th PL EXPIRES: 11/28/2018
JOB DESCRIPTION: Residential Reroof: OC Duration asphalt; 5/12 pitch; 17.33 squares
*REVISION: Add new sheathing inspection as space decking found prior to
installation and after initial permit was submitted. Added valuation.—
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst
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 ermit. I further att st that I am leggally authorized to include all entities named within this document as parties to the work to be
performed and that all �ork to beperformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of P-tN-Eit or CONTIJCTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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
mspectjons and shall not proceed "�conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance r gr ting a pe not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable �o e ory o antion of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat jdge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
3//
Add to Permit #
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner
Property Owner Email:
✓� V
0 I dnViIle
Mailing Address: (if different than property address)
Address: 6� ilk f—
,-
, State,
6_� C6MCgs
Phone: '5d 3 5
Submitting Company: \�
Contact Person: Phone: ';0'3 S3
Contractor: 1-j A'f'
Contractors City License #:
Contractor E-mail Address:
1�Ktevi0✓'S
Phone: 3P 3 - _16111-) 6'Z& 3
CCS i, YI.0 r -F,P_. vim, I 6i i 'Is e X �e r +' D r �dlam-i
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
Sq. Ft./LF
Amps
el/ I- cle SOL V-1 ked
t-1, -33 S&-, Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$ S0a
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pennit 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 pennit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perfonn the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: tF ttlEN�-s SIGNATURE: -4A ---Q % DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201709297
PERMIT NO: 201709297 ISSUED: 11/28/2017
JOB ADDRESS: 6260 W 45th PL EXPIRES: 11/28/2018
JOB DESCRIPTION: Residential Reroof: OC Duration asphalt; 5/12 pitch; 17.33 squares
*** CONTACTS ***
OWNER (303)521-3599 LINVILLE CAROLYN S
SUB (303)776-5263 James Hooven
140187 Northern Lights Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,342.61
FEES
Total Valuation 0.00
Use Tax 154.19
Permit Fee 172.60
** TOTAL ** 326.79
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
h
Residential Roofing PERMIT - 201709297
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
201709297
6260 W 45th PL
ISSUED: 11/28/2017
EXPIRES: 11/28/2018
Residential Reroof: OC Duration asphalt; 5/12 pitch; 17.33 squares
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 ame 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 e urther attest that I am legally authorized to include alI entities named ith' this document as parties to the work to be
performed that all t;y to be performed is disclosed in this document and/or i acc mpanying approved plans and specifications.
Signature of OWNER or LCOWRACTOR (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.
1. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulat�cp f 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.
From: no-reply@ci.wheatridge.co.us
Sent: Monday, November 27, 2017 6:27 PM
To: CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received 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
^T
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
r�
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
residential roof?
How many dwelling units
are on the property?
Yes
Single Family Home, Duplex
PROPERTY INFORMATION
Property Address 6260 WEST 45TH PLACE
Property Owner Name CAROLYN-LI1WILLE
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
303-521-3599
carolyn.linville@comcast.net
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed 04 -Linville -WR Signed Agreement.pdf
Contract
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)
Contractor Address
(Primary address of your
business)
Northern Lights Exteriors
140187
303-776-5263
11375 WCR 23, Fort Lupton, CO 80621
Contractor Email Address northernlightsexteriors@gmaiI.com
Retype Contractor Email northernlightsexteriors@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
23.0
8500.00
M
Pitched roof (2:12 pitch or greater)
2
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)
2/12 & 6/12
2/12: 4.66 SQ 6/12: 18.33 SQ
EXISTING: 3 TAB, REPLACE: WITH ASPHALT LAMINATE
(OWENS CORNING OAKRIDGE)
Asphalt
REMOVE AND REPLACE 23.0 SQ OF ASPHALT LAMINATE
ROOF MATERIAL ON HOUSE, POTENTIAL RE -DECK
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
3
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 Mack Yaughn
Email not displaying correctly? View it in your browser.
Shingle Grade
Shingle Style
Shingle Color
Northern Lights Exteriors
Insurance Customer Agreement
30 Yr.
Laminate
TBD per Homeowner
Ridge Material Asphalt
Valley O Open O Closed Re -Deck
soffit O Open p Closed
vents Replace Damaged
Metal Edging 2x4 @ Eave/Rake
Tear Off ® Layers: 3
Power Vent ❑
Felt 15LB (4sq) ice/Water Per Code
Pitch 4/12 Stories 1
-------- --
® Remove trash from roof, gutters and yard
i� Protect landscaping where applicable
® Roll Yard and driveway with magnetic roller
® Furnish permit
Prepared For:
Carolyn Linville
6260 W. 45th Place
Wheat Ridge CO 80033
303-521-3599
carolyn.linville@comcast.net
#1) NLE has Permission to mediate with insurance
Company all faxes, e-mails, phone calls, financial
payments and insurance paperwork.
#2) Ice & Water shield in all valleys around chimneys,
skylights, vents, pipe jacks and any other roof
penetrations.
#3) Price done per final approved insurance scope;
approval on all supplements prior to work starting.
#4) 0% Down 100% upon completion of each trade per
insurance paperwork.
Company's Limited Warranty:
Five years on replacement & one year on repairs
Warranty Certificate & Waiver Issued Upon Final Agreement
General Contractor: Homeowner acknowledges NL Exteriors
as a general contractor and as such will be entitled to %
overhead and % profit as allowed by insurance company
standards.
Insurance/ mortgage company note: I hereby authorize the
F— Special Attention Areas insurance and/or mortgage company below to make any checks
payable jointly.
❑ Skylights N/A Terms: This agrement does not obligate the homeowner or NL
Exteriors in any way unless it is approved by the insurance
® Gutter Damage Replace Damaged company and accepted by NL Exteriors. When "price agreeable"
-- is determined, it shall become the final contract price of $Per
Final Approved Ins. Scope plus all supplementals and the
® Siding Damage Replace Damaged homeowner authorizes labor and material in accordance with the
,,price agreement' and the specifications set out herein and on
❑ Shutter Damage N/A the second page to accomplish the replacement or repair.
❑ Deck Damage N/A Accepted by the homeowner on: 11 /08/2017
By: Carolyn Linville
❑ windows N/A Payment Method: Pay upon completion of each trade.
® Paint Re -paint Damaged Siding/ Fascia_
❑ Deck/Fence N/A
❑ A/C N/A
® Misr. Replace Damaged Gable Vent
Insurance Information
Insurance: State Farm
Claim #: 0615608S6
Mortgage:
Acct: Phone: v
Address: /�
Management Approval:
Both sides of this document, including the terms and conditions below, and any agreement executed in writing, pursuant thereto,
between NORTHERN LIGHTS EXTERIORS (the "Company") and the property owner(s) or property owners representative(s)
Carolyn Linville, hereby referred to as the "customer, are subject to the law in effect in the State in which it has been signed and
executed.
ANY REPRESENTATION, STATEMENT, OR OTHER COMMUNICATIONS NOT WRITTEN IN THIS AGREEMENT, OR MADE IN
WRITING PURSUANT THERETO, ARE AGREED TO BE INVALID, AND NOT RELIED ON B EITHER PARTY AND, DO NOT
SURVIVE THE EXECUTION OF THIS AGREEMENT.
1. This agreement is subject to the credit and pricing approval of the management of Northern Lights Exteriors.
2 Payment is only due for materials when delivered on Cash Jobs. Payment is due for the remainder of the agreement with
completion of each individual trade, including applicable overhead & profit, such as: Roofing, Siding & Trim, Gutters, Awnings &
Carports, Interior Repairs, Punch list. In the event a final inspection is required before the "Customer' chooses to pay the
"Customer" shall agree to pay the total balance due, less 10% as hold-back until the final inspection and any subsequent punch
list is completed.
3 Should default be made in payment of this agreement, a lien will be placed on property and charges will be added from the date
of substantial completion at the maximum allowed by law. If placed in the hands of an attorney for collection, the "Customer" will
pay all attorney and legal fees. Colorado: Any person or company supplying labor or materials for this improvement to your
property may file a lien against your property if that person or company is not paid for their contributions.
4 The "Company" and the "Customer" agree to settle all disputes in accordance with the laws of Colorado and the county in which
the agreement is executed.
5. The full amount of all money as specified by an agreed price, or as specified by "Full Scope of Insurance Proceeds" does not
include any extras such as carpentry repairs, or any other repairs not specified, and not covered b the "Full Scope of Insurance
Proceeds", that is necessary to complete the repair process as required by local building codes, and building officials, or to
satisfy cosmetically, the "Customer".
6. If the "Customer" chooses not to pay for a part of the scope of that agreement, an individual line item. Or a trade, the "Customer'
releases the "Company" of it's obligations for the performance of that component with regard to the integrity of the building
system as a whole.
7. The "Company" will not be responsible for damage below the roof due to leaks caused by excessive wind greater than 55mph,
ice damming or hail, at any time during the construction process, or the warranty period
8. The "Company" will not be responsible for slight scratching and denting of gutters, oil droplets in driveways, hairline fractures in
concrete, flowers, or minor broken branches on plants and shrubbery.
9. This agreement cannot be canceled once negotiations begin with your insurance company, and/or, material has been delivered
to your job-site without written mutual agreement of both parties.
10. If this agreement is canceled by the customer later than three (3) days from execution, "Customer" agrees to pay to the
"Company' 25% of the agreement price for. 1) Consulting Services Rendered, or 2) Liquidating fees. If materials have to be
returned due to this cancellation, the "Customer" agrees to pay an additional fee of 25% for re-stocking fees.
11 The "Company" reserves the right to supplement the Insurance Company for increases in the "Full Scope of Work", and or,
documented price increases. "Customer" agrees to allow these supplements to be paid directly to "Company".
12. All excess materials remain the property of the "Company".
13 "Full Scope of Insurance Proceeds" shall be defined as the full price for repairs and replacements allowed by the insurance
company.
14. If any provisions of this agreement should be held invalid or unenforceable, the validity and enforceability of the remaining
provisions shall not be affected thereby.
WARRANTY
OUR STANDARD WORKMANSHIP WARRANTY IS FOR FIVE (5) YEARS. IN ADDITION, WE WILL PROVIDE YOU A WRITTEN
WARRANTY UPON RECEIPT AND VERIFICATION OF YOUR PAYMENT IN FULL FOR THIS AGREEMENT. COPIES ARE
AVAILABLE FOR YOUR PERUSAL
15. We will not honor our warranty on agreements that are not paid in full
PLEASE MA E ALL CHECKS PAYABLE TO: NORTHERN LIGHTS EXTERIORS.
Customer Initials
City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: December 6, 2017
Reason: Incorrect permit (201709297) was paid for by Contractor. Contractor
needs full refund as he paid for someone else's permit.
Please refund: Contractors License$ (acct 01-510-00-513)
100% permit fee: $ 172.60 (acct 01-510-00-516)
0% plan review $ (acct 01-550-05-551)
100 % use tax: $ 154.19 (acct 01-500-02-505)
Total: $ 326.79
TO:
Northwest Roofing
2755 S. Locust Street
Denver CO 80222
Thank You!
" COO4
Permit Technician
ffi )�0S
City of
Wheat idge 1030
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Refund Application
Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be
approved without prior approval from the Building Official. The refund application must be received by the
Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180
days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of
Wheat Ridge, Attn: Building Division, 7500 W. 29a' Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out to): / Y b% 1 �� 0 07
Address: JJCj l0 G_ ct
City: t�" State:
Phone:0�
'Fax:
Permit #: �()J�O I �- Permit Address:
Reason for request:
Printed Name:
Zip:
Email: �l u N!I�leayz S� If D'�T �I.�LS "�Ki •Co
�i
�1L
Date:&':�,
For office use only /q/
This request has been: Approved Denied Refund Amount: $ \
J C/
Approved by: Date:
www.d.w heatridge.co. u s
12/01/17 14:36
City of Wheat Ridge
Valuation/Fee Money Postings
Page 1 of 2
List/Update
cr121_pg.php/Job
No:
12256
USER: KCOOK
In Update Mode
Permit
Receipt
iNo
Payment
Fee
Amount
No
Date
Code
Description
Paid
201709297
CDBO18032
11/30/17
PRM Permit Fee
172.60-
201709297
CDBO18032
11/30/17
USE Use Tax
154.19-
TOTAL
326.79-
City of Wheat Ridge
12/01/17 14:36
Valuation/Fee Money Postings List/Update
Page 2 of 2
cr121_pg.php/Job No: 12256
USER: KCOOK
GL Posting Summary
GL
Account
Description
Debits
Credits
01-101
BPS PERMIT PAYMENTS
326.79-
0.00
1ST WR/CK'G
01-500-02-505
BPS PERMIT PAYMENTS
0.00
154.19
USE TAX 3%
01-510-00-516
BPS PERMIT PAYMENTS
0.00
172.60
BUILDING PE]
TOTAL
326.79-
326.79
* *
. Correction Notice
,
$ Job Located at 4,6)~
~
I have this day inspected this structure and these premises and
' have found the following violations of City and/or State laws gov-
erning same: :
--~v'~
J
Z r ) ~ 7~ ~ / ~2c+~ ~ '
~
You are hereby notified to correct the foregoing violations.
: When corrections have been made, cail for inspection.
Date '25F
. . . . . . . . . . Inspector for Bullding Dept. .
DO NOT REMOVE THIS TAG
`.FORM WR6-22
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-976
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :5/12/95
7500 WEST 29TH AVENUE
WHEAT RID.GE, CO 80215
PropertyOwner. LINVILLE CAROLYN S
Property Address : 6260 45TH PL Phone : 431-9525
Contractor License No. : 17661
Company : Bartels Heating & A/C Phone : 422 3589
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Constfuction Value : $1,250.00
I hereby certify that the setback distances proposed by this permit application are accurate, P8RT1it F22 : $31.00
and do not violate applicable oMinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations Use TaX : $18.75
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 : $49.75
Code (U.B.C.) and all other applicable heat Ridge ordfi ~nces, for work under this permit. TOt81
(OWNER)(CONTR4CTOR)SIGNED ! ~1J DATE~ Ia.I
Description : EVAPORATIVE COOL R
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
NE ~mm'a lom
(1) This permit was issued in accortlance wifh the provisions set forlh in yopur applica[ion and is subject to ihe laws of the State of Colorado and to the Zonin9
RequlaGOns and Buildiny Code of Wheat Rid9e, Coloratlo or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work auihorized is not commenced within siuly (60) days from issue tlate or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this pertnit expires, a new permit may be acquired for a fee of one-half ihe amount normally requiretl, 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 chan9es are matle or if suspension or abandonment
exceetls one (7) year, Tull fees shall be paid for a new permit (4) No work of any manner shall be done that will change the natural flow of water causin9 a dreinage problem. (5) Contredor shall notify the Builtling Inspector hventy-four (24) hours in advance for all inspec[ions and shall receive written approval on inspec[ion carU before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of tlrawings and specifications shall not be consVued to be a permit For, nor an approval of, any violation of the provisions
of the builQ,ing codes oF3ny other prtlinan5e, law,-rule or regulafion.
Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
zm
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO.
234.5933 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS 40t2& U)
J -I-
Li_.
OWNER ~igJ(//
F
CONTRACTOR cjk#ls
to Linc N /N L~/O
1
ADDRESS ~0.~0 GU/ ~f
5 P~-
ADDRESS
14
PHONE 113/-Z;-
ZIPCODE
CITY h
PHONE _Z12
ZIP CODE
LICENSE NO. _Z2J ILA-
CONTRACT PRICE $
DATE 5-
1. TYPE Ground❑
Woll❑
Proiecting❑
Other
Sor D Face
2. MATERIAL
Total Square Feet
SIGNS
3. ILLUMINATION yes(] No❑
Type
Elect. Permit No.
4. SET BACK FROM PROPERTY LINE N
(Specify which is front)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
Approved, Zone Inspector
Disapproved
1. TYPE Solid❑ More Than 80% Open❑
Less Than 80% Open
MATERIAL
Height
FENCES
3. SET BACK FROM PROPERTY LINE N
(Specify which is front)
_
❑
E
❑
_ W
❑ ❑
Zone_
ADDFOVed,Zone Inspector
Disapproved
I
.
2
OTHER
.
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVING DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TO- ADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LOTS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE NO.
PLUMBING PERMIT
STATE LICENSE NO.
MECHANICAL PERMIT
ALUMINUM WIRE UNDER SIZE 8 ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
NO.
FUEL+CIrcls One Gas011Propone Cod Else Solor
N0,
WATER CLOSET
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 _ - -Zy2C F-
-HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIRCUITS
WATER HEATER
Refrigerant Group
UTILITY (RANGE, DISPOSER, ETC)
AUTO. WASHER
Pounds Charge
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS B CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
-
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS 6/i
I hereby acknowledge that this opplica-
tion is correct and understand that I
cannot start this project until this appli-
actlon U approved, I shall comply with
the lows of the State of Colorado and to
the Zoning Regulations and Building
Code of the City of Wheat Ridge. Any
vlolotlon f t is above terms will cause
immedi a re ocation of this permit
PERMIT FEE
USE TAX
TOTAL FEE
'-3 /.dt~
/LIF ~'S__
$ Y' ~ ,
APPROVED
DISAPPROVED
CHIEF BUILDING INSPECTOR,Cityof Wheat Ridge
CALL 2345933
24 HOURS IN ADVANCE
FOR INSPECTIONS
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO.MM92#4027
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS
CONTRACTOR
ADDRESS -Z
CITY
PHONE
SIGNS
FENCES
OWNER
ZIP CODE .01-LL3(-)
LICENSE NO.
OTHER 2'
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTURE, GIVING DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TO-ADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LOTS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE NO.
ALUMINUM WIRE UNDER SIZE 8 ILLEGAL
PLUMBING PERMIT
STATE LICENSE NO.
FLOOR BSM IST 2ND 3RD 4TH
MECHANICAL PERMIT
NO FVEL:CirdeOne Gap Oll Propane Cod Elec Solar
NO.
WATER CLOSET
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-CIRCUITS
WATER HEATER
Refrigerant Group
UTILITY (RANGE, DISPOSER, ETC.)
AUTO. WASHER
Pounds Charge
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS B CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
1 hereby acknowledge that this applica-
tion is correct and understand that I
cannot start this project until this appli-
cation is approved. I shall comply with
the lows of the State of Colorado and to
the Zoning Regulations and Building
Code of the City of Wheat Ridge. Any
violation of the above terms will cause
immediate revocation of-this permit.
PERMIT FEE
USE TAX
TOTAL FEE
APPROVE[
1. TYPE Ground❑
W0110
Proiecting❑
Other
Sor D Face
2. MATERIAL
Total Square Feet
3. ILLUMINATION Yes❑ No❑
Type
Elect. Permit No.
4. SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zone_
Approved, Zone Inspector
(Specify which is front)
❑
❑
❑ ❑
Disapproved
1. TYPE Soltd❑ More Than 80% Open❑
Lees Than 80% Open
MATERIAL
Height
3. SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zone_
Approved,Zons Inspector
(Specify which is front)
❑
❑
❑ ❑
Disapproved
CHIEF BUILDI
INSPECTOR,City
ZIP CODE
17r v
14 -CJ J"
heat Ridge
Date Issued / 6 -a 112 5 a
PHONE o/ I J
CONTRACT PRICE $
)T VALID UNLESS RECEIPTED
f-ff '~-/a 7 9'
l ~/97~7
5m-
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS
oo<ent. slon 1