HomeMy WebLinkAbout6790 W. 45th PlacePERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201704134
201704134 ISSUED: 07/15/2017
6790 W 45th PL EXPIRES: 07/15/2018
Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING - 29 sq
*** CONTACTS ***
OWNER (720)384-6459 KLEIN KENNETH R
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: 18,677.00
FEES
Total Valuation 0.00
Use Tax 392.22
Permit Fee 346.95
** TOTAL ** 739.17
*** 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
17�/0 w- �5 f��°�. INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Space inenj to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of T 1e AboJle WpWi4ns )
Underground/Slab Inspections Date Inspector Commen s
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underqround or Below/in-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
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.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
2 , � 4 i CITY OF WHEAT RIDGE
91
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION � NOTICE
Inspection Type: /tiI %
Job Address: � A � w S
Permit Number: 2 Jzc.�
❑ No one available for inspection: Time�Z AM/'ill I
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
tt�
Date: 2� /f K
Inspector: !C
DO NOT REMOVE THIS NOTICE
2 , � 4 i CITY OF WHEAT RIDGE
91
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION � NOTICE
Inspection Type: /tiI %
Job Address: � A � w S
Permit Number: 2 Jzc.�
❑ No one available for inspection: Time�Z AM/'ill I
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
tt�
Date: 2� /f K
Inspector: !C
DO NOT REMOVE THIS NOTICE
d1fY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �_0 5—' _
Job Address: U-1010 W 4' 7"1+ Pi,
Permit Number: '?_ l )j j 004_ ( 54 -
Ll No one available for inspection: Time Z&)/PM
Re -Inspection required: Yes_No
When corrections have been made, caU for reinspection at 303-234- 933
e
Date: ° Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704134
PERMIT NO: 201704134 ISSUED: 07/15/2017
JOB ADDRESS: 6790 W 45th PL EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING - 29 sq
*** CONTACTS ***
OWNER (720)384-6459 KLEIN KENNETH R
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: 18,677.00
FEES
Total Valuation 0.00
Use Tax 392.22
Permit Fee 346.95
** TOTAL ** 739.17
*** 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201704134
201704134 ISSUED: 07/15/2017
6790 W 45th PL EXPIRES: 07/15/2018
Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING - 29 sq
I, by my signature, do hereby at
that thew
to be performed shall comply with all accompanying approved plans and specifications=
applicable building codes, and all apMe11yau
able municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property anm authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am thorizd toinclude alperformed and that all work to be pemed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of PVNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of 0gQLAWfig Official W Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
2 0704 I i`f
From:
no-reply@ci.wh eatridge.co.us
Sent:
Thursday, July 6, 2017 2:09 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
6790 W. 45th PI
Ken Klein
720-384-6459
Field not completed.
I- 7-Y, � 7
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
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
kathyv@jkroofing.com
Yes
Owen Corning Duration
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 29
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?
TOTAL SQUARES of all 29
roofing material for this
project
Provide additional detail House & Garage - pitch 5/12
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
18677
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 08441
:.J&K Roofing
BBIR 13000 W. 43rd Drive • Golden, CO 80403
Phone: 303-425-7531 • Fax: 303-425-1562
www.jkroofing.com
Representative _ „H• ('t722x1Yi Contact 3-5915- 3y3-7 Date (1-1G 20_
\Jame 42,n 146Yl Phone 7 - ,39q - &445 �' email
4ddress l®*% 6 ` 5 0" A/ City �,��?.��f lC-/4e 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:
IC Recover roof with OIMCj (trVhl VV, 5,141 r yn
Tj Color of shingles
Manufacturer's Warranty I
Tear off 04 l A0 AX5
JL Install Underlayment
Double all Eaves
Ut Re -Flash Chimney and/or Skylights
Ir New Valleys Ke, f Gt.b4✓
l Replace Ridge
Ventilation al/ - its C.,
[F Galvanized Fasteners �Q_e'J(it` 1 ., A jA r O'k jam_
Replace Q 1/ Plumbing Jacks
[ Paint roof stacks to match '
It Install Edi FCS Metal Edging k -p -4p
It Patio or Flat roof
X 5. ear Warranty on labor
Iii J &K Roofing to furnish all material and labor
UM Permit: >t-. Included NOT Included
Clean-up debris and haul off all trash from roof
( Roll yard with magnetic roller
A Gutters cleaned of roofing debris
❑ Decking Repairs $ per
❑ Hidden Layers (tear off) $ per layer
Number)
X Extra work
tJ taC Vlel owwe
The property owner is is not using proceeds from
property and casualty insurance policy.
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 14- (A UAQ.I b
TOTAL ESTIMATE $
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
J&K Representative ate
Homeowner Date
(Acliustof) Homeowner
(Mortgage co.) _ -__-- (Mortgage soar, 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
dge,
- ry DEVELOPMENT
City afi
UNj "j
Building Permit Application
(Complete g# highlighted areas)
\AI
IM
1!� III! 1 1111 q I 111py Iggpillip
!.5 *
M
City License # Cfty License # City License #
! *,.: #:: � 1. . � #. 4 �l i • Y... �: a a t ..
1111111111111111111111111 11111111 111 111 1 11 , I'll
Addr
city, ea zip:
INSPECTION RECORD Occupancy/Type
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
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
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
YOUR NO UONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
Electrical Service - -
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
-
* * NOTE. , ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
4'
r 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 �Ef 49 1 1 74
❑ No one available for inspection: Time , ; / AM /Ply
t..
Yes
Re- Inspection required:
r • When corrections have been made, call for re- inspection at 303 - 234 -5933
6. Date: IZ7 Inspector:
Via. DO NOT REMOVE THIS NOTICE
r CITY OF WHEAT RIDGE
1 / Building Inspection Division
(303) 234 -5933 Inspection line
303 235 -2855 Office * 303 237 -8929 Fax
INSPECTION NOTICE
Inspection Type - AcVl
Job Address 67 ?a w -
Permit Number d/OP a 6
❑ No one available for inspection: Time AM /PM
Re- Inspection required Yes_ No
When corrections have been made, call for re at 303-234-5933
Date: �' >� Inspector: a?
DO NOT REMOVE THIS NOTICE
_
City of Wheat Ridge
► J Residential Roofing PERMIT - 110196
PERMIT NO: 110196 ISSUED: 03/03/2011
JOB ADDRESS: 6790 W 45TH PL EXPIRES: 03/02/2012
DESCRIPTION: Rear patio corrigated fiberglass cover 2 sqs
* ** CONTACTS * **
owner 303/422 -2985 Sanoz Armstrong
sub 720/887 -1265 Andy Rock 06 -0056 Rocky Mountain Roof Doctors
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0801 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,475.00
FEES . -_....
Permit Fee 60.50 _o
Total Valuation .00
Use Tax 26.55
** TOTAL ** 87.05
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named withi his document as parties to the work to be performed and that all work to be performed is disclosed in
this document and/9,0 its' c panying r-o plans d specifications.
Signature of OWNER or CONTRACTOR (Circle "e) 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 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 granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field ins ectA
Signature ON Building Offical Date
INS ON 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.
C -t f
lyo
I® heat ce
Date:
COMMUNI`[Y DFVGLtJPMEN - r
Plan #
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033 Permit# Cl [c'
Office: 303 - 235 -2855 " Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Pr: perfyAdds 6 720 b✓- bJfZ, C cs 6663 3
Property Owner (please print): S� 16� /�G��157�e JCr Phone: _�Y - H ? ?-
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: ,1? z wlo�al7Ar_ J i2��� Doc rnL25
Contractors City License - 00-5 Phone: 7)6 -,g, 7_iaG 5
Electrical Plumbing: Mechanical
City License # City License # City License #
Descrlp�lon =ofi works
�cR fL DX-7;7 o co ;/C12 Contract Value:
ZNS�/ /l CaRfLZ(rA �i FZBc'21r //I55 $ /y7S —
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate;. that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) ONTRAC or TOR) UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: Urfa �),� ,e.p �C SIGNATURE: - / (DATE:
. , s,... ;' ,... ...., r..., �,'i:, „, -. r,-: �.�:,.r„ � I1�P.�`RTMFWT I.IRGcAIJ1:Y ��..,�:,. -, :;: .a�6�`r.: �.,.. -.,, .�„ � , '` ✓�-' ;
Bldg Valuation: $
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9322
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 8116/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 6790 W. 45TH PLACE Phone : 422.2985
Contractor License No. : 20395
Company : Mandelkow Electric Co,. Phone : 75 -5033
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
$1,500.00
I hereby certify that the setback distances proposed by this permit application are accurate,
Pefmit FC'2 :
$54.00
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
Plan Review Fee :
$0.00
made are acwrate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full respo sibiliry for compliance with the Wheat Ridge Building
Use TaX :
$22.50
Code (U.B.C.) and all other applicable at Rid e ordinances, for work under this permit.
Total :
$76.50
L~ DATE
(OWNER)(CONTRACTOR) SIGNE
.
Use:
Description : 200 AMP SERVICE CHANGE
BUILDING DEPARTMENT USE ONLY
REMEN9MM
SIC : Sq.
t. :
Approval:
Zoning :
Approvai : DM
OKAY
Approval:
Occupancy : Walls : Roof : Stories : Residential Units
Electrical License No : 20395 Plumbing License No : Mechanical License
Company : Mandelkow Electric Co,. Company : Company :
Expiration Date : 2/28/2001
Approval : DM Expiration Date : Expiration Date :
Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloretlo a d to the Zoning
Regulalions and Buildin~ Code of Wheat Ridge, Coloratlo or any o[her applicable ordinances of ihe Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within six1y (60) days from issue date or (B) the building authorized is uspended or
abandoned for a period of 120 days.
(3) Itthis permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If chan9es are made or if suspensi n or abantlonment
exceetls one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be tlone that will change the naturel flow of water causing a dreinage problem.
(5) Contreclocshall notify the Builtling Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on ins pection card before
proceediing with successive phases of the job. (6) The issuanc permit or the approval of drewings and specifcations shall not 6e consirued to be a permit for, nor an approval of, any v olation of ihe provisions
of the builc des or any other ordinance, law, rule or re9ulation.
Chief Buildi I pector
- DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPLICATIo N
Property Owner
Property Address
Contractor License No.
Company
Construction Value
Permit Fee : *'50• 0"4)
UseTax: 22
l°
Total: -2
<;Z4Nwea7 A~ i.- S'V rc
69q4 IV e.'s `7' `'fs't'/ ~G.H-e-e'
2.6 3.1.5-
Ph htKo2~ CCao,. c C~ •
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 ag e to abide by all conditions printed on this
application, and that I assume full respons' "ty for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable W Ri ces, for work under this permit.
(OWNER)(CONTRACTOR) SIGNE DATE - jle
Use
Description : 7-A,5 ~ ~ A 2-cp '1~ r
BUILDING DEPARTMENT USE ONLY
Approvai : _
Zoning :
Approval:
Approval :
Occupancy:
Electrical License No :
Company :
SIC
Phone 3p3 - `e22-
Phone : 3c,-3
~ 17;ce
Sq. Ft. :
Walls : Roof : Stories : Residential Units :
Plumbing License No : Mechanical License No :
Company : Company :
C~-
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This permit was issued in accordance with ihe provisions set ktlh in yopur applicalion and is subject to the laws of ihe State of Coloratlo and to the Zoning
Re9ulations and Building Code of Wheat Ridge, Colo240 or any other appliwble ordinances of the Ciry.
(2) This permit shall expire if (A) ihe work authonzetl is not commenced within siMy (80) days from issue date or (B) the buiiding authorized is suspended or
abantlonetl tor a periotl of 720 days. (3) If this permit expires, a new permit may be arquiretl tor a fee o( one-half the amount nartnally required, provitletl no changes have been or will be matle in the
onginal plans antl specifications antl any suspension or abandonment has not exceetled one (1) year. Ifchanges are matle or if suspension or abandonment
exceeds one (t) year, (ull fees shall be paid for a new pefmit.
(4) No work ot any manner shall be tlone ihat will change ihe natural fiow of waler causing a tlreinage problem.
(5) ConUaclor shall notify ihe Building Inspector twenty-four (24) hours in atlvance for all inspections and shall receive writlen approval on inspeclion card before
proceediing with successive phases of ihe 1~ob. .
(fi) The issuance ot a permit or the approval of drawings and specifications shall not be consWed to be a pertnit for, nor an approval of, any violation of the provisions
of ihe builtling codes or any other ordinance, law, rule or regulation.
Chief Buiiding Inspector
✓ DEPARTMENT OF COMMUNITY DEVELOPMENT ~ 1
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. tJ 2S
237-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
..,.....r...~.... .
JOB ADDRESS
I OWNER
CONTRACTOR P/~nanJ ~
~
ADDRESS
AA,~ t7P
G~ 79 6 11"~"r Z~ Y
ADDRE
SS.S ~
`y~ (
~J~ XLp2Lp~v, ~.~Y -
~
PHONE
- a/ ZIP CODE '10 D _
~
CITY ~Ld6CAt
PHONES~~Jc
G~d~ { ZIP CODE
~JSSCD IICENSE NO
.R-
l~y/ s
IONTRACT PFICE $
1. TYPE Ground❑
Wall❑
Proieefinp❑
Ofher SorOFaes
2. MATERIAL
Total Square Feat
SIGNS
3. ILLUMINATION Yes❑ No❑
Typs
Elect. Permit No.
4 SET BACK FROM PROPERTY LINE N
(SOecifYwhichiafronf)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_ AODrwad,ZOnelnspemor
DisapDrwed
I, TYPE SolidO More Thon 80% Open[D
Lest Than 80% Open
FENCES
? MA?ERIAL
3. SET BACK FROM PROPERTY LINE N
(Specify whiehiatront)
_
❑
S_ E
❑
_ W
❑ ❑
Haiphf
Zone_ Appraed,Zone Inepecta
Disapproved
I. ~
2
Q""`.~
°
OTHER
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,
(SETBACNS OR PROJECTIONS INCLUDEO)
/ 10
V INSPECTION TICKET
JOB
ADDRESS 6790 G(~VSK~
DATE: a- y-91 BLDG. PERMITN
PERMIT# A-191'16"/-76-
BLDG. CONTR.
STREET NAME
SHOW OISTANCES FROM THE MAIN BUiLDING Ta ADJOINING HOUSES, STREET
DISTANCE TO PROPERTY IINES, NOT MAXIMUM OR AVERAGE DISTANCE.
SUBCONTRACTOR
~aa sss6 /
DATE INSP. REQ.
APPLICATION FOR PLUMBING; ELECTRIi TYPE OF INSP.
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THEINDICATED WI N.
PERMIT WILL EX%RE 60 DAYS FROM DATE OF ISSUANCE !I iticoocnnni Keeno -
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PI
STATE LICENSE N0._ REMARKS
.ALUM
INUM WIRE UNDER SRE 8 ILLEGAL
FLOOR
BSM
I S'Solar
NQ.
WATER CLASET
TEMPORARYMETER
WASH BOWL
/
NEW SERVICE AMPS
BATH TUB
-
CHANGE SERVICE-AMPS
SHOWER
W.R. FORM 619
LIGHTING
SINK
HEATING
GARBAGE DISP.
POWER SUB-CIRCUITS
WATER HEATER
.
UTILITY (RANGE, DISPOSER, ETC.)
AUTO.WASHER
fl%TURES
DISH WASHER
AUTOMATIC SPRINKIER SYSTEM
WIRING MOTORS BiCONTROLS
FlAOR DRAIN
ELEYATOR
SIGNS
URINAL
TRANSFORMERS a RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
I hereby acknowled9e that this applica-
tion ia Correct and understond fhat I
connot storf fAis project unfil }hia appli-
cation ie opproved. I sholl camply with
the tawe oi the Srote of Colorado ond to
the Zoninq Repufationa and Buildinq
Code ot the City of Wheat Ridqe. Any
violotion of the above terme will couse
immediote revocotion of this permit.
Rpplieanb 9i0nalur.
PERMIT FEE - ~7 NOT VALID UNLESS RECEIPTED
USE TAX 2
TOTAL FEE $ ~ 6 Q y 3cr68L
_ AFP 0
DtS
CHIEF BUILDING I PECTOR,Cityof Wheat Ridge
, CALL 237-8944 EXT. 255
24 HOUfiS IN ADVANCE
Date Issued FOR INSPECTIONS
C