HomeMy WebLinkAbout11659 W. 40th Circle(16 Tq W M,4 tile-,
?0171 SYZ
INSPECTION
RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
' A�?_r
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
Pier
Wall Sheathing
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Mid -Roof
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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 G%
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 iow voltage permits — riease 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
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line`
'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE ZZ
Inspection Type:
Job Address: Q
Permit Number: - 0l %Q
❑ No one available for inspection: Time 12 AM/PM?
Re -Inspection required: Yes No
When corrections have been made, call for
\\re -inspection at 303_-234-5933
Date: �' �d l 7 Inspector:�--
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703592
PERMIT NO: 201703592 ISSUED: 07/10/2017
JOB ADDRESS: 11659 W 40th CIR EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Presidential shake shingles - 33
sq.
*** CONTACTS ***
OWNER (303)241-1057 ELLIOTT JAMES E
SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
FEES
Total Valuation
0.00
Use Tax
294.00
Permit Fee
267.70
** TOTAL **
561.70
*** COMMENTS ***
PROJECT VALUATION: 14,000.00
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201703592
PERMIT NO: 201703592 ISSUED: 07/10/2017
JOB ADDRESS: 11659 W 40th CIR EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Presidential shake shingles - 33
sq.
1, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable �uilding 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 ermrt. urther attest that I am legally authorized to include all entities named within this document as parties to the work to be
performe d that all work0erfom/d is disclosed in this document ander its' accompanying approved plans and specifications.
Signatur;po6T OWNER or CONTRACTOR (Circle one) 'Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180,days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original�perm it 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 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 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.
Dane Lovett 2C) i Z_J �q 2 -
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 27, 2017 1:12 PM Q '
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 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 11659 W 40TH CIR WHEAT RIDGE CO 80033
Property Owner Name JIM ELLIOT
Property Owner Phone 3032411057
Number
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
HomeGuard Restoration
Contractor's License
130138
Number (for the City of
Wheat Ridge)
Contractor Phone
7207084126
Number
Contractor Email Address
ROXANNET@HOMEGUARDRESTORATION.COM
Retype Contractor Email
ROXANNET@HOMEGUARDRESTORATION.COM
Address
DESCRIPTION OF WORK
Are you re-decking the
No /
roof?
Description of Roofing
33 SQ PRESIDENTIAL SHAKE SHINGLES REPLACEMENT
Material
Select Type of Material:
Other (specify below)
If "Other" is selected
CERTAINTEED PRESIDENTIAL SHAKE SHINGLES TL
above, describe here:
How many squares of the
33
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?
2
TOTAL SQUARES of all
roofing material for this
proj ect
Provide additional detail
here on the description of
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)
33
HOUSE AND DETACHED SHED 5/12 PITCH
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
and to perform the work
described above.
Name of Applicant
Yes
Yes
Yes
Yes
ROXANNE TERMENTOZZI
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3
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SURETY AND LIPILITY INSURER INFORMATION
t�� Colony Insuran - Policy Number QTE21366
Contact, GIA Rit Management, 13031423-0162, ext. 136 `
H Q MEGUARD 6850 W 52nd As rue Suite 106 Arvada. CO 80002 4 a
HOOFING & RESTORATION mf @ om?08+[126 Fax 720.9 21.8,558
B9B
:..
into�HomeGua dRoo£com HcmeGuardRaaF tiro
Name; �tM \1�-1 Address: 5
City: GJy t(4 -yL,,,a8Z. CC).
zip: 7 _ d J
i
Project Address (if different from above! ,
Home N:Cell N: _I) I QL_1I lU J 1 Email: t..i.M0,r%CA%torr .,.
Insurance Company: �G.Pe,.C� Claim No: 1 �-� �tf-����� Deductible
-
SatesRepresentative:Name: )C"J\L �k�_ Phone. CL0
Project Manager: Name. iMW I
I tls�
Phone
Of RIESTIO i/4TIM sm"M'i¢. TPA""Op
Op
STRUCTURESINCLUDED Main ❑Detached Garage £[ZOther
❑
Type: , '���
Manufacturer:
SERVICE AGREEMENTS
❑ Type %"*%&A c�uKt 'i'L
Color
GAF ROOFING SYSTEMS
❑ Ridge Maleriai ti'Y
❑UndertaymentS4Wy-t.+,e.
i • a
Leak Barrier -EEaves [ff Valley
,,__,,warranty
Drip Edge aves [/7Rakes
i
leper Code } Penetrations
ILI CotorZti'0 �,
pa �
25-YWrservtapNicY
�� � r� ,
tpyearstca
ervpoUm
ewe a
iTAxtLtao
,.+.rnrrf
�,/
Flashin
N.-PI—ted-Prorated
a-awMtecapsaq
2ryor 1
Ventilation Turtle ❑Ridge
❑Edge ❑Ither
t���33 Transfenabie
TranslerraMe
iiia rr: amort.
Ptymbing Boots [�
i
,L-L,IlFaint All Roof Accessories
l t
ROOF SYSTEM
(Remove trash from roof gutters & yard
Roti lawn & drive with magnetic sweeper
Material
Manufacture Standard
Mate al
Manufacture Standard
(jf'Eurnlsh permit ❑Miscellaneous:
-.7
Workmanship 2yrs
LOW
LOW SLOPE AREAS Material
Ty�`e
Outof-pocket-upgrade costs
M.—f—h,rvr_.. _
____. _ Cr,lnr
Customer imLats
via
All additional areas of construction will be repaired or re
Gutte�rts [IPaint/Stain I] Siding C3 Windows
Notes-SSomit045rttr GALA (AUO's q,&t
"Scope of Restoration Services Provided shall in'ctude any add,uonga�l.�5
.M,
This Agreement does NOT ibtigate the Customer nor Company m a
restoration services to be provtdad by Customer's insurance compai
Agreement, including atl terms on the reverse side hereof Custom
Customer Payment is due upon completion of each trade. Compai
manufacturers installation instructions & th to pat byi_tdi code.
Agreed Price'�riSV'CGI�CR..,%t1(ie al bet a ttoTtal+_
authdrizeil insurance supplements or as set tort; on the reverse side
Aoorox+mate Gate{ at Service. Substantial commencement of work
suhfert fo any permissible delays as per provision I41 an the reverse-
6),
everseDy sgnmg this Agreement you agree that you have also been pmmd<
management review 6 rov cce the above h sof this co
Ap � and accepted u omerl
Approved and Accepted ICastomed
ed with high grade materials of like kind and quality SERVICE AGREEMENT
interior Vskylight ❑ Other
't ,,
6, _ _ _� 1 Material - Manufacture Standard
"„�KJLf. T T VLC Workmanship
Repan t yr FW Reptacement 2 yrs
plements and services approved by Customers insurance company and accepted by Company
a, y�yesi�
way unless the insurance claim is approved for repairs or replacement to the above menuoned/writien scope of
M excepted by Company., Customers signature below signifies acceptance of atl terms and conditions of this
s total out of pocket expenses are not to exceed insurance deductible plus upgradesfor non insurance items,
and its authorized representatives are NOT acting as public insurance adjusters. All work is installed per the
ax b1f_
ount due to Company under this Agreement. which is subject to any add i ns and/or deductions pursuant to
rreof Total estimated cost of any non -insurance upgrades shack be $_
alt mean either the physical�ery of the the premises or she perttmman airy is it an s} '{ be
>_. Approximate Start Date: S.11ae:-ls + Approximate Completion Date 1'j
mace of this right to cancel orally in addition to the wnting contained herein This contract is subject to CoW..",
ac and auorize Company t
'.. .,�1.1b,c Date App. d and Accepte mpany
J�
I have received the -Things to Remember document initials
YOU, THE BUYER, MAY CANCEL
JE OF THIS TRANSACTION. SEE
ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. & 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME
WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND
SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
Comoanv shall hold in trust any oavment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property.
http://869dOdac85c748al274c-b9bdb9f4833bccf0l c94e93dee6dbe23.r27.cf2.rackcdn.conVopp_589087/files/An7yUvZ9RgYbtylBkVgg_BPS05192017... 1!1
CITY OF WHEAT RIDGE
62/28/12 9:20 AM cdbb
Judith 'T Quinlan
RECEIPT NNUB807179 AMOUNT
SP 120,006 btu furnace, 155.
126212
Perini Fee 156.75
PAYMENT RECEIVED AMOUNT
VS 2596 156.75
flute :
04717D
TOTAL � i
Feb 27 12 11:32a Patt!d Schmidt 303-421-1298 P.!-;�
Facsimile Building Permit Application
" 1 t:�17 f . Y,4,
Property Address.
Property Owner (please pint):
Malting Address: (if different than property address)
Addre6s:
City, State, Zip
p
M
vlffrl�
9M
- ----------
S% FtJL.Ft added: Squwa _BTU's Gallons
_Amps
MaRgio
SULDNO DEPARTMEWr COMMEWS OCCUPANCY�-
Revio"r
MJ*,rNM
FIREDEPARTMEMr. 0 approved w/ comments Odisapproved 0 noreviewrequ Ir
M
2
- ► / 4 CITY OF WHEAT RIDGE -
Building Inspection Division
I r (303) 234 -5933 Inspection line
r (303) 235 -2855 Office • (303) 237 -8929 Fax (r
INSPECTION NOTICE
Inspection Type: f /Va � 1e
Job Address: /l6 9 /Jes % //0 d lez
Permit Number: /Lxsz q9
F
No one available for inspection: Time '2S AM
Re- Inspection required: Yes No
* When corrections have been made, call for re- inspection at 303 =234 -5933 }
Date: -12-1 Inspector: I
DO NOT REMOVE THIS NOTICE
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
TION INSPECTIOn
INSPECTOR
INITIALS
COMMENTS:
Caissons
Mid -Roof
Drywall Screw
/ (CEG) Concre
Ground
oService
Electrical Service
ng or Monolithic
Electrical
Rough Plumbing
roof/ French Dr
Plumbing
Gas Piping
rvice Lines
Rough Mechanical
rvice Lines
Roof
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
I
Fire Department
Plumbing (Underground)
_
R.O.W &Drainage
Heating (Underground)
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
- -
UV NOT YOUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Drywall Screw
I
Electrical Service
Rough Electric
Electrical
Rough Plumbing
Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
I
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
` 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
♦ i CITY OF WHEAT RIDGE
r Bung Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
`11 Y.t,. av~
INSPECTION NOTICE
Inspection Type: Al) r.e", . tri n t
Job Address: _ W54 tn),
Permit Number: IC, 1P _.)L/q
z
E G':
❑ No one available for inspection: Time AM, 'M
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection t 30 -234-5933
i1
Date: 2'r ~t Inspector:' Y t 2
DO NOT REMOVE THIS NOTICE
" 1 City of Wheat Ridge
Residential Roofing PERMIT - 100248
PERMIT NO: 1002481 ISSUED: 01/26/2010
JOB ADDRESS:. 11659 W 40TH CIR EXPIRES: 07/25/2010
DESCRIPTION:: Reroof s32 sqs with 50 :yr ?shingles
CONTACTS
owner 303/432-9110 Jim'. Elliot
sub 303./425-7531 John Borfitz 01-9983 J &K Roofing Inca.
'PARCEL INFO
ZONE CODE: UA :USE: UA,
SUBDIVISION:! 0125 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 11,055.01
FEES
Permit Fee 272.10
Total Valuation
,00
Use Tax 198..99
**:TOTAL 471.09
Conditions:
6 nail installation mid roof inspection required`. Board sheathing spaced more
than :a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield' required from eave edge to 2' inside exterior walls. ***Contractor
or Property owner shall provide ladder(s) secured in place for inppections. It
is the responsibility of the person/firm requesting the inspection to insure
roofs are clear for inspection. 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 of $61.00 will be assessed. Subject to field
inspection.
I hereby certify:. that the setback distances proposed by this permit application are accurate, and do not violat
ordinances, rules or regulations of the City of ;wheat Ridge or covenants, easements or restrictions of record;
measurements shown, and allegations made are accurate; that I have read and agree to abide.. by all conditions pi
application and that I assume full responsibility for compliance with. the WheatRidge Building Code (I.B.C) and
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to `field inspection.
ryP L 2L~-i CJ
Signature of conk actor/ow`J date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the
State of Colorado and to the zoning Regulations and Building Codes of Wheat :Ridge, Colorado or any other app
ordinances of the City.'.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to e
date An extension may be granted at the discretion of the Building Official.
t. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, pro
changes have been or will be made in the original plans and specifications and any suspension or :abandonment
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees
be !paid for ainew permit.
No :work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and sha
written approval on inspection card before proceeding with successive phases of the job'.
The issuance of a permitt or the approval of drawings and specifications shall not be construed to be a permi
an approval of a iolation of the provisions of the building codes or any other ordinance, law, rule or r
All plan rZp, subject to field inspections.
ignature o Chi aBuilding Official date
:NSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
2EQUESTS MUST BE MADE BY 3PM ANY :BUSINESS DAY FOR , INSPECTION THE `FOLLOWING BUSINE
-L°~ WFil~grRi
°OCORn°°
Building Permit Application
Date:
Plan
P,Qrmit (C
10- Now upi I1tnrD q UJ 6- t-L,\ C(r
Property Owner (p/ease print): Phone:
Mailing Address: (if different than property address)
Contractor License 'I
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
Exp. Date:
Phone:
L 425--i Mechanical City License
Company:
Exp. Date:
Use of s ace descri tion): Construction Value: so I
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: SquaresTU'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 measurementst•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.S.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. ~C
CIRLCE ONE::: -('OW~NEE/RR + ONT~RJA(C~TORR[) for, PERSONAL REPRE R (I O ATOR)
PRINT NAIV1E:l.~` ~r {-1 )(,1l i.Je.NATURE: D
tfi t 2 a
ate: _
City of Wheat Ridge Building Division ku'\
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-2345933
.6110
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: JAMES & SUSAN ELLIOTT
Property Address
Contractor License No.
Company :
11659 W 40TH CIR
Building Permit Number
Date
16888
4/8/2004
Phone : 432-9110
Phone :
OW NER/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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGN _DATEJ l_ it f
Description : 8 X 12 STORAGE SHED (NO FEE PERMIT)
i d'q£87"!DN
„moo Ltg pmme~ s
Approval : JH
Zoning : R-1A
Approval:
Approval
Occupancy: Walls
F 1/2~'
Construction Value
Permit Fee
Plan Review Fee : $0.00
Use Tax :
Total: $0.00
Use:
14®te,
to resvonsible for locating a tO ft
BUILDING DEPARTMENT US~' J~tfdconstruoUngl"Q - mentstanu4i-
and required develo orate . fonnatio
c in
approved onsiblefggl' .
The City is not'resp tan set an any construction
415/04 submitted Withinthfrop inaccurate information.
errors resulting
MUST BE PROPERLY ANCHORED ON ALL FOUR CORNERS
Roof
Electrical License No :
Company:
Expiration Date
Approval :
Plumbing License No:
Company:
Expiration Date
Approval:
Mechanical License No :
Company:
Expiration Date
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 Colorado and to the Zoning
Regulations and Building Code of Wheat 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 from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive wntten approval on inspection card before
proceediing with successive phases of the job.
(6) The issuanc f a pe it or the approval of drawings and specifications shall not be construed to be a. permit for, nor an approval of, any violation of the
provisions bull d~dd ~~~y gr mane, law, rule or regulation.
Chief Building Inspector
Stories : Residential Units :
Please sign Terms and Conditions on reverse side of page.
of wHrgT COMMUNITY DEVELOPMENT DEPARTMENT
Po BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
CGC ORPpp WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION
Construction Value:$ NU ir1W
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
Property Owner: J ~¢,S - ~ VAS r1v,-, E, ( "UHF
Property Address: l I b~°~ W, ty (j h v . G i (t f rl Phone : ((3
Contractor License No.:
Company: Phone:
OA'NER/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 ofrecord; 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.
(OWNERXCONTRACTOR): SIGNED
(OWNERXCONTRACiOR): PRINTED DATE
DESCRIPTION:
VX1s, sto~A,~ S~sLd
BUILDING DEPARTMENT USE ONLY
ZONING COMMENTS: !
Approval: J4► +
Zoning: ~ AA
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Building Permit Number:
Date:
~;,r , p IV/C
ell,
SIC: Sq.Ft.:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
I
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in year application and is subject to the laws of the state orcolorado and W the Zoning
Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City,
(2) This permit shall expire if (A) the work authorized is not commenced within suty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made
in theonmentoriginal eplans and specifications and any suspension or abandonment has not exceeded one (1) year. if changes have been or if suspension or
O year, full fees shall be paid for a new permL'
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card
before proceeding with successive phases of thejob.
(6) The issuance of a permit or the approval of drawings and specifications 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 ordinance, law, role or mgulation.
Chief Building Inspector
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 6544
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :~_4-5k-
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 11659 W. 40th Circle
Contractor License No. : 18141
Company : Denver Burglar Alarm Co.
Phone :
Phone : 292 2222
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 (U.B.C.) and all other applicable Wheat Ridge ordinanges, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED-HI-y>Y DATE'4/~//%e
l
Description : Install a pet upgrade to existing system (#DS835)
Construction Value :
$40.00
Permit Fee :
$25.00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$25.00
Use:
Electricai License No :
Company :
Piumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approvai:
Expiration Date :
Approval:
Expiration Date :
Approval:
(t) This pemit was issued in accordance with the provisions set forth in yopur application antl is subject to the laws of the State of Coloratlo antl to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) tlays from issue date or (B) ihe building authorizetl is suspentled or
abantloned for a period of 120 days.
(3) If ihis permit ezpires, a new pemit may be acquired for a fee of one-haif ihe amount normaliy requiretl, provided no changes have been or will be made in [he
ori9inal plans and specifications and any suspension or abandonment has not ezceetletl one (1) year. If changes are made or if suspension or abandonment
exceeds one (i) year, full fees shall be paid for a new permit (4) No work of any manner shall be done that will chan9e the naturel flow of water causing a drainage problem.
(5) Contrector shall noiiy the Building Inspec[orhventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of ihejob.
(6) The issuance of a permit or the approval of drawings antl specificafions shall not be construed to be a pemit for, nor an approval of, any violalion of the provisions
of the builtling codes or any other ordinance, law, rule or regulatioa Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENI- bwiaing rermit rvumoer :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address :
Contractor License No. :
Company
Dama Maxwell
11659 w. 40th Circle
18141
Denver Burglar Alarm
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby cedify lhat the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheal Ridge or
covenants, easemenls or restriclions of record: lhat all measuremenls shown. and allegations
made are accurale; that 1 have read and agree to abide by all conditions printed on this
appliwtion, and that I assume full responsibility for compliance with the Wheat Ridge Building
(OWNER)(CONTRACTOR) SIGNED - ZT_OATE Phone:
Code (U.B.C.) and all other applicable Wheal Ridge rdinances. for work under lhis permit.
Phone:303-575-0383
Construction Value : 40.00
Permit Fee : 25.00
Use Tax: 0.00
Total : 25.00
~ Description: Install a pet upgrade to existing system (4D5835)
BUILDING DEPARTMENT USE ONLY
Approval
Zoning :
118_~
Approval:
P.,~IiIIC'
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: , Approval: :.pprcrral:
J Plans_Requlred I ~ PIftiis Requlred Plans R#gulred
(t) 7'his U^-imit was issueG in accortlance wtlh lhe pwviaons set foith in yopur application antl is subjecl to ihe laws o1 the Stale ol Coloredo antl lo the Zoning
Regulahons and euilding Cotle ol Wheat Ridge, Coloratlo or any other aOPlicable ordinances ol ihe Cily.
(2) This pennil shall ezpue 11(A) Ihe work aulhorized is not commencetl wilhin sixty (60) daVS (rom issue dale or (6) the builtling authorize0 is 5u5pentleU or
abanJoned br a penod o/ 120 days.
(3) Il llns femnt expires, a new permil may be acquired for a tee of one-half the amounl normalty required, proviUetl no changes have 6een or will be made in the
original plans antl speGlicalions and any suspension or abantlonment has not exceeded one (1) yeac I( changes are made or d suspension of abandonmenl
excecds one (1) year, (ull fees shail be paid for a new permd.
(4) No wo,k ol any manner shall De tlone Ihal will change Ihe naWral Ilow of water causing a Urainage pmhlem.
(5) Conliaclor sUall nolify Ihe 9uilding Inspector M1venty-lour (24) hours in advance lor all inspeclions and shall recerve wnllen approval on mspeclion wrtl before
proceetliing wilh successive phases of the job.
(6) The issuance ol a pemiit or the approval of drawings and specificalions shall nol be constmetl to be a permd lor, nor an approval ot, any violalion ol Ihe prowsion:
of the 6mlding wtles or any other orAmance, law, mle or regulalion.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
~b'b 3~ t~S
DEPARTMENT CF PLANNING AND DEVELOPMENT Building Permit Number : 5874
BUILDJNG INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 9/19/97
7500 WEST 29TH AVENUE
WHFAT RIDGE, CO 80215
e
Property Owner : 'D(,V.-k Pxe-)"w
Property Address : 11659 40TH CIR Phone : 403-4641
Contractor License No. : 18141
Company : Denver Burglar Alarm Co. Phone : 292 2222
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
marie are ?ccuret°; !hat ! have read and agree ,c atideby all couaitiuns printed on iiiis
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable eat Ridge` ordinances, for work under this permit.
(OWNER)(CONTRACTOR)SIGNEDvDATEI60~)J
Description : INSTALL AND MONITOR SECURITY ALARM SYSTEM
Construction Value
Permit Fee
Plan Review Fee
Use Tax
Total
$150.00
$25.00
$0.00
$0.00
$25.00
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
~ m ffl. - - ~
(1) This permit was issued in accordance with the provisions set forth in yopur applicatlon antl is subjed to the laws of the State of Colorado and to the Zoning
Regulations and euilding Code of Wheat Ridge, Colorddo or any other applicable ordinances of the Ciry.
(2) This permit shali expire if (A) the work authorized is not commenced within sixly (60) days fmm issue date or (B) the building authorized is suspended or
abandonetl for a penod of 120 days.
(3) If this permit expires, a new permit may be acquiretl For a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (7) year. If changes are made or if suspension or a6andonment
ezceeds one (1) year, full fees shall be paid for a new permit (4) No work of any manner shall he done Ihatwili change the natural flow of wa,er causing a drainage problem.-
(5) Contractor shall notify the Building Inspector lwenty-four (24) tiours in advance for all inspections and shall receive written approval on inspection card before
of the 6uiltling codes or any other ordinance, law, mle or regulation. ' ,
proceediing wiih successive phases oFthejob - (6) 7he issuance of a permit or the approval of drawmgsand specifica6ons shall not be construetl to be a permitfor, nor an.approval of, any violation of the provisions
s
iief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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CITI' uF NHER7 F,IDGE
12:10/47 12.41 FI1 cdb
urian ro6zrtson
F.'ECEif7 NO:C004531
FMSD P011LING FEfit1It5 AMOUNT
25.00
F'A'fMENY fiECEIVED
Ck; 1141 HIIOUNT
iQ fAC G5.06
25.00
-DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 5874
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 9/19/97
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address: 11659 40TH CIR Phone: 403-4641
Contractor License No. : 18141
Company : Denver Burglar Alarm Co. Phone : 292 2222
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 (U.B.C.) and all other applicablp, Wheat Ridge ordinances, for work under this permit. .
(OWNER)(CONTR4CTOR) SIGNED 39 DATES' 9-7
Description : INSTALL AND MONITOR SECURITY ALARM SYSTEM
Construction Value :
$150.00
Permit Fee :
$25.00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$25:00
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date : Expiration Date : Expiration Date :
Appro4al: Approval: Approval:
. M. M~~'~ M ,FEM
(1) This permit was issued in accordance with the pmvisions set forth in yopur appliration antl is subjed to the laws of Ihe State of Cotorado and to ihe Zoning
Regulations and euilding Code of Wheat Ritlge, Coloredo or any other applicable ortlinances of the City.
(2) This permit shall expite if (A) the work authorizetl is not commenced within sixty (60) days from issue date or (B) the building authorized is suspendetl or
abandoned for a period of 120 days. (3) If this permi[ expires, a new permit may be acquired for a fee of one-half the amount normally required, providetl no changes have been orwill be matle in the
original plans and specifrations and any suspension or abandonment has not exceeded one (7) year: If changes are made or if suspension or abandonment
exceetls one (1) year, full fees shall be paid for a new permiG -
(4) No work of any manner shall be done thatwill change the natural Flow of wa[er causing a tlrainage problem..
(5) Contractor shall no[ify the Building Inspectortwenry-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card before
proceetliing with successive phases of the job.
(6) The issuance of a permit or the approval of tlrewings and specifications shall not be construed to be a permitfor, nor an approval of, any violation of ihe provisions
of the building codes or any other ordinance, law, rule or regulation.
hief Building Inspector .
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
~
3
~
DEPARTMENT OF PLANNING AND UEVtLUFMtIV 1 tswwmy rennu IvuuwcI.
BUILDING INSPECTION DIVISION - 235-2855 Date : 9/18/97
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : Dama Maxwell Residence.
Property Address: 11659 West 40th Circle,, Vdieat~~dge CO Phone: H#~~1
Contractor License No. : 18141
Company: Denver Burglar Alarm Compa►y., Inc• Phone: 292-2222
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 lhe Cily of Wheat Ridge or
covenants, easements or restrictions of record: thal all measurements shawn, and allegations
made are accurata; that 1 have read and ayree lo 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 appticable Wheat Ridge ordinances, for work under lhis permit.
(OWNER)(CONTRACTOR)
Description : INSTALL ADID MDNITOIt SECURITY AI.ARP1 SYSTSM-
Construction Value : S I-)U-W
Permit Fee : $ 25.00
C-01084 Use Tax :
Total : $ 25.00
BUILDING DEPARTMENT USE ONLY
MUM
Approval:
Zoning :
Approval :
P tilC~~ ~YR3rGb7f11~~intS°+
Approval:
Occupancy : Walls : Roof : Stories Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: , Npproval: Apprcral:
A, Plins:R"equired = P_tans RiFqufr~d
_j .;PISns;Rc:quired,-,';J
(1) This permrt was Issued in accortlance wtlh the pmvisions sel forth in yo0ur applicalion and is subject lo lhe laws o( the Stale of Colorado and ta Ihe Zoning Regulalions antl 8uilding Cotle of Wheat 12idge, Colorado or any olher ap0licable ordinances of the Ciry.
(y) This permR shall expire il (A) Ihe work aulhorizetl is not commenced within si:ry (60) tlays irom issue dale or (B) the builtling aulhorizetl is suspentled or
a6andoned lor a period of 120 days.
(3) If this permit expires, a new permit may be arquiretl lor a fee of one-half the amounl normally repuired, provitled no changes have heen or will be made in Ihe
original plans and speclfwtions and any suspension or abandonment has nol ezceeded one (t) year. If changes are made ar if suspension or abandonmenl ezceetls one (t) year,luil fees shall be paid for a new pertnil (4) No work of any manner shall be done ihal will change (he natural flow of water causing a drainage prohlem.
(5) Conlreclor shall notiry Ihe Building Inspeclor Rvenry-lour (24) hours in advance lor all inspecUOns antl shall recerve written approval on inspection cartl betore
pmceetliing with successive phases of lhe job.
(6) The issuance of a permit or the appwval of drawings antl specilicaGOns shall not be construed to be a permit br, nor an approval oL any viola6on of the provision:
of Ihe building wtles or any other or0inance, law. mle of regulalioa Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION