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HomeMy WebLinkAbout7165 W 29th PlaceFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement Date: Monday, March 28, 2022 11:33:39 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Furnace/Boiler Replacement This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Residential INAM-11MM&MIENFren Kurt Moje 303-653-9771 Property Owner Email kmoje@hotmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Wheatridae Electronic Payment form 3-17-22.tiff CONTRACTOR INFORMATION Contractor Business Front Range Mechanical Services Name Contractor's License 021935 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-980-5544 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email frms@att.net Address Retype Contractor frms@att.net Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 80,000 What is the efficiency 96 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 6300 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Stephen W Korff Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler Date: Monday, March 28, 2022 11:26:48 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Air Conditioner/Evaporative Cooler This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or Replacement of Existing Unit replacement for an existing AC unit? Is this Residential or Residential Commercial? Property Address 7165 West 29th Place Property Owner Name Kurt Moje Property Owner Phone 303-653-9771 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email kmoje@hotmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Front Range Mechanical Services Name Contractor's License 021935 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-980-5544 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email frms@att.net Address Retype Contractor frms@att.net Email Address DESCRIPTION OF WORK What type of Air Conditioner replacement unit are you installing? How many tons is the 2 unit? For AC - what is the SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located (for example, rooftop, backyard on ground etc)? Is electrical needed for re -hook? Provide Electrical Contractor's Wheat Ridge License No. II backyard on ground Yes 021935 Project Value (contract 6000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Stephen W Korff Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler Date: Thursday, March 17, 2022 4:32:05 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Air Conditioner/Evaporative Cooler This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or Replacement of Existing Unit replacement for an existing AC unit? Is this Residential or Residential Commercial? Property Address 7165 West 29th Place Property Owner Name Kurt Moje Property Owner Phone 303-653-9771 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email amy@frmscolorado.com Address Attach City of Wheat Wheatridae Electronic Payment form 3-17-22 ndf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Front Range Mechanical Services Name Contractor's License 021935 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-980-5544 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email frms@att.net Address Retype Contractor frms@att.net Email Address DESCRIPTION OF WORK What type of Air Conditioner replacement unit are you installing? How many tons is the 2 unit? For AC - what is the SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located (for example, rooftop, backyard on ground etc)? Is electrical needed for re -hook? Provide Electrical Contractor's Wheat Ridge License No. II backyard on groung Yes 021935 Project Value (contract 300.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Stephen W Korff Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement Date: Thursday, March 17, 2022 4:27:21 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Furnace/Boiler Replacement This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Residential INAM-11MM&MIENFren Kurt Moje 303-653-9771 Property Owner Email frms@att.net Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Wheatridae Electronic Payment form 3-17-22. Ddf CONTRACTOR INFORMATION Contractor Business Front Range Mechanical Services Name Contractor's License 021935 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-980-5544 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email frms@att.net Address Retype Contractor frms@att.net Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 80,000 What is the efficiency 96 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 12,000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Stephen W Korff Pe rm it Email not displaying correctly? View it in your browser. PERMIT9. �)( JOB CODE: �P/6 D R E S S: �/t / A� W1 41 INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS ,) l6-7 � lL) c4IL r-)l 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 /) C.t 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential /) C.t 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. INSPECTION RECORD Inspection online form: http:/twww.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: ' ADDRESS: JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. Al , (I �l� . C", K- 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. Al , (I �l� . C", K- 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing Al , (I �l� . C", K- 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ADDRESS: JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door r 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. i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ya 0/ go F Job Address: 7/(05- 1n/- ?-9 t1 L Permit Number: 3-0/ 7066 O e ❑ No one available for inspection: e AM/PM Re -Inspection required: Yes Uo When corrections have been made, call for jjr��e--inspection at 303-234-5937_13 Date: J l / � l 7 Inspector: lel DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division z (303) 234-5933 Inspection line r (303) 235-2855 Office • (303) 237-8929 Fax v INSPECTION NOTICE s Inspection Type: Job Address: _11U-6 W I-C-111TP PLI Permit Number: M Olb(Q Ob ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call f r,(e-mspectton at 303-234-5933 Date: -1'2,,l 41 -1 Inspector:"10c DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201707421 PERMIT NO: 201707421 ISSUED: 09/19/2017 JOB ADDRESS: 7165 W 29th PL EXPIRES: 09/19/2018 JOB DESCRIPTION: Residential plumbing full sewer repair from house to the street. We will be working inside the house. 40ft sewer SDR -35 flinch Piping *** CONTACTS *** OWNER (303)201-5924 DAN RICHARDSON SUB (720)296-7972 Trevor Harbey 130129 Afford -A -Rooter *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,200.00 FEES Total Valuation 0.00 Use Tax 25.20 Permit Fee 50.30 ** TOTAL ** 75.50 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Plumbing PERMIT - 201707421 PERMIT NO: 201707421 JOB ADDRESS: 7165 W 29th PL JOB DESCRIPTION: Residential plumbing full sewer working inside the house. 40ft sewer SDR -35 4inch Piping ISSUED: 09/19/2017 EXPIRES: 09/19/2018 repair from house to the street. We will be I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�e 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 ermtt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of"OWNER or COTRACTOR (Circle one) Date I. This permit was issued base 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 originalppermit fee. 3. If this permit expires, a new permit may be required to be obtained. lssuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Officfa Date REQUESTS MUST BE MADE BY 11:59PM ANY"B SINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat 'gie 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(d�cimheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # RI�7�) 1 7���l Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): Phone: Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: 4 'P ' -) '�5- 71-- L __ - :4_c f Phone: Contractors City License #: ;5� (,l Phone: Contractor E-mail Address: 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 ❑ RESIDENTIAL ROOFING RRESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT {O -PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FULF Amps Ak tit,vt 9044 Btu's Squares t) if ";-P- Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) J OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER . _(CONTRCTORj or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) 1 -// ) Signature (first and last name): — ") DATE: / ) DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _ Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City of Wheat j� ,e COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(�i_)ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: /�/ J /l7 �j Plan/Permit # 7017,, � 7 Plan Review Fee: 146131 Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _ I f U S D (,J . �g� f�"c Property Owner (please print): �e,W t��-o4t­e_S Phone: jo - $%7 "YgSY Property Owner Email: ' o Lem Mailing Address: (if different than property address) Address: 3 (C. Sv UC 0 C.0- (; f- • 14,C- ( City, State, Zip: (',�_) (tic c r- 2 W (,4 . h 03 3 Architect/Engineer: Arch itect/E ng 1 neer E-mail: Contractor: IJr6L Phone: Contractors City License M $ (0 Phone: Contractor E-mail Address: '� off-- e cc r- -k 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 JI COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE E COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) (Z,4 IM,D V -e e k t S �- � a S e kc- (, - S (,.t t,, 3 t S, C tA,t(d , a- d k c w --(A-S C-� �- j ,4t� t lLQ �l H c-- 5rt S e ye' Sq. Ft.ILF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ � 1a, t �D 4 `fhx OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided application. 1 CIRCLEONE: (OWNER) ONTRACTOR) �or/(AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) SiEnature (first and last name): `� DATE: `t /I ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE i Inspection Type: kA 1 p Job Address: MIV5 I.`n 21- Permit I_Permit Number: 2-01-1 O ?p ?D ❑ No one available for inspection.: Time ` A/P�ll Re -Inspection required: Yes No When corrections have been made, callf e-inspectiion at 303-234-5933 Date: I\ )14)11 Inspector: " 1 C. aau,,_ DO NOT REMOVE THIS NOTICE I* � 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: 30 r. A % /J Job Address: 7/j,5W "thAwPermitNumber: 201709609 f ❑ No one available for ins o : Time AM/PM Re -Inspection require : Ye No When corre tions have been made, call for re -inspection at 303 -234 - Date: 11 i 1 / Inspector: lnl_ DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201708608 *** CONTACTS *** OWNER (303)202-5924 SUB (303)425-7531 201708608 ISSUED: 10/25/2017 7165 W 29th PL EXPIRES: 10/25/2018 Residential Re -roof to install Malarkey asphalt shingles - 24 sq (22 sq pitched / 2 sq flat) Pitch = 5/12 * ***Revision add redecking for 23sq** MOJE KURT 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: 17,032.00 FEES Total Valuation 0.00 Use Tax 357.67 Permit Fee 331.10 ** TOTAL ** 688.77 *** 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 - 201708608 PERMIT NO: 201708608 ISSUED: 10/25/2017 JOB ADDRESS: 7165 W 29th PL EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 24 sq (22 sq pitched / 2 sq flat) Pitch = 5/12 * ***Revision add redecking for 23sq** 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized cit 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. 1 further attest that I am le ally authorized to include all entities named within this document as parties to the work to be perflormed and thja]t 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 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 Budding 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 durance 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. City of �'Wh6atfkdlge, COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: %/_ i3- / 7 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. I U e �Q 2IAAV-V 1 Property Owner (please print): U� 1� �� ��, Phone:a)3 Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Company: �� �'�'uc) Contact Person: UAA,�4 � � �� Phone: Contractor: Contractors City License #: �IC SYi Phone: 3l- � 2-5-1 31 Contractor E-mail Address: 4't,AjA4V 0 vvAgv , (0 h,, 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. FULF Amps S►���tifl� ��`� 235�7 Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) s 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) C(CONTRACTQR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: CLI 1 W Q SIGNATURE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT USE ONLY Il -7 OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required ❑ Not Required Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201708608 PERMIT NO: 201708608 ISSUED: 10/25/2017 JOB ADDRESS: 7165 W 29th PL EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 24 sq (22 sq pitched / 2 sq flat) Pitch = 5/12 *** CONTACTS *** OWNER (303)202-5924 MOJE KURT 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: 13,134.00 FEES Total Valuation 0.00 Use Tax 275.81 Permit Fee 267.70 ** TOTAL ** 543.51 *** 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 - 201708608 PERMIT NO: 201708608 ISSUED: 10/25/2017 JOB ADDRESS: 7165 W 29th PL EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 24 sq (22 sq pitched / 2 sq flat) Pitch = 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performe and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Imo% Signature of ,_Old%l�]ER or CONTRACTOR (Circle one) Date r 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 ermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offcial 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 border 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 issU#ffM1Vr 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 cQ&or artyordiffslec or rqgml 'on 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. Dane Lovett From: no-reply@c i.wheatridge.co.us Sent: Wednesday, October 25, 2017 10:06 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application TJ Follow Up Flag: Follow up G Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION 11, Property Address 7165 W. 29th PI Property Owner Name Kurt Moje Property Owner Phone 303-202-5924 Number (enter WITH dashes, eg 303-123-4567) 37 Property Owner Email Field not completed. Address 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 MOJE Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business J & K Roofing Name Contractor's License 019983 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) 303-425-7531 13000 W. 43rd Dr., Golden Co 80403 Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 43 the entire scope of work: Z Project Value (contract 13134 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) 38 both? (check all that apply) What is the pitch of the 1/12 FLAT roof? How many squares are 2 part of the FLAT roof? Describe the roofing Modified Bitumen material for the FLAT roof: Type of material for the Other (specify below) FLAT roof: If "Other" is selected Granulated rolled rubber roofing above, describe here: What is the specific pitch 5/12 of the PITCHED roof? How many squares are 22 part of the PITCHED roof? Describe the roofing MALARKEY LEGACY materials for the PITCHED roof - Type of material for the Asphalt, Metal PITCHED roof: Provide any additional House detail here on the description of work. (Is this for a house or garage? Etc) 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. 39 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. 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 Kathy Vendegna Email not displaying correctly? View it in your browser. 40 FD Bu Si SS Representative Name Address CONTRACT AK Roofing 13000 W. 43rd Drive • Golden, CO 80403 lse" Phone: 303-425-7531 • Fax: 303-425-1562 .; www.jkroofing.com il/ti Contact 1)Date p' 201 1 T Pinnacol Assurance 303-361-4000 Workers Compensation Insurance Policy #4079290 Phone -7 ►'ja— ��,/ Ci Cincinnati Specialtrwr, y Undeites 303-653-0023 General Liability Insurance Po y #CS00061742 LABOR AND MATERIAL SPECIFICATIONS TERMS Extra work S 14 D CONDITIONS. PLEASE READ CAREFULLY: cover roof with S e. a"lole"V) Color of shingles - Y) ❑ Manufacturer'sarranty f ,. I Wt .ktLf �✓ j WA - Tear off -C v"l Install Underlayment S l Double all Eaves C,,' L.;Z� The property owner is is not using proceeds from property and casualty insurance policy. Ae-Flash Chimney and/or kyli hts " �.;&W4 1� r flew Valleys is Replace Ridge_ i Ut is ventilation � � 4- 4_6( Galvanized F ,teners I %I?— $ Ppplace Plumbing Jacks `f f � [} io %� ' t roof stacks to match i� Deductible if applicable $ �[ ,� d (® [_--- Install _ Metal Edging rU V'�l In Per Colorado State Law CRS§6-22-105 which states; 100% ��j the responsibility of the homeowner to pay this amount. J & K atioor Flat roof 1" l Q d 1 Roofing will not reimburse or promise to reimburse in whole or Year Warranty on labor in part any amount of the deductible. J & K Roofing to furnish all material and labor Estimated Start Date Permit: _. A Included NOT Included lean -up debris and haul off all trash from roof TOTAL ESTIMATE is oil yard with magnetic roller ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL Gutters cleaned of roofing debris ❑ Decking Repairs $ pertW­t ❑ Hidd n La ers (t off) $ per layer J&K Representative Date V //%� � IdIf W-11 (Policy Numoe) Homeowner (/ Date- (Cla s—�-) R-75 (Adjustor) Homeowner Date (Mortgage co.) (Mortgage Loan Number) Expiration 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 ' , City of Wheat Ridge y. `( Residential Roofing PERMIT - 201708608 PERMIT NO: 201708608 ISSUED: 10/25/2017 JOB ADDRESS: 7165 W 29th PL EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 24 sq (22 sq pitched / 2 sq flat) Pitch = 5/12 *** CONTACTS *** OWNER (303)202-5924 MODE KURT 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: 13,134.00 FEES Total Valuation 0.00 Use Tax 275.81 Permit Fee 267.70 ** TOTAL ** 543.51 *** 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 - 201708608 PERMIT NO: 201708608 ISSUED: 10/25/2017 JOB ADDRESS: 7165 W 29th PL EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 24 sq (22 sq pitched / 2 sq flat) Pitch = 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performer and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of O lER or CONTRACTOR (Circle one) Date r I. This permit was issued based on the information provided in the permit application and accompanying Flaps and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The iss r 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 oro an yor6"Wr or r ul 'on 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. j I Dane Lovett ZUl% Df, From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 25, 2017 10:06 AM �- To: CommDev Permits T__ Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up CI Flag Status: Completed �- Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION T�L Property Address 7165 W. 29th PI Property Owner Name Kurt Moje Property Owner Phone 303-202-5924 Number (enter WITH dashes, eg 303-123-4567) 37 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Field not completed. Yes Attach Copy of Executed MOJE Contract.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) J & K Roofing �.l L 019983 303-425-7531 13000 W. 43rd Dr., Golden Co 80403 Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 423 the entire scope of work: t Project Value (contract 13134 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) 38 both? (check all that apply) What is the pitch of the 1/12 FLAT roof? How many squares are 2 part of the FLAT roof? Describe the roofing Modified Bitumen material for the FLAT roof: Type of material for the Other (specify below) FLAT roof: If "Other" is selected Granulated rolled rubber roofing above, describe here: What is the specific pitch 5/12 of the PITCHED roof? How many squares are 22 part of the PITCHED roof? Describe the roofing MALARKEY LEGACY materials for the PITCHED roof: Type of material for the Asphalt, Metal PITCHED roof: Provide any additional House detail here on the description of work. (Is this for a house or garage? Etc) 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. 39 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. 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 Kathy Vendegna Email not displaying correctly? View it in your browser. 40 CONTRACT AK Roofing BBg. 13000 W. 43rd Drive • Golden, CO 80403 L9ea as f; Phone: 303-425-7531 • Fax: 303-425-1562 T••W www.jkroofing.com a _ Representative Contact —S Date 20 1 Name �( I Phone .�V Z7P q.�]'1 Baja Address U,) -1 t�f City � 2Zi ' p ' Pinnacol Assurance Cincinnati Specialty Underwrite s 303-361-4000 303-653-0023 Workers Compensation Insurance General Liability Insurance Policy #4079290 Poy #CS00061742 LABOR AND MATERIAL SPECIFICATIONS TERMS /Extra work -r 5 D CONDITIONS. PLEASE READ CAREFULLY: cover roof with S l e- YW) a I✓" Ji C-leolor of shingles ❑/Manufacturer's Warranty L l) M t _ f✓ L11 yJ Tear off -0 04� s I tltUd I t ns a n er aymen Double all Eaves C'. _+ _-+� Z �'f-i The property owner is_ is not using proceeds from property and casualty insurance policy. Ae-Flash Chim'ey and/or Skyli lits �Vew Valleys $ J Replace Ridge_ean i Ut entilation Galvanized Fteners �� $ lace Plumbing JacksIx f t roof stacks to match Deductible if applicable $ 1?o Jg son0 — Install 71 Metal Edging Y'fJ�y1 Per Colorado State Law CRS§6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K �atio or Flat roof Y' 10C1 b ) k Roofing will not reimburse or promise to reimburse in whole or 0 45- Year Warranty on labor in part any amount of the deductible. ,ZJ & K Roofing to furnish all material and labor Estimated Start Date Included NOT Included ff II t h f f TOTAL ESTIMATE $ / can -up debris and haul o a ras rom roo oil yard with magnetic roller Gutters cleaned of roofing debris ❑ Decking Repairs $ PeC -PDate�o J & K Representative Homeowner A40 Dat o/off ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL ❑ Ht) oaV (t , Z Per layer -, (Policy Number) (cla a) (ndi� (Mortgage Co.) (Mortgage Loan Number) Homeowner 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 Ad A i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTI Inspection Type: Job Address: d%/ i �� /,/ Permit Number: 701 `7 0 `� _// ❑ No one available for inspection. Time Re -Inspection required: Yes (No. When corrections have been made, call for re -in. Date: �� �� Inspector: L Wr_ rZ AM/PM Wol at. 303-234-5933 Stipulations: Egress Window. This certificate verifies that the building constructed and/^M the use proposed of the building and/or premises, under t above permit number and on property described below, does compl with the Wheat Ridge Building Code and development standards 0 the zone district in which it is located and may be occupie All other licensing requirements for the City must be met. 1 > © '# . Owner: M■JE KURT L / / 0716© W 29TH PL WHEAT RIDGE CO ■021 Contractor: Stephen Sennett 2715 S WILLIAMS ST DENVER CO 80210-6332 EGRE b .,... b v k' b INSTALLATION AP � job Date signed: February 28, 2 Sennett Windows 2715 South Williams t � ; w Zt ;; �w • : . t , P rope rty Addres Prope Ow ner (please print): � IorjL Phone: M ailing chess: (if different than property address) Address: City, S tate, z ip. - lectors Ci License #. Phone: Electrical: Plumbing: :: City License # City License B V (2) 1-314 X 3-112" LVL HEADER UNDER EXISTING LINTEL. WHERE APPLICABLE, BRICK VENEER IS Nth SUPPORTED BY EXISTING LINTEL, NO ADDITIONAL SUPPORT REQUIRED, EXISTING 2X FLOOR / AND DECKING • WELL IS Mss* BELOW GRADE. =00 11MMUMMI-1 lal mai"'Min M Qty: (1) 30 x 48 At existing window YES Existing lintel or header YES Window above YES Floor joist bearing NO 2/4/201 Brick siding Building Code: 2006 IRC/IBC Roof Snow: 30 psf Wind Speed: 100mph; Exp. B Seismic Design: Category B ENGINEER'S JOB # SNTW116-13038! M Work shall coniply %vith the fbilowing codes, 2006 JRC, 2006 IECC & 2005 N EC. Egress window(s) required complying with 8310 of the 2006 IRC for size, heightt, location, well and ladder requirements. INSPE�TIOIY ' INSPECTION LINE: Inspections will not be made unless this < Call by 3:00 PM to receive in ectior Ird is posted on the b Ipancv /Tvpe e the following business d TTp .:POUR NO CONCRETE UNTIL ABOV CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL:ABOV ROUGHS Sheathing Lath / Wall tie Mid Roof Electrical Service ` Rough Electric Rough; Plumbing Gas .Piping Rough: Mechanical ABOVE If OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE PROTECT THIS CARD FROM THE WE E HAS BEEN SIGNED E HAS BEEN SIGNED ` Framing INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR .INITIALS COMMENTS Footings /Caissons Drywall -Screw Stemwall / (CEG) Concrete Encased Ground ' FINALS Electrical Reinforcing or Monolithic Plumbi Weatherproof /french Drain Mechanical Sewer Service Lines Roof Water Service Lines Building.; Final .:POUR NO CONCRETE UNTIL ABOV CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL:ABOV ROUGHS Sheathing Lath / Wall tie Mid Roof Electrical Service ` Rough Electric Rough; Plumbing Gas .Piping Rough: Mechanical ABOVE If OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE PROTECT THIS CARD FROM THE WE E HAS BEEN SIGNED E HAS BEEN SIGNED ` Framing Insulation Drywall -Screw FINALS Electrical Plumbi Mechanical Roof Building.; Final Fire Department ROW & Drainage `. INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD R '. BE CALLED AT LEAST ONE WEEK PRIOR FINAL INSPECTIONS. Parking & Landscaping ** NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OFOCCUPANCYIS ISSUED.. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION '. OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. kTHER ♦ 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: Fni,4 -Z Pw, = Job Address: ? //S Ae- 06.1 Al. Permit Number: /k!%/YS/ ❑ No one available for inspection: Time M�PM Re- Inspection required: Yes �o ' When corrections have been made, cal/ f inspection at 303 - 234 -5933 Date: 2 ,o Inspecto - DO NOT REMOVE THIS NOTICE 7165 W'29TH PL.- .;EXPIRES: 12/05/2010 Building Permit Application Date: Plan #: Pormit #: (�' l i tCX LDqd - IL Lle U), Property Owner (please print): Phone: Mailing Address: (if different than property address) Address: City, State, 112�-9 3-J,- �l Contractor License #: Phone; ?�O�' L425 j EMEMOM Electrical City License #: Company: Plumbing City License #: Mechanical City License #: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of s ace descri tion : Construction Value: e as calculated Per Building Valuation Data sheet) a� L (A � �-� 1 ; tlL Plan Review (due at time of submittal): $ Sq. Ft.IL.Ftadded: Squares BTU's Gallons Amps F NERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT eby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurement8 :•shown, and ations made are accurate; that I have read and agree to abide by all conditions printed on this application and that'f assume full onsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work r this permit. Plan's subject to field inspection. CIRLCE ONE:: loWNE� ONT�R C TOR) C orr PERS INAL REPRE T - o ( - R 0 ATOR) PRINT NAME: (--1 ibu:s peIG Date City of Wheat Ridge Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 235 -2857 Inspection Line: 303 -234 -5933 2' , ;r DEPARTbAENT Of-PLANNlNG AND DEVELOPMENT Building Permit Number : 3944 BUILLIIN(i tNSPECTION DIVISION - 235-2858 Ci7Y OF WMEAT RIDGE Date : 9/30/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : SCHLITT NORMAN P Properly Address : 7165 29TH PL Phone : 237-2280 Contractor License No. : 18545 Company : High Country Heating & AJC Phone : 4251593 OWRJERlCONTRACTOR SlGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity thet the.seffiadc tllatances proposed by thla permtt applicetlon aro accurate, and do not Wolate a~., ~ ble ordinen~, rubs a reguktrons of tM Cdy of VNreat Ridge or covortpnts, ot restrkxWns of record; that aN meaaurertrenb ahown, and allegaHons made arc accurate; that 1 have read andag re~e M abide by all conditionsprInfed on this appNcatkn, am! dat I assume full responss~iNtv for complfance with the Wheat Ridge Building Code (u.B.C.) snd aN otMr appNCabb Wheal ftidge ordmancea, ror wak under mta pertnit. (OWNER)(CONTRACTOR) SK3NED -DATE Description : REPLACE FURNACE Construction Value : $3,225.00 Permit Fee : $88:00 Plan Review Fee : $0.00 Use Tax : $38.70 Total: $126.70 BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : Approvai : Approval : Occupancy : Walls : Roof : Stories : Resideniial Units : Electricai License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : ApProval : Approval : ApProval : ~ 0 0 -1 (1) This pamNt wq Iseuetl M7YCODrtlance wim Ms Provblans eei toilh lo YWwr eppGCatlon uMit wblecl to Ihe lav~s of tlie State of Cobndo arM to Me ZoMrp RepWatlonla~Mg~y~p COde W NIMPt p! Cdoretlo w airy other ePP~~ artltnancea dtlro Cily. (2) . Thb patmM ehetl expi(s 8 UU Mwwlc auth0~=etl b not mmmenced wiVdn aizty (80) tlaya from bauedate w(B)1M diiNtlhq au@miiW b eusPerded or a~tlaiearor e psrfod oF ~zo (3) N tlde pMmN mlpirn, 6 iroMr mq' ba aWUlred for s tee of onahBHtl» artnwt mnnaM reQuiratlD~~ no Cianpa havs besn a wIN be mede In the qipirW phm aM and ai7' suapenebn a Mandonment has not exceeded aro (1) Year. M tlianpea are mede or M eueP~ or aEenOOnmant eXteWe tMB (7)Y~. TWI fiM tlWl tlm pYtl ADr i nevtp9~, (1)Na worit d ay manne~ eIW Ds ~bM tlut wIB G1a~W ihe naNrol Ilow Mxrater causlnp a dwlnaBe piobbm. (5) GonUador fhaM no~` the 9uIItlInC 1^,pe~a ~e^H'four (21) Iwius In edvuke for aN imP~e and ahall raceive wrillen aPM~~I on inspectlun wtd bafora ~o~qw ip wM7 auaeeeh/e W tlis (e) v~ +~~~u` ~a caean~aauns seaa rroc oa ca~~ruea m oe e a~a ror, rar en eawo~ai or. em ~aaua~ a nro nrow.~one THIS PERMR VAUD ONLY WHEN SIGNED BY THE CHIEF BUILDING iN3PECTOR AND MAYOR CALL: 234-d9S3 24 HOURS PRIOR TO INSPECTION :DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : Date : Property Owner: KjOVmGW1 Soj1 G-tk Property Address : '"j [ (.uS p LA"-4- Phone : 9 37 ~ ~a So Contrector License No. Company:(-4,GKL. I,UL~-61fyl 4ru~~ y1~ 4- al C- Phone:LFaS-ISl~3 <J OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value I hereby ceRity that the setback distances proposed by this permit application are accurete, P8fR11Y FE8 and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restnctions of record; that all measurements shown. and allegations made are accurete; that I have read and agree to abide by all contlitions printed on this Use Tax application, and that I assume full respo ibility for compliance with the Wheat Ridge Building Code (U.6.G) and ali otiier applicaLie eat Rid9 ru i anr.es, tor work under this permrt. l~ Total (OWNER)(CONTRACTOR) SIGNE DATE Description: b'? Sj~q_,j IDU,OC~O P~.( ~tvrtttCt~ v?/,~ fuyt al(i ~ ~S• U cc) 39 -~7v /~2lv,1ID BUILDING DEPARTMENT USE ONLY . Lf, oms Approval : Zoning : Approval : Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : ~ ~XNiictlGi Cate : cxpiration Daie : Expiration Date : Approval: Approval: Approval: . ~ (7) This permit was issuetl in accortlanca wiN the provisions set forth in yopur aOPliw4on and is subject to the laws of Ne State of Coloado and to the Zoning Regulalions and BuilAing Code of Wheat Ridge, Colo2AO or any other appliw0le ortlinances of the Ciry (2) This permit shall expire if (A) Me work authonzed is not commencetl within siuty (60) Eays hom issue tlate or (B) the building authonzetl is suspen0ed ar abandonetl kr a period of 120 days. (3) If this permit expires, a new pertnit may be acQUired for a fee o( one-half the amount normally requlred, provitletl no changes have Deen ot will be matle in ihe onginal plans and 5pecifiraGOns and eny suspension or a6antlonment has not exceeCed one (1) year. If changes are maEe or if suspension or abaMOnment exceetls one (1) year, (ull tees shall be paia for a new pertnit. (4) No work of any manner shall be done that will change the natural fiow of water wusing a drainage problem. (5) Contractor shall notlfy the Building Inspector twenry-four (24) hours in atlvance for all inspec6on5 and shall receive written approval on inspecUOn cartl Eefore apreediing with successive phases ot the job. (6) The issuance of a permd or the approval of Orawings and specifications shall not be constrvetl ro be a permit tor, nor an approval o(, any violation of the provisions of Ne Duilding cotles or any other ortlinance, law, rule or regulation. 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 M v~ .x::rP' ~ , e.. . , . . . . . . . . . . . . . . , . . . . Building ,-QEPARTMENT OF PLANNING AND DEVELOPMENT Permit Number : 3943 BUItD1NG INSPECTION DIVI3tON - 235-2855 CiTY OF W1iEAT RIDGE Date : 9/30196 7500 WEST 29TH AVENUE YIMEAI" RIDGE, CO 80215 Property Owner : SCHLITT NORMAN P Pmperty Address : 7165 29TH PL Phone : 237-2280 Contractor License No. : 19017 Company : High Country Heatling & A/C phone : 4251593 OVWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND A6REEMENT I Marelfy cerdfY that tho sefta dietancea ProVOSed bY fhia permitapPIIcaUon are accurate, ; anppo nol vkqate apQ116abN mdinances, rula o~reguletioire ot the City of Wheat Ritlge w . _ _ s... e..a sn.,.sw..... rkh the Wheat Ridge Building Tor work under this permd. . '(OWNER)(CONTRACTOR) SI6NED DATE pescription : 150 AMP ELEG SERVICE TO HOOKUP A/C BUILDING DEPARTMENT USE ONLY ~r Approval : Zoning : Approval : APProval : pccupancy : Walis Construction Value Permit Fee Plan Review Fee Use Tax Total $1,000.00 $45.00 $0.00 $12.00 $57.00 SIC : Sq. Ft. : Roof : Stories : Residential Units : ElectPical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiradon Date : Approval: Approval : ApProval : cdoraao and ro me zoMng (t) nae p«mn wa Ieeuea In a«wraince wun aw awewne eet roim in yawr ea ana Ia nucix.t ro uhe uwe a me smta a RpWprypu aqg~dI~ Cods p( Vyheet R' Cobratlo or siry oCiazaz eDDNCW~atlrn ads wAinances d the City. (2) Th fs FarNt shYl e*N! R_~ MCeGwyealc etl k not canmenced wMin eemi (eo) aev$ nwn ~w mre «(e) ma wiwi~w a,mo~ea ia awne~aad « abaibonedfd'rPw~ ~'~P~~ (9) M tlds Pamfit mWr~. a Mw meY Ce ec9uiie0 for a lee M ontrhaM the amount normelq required, Provided M che^YN heve been w wiN be matla in the oli9MW Plans ef10 epsdkoNonO oW errjf aufOf ~pe a abBrMonmeM hae not excaeded aie (1) Yeer. If chan9es eremed9 or N wWentiOn w abantlonrt~t 9xic!!d6 dIB (1) Y~, fA faM tl1Bk be paW ab~r oe~Iro N. ...(4) Nowakofaryla'w~nertlWltiedaietliat'MNdia^Oeihe~rolurelllawotwatercauelnoadreinaqeqoGOm. q~ M (B) CaiCtdor ttufl ~Np ~M~fob~'-~r (44) hours In atlvance tM all fnepectlons eM ahfll recNve xrtNOen +pproval rn Inepeclion catE barore ..(e) e da Or ~e aMro'~al o(tlmAnOS and aPeciflMlbna 6he11 not be wnstrued lo Ea e pemet for, nar an epprovd M, enY videlkn althe pmNsbna Ift W Y N np orCtw~oI law, nYe a iepumUn. Ch uilding Inspector THIS PERMIT VALID ONLY WHEW SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-6953 24 HOURS PRIOR TO INSPECTION RFPARTMENT 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 PropertyOwner: 9SehZ'V Property Address : r//& 5- L<.). a9ql P/q.Gt Phone :;23'J - a.2S`D Contractor License No. : Je? p/ ? Company: I-f7 qA ~qLG~117~~ /~~{7r21~ ~Q/C Phone: U ~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiy that the setback tlistances proposed by this permit application are accurate. and do not violate appGCable 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 printeC on this apPlication. antl that I assume full responsiby'~ for compliance with the Wheat Ridge Building Code (U.B.Q) and all otner appllcable Wh 6t iGge ortlin c, for work under thi p ~ r~t. (OWNER)(CONTRACTOR) SIGNED ~~~~ATE '~"^'-~'~D Description : Qk7 /SQ Construction Value: o[J Permit Fee : D U Use Tax : Total : S'f , UD ~0 livo/~ - 4g~a BUILDING DEPARTMENT USE ONLY MM°l.~47~ Approval: Zoning : Bt1lftg i3rmMet2tsh Approval : 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: Approvai: - ■ ~~h~~ullCBn'~d (t) This pertnit was issuetl in accortlance with the provisions set fortn in yoWr applicaUOn and is suEject to the lews o( the Sfete of Coloratlo arW to the Zonirp Regulatlons antl BuilAing Cotle ot Wheat Ridge, Coloratlo or any other applicaDle oNinances of the Ciy. (2) This permit ahall expire i( (A) ihe work auNonzed is not commencetl within sixty (60) Cays 6om issue tlate or (8) the builtling authonzed is suspentled a aEantlonetl for a perwtl of 120 Aays. (3) If ihia pertnit expires, a new partnit may be eoquiretl for a fee of ono-half ihe amount nortnaly raqurteE, proviEed no Uanges have Deen w will be maEe in the onginal plans antl spedfiwtlons arW any suspension or abandonment has nM excee0ed one (1) ywr. If tlianges are matle a if suspension w abantlonment excee0s one (1) year, full /eea shall be paiC lor a new pertnit. (4) Nb work of any mamxr shall be tlone Nat will Uange the naNral Ilow of water causing a tlrainage pmblem. (5) Conirdc[or shall notiry the Builtling Inspector iwenry-four (24) hours In atlvance (or all mspections antl shall raceive wntten approval on inspection cartl pelor¢ pracee0iing wit~ suctessive phases of the job. (6) Tl~e Issuance of a pertnlt ar the approval o/ drawings antl specifications shall not Oe consWed to De a pertnit for, nor an approval of. any viola4on of the pmvisions of the buiitlmg codes or any other ortlinance, law, lule or regulaGOn. 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