HomeMy WebLinkAbout12183 W 30th PlaceFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Monday, September 13, 20212:53:51 PM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 12183 W 30th PI
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
John Hanson
(303)501-4721
Property Owner Email mmal2183@msn.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Plumbline Services
Name
Contractor's License 021818
Number (This is a 5 or
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 Brandon Vojtaskovic
Permit
Email not displaying correctly? View it in your browser.
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-766-7500
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@plumblineservices.com
Address
Retype Contractor
permits@plumblineservices.com
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
100f
Location of repair
backyard
(backyard, frontyard,
etc)
Provide additional
Adding two sets of clean outs.
details including
installation of clean-
o uts.
Project Value (contract
9000
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
0 �i I
�j L,_`,' INSPECTION RE,�
INSPECTION ONLINE FORM:://www.ci.wheatridge.co.us/inspection
INSPECTION -
C cellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Wall Sheathing
Floodplain Inspection (if applicable)
Sewer Service
Final Plumbing
Mid -Roof
Plumbing
Roof
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Mid -Roof
Final Mechanical
Roof
Lath / Wall Tie
Final Window/Doors
Final Building
Rough Electric'
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.
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
51706 �?S'
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
1Z � P
Y/17 -
Inspections
Z
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 Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Wall Sheathing
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.
Sewer Service
Mid -Roof
Plumbing
Fire Inspection / Fire Protection Dist.
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath /Wall Tie
Final Plumbing
Rough Electric
Final Mechanical
Rough Plumbing/Gas Line
Roof 7
Tt
Rough Mechanical
Final Building
Rough Framing
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.
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 7
Tt
Final Window/Doors
Final Building
NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
s City of Wheat Ridge
Residential Roofing PERMIT - 201706875
PERMIT NO:
201706875
ISSUED: 09/03/2017
JOB ADDRESS:
12183 W 30th PL
EXPIRES: 09/03/2018
JOB DESCRIPTION:
Residential Re -roof to install
Bellaforte Shake asphalt shingles with
decking. Pitch
= 4/12
*** CONTACTS ***
OWNER (303)501-4721
HANSON EMMA R
SUB (303)761-6400
J. Bretz
018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2404 / APPLEWOOD
KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 37,162.00
Total Valuation
FEES
0.005
.. m
,
Use Tax
780.40
-3>p(�,,'
Permit Fee
591.55
** TOTAL **
1,371.95
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
IV
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201706875
201706875
12183 W 30th PL
Residential Re—roof to
decking. Pitch = 4/12
ISSUED: 09/03/2017
EXPIRES: 09/03/2018
install Bellaforte Shake asphalt.shingles with
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 partes to the work to be
perf,n9ed and that all woIk to be performed is disclosed in this document and/or its accompanying approved plans and specifications.
S1I�
Signature of OWNER or CONTRACTOR (Circle one) Date 1
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 maybe 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 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 w_itho ritten approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be constru o be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this juris' fiction. Approval of work is subject to field inspection.
w
Signature of Chief Building Official d Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Excel Rooj%VV Ina
4310 S. Federal Blvd Englewood, CO 80110
(303) 76.1 -tel Fax (-W)70-6442
Prom►osallContract
Date: July 24, 2017
Proposal submitted to: John Hanson,12183 W. AP Place, Wheat Ridge, CO 80215
Phone: (303) 238-1549 Email mma12183@msn.com
We hereby propose to himish matemals and labor nom' for the completion of
L Installation of a Class 4 BeBaforte Shake composite roof.
A. Provide Workman's Comp and Liability Insurance doc�tion.
B. Obtain City of Wheat Ridge building pemut.
C. Remove existing shake shims., underlaymcnt; inspect decking.
A Install two rows of ice f water shield due to having wide eaves per code requitements.
E. Install 30# synthetic felt;
F. Install painted dap e* and take metal per code requirements.
G. Replace and three paint pipe jacks.
H. Replace four vents and add two vents.
L Replace and paint two exhaust caps.
J. Reflash chimney and wrap in ice/,water shield
K Replace four downspout extensions as discussed.
II. Wodmu ship is guaranteed for five (5) yem.
M. Excel Roofing will. use nail magnet, and haul all deebtis at completion of project
't`TV. Cost for Ctt'sts & Optionm
Beh&irt+e Shake.... $37,162.00 +
limit
� . Replace any decking if necessary; cost $44.00 per sheet
*Casts quoted cash/check, credit cards are accepted (t; � & MasterCard) with a 3% convenience &f--
We
ee
We propose to fico» sh material said labor= in accordance with the above specificatims far the sum listed above with payment to be made by duck to
Excel Roofing Inc Wm Job completi3• According to Colorado law tithe services provided are Paid dmxigh an MN=nm cairn it is illegal far a
Contcattor to pray die homed wnees deduct"e in whole or part; also any depow paid by the Homemmer must be held in trust The hotnemner
may cancel this CMtnlet at ally time prior to construction. If the maicadA has been delivered or the permit has been purdused then the homeowner
sbalh tv obligated to Fay the deit'ety and pet nit omits. The homeowner may also C2110d tris coilmict if they are notified that their came is denied in
whole o rpart -U words: to be completed per standard u>dttsttY Pmcfi= a=1XF1n9 to Teaficad= simuftd. The lwtnevcvner agiecs that if aoy
additional work is nrxpuitx d to complete the above sp>ed6cgftons iitsrohmtg exm cost they will pay these additional odes. Ail agmements are
amitiiWt upon or days beyond out a mol' Owner ag ees to rant nulaz hotneocsa>M Fuel Roofing wA not be
held liable for any stnxxvtai movement; sefflM c mebs in Wil, daingge to drivewAy, or any damage to siccing due to the roofing or ung
prooess. Finance clutges of 11/2 percent per month wilt be added to any unpaid lulanoe. In the event colkacim action is taken to recover pay neat
under this agmemwt, Excel Roofing Inc., should be entitled to teacoraable callocam. and atmtriey fees and costs inc sed in aitch action. F.,xcd
Roofing s hlbl ty insurer is Cincinim hike Company, 6200 S. CAnO a Road, F'aitficid, OH 45014. This proposal may be uithdmwn by Excel
if not accepted witluin 10 claps. The appAvOmate start date shall bervidrin 90 days of acceptance OHMS momsal.
Date: July 24, 2017
Robert Joyce, Fxcel Boofmg, Inc.
Cell Phone # (303) 905-1100
I"rs�r "ate '�
Acceptance ofGw&act
The above price, specificatims ;end condoms are satisfactory and ate hereby accep t,& Fmd R3oftng Inc is beteby authomed to do die work as
and payment will be to F Roo*14 ire., as outl6wd above.
-/Y--/ —z
Dan Schultz �6 ( 7� "YZS--
From: no-reply@ci.wheatridge.co.us Pt 7r_� 7
Sent: Wednesday, August 30, 2017 10:37 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
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 12183 W 30th PI
Property Owner Name John & Emma
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
303-501-4721
excel@excel roof ing. com
121
[,371, 9'S
;4
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 Scan D000009.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Excel Roofing, Inc
Name
bL
Contractor's License
018118
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)
3037616400
4510 S FEDERAL BLVD
Contractor Email Address excel@excel roof ing. corn
Retype Contractor Email excel@excelroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 38 `Z
the entire scope of work:
Project Value (contrac 37162.00
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
122
Does the scope of the Yes
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are 38
part of the pitched roof?
Describe the roofing Bellaforte shake
materials for the pitched
roof:
Type of material for the Other
pitched roof:
If "Other" is selected composite
above, describe here:
Provide any additional house
detail here on the
description of work. (Is
this for
arage? What is the roof
itch? Etc)
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.
Yes
Yes
Yes
123
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 James Bretz
Email not displaying correctly? View it in your browser.
124
1� ' i City of Wheat Ridge
Residential Mechanic PERMIT - 201707011
PERMIT NO: 201707011 ISSUED: 09/07/2017
JOB ADDRESS: 12183 W 30th PL EXPIRES: 09/07/2018
JOB DESCRIPTION: Permit to replace existing FAU, coil and condenser. Like for like. 1.5
ton, 16 seer.
*** CONTACTS ***
OWNER (303)501-4721 HANSON EMMA R
SUB (303)424-1622 Jack E. Major Jr. 017013 Major Heating
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,791.40
FEES
Total Valuation 0.00
Use Tax 184.62
Permit Fee 188.45
** TOTAL ** 373.07.1,
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this perm t. further ttest t t I am legally authorized to include all entities named within this document as partes to the work to be
performe� an a wko be performed is disclosed in this document anc�►or its' accom�anying,approved plans and specifications.
Signature OV, OWN4N or CONTRACTOR (Circle one) Date i
1. This perms sued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a enni for or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction: A 1 f wort-sject t Ciel inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat" e
COMJ',,1UNiTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Request Line: 303-234-5933
Building Permit Application
(Complete all highlighted Ughlighted areea's)
hi
Property Address: 7 A7 -3 1. ). H' [nO* k4 b
Date: q r '�
Plan # I l
Permit #
zor-1cqC)l
Property Owner (please print): t--6\A*j iT6QI/15oU Phone: 503 -501—
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Sub Contractors:
Electrical: S-,,70 4Elet&�Q_ Plumbing: Mechanical:
City License # Q 2 1,7413 City License # City License #
Description of work:, (Fully describe work to be performed - Attach additional sheet if necessary)
k�C, 04a tJ K iS �q '�qD.� �� - (1 U wt� Contract Value of all work:
J J ` a $ g. ;� � 410
Yt�e t-,3 Ca12i2��.�2 F� �� l C U . L, i �C,c %a �. L'► > ��
3,5- Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER") CONTRACTOR _(AUTHORIZED REPRESENTATIVE) (OWNER) (CONTRACTOR)
PRINT NAME: w�-�c(//5 41 A40 X SIGNATURE: DATE: %
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
OCCUPANCY:
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required ( Bldg Valuation: $
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: L/09- � 1 0C� I
Job Address: 1 a I g 3 i✓ 3 6 b P I
Permit Number: O i7 c & S -7 S_
IJ No one available for inspection: Time "0 J c tr /PM
Re -Inspection required: Yes I
When corrections have been made, call for re -inspection at 303-234-5933
Date:—' 0 /-a 17 Inspector:
DO NOT REMOVE THIS NOTICE
ee. *. /7
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: 3 E L - /Y] • c+
Job Address: 1-3. I 7 tv 3 e `fi o f
Permit Number: 'D 0 1-7 o b �? -
❑ No one available for inspection: Time A }PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: a ► A ) Inspector: `T"
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
!'- r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:`�"�
Job Address: l 30
Permit Number: 20/ a 90//
❑ No one available for inspection: --Time 1
Re -Inspection required: Yes No/)
When corrections have been made, call for re-inspe�M
Date: / !� % Inspector:
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13101
BUILDING INSPECTION LINE - 303-234-5933 Date : 11/13/01
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: JOHN HANSON
Property Address : 12183 30TH PL Phone : 238-1549
Contractor License No. : 20762
Company : Pella Windows & Doors Inc. Phone : 371-3750
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 ordinances, for work under this permit.,
(OWNER)(CONTRACTOR) SIGNED AlIC!!I~ ('SCE!,/1117 bS+ DATE ° O
Construction Value :
$11,119.41
Permit Fee :
$209.25
Plan Review Fee :
$0.00
Use Tax :
$166.79
Total:
$376.04
Use:
Description : REPLACE 4 WINDOWS AND 2 SLIDING GLASS DOORS
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
001,040"
Approval: BG
V .
p
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
('I) This permit was issued in acwrtlance with the provisions set foRh in yopur application antl is subjecl to the laws of the Slate of Coloredo and to the Zoning
Regulations antl euiltling Code of Wheat Ritlge, Colorado or any o[her applicaDle ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commencetl within sixty (60) tlays Bom issue tlate or (B) the building authorized is suspentletl or
abandoned for a period ot 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, providetl no changes have been or will be matle in the
original plans and specifications antl 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 wafer causing a drainage problem.
(5) Contractor shali notify the Buiiding Inspector hvenry-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings antl specifications shall not be wnstrued to be a permit for, nor an approval of, any violation of the
provisions of the building wtles or any other ordinance, law, rule or regulation.
~ l~ae.✓
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Ntunber:
{ of W"E BUILDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
' m 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
C~(ORP00
~~~UCATIO~g
~ V
Properry Owner:-r~.~,yt ~CL~'L~4~titi
Froperty Address: ~l I u I~.'~ t, p3-}' ~ ll-{~'I 0 Phone :'J 6 3
Contractor License No.: ~,l 76,Z.
company: Cpa) (e i l ) M t~,tC~S c-t-1~Phone::30 3
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND ACREEIIENT
I hereby certify tha[ the setback distances pmposed by Nis pertnit application aze
accura[e, md do no[ viola[e applicable ordinances, mles or regulations of the City of
Whea[ Ridge or covenants, easemenis or testrictions of record; that ali meazurements
shown, and allegations made are accurate; thaz I have read md agree to abide by all
conditions printed on this application md that I azsume full responsibility for
compliance with the Wheat Ridge Building Code (U.B.C) md all other applicable
Wheat Aidge Ordinances, for work under this permi[.
14
Construction Value: If I
/
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
(OWNER)(CONIRACTOR): SIGNED~(.I.1~(~ J~.I ATE / /3/O ~
Description: !ZQ lA,ry,'n (11)1LO S C"N U"R sti
~
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILUING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS: 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:
ApprovaC Approval: Approval:
(1) 11ils pennit was issued in acwrdance witli the pmvisions set forth in your appGcation md is subject to the laws of the Staro of Colorado md to the Zoning
Regulatlons md Buildivg Codes of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) 1'his penmit shail exp've if (A) t6e work auNoriud is not commenced within sixty (GO) days from issue date ar (B) the builNng auNoriud is suspended or
abandoned for a period of 120 days.
(3) If this pennit exp'ves, a new pertni[ may be acquired for a fee of one-half Uie amowt normally requ'ved, pravided ¢o changes have been or will be made in
the original plaus md specificatlons md eny suspension or abandonmeuthas vat exceeded one (I) year. IIchanges haveheeu or ifsuspension or abavdovment
exceeds one (I) yeer, futl fees shall be paid for a new permit.
(4) No work of any manner shall be done tha[ will chmge the nahual flow of waler causing a draivage pmblem.
(5) Contracmrsha11no6fytheBuildinginspecrorhventy-fow(24)hours inadvanceforaliinspectlonsandshallreceivewnttevappmvalouinsp¢tloncardbefore
pmceedingwithsuccessivephasesofthejob. (6) 17m issuance of a pewit or Ne appmval of drawings md specificafions shall not be coastrued to be a pemit foq nor an approval of, any violatlon of the
provisions of the 6nilding codes or any other ordinauce, law, rule or regulatlo¢.
Chief B ' ding Inspector
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DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M921I17890
237-6944 EXT. 255 P.O. eox 63e CITY OF WHEAT RIDGE, COLO.
THIS VERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS U- vv r
CONTRACTOR bO~R r-' l.pF\i c-' -CSo z~i i~~G
ADDRESS 1111093
CITY ZIP CODE ~b I I C~
PHONE LICENSE N0. 1553~-
1. TVPE GrounE❑ Woll❑
2. MATERIAL
SIGNS 3. ILLUMINATION Yes❑ No❑ Typs
4 SET BACK FROM PROPERTY LINE N_ S- E.
(SDocify whith ia f ronl ) ❑ ❑
1. TYPE Solid0 More Thon 80% OpenO
OWNER i.1ill
ADDRESS 1tAqYY-,
PHONE D,3~- IS4~ ZIPCODE
CONTRACT PRICE $ I B~C70 C'f7
I DATE F-1 -
Proiectinp❑ OtMr SaDFOOe
Tofal SQuon Fnl
Elwt. Permit No.
_ W Zone_ ApprwW,Zone Inspeatw
Len 7han 80%
FENCES MATERIAL Hoipht
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zme_ ApprwW,Zorn Impacta
(SPeciry which it }ront) ❑ ❑ ❑ ❑ Dinapproved . .
I.
OTHER 2
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTI
(SETBACKS OR PROJECTIONS INCIUDED)
INSPECTION TICKET
JOB o
ADDRESS LJ_ ~i o
j7Pqz EF
DATE: BLDG. PERMITA l7J~;G
PERMIT#
BLDG. CONTR. k a"'~"-"` (U`-K~A
SUBCONTRACTOR
STREET NAME
SNOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STR
DISTANCE TO PROPERTV LINES,NOT MAXIMUM OR pVERAGE DISTAP
APPLICATION FOR PLUMBING; ELEC'
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEC
PERMIT WILL EXPIPE 180 DAYS FROM THE DATE OF IS;
a
DATE INSP. REQ. ':~2 '2 S
TYPE OF INSP.
i -
INSPECTION MADE
_ //vl ON.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBIN6
STATE LICENSE N0.
ALUMINUM VAHE UNOER SIZE 8 IILEGAL
FLOOR
BSM
'.Ix Sola
WATER CLASET
TEMPORARY METER
WASH BOWL
W.R. FORM 679
NEW SERVICE - AMPS
BATH TUB
✓
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
HEATING
GARBAGE DISP
POWER SUB-GFCUITS
UTILITY (RANGE, DISPO5ER, ETC.)
WATER HEATER
AUTO. WASHER
RNri eront Group
PounM CMr !
FIXTURES
DISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS 6 CONTROLS
FLIXOt DRAIN
ELEVATOR
516N5
URINAI.
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORN
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I hsreby acknowledQe that this applica-
tion it correcf and undersfond thot I
connot start +nie project until tnis ovvli-
coti0n is opOroved. I shall comply with
the lowf of the S1ate of Colorado ond to
the ZoninQ Repulations ond Buildinp
Code of the City of Wt+eat Ridqe. Any
vi0laNOn of the above terme will touse
immediote revocation of tnie permil
~eoaeo~~. sb~=w,.
PERMIT FEE
6, p-ey
NOT V UD UNLESS RECEIPTED
USE TAX
TOTAL FEE
$
m
~ ~U s
~
aPPR
CHIEF BUILDIN~
~
NSPECTOR,Cityof Wheaf Ridqe
CAIL 237-8944 EXT. 255
24 HOURS IN ADVANCE
-
Dote 155ued~
~
FOR INSPECTIONS