HomeMy WebLinkAbout4550 Zephyr StreetI INS ECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date Inspector
Initials
Comments
Pier
Mid -Roof
Plumbing
Concrete Encased Ground (CEG)
Lath /Wall Tie
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
Sewer Service
Mid -Roof
Plumbing
Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath /Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof 5mir 5.;12
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.
"*For Inspection Time Window — Please email insptimerequest@Ci.wheatridge.Co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
The City of Wheat Ridge
't Third Party Form Check List
Property Address
Permit Number oOljo in
Permit Issued Date 5 1 • `ZD jn
Owner Information
Property Owner Information Irt�-hsL Property Owner Owner Address
Inspector Information .
Inspection Company X14 � 6 f'
Inspector Flame Kkl,,re
Inspector Contact info. G 20
Inspector Statement and Acknowled9emeni:
I hearty acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing sysiem for the referenced building has been inspected
and found to be in compliance with the inimum requirements of the 2012 IRC and 2012
IBC as well as all Ci he t Rid g Policies nd Procedure and IVianufa rer'
recommendation i natio
Inspector: Hate:
*1 hearby acknowledge that i am the ownet of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat ge Buildinq Division inspection.
Propery Owner/Agent: Date: +2(Y, t8
This original document and permit caret, as well as the rocsng check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
RECEIVED
JUN 0 1 2018
Per --
Please add note to reverse side
The City of Wheat Ridge
r,- Third Party Form Check List
Property Address q6-7
Permit Number O!A 11
Permit Issued Date In
Owner Information
Property Owner Information Qalve
Property Owner Address r
Inspection Company
Inspector Name
Inspector Contact info.
Inspector Statement and Acknowledgement
I Nearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I Nearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of # "et Ridge Policies and Procedure and Manufacturer's
recommendatio npeciDdations.
Inspector: Date:
— V N
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat ge 4u ion inspection.
Propery Owner/Agent: Date: 4 ./L(S
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspeirton
[� N/A
❑ Pass
rail
N/A
❑ Pass
Fail
Structural roof components
[7 N/A
(Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
] N/A
Pass
❑ Fail
Flashing for roof and walls
El Pass
❑ rail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/1,
❑ Pass
[] rail
Verify sheahing nail pattern ( See policy & Proceedures)
N/A
1 r>ass
❑ Fail
Crickets and saddles where needed
N/A
Pass
❑ Fal
Verify B vent must have boot same gauge as pipe
i ] N/A
INK
K, Pass
LJ Fail
Verify vent caps
j=] N/A
Pass
C-] Fail
Verify no flashings are damaged or rusted
[_] N/A
Pas
C7 rail
Step flashing shall be min. of 4x,4 piece per shingle
XN/A
Pass
Fail
Verify scuppers allow for proper drainage
L1 N/A
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
f-1 N/A
,,C
- Pa"
[7 Fal
Underlayments must follow 2.012 IRC / 2012 IBC
C1 N/A
Pass
[] Fail
Verify roof slope for proper drainage
L7 N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
I-7 N/A
Pass
❑ rail
Dripedge should extend down min 2" past roof deck
[_] N/A
Paas
0 Fail
Dripedge shall be mechanicaly fastened 12" OC
J N/A
C_1 Pass
1.7 Fal
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
JAN/A
❑ r,>>
C7 Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
1 =)'N/aL_1
Pass
Cl Fail
Above roof insulation R-25
[ N/A
Ll Pass
rail
Below roof residential R-38
I�J N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
C7 rail
Modified Bitumen, EPDM, TPO min slope 114:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shinoles
Requirements
( ( NIA
f _ _I Pass
J-] Fail
Metal roof shingles shall not be installed on slope less
3:12
N/A
Ll Pass
L7 rail
Metal valley flashing shall be the same material as roof
J\'i N/A
i Pass
L7 Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
f ,1N/,A
C7 r ss
[.7 raii
Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Company Name: PIAIM
Inspector signature:
Date of Inspection:
City of Wheat Ridge
Residential Roofing PERMIT - 201701059
�p
PERMIT NO: 201701059 ISSUED: 05/31/2017
JOB ADDRESS: 4550 Zephyr ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Reroof Tamko shingles 28 squares
**REVISION: Adding redecking; Added valuation: $2,500.00
*** CONTACTS ***
OWNER (303)425-6259
ALLEN
JOSEPHINE
C
SUB (303)593-2761
Caine
Knapp
170225 Gold Star
Premium Roofing
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2406 /
BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
9,750.00
FEES
Total Valuation
0.00
Use Tax
204.75
Permit Fee
204.30
** TOTAL **
409.05
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A% -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€'Ms 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's 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.
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 1 am legally authorized to include all entities named within this document as parties to the work to be
performed an that all wo ,,k 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 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 without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of ape t shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code ordinance egulation 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 Wheat Ridge
Residential Roofing PERMIT -
201701059
PERMIT NO:
201701059
ISSUED:
05/31/2017
JOB ADDRESS:
4550 Zephyr ST
EXPIRES:
05/31/2018
JOB DESCRIPTION:
Reroof Tamko shingles 28 squares
**REVISION: Adding redecking; Added
valuation:
$2,500.00
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 1 am legally authorized to include all entities named within this document as parties to the work to be
performed an that all wo ,,k 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 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 without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of ape t shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code ordinance egulation 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
Wheat idg,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( a�ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 1 ! l 1
Add to Permit # � 0 � �v 09-1"
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner
Property Owner Email: l) t�
Mailing Address: (if different than property address)
Address
City, State, Zip:
Phone: �3 /[,,I -
Phone: (�J'sq
to V't
Contact Person: t�J ; 1J ,t Phone: ?/io 'MV L 763
Contractor:
r�ti�J e-.' ( a y t
Contractors City License #: t a.,�; Phone: ��u ({ 76 3
Contractor E-mail Address:
(-LtC'c" ., C �'v-,
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:
& Sf A��)4-T'k i k�-G-s
6 X ( �u "C� I
Sq. FULF Btu's
Amps \ Squai
Gallons
Other
Additional Project Value: (Must incl tal ral and subcontracted work to be performed related to revisions/amendments described above)
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: (OWNn�ER)) (CVRACTO) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: �'W W VJ SIGNATURE: DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
OCCUPANCY CLASSIFICATION:
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $
�r
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: q0+ Fi hd Rove
Job Address: 8550 ZP.pbJy' St,
Permit Number: S -V
❑ No one available for inspection: Time < s.,
0 -1. /.
Re -Inspection required: ('Yes) No
When corrections have been made, call for re -inspection at 303-234-5933
Date: �ZS_/
Inspector: D(Vht t,Oye7l_
DO NOT REMOVE THIS NOTICE
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: M D
Job Address: 9S50 Fi C
Permit Number: 2ol—?o 10 56)
"PON rVA1 iT 1
❑ No one available for inspectiMon: Time �� AM/
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 6 �Inspector: a4z/
DO NOT REMOVE THIS IVOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701059
PERMIT NO: 201701059 ISSUED: 05/31/2017
JOB ADDRESS: 4550 Zephyr ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Reroof Tamko shingles 28 squares
*** CONTACTS ***
OWNER (303)425-6259 ALLEN JOSEPHINE C
SUB (303)593-2761 Caine Knapp 170225 Gold Star Premium Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,250.00
FEES
Total Valuation 0.00
Use Tax 152.25
Permit Fee 172.60
** TOTAL ** 324.85
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding X1/2-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&E-s 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's 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 - 201701059
PERMIT NO: 201701059 ISSUED:
JOB ADDRESS: 4550 Zephyr ST EXPIRES:
JOB DESCRIPTION: Reroof Tamko shingles 28 squares
05/31/2017
05/31/2018
1, 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 the legal owner or have been authorized
by the legal owner of theproperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_pennrt. I further attesf 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.
E= g�pW&-7: �7
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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or o,dinance or_ lation of this jurisdiction. Approval of work is subject to field inspection.
_ �� /1
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
city of
Wheat_ i,.c3e
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: permits&ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit#
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):',) O ---e e h t -rte— Phone: �� Llab . Lj�abq
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: Goo <stai' e%rte t t.U(n i \)4
Contractors City License #: t t �a11" Phone: v� J� r�I
Contractor E-mail Address: OW -1t) 3:5a ( � t E Coll
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL L, iRESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ 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.)
Sq. Ft./LF
Amps
Btu's Gallons
Squares c Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pen -nit 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 1 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 1 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) (CONTRACTOR) or (ACTHORIZ
REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature
(first and last name):
DATE: t— 1
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
INSPECTION RECORD OccDDancvfrvDe
'V'INSPFCTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
A i? 1, 14,
I PECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS '
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
CONCRETE SLAB FLOOR
Electrical
Heating (Underground)
ROUGHS
Sheathing
Lath / Wall tie"
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS '
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Rough Mechanical
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
_
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS '
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ t i CITY OF WHEAT RIDGE
6 I r Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
(}!� �) Fl (y
Inspection Type: 7ruflAt €frAl�eMfr:)erk
Job Address: q_at7
Permit Number:
K ,
i
t
G
z
i
❑ No one available for inspection: Time
l t
Re- Inspection required: Yes ; No
"When corrections have been made, call for re -insp cti n _L 303- 2345933
j Date: ! n - /0 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
l Residential Plumbing PERMIT - 102608
PERMIT NO: 102608 ISSUED: 11/19/2010
JOB ADDRESS: 4550 ZEPHYR ST EXPIRES: 11/19/2011
DESCRIPTION: Repair approx. 8 if of sewer line
* ** CONTACTS * **
owner 303/425 -6259 Josie Allen
sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc.
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0311 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 2,750.00
FEES
Permit Fee 93.35
Total Valuation .00
Use Tax 49.50
** TOTAL ** 142.85
Conditions:
Subject/t�p field inspections.
I beret, ce tify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinan es, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measure en s shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
applic ti n and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B. C) and all other
applic b e Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Signs ure of to date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan revie is subject to field inspections.
Signatur of Building Official date
INS P Z ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REOUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS. DAY.
Qi) ar
a / .i_en�d�at
.. ti €i .,;�Yl F�i11'i)E`_ta)k,VtfP7f
Building & inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Plan k
Permit # 0' 2 (so �: J
Office: 303 - 235 -2855 � Fax` 303- 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Property,,vddress:
Property Owner (please print):: !Z \ l2h _
Pho ne:? y - L t_ 2 "5 — 6 2��q
Mailing Address: (if different than property address)
Address:
City, State, Zip:
0"DrAractoe:
Contractors Cif
License #:
Phone:'
` s
Mechanical:
Plumbing:
City License # City License # City License #,
beiiiii t�fi�s_
�S2v4ir f
Contract Value
• �a
�✓( it �cdet( o��� $ Z r�Sax�
t
A P 8 L. (3 nil Review Fee (due at time of submittal): .
Squares BTU's Gallons Amps Sq Ft, $
OWNERICONTRACTOR 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 f r work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of _ property to perform the described work
and am also authorized by the legal owner of any entity included on This application to li that entity on this application. - -
CIRCLE ONE: ER) {CONTRACTOR) or AUTHORIZED REPRESENTATI P of (OWNER) CONTRACTOR)
PRINT NAME �. t SIGNATURE: DATE: _0 — (9 —(6
Bldg Valuation: $
E Lk� N E 1 JOB DATE
P Ll uhi�jo
INDUSTRIES INC DATE t I
P.O. Box 370 e Watkins, CO 80137 11/18/10
ESTIMATOR
(303) 696-9599 Chandler
Fax(303)671-6871 SERVICEMAN
INVOICE#
Ol- 39307
JOB #
CALLORIGIN
C o. S ew. lf on y
PO#
_Ka - 7 S
NAME
Josie Allen
NAME
ADDRESS 4550 Zephyr St.
ADDRESS
CITY Wheat Ridge
D33
CITY
I STATE IZIP
PHONE
303-425-6259
PHONE
Excavate/Replace 4" main drain from the cast iron to approx. J01rIto the front yard.
$ 2,760.00
APPAw-44'-'4on9-dnd-Up-tO—eel-
r7_
*Includes: Excavation, Plumbers, Laborers, Pipe & Fittings, Bedding, C/0's,
Bedding, Backfill, Compaction,
Olean-up, Haul Away, Permit and Inspection.
All Items included if needed.
X WARRANTY Terms of Warranty: 5 Year - Parts & Labor
APPROVAL X evL f
SIGNATURE
Excludes: Roots & Ground Movement (Acts of Nature)
COMMENTS:
THANK
uohu!
I 1 i
SUBTOTAL
4d,,7S0,00
TAX
PLEASE PAY
THIS AMOUNT
�
$ 4 s6a
ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence
repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas,
etc. Not responsible for damage caused by unstable soil, cave-ins or any other complications.
TERMS:Job cancellation fees will apply. Invoices are payable - 1/2 down and balance upon
completion of work performed. Any invoice not paid when due, shall incur interest at the rate
of 18% per annum. In the event that it becomes necessary to collect any unpaid balance
owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including
reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's
lien for all unpaid materials and labor supplied to building projects pursuant to Colorado lam
X zc ca' Z6
f - �/ SIGNATURE
L
ACCEPTANCE a
OF INVOICE p Z9 159
SIGNA URE
M'C" ❑ *IFX
CARD # EXP
APPROVAL#
EICASH EICHECK#
CHARGE A/R ACCOUNT#
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 18520
BUILDING INSPECTION LINE -(305-2345933) Date : 2/2/2005
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: JOSEPHINE ALLEN
Property Address : 4550 ZEPHYR ST Phone : 425-6259
Contractor License No. : 22207
Company : Totai Exteriors & More LLC (dba Team Exte
Phone :(847) 995-0139
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Valuation : $24,900.00
1'peeeby certify that the selback distances pmposed by this permit application are accu2te, and
permit Fee : $508•70
do not violate applicable ordinances, rules or regulations of the Ciry ot Wheat Ridge or
r restrictions of record: that all measurements shown, and allegations
ents
t
a
Plan Review Fee : $0.00
s, easem
o
ri
coven
made are accurate: that I hava read and agree to abide by all conditions printed on this
USe T8X : $448.20
appliCation, and ttiat I assume full res erfSi i ty for com Ijpnce with the Wheat Ridge Building
~Cotla (U.B.C.) and all other appll e Wh idge YEfancas, for work under this pertnit.
1
7
Total : $956.90
5
ATE 2-3 -0
.
. (OWNER)(CONTRACTOR) SIGNED D
Use:
QescTiption
RE-ROOF, RE-SIDE - NEW GUTTERS, SOME SOFFIT & FASCIA
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
~ Documents from the manufacturer shall be
onsite for f:na1 roof inspectiomwhich specify
roofing materials have been installed to meet
110 MPH three-secorrd wind gust-- IBC (90
!,4°H tivir,d Zoad--UBG').
Occupancy: Walis
Elect[ical License No :
Gompany :
Roof : Stories : Residentiaf Units ;
Plumbing License No :
Company:
Mechanical License No :
Company:
Expirakion Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This pemiit was issued in accoNance with the provisions set forth in yopur application and is subject lo the laws of the Stele of Cobredo antl to the Zoning
' Regulations ana Building Code of W heat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire'rf (A) ihe work autFwrized is not commenced within sixly (60) days hom issue date w(8) the builtling autlwrized is suspentled or
abandoned tor a period of 780 days.
.-(3) If ihis permit erzpires, e new pertnit may be acquired Por a fee of one-half the amount noimalty require0, provided no changea have beeo or will 6e made in ihe
original plans and specifications and any suspension or abantlonment has not exceeded one (1) year. If changes are made or H suspension or abandonment
exceeds one (1) year, full fees shail be paid for a new permit.
(4) No woAc of any manner shall be done that will change the naturel flow of waler causing a drainage problem.
.(5) Contractor shall nWi(y the Building Inspector hvenry-four (24) Fwurs in atlvance for all inspeclions and shall receive written approval ort inspecfion carE before
proceetliinpwithsuccessivephasesofthejob.
. . (8) The issuance of a~{t or the a rewings and specilcations shall not be construetl to be a pemiit ta, nor an apDroval af, eny violation of lM
ow~sinso~/y jf.1~y ~ng aeg-or any other or ' ce, law, rule or regulaUon.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
c~ w"E" q BUILDING INSPECTION LINE • 303-234-5933 Date:
l 'o CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
W HEAT RIDGE, CO 80033 -(303-235-2855)
`°L~~°° APPLICATION
PropertyOwner.)o~~v`7c,Q
yZ5 - loo~.~~
Property Address: .~~ty✓ ~f - Phone: 303
Cootractor License No.: aao
Company: j~/~X~✓h~'S ~~'"L~ LLG~,~6I+ ~~pyvs Phone:('jD3) 5~~~'~va
~
OWNER/CONTR.SCTOR SIGNATURE OF UNDERSTANDING ANO AGREEMENT
I hereby cerlify Mat the setDack Aistances DroposM by Mis pennit appliwUOn are
accurate, and Ao noc violate applipble ordinances, rules or regulatbns oi the Ciry of
W heat Ridpe a covenants, easemenis a restrictions of reoord; thal all meawrements
shown, and alleyaCwns made are accurale; Mat I have read and agree lo abide by all
cprWitions prinled on ihis appliption and that I assume full responsiDility for
wmpliance witlf the Whea1 RiCge Building Code (U_B.C) and all other applicaDle
Wheal Ridge Ordinances. for wornde` Misp5b7nil ~
Description: (Z¢ - ►/Ae is ~
lJ
j?,i, - s%d-Q - kk~
Sq. FL added
Value:5 0 ~ `
Permit Fee:$
Plan Review Fee:$
Use Tax;S
Tota1:5
(
Expiratiwi Date: Expiration Date: Expiration Date:
qpprovaP ApProval: ApProval:
(1) mis qrmil was isaued in aooordanoe wiU+ the puvisians set forth in your aPPUcation and is subjed b ttrc laws ot ihe SUIe ot
Cp{ordpo anA to the Zonirg RepuWCOns anA Bui1d"v+p Godes o( Wheal Ridye, CdoraOO w any oMer applicabie ordinanas o1
the Ciry.
(2) This permil sliall expim il (A) Me wak authoriznd is not oommentedv+Min sixty (60) days hom issue date or (8) the buil0ing
autl+orized is susPended a aDandoned Mr a period of 120 Oays.
(3) It Cvs Ps^^it expkft, a naw Dsrt^rt maY be acGwred tor a fee ol one-han the amount normalH rWuired. Drovided cha^7es
have been a wiN De made in Cro oripinal plans ard spea6nUOns arW anY susPension a abaManmeM has rat excee0ed one
!17 Yew. If charqes heve been a H wsPe^sion or eDarWOnmeM exceeOS one (1) Yew, full fees 3ha9 OE Daid lor a new Dar^iiL
(4) No wak ot aiy manner a1wM be tlone that will charge the nanval flow ol vrabr causinp a drainape proWem-
(5) ContraUol shaN notlfy Ux 9widinD l^sPector hive^tY-fo+' (24) h"R in advanoe lor au inspecuons arb shail receive written
approvy on insPecbon vr0 betore poceeEinC wiN wccessiVe Ohases of the joD.
(6) TAe iasuaroe oi a Po^^it a IM aVDmvy ol drawirqa arW sDecificauona " not be oonstrued to be a GeR^it for, rar an
approval of, any viobdon of the provisions of ihe buildirg mUes a any dMr ordinance, law, rub w regulation.
Chief Building Official
Electrical License No: Plumbing Ucense No: Mechanical License No:
Company Company Company:
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500 WES729thAVENUE BUILDING INSPECTION DIVISION PERMIT N0 MM94#4512
2345933 P.O. BOX838 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAUD ONLV WHEN SIGNED BY THE CHIEF BWLDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS ~ I I OWNER V C• 1
CONTflACTOR~7 y r I~~'~l /1 C, ~Yn i ~ ADDRES ~II
S P Sf
ADDRESS PHONE ZIPCODE 33
CITY r ZIP CODE nw~~~3~-~0 ~ ~ CONTRACT PRICE $
PHONE ~S LICENSE NO. 1=LIf11~~L DATE / ~Z
1. TYPE GrounO ❑
Wall❑
Proiecfin0❑
0ther
5 a 0 Faeo
2. MATERIAL
Tofol Squon Fset
SIGNS
3. ILLUMINATION Yes❑ No❑
7ype
ElKt. Parmil No.
4. SET BACK FROM PROPERTY LME N
(Specily which is front )
_
❑
S_ E
❑
_ W
❑ ❑
Zoro_
Apprwb,ZOne Inspeotor
Diaappwad
I. TYPE Solido Mon TAOn 80% OpenO
Lost Thon 80
% Opm
MATERIAL
Noiphf
FENCES
3. SET BACK FROM PROPERTY LINE N
(SpecBy whichie tront)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
Apprwed,Zorn IroDeefa
Diaopproved
I.
Z
OTHER
3.
DRAW SKETCH pR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVili3 DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJECTqNS INCWDED)
z ~
J ~
Y
r
rc
SPECIFV NORTN
~
N
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PRpPERTV LINES;ON IRREGULAR LDTS,SMOW LFAST
DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR pVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS N07 STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANiCAL PERMiT
ALUMINUMWIREUNDERSIZEBILLEGAL
FLOOR
BSM
IST
2ND
3R0
4iH
N0.
Fl1El!CiNs0rnfwsdlPYOpor» EIseSdar
NO.
WATER CLOSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGH?ING
SINK
OTHER
HEATING
GARBACrE DISF
REFRIGERATION SYSTEM
POWER SUB-LIFCUITS
WATER HEATER
Refri arant Caroup
UTILITY(RANGE, DISPOSER, ETC )
AUTO. WASHER
poundt CMr e
fIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SVSTEM
WIRING MOTORS d CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 6 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTOR$ OVER I HP
TOTAL FI%TURES
itEMARKS :LY(,2 II 6 r" V6n R/ zl rP~~ / Q Ce {77 P/C. ~ / ~,(/'nQC~ C~.
I hareby acknowledQe that this applico-
tion u[orroct ond understand fhai I
connot ffart thif Orolect untii thia appli-
mfion it apOroved. I shall comply with
fhe lawa ot the State of Colorodo and to
}ha Zoninp Repulatione ond Buildina
Code of the City ot Wheat RidQe. Any
violafion of the above terme will couse
immediote rovocahon of Ihie permit
oljtianH sionarun
PERMIT FEE
usE rnx
TOTAL FEE
APPROVEC
DISAPPROVE[
CHIEF BUILDI
3
,City of Wheat Ridqe
Date Issued
~
NOT VALID UNLE55 RECEIMED
~ I
,
r..!._.r~-`J
CALL 2345933
24 HOURS IN ADVANCE
FOR INSPECTIONS
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
12827
9/25/01
Property Owner :
Property Address : 4550 ZEPHYR ST
Contractor License No. : 18916
Company : Accent Window Inc.
Phone: 425-6259
Phone: 2951170
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 yW T 1_~ DATE /0 "L (
Description : NEW VINYL REPLACEMENT WINDOWS
~ t-t Q~Z
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval:
Zoning :
Approval: DM
Approval:
Occupancy : Walls
"FATHERS ROOM" - WINDOWS NEEDS TO BE CHANGED TO AN
"XO" TYPE SLIDER WINDOW TO MEET EGRESS
Roof
Electrical License No :
Company:
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval:
Stories : Residential Units :
Mechanical License No :
Company:
Expiration Date :
Approval :
(1) This permit was issued in accordance with the provisions sel forth in yopur appiication and is subject to the lawsof the State of Coloratlo and to the Zoning
Regulahons and Buildiny Cotle of Wheal Ritlye, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authonzed is not commenced within siMy (60) days from issue tlate or (B) the buitding authorizetl is suspended or
abandoned for a periotl of 120 days.
(3) If this permit expires, a new permR may be acquired for a tee of one-half the amount normalry required, provided no changes have been or will be matle in the
original plans and specifcations and any suspension or abantlonment has not exceeded one (1) year. If changes are matle or if suspension or abantlonment
exceetls one (1) year, full tees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the naturel Flow of water causing a tlrainage problem.
(5) Contrector shall notify the euilding Inspector twenry-four (24) hours in atlvance for all inspec6ons antl shall receive written approval on inspeclion card before
proceediing wiih successive phases of the1'ob.
(6) The is~ nce of a permit or Ihe approval of tlrawings and speciFlCations shall not be construed to be a permit tor, nor an approval of, any violation of the provisions
. of tt~bu~tling code;.pr any other ortlinance, law, rule or regulation.
Construction Value :
$12,528
.00
Permit Fee :
$223
.25
Plan Review Fee :
$0
.00
Use Tax :
$187
.92
Total:
$411.17
Use:
Chief
DEPARTMEN ' OF PLANNING AND DEVELOPMENT Building Permit Number : 11899
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPLIc -r'to
Property Owner : 4 fleof-
PropertyAddress: y$Sp zeph,jx_ S,4- Phone: 3o3-yt5-Co7_59
Contractor License No. : I $ q/(o
Company: Phone:363-9oi-oaos~~3ebj
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby ceRify that the setback distances proposed by this pertnit application are accurate,
and do not violate applicable orAinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restridions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all condilions 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) SIGNEDle xl~ DATE 9 L'°t
Description :
S~ C_ a
BUILDING DEPARTV
Approval :
Zoning :
~ Approval
v°
mmamffmwwzm~
Approval :
Occupancy : Walls :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbin4t
Company
~Dm
Construction Value : 12 5 Zg
Permit Fee :
Use Tax :
Total :
U~se
G✓• ~
S L•~. I~r
~~~o , 11;j,7
6-r
`"Y
~,r'
W ;Expiration Dat,
Approval :
6 ..ense No :
y.
Expiration Date :
Approval :
(i) This peimit was issued in accor0ance with the provisions set lorih in yo0ur a, qntl is subject to the laws of the State of Colora0o an0 lo the Zoning
Regulations antl BuilGing Cotle of Wheal RiOge, Colo2tlo or any other applica ..Einances ol the Ciry.
(2) This partnit shall expire il (A) the work authonzeE is not commenceE withln sixly k60) Oays from issue tlate or (B) the 6uilding authonred is suspenEeC ar
3ban4oneG lor a penod of 120 Cays.
(7) If this pertnit ez0ires, a new pertnit may be acqutred (or a lee of one-half the amounl normally repuiretl, pmvi0ed no changes have been or will be matle in the
original plans anC specifirations and any suspension or abantlonment has not exceetletl one (1) year. It changes are maCe or it suspension or aDanOOnment
exceetls one (1) year, hll lees shall Ge paid br a new permit.
(4) No wotk of any manner shall be done V1at will change the natural Oow ol water Causing a drainage pmblem.
(5) Contraetor shall notiy the Building Inspector tweny-lour (24) hours in advance br all inspedions and shall receive wntten approval on inspection cartl belore
proceediing with auccessive phases of the job.
(e) The issuance o/ a pertnit or the approval ot tl2wings anE speufiralions shall not Oe construed lo be a permil lor, nor an appmval o/, any violalion ot the pmvisions
of the builCing coCes or any other orAinance, law, rule or regulation.
Chief Building Inspector
0
:E m 0 s N D .
3
0 0 0
R.
=
M
C
~ N
N
0 S O'~ O
~
m
N
O
Z
(/1
~
'm W m y W
OZ
m
m
W
~C
~
~n .
n
~
O Q
1l~Yl\ /
~
w
~
~-a
~
N .
r
D0
3o
r~
~
~
v
~
~j
N
~
g e v v o 0
~ c
S~
W
~
v
\
~
~
U
x
C~
x I
`M
0
n Z
~
>'C
k
~
> G
N~
~
o
~
(1
~
o
~ m
m
m
$
i
o
~
`
-
I
-
~
-
~
N
~
`
7
N
x
z
z
x
0
r
N f
❑ ~C1
o
o
m
A z
m m
p
3 ~
~
n
Z
~ Z
~ F
m
O 0 >
iO
O
p N v
G
~
D
D
m
~
W
X
D
'i
°
~
❑
O
N
X
'0 N
4~~ O N a
? C
T
~
N A
sd>;o
00~
~
~
3~
I I I I I I I I #
°-'3
°
~O
3 E
~ N
m
~
I I I I I I I I N
~
y
I~ 3 .
0
m
~
g
~
T
;o
o
~ N 6 w N N O
7
~
d
~
Om~
z
I I I I I
~
I I I I I
w
0
T
N
Z
~
o
d
o~
c
c
~
Q
x
Q
~
V
2
m
~p
a
.
~
m
v
~
~5,
~
t~
"I
/
i
3
~
tmn
7 r
1~
.
,
~
-
77
C7
l
Za
.
~
~C
.s
Co
~
♦
n .C
Q
~
~
~
~
W
~
~
~n
u~ ~ o O a m
-
° ~
~ ~
-77
\
~
~ ~
5
<
M
/
m
~
~
N
N
\
`
`
\
\
.
V"
~
0
~N
C2).
~
n~
l
m
;o z
~
3t~
S
~ F
o
a+~
=
m
~
p D
O
m
o
~ Q <
=
y
m m
3
~pD
d~ d
(~ll tf Q~ A O N N
O V V~~~~ N~
3 O1 d 3 O C O A S
p C
m
T
~ N
~
A~ o' S 3~ x 8 0
~
d
I I I I I I ( I x
v 3
~ ~
( I I I I I I I N
~
I
o
s 3
d
„
N
~
p1
D IA F ~I
C
~ p<
n'~ A A g
d
N
s
d
I I I I I a
r ~
O m
3
j
I I I
I I~
~
-1
~
dq
y
~
N
C
P
N
c
N
~
~ ~
R
d
x
EL
A
u
~
~
rv
~
m
v
m
n
w
~
I~
n
~
CUSTOMER NAM
WINDOW
WORKSHEET
PAGE _~OF
_ DATE '.~O'
dI1NDCCC 4 ~ 17!/ /lidl//Al
DOW SPECIFTCATION
WINDOW OPTIONS
6LAaN6 OPTIONS
❑BG
r
E ❑BRZ WOODWORK
LEGACY TURE
II
❑ XO
❑ WRAP ❑ S LL
❑ OAK ❑ f~
NE
[~.S WWG & CLEAN ❑ GRIDS
❑LOELITE HM 9.1
❑ XX
]
❑ CAMING V_H
❑CLEAR HM 63 [JGLUE CHIP
❑ LEGACY [
DLXOX ROUTER
❑ PATTERN ❑ WHITE
PLOELITE 4.2 ❑OBSCURE
❑ M-3000
SH
PROFILE
❑ GOLD ❑ BEtGE
[]CLEAR OTINT
OGARDEN
❑ DH
CASING__
❑ WHITE ❑ BRONZE
EITEMPERED
❑BAY
❑ pW
STAIN
❑ DIAMOND SIZE 0(ALUM SCREEN
❑OTHER
❑OTHER
❑ BRASS HARDWARE
Special N es
,
(ISLO)
W a
H~.
_
WINDOW
SPECIFICATIONS
WINDOW OPTIONS
6L4aN6 OP'TIONS
WHT ❑BGE ❑BRZ
WOODWORK
IGNATURE
❑XO
❑ WRAP 0 SILL
❑ SWING & CLEAN ❑ GRIDS
❑LOELITE HM 9.1
LEGACY II
[:]XX
❑ OAK ❑ PINE
❑ CAMING _ V_H
❑CLEAR HM 63 ❑GLUE CHIP
❑LEGACYI
❑XOX
ROUTER
❑ PATTERN 0 WHITE
OELITE4.2 ❑OBSCURE
❑M-3000
[]SH
PROFILE
❑GOLD 0 BEIGE
CLEAR ❑TINT
[]GARDEN
DH
CASIN
❑WHITE ❑ BRONZE
❑TEMPERED
❑BAY
~pW
STAIN
❑ DIAMOND SIZE_ ;KpLUM SCREEN
❑OTHER
❑OTHER
❑ BRASS HARDWARE
SpecialN tes
(ISLO)
Q~i
C&L l~'17
,
X
W
H
<
WINDOW SPECIFICATIONS
WINDOW OPTIONS
6LAZIN6 OPTIONS
WHT ❑BGE
❑BRZ
WOODWORK
IGNATURE E
❑ XO
❑ WRAP ❑ SILL
❑ SW WG & CLEAN ❑ GRIDS
❑LOELITE HM 9.1
❑ LEGACY II
❑ XX
❑ OAK ❑ PINE
❑ CAMING V-H
❑CLEAR HM 63 [3GLUE CHIP
❑ LEGACY 1
❑ XOX
ROUTER
❑ PATTERN [3 WHITE
OELITE 4.2 ❑OBSCURE
❑ M-3000
❑ SH
PROFILE
❑ GOLD [3 BEIGE
CLEAR ❑TIIAT
[3GARDEN
~DH
CASIN
❑ WHITE 0 BRONZE
❑TEMPERE
❑BAY
pW
STAIN
❑ DIAMOND SIZE_ ~ALUMSCREEN
❑OTHER
❑OTHER
~ BRASS HARDWARE
Special Notes
ISLO) X
w
1
3
~
W a
Hs9
~
,
-L I
}
.
CUSTOMER NAME
WINDOW WORKSHEET
I~~
PAGE ~OF
_ DATE
~J
</1
n wic U0,
WINOOW SPECIFIQATIONS
OOW OPTIONS
6LAaN6 OPTIONS
WHT ❑BGE 0 BRZ WOODWORK
IGNATURE ❑ XO ❑ WRAP ❑ S)l.L
f
❑ SWING & CLEAN ❑ GRIDS
❑LOELITE HM 9.1
EGACY II ❑ XX ❑ OAK ❑ MNE
L
❑ CAMING -V _H
❑CLEAR HM 63 OGLUE CHIP
❑LEGACY I ❑ XOX ROUTER
❑ PATTERN ❑ WHITE
KLOELITE 4.2 ❑OBSCURE
❑M-3000 ❑ SH PROFILE
❑ GOLD ❑ BEIGE
❑CLEAR ❑TINT
OGARDEN DH CAS[N
❑ WHITE ❑ BRONZE
❑TEMPERE
❑BpY ~pW STAIN
❑ DIAMOND S1ZE_ ❑ ALUM SCREEN
❑OTHER
❑OTHER
❑ BRASS HARDWARE
Special Nc~es
h7j
p
S/IS.LO)
Li✓11
~
/ (
L U
l
.
.
.
l~
,
P `o
~
02
~
W H
wnNbow srec7xcArtonis
wnNuow oPnonis
su2246 oMoNs
HT OBG E ❑BRZ WOODWORK
NATURE ❑XO ❑ WRAP ❑ SILL
r
❑ SWING & CLEAN ❑ GRIDS
OLOELITE HM 9.1
GACY ❑ ❑XX ❑ OAK ❑ PINE
L
❑ CAMING _ V_H
❑CLEAR HM 63 ❑GLUE CHIP
❑LEGACYI ❑XOX ROUTER
❑ PATTERN 0 WHITE
BEIGE
OELITE42 OOBSCURE
CLEAR ❑T[NT
0 M-3000 OSH PROFIL
❑GOLD 0
❑WHITE ❑BRONZE
❑
OTEMPERED
OGARDEN DH CASIN
STAIN
9
❑DIAMOND S[ZE XALUMSCREEN
❑OTHER
❑BAY
pW
❑OTHER
❑ BRASS HARDWARE
.
Special N s
(ISL
' " '
p
W H
WINDOW SPECIFICATIONS
WINbOW OPTIONS
6LAZIN6 OPTlONS
T ❑BGE ❑BRZ WOODWORK
NA TURE ❑ XO ❑ WRAP ❑ SILL
k
S~IV(',H
❑ SW1NG & CLEAN ❑ GRIDS
❑LOELITE HM 9.1
EGACY❑ ❑ ❑XX ❑OAK ❑PINE
LL
❑CAMWG _V-H
❑CLEARHM6.3❑GLUECHIP
❑ LEGACY [ ❑ XOX ROUTER
❑ pATTERN C] W HITE
OELITE 4.2 ❑OBSCURE
~
❑M3000 ❑SH PROFILE
CASING
❑GOLD 0 BEIGE
❑WHITE OBRONZE
LEAR ❑TINT
❑TEMPERE
[:]GARDEN DH
Ogpy ']PW ST,41N
❑ DIAMOND SIZE_ f.~ pLUM SCREEN
T~
❑OTHER
❑OTHER
El BRASSHARDWARE
Special Notes
(ISLO)
cate J~v=
x
x
w 3 (o x S
e
VUSTOMER
C/CC/i 2ikll.i..
WORKSHEET PAGE
DATE
ADDRtSS
WINDOW SPECIFICATIONS
WINDOW OPTlONS
6LA2IN6 OPTIONS
WHT ❑ BGE ❑ BRZ WOODWORK
1GNATURE ❑ XO ❑ WRAP SILL
S W ING & CLEAN ❑ GR1DS
H
V
❑LOELITE HM 9.1 CHIP
OCLEAR HM 63 ❑GLUE
LEGACY I[ ❑ XX ❑OAK ❑ PWE
_
CAMING -
❑ PATTERN ❑WHITE
~LOELITE42 ❑OBSCURE
❑LEGACYI ~XOX ROUTER
~M-3W0 SH PROFILE
❑ GOLD ❑ BEIGE
❑CLEAR [3TINT
E]GARDEN ❑ DH CASIN
❑ WHITE ❑ BRONZE
❑TEMPERE
Ogpy 0 pW STAIN
❑ DIAMOND SIZE_ ;!kALUM SCREEN
❑OTHER
❑OTHER
❑ BRASS HARDWARE
Special Notes
(ISL
~
W H
_
WINDOW SPECIFICATIONS
WINDOW OPTIONS
6L4aN6 OPTIONS
WHT ❑BGE CIBRZ WOODWORK
SWING & CLEAN ❑ GRIDS
❑LOELITE HM 9.1
IGNATURE ❑ XO ❑ V✓RAP [I SILL
~
CAM W G V_H
❑CLEAR HM 63 ❑GLUE CHIP
LEGACYII ❑XX ❑OAK ❑PINE
XOX ROUTER
LEGACY I
0 pATTERN ~WHITE
OELITE4.2 ❑OBSCURE
TINT
~
~
❑
❑ GOLD ~ BEIGE
LEAR ❑
~M-3000 SH PROFILE
[]WHITE ❑ BRONZE
[ITEMPERED
[]GARDEN ❑DH CASIN
~ DIAMOND SIZE CALUM SCREEN
❑OTHER
~gpy Op~y STAIN
~ gRASS HARDWARE
❑ OTHER
Special Notes
(ISLO) n ~
1
W Hs
WINpOW SPECIFICATIONS
WINDOW OPTIONS
61.AZIN6 OPTIONS
WHT ❑BGE ❑BRZ WOODWORK
SIGNATURE ❑ XO ❑ WRAP ❑ SILL
~ SWING & CLEAN ❑ GRIDS
❑LOELITE HM 9.1
❑CLEARHM63❑GLUECHIP
K
❑OAK ❑PINE
II
CAMING -V-H
LEGACY
OXX
❑LEGACYI XOX ROUTER
❑PATTERN ❑WHITE
LOELITE4.2 []OBSCURE
R ❑T[I3T
❑ M-3000 SH PROFIL
❑ GOLD 0 BEIGE
❑CLEA
OTEMPERE
[]GARDEN ❑ DH CASIN
IN
❑ WHITE []BRONZE
❑ DIAMOND SIZE_ ~ ALUM SCREEN
❑OTHER
Dgpy [:I pw STA
0 BRASSHARDWARE
❑OTHER
Special Not s
i
(ISLO)
C~Gd ~
v
W ~ H
/
~
CUSTOMER NAM
WINDOW WORKSHEET PAGE
WIN1poW SPECtFiCArIVNs
WHT ❑BGE ❑BRZ
WOODWORK
SIGNATURE
9
❑ XO
❑ WRAP [I SILL
ILEGACY ❑
❑ XX
❑OAK ❑ PlNB
❑LEGACYI
❑ XOX
ROUTER
[3M-3000
❑ SH
PROFILE
[3GARDEN
DH
CASIN('
[3gpy
pW
STAIN
❑ OTHER
Special Notesy i
W
ININpOW SPECIFICATIONS
WHT ❑BGE [I BRZ WOODWORK
SIGNATURE ❑ XO ❑ WRAP ❑ SILL
LECACYII
❑XX
❑OAK ❑pINE
LEGACYI
❑XOX
ROUTER
M-3000
❑SH
PROFILE
GARDEN
H
CASIN('
BAY
PW
STAIN
OTHER
Special Notes
W J
n
WINpOW
SPECIFICATIONS
WHT ❑BGE ❑BRZ
WOODWORK
SIGNATURE
❑ XO
❑ WRAP O SILL
] LEGACY (I
❑ XX
DOAK [:IPINE
]LEGACYI
❑ XOX
ROUTER
]M-3000
SH
PROFILE
]GARDEN
DH
CASINC'
:]gpy
pW
STAIN
Special Notes
❑ GRIDS
_ V _H
~ WHITE
~ BEIGE
❑ BRONZE
A ALUM SCREEN
WINpOW OPTIONS 6LAaN6 OPTIONS
❑ S WING & CLEAN ❑ GRIDS ❑LOELITE HM 9. ~ GLUE CHIF
~ CAMING _V_H ❑CLEAR~IM63 ❑
❑ pATTERN ❑ WHITE OL.OELITE 4.2 NT URE
❑ GOLD ❑ BEIGE ❑CLEAR ❑
❑ WHITE ❑ BRONZE ATEMPERET
❑ DIAMOND SIZE ALUM SCREEN ❑OTHER
❑ BRASS HARDWARE
(ISLO)
X
x
.f.
WMbOW oPTIoNS
❑ SWING & CLEAN
❑ CAMING
0 PATTERN
[3 GOLD
E]WHITE
❑ DIAMOND 51'LE _
❑ BRASS HARDWARE
V
WINDOW OPTiONS
0 SWING&CLEAN
❑ CAMING
❑ pATTERN
❑ GOLD
❑ WHITE
0 DIAMOND SIZE_
BRASSHARDWARE
9 X
X
,
DATE
SLAZrW OPTroNS
61,AaN6 OPTIONS
❑ GRIDS ❑LOELITE HM 9.1
_ V- H OCLEAR HM 6.3 OGLUE CHC.
~ WHITE LOELITE42 ❑OBSCURE
~ BEIGE CLEAR ~
0 BRONZE TEMPERE:
4 ALUM SCREEN ❑OTHER
(ISLO)
2vhdt Oit &Zak
E HM 9.1
HM 63 OGLUE CHI
g 4.2 ❑OBSCURE
OTINT
¢ISLO)
~ W-t&p
w .j S H S:_
.
' WINDOW WORKSHEET PAGE
CUSTOMER
DATE
ADDRE55 yd5o
WINDOW SPECIFICATIONS DOW OPTIONS 6LAZIN6 OpTIpNS
fLWHT ❑BGE ❑BR'L WOODWORK
IGNATURE ❑ XO ❑ WRAP ❑ SILL ❑ SWING & CLEAN ❑ GRIDS ❑LOELITE HM 9.1
EGACY II [3 XX ❑OAK ❑ PINE ❑ CAMING _V _H ❑CLEAR HM 63 ❑GLUE CHIP
❑LEGACY I ❑ XOX ROUTER ❑ PATTERN ❑ WHITE gtOELITE 4.2 OOBSCURE
❑M-3000 ❑ SH PROFILE ❑ GOLD ❑ BEIGE ❑CLEAR ❑TINT
[]GARDEN H CASIN❑ WHITE ❑ BRONZE ❑TEMPERE
❑BAY PW STAIN ❑ DIAMOND SIZE ALUM SCREEN ❑OTHER
❑ OTHER ❑ BRASS HARDWARE
Special Notes (LSLO)
~
W 36 H -
WINDOW SPECIFICATIONS WINDOW OPTIONS 61r1aN6 OPTIONS
WH❑BGE ❑BRZ WOODWORK
&G,NTATURE ❑XO ❑ WRAP 0 SILL 0 SWING & CLEAN ❑ GRIDS LOELITE HM 9.1
EGACY II ❑ XX ❑ OAK ❑ P[NE ❑ CAMING _ V_H ❑ LEAR HM 6.3 ❑GLUE CHIP
❑LEGACYI ❑XOX ROUTER ❑ PATTERN ~ WHITE C~OELITE42 OOBSCURE
❑M-3000 ❑SH PROFILE ❑GOLD E3 BEIGE ❑CLEAR ❑TINT
[3GARDEN U(QH CASIN❑H'HITE ❑ BRONZE ['I'EMPERED
❑BAY ]pW STAIN❑DIAMONDSIZE ~ALUMSCREEN ❑OTHER
❑OTHER ❑ BRASS HARDWARE
SpecialNotes WSLO)
ffl
W H
WINDOW SPEGTFICATIONS WINDOW OPTIONS 6LAZIN6 OPTIONS
HT ❑ BGE ❑ BRZ WOODWORK
rLEIGACY NATURE ❑ XO ❑ WRAP ❑ SILL ❑ SWING & CLEAN ❑ GRIDS ❑LOELITE HM 9.1 .
II ❑ XX ❑OAK ❑ PINE ❑ CAMING _ V-H ❑ LEAR HM 63 ❑GLUE CHIP
❑LEGACY I ❑ XOX ROUTER ❑ PATTERN ~ WHITE OELITE 42 ❑OBSCURE
❑M-3000 ~SH PROFIL ❑GOLD ~ BEIGB CLEAR ❑TINP
[]GARDEN DH CASIN(: ❑WHITE []BRONZE ❑TEMPERE
❑BAY KpW ST.4IN ❑ DIAMOND SIZE_ f7' pLUM SCREEN OOTHER
❑OTHER ~ BRASS HARDWARE
SpecialNote-QSLO~~
W t.~/
<
W 3 a H ~Z~r
CUSTOMER
A1111DFCc
WINE)OW WORKSHEET PAGE
DATE
WINDOW SPECIFICATIONS
W OPTIONS
6LAZIN6 ppTIONS
WHT OBGE ❑BR
Z WOODWORK
~SIGNATURE ❑ XO
❑ WRAP 0 SILL
❑ SWING & CLEAN
❑ GRIDS
❑LOELITE HM 9
1
LEGACY II D XX
❑ LECACY I ❑ XO
❑OAK ❑ PINE
X ROUTER
❑ CAMING
V-H
.
❑CLEAR HM 6.3 OGLUE CHIP
❑M-3000
❑ SH
PROFILE
❑ PATTERN
❑ GOLD
❑ WH1TE
❑ BEIGE
~LOELITE42 DOBSCURE
~CARDEN ~DH
❑BAY
CASIN
❑ WHITE
❑ BRONZE
~CLEAR OTWT
OTEMPERE
PW
❑OTHER
STAIN
❑ DIAMOND SIZE
-
❑ BRASS HARDWARE
ALUM SCREEN
❑OTHER
Special No[e . .
~
S
X
Ld
W
H -4~14
WINDOW SPECIFICATIONS
WINDOW OPTIONS
6LAZIN6 OPTIONS
WHT ❑BGE ❑BRZ
WOODWORK
IGNATURE ❑XO
❑ WRAP El SILL
❑ SWING & CLEAN
❑ GRIDS
❑LOELITE HM 9
1
LEGACY II ❑XX
❑ OAK ❑ PINE
❑ CAMING
_V _H
.
❑CLEAR HM 6.3 ❑GLUE CHIP
❑LEGACYI ❑XOX
ROUTER
❑ PATTERN
D WHITE
I
~LOELITE4.2 ❑OBSCURE
❑M-3000 . 0SH
PROFILE
❑GOLD
~ BEIGE
b~CLEAR ❑TINT
OCARDEN DH
CASIN
❑WHITE
❑ BRONZE
OTEMPERED
❑BAY SPW
STqIN
❑ DIAMOND SIZE
I, ALUM SCREEN
❑OTHER
❑OTHER
❑ BRASS HARDWARE
Special Notes ~
(IS
LO)
~
x
J
o'
x
W 3a H 3
WINDOW SPECIFICATIONS
WINbOW OPTIONS
6LAZIN6 OPTIONS
WHT ❑BGE ❑BRZ
WOODWORK
IGNATURE ❑ XO
❑ WRAP ❑ SILL
❑ S WING & CLEAN
❑ GRIDS
❑LOELITE HM 9
1
LEGACY II ❑ XX
❑OAK ❑ PINE
❑ CAMING
- V_ H
.
❑ LEAR HM 6
3 ❑GLUE CHIP
❑ LEGACY 1 ❑ XOX
ROUTER
❑ PATTERN
D WHITE
.
OELITE 4.2 QOBSCURE
❑ M-3~ ❑ SH
PROFILE
❑ GOLD
~ BEIGE
C7CI.EAR ❑TINT
DGARDEN ~DH
❑BAY
CASIN
❑WHITE
~ BRONZE
❑TEMPERE
PW
❑OTHER
STAIN
D DIAMOND SIZE_
BR
f~pLUMSCREEN
T
❑OTHER
0
ASSHARDWARE
Special Not
(ISLO)
7C
WW
W a s H 41
•
,
0
;
L)
,,'~~''~.f . • P
~
CUSTOMER NAME
ADDR
'
WINOOW SPECIFICATIONS
❑ WHT OBGE ❑ BRZ
WOODWORK
❑SIGNATURE
❑XO
❑WRAPQSILL
❑ LEGACY If
~ XX
❑ OAK ❑ PINE
❑LEGACY 1
❑ XOX
ROUTER
❑M-3000
[3 SH
PROFILE
[:3GARDEN
0 DH
CASING
OBAY
❑ PW
STqW
❑ OTHER
Special Notes
r,
w ot Li x
WIWCOW SPECIFICATIONS
WHT El BGE ❑BRZ
WOODWORK
SIGNATURE
❑gp
❑ WRAP [:]SILL
LEGACYII
❑XX
❑OAK ❑PfNE
LEGACYI
❑XOX
ROUTER
M-3000.
❑SH
PROFILE
GARDEN
❑DH
CASING
BAY
❑PW
STpIN
Special Notes
WINDOW SPECIFICATIONS
I WHT ❑BGE OBRZ
WOODWORK
ISIGNATURE
❑ XO
❑ WRAP ❑ SILL
LEGACY Q
❑ XX
❑ OAK ❑ pINE
LEGACYI
❑ XOX
ROUTER
M-3000
[I SH
PROFILE--
GARDEN
[I DH
CASIN[:
BAY
❑ PW
STqIN
OTHER
Special No[es
~ w H
WORKSHEET PAGE
OPTIONS
❑ SWING & CLEAN
❑ CAMING
❑ PATTERN_
❑ GOLD
❑ WHITE
❑ DIqMOND SIZE
❑ BRASS HARDWARE
❑ GRIDS
V_H
❑ WHITE
❑ BEIGE
❑ ARONZE
❑ ALUMSCREEN
(IsLo)
~(~►vu,~'~1~,67Lc~ , -~'(.QeG~C'~
WINDOW OPTIONS
❑ SWING & CLEAN
11 CAMING
❑ PATTERN _
❑ GOLD
❑ WHITE
❑ DIAMOND SIZE _
❑ BRASS HARDWARE
❑ GRIDS
_V_H
❑ WHITE
❑ BEIGE
❑ BRONZE
❑ ALUMSCREEN
DATE
6LAaN6 OPTlONS
6LAZIN6 OPTIONS
EHM9.1
HM 63 OGLUE CHI
E 42 DOBSCURE
[:]TINT
E HM 9.1
HM 63 ❑GLllE CHI
E4.2 OOBSCURE
❑TINT
(ISLO)
WINDOW OPTlONS
❑ SWING&CLEAN
❑ CAMING
❑ PATTERN
❑ GOLD
❑ WHITE
~ DIAMOND S1ZE_
~ BRASS HARDWARE
6LAaN6 OPTIONS
❑ CRIDS ❑LOELITE HM 9.1
- V_ H❑CLEAR HM 6.3 EIGLUE CHI
❑ WHITE ❑I,OELITE4.2 ❑OBSCURE
0 BEICE ❑CLEAR ❑TINT
❑ BRONZE OTEMPEREI
❑ AWMSCREEN ❑OTHER
(ISLO)