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Home My WebLink About5215 W 28th Avenue� ► � i City of Wheat Ridge E -Res. Window Replacement PERMIT - 202002274 PERMIT NO: 202002274 ISSUED: 11/04/2020 JOB ADDRESS: 5215 W 28th Ave EXPIRES: 11/04/2021 JOB DESCRIPTION: Replace 5 windows (1 front bed, 2 back bed A, l bath, l back bed B), u -value = .30 or better *** CONTACTS *** OWNER (303)659-5261 CROCE WILLIAM A SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 71442.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 156.28 ** TOTAL ** 206.28 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. City of Wheat Ridge E -Res. Window Replacement PERMIT - 202002274 PERMIT NO: 202002274 ISSUED: JOB ADDRESS: 5215 W 28th Ave EXPIRES: JOB DESCRIPTION: Replace 5 windows (1 front bed, 2 back bed A, u -value = .30 or better 11/04/2020 11/04/2021 1 bath, 1 back bed B), 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�permrt. I further attest that I am leg ally authorized to include al entities entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief 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 requ�ired 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, anviolation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Date: Wednesday, November 4, 2020 6:50:13 AM Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 5215 West 28th Ave Property Owner Name William Croce Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 303-659-5261 Field not completed. CONTRACTOR INFORMATION Contractor Business Seiler Construction Name Contractor's License 180220 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 Email Address Retype Contractor Email Address DESCRIPTION OF WORK Number of window and/or doors being replaced Location of window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): Ki8xMt1�1�ti mbeaudoin@renewalcolorado.com mbeaudoin@renewalcolorado.com 1 front bed, 2 back bed A, 1 bath, 1 back bed B What is the u -value of .30 or better the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. Attach copy of croce specs ndf window/door cut sheets showing sizes and u - value Project Value (contract 7442 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Mackenzie Beaudoin Permit Email not displaying correctly? View it in your browser. M 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) S- 1— �n �h ( A,,� Job Address: d! S w SLh 0,,-e Permit ,,-ePermit Number: S! a �R ❑ No one available for inspection: Time = 3 PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: —Fb DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201900528 PERMIT NO: 201900528 ISSUED: 03/27/2019 JOB ADDRESS: 5215 W 28th Ave EXPIRES: 03/26/2020 JOB DESCRIPTION: Replace 60K BTUs gas furnace located in utility room *** CONTACTS *** OWNER (303)233-8262 CROCE WILLIAM A SUB (303)232-6611 Josh Ward 018236 Applewood Plmb, Heat, & Elec. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,511.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 220.73 ** TOTAL ** 260.73 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 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 speci"cations, 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 pern It. I further attest that I am legally authorized to include ali entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . 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 Budding 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 Budding Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly Cook DOOOZZW From: no-reply@c i.wheatridge.co.us Sent: Wednesday, March 27, 2019 12:12 PM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Categories: Kim Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 5215 W 28TH AVE BILL CROCE 303-233-8262 PERMITS@APPLEWOODFIXIT.COM 608335 CC FORM.Pdf CONTRACTOR INFORMATION Contractor Business APPLEWOOD PLUMBING HEATING & ELECTRIC Name 1 Contractor's License 18236 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-458-5988 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address PERMITS@APPLEWOODFIXIT.COM Retype Contractor Email PERMITS@APPLEWOODFIXIT.COM Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs 60000 What is the efficiency 80% (%) of the unit? Is the unit GAS or GAS ELECTRIC? Where is the furnace or UTILITY ROOM boiler located (for example, basement, crawlspace, etc)? Project Value (contract 10511 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 2 has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for CINDY WULF Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: November 9, 2017 Reason: Contractor submitted duplicate permit, Permit #201708279, for 5215 W. 28th Avenue needs to be closed. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 112.72 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 106.93 (acct 01-500-02-505) Total: $ 219.65 TO: Applewood Plumbing Heating and Electric 5000 W. 29th Avenue Denver CO 80212 Thank You! Permit Technician Iyogo City of t Comm 1TY Dv1 OrraEly r� t City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 291h Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): I to� t_ [ / O U //? g Address: �? 0 c -AC) �Z ? 9 1� /�9 V City: L f1� V State: (�- Zip Phone: 30 3 _.Z 3-2 - (, �0 I/ Fax: 3703-'17Z-141310 Email: G'F IVB / 5 (� 6�Pz t h/ n o �c �C / i , ef �l Permit #: Z O/ %YZ 7 9 Permit Address: k1 2Y � /f k - Reason for request: 0V PL 1 ca- T- c C> O 17j71-7 L/ S Printed Name: ('71,1--y"19y �v�_� Signature gn c�c� Date:/,o /2 7" LI For office use only l f� This request has been: Approved ❑Denied Amount: $ jq, c Approved by: i Date: I 1 www.ci.wheatridge.co. us PERMIT: >ADDRESS: 521 :5'AJ Z JOB CODE: INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground 1 Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. City of Wheat Ridge Residential Roofing PERMIT - 201701621 PERMIT NO: 201701621 ISSUED: 06/06/2017 JOB ADDRESS: 5215 W 28th AVE EXPIRES: 06/06/2018 JOB DESCRIPTION: Reroof with OC Duration - 24 squares *** CONTACTS *** OWNER (303)279-2055 CROCE WILLIAM A SUB (303)548-7798 Michael Roberts 090324 Tesoro Builders Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Total Valuation 0.00 Use Tax 147.00 Permit Fee 156.75 ** TOTAL ** 303.75 *** 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 k/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 manufacturera€rMs 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. 24",*1'N Sd P_'E C T 10 N RECORD 0ccu INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the projecsite. 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 Comments Initials Pier Plumbing Concrete Encased Ground (CEG) Floodplain Inspection (if applicable) Foundation / P.E. Letter Fire Inspection / Fire Protection Dist. Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Sewer Service U-) Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Comments Irtiti Is Wall Sheathing U-) Mid -Roof Floodplain Inspection (if applicable) Lath / Wall Tie Fire Inspection / Fire Protection Dist. Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. 'For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage )y the Building Division. "For Inspection Time Window — Please email insptimerequest@ci.wheatridge.co.US Ci.Wileatridge.Co.US by 8:00 A.M. the morninq of the 'nsRection 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 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 and that ;IIwork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. �ry Sig ature of OWNER or CONTRACTOR (Circle one) D e I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any 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 Electric PERMIT - 201707745 PERMIT NO: 201707745 ISSUED: 09/27/2017 JOB ADDRESS: 5215 W 28th AVE EXPIRES: 09/27/2018 JOB DESCRIPTION: Permit for a service upgrade to 150 amp. *** CONTACTS *** OWNER (303)279-2055 CROCE WILLIAM A SUB (303)458-5988 Josh Ward 018236 Applewood Plmh, Heat, & Elec. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,092.00 FEES Total Valuation 0.00 Use Tax 106.93 Permit Fee 140.90 ** TOTAL ** 247.83 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field 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 and that ;IIwork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. �ry Sig ature of OWNER or CONTRACTOR (Circle one) D e I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any 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 ge i��Wh6a-tRd MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # rI -1C) -I � q-5 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: Propertv Owner (please Phon Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: �Li) C) QA b), 0 cl L c� 1 IhE�c U ) ,-- Q Contractors City License #: Phone: � Contractor E-mail Address: Oecm + Q (lL u j U () X , a cC/U Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL �2 RESIDENTIAL Description of work: (Check all that apply) F1 NEW COMMERCIAL STRUCTURE �ECTRICAL 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 he useri etr. ) SC('v c -r Sq. FULF I Btu's Amps -"'D' (k, Squares j�o bf r C.') 4 0(,� out �- Gallons 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 permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (COIVTRAC7Oft or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): I � / DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Applewood Plumbing, Heating &I Electric / 0 West 29th Avenue Denver, CO 80212-8021 (303) 458-5988 Fax:(303) 477-4310 Work Order: 522119 September 22, 2017 2:01PM Work Location: 192194 Bill To: 192194 BILL CROCE BILL CROCE 5215 W 28TH AVE 5215 W 28TH AVE DENVER, CO 80214 DENVER, CO 80214 (303) 233-8262 Home * (303) 233-8262 Home NO EMAIL 07/05/17 NO EMAIL 07/05/17 .Arrived Callin Date: 9/20/2017 10:44:00 AM Department: QUOTED TWO HOUR BLOCK Requested Date: Call Type: ES ELECTRICAL SERVICE CALL Scheduled Date: 9/20/2017 10:30:00 AM BillingTerms: CASH ON DELIVERY Caller: BILL CROCE Priority: 004 GSA REQUEST SAME DAY Taken By:Sarah Santiesteban Status: ASSIGNED Started: Completed: Total Hours: Authorized By Date Lead Technician Trouble Reported: (10 hrs) El 10 POWER OUT/WHOLE HOUSE Notes: Requested Technician: **BRIAN BACH Gold Service Agreement: EXP 9/20/18 Service Call Fee:WAIVE Payment Type: CREDIT OR CHECK Age of Home: 1950'S Type of Equipment: ELECTRIC Age of Equipment: UNK Customer Called From: 303-233-8262 Who called in appointment: BILL Technician will be Meeting with & 10-3 number: BILL CALL HOME# Available Early: Call Details: HE HAS NO POWER TO HIS ENTIRE HOME. HE ALREADY CALLED XCEL AND THEY SAID THERE'S NO PROBLEM ON THEIR END. 9/20 1049AM SS CALLED RUBEN AT DISPATCH AND LET HIM KNOW ABOUT THE CALL. 9/20 1:15P KV BRIAN UPDATED: Will return Friday at 8 am will need all day osr-150 will collect 5091.93. Send furnace hook Brian Bach SCHEDULED FOR BRIAN ONLY 9/22 ALL DAY. SENT TO PERMITTING. 9/22 717AM SS BILL CALLED AND IS 10-3 Page 1 of 1 k Applewood Plumbing, Heating & Electric 5000 West 29th Avenue Denver, CO 80212-8021 (303) 458-5988 Fax:(303) 477-4310 Work Order: 522119 September 22, 2017 3:06PM Work Location: 192194 Biller 192194 BILL CROCE BILL CROCE 5215 W 28TH AVE 5215 W 28TH AVE DENVER, CO 80214 DENVER, CO 80214 (303) 233-8262 Home * (303) 233-8262 Home NO EMAIL 07/05/17 NO EMAIL 07/05/17 Arrived: Callin Date: 9/20/2017 10:44:00 AM Department: QUOTED TWO HOUR BLOCK Requested Date: Call Type: ES ELECTRICAL SERVICE CALL Scheduled Date: 9/20/2017 10:30:00 AM BillingTerms: CASH ON DELIVERY Caller: BILL CROCE Priority: 004 GSA REQUEST SAME DAY Taken By:Sarah Santiesteban Status: ASSIGNED Started: Completed: Total Hours: Authorized By Date Lead Technician Trouble Reported: (10 hrs) E110 POWER OUT/WHOLE HOUSE Notes: Requested Technician: **BRIAN BACH Gold Service Agreement: EXP 9/20/18 Service Call Fee:WA1VE Payment Type: CREDIT OR CHECK Age of Home: 1950'S Type of Equipment: ELECTRIC Age of Equipment: UNK Customer Called From: 303-233-8262 Who called in appointment: BILL Technician will be Meeting with & 10-3 number: BILL CALL HOME# Available Early: Call Details: HE HAS NO POWER TO HIS ENTIRE HOME. HE ALREADY CALLED XCEL AND THEY SAID THERE'S NO PROBLEM ON THEIR END. 9/20 1049AM SS CALLED RUBEN AT DISPATCH AND LET HIM KNOW ABOUT THE CALL. 9/20 1:15P KV BRIAN UPDATED: Will return Friday at 8 am will need all day osr-150 will collect 5091.93. Send furnace hook Brian Bach SCHEDULED FOR BRIAN ONLY 9/22 ALL DAY. SENT TO PERMITTING. 9/22 717AM SS BILL CALLED AND IS 10-3 Page 1 of 1 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 F INSPECTION NOTICE RO Inspection Type: Job Address: 15 Permit Number: 00 1701a ❑ No one available for inspection: Time -)A M Re -Inspection required: Yes (No When corrections have been made, call for re -inspection at 303-234-5933 Date: 6/ Inspector: 30AI G 1 lbw-f- DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201701621 201701621 ISSUED: 06/06/2017 5215 W 28th AVE EXPIRES: 06/06/2018 Reroof with OC Duration - 24 squares *** CONTACTS *** OWNER (303)279-2055 CROCE WILLIAM A SUB (303)548-7798 Michael Roberts 090324 Tesoro Builders Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00 FEES Total Valuation 0.00 Use Tax 147.00 Permit Fee 156.75 ** TOTAL ** 303.75 *** 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 k/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&ems installation instructions, whichever is more stringent. 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Wudw000u lip gjjm Xldwoo llugs pouugjiad ail of �I.Iom aql lugl lsallB Xga.Iaq op `amluu is w q `I sa.apnbs i Z - uoTgpanQ 00 ugzM jooaag :NOIZdIdDSSQ BOLI 8TOZ/90/90 SEdIdXS 21AV ug8Z M STZS SSadCICI7 SOP LTOZ/90/90 :QSIISSI TZ9TOLTOZ ON LIN'dad IZ91OLIOZ - ,LIM2[d 2U!J00-d1199WRsan a2p12I jvagM j0 X113 �COMMMMUNiT'y '_City of %>C16at�1C�e DEVELOPMENT Buildings & 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(a�_ci.wheatridge.co.us 1 FOR OFFICE USE ONLY Date: Plan/Permit # )'] v 1 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: 6 z 1 "15 (A �) Z -5F JIA Atm U_qQ Owner Property Owner Email: Mailing Address: (if different than property address) Address: 1,(� c -.s P-1) Aum Phone: Citv, State, Zip: 1,t� . "-� sZ-(+ -7 f� Architect/Engineer E-mail: Contractor: t -i)t:_: Phone: Contractors City License #aq� Phone: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # T7y� `fUt� Mechanical: W.R. City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ElRESIDENTIAL ROOFING [ESDENTIAL 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 e,� bopp() 0�j Btu's Squares Z�4- e�jl Gallons 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 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) PRINT NAME: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. PROOF OF SUBMISSION FORWiS or (AUTHORIZED Fire Department ® Received ❑ Not Required Water District LI Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required ENT USE ONLY (CONTRACTOR) TE: .6 � / OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANTLOAD Building Division Valuation: $ CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: R U Job Address: S -1 1 .' `ti 3- X 1. N v Permit Number: : D t-7 4/ C X I c?' (�top dZ0VYo �v02r2l!!;z n SS C C; R E A fi t- S ❑ No one available for inspection: Time S AM/PM Re -Inspection required:, -Yep No 4� When corrections have been made, call for re -inspection at 303-234- Date:- �- 7 Inspector. DO NOT REMOVE TH 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: % .15 m9 Job Address: �d'� T dto Permit Number: 20/70 ❑ No one available for inspectio ime AM/PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303 -234 - Date: / Inspector:_ / 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: / "+ D Job Address: 5 Z S z9 TH A V`. Permit Number: O li 1 ff V� / I, .< R i No one available for inspection:_Tir.4e AWPM Re -Inspection required: Yes /No *When corrections have been made, call for re-insp io t, 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201700185 PERMIT NO: 201700185 ISSUED: 02/08/2017 JOB ADDRESS: 5215 W 28th AVE EXPIRES: 02/08/2018 JOB DESCRIPTION: Replace 40 gallon water heater with new. *** CONTACTS *** OWNER (303)233-8262 CROCE WILLIAM A SUB (303)458-5988 Josh Ward 018236 Applewood Plmb, Heat, & Elec. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,434.00 FEES Total Valuation 0.00 Use Tax 43.81 Permit Fee 40.00 L/V_ i/��J_i1 ** TOTAL ** 83.81 VVF✓ ( 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. 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying dans 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 pen -nit 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 Budding Official and is not guaranteed. 4. No work of anmanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit ho der shall notify the Building and Inspection Services Division in accordance with established policy of all re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. Thiss an q or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any apXcahle pude or any ordmgnc4 or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official U Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. f 9'n I -7�)o INSPECTION RECORD L� 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 Wall Sheathing Foundation Inspections Date Inspector Comments Initials Pier Mid -Roof Concrete Encased Ground (CEG) Foundation / P.E. Letter Lath / Wall Tie Do Not Pour Concrete Prior To Anoroval Of The Above Insnections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Landscaping & Parking / Planning Dept. 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 UtY car wnedl K10ge Date Inspector 02x'0812017 15:51 CDBB Initials Inspections frc Replace 40 gallon wa one week in ad CDBO14263 AMOUNT inspections call BPSA 5215 W 28th AVE 83.81 inspections call APPLIPERPIIT NO: 201700185 contact the Fire 13PSL4@21 Estes PAYMENT RECEIVED AMOUNT VS 1 2268 2.4.81 AUTti CODL: 031566 TOTAL 264.81 ---------------------------------------- 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 Requests — Please email insotimereouest(a)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather y d � Y City Of Wheat f : Uldge COMMUNITY DEVELOPMENT Building $ Inspection Services Division 7500 W. 29' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits()ci.wheatddge.co.us I FOR OFFICE USE ONLY I Date: P/aMPermit0 Zo ( --�D0 ( ( 5 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: �z ! `5 k` Z y H' 'A�'c Property Owner (please print): %3l LL (2_R0CE Phone: _3o3-2 33. f Ze Z Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: 'grz ' � til D P fq Contractors City License Phone: 3 v 3 - S8 -s988 X.5-0 Contractor E-mail Address: PCA 0A, / 7-3; (:!�? �j°PL� l�%oo,/J�ix�> dV,, C Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL .WRESIDENTIAL 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. FULF Amps Btu's -'ID D O 0 Squares ya /�- O A/ yoK 3 Tv Ilvl Gallons yt� Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) t 2- Z/ j�( 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER)(:fONTRACTO) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) i Electronic Signature (first and last name): DATE: 2 /' Property. jy-\ Address rat M. Owner (please print). one. �Ph� Mailing Address. (if different than property address) Address� Electrical: Plumbing: Mechanical: City License # City License # City License # Description of work: - Tcax o-4_ odA cc) 0 �3 I Contract Vp�le- $ 0 rr� kur\ Review Fee (due at time of submittal): OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT' I hereby certify that the setbl,'ick distances proposed by this pertrift application are accurate and do not violate applicable ordinances, rule, or regulations of the City of Wheat Ridge or covenants, casements or restrictions of'record; that all measurements shown and allegations made arc accurate, that I have read and agree to abide by all conditions printed on this application and that I assaitne full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based oil this application: [fiat 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 ot'any entity included on this application to list that entity on this application, CIRCLEONE: (Off',NER) (CONTRALTO)!) aiC4TUII:OR17 of (ojvVER<(7CO3IV=TRACT0R� N'T NAMEk:SLLO DATEk. SIGNATURE 1 -1 BUILDING DEPARTMENT 237•6944 Ext. 255 CITY OF WHEAT RIDGE . . Correction Notice Job Located at I have this day inspected this structure and these premises and have found the following violations of City and/or State laws governing same: You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. D a te Inspector for Building Dept. DO NOT REMOVE THIS TAG FORM WR6-iE yr~ n, ~i~l DEPARTMENT OF COMMUNITY DEVELOPMENT pERM1T N0. ) ~t P~13 79pOWEST29thAVENUE BCITYDIOF W EPTCRII GE,COLO.N 234-5933 P.O.BOX638 THIS PERMIT VALID ONLY WHEN SiGNED BY r~+EPP"CATION IFOR MISCELLANEOUS PER~By~,T W _ IEF ~ vE owNEa ~~i~~ ~iP 7 JOB ADDRESS 5 ` n~1 , ADDRESS ~ ! ZIP CODE CONTFiACTOR ' E-'e /S ~A- pHONE 2 3 3 ~OZ ~O2 nV ~ ADDRES ZIP CODE CONTRACT PRICE $ CITY /I Ut- ,'7~7L/S~ DATE ~72 LICENSE NO. f--f-~---• S or D Faee PHONE ❑ O~nsr ❑ Woll❑ Proiettinp I. TVPE Ground Total Squore Feet 2. MATERIAL . E1ec1. Permit No. E Zone__ Approvsd,Zonb I^sWctoi ~ SIGN$ 1 ILLUMINATION Yaa❑ No Type 'N ❑ DisaDDroved 4. SE7 BACK FROM PROPERTY UNE N Q 5~ ❑ (SOeti}y whiCh is frMf ) Less Thon 80% oW^ 1. TYPE SolidO More Thon 80% DDe^~ HeiQM FENCES MATERIAL 5- E-yy Zane__ ADDfOVW,Zom MsDeotw d ~ 3. SET BACK FROM PROPERTY LINE N- ❑ ❑ ❑ ayopprove (SCetify which is tront) j?) S f~ - I. OTHER 2 3. pRAW SKETCH OR SHOW BELOW,THE FENCE, OTHER STRUCTURE,GIVIIr' DISTANCES FROMPROPERTY LINES. (SETBACKS OR PROJECTIONS SPECIFY NORTM STREET NAME LEM SHD S AINCE N TO S PROPERTY L~NES, NOT DI MAXIMUM JOR OINIAVERAGENG AND PROPERTY LINES;ON IRREGULAR lAT5.5HW1 ppPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATIO PE II B~ OMEXP RERMBO DAVSEFROM^THE DATDEI OF ISSUANCE IOF WORKOIS NOT ISTART~EOBW THEN THAT TGMESPECTION DIVISION. ~MECHANICAL PERMIT ELECTRICAL PERMIT STCTE LICENSE N0. IMINUM N9RE UNOER SI?E 8 ~E~ TEMPORARY METE MOTOFtS 6 RS Ek REC] OLD WORK R IHP I Mreby ocknowledpe thot this aD000I tion is eorrect and understand ihat IIt connot Staf r this Drojett unlil lhis ~D h ealion is aPOroved. I sholl comDly 1M lowi, of 1he Siate ot Colorodo and to tne Zpnina ReQulationa and Buildinp Code of tl+e City of Wheof Ridpe. AnY violation of the above terme wili couse 4iimmedi vocaLOnof fnls Oermit PLUMBING PERMIT STATE LICENSE N0. WASH FIDOR PERMIT FEE USE T TOTA qpp EOR V D DISAPPROVED CHIEF BUILDII pote Issued HOT WATER = 3 NOT VALID UNLE55 rtc~u 2 d z~a 2g ~23~Z $ ~ t.City of Wheat Ridge 2-Z- c(0 CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: November 9, 2017 Reason: Contractor submitted duplicate permit, Permit #201708279, for 5215 W. 28th Avenue needs to be closed. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 112.72 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 106.93 (acct 01-500-02-505) Total: $ 219.65 TO: Applewood Plumbing Heating and Electric 5000 W. 29th Avenue Denver CO 80212 Thank You! Permit Technician Iyogo City of t Comm 1TY Dv1 OrraEly r� t City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 291h Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): I to� t_ [ / O U //? g Address: �? 0 c -AC) �Z ? 9 1� /�9 V City: L f1� V State: (�- Zip Phone: 30 3 _.Z 3-2 - (, �0 I/ Fax: 3703-'17Z-141310 Email: G'F IVB / 5 (� 6�Pz t h/ n o �c �C / i , ef �l Permit #: Z O/ %YZ 7 9 Permit Address: k1 2Y � /f k - Reason for request: 0V PL 1 ca- T- c C> O 17j71-7 L/ S Printed Name: ('71,1--y"19y �v�_� Signature gn c�c� Date:/,o /2 7" LI For office use only l f� This request has been: Approved ❑Denied Amount: $ jq, c Approved by: i Date: I 1 www.ci.wheatridge.co. us v rn i q W a� g r r H � � M M a H H H OE C Z a m. aJ m o 0 0 � E A' —� Lr)N ' .p U Q rl rl N d N z a A rn CL P ' a)— O C14 d 0 � N N � T �a OJ W r U od a w0 � 0 U c N N d d LL C O a O +� '' a °' w x O -H U m r E d q N a p D w 0 m O k' v � w a m a a v rn i q W a� g r r H � � M M a H H H OE C Z m m m. aJ m o 0 0 —� Lr)N ' .p U Q t v a a" z a A rn CL P ' a)— C14 N N � T 4-1 OJ W r U H G1 Oo 0 W z N N Y O NO w U O `1 N mW AU) a� U2 M N