HomeMy WebLinkAbout6645 W 28th Avenuei CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F_
Job Address: a_A A�
Permit Number: /
CD I
❑ No one available for inspection: Time Ar /PM
Re -Inspection required: YeNo
When corrections have been made.�au far-re-insner-tinn at An'2_911-901-2
Date: _ 3 Inspector: �e)/V�i--
DO NOT REMOVE THIS NOTICE
e i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: S 4
Job Address: �� 5 to � 8 + �` 14ve
Permit Number: a of 7 0 A -3 ;(
hQ Cby�'
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1// Inspector: 6V
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M --Lb
Job Address: wag + e
Permit Number: 16/7-,n ,13 f
Tiproulrk
❑ No one available for inspection: Time 9. "?, Y AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 02 t Inspector: V
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT 'RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M Z D
Job Address: % 6 q S (,J _
Permit Number: .7 b( 7c) a 3 2 J
SkPr,iL t ^_ t:% t Cnrr-i-!n1,
❑ No one available for inspection: Time / 1/n AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 61a Inspector: - (11"
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702321
PERMIT NO: 201702321 ISSUED: 06/21/2017
JOB ADDRESS: 6645 W 28th AVE EXPIRES: 06/21/2018
JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles - 32.13 sq.
*** CONTACTS ***
OWNER (303)274-6282 LARSON GWEN A
SUB (303)691-5035 Michael Dye 100355 APEX Roofing Consultants LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,257.41
FEES
Total Valuation 0.00
Use Tax 173.41
Permit Fee 188.45
** TOTAL ** 361.86
*** 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€T"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.
A�LINSPECTION RECORD Occu anlc'/T e
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-59333
lnspections will not be performed unless this card is posted on theoject
Call the inspection request line before 11:59 p.m. to receive an inspection the follow ng business
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
■T.7.'RMlZ!r.T"WTiTWd-3 T7U-TiTMF*W±1*l41telvi:1Rolm 01I:1il9191'Lai16161:4"4VJIb
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
r%^ Ivr,+ rr%var 1 Inriarnrniinrl nr RPlnwiln-51an wnrK mor 1 o Approval VT 1 ne Above 1rlspeG1101"15
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
9a1
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 T 3,/7
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 — riease De sure inat rougn inspecuuns are t;unipiGLeu IIV[ II uM rIIC U 0L KA CIIIU V., UuJ�
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201702321
PERMIT NO: 201702321 ISSUED: 06/21/2017
JOB ADDRESS: 6645 W 28th AVE EXPIRES: 06/21/2018
JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles - 32.13 sq.
**REVISION** Adding redeck; Added Valuation: $5,783.40
*** CONTACTS ***
OWNER (303)274-6282 LARSON GWEN A
SUB (303)691-5035 Michael Dye 100355 APEX Roofing Consultants LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE; 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,040.81
FEES
Total Valuation 0.00
Use Tax 294.86 ilv A&
Permit Fee 283.55
* * TOTAL * * 578.41
*** 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 manufactureri4Ems 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201702321
201702321 ISSUED: 06/21/2017
6645 W 28th AVE EXPIRES: 06/21/2018
Residential Re -roof to install IKO Cambridge asphalt shingles - 32.13 sq.
**REVISION** Adding redeck; Added Valuation: $5,783.40
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
app'ica le 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 ennit. I further attest that I am leg�ally authorized to include all entities named within this document as parties to the work to be
performed and that 11 work to be pertRrmed i dicelosed 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 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.
5. 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 geld inspection.
Signature of Chief BuildirtgZS460- ''ate
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.
City of
J Wheat lk
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(o)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Add to Permit # d'O
� .- 0`�W
4
L
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: & ( qS /_) . "r y -ill'
0
Property Owner (please print): �/��2/7 L -Cc Phone:30, 1
Property Owner Email: 4.1a
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contact Person: Phone:(/%���(P
Contractor: /?00 G 0�i ZkiI7 ,
Contractors City License #: /DCS as- Phone:
Contractor E-mail Address: ,
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
Sq. FtJLF 1 Btu's
Amps
Gallons
Squares �32. � 3 Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$ 5_-1-13- z10
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 annlication to list that entity on this application.
CIRCLE ONi,--(OWNER (CONTRACTOR) orAUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: All_ i� SIGNATURE: % L '�_ DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
OCCUPANCY CLASSIFICATION:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received 11 Not Required Building Division Valuation: $
*** 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€"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
0 �0!5'
Residential Roofing PERMIT -
201702321
PERMIT NO:
201702321
ISSUED:
06/21/2017
JOB ADDRESS:
6645 W 28th AVE
EXPIRES:
06/21/2018
JOB DESCRIPTION:
Residential Re -roof to install IKO
Cambridge asphalt shingles - 32.13 sq.
*** CONTACTS ***
OWNER (303)274-6282 LARSON GWEN A
SUB (303)691-5035 Michael Dye
100355 APEX Roofing Consultants LLC
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#:
0
*** FEE SUMMARY
*** ESTIMATED PROJECT VALUATION:
8,257.41
FEES
Total Valuation
0.00
Use Tax
173.41
Permit Fee
188.45
' •f,T+�
** TOTAL **
361.86
*** 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€"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
�N.
Residential Roofing PERMIT - 201702321
PERMIT NO: 201702321 ISSUED: 06/21/2017
JOB ADDRESS: 6645 W 28th AVE EXPIRES: 06/21/2018
JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles - 32.13 sq.
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 ermit. I further attest that I am legally authorized to include alt 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 Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a 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„s* 4
ci�t to field inspection.
Signature of Chief Building Official Date ""
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
M -V- v
9 AEST
7332 South Alton Way, Suite 13K
Centennial, CO $0112 ROOFING CONSULTANTS
Office: 303-691-5035 APEXDENVERROOFING.COM
Fax: 303-26G5-9725
Custom r 6�e� ` (pp,
Strept tj �� 4
city � s U ziq 2
Email U I'} 11.6 oo-\
Home'�S27L-/ -6l -Q� Cell
SPECIFICATION
❑ Mfg. of Shingle
❑ Style / Color
❑ Warranty Uni,% ,
p�
❑ Valley
Vents
❑ Drip Edge 2x2 —'
Color
❑ Drip Edge 2tx4 l/e.
Color
❑ Layers
❑ Chimney Flash
2 Story NJ
Pipe Boots
❑ Bath Vents
Stepflash v
❑ Ice & Water Shield
Rows
❑ Modified Bit p
Color
❑ Decking '/2 OSB O
nom`
❑ Skylights: How many? ----,L
❑ Permit Furnished: 0 Y LIN
% Contract Price Due Upon Signing
Balance Due Upon Completion of Each Trade
Date
ConsultantC-e_ J
Estimated Start Date Finish O
Number of Squares
Agent G
SPECIAL INSTRUCTIONS
auk- S '1Q
TAN H
Q� WLkV\ l�l�sS f
co cc W I
�9
Tax
Permit ti
Overhead/Profit
TOTAL L-, -7'L4 1
*PLUS PERMIT AND SUPPLEMENTS _
INITIAL
is agreement is for FULL SCOPE OF INSURANCE PROCEEDS and is subject to insurance company approval. This does not
client or Apex Roofing Consultants, unless repairs are approved by homeowner's insurance company. By signing this agreement the
N and Apex Roofing Consultants at NO COST TO THE CLIENT, EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final price
an between the fnsura;,. '!- - ' x Roofing Consultants shalt become the fit-sai contract price. The specifications INITIAL
out herein and on the reverse side hereof to accomplish the replacement or repair. Apex Roofing Consultants is hereby authorized to
at their discretion all insurance prescribed repairs for the price of full scope of insurance proceeds agreed upon by my insurance
y and Apex Roofing Consultants. The terms and specifications stated and special conditions are accepted.
REE DAY RIGHT OF RESCISSION:
I have hereby been notified that I may cancel this agreement at any time prior to midnight of the t ird business day after the
date of this agreement. /
ACCEPTED BY: mob, .gym 9&4A-,= DATE: -5 hZ107 CONSULTANT:
VERBAL COMMITMENTS WILL NOT BE HONORED AND MAKE ALL PAYMENTS TO APEX ROOFING CONSULTANTS.
THIS AGREEMENT CONSISTS OF THE FRONT AND BACKSIDE OF THIS DOCUMENT. CLIENTS RESPONSIBLE FOR
H.O.A. OR COVENANT APPROVAL FOR SHINGLES.
'Insured by Pinnacol, Policy #4165472
Scanned by CamScanner
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 12, 2017 S:57 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 3-5 business days, subject to change based on volume. L,0,
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address 6645 W 28th ave wheat ridge co 80214
Property Owner Name Gwendolyn Larson
Property Owner Phone 3032746282
Number
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
�A �) 6 � , , 8, , fC: >
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Apex roofing consultants
100355
3036915035
Contractor Email Address jmartinez@apexdenverroofing.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email jmartinez@apexdenverroofing.com
Address
DESCRIPTION OF WORK
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing IKO Cambridge
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 32.13
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
M
Field not completed.
TOTAL SQUARES of all 32.13
roofing material for this
project
2
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
tear off to decking replace with IKO and pitch 4
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 this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Jose Martinez
Email not displaying correctly? View it in your browser.
3
-at
�d e-
LC tl
MUNITY DEVE 1PIME
mmffl�
Date: 1
Plan #
.,J
0
tR "N NAMELil�"lvll'o't
\1
Property Owner Email-.
• • t s ra* .rs
Address:
City, State, Zip:
Complete all information on BOTH sides of this far
i• • s o s s•
A
Sq. FULF Btu's _ Gallons
Amps Squares Other
City of Wheat Ridge
y ,
Os-
' . ~'2esidential Electric PERMIT - 080604
4
8lRk{P 40~ 4$Q604 ISSUED: 06/09/2008
J64 ~=R$S5: 6¢45'.W 2~8TH AVE EXPIRES: 12/06/2008
4$°'C)~,~i~".~`IO'N:'•SeYVlc6-change 125 amps
oWneY . Gwen Larson
gC,( 30~/424-3998 Frank Wolf
01-8091 Sin Jac Electric, Heating & Co
VA
.Q522 r,
USE: UA
sLOCx/LOT#: o/
y+'r' ESTIMATED PROJECT VALUATION: 1,100.00
FEES
54.37
ion . .oo
19.80
74.17
Zheje~*4.6ye`b1t)~,,62i0t Ghe 98tback distances proposed by this permit application are awura[e, and do not vJ.ola[e appli.cable
dYt~aAecR'C08y xw,Leh 02' segYl3tions of the City of wheat Ridge or covenants, easements or restrictions oE record; [liat ali
rtil•~p#¢Xi~j~ql~}G pliWY{n), dS1¢aklegations made are accurate; that I have rea3 and agree to abide by all conditions printed on this
gp[,i1SChCS~}l;dE*CHet E ae9iutte full responsibility for compliance with the wheat Ridge Huilding Code (I.D.C) and all other
dpP1iOBbY~ WYiC'6't Il1dyE 9ZdiiiBnCee, for work under this permit. Flans subjecC to fieid inspection.
.
4
CCoL'tiCtai'/o4mer date
1. 4e ~1dlkp~lG tSaC 1$Bl1Q,d inaecordance with the provisions set forth in your application and is sub-ect to the '.aws o: hhe
3 8CG fTIuCGlG;ddb ap¢ toChe Zoning Reyulations an3 Building Codes of 'Aheat Ridge, Co'.orado o:.- any other applicable
9ya#~~~ A~y tne ciey.
2...!TA18 .jl"lt Ah1j1 eXp1YE180 days from the issue date. Requests for an extension must be received prior to expiracion
&XV:E#49RB={-my bA 9ranted at the discretion of the suilding Official.
3. ~Y!' tbllpiqlyY}i{ih ¢~XpiY@8. anew permit may be acquired for a fee of one-half the amount normally required, provided no
ycwtjqf j18+ep.~(8p 4r, SMj,ij be made in the original plans acd specificaCions and any suspensior. or a1han3onment nas noc
:.e~Ik.'kl~3tlEd~~tFCiE~+1*/e~t~If Changes have been or if suspension or abandonment exceeds or:e (1) year, full [ees sha::
:bb pai4 [at a #0Wr*teKmlt..
":N$ wL^. 8Ry~(~fatlT}R.j Bhall be done thaC will change the nacvzal Elow oE water causiog a drainage problem.
-four (24) hours in advance for all inspections and shall receive
5+ ,C4F~1fs0R.bbX,.ek1~~.`1 loQ$fy the Huilding Inspector twecty
';.w+}~.CCS~~'~C~N{klsqaS inapection card before p-oceeding with successive phases of the job.
6. ThC 8 pGCfiitor the approval of drawings and specificatioris sl:all not be construed to ie a permit `or, r.or
^eh 3[7~4b?1 aYLy 1,il0lation oE the piovisions of the building codes or any other orrlinaoce, law, rule or regulatioc.
;ay`1 ple~rs:reuEea iaeubjack eo fieia iaspeccions.
SS9~~~'9 .C~'Li ' CNY~N~"'8¢iltling dace
~~'L' ~DL~ (303)234-5933 BUILDING OFFICE: (303)235-2855
' ~'E~ $Y 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
y{ I ;i
~
!
`i
. . . . 't'
r } .
~ City of Wheat Ridge
1r9r Residential Electric PERMIT - 080604
PERMIT NO: 080604 ISSUED: 06/09/2008
JOB ADDRESS: 6645 W 28TH AVE EXPIRES: 12/06/2008
DESCRIPTION: Service change 125 amps
CONTACTS
owner Gwen Larson
gc 303/424-3898 Frank Wolf 01-8091 Sin Sac Electric, Heating & Co
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: 0522 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 1,100.00
FEES
Permit Fee 54.37
Total Val.uation .00
r~ ~
Use Tax 19 . 80 _;r
TOTAL 74.17
I hereby certify that the setback distances proposed by Chis permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of wheat Ridge or covenants, easements or rescrict;ons of record; that all
measurements shown, and allegations made are accurate; '-hat I have read and agree Co aLide by all conditions printed on this
application and Cha[ I assume fu11 responsibility Eor compliance with the Wheac Ridge Huilding Code ;I.B.C? and all othex
applicable Wheat - ge Ordinances, for work under this permit. Plans sub'ect to field inspection.
~ k
Signature of contractor/owne date
1. This permi.t was issued in accordance with the provisions set forth in yomr applicaticn and is subject to the laws of Che
StaCe of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinance:i of the City.
2. This permit eha11 espire 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 [he Building Official.
3. If this permit expires, a new permit may be acquired for a fee of onehalf [he amount normally xequired, provided no
changes have been or will be made in the original plans and specificacions and any suspension or abar.donmen[ has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, ful: fees sha11
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. Contractoxshall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding wiCh successive phases oE the ;ob.
6. The iesuance of a permit r the approval of drawings and specifications shall no[ be cons[rued to be a permit for, vor
an approval of, y io ion of the provisions of the building codes or any o[her ordinance, law, rule or regi:latior..
All plan xeview i~ ect to field inspections.
Signature of Chie&BUilding Official date
INSPBCTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
oFW"E+rR City of Wheat Ridge Building Division
~ m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-235-2857
Inspection Line: 303-234-5933
C~CORP~O
Building Permit Application
Property Address: vv ' 2&-
PropertY Owner (Please Print): zr~ /ZSn GJ Phone:
Mailing Address: (if diHerent than property address)
Address:
City, State,
Contractor:
Contractor License
Phone: ~--f L"
Sub Contractors: Mechanical Cit License
Electrical City License Plumbing City License Y
Company: Company Company:
. ~
Exp. Date:
Exp. Date: Exp. Date: Approval:
Approval: Approval:
ConstructionValue: $ US@ of spBCB (dBSCfiptiofl): (as calculated per the BuildingValuation Data sheeq
Description of work:
Plan Review (doe at time of submittal): b
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby cedify that lhe setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulatwns of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
otheriapplicable1WhealtcRidge O dlnances,sforr
re work
aiiegations foe coare mpliance , with the Wheat Ridge Building Code (IbB.Call ) coriditions
under this pennit. Plans subject to field inspeetion.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REF
PRINT NAME: F~~4 N K Z° LO L f SIGNATURE:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Date: a5- c,_ek
Plan
Permit
of(O,/W~NER~)/(CONTRATOR)
~//Z _ oate:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
FIRE DEPARTMENT:: ❑ approved W/ Comments ❑ disapproVed ❑ no review requifed
Bldg Valuation:
OCCUPANCY: _
. x
~ o c~
~
p G . M
~ V R
t Q o y o
: c ~ m
u1u5•
m ~
C M N
U•~o"'
i:
k♦
~a
r
j .
W
U
O
Z
Z
O
U
w
a
~
Z
a, ~
a ~
~ E ~
7 ~
o z
G ~
c a
N
N
d
V c
'D
¢
fl
o -
n
~
~
~
~
a
a
o
W
o
()I
a'
N
O
a>
d
E
1=F
~
_
W
>
n
} E
a u
~
o
~ ~
C
m
o
c~6
O Q
O
Q)
U ~
~
z
c a
i
t
ai
3
cr
~
~
x
m
N LL
LU ~ W
. O
N r N
~ O ~
0 0 V N
~
Q O y c°o~
w u e•
m
LL r ~ O
O
yENN
V 7 o N
m C,) O
`
W
U
C
~
's
F-
U
W
a
N
Z
a
F E
o =
z
E
a ~
N d
~ a
N
a~
v
v
Q
n
0
~
~
~
~
~
a
~ N
a o
¢ m
c
0
U
c
N i !
E
~ 0
a aNi E
fn > e
c ~
L-
~ m c
'co ~ o
m o ~
'y d
c u"i o
o Q ~
Z ~ t
T 3
0
m
n
N
c
ro
0
DEPARTMENT OF PLANNING AND DEV'E.OPMENT Building Permit Number : 11006
BUILDING INSPECTION LINE - 303-234403
• • CITY OF WHEAT RIDGE Date : 8/11/2000
7500 WEST 29TH AVENUE 'P/r~
WHEAT RIDGE, CO 80215 -(303-235-2855)
Property Owner :
Property Address : 6645 W 28TH AVE
Contractor License No. : 17152
Company : Precise Plumbing Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT $483 00
I hereby certiry that tha setback distances proposed by this permR application are accurate,
and do not violate applieable 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 wnditions pnnted 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 permR.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : EPLACE WATER HEATE READY FOR INSPECTION
Phone: 239-8809
Construction Value . •
Permit Fee :
$23.50
Use Tax :
$0.00
Total:
$23.50
Use
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiretion Date :
Approval:
(1) This pertnitwas issued in accordance with
Regula6ons antl Building Code of Wheat R
(2) This permit shell nacpire if (A) the work auth
abantlonetl for a period of 720 days.
(3) If this permit expires, a new permR mey be
(5)
(6)
any
wisians set foM in yopur application and is subect W the laws of the Stale of Coloretlo antl to the Zoning
.oloreCO or any ather applicable oMinances of Me Ciry.
is not commencetl within SUCty (80) tlays from issue tlate or (B) Ne builtling auMOrizetl Is suspentled or
etl for a fee of one-half the amount nortnalty required, provitletl no changes have been or will be matle in the
~ion or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonmenl
new permit.
3nge the natural flow of water causing a drainage problem.
iry-four (za) houre in advance for all inspecbons antl shall receive written approval on inspecGOn wM before
ngs and specifications shall not be consWed M be a peimit for, nor an approval of, any violation of ine provisions
rule or regulation.
Chief
City of Wheat Ridge
Community Development Deparhnent
Memorandum
TO: Accounting Department
FROM: Kristy Shutto, Building Division
SUBJECT: Refund for Permit
DATE: October 3, 2003
Reason: Homeowner cancelled job at 6645 W. 281" Ave. Please refund permit.
Please refund: 80% permit fee: $86.64 (acct # 01-510-00-516)
100% plan review $
100% usetax: $28.80 (acct # 01-500-02-505)
Total: $115.44
TO: AAA Service Plumbing
10790 W. 50' Ave. #700
Wheat Ridge, CO 80033
Thank You!
Kristy Shutto
Kristy M. Shutto
Bldg. Dept. Secretary
C\Buiiding Departmrnt\Word PerfecffortnsUiefund Total Permit .wpd -
SEP-29-2003 10:36 RHR SERVICE PLUMBING 303 940 9086 P.01i02
Building Dept
City of Wheat ridge
7500 West 29h Avenue
Attn: Kristy
Kristy thank you for getting back to me so soon. The reason for the lener is
To inform you that Pennit # 16264 at 6645 W 28'h Ave in Wheatridge was
Cancellcd by customer. The customer decided She was not ready to spend
money on a new fiunace just yct. If you have any questions feel free to call
me at 720-314-0221
Thank you,
Gino Heineman
Sales Manager
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number :
BUILDING INSPECTION LINE -(303-2545985) Date : 9/25/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: GWEN LARSON
Property Address : 6645 W 28TH AVE
Contractor License No. : 17953
Phone : 274-6282
Company : AAA Service Plumbing Phone : 277 1024
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 restridions 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 W hea idge ordinances, for work under this p rmi
(OWNER)(CONTRACTOR)SIGNED DATE
Description : REPLACE FURNACE W/ LENNOX G40UH366-090
Construction Value :
$2,400.
00
Permit Fee :
$108.
30
Plan Review Fee :
$0.
00
Use Tax :
$28.
80
Total:
$137.10
Use :
BUILDING DEPARTMENT USE ONLY
Z4hing ,Gifentst! SIC : Sq. Ft. :
Approval
Zoning
Suilding Commq~'s~'
Approval : Y
Public Wat~C~
Approval
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval:
(7) This pertnit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State ot Colorado and to the Zoning
Regulations and Building Cotle of Wheat Riage, Colorado or any other applirable ortlinances of the City.
(2) This permit shall expire i( (A) the work authorized is not commenced within sixty (60) days (rom issue date or (B) the building authonzed is suspended or
abandoned for a period of 720 days.
(3) If ihis permit expires, a new permit may be acquired for a fea of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not ezceeded one (7) year. If changes are made or if suspension or abandonment
exceetls one (1) year, full fees shall be paid for a naw permit.
(4) No work of any manner shall be done Ihat will change the naWral flow otwater causing a drainage problem.
(5) Conlraclor shall notify lhe Building Inspeclor twenty-tour (24) hours in advance for all inspections and shall receive writlen approval on inspeclion card before
pmcaetliing with successive phases of the job.
(6) The issuance permit or t approval of drawings and spacifcations shall not be construed to be a permit for, nor an appmval of, any violation of the
provisi he s or any other ordinance, law, rule or regulation.
Chief Building Insp tor
Please sign Terms and Conditions on reverse side of page.
SEP-29-2003 10:36 AFlR SERUICE PLUMHING 303 940 9086
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number
BUILDING INSPEC"f10N LINE - (303-234-5933) Date
CITY OF WHEAT R1DGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
P.02i02
9/25/2003
Property Owner: GWEN LARSON
Propwty Address : 6645 W 28TH AVE Phone : 274-6282
Contractor License No. : 17953
Company : AAA Servlce Plumbing Phone : 277 1024
OWNER/CONTRACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT
1 here6y certiy tlhat IM xtbadc disWCes propoaad by Ihk parmlt appllntlon an aaunb. and
do rwl violan appliphla ordlnancas, ndss or repuhatlom M Me Clry of Wheal Ridge or
cwenanh, easemenls or restrictione oF rocord; that all rta00uromentb OMw, and elkpatlonc
made are aaarato; tha[ I hava read and apne W ablde 6y all conditlona printed on this
eDPlicadon. eM thal I sasume fWl nsponubilily tof oompllana witl+ Ihe Wheal RWpe Bullding
Code (U.B.C.) and all olher applicable Wtieal Ridpe wdinarrooe, fof xrork undar thla permlt.
(OWNERHCONTRACTOR)
Description : REPLACE FURNACE W! LENNOX G40UH368-090
Construction Value : $2,400.00
Permit Fee : $108.30
Plan Review Fee : $0.00
Use Tax : $28.80
Total : $137.10 /
,
UN :
BUILDING DEPARTMENT USE ONLY
U.111rilik_lftw~.tlf ~ SIC ~ Sq. Ft. :
MProval : -
Zoniny ; ~ ~ ~
ApProval:
Approval : - - -
Occupancy : waUS : Root : Stories - ~
Electrical License No : Plumbing License No : t
CompanY Company: 'cT
Expiration Date : Expiration Date :
- -
l►PProval : Approwal
(1) Thk pamN waS iwmd in aaardma wilh Ihs piMaonc rt lorlh in yoqr appfralpn and ic cuEp
ReWAetlclr Wd BWOYp Cotle W WheM Itldpe, Colondo or myatliar applkaWe oidhmtea d df .(2) TMs pemJl sMtl eyPifs If W IM wak aulfnAUd is ral comrwWutl wiEin 4101lY(60) dWl+ bUM i" I-n c* inTIM 7'[•n.1.- --aEandoneE la a pviod N 770 days.
(3) II Ilua pemlit eapires. a nMV pwmw7 may M acqLirod ior a fu of me-Idf Ihs amouM rortroNy nqu
OnOW Plam and Wecificallonis Md my oumpwtian mohvWwvMnt hu mt a=eeds0 aw (1) YO -TT nTtJr cCcIn'r•_
o.owdc me (1) Yeer, tull fssr Nu1 bo pdtl M a nw psmiL
(4) W MWk o1 any nunMr WI hodar tlW Mi dwqmIM nMVal Mw af rYr txvq aMinape r.. ,
c51 conu.cwr etrM rouy m. euildrw n.waW wany.kw (u) houro m wiana wr au inspxuaa x
9mceed'mpwi plrs" dtlrjob.
(9) Th~ i ~pprwM N tlra4qs aiM specflolbm " not Oa consbwd ia h L
proviaiom v rrydMr oMnmo. Isw, ry4 a rspYlbn.
Chief Building Ins
Pleasa slgn Tsrms and GondlUons on rover.
-
.
,
~
F
2
G
a
~
Z
0
m
W
0
Lo YN Q
M W
N =
M ~
M LL
v o
U
~
V
~
I
r•1
l J
* ■y~
T
W
L
V
r~
m
d
V
J
O
7
v >
c o
m rn
d y
N ~
•d Y
n. N
0 0
9 c
c 16
m ~
" O
i
~ c
N O
N ~
Y ~
-0 7~w
M v,
~ C
c 0
=
vt
d
w E
L C W
7 ~ 0)
10 d C
t > C
L dl
w
c
0
M
R
O
c 0
o p
rny
w c
m ~
Y W
i V
L ~
Q .O
U ~
r £
.o c
m d
i~= a
c W
Tt
a ~
LD c
t0
d
V L
~ L
0
U
~ N
L
~
~
~
~
O
m
Q
~
~
Fa-
N
2
~
11A
~
2
W
r
Z
O
0
I F4
R ~
~ LL
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11006
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 8/11/2000
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address: 6645 W 28TH AVE Phone: 239-8809
Contractor License No. : 17152
Company : Precise Plumbing Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
and do not wolate 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 aqree to abide by all conditions printed on this
application, and that 1 assume full responsibiltty for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other appliwbie Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : REPLACE WATER HEATER, READY FOR INSPECTION
Construction Value : $483.00
Permit Fee :
$23.50
Use Tax :
$0.00
Total:
$23.50
Use:
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval:
(1) This pertnit was issued in accordance wkh the provisions set foM in yopur application antl is subjecl to the laws of the State of Coloredo antl M the Zoning
Regulations antl Buildin~ Cotle M Wheat Ritlge, Colaratlo or any otlier applicable ordinances M the Ciry.
(2) 7his permk shall ezpire if (A) the work authonzed Is not commencetl within siMy (BO) tlays from issue daM or (B) the building authonzetl is suspentled or
abantloned for a period of 120 days. (3) If this pertnit expires, a new permit mey be acqulretl for a fee of one-half the amount normaly required, provided no changes have been or will be matle in the
original plans and specdiwtions and any suspension or abandonment has not exceeded one (t) year. It changes are matle or if suspension or abantlonment
exceetls one (1) year, full fees shall be paiA for a new permit.
(4) No work of any manner shall be tlone Mat will change the nalu2l flow of waMr causing a drainage problem.
(5) ConUactor shall noUy the Buildin9 Inspectw twenty-four (24) hours in advance for all inspections and shall receive wrilten approval on inspeclion cartl before
gceediing wtth successive phases of the ob. (e) i~Y~@nce of a it or the approval o~d2wings antl specifications shall not be construed to be a permtt for, nor an approval of, any violation of the provisions
_ of bqldin r any odter oWinance, laW, mle or regulation.
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
Property Owner : ~
Property Address :
Convactor License No. 7/ S-12,
Companv : Pi P cis cM !:^q .;Z;, c_
, OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby ceRAy that the setDadc tlutances propose0 q this pertmf apDicatwn ara sewrate.
and do not woute appunbb orau+anaes. rubs or reguuuons of Ne Cily of Wneat RiEqe or
COVSnantt. eaSOmenti w filsVlGtiOnf Of (lWM: Nat aY measurominlf shOwn. ano a11Ogatpns
;mWS aro acante: that I have reaa anoCnssq ~br~ee to aDde Dy all wnCidons pnntstl on tf~is
o(U.B.C.) and aa otlfx PPUlpbrokp Wl~sn Ridga o~iwnancas. for work urWs ~ r Mu " psrma.
B ~
C
(OWNER)(CONTRACTOR) SIGNED~T DATE
Phone : ~3 9 rM~'
r -3aj~
Phone S'sr/
Construction Value : y?-
3 -
Permit Fee : zl. S C
Use Tax : ,1;iO,d`.-S PO"O~rs
Total : 2 Fg,S o
Descnption : /'e~/ce ~P " ~vo l /'f't°~•
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning
~8l dtdQ3~S61e'3fifil!
Approvai
P061[
Approvsi :
Occupancy : Walls : Roof : Stories : Residentlal Units :
Electncal License No : Plumbing License No : Mechanical License No :
Company :
Expiredon Date :
Approval :
.3 rPlans;Rey
Company:
Expiration Date :
Approval :
:-P1h'h+RLRIqW•-s7
Company :
6cpiration Date :
Approval :
.6 r~~ulritl~f
(1) This periaawaz+swea m umraanee vmm me pronsnns sa brtn n yoow apounoon ana u suWaa m tha uws d ma Stau W Colonao ua m ma Zwnp
Requlauons and Builainq Cooe ol Wneat fLtlqs. Co:onoo a arry oNx sCW~nds orainanees ol tne Cily.
f2) TAis parmrc snau eapirc rt (n) me irm aumonzec a not commencea rnwn aary (60) 0ays Nmm issw wu a(8) Cm EwMUy autnonzaa w sutparaW w
abanaoneo for a oerao o/ 710 aava.
(7) II Nis parmn a:aros. a naw oamc may ae 8o7uuso M a I" d onaMtl M SmouM normally roquuW. povbW no tlunqes naw Dsen a wiM De nmM n M
agwi Wans and soaaRnaona and vry susosnian a awnoonmern nas not eausow ma 0I Ysar. II uwqaa an nuaa a A auspentqn or atwaonrortt
exroeaf One 111 Yeu. MI fees 7M11 Ds uq for a new oartM.
(4) No wonc Of aM mnnar shall De Oone tlial wtll Marqe me nstural Ilow of wa1M ausmq a Orarnaqe poClem.
;51 Conuactor snau rwury me Bunoinq insoeeror twenry.iour (24) hwun m aavance Iw an mspacuons and sNp recave wnnen aDDrvni a+ mspecoon ara Dafan
proceecnng wnn successm onaxa of me pd.
(6) T1ie usuance ol a oermrt or me aCOrovai of arawinqs and soeahauons snan not Ca mnsirueC to oe a Oemut for. nor an aOPmal ot. any vidaoon of tna qowqns
0f Nt OUi10tn9 WOCS Or iny OIm!/ Ofpiflillf2. WW. N•! Or rl9WV011.
Chiet Builtling Inspecror
For Mayor
TIiiS PERMIT VAUD f3NLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAY012
CALL: 2345933 24 HOURS PRIOR TO INSPECTION
- 3
BUILDING DEPARTMENT ~
~
(303) 235-2855 ~
CITY OF WHEAT RIDGE ~
. . ~
Correction Notice
~
~
Job Located at
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date ~
iaspect« ra eyaAm9 oept.
DO NOT REMOVE THIS TAG
FORM WRB•R2
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
QEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-668
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :4/3/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : THELMA P PRICE REVOCABLE LIVING
TRUST Phone :
Property Address : 6645 28TH AV
Contractor License No. : 17202
Company : Stahl, Inc. Phone : 469-1917
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit a lication are accurete,
and do not violate applicable oMinances, rules or regulatioqSof th iry of Wheat Ridge or
covenants, easements or restrictions of rewrd; th t all me sur nts shown, and allegations
made are accurate; that I have read and ayree t bid al tlitions printed on this
application, and that I assume Tull responsibili r co lia Rh the Wheat Ridge Building
Code (U.B.C.) and all other applieable Wheat ' ge ma for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : REROOF
Construction Value :
$8,025.00
Permit Fee :
$108.00
Plan Review Fee :
$0.00
Use Tax :
$120.37
Total:
$228.37
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
~ ~ ~ ~ ■ ~
(1) This permit was IssueO in aaortlance with the provisions set forth in yopur epplicalion an0 Is subject to ihe laws of the Stale of Colorado antl lo the Zoninp
RegulaUons an0 Builtliny CoAe of Wheat Ritlge, Coloretlo or any other applicable oMinances W ihe Ciry.
(2) This permit shall ezDire R(A) the work authonzed is not commenced within sizry (80) days from issue Oate a(B) the building auNOnzeO is suspentled or
abantloned for a penotl of 120 Gays.
(3) If this pertnit ezpiree, a new permd may be acQUired for a fee of one-helf the amount nortnalry required, provitled no cliarpes hava baen or will be made in the
original plans and speafica6ons antl any suspension or abandonmenl has not ezceetled one (1) year. If changes are made or if suspension a abandonment
ezceetls one (1) year, Tull feas shall be paid lOf a new permit.
(4) No worlc o( any manner shall be tlone that will cliange the natural Mow of water causing a drainage problem.
(5) Cantrector shall nodry the Building Inspeclor hveny-four (24) hours in advance fa all inspechons and shall receive written approval on inspeclion wrtl before
proceediin9 w[h suCCe95iVe Ghases oi the 1~ob.
(e) The issuMce a per it or the approval M jitawings and specifiwtlons shall not 6e construed lo be a pertnil for, nor an approval M, any violaUon of the provisions
of the bWldi cotle r any oNer o inan I w, iule or regulation.
~
Chief uilding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500wES729thnVENUE BUILDING INSPECTION DIVISION PERMIT N0.
234-5933 P.O. BOx6sa CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CMEF BUILDING WSPECTOR ANC RECEIP7ED BELOW
, APPLICATION FOR MISCELLANEOU5 REj2M1T
JOB ADDRESS
CONTRACTOR
ADDRES-S7~ '!I~7 vv I .I v- r r v c
CITY 1~ Y'(1 ~l Yrir IfL~ ZIp CODE
. ~
PHONE
(p`7~I`~1I LICENSENO
.
IuAit
t. TVPE Ground❑
2. MATERIAL
❑
❑
Wall❑ Proiectinp❑
01Mr SaDFOu
Tolol Square FiN
El
Parmil No
t
$IGNS
No
3 ILIUMINAT10N Yea
4 SE7 BACK FROM PROPERTY LINE N
(SOSCify which ia front)
TYDe
_ 5_ E_ W
❑ ❑ ❑ ❑
.
ec
Zons_
.
Apprwed,2ons Incpeeta
Disopprwsd
1. TYPE Solido Mon Thon 80% ODencl
Lou Tnon BO% Open
Hei
M
FENCES
MATERIAL
3 SET BACK FROM PROPERTY LINE N
_ S_ E
❑ ❑
_ `N
❑ ❑
Q
ZMi
ADMailid,ZOM Inspotlor
DisopDrovsd
(Specify which ie front)
/
I.
OTHER
z
3.
DRAW SNETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVINo D1STANCES FROM PROPERTY LINES.
(SETBACNS OR PROJECTqNS INCIUDED)
~
SPECIFY NORTN
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PROPERTY LINESiON IRREGULAR lATS, SM10W LEAST
OISTANCE TO PROF'ERTY IINES, NOT MAXIMUM OR AVERAGE DISTANCE. .
APPLICATION FOfl PLUMBING; ELECTRICAL; MECHANICAI PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFOAM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
vrannii Wll I FXPIRE 180 DAYS FROM THE DATE OF iSSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
PIUMBING PERMIT
MECHANICAL PERMIT
STATE LICENSE N0.
STATE LICENSE N0.
ALUMINUM~MREUNDERSI2E81LLEGAL
FLOOR
BSM
15T
2N0
3RD
4TH
N0.
~L~CirtIaQMGaidl ENeSdor
~ -
WATER ClASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWI.
HOT WATER - BTU
NEW SERVICE ° QMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE - AMPS
SMOWER
AIR LONDITIONING-8TU
LIGHTIN6
SINK
OTMER
HEATING
GARBAGE DISP
REFRIGERATpN SYSTEM
POWER Su8-CIFCUITS
7ER
Retri srant Grou
UTILITY(RANGE,DISPOSER,ETC.)
PouMs Chor •
VwAsmLRE
AUTOMATIC SPRINKLER SYSTEM
FIXTURES
WIRING MOTORS 9 CONTROLS
N
ELEVATOR
SIGNS
CTFIERS
TRANSFORMERS B RE
SEWERS
ADDITION TO OLD WORK
r
THER
MOTORS OVER I NP
OTAL FI%TURES
I hereby ocknowledqe thot fhis a001ico-
fion it correcl ond understand thot I
COnnOf ftort ihis pl0jbtt until ihis oppii-
Cotion is aDOroveE. I shall comply with
tha laws oi the Stofe al Colorado ond to
1he Zoninp Repulafione ond Bwldinp
Code of the City of Wheai RidQe. Any
violotion o( the above ferma wili cause
immediate revocotion of ms Dermit
AooIicaM•
PERMIT FEE
USE TAX
OWNER .
ADDRESS
PHONE _
2
ZIP CODE
CONTRACT PRICE $ RO 16--~
7_^1? _4"t`
I TOTAL FEE I$ g✓~7 I
APPROVED
DISAPPROVED
GHIEF BUILDING INSPECTOR,City of Wheat Ridge
NOT VALID UNLE55 RECEIPTED
CALL 234-5933
24 HOURS IN ADVANCE
FOR INSPECTIONS
Date Issued