HomeMy WebLinkAbout3230 Balsam StreetINSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
�RP--
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the. Ulnur;no h„e;nacc A— **
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Electrical
Concrete Encased Ground (CEG)
Sewer Service
Foundation / P.E. Letter
r._
Plumbing
Underground/Slab Inspections
- -- ---- - - - -I-r• - — .v
Date Inspector
Inspector
Initials
Initials Comments
Electrical
Sewer Service
Plumbing
0,
n_ nI_A. n- -_ ”--'-
— . .. _. . --- - - - —
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
0,
-�
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
p 2 -
Final
Final Window/Doors
Final Building
7NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
ccupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
- .-....... - �-- �� 4, ,wmuj 11IOVU LIVI10 CIIG L U1IIIJICLUL, Ilurll ulu rare ulsinct ana electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until ,A Certificate of Occupancy Is Issued
Protect Thic, Card From The Weather
A 4 City of Wheat Ridge
Residential Roofing PERMIT - 201706970
PERMIT NO: 201706970 ISSUED: 09/06/2017
JOB ADDRESS: 3230 Balsam ST EXPIRES: 09/06/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 38 sq
Pitch = 5/12
*** CONTACT$ ***
OWNER (303)232-4954 RAY WILLIAM H
SUB (303)232-0324 Bill Lynn 019976 Mills Roofing Co./Decker Lane
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,580.00
FEES
Total Valuation 0.00
Use Tax 285.18
Permit Fee 267.70
** TOTAL ** 552.88
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
®� A ® City of Wheat Ridge
� T
Residential Roofing PERMIT - 201706970
PERMIT NO: 201706970 ISSUED: 09/06/2017
JOB ADDRESS: 3230 Balsam ST EXPIRES: 09/06/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 38 sq
Pitch = 5/12
I, by ni 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 ermrt. rther attest that I am legally authorized to include all entities named within this document as parties to the work to be
pe and t t a 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 Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Divis
6. The ssua ie or granti a t% 11 not be construed to be a permit for, or an approval of, an violation of any provision of any
applic �r y, or lation 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.
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Dane Lovett ?,0170070
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, September 5, 2017 10:38 AM
To: CommDev Permits v,
Subject: Online Form Submittal: Residential Roofing Permit Application -�
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
L
Property Address 3230 Balsam St
Property Owner Name Bill Ray
Property Owner Phone 303-232-4954
Number (enter WITH
dashes, eg 303-123-4567)
53
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed IMG 3001.JPG
Contract
CONTRACTOR INFORMATION
Contractor Business Mills Roofing Company
Name
Contractor's License 019976
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
303-232-0324
2221 Gray st Edgewater CO 80228
Contractor Email Address millsroofingcompany@gmail.com
Retype Contractor Email millsroofingcompany@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 38 /
the entire scope of work: /
Project Value (contract13580
value or cost of ALL
materials and labor)
Are you re -decking the No/
roof?
54
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
No
Yes
5/12
38
Owens Corning dimensional
Asphalt
House and back house
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
55
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Robert Lynn
Email not displaying correctly? View it in your browser.
56
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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: 3
Job Address:
Permit Number: .` '/,9 4 f"='0
0tl
❑ No one available for inspection: Time M/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
T 1
Date: � � 1 � � � Ins ect�� r:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division g
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: >�
Permit Number:
IJ No one available for inspection: Time AM/F�i
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date:— ',` Inspector:
DO NOT REMOVE THIS NOTICE
rm
cif Pages.
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75 M W 2 9 1 Ridg CO 800
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line* 303-234-6933 Buil Permit *a r:
Property Add q M
Property Own (plea prim}: � t" ets'q
Mailing Address. fif dilfwant than prope address)
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City, State, p:
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.. r CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type 464- 1=
Job Address ?,_3a 9,44 ". <
Permit Number 0.218.2
09/16/2010 TBU 10:37 FAX 303 237 8929 303 Best way 0003/004
INSPECTION RECORD OccDDaneyfTvDe
'VINSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
r — ri 1 C(tl (rvN f{-1 1 V ) 1 nra—
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
COMMENTS:
Footings/Caissons
RECEIPT NO:CDBB&5i52
AMOUNT'
GNP Reraaf 37 sqs 3/12 p
Stemwall I (CEG) Concrete
Encased Ground
182182
Perait Fee
Reinforcing or Monolithic
Use Tax
289,79
PAYMENT RECEIVED
Weatherproof / French Drain
VG 5177
445.79
Aatb Code:
Sewer Service Lines
842799
TOTAL
Water Service tines
CONCRETE SLAB FLOOR
E ectrioal (Underground)
69/16/18 8:21 AM Cribb
Casey Calvin
Plumbing (Underground)
RECEIPT NO:CDBB&5i52
AMOUNT'
GNP Reraaf 37 sqs 3/12 p
Heating (Underground)
182182
Perait Fee
RouGHs
Lath / Wall tie
Mid -Roof
Electrical Service.
Rough Electric
Rough Plumbing
Gas Pioina
Mechanical
Insulation
Drywall Screw
FINALS
Electrical
Mechanical
Roof
Building Final
S'
Fire Department '
ROW &Drain e
CITY OF MDT RIDGE
69/16/18 8:21 AM Cribb
Casey Calvin
RECEIPT NO:CDBB&5i52
AMOUNT'
GNP Reraaf 37 sqs 3/12 p
445.79
182182
Perait Fee
236.08
Use Tax
289,79
PAYMENT RECEIVED
AMOUNT
VG 5177
445.79
Aatb Code:
842799
TOTAL
445,79
INSPECTIONS FOR PLANNING & ZONING. FIRE AND PUBLIC WORKS SHOULD
PafKing &Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
` "NOTE: ALL ITEMS MUSTBE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE
3 CERT/RCATEOFOCCEPANCY ISISSUED. FINALINSPEC77ONBY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
• CITY OF WHEAT RIDGE
1 Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type /
Job Address .Zg.3oo sf
Permit Number I P,:?
a rc/l�rf A ll 9,y,,,dF airs ?P p�r✓r� c�>
fr€b
❑ No one available for inspection: Time 4o.' -T5 AM /PM
Re- Inspection required; No
*When corrections have been made, call for re- inspection at 303- 234 -5933
Date: !! e a�
e A f � Inspector
u, DO NOT REMOVE THIS NOTICE
.r r CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
( 303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type al '
Job Address "?'?3c'
Permit Number /0 X190
P, pp
e-
ni, lone s,�t� ruvyrri�
No e rr
'E
City of Wheat Ridge
Faxed Roof Permit PERMIT - 102182
PERMIT NO: 102182 ISSUED: 09/16/2010
JOB ADDRESS: 3230 BALSAM ST EXPIRES: 09/16/2011
DESCRIPTION: Reroof 37 sqs 3/12 pitch
* ** CONTACTS * **
owner 303/232 -4954 Bill Ray
sub 303/233 -7663 Ben McFerron
07 -0157 Premier Roofing Company
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0569
USE: UA
BLOCK / LOT## : 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 11,655.00
FEES
Permit Fee 236.00
Total Valuation .00
Use Tax 209.79 �l�Pj�Fj'1
** TOTAL ** 445.79
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED. 6 nails per shingle is
required. Ice dam membrane is required from eave edge to 2' inside exterior
walls. Board sheathing with any gap greater than 1/2" requires panel sheathing
overlay on entire roof. Sheathing inspection is required prior to covering..
Midroof inspection is not required on permits purchased after 4/18/10.
Contractor shall provide ladder for inspections. Scheduled inspections that
cannot be performed due to inclement weather must be cancelled prior to 8:30
a.m. on the day of inspection or a re- inspection fee will be assessed.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Signature of contractor /owner date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
S. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan re ew subject to field inspections.
Signature Ch' Building Official date
INSPEC ION 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.
INSPECTION RECORD Occupancy /Type
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR NITIALS
I
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
onuo
ROUGHS
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
CITY OF WHEAT RIDGE
09/16/10 8:21 AM cdbb
Casey Colvin
RECEIPT NO:CD8005152 AMOUNT
DPSP Reroof 37 sqs 3/12 P 445.79
102182
Permit Fee 236.00
Use Tax 209.79
PAYMENT RECEIVED AMOUNT
%Parking& VS 5177 445.79
Auth Code:
042799
TOTAL 445.79
ent ----------------------------- -----------
nage FBECALLEODNAT PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
dscaping AST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
09/16/2010 08:14
3032923387
PREMIER
PAGE 02/02
City O{
1 1' �` City of P , -,i(dA ( COMMUNITY D EVELOPMT �
Building Division
7500 W_ 29 Ave., Wheat Ridge, CO 80033
Office: 303- 235 -2855 * Fax: 303 -237 -8929
Inspection Line: 303 -234 -5933
Facsimile Building Permit Application
PPOperty: AdgfeSS: . ► ' � I m �L G+-&Q�
Property Owner (please print) Bt I I Kai Phone:,30 — ZjK2 q c 45y
Mailing Address: (ifduerent than property address)
Address:
City, State, Zip:
C YYI.LP!
Contractor License #: Phone: -3C) 3 -7( _
Sub Contractors.
Company Name: License # Expiration Date Trad /Professlon: Aoproval:
Use of space description): r
Description , :o ., l rf work:
�_�
� ll� Plan Review (time at Sme ofsubmiliaq: $
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restdolons of record; that all measurements shown, and
allegations made are accurate; trial 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 (1.6.C) and all other applicable Wheat Ridge Ordlnanees, for work
under this permit- Plans subject - ctlon.
CIRICE OlVE:: OWNER ) ON7RAC7oR) br PERSONALRE SENTATIV l(OWNER) CONTRAT
PRINT NAME; U SIGNATUR 1i /��
.`� Dale:
♦ 1, 4 i CITY OF WHEAT RIDGE
~i 3) ing Inspection Division
(3003 234-559333 Inspection line
INSPECTION NOTICE
Inspection Type: Job Address: ~Z3(1S tad
Permit Number:(,)
❑ No one available for inspection
Re-Inspection required: Yes
"When corrections have ebeen made,
Date: Inspector:-
DO NOT REMOVE
Fime AM/PM
for re-inspection at 303-234-5933
f .
♦ i CITY OF WHEAT RIDGE =
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE ,?2--
Inspection Type: 452- `Z`
Job Address: iz ~54 A~ -t~ -5;.7-
Permit Number:
I• ❑ No one available for
Re-Inspection required:
*When corrections have be
Date:C//
DO NOT
7Ye6s -r ion: Time AM/PM
No'
call to re-inspection at 303-234-5933
ispector: 1 ~1
REMOVE IS NOTICE
A 4' City of Wheat Ridge
Residential Electric PERMIT - 093849
PERMIT NO: 093849 ISSUED:' 11/04/2009
JOB ADDRESS:: 3230 BALSAM ST %EXPIRES: 05/03/2010
DESCRIPTION: 200 amp. service change:
CONTACTS
owner 303/232-4954 Bill Ray
sub 303/349-9403 Mark Hamilton 08-0003 Bear Electric, LLC
**:PARCEL :INFO
ZONE CODE: UA - USE: UA
SUBDIVISION:` 0569 BLOCK/LOT#: 0/:.
FEE SUMMARY ESTIMATED PROJECT VALUATION: , 2,250.00
FEES
Permit Fee 108.30
Total Valuation .00 @
Use CTax -.40.50,
TOTAL 148.80
Conditions:
Must comply w/ 2003 -.IRC & 2005 NEC.
Subject to field inspections.
I hereby certify that the setback dirt e proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of 10 P.ns.bility y of -Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and alleg o ma are accurate; that I have :read and agree to abide by all conditions printed on this
application and. that i ass f r for compliance with the Wheat Ridge Building Code '(I.B.C) and all other
applicable W R ge a s;' r work under this permit. Plans subject to field inspection.
Signature of coat ctor/o. er -'date
1. This permit was issued in accordance with thee. provisions. set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of wheat Ridge, Colorado or any. other applicable
ordinances of the city. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received error to expiration
date. An extension may be granted at the discretion of the Building official`.
I if''thlc nel-mit PxnlrP6 a IPw ncrmil may ha ~nmii YaA fni' ~ fon of nnc_half 11e am ~~nt enrm.lly rcma vcT nvrnn AnT
City of Wheat Ridge Building Division Date:
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
o Inspection Line: 303-234-5933
°coRPO Permit#:
Building Permit Application
Property Address; R230 ld LS G 16q, &4.
Property Owner (please print): /J dl /2c y Phone: 3073- Z32 -51sy
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: j?eg' e!571 -e tf 4- / c Lt! C
Contractor License Phone: 30 3 3Y9-9 ~l03
Sub Contractors;
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date:
Approval: Approval:
Use of space (description): SCrvfc e c 1~..„s.e
Description of work; lzk41yr.e rkts#:.,~
(off ~ w.P S Yru it.e W f f In Il,c n>. 2vn d1 "~P
Exp. Date:
Approval:
Construction Value: $ yZpp.60
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps Zcmv>
OWNER/Co TRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable W ea idge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (Oq/WNER>)~ (C TRAyyC/TOR) or PERSONAL REPRESENT IVE f( R O TRATOR)
PRINTNAME: X4,r/r /..r/ SIGNATURE:- Date:
Bldg Valuation:
City of Wheat Ridge
/ Residential Mechanic PERMIT - 090186
PERMIT NO: 090186- ISSUED:, 03/09/2009 -
JOB...ADDRESS: , 323.0 BALSAM ST EXPIRES: 09/05/2009
DESCRIPTION: Install furnace
CONTACTS
owner 303/232-4954. Bill Ray
sub - 303/975-8809 -Gary & Kimberly Neal -07-00.08. Elkhorn Htg. & Air.Conditionin
PARCEL INFO
ZONE.. CODE:. UA : USE: - UA
SUBDIVISION:.. .0569 BLOCK/LOT##: 0/ -
**FEE. SUMMARY ESTIMATED PROJECT. VALUATION: 4,629.00
FEES
Permit Fee 144.70
Total Valuation 00
Use Tax 83..32
**TOTAL 228.02
Conditions:.:
Must comply, w/: .2003 IRC-& 2005 NEC.
Subject to field inspections.
: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 ail
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 wi~}~the.Wheat Ridge Building Code (I.B.C). and. all other
applicable Wheat R/i/Jd//y(/P/J/ordinances, for work under this pe/r/mitt. /P//1/~~i/1~jhssubj ect to field inspection.
Signature of con r ctor/owner _ d to
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and. to the Zoning Regulations and Building Codes of Wheat Ridge,: Colorado or any rather applicable
ordinances of the City. -
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date An extension may be. granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the-original-plans and specifications and any suspension or abandonment has not
exceeded one. (1)-year.--.If changes have been. or if suspension.. or abandonment exceeds one:(1); year, full fees. shall
be paid for a new permit.
4..:. No work. of any. manner shall be done that. will. change. the natural flow of water causing a drainage problem.
5:' Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections. and shall receive
written approval on inspection card before proceeding with successive phases of. the job. - - -
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any viol at' n'Of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is c o field inspections.
Signature of Chief B di 1Official: date
INSPECTION REQ EST LINE:. .(303)234-5933 BUILDING OFFICE: (303)2.35-2855
REQUESTS MUST BE MADE.. BY 3PM ANY BUSINESS DAY FOR. INSPECTION THE FOLLOWING BUSINESS DAY..
pFWHEgT.P City of Wheat Ridge Building Division
~~i~_",gym 7500 W 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857
e o Inspection Line: 303-234-5933
pLORPp
p
Building Permit Application
Property Address -&JS0,-r A S-L--
Date: 0510 G
Plan
Permit #:Cl
Property Owner (please print): --Rj I ( -R-cx,y Phone: 3~ X307 - f ~Sy
Mailing Address: (if different than property address)
Address:
City, State, Zip:
mti k X10rn 4e.01(l L
Contractor License Q71)oo Phone: 3' GAS-
Sufi ContracfoFs-;
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Q Construction Value: qtaq
RSCnptlOntO~f work (as calculated per the Building Valuation Data sheet)
CLC'e -IWr no~ C~1- Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to inspection.
CIRLCE ONE:: (OWNER) (C RACT R) or PERSONAL REPRE ENTATIVE of ( WNER) (CONTRATOR) I
PRINT NAME: t t(A , SIGNATURE: Date: I~lbdl
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303 - 234 -5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303- 235 -2855)
Building Permit Number 11628
Date: 12/26/2000
Property Owner:
Property Address : 3230 BALSAM ST Phone: 232 -4954
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 accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable. Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Construction Value :
$475.00
Permit Fee:
$23.50
Plan Review Fee:
$0.00
Use Tax:
$0.00
Total:
$23.50
Use :
Description: REPLACE WATER HEATER, READY FOR INSPECTION
Electrical License No
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date : Expiration Date : Expiration Date
Approval : Approval: Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Builtling Cotle of wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days. -
(3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any sus ension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be tlone that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuanc f a permit or he approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the build g `otle r ther ordinance, law, rule or regulation. -
Chief Building Ins ctor
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235 -2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property owner:
Property Address :
Contractor License No.: / 7/ f'Z
Company: fA P cis -e X1•.m li�� C
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Building Permit Number:
Date
Phone: 9- yQs%
Phone
Construction Value: y s
I hereby certify that the setback distances proposed try this permit application are accurate. Permit Fee : 2 ? 'r-0
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 ytyOx
rmade are accurate: that I have read and agree to abide by all conditions printed on this Use Tax : ,;"^`S
- appacation. and that -I assume full respons tidily for compliance with the Wheat Ridge - Building - -
Code (U.S.C.) and all other applicable Whom Ridge ordinances. for work under this ptsmmL
(OWNER)(CONTRACTOR)SIGNED O�
i0y i
,��i GATE Total: 2+
Description: r.Pl c2. 24.- /'f.a�
BUILDING DEPARTMENT USE ONLY
2ifi3YL'✓shfineiitia
Approval :
Zoning
�781LdHi
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
PlI[ns:Rqufred : PtlRis_Retlutred:" IAuM
(t) This permit was Issued in accordana wan the provisions set form in yoour aopi aeon and d subledt to the laws of the State of cobraoo am to die Zoreng
Regulations and Building Code of Wheat Ridge. Cp:orado or any other applicable orolnances of the city.
atamoneo tar a Denoc of 120 days.
(2) This permit snail "Piro If (A) the work audhonrea u not Commenced w thin sixty (60) days from us3ue date Or (B) the Ouitdng autfioncod R suspended W
(3) If vas pemhn expires, a new permit may tie Occulted for a roe of ono-nad the amount normally required. provided no Changes have been or wig be made in the
ongntl plans and 3pecracations and any suspanLM pr abanoonment has not exceeded Wa year. II Changes are made a it suspension car al7atldplarienl
exceeds one i i) year. full fees snag be oaio for a new oemn
(4) No work of any manner snail be time Nat will Change me natural flow of water causing a drainage problem.
(5) Contractor snail notify,ne Building Inspector twenty -four (24) tours in advance for all Inspections and snail tee" written approval on inspection and before
proceednng wrin $U=33IVe Dnases of the IOC.
(6) The issuance of a, permit or N! approval of drawings and sowliations snail not De construed to De a pertnd for, nor an approvOl of. any violation of Me pNwaons.
of the Duilaing Copes or any other ordinance, law, nl:e or regulauon:
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 2345933 24 HOURS PRIOR TO INSPECTION