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Home My WebLink About4105 Otis StreetCity of Wheat Ridge E -Res. Window Replacement PERMIT - 202001502 PERMIT NO: 202001502 ISSUED: 08/06/2020 JOB ADDRESS: 4105 Otis St EXPIRES: 08/06/2021 JOB DESCRIPTION: Replace 1 window in den, u -value = .28 *** CONTACTS *** OWNER (303)420-5503 KESELOFF MARY ANN SUB (303)375-0745 PAUL BONOW 020146 CHAMPION WINDOWS OF DENVER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 500.00 FEES Window Replacement 65.00 Total Valuation 0.00 Use Tax 10.50 ** TOTAL ** 75.50 *** 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 L 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 - 202001502 PERMIT NO: 202001502 ISSUED: 08/06/2020 JOB ADDRESS: 4105 Otis St EXPIRES: 08/06/2021 JOB DESCRIPTION: Replace 1 window in den, u -value = .28 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed zs disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 conce 1 work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grantin o pe it shal t be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any man or reg 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 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August S, 2020 3:25 PM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Categories: Payment Issue, Kim 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 Property Owner Name 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** 4105 Otis St Mary Ann Keseloff 303-420-5503 mak4105@Gmail.com Keselof CC Auth.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License 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) Champion Window Co of Denver 020146 720-974-1480 Contractor Email Address shemans@getchampion.com 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): What is the u -value of the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of window/door cut sheets showing sizes and u -value Project Value (contract value or cost of ALL materials and labor) shemans@getchampion.com 1 Den .28 Keseloff.pdf 500.00 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work 2 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 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 Steve Hemans Permit Email not displaying correctly? View it in your browser. 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 4-j" c7 Job Address: Permit Number: 4S..._ jr I.J No one available for inspection: Time:: -f AM/PM Re- Inspection required: Yes. No When corrections have been made,- schedule for re -inspection online at: httpYAvww. ci. wheatridge. co. usAnspection Date: inspector: DO NOT REMOVE THIS NOTICE 4 CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address:;. y Permit Number: ❑ No one available for inspection: Ti M Re -Inspection required: Yes . _No' When corrections have been made, scZule for re -inspection online at: h ttp ✓/www. ci. wheatridge. co. uslinspection Date: ;`' "' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Window Replacement PERMIT - 202000630 PERMIT NO: 202000630 ISSUED: 03/31/2020 JOB ADDRESS: 4105 Otis St EXPIRES: 03/31/2021 JOB DESCRIPTION: Replacing 7 windows throughout home, U -value is .28 *** CONTACTS *** OWNER (303)420-5503 KESELOFF MARY ANN SUB (303)375-0745 PAUL BONOW 020146 CHAMPION WINDOWS OF DENVER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,625.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 97.13 ** TOTAL ** 147.13 *** 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. Smoke alarms shall comply with 2012 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 ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge E -Res. Window Replacement PERMIT - 202000630 202000630 4105 Otis St ISSUED: 03/31/2020 EXPIRES: 03/31/2021 Replacing 7 windows throughout home, U -value is .28 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 thisppermit. 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 thepermit 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 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 Division. 6. The issuance or gra t' g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any ap ble code or 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. City of Whmt Ridge 231-8�0�OQ0� D3/31/2O2O O7�17 CU8A CVAO22528 AMOUNT 8PSP 41U5 U. St 147.13 APP�/PEKMIT NO/ 2O2OOO63O PAY;ENT RECElV[U AMOUNT pp / 2621 147.13 4UTH CODE� Y3252O92 l0T4L 147.13 Dina Kemp Q'. �: )— 6 Oen C]0 �, From: no-reply@ci.wheatridge.co.us Sent: Monday, March 30, 2020 3:38 PM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Categories: Dina 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 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address **REQUIRED** Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS" * 4105 Otis St Mary Ann Keseloff 303-420-5503 mak4105@gmail.com KeseloffCC.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License 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) Champion Window Co of Denver 020146 303-375-0745 Contractor Email Address denver@getchampion.com Retype Contractor Email denver@getchampion.com Address DESCRIPTION OF WORK Number of window 7 and/or doors being replaced Location of Bedroom, bath, Family Room, Laundry window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the .28 window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of Keselhoff.pdf window/door cut sheets showing sizes and u -value Project Value (contract 4625.00 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 N 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 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 Steve Hemans Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge Resid. Windows/Doors PERMIT - 201902665 PERMIT NO: 201902665 ISSUED: 12/20/2019 JOB ADDRESS: 4105 Otis St EXPIRES: 12/19/2020 JOB DESCRIPTION: Replace 3 windows (Kitchen, Dining Room, Livingroom), u -value = .28 *** CONTACTS *** OWNER (303)420-5503 KESELOFF MARY ANN SUB (303)375-0745 PAUL BONOW 020146 CHAMPION WINDOWS OF DENVER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,600.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 54.60 ** TOTAL ** 104.60 *** COMMENTS *** *** CONDITIONS *** windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally 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 plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 Division. 6. The issuance or granting of a pe t shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable codny ordmanc 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. Eay - ...—Ridge RZ±ZmS m:m RP—O P.DD0,7024yy 417 #wOut +R±E;£I NO qq S 7 §S pAr� # RECEIVED COC R QR q p m+ CODE= Gq&Q7 6G4 Ty ------------------------------------------ 91 - ------ � [A * I * 40 Kimberly Cook �0 �qM�� From: no -reply@ ci.wheatridge.co.us Sent: Friday, December 20, 2019 10:46 AM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Categories: Kim 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 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address **REQUIRED** Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS 4105 Otis St Mary Ann Keseloff 303-420-5503 MAK4105@gmail.com Keseloff CC Auth.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License 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) Champion Window Co of Denver 020146 303-375-0745 Contractor Email Address shemans@getchampion.com 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): What is the u --value of the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of window/door cut sheets showing sizes and a -value shemans@getchampion.com 3 Kitchen, Dining Room, Livingroom 28 Keseloff.pdf Project Value (contract 2600.00 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 N _� W 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 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 Steve Hemans Permit Email not displaying correctly? View it in your browser. y City of Wheat Ridge Residential Roofing PERMIT - 201.700899 PERMIT NO: 201700899 ISSUED: 05/26/2017 JOB ADDRESS: 4105 Otis ST EXPIRES: 05/26/2018 JOB DESCRIPTION: Remove 1 layer install new felt drip edge; ice/water shield on eave new pipe jacks; 30 year shingles; vents 4/12 pitch; install peel & stick on low slope roof area *** CONTACTS *** OWNER (720)560-5795 KESELOFF NICK SUB (720)940-6184 Juan Castillo 160035 Juan Castillo Ent. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,780.00 FEES Total Valuation 0.00 Use Tax 122.04 Permit Fee 156.75 ** TOTAL ** 278.79 *** 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€ms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201700899 PERMIT NO: 201700899 ISSUED: 05/26/2017 JOB ADDRESS: 4105 Otis ST EXPIRES: 05/26/2018 JOB DESCRIPTION: Remove 1 layer install new felt drip edge; ice/water shield on eave new pipe jacks; 30 year shingles; vents 4/12 pitch; install peel & stick on low slope roof area 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 b al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with t iserm I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed nd tha war to be performed is disclosed in this document and/or it ' accompanying approved plans and specifications. Z_� V4gnre of OWN R or CONTRACTOR (Circle one) Date permit was issued based on the information provided in the permit applicatidn and accompanying plans and specifications and is suject 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, any violation of any provision of any applicable pd r any ordinancq-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. 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. 4 City of � WheatR 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: perm its(a)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Pennit # J qn & 0 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: y105 67-/ S 5'f' Property Owner (please print): 14AY A-jlJ keg =160- Phone: 710 154) -5796 - Property 4)-57915'Property Owner Email:_ /l A K 4 I o�: 0— �9I1-L41 •Ccs w1 Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: ArchitectlEngineer E-mail: Contractor: LL Phone: Contractors City License #: 1 tow 3 S5: Phone: '1Z,0 9 `f 0 te! 5s! Contractor E-mail Address: b P—t O 1-e, S [ I Tu 4� 0— A, 0 L. • C -b " 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 X RESIDENTIAL 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.) e4F*11A� l t %p -4 I ' I QA�� tile Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ f) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER)(CONTRACTOR) or (AUTHORIZED REPRESENJATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: � r1 ( 1U SIGNATURE: `74JJA9& 0;0— DATE: 51ZL / ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORDS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ® Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ 11 It 1 '� I Ng U i2.A L Star -e— xatf7 c-� Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ f) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER)(CONTRACTOR) or (AUTHORIZED REPRESENJATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: � r1 ( 1U SIGNATURE: `74JJA9& 0;0— DATE: 51ZL / ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORDS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ® Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ 3011 ON SIHI-9AOIN3t/ ION 00 pl 9i :ao}oadsul j ILS% :a}Ba �7- o (e uoi oedsw-a ao ea `o ew uaa ane suoi oaaa ££65-ti£Z-£0£ � .� � 11 p._p N .3 0o uauM� ON{'fsaA :paainbaa uoi}oadsul-@H ('N--d/Wb1 <- awil pl :uoiloadsui aol apeAP auo ON r 1�P � :aagwnN }ivaaad :ssa.ippV qof Q—T R/ — :adA1 uoil:)adsul 30110N N01103dSNl XOJ 6068-LO0 (000) • agl4o 5sgz-50a (Oo0) aull uolloadsul S£69-tiEZ (£0£) uoislnia uoiloadsui puipipe , 3Jola 1V3HM =10 A110 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: In INSPECTION N TICE 1a) I t2o it--' L-//(--)17 ST' 0 Re -Inspection required: nca Naz *When corrections have been mre-inspection at 303-234-5933 Date: 611 ! t Inspector: DO NOT REMOVE THIS NOTICE 717 INSPECTION RECORD '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. T INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE _ INSPECTOR INITIALS COMMENTS: Footings/Caissons' . Stemwall / (CEG) Concrete Encased Ground . Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - CONCRETE SLAB FLOOR'S Electrical (Underground) Plumbing (Underground) Heating (Underground) _ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED' PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing, Mechanical Roof cj Q c Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping - SHOULD BE CALLED AT LEAST 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. i OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division ~r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Ai~AL P° Job Address: Y10S gJ3l5 57' Permit Number: 675ro6.23 O No one available for inspection: Time 1 ; rP> AM/PM Re-Inspection required: Yes N "When corrections have been made, call for re-inspection at 303-234-5933 Date: 4 Le? Inspector: DO NOT REMOVE THIS NOTICE 9 City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855' Fax: 303-235-2857 Inspection Line: 303-234-5933 Building Permit Application '(-L 1C'`. 0.4- S S.E Property Owner (please print): Mailing Address: (if different than property address) Date: 04,-o;7 -®l Plan Permit#: Contractor License Phone: -7 67 - 3CAO 1 ffYD Seib Oo~ttra X rr Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (descri tion): A! 4O&C Construction Value: $ Z 9/ SC►lp lf~WOr (as calculated per the Buildiuation Data sheet) 7ec.r a~ y Iai+-t G Plan Review (due at time of submittal): $ .b1clc u:;tS- F to fl c: )1S CcV-.t'T~ Pua cy 3d Sq. Ft./L.Ft added: Squares 2 "7 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 field Inspection. CIRLCE ONE:: WNER (CONTRCRACTOR))i or PERSONAL REPRES NTATIYE oL OWN R (CONTRATOR) PRINT NAME: / J ev. s t~ SIGNATURE:. Date: batractor: ovtr f Ll Co., t."c F-. ~..Tr L yr c