HomeMy WebLinkAbout4495 Vance StreetCity of Wheat Ridge
E -Res. Boiler Replacement PERMIT - 201900516
PERMIT NO: 201900516 ISSUED: 03/26/2019
JOB ADDRESS: 4495 Vance St EXPIRES: 03/25/2020
JOB DESCRIPTION: Replace 150K, 80% efficiency gas boiler in basement
*** CONTACTS ***
OWNER (303)421-6205 GLASMANN RICHARD A
SUB (303)573-7300 SHANNON MONAHAN 160018 SERVICE EXPERTS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,680.00
FEES
Boiler Replacement 40.00
Total Valuation 0.00
Use Tax 161.28
** TOTAL ** 201.28
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by in 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
thispermIt. I further attest that I am legally authorized to include al[ entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1.This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew 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 ordm ce or regulation of this jurisdiction. Approval of work is subject to field inspection.
Al
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook ao(qu)s�(-4,�7
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, March 26, 2019 10:07 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Categories: Kim
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
'RANDOM FORMS**
4495 Vance St
Richard Glassman
303-421-6205
na
Wheat Ridge cc auth.pdf
CONTRACTOR INFORMATION
Contractor Business Service Experts
Name
1
Contractor's License 160018
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-573-7300
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address robin.cole@serviceexperts.com
Retype Contractor Email robin.cole@serviceexperts.com
Address
DESCRIPTION OF WORK
What type of unit is being Boiler
installed?
Number of BTUs 150K
What is the efficiency 80
(%) of the unit?
Is the unit GAS or gas
ELECTRIC?
Where is the furnace or basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 7680.00
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
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
2
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Robin Cole
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE �J
Building Inspection Division
(303)-234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: R0 P
Job Address: q
Permit Number: C,�)o 1 0 �J
❑ No one available for inspection: Time ' AM/PI�1
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 3003-,2,3,4-5933
Date: ��D Inspector: )O/qr,fD`
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701455
PERMIT NO: 201701455 ISSUED: 06/02/2017
JOB ADDRESS: 4495 Vance ST EXPIRES: 06/02/2018
JOB DESCRIPTION: Reroof 26 squares OC duration
*** CONTACTS ***
OWNER (303)421-6205 GLASMANN RICHARD A
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,050.00
FEES
Total Valuation 0.00
Use Tax 148.05
Permit Fee 172.60
** TOTAL ** 320.65
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€rms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
k City of Wheat Ridge
Residential Roofing PERMIT - 201701455
PERMIT NO: 201701455 ISSUED: 06/02/2017
JOB ADDRESS: 4495 Vance ST EXPIRES: 06/02/2018
JOB DESCRIPTION: Reroof 26 squares OC duration
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 t e legal owner or have been authorized
by the legal owner of the pro d am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further att at I am le lly authorized to include ali entities named within this document as parties to the work to be
performed and that al ork to be per o ed is disclosed in thi cement and/or its' accompanying approved plans and specifications.
Signature of OWNER or CTO (Circle one) Date
I . This permit was issu o in ormation provided in the permit application and accompanying plans and specifications and is
subject to the co e with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall Aire 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 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official " Date
REQUESTS MUST BE MADE BY 11159PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Building & Pispection Services Divisjorj
500" VV. 29" A.,e , ',Nheat Ridge CC 80C)3---1
mice: 303-2j51-2855 ' Fax- 303-237-88929
!nspectior, 6ne 303-234-5933
2 -
FOR OFFICE USI," CYNI_'.
P
Pi,3,n RPIL ieih. -e&
BuHid;na Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
PropertyAddress:
Property Owner (piease print) Phone, C,
Property Owner Email:
Mailing Address: (if j-1iffe.ret;! than property address)
Address:
City, State, .7
Arch ite ctjE n a i nee r:
ArchitectlEngineer E-mail:
Contractor,
Phone:
Contractors City License #: Phone:_�0 � 7 6 -3
Contractor E-mail Address:
Sub Contractors:
PI,;rrrbir o-
.'„it" y
e n S e
'.echal' cal
\'v" R Ct4y - icf-nsc, 4
onq)}t!ft- dI information on BOTH sides of this forril
r --,L 12"'RESIDENT IA.L
O sct-jj Ecn of kvork: (Check all that app'Y)
❑ NEW COMMERCIAL STRUCTURE Li EI-ECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION( P"RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑
COMMERCIAL ACCESSORY STRUCTURE (Garage. shed. deck, etc,
❑ RESIDENT!AL ACCESSORY STRUCTURE (Garage. shed, deck. etc.,
❑ MECHANICAL SYSTEMi/APPLIANCE REPA!R or REPLACEMENT
❑ PLUMBING SYSTEI`VAPPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYS T Et111APPLtANCE 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 neva condition, appliance size and efficiency, type arc
amount of materials to be used. etc.)
i0 ,` 0 f)t�—
Sq. F*JLF Btu's -- -- -- — Gallons
Amps Squares 2 — Other
Project Value: !Contract value Dr the cast of all rnatenals and labor included in the entire project;
O«NF W(-- N-TR:tiC7F0R SK NATI. RE OF I 'DEIST kNMIN :ANF):1C;RE 1i ENI
u•rt ti rh.:.'n tba,:k �:coanccso+ir.ed h ti: h< T);t: ilc ir+
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rc4.rlat,rr; i+t tnr Cll-- w \t"ucat Fi+dL, of to\cnat.,�, <ti rc: nctiur, c+±-ricord: That all mcasurcments chcmn and made arc
.— curate. tl?et I Ili%C read artd .rgr.:c rt, btJe t�-, all s n,fih: rs printed on tinapnhc rrcvt dni, that I a,.utrte !ill resparr,thtit \ 10r Lunlphaac, f
. nth „ 1rpltczblc t t y +. W hv, i Rtdre L�odr ar,d %vorl< una.t ars,. her7iat t.su_°d ba.eei on th;s application, that I aat the legal i,�tT.rr
tate horn .tt +.tt r ?cd h`, the leoal mt7tcr r+i th tis m- 4 aerfonn the lir cr hed t nr: and:xn aitir, authonfed b. thL legal +-w Iter + f at
c'*tsr= :m,luda°d ort titi p hca } to i:!,;1 drat cPtit, on tits, aPphcat!rt: !, the aptrLca?l for thta huild:ng permit applicati.I.11. v.arrtt;s'i:e
tru:hfuinea rsi the tali>rtn,tu,rrnrc�t IIIc �:: • at , 'tcanor: f 7
CIRC'LE0AE It)bA R) rc "7'X."9CT0A) litt.iC'7`]lG�R17.E!)RLPRISi t).4?'IF'E, u/ r06f",�LRf ;('(i.N'71Z4C'T(JRr
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Electronic Sip-nalurE (first and fast�ra+ y -----V C�/� A� __.�" r l� L f DA -1 E:
DEPARTMENT USE ONLY
ZONING COMMMENTS. OCCUPANCY CLASSIRCATION.
Reviewer:
BUILDING DEPAPMMENT COMLIENTS
Reviewer,
t
l
Buiidinc Division Vaiurtion: �
1�'41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M ) D
Job Address: L(q q 5 VAS C6
Permit Number: Lo I-) c)/ (4 S S
❑ No one available for inspection: Time o AM PM
Re -Inspection required: YesNo
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 6/-) 1 17 Inspector:
DO NOT REMOVE THIS N TICE
♦ i CITY OF WHEAT RIDGE
�!r Building Inspection Division
(303) 234 -5933 Inspection line
(3 03) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
"When corrections have been made, cafl for re- Inspection at 303 - 234 -5933
Date: : ' Inspector: ' a
DO NOT REMOVE THIS NOTICE
aoofing
A DOnvor m,me simo 1963
8/13/09
L/ L
Michelle.
This letter is to authorize the City of Wheat Ridge to charge $61.00 to our card on file for
a mid-roof inspection for today 8/13/09. Please contact Brian with any questions (303-
668-7834).
Perm it#: 09/01;2
Address 4~tqS Vallee j"t.
Wheat Ridge, Cc 80033
Thanks - 7
BnI n Tetc,r
Production Manager
North West Roofing
2120 South Birch Street, Ste: 200 9 Denver, CO 80222
303-804-0303 9 303-757-5097 - Fax
6002-£1-90 ZH5£L:90 NId00b 1S3MHILJON Z
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~i
pFWHEgT9i City of Wheat Ridge Building Division
'a, 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-235-2857
c~LORPpp Inspection Liner 303-234-5933
Building Permit Application
Date:0 ()q
Plan
Permit
Property Address: 1-4gs \10,vi ce 5~ ree+
Property Owner (please print): 5i4iarA 0 1GI S.S; Mo-yl Phone: ^3) 41 I G Z05
Mailing Address: (if different than property address)
Address:
City, State, Zip: \pjVn.onj- V ka6lj, C~ Q)(~)o 3 3
Contractor: NO IT H we> g T (LOG F I N
Contractor License 0-7665S' Phone: -j0 3 ?)0463O
Sub Contractors:
Electrical City License Plumbing City License M Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): i^e roOP Construction Value: $ x'15'7. -)-to
Description of work' fe0.r OFi' Q\t tGiyf (as calculated per the Building Valuation Data sheet)
vter o(-. Plan Review (due at time of submittal):$
re?kOc.e vvt{-~ Ot'V? lp7
C~a P f E t K 3o y,~
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 Wheal 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:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE NER) (CONTRATODR'~
PRINT NAME: M-lan IQ e A SIGNATURE:-=" Date:
e/ e
. FIRE DEPARTMENT:: ❑approved w/COmnlanl5 ❑dlsapproved.:❑no review<~equired: Bldg Valuation:
600e-0£-L0 40:817:60 NIdO0i11S3MH1`JON
e
2120 South Birch Suite 200
Denver, CO 80224
303-804-0303 Office
303.757-5097 Fax
FaX
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