HomeMy WebLinkAbout6360 W 46th PlacePERMIT: ADDRESS:'
JOB CODE:
INSPECTION RECORD
Inspection online form: http:/www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground ! Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Ut Tne Above inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
Rough Inspection continued
g p
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
® ► ' 4 City of Wheat Ridge
y •
Residential Roofing PERMIT - 201707198
_1�9�
PERMIT NO: 201707198 ISSUED: 09/13/2017
JOB ADDRESS: 6360 W 46th PL EXPIRES: 09/13/2018
JOB DESCRIPTION: Residential Re -roof to install OC Storm asphalt shingles with ROOF DECKING
- 20 sq Pitch = 5/12
*** CONTACTS ***
OWNER (303)332-6054 BOROWIEC MICHAEL 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: 6,702.50
FEES
Total Valuation 0.00
Use Tax 140.75
Permit Fee 156.75
** TOTAL ** 297.50
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201707198
PERMIT NO: 201707198 ISSUED: 09/13/2017
JOB ADDRESS: 6360 W 46th PL EXPIRES: 09/13/2018
JOB DESCRIPTION: Residential Re -roof to install OC Storm asphalt shingles with ROOF DECKING
- 20 sq Pitch = 5/12
I, by my signature, do hereby attest that the work to be perf ed shall comply
applicable building codes, and all applicable municipal c es, poliL
and pr
by the legal owner of the property and am authorized to,
o btain thismit an I
this�permit. I further attest that I am legally authorized o include atitiperformed and that all work to be performed is disclos is do/i
all
lures, qupAmr 1 am the ieg
e work described,
within this document as
its' accomnanvinwan4ovi
plans and specifications
mer or have been authorized
)proved in conjunction with
s tjh the work to be
nyfati,d specifications.
Signature of OWNER r CONTRACTOR (Ci cle one Date ✓ /
I. This permit was iss d based on the inform ' pr ided ' the ppermit application and acco anying pplans and specifications and is
subject to the compli with tho ents d all plicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire ays after the dat f iss ce regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An tensi 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 oalf of the original ermit fee.
3. If this permit expires, a new permit may e uired to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for va 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 ---
_WWO Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
refe_r_ra_li-st0_C_o_m %TNTERSTATE,
OorLNU
Submitted To % �
�
Email
Street _ 3�C �� 7'�T City
Insurance Company Claim# -1 policy#
I&ACCJ:REDITED
Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by interstate
Roofing Inc.: however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved b the insurance company
unless you authorize the work
and agree t pay for this additional work.
Shingle Manufactur4 e -2A �j�%%f?�°y y n j/ J ;'J; '{('/
Tear off layers of composition shin s ❑ Tear off one layer of wood shingles
❑ Install Decking (7/16" OSB)
Pelnstall new felt
�nstail pre -painted eave metal to code - Color Brown Charcoal Tan Gray White _
Xlyalley(s) will be closed ❑ Valleys will be ope
<Ridge(s) to be color -coordinated
❑ Ridge(s) will be "High Profile Ridge" color -coordinated shingles
IV_Install new pipejacks�
Replace Vents at; needed
❑ Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent)
❑ install In. ft. of series ridge vent
❑ Install Inftof ice & water shield to code
Install nails per shingle
5 year workmanship warranty
nterstate Roofing. Inc. will provide general liability insurance coverage of $2,000.000, general ag regate
Make a magnetic sweep of driveway and yard for removal of any nails
Remove all debris resulting from above work
Special Instructions - l� / I - , v1�7�r
The approximate costs of the services based on damages known at the time this contract is entereVs `" _L.-� � j
Interstate Roofing, Inc., however. will perform the scope of work approved by the insurance company for the amount of the insurance approved
proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and
Interstate Roofing, Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or
additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance
policy Supplemental claims billed by interstate Roofin Inc. that are approved by the insurance company tot additional work or increases in costs
become a part of this contract.
Approximate Dates of Service: These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary wea er delaysy ny other causes beyond the reasonable control of Contractor
Notice:
If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S., to
pay for the roofing work, pursuant to section 6-22-105.. the roofing contractor cannot pay. waive, rebate, or promise to pay, waive, or rebate all or part
of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property.
Terms:
I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc, as co -payee an any
subsequent loss drafts or checks after today's date as indicated above.
I (We) also authorize any legal representative and/or agent of interstate Roofing, Inc. to obtain information necessary to complete any funding
process relative to the claim number referenced above.
I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing.
Deposit Amount:
Interstate Roofing shall hold in trustlany payment from the property on
materials at the residential property site or has preformed a majority of
until interstate Roofing has di
roofing work on the property.
roofing
I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement
Date of Acceptance AV 5 f Client Signa S
v
Representative
Corporate Headquarts Colorado Springs office Fort Collins Office Cheyenne Office Black Ins. Agency
1000 W 47th Ave. 2161 N Academy Blvd R. 970 482 7722 F. 470.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd #205
Denver, CO 80211 Colorado Springs, CO 80909 Toil Free 877.898.8144 Cheyenne: WY 80211 Englewood, Co 801123726
P 303.763 9114 F- 303.789.3790 P 719.471.9752 F 719597 4444 www interstateroof.com P 307.634,2553 (303) 397-7820
www.interstateroof.com info @ interstateroof. com
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Friday, September 8, 2017 3:42 PM
To: CommDev Permits
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
Property Address 6360 W 46th PI
Property Owner Name Michael Borowiec
Property Owner Phone 303-332-6054
Number (enter WITH
dashes, eg 303-123-4567)
57
Zq 7's-0,
Property Owner Email
jwiles@interstateroof.com
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
KM C554e-20170819100732.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Interstate Roofing
Name
Contractor's License
019938
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-763-9114
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
1000 W 47th Ave
(Primary address of your
business)
Contractor Email Address
jwiles@interstateroof.com
Retype Contractor Email
jwiles@interstateroof.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
20 /
the entire scope of work:
Project Value (contract --A600—
value or cost of ALL
/
materials and labor)
Are you re -decking the
Yes j
roof?
58
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
20
O/C Storm
Asphalt
house 14 squares and garage 6 squares
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
59
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 John Quante
Email not displaying correctly? View it in your browser.
60
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: cr
Job Address:
Permit Number: i u 7-o %/2
s:
111161-4
_,1 til" o PP
LlNo one available for inspection: Time ,I`yU kPM
i
Re -Inspection required: Yes �o
When corrections have been made, call for re -inspection at 303-234-5933
Date: /o 1411 7 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: (0
Permit Number: 17
f,
❑ No one available for inspection: Time fes) 'A M
Re -Inspection required: Yes /No)
When corrections have been made, c�t for re -inspection at 303 -234 -
Date: � / V/ -7 Inspector: /Ir/
DO NOT REMOVE THIS NOTICE
IL 9 -� i In fl I t .I 0
(31V 0 1(-r;-+- Y • ,,_ . ,r L k " I �' �' I t / r
RECORD
S/1 S W-f:::w INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/TypeINSPECTION
Inspector
Initials
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Lath / Wall Tie
Foundation / P.E. Letter
Rough Electric'
■A7.\RTS7.-W -_r27.-T= iITY_7 ME MEAT-\ri■1V :a I@ Na 01a M 1 Ul Iti
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
r% Ki 41 r.,.,er I Ir%rinrnrn"nN nr Rnlnw/in_Slan wnrK Nrinr i n AnnrOVal VI 1 [it! ML)VYC nwi�ca.uv�w
Rough Inspections
Date
Inspector
Initials
Comments
Sheathing
r
Mid -Roof
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Pa king ! Planning Dept.
Pa
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.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits - Please be sure that rougn inspecuons are compieiea Trorn ulc F11t N. -I 011V amu, �•. ..�y
by the Building Division.
**For Inspection Time Window Requests - Please email ins ptimereguest asci wheatridge.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
It � 1 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: _-44- V_ P_
Job Address: W 4(:J-,,, PL_.
Permit Number: Q,300 b O1LI9)
CIL)
❑ No one available for inspection: Time
Re -Inspection required: Yes (No
*When corrections have been made or re -inspection at 303-234-5933
Date: Inspecto
DO NOT REMOVE THIS NOTICE
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: 5 U L
Job Address: 3 (E,y w 4 tL
Permit Number: 6y I LA
❑ No one available for inspection: Time /Pm
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 �3 // Inspector:, ► —) i, J c< < eel
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201601491
PERMIT NO: 201601491 ISSUED: 09/27/2016
JOB ADDRESS: 6360 W 46th PL EXPIRES: 09/27/2017
JOB DESCRIPTION: Tearoff existing waterseal & reroof with Owens Corning Duration Storm 5/12
Pitch; 26 squares
*** CONTACTS ***
OWNER (303)332-6054 BOROWIEC MICHAEL A
GC (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,150.00
FEES
Total Valuation 0.00
Use Tax 218.70/
Permit Fee 251.85 Arm
** TOTAL ** 470.55
*** 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 Alh-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 manufacturers€''"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.
� ► 4 , City of Wheat Ridge
.. r
Residential Roofing PERMIT - 201601491
PERMIT NO: 201601491 ISSUED: 09/27/2016
JOB ADDRESS: 6360 W 46th PL EXPIRES: 09/27/2017
JOB DESCRIPTION: Tearoff existing waterseal & reroof with Owens Corning Duration Storm 5/12
Pitch; 26 squares
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 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 aid 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. Isuance 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 pen -nits 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 subject to field inspection.
cT�
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
0 )(0 D I It I i
Occupancy/Type
INSPECTION RECORD
�� �° J�� INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection thefollowing business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Date
Inspector
Initials
Comments
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval
Of The Above Inspections
Underground/Slab Inspections Date Inspector
Comments
Initials
Roof
Electrical
Final Window / Doors
Sewer Service
Final Building
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To A
Rough Inspections Date Inspector
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.
Initials
Cityy of Wheat Ridge
14:45 CDBB
Fire Inspection / Fire Protection Dist.
Wall Sheathing
09/27/2016
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.
Mid -Roof
Tearoff existing wat
Lath / Wall Tie
CDB013744
AMOUNT
Rough Electric
BPSP 6360 W 46th PL
470.55
ADPL/PERMIT NO: 201601491
Rough Plumbing/Gas Line
Rough Mechanical
PAYMENT RECEIVED
AMOUNT
VS / 0467
470.55
Rough Framing
AUTH CODE: 06131G
TOTAL
470.55
Insulation
----------------------------------------
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window / Doors
Final Building
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.
Fire Inspection / Fire Protection Dist.
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.
-ror iow voltage permits — riease De sure mat rougn inspections are cOrnpiereu iruni a I�_ I
by the Building Division.
"For Inspection Time Window Requests — Please email ins ptimereguest(a)ci wheatridge.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
09-27-'16 12:27 FROM-
T-770 P0002/0002 F-610
City of
..� V V h(iat R ic
Date. e'f) �/ 1
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division
br-Perrnit #, ) Mq)
,08
7500 W. 29h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-237-8929
Inspection line: 303-234-5933
Building Permit Application
Property Address: b W YV 0 • 4(0kt' .. P/.lit/
ee ��)
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Property Owner (please print): /V/%(,QJ eo(-0 W 4 L
Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: �i w �1 ����(� ra,
Contractors City License #: �� 9y !�
Phone: 36 6, 4_,_E',5. 7eL5
Sub Contractors:
Electrical: Plumbing:
Mechanical
City License: # City License #
Cily License #
Description of work:
ontract Value:
Q u�r�� Corn ab b �(,`Q tOA, L Y9IK' 5hZ' AfC& - - , � , � �
Review Fee (duo at time oisubmrtiav):
Squares , 2A,2 BTU's Gallons Amps Sq Ft. $
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hcrtby certify that the setback distanecs proposed by this permit application art: 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 1 have road and agree to abide by all conditions printed on this appiica6on 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 lcgal 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) (ONTRArCIT'O, � (A U'rHORIZED REPRESENTATI M
PRINT NAME: L)12 b e- SIGNATURE: — LAW—
DEPARTMENT
USE ONLY
ZONING COMM@NTS:
Zoning:
Reviewer:
BUILDING DEPARTMENT COMMENT&
Reviewer:
PUBLIC WORKS COMMENTS.
Reviewer.
of (OWNEA) (CONTRACTOR)
OCCUPANCY;
FIRE DEPARTMENT:: t7 approved wl Comments 0 disapproved 0 no review required I Bldg Valuation: $_
City of
�"� Wh6at�dge
City of Wheat Ridge Municipal Building 7500 W. 29'h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F:303.235.2857
FAX COVER SHEET
COMMUNITY DEVELOPMENT & PUBLIC WORKS DEPARTMENTS
ECONOMIC DEVELOPMENT p. 720-898-4706 f. 303-235-2857
PLANNING & ZONING p. 303-235-2846 f. 303-235-2857
BUILDING INSPECTION p. 303-235-2855 f. 303-235-2857
ENGINEERING p.303-235-2861 f.303-235-2857
TO: /"j
PHONE #:-3 8L— L4 a C.'' % S 3 1
FROM:
DATE: 1 11-7 I1
COMMENTS:
Confidentiality Notice
I�1
COMPANY:
FAX #: 3L)3v C1
PHONE #: 303 ` a 35- Q2�?
# OF PAGES:
(including cover)
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www.ci.wheatridge.co.us