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HomeMy WebLinkAbout3470 Otis Street0 0 ',_� 34-7v "' "� S+ INSPECTION RECO� 1� RD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/1ype 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) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 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 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 rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather r City of Wheat Ridge r Residential Roofing PERMIT - 201702118 PERMIT NO: 201702118 ISSUED: 06/19/2017 JOB ADDRESS: 3470 Otis ST EXPIRES: 06/19/2018 JOB DESCRIPTION: RESIDENTIAL REROOF W/ REDECKING - OC DURATION ASPHALT SHINGLES - 23 SQ. *** CONTACTS *** OWNER (619)920-6427 WALLER JONATHAN E GC (303)756-4400 Arik Connell/Chad Lidtke 090152 Connell's Custom Exterior Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee 188.45 ** TOTAL ** 377.45 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A/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 manufacturerdoms 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&#39;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. i� i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /? 0 Job Address: 3,1-170 ®7'_rS S i Permit Number: 2©/7 O Z 89"' ❑ No one available for inspection: Time ' ,' AM/PM Re -Inspection required: Yes %No When corrections have been made, call for re -inspection at 303-234-5933 Date: f l r f Inspector: I/L, DO NOT REMOVE THISNOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) X35-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Af-ro / s /v Job Address: /°%O 0'-T S Permit Number: 2 4/"/ O 2 //� " f. IJ No one available for inspection: Time t AM/PM Re -Inspection required: Yes ' No When corrections have been made, call for re -inspection at -303-234-5933 Date:-(-., Inspector: I/ DO NOT REMOVE THIS NOTICE ,, ► t 4� City of Wheat Ridge Residential Roofing PERMIT - 201702118 PERMIT NO: 201702118 ISSUED: 06/19/2017 JOB ADDRESS: 3470 Otis ST EXPIRES: 06/19/2018 JOB DESCRIPTION: RESIDENTIAL REROOF W/ REDECKING - OC DURATION ASPHALT SHINGLES - 23 SQ. *** CONTACTS *** OWNER (619)920-6427 WALLER JONATHAN E GC (303)756-4400 Arik Connell/Chad Lidtke 090152 Connell's Custom Exterior Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee 188.45 Fx ** TOTAL ** 377.45 t *** 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 Al/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€lls 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&#39;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 - 201702118 PERMIT NO: 201702118 ISSUED: 06/19/2017 JOB ADDRESS: 3470 Otis ST EXPIRES: 06/19/2018 JOB DESCRIPTION: RESIDENTIAL REROOF W/ REDECKING - OC DURATION ASPHALT SHINGLES - 23 SQ. I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I fu er attest that I am legally authorized to include all entities named within this document as parties to the work to be performed an t all worlytQ be perf"ormed is disclosed in this document anjl/or its' accompanying approved plans and specifications. Signature of `�Z 'i O p CAI TOR ircle one) Datb.. ` 1. This permit was issued ba on the i �ation 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 Off-cial and is not guaranteed. 4. No work of an 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Ap val 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. 00170a Ili' Antoinette Kulick From: no-reply@ci.wheatridge.co.us Sent: Friday, June 9, 2017 1:48 PM J To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application V' Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME rrrrrr��� WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being ,- processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 3470 Otis Street Jonathan Waller 619-920-6427 Field not completed. Yes CONTRACTOR INFORMATION Contractor Name Connell's Custom Exteriors, Inc. Contractor's License 090152 Number (for the City of Wheat Ridge) Contractor Phone 3037564400 Number Contractor Email Address ccexteriors@comcast.net (permit pick-up instructions will be sent to this email) Retype Contractor Email ccexteriors@comcast.net Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the Yes roof? Description of Roofing OC Duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 23 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 3 on the flat roof? TOTAL SQUARES of all 26 roofing material for this proj ect z Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House, shed, shed. 5/12 pitch & 7/12 pitch SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Heather Connell Email not displaying correctly? View it in Vour browser. 3 Colorado Insurance r"weni %o a CONNELLS Office a€€rl Contact ]nlurtt€atioit CUSTOM EXTERIORS, INC. 5303EEvans Ave, Suite306 benver, CO 8OL92 -AM' i�ioflfifl • IdIII9 * Windows Office: 3n75"00 Superior CraftsmanshipFax. 303-756.2400 Email: eceXterfotsf—&-con€cast.nel Tl'ebsiir: n-ow.eccalerio€s,zam Proposal Submitted To t [ 142 Home Pha fate Address C'ta`i �-'.7 j'"7 341V 0+,5 C3__ _ � Lei]Phone insurance Company City. State, Zip �� g C7 � �`�.A.. r V r -C co Q0 32) Work Phone Policy Sales Person Email naa Claim a 41es- it �Y.. Billing Addess ji di nt from itrb ari�ire�sj City, State, iip t* Based olin damagesnown to exist upon execution of this Agreement, the approximate cost to repair your home is Ate„ dollars ( ), which cost is subject to adjustment follow' the Parties approval of the insurance company's authorized scope of repair. . f.— 5 The approximate start date is 44 The approximate completion date is Delivery Instructions: LAI PAYMENT TERMS- THIS AGREEMENT IS SUBJECT TO THE PARTIES' APPROVAL OF INSURANCE COMPANY SCOPE, PRICING, AND PAYMENT TERMS. Any insurer -approved supplemental work shall form a part of this Agreement: CONNELL'S CUSTOM EXTERIORS, INC. ('CCE") shall be entitled to all direct cost overhead and profit paid byyour insurer relating to work performed by CCE. All work requested by you beyond that approved by your insurance company shall be your payment responsibifi4. This Agreement does not obligate you or CCE in any way unless CCI: accepts the scope, pricing and payment terms offered byyour insurance company, Unless otherwise provided in this Agreement, 50% of the price plus tite insurance deductible is due upon final approval; balance due on completion. Payment information. Date: Check Number: Amount: ACCEPTANCE OF AGREEMENT By signing this Agreement you authorize Connell's Custom Exteriors, Inc. to discuss the damage to your real property with your insurance company for the purpose of coming to an agreement on project scope and price. Upon agreement by Connell's Custom Exteriors, Inc. to the scope and price as defined on the insurance loss statement provided by your insurance company, you authorize Connell's Custom Exteriors, Inc. to complete the replacement of said damaged property with t€a additiOnOl cost to Y -Qu e=t fvr Me in&_rance deductilrt subject to the terms and conditions on the reverse side. Payments will be made as outlined above. We vvill hold in trust any payment from you until we have delivered roofing materials to your property. This proposal must be accepted within thirty (30) days or it is automatically withdrawn. Terms on page 2 and on additional pages also form a part of this Agreement and are hereby accepted. ACCEPTED er 5iana e Contractor's resentativeOwner Signature /F In the event this Agreement was procured through a home solicitation sale as defined by Colorado Revised Statutes Section 5-3-401, you may rescind your agreement as set forth in the accompanying Notice of Cancellation. You, the buyer, may cancel this purchase at any time prior to midnight of the third business day after the date of this transaction. See attached Notice of Cancellation form for an explanation of this right In all other circumstances, this Agreement is binding when signed by you and us. CO2015 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Type: Inspection T e: p � Job Address: 7-r., Permit Number: i g { ❑ No one available for inspection: Time AI/PM -i Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ) ate. Insp ector: 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: r Job Address: 3g 70 0 77 S 5-1 Permit Number: Z 0,-7 00 Zt:� i ra ❑ No one available for inspection: Time `'i;0'AM/M Re -Inspection required: Yes o *When corrections have been made, call for re -inspection at 303-234-5933 p ��4� Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miscella PERMIT - 201700302 PERMIT NO: 201700302 ISSUED: 03/01/2017 JOB ADDRESS: 3470 Otis ST EXPIRES: 03/01/2018 JOB DESCRIPTION: Install 56 sf hot tub with cover. *** CONTACTS *** OWNER (619)920-6427 WALLER JONATHAN E *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,500.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 109.20 ** TOTAL ** 172.20 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. [, 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 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 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 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 changee 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 jssuance 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 appfa�� r any or finance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature ofChief 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. �4- il �wC o3m, INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type 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) Foundation / P.E. Letter Do Not Pour Concrete Prior To ADoroval Of The Above Insnections Underground/Slab Inspections Date Inspector Initials Comments Electrical Wall Sheathing Sewer Service Mid -Roof Plumbing Do Not Cover Underground or Below/in-Slab Work Prior To ADoroval Of The Ahnve Insnpr_tinnc Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building Inspections from City of Wheat Ridge one week in adva 03/01/2917 13:41 CDBB inspections call 30 install 56 sf hot to inspections call 30 CDB914356 AMOUNT contact the Fire Pr BPSP 3479 Otis ST 172.80 APPLfPERMIT NO: 201700302 PAYMENT RECEIVED AMOUNT VS / 9376 172.20 AUTH COD±w: KI W TOTAL 172.29 --------------------- 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 from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window Requests - Please email insotimereguest@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 City of `7Vheat j,�ge 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: Permits(&ci.wheatridae.co.us 1' Vll Vl l'lt.li VJIi ""JU A Date: Plan4k mit # 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: Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Englneer E-mail: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: v Plumbing: (MQ C�IV.;� lc S�;S W.R. City License # 110 r�ko\ W.R. City License # Other City Licensed Sub: City License # " - — Phone: Phone: Other City Licensed Sub: City License # Phone: Mechanical: W.R. City License # `i11jY'CLe an mrormation on BOTH sides of this form r, ❑ COMMERCIAL Description of work: (Check all that apply) (For ❑ NEW COMMERCIAL STRUCTURE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ADDITION ❑ RESDENTIAL ADDITION V. -RESIDENTIAL ❑ ELECTRICAL SERVICE UPGRADE ❑ COMMERCIAL ROOFING ❑ RESIDENTIAL ROOFING ❑ WINDOW REPLACEMENT ❑ POMMERCIAL 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 SYST /A PLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) V --k\ k �,) �t ��I �,A �k t Nti1 \'I- ALL I- ALL projects, please provide a detailed description df 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.) Sq. FULF Amps �� U =- Btu's Squares Gallons Otter Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE, O.'YF.: OWNER (CONTRACTOR) or (AUTHORIZED REPR�ESENTATIVE) of (OWNER) (CONTRACTOR) Electronic SienaturC IrrrNl and It t na�Wj; Lt DATE• DEPARTMENT USE ONLY ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer OCCUPANCY CLASSIFICATION _Tcl &h S S+ i INSPECTION RECORD V1 INSPECTION REQUEST LINE: (303) 234-5933 OCCLIPPsy/13Te 'J 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) Foundation / P.E. Letter 5 TOM ►`.101 ffidel I Ian*) III] tj (4;d J [*I M J[07_-1 41 sljfsj" JL9J M I 1Ta' I -*T*IT —'T r�zrT:T -7m �01 Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Rough Inspections Date Inspector Initials Comments Wall Sheathing one week in adN Mid -Roof inspections call Lath / Wall Tie C � iJ K _1 contact the Fire l Rough Electric IT HNO, Rough Plumbing/Gas Line is H Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail IFinal Inspections Date Inspector I I I Initials I Landscaping & Parking / Planning Dept. ROW & Drainage I Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors I Final Building Inspections fro - � 7 ;' W" t-.- N 07, -48 r1rH one week in adN inspections call inspections call C � iJ K _1 contact the Fire l -P rips 34r77 R Ac; ST IT HNO, is H U H ed r 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. I *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window Requests — Please email insptimerequestci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. # I ccupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of ���e�'iWh6atf�� _jd C01MMUNcry Mvn.opmENT �ge Building & Inspection Services Division 7500 W. 294` Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsa-ci.wheatridge.co.us I FOR OFFICE USE ONTV I Date; PlanlPon"11 # 2� C, 11 'q C, C)2 Plan Review Fee: !" Pi rte to 4fis aft h`ight gbtect areas: on_#�ot as of this, lycdmp" 'Pon itt gK,6 , � C..., orlslmayin— wpr000sseO;, r! -3 Li 7 tiopWfy'Ojl6er (please print}: W( Q-0 Pr�'- , �11 :0 - woortii Ait. (if different than property address) Address: City, State, Zip: 4 hear Z 4MON11: 1 *40-0-00*t0* Pholhe: I . '70 C) q17 Pbona. --I Electrical: 5 1-t) rM E, lecb—tces- W.R. City License #j-700qA7 Other City Licensed Sub: City License # (i le, MeAe-c-+r-<-CL i <"Qf v Ices Ljiwoov � corn Mechwica'L (0- W.R. City License # W.R. City License # t Other City Licensed Subjt 7 - City License # / f-1 Complete all information on BOTH sides of this form ❑ COMMERCIAL R RESIDENTIAL C'1c}lipiolh work. (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE rELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTtAL ADDITION WWOOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, dock, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) Q MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT 8 PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe} (F r tFU— proje . ;plessbi ovide a 4 de005ti of world 6760 p6ffoft0d,1 d� ding, current t lie of areae; pfojxlsa_duses„' Ss uare.footac�e, extsti g:;ctpr►dftlo i:-and.proposed rtew conditlorl-:applit ^.G : "ate aril 111dericy. tyle; er oul.t 'of ttiateoals .to be Wised; etc. Sq. Ft.IL.F Btu's Amps cT�-� Squares Gallons Other Pralwyalue (Contract value or the cost of all materials and labor included in the entire project) $ USCG •tib OA'NER/CONTRACfOR SIGNATURE OF UNDERSTANDiNG AND AGREEMENT 1 hereby certify tbw she scasack distanacs prapased by ibis permit application are aca~usaw and do not violate aMlicWf, PT4iaances: n cs cu regulations of the City of'Wbeat 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 atn the legal owner or have been authorized by the legal owner of the property to perforin 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. i'IIR.” EiOk:�; ftlKI ERJ ,t (?1 R�4CT()R) i4rr (,-0 THCJR7TizDRfPRF,SE.�'TrtT!!'y) c; (Grf€ SER) . (C4!'TRrI(TOR) i aide lei ity {first Aad DATE: _ff v' 7': :i "i: j•1t K s e #''�3 �""i Lam♦� � " 'c S + > .� <i "y,� "'' x,, �.� tit" b t ' c r x r ''.2. �' ; f s— °'� y•S�" ;;. r Building Division Valuation: is City of Wheat Ridge ;. Residential Mechanic PERMIT - 201700287 PERMIT NO: 201700287 ISSUED: 02/24/2017 JOB ADDRESS: 3470 Otis ST EXPIRES: 02/24/2018 JOB DESCRIPTION: Replace A/C 16 seer 3 ton *** CONTACTS *** OWNER WALLER JONATHAN E SUB (303)418-6000 ARS 021694 ARS (Mechanical) *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,250.00 FEES A/C Replacement 60.00' Total Valuation 0.00 Use Tax 58.50 ** TOTAL ** 118.50 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. 1, by msignature, do hereby attest that the work to be performed shall comply with all accopanying approved plans and specifications, apphcay le building codes, and all applicable municimpal 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 furthe�rto legally authorized to include all entities named within this document as parties to the work to be performed an aterformed is disclosed in this document and/or its' accompanying approved plans and specifications. - 212/ 1-7 Signature�f OWNER or CONTRACTOR (Circle one) Date z 1. This permit was issued based on the information provided in the permit application and accompanyingplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3_ If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 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, r any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. e Signature of Chief Building Official Dae I REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. in �' ime request's wrtl¢ alezepted by email o ease email requests to insptimerequest@ci.wheatridge.co.us betwi}e'rr0aih a4nf;it}SPbxn Please put the address of the inspection in the subject line. City of �WheatNdge COMMUNrfy DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 I FOR OFFICE USE ONLY I Date: gy �_q'j)� Plan/Permit # rI _�0 01 dll�ko 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: Property Owner (please print): �i� ����� ���( �f�' Phone:�� Property Owner Email: Mailing Address: (if different than property address) Address , State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: Contractors City License #: ,) u"7_ Contractor E-mail Address: /Ut Sub Contractors: Electrical: " W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) El 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.) Sq. Ft./LF Amps pq 1(t a 4" J C - Btu's Squares �) S C e, "r , j -6--) Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ S 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 o er of the property to perform the described work and am also authorized by the legal owner of any entity included on this applicati to ligfti a ntity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) / J PRINT NAME: � � l GNATURE: WDATE: / ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District I -I Received n Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $