HomeMy WebLinkAbout4661 Independence StreetRECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the 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
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i CITY OF WHEAT RIDGE
_��9�Building Irrspection Division <>
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:(' -
Permit Number: s ZV JCA L)
❑ No one available for inspection: Time
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: #7 Inspector: t� i
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Commercial Roofing PERMIT - 201705664
V
PERMIT NO: 201705664 ISSUED: 08/08/2017
JOB ADDRESS: 4661 Independence ST 10 EXPIRES: 08/08/2018
JOB DESCRIPTION: Commercial re -roof: Remove and replace dimensional roofing and gutters
west facing siding. 102 squares.
*** CONTACTS ***
OWNER (303)369-0800
GC (303)452-8710
SUB (303)870-8613
LINDER DOUGLAS A
Jim Black
Jason Savage
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 2946 / MANSFIELD
*** FEE SUMMARY ***
Total Valuation
Use Tax
Permit Fee
** TOTAL **
*** COMMENTS ***
020245 Jim Black Construction, Inc
080245 Savage Construction
USE: UA / Unassigned
BLOCK/LOT#: 0 /
ESTIMATED PROJECT VALUATION: 85,000.00
FEES
0.00
1,785.00
1,011.30
2,796.30
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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.
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 -roof inspections may be called in at the same time, 100 percent of the sheathing must
be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Commercial Roofing PERMIT - 201705664
201705664
4661 Independence
Commercial re -roof
west facing siding
ISSUED: 08/08/2017
ST 10 EXPIRES: 08/08/2018
Remove and replace dimensional roofing and gutters
102 squares.
"b my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le building codes, and -all applicable municipal Fodes, policies and procedures, and that I am the legal owner or have been authorized
by the legal ozv�er of tly�operty and am ortzedd to obtain this permit and perform the work described and approved in conjunction with
this en 'l furth tes thI�arriTe authorized to include all entities named within this document as parties to the work to be
per
fp ed andt all work t b�peY rmed is disclosed in this document andlor its' accompanying approved plans and specifications.
nwe of -A WNER or CONTRUITTOR '(Cirdle one) Date
T s -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.
This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writingand
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.
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 Off tial and is not guaranteed.
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.
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.
The issuance or granting of a permit shall not be construed to be a permit for opproval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of w s subject to'fici�-•nspe .ion.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
S I
.# Ctty Of
�Wheat -Midge
MUNITY 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
Email: permits(cD.ci.wheatridge.co.us
t
R OFFICE USE ONLY
Plan/Permit# '1
Z C) I C)� �'�r✓`-�
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 (please print):
Property Owner Email:
Mailing Address: (if different than property address)
City,
e,
291�44�� Phone:
Architect/Engineer E-mail: zz�z Phone:
Contractor: ( J,;:
Contractors City License #: c�o�U�,� Phone:
Contractor E-mail Address: 1✓lt�/z"Ic
Sub Contractors:
Electrical:
W.R. City License #
Plumbing:
W.R. City License #
t
Other City Licensed Sub:��'?� ����1 �� Other City Licensed Sub:
City License # City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
.COMMERCIAL ❑ 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) L�" , i fs/ � 1��,�Gl
(For ALL projects, please provide a de ailed description of wotk 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
Btu's
Gallons
Squares �C.! f� Other
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.
CIRCLEONE: (OWNER) (CONTRACTOR)-(AUTHO E REPR TAi VE) of (OWNER) (CONTRACTOR)
Electronic Sienature (first and last nam i DATE: r .2 ^C
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $