HomeMy WebLinkAbout3935 Garland Street*** CONTACTS ***
OWNER (303)887-8312 WODELL GEOFFREY R
SUB (720)445-5771 K $ R Roofing Inc; 170327 K & R Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,064.50
FEES
Total Valuation 0.00,
Jse Tax 253.35
Permit Fee 251.85
** TOTAL ** 505.20
*** 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 one half 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 manufacturer
installation instructions, whichever is more stringent. In order to pass a finz,l inspection
of elastomeric or similar type roof coverings, a lettgr 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 instructiop for (roof
material brand name) roof covering" is required to be on site at the.time of final
inspection.
Roof inspections f,pr ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection repdrt will be collected at final roof inspection performed by City cf
Wheat Ridge. If report is not available the final inspection will not be completed.
C 4
City of Wheat Ridge
Residential Roofing PERMIT -
201703548
PERMIT NO:
201703548
ISSUED:
07/10/2017 4
JOB ADDRESS:
3935 Garland ST
EXPIRES:
07/10/2018 e
jOB DESCRIPTION:
Residential Re -roof to install Tamko
Heritage 30
year laminate asphalt
shingles 32 sq. (pitched) / Tamko SA modified bitumen 4 sq. (flat) with ROOF
DECKING - 36 sq. (32 sq. pitched /
4 sq. flat)
*** CONTACTS ***
OWNER (303)887-8312 WODELL GEOFFREY R
SUB (720)445-5771 K $ R Roofing Inc; 170327 K & R Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,064.50
FEES
Total Valuation 0.00,
Jse Tax 253.35
Permit Fee 251.85
** TOTAL ** 505.20
*** 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 one half 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 manufacturer
installation instructions, whichever is more stringent. In order to pass a finz,l inspection
of elastomeric or similar type roof coverings, a lettgr 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 instructiop for (roof
material brand name) roof covering" is required to be on site at the.time of final
inspection.
Roof inspections f,pr ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection repdrt will be collected at final roof inspection performed by City cf
Wheat Ridge. If report is not available the final inspection will not be completed.
C 4
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Mid -Roof
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
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.
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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.
Mid -Roof
Q�
Floodplain Inspection (if applicable)
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric
Final Electrical
Rough Plumbing/Gas Line
Final Plumbing
Rough Mechanical
Final Mechanical
Rough Framing
Roof
b (�
Rough Grading
Final Window/Doors
Insulation
Final Building
Drywall Screw/ Nail
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.
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
b (�
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
City of Wheat Ridge
Vr
Residential Roofing PERMIT - 201703548
PERMIT NO: 201703548 ISSUED: 07/10/2017
JOB ADDRESS: 3935 Garland ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage 30 year laminate asphalt
shingles 32 sq.(pitched) / Tamko SA modified.bitumen 4 sq.(flat) with ROOF
DECKING - 36 sq. (32 sq. pitched / 4 sq. flat)
*** CONTACTS ***
OWNER (303)887-8312 WODELL GEOFFREY R
SUB (720)445-5771 K $ R Roofing Inc 170327 K & R Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,064.50
FEES
Total Valuation 0.00
Use Tax 253.35
Permit Fee 251.85 ff
** TOTAL ** 505.20 [_
*** 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 one half 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 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will.not be completed.
E2
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201703548
201703548 ISSUED: 07/10/2017
3935 Garland ST EXPIRES: 07/10/2018
Residential Re -roof to install Tamko Heritage 30 year laminate asphalt
shingles 32 sq.(pitched) / Tamko SA modified bitumen 4 sq.(flat) with ROOF
DECKING - 36 sq. (32 sq. pitched / 4 sq. flat)
I, by n signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 leggally authorized to in a all entities named within this document as parties to the work to be
perfo n all work t rformed is diose is document and/or its' accompanying approved plans and specifications.
Sigriure of TO�F, 1__ _— r—(_)rcle one) Date
I . This permit was issued bas on tfie-in-I`o-rm-attiion provided in the permit application and accompanying dans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans
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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4' No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
6
Signature of Chie uilding 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
betwee►�30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 26, 2017 12:48 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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
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 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.
Is this application fora Yes
w1G l✓ct �" Irk
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3935 Garland St Wheat Ridge CO 80033
Property Owner Name Geoff Wodell
Property Owner Phone 3038878312
Number
�0�;10
C.�
Property Owner Email
Field not completed.
Address
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
K&R Roofing Inc.
Contractor's License
170-327
Number (for the City of
Wheat Ridge)
Contractor Phone
7204455771
Number
Contractor Email Address
Ron@Krroofing.com
Retype Contractor Email
Ron@Krroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes �M
roof?
Description of Roofing
Tamko Heritage 30 laminate shingles 32 sq, Install Tamko SA
Material
modified bitumen 4 sq
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
32 sq
material selected above?
Does any portion of the
/
Yes /
property include a flat
«<
roof?
If yes, how many squares
4sq
on the flat roof?
2
TOTAL SQUARES of all
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
36
House and the roof pitch is 4/12
Project Value (contract _4a aoo
value or cost of ALL
materials and labor)6
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 Ron G Kahler
Email not displaying correctly? View it in your browser.
3
Roofing, Inc
15929 E Beaver Brook Lane Parker, CO 80134
Dhone-1 . q... 445 877-1 ry.. OAR v PRQ _ 4057 Cmaif
ROOHNG eSTOAATE AND/OR CONTRACT'
insurance Personal
Personal 1aLgEmatian: f
Name
Street Address -S i .h7 �� `1Cn�n L+► 1
City, State, Zip:
tnaurano information:
Date:
Phone: -300 - aMf :�e [. J✓ v it c�av
Email / Alt Phone:
insurance Company: 2� Phone:
Policy Number:
Adjuster Name;
Damage as a result of: %� >
s„�cilficati�ns: � e
mr _ a _ 1r ,�.,1 "16-4
Sningie: _ —
Shingle Color: .c, �-
Drip Edge Color: _,,
Underlayment: ' 'SGT 4111
r 1�-r L_i�l
Upgrades:
Work to be: done bu Comaanu: (Mark all that apply)
utaim ivumber: 7 r r�r-�� V ��•-�
Phone:
Storm Date/ Time:
K&R Services:
CI[IJi, tt4441vv uv,ii a.vv v.....r ---—��
Protect Landscape
Roil Perimeter with Magnetic Roller
Furnish City/County Permit
^'s 1 t' r ass Guarantee
ant a
'vita Inst c1o„ Pass Gar„ e B
Labor/Material Warranty --- ��
Roof: Gutters: Siding: Windows/S enn,_ Deck/Fence: Paint: ,r
Estimated start hateyQ2 /S Zo/ Estimated Price S � r d3 7`' f er.*-
,5WqL0AeYM 7&—
shirt 4.Y' / 1 4 1 Sl 1 ^9 11 .I V ,, a % -_. ll I`Y C.;4, , % / '7
Buyer: �hrouqh
C,11 y Authorized Agent: J r 1 v" r
� D t€
'If filing cl rrinsurance cofrlpany I ale circle °insurance" at the top), this contract becomes binding
upon Approval or a full roof replacement. All other outcomes from your Insurance company, will void this contract.
Terms and Conditions (Please read carefull}...... I
I. Owner agrees that the equity in this property is security for this
Contract. This Contract shall become binding only upon written
acceptance hereof by the Contractor or by an authorized Agent of the
Contractor, or upon commencement of the work.
property and roof until all work is completed a
3. The Contractor shalt not be liable for any damage to the interior of the
building and its contents.
4.. All proposals subject to approval of management.
5. it shall be understood that the Contractor is not an agent, nor a
alum ,rt! e.f 2 . ntheCCTCM!;nn. n,d
party to this Contract
b. This Contract constitutes the entire understanding of the parties, and
no other understanding, collateral or otherwise shall be binding unless ,n
writing signed by both parties.
7 Replacement of deteriorated decking, fascia boards. roof jacks:
ventilators, flashing, or other materials, unless otherwise stated in this
contract, are not included and will be charged as an extra on a time and
rnster'.al basis.
& This proposal will expire 180 days from the date printed on this
contract, unless extended in writing by the Company. After 180 days, vie
reserve the right to revise our price In accordance with costs In effect at
that time.
9, Any cancellation by the customer must be in written fort There will
be a cancellation fee equal to the cost of materials, F any have been
punalas roius t 7 (supglter rr;srrlc kirn fee )l, plus me rxV Or raL,o_,r ,.r:.
any work has begun).
i0. The Final inspection DOES NOT constitute the completion of work.
The completion of will be defined as The date at which the work or
building project, or a designated portion of the work or the building
project thereof is sufficiently complete, in accordance with the
construction contract documents. so that the owner may use or occupy
the work or building project or designated portion thereof for the
interned use for which it is originally designed and intended for This
w- lit : _ .Y_ a_ co tui ,Z)f : ae ,g._ _ , t
i , :r s; rnple i- , all i,,.. ,iiia iy 5y5tv�iiiS +� a1 "r, -d
envelope, and adequate protection of building and occupants and or
equipment is ensured from hazards posed by additional or possible
construction activities or other potential harmful conditions that may
exist or become evident during the final work effort to complete the
project per the construction contract documents. This date is then
certified by the Contractor to the owner or client From this date a
number of other provisions are started such as warranty, guaranties,
and liabilities
11. Any representations, or otter communications, not written in this
Contract are agreed to be immaterial, and not relied on by either party,
and do not survive the execution of this Contract.
12. in any legal action on this Contract, the prevailing party shall be
entitled to reasonable attorneys' fees and costs.
13 A FINANCE CHARGE will be computed at a "Periodic Rate" of 2%
per month on any payment or balance of payment not received within 30
da;:s of compietlon of :work
14 Any and all leftover material will remain the property of the
contractor.
15. 1 hereby give authorization to the Contractor to contact my
Insurance company about my claim for roof replacement, to
supplement for items needed to complete work according to Code, for
unforeseen damages that are need to complete the roof replacement
16. This contract becomes binding 72 hours after the date stated on
the contract with the signature of the homeowner (purchaser). If the
(,Wectfunic or otherwise), the binding date of the contract will still be 72
hrs after the date of the contract being signed
17. In the event that the contractor is present during the inspection
from the homeowner's insurance company, and the homeowner
chooses another contractor to perform the work, the homeowner
agrees to pay the contractor as defined in this contract a fee of
$500.00 (Five Hundred Dollars) for their services
18 hLip3,:a :trr;:_ls,e prsi�:O dr Ylill t3L' j; 1r7 jei r omiacicr upon
completion of the work from the scope of insurance related to the cis"
date listed on the reverse side of this contract. It Is against Colorado
State law for an insured (policyholder) to -proal from an Insurance
claim.
19 if ALL proceeds of insurance are not colkmted up front as a down
Payment, then the remaining balance from the insurance proceeds, wilt
De due upon completion of worlk for the specified fine items listed on
the scone of insuranc-- nr A� nartlinart nn iiia ro%tafca i,4a -4 #.%i.
WARRANTY:
This Labor Warranty does net cover damage to rocts camd by acts of God
Irghtrartg, Stale wir+d(50 MPH), hurricane tornado, and hIIitsform, impact M roots
resulting from settlement (1151003011. failure or cracking of real deck, wags or
foundation of building) Further, leakage caused by anything other than datiK rat Or
non-w0rtunanlike quality of work is not oovered under the terms of this Labor
Warranty.. In the event Owner believes that heifshe has a claim under the Labor
Warranty The owner. in writing, must contact the company within a reasonable dme
pentad to notify th co iroany of such concern The company will ow arrarv_e a time
with the property owner to aura inspect the area of con rn and makke n
Of't>dnr;rn�hrn ihic La!+pr 4N2rn?^. � '„'h� n"�y �° Ar.`•cr ag8trl�t >:V)lU3CltVr
Them are no warranties which extend beyond ft dwrtption on the face
hereof. This Labor Warranty shall not become effective. nor shall Owrw have any
rights under this Labor Warranty. until such time as owner makes full payment under
the terms of this Contract
Material Warranty is provided by the Manufacturer of the materials. Contractor
does not warrant maleneis, as such Warranty is provided sorely by the
manufacturer of the materials The owner snail look solely to the manufacturer of
the materials for breach of any Warranty retailing to the materials. Transferability
of This Warranty (NoteBased on original Installation Date) You can trans*
this warranty one time, anytime during the life of the warranty For this warranty
fn hr? iranclarrrari rtt� riche.• hnmar,,..ns,• ,.,,,at n,..,,.+i.,se �.,a .... ,.,..,.,. _ _
air--r„y Transfer Cara, all i l sixty (00) days after the date of the real estate
transfer to obtain the benefits of this warranty Proof of purchase of the Owens
Corning r” shingles and the installation date must be submitted at the same time
If the transfer takes place within the Tru PROtectton Nonprorated period (see
Limited Warranty Information Table'). the second owner is entitled to the same
coverage as the original owner if the transfer occurs after the Tru PRotection
Nonprorated period (see 'Limited Warranty information Table')• the balance of
this warranty shall be reduced to a two (2) year pend after the date of
ownership change it there is a manufacturing defect that causes leaks during
this two (2) year pend our psynnt to the second ownmr mfll be based only on
the reasonatsle cost of replacement shingles reduced by the amount of use the
ante,„it; VWlIC- d!Nj wv 4imittal nomeown4er nave antoyRo irnm me onarna;
installation date through the date of your claim The Labor Warranty may be
transferred One Time during the period of the Labor Warranty as defined by this
contract for a fee of $200.00 (tyro hundred dollars)
Notes;
i Hereby Certify that 1 have read and that i understand the
terms of this contract.
Agent
Purcha r
Date_
City of
W heat Pdge
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in
writing and received prior to the date of expiration. An extension of no more than 180 days may be granted at the
discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
penmitsrccci.wheatrid-e.co.us or fax to 303-237-8929.
Party requesting permit extension:k��Sc,n fir_ Csy'(A
Permit # JC IG CA C) (.4 Property Address: I C)Sc W . y Pkat —
Phone # (7lq)) s$ 657.E Email Address: Cyyl
Reason for extension request: Mj int\
VetV c\U( rky- CA l\'[' ti"till' CXC�C� �r11L'
Number of days requested: 9C
Printed Name: E-i«icz`\ Signature'--- �• Date: 07/o/1-7
For office use only
This request
Approved by:
Denied Extended until:��
/11 V 1 n 1 1 -1
+.woe rt eshe•.euui�e-ro u.
Date:
City of
�/'' `7'�I C iigC
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P:303.235.2846 F:303.235.2857
July 11, 2017
OFFICIAL ADDRESS CHANGE
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
CURRENT ADDRESS: 7323 7348 West 38`h Avenue & Vacant Lot
NEW ADDRESS: 7333 West 381 Avenue
SUBDIVISION:_ LOT(s): 0001 (Vacant Lot) KEY:_ 090,220 SECTION: 23
PARCEL NO: 39-234-00-089,39-234-00-088 and 39-234-04-030
AUTHORIZED BY:
DISTRIBUTION:
DATE: p
1. Property Owner
2. Jefferson County Assessor, ATTN: Data Control, Lacey Baker email to lbaker@jeffco.us
3. Jefferson County Elections, ATTN: H. Roth, 3500 Illinois St., Laramie Building, Suite 1100, Golden, CO
80401
4. Email to Jeffco IT (Mapping) Services at smitchel(&jeffco us and edel co 'effco.us
5. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO
80401
6. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033
7. Email to erlinda i.martinez(y)usps go v and krissy.j.summerfield(sps gov and arlene.a.vickE yea usps gov
8. Xcel Energy, sandra.cardenas(a�xcelenergy com
9. Century Link, Capacity Provisioning Specialist, 5325 Zuni St., Room 728, Denver, CO 80221
10. Comcast, Attn: Scott Moore, 6850 S. Tucson Way, Englewood, CO 80112
11. Wheat Ridge Water District
12. Wheat Ridge Sanitation District
13. West Metro Fire District
14. Wheat Ridge Planning Division
15. Wheat Ridge Building Division
16. Wheat Ridge Police Department
17. GIS Specialist
18. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY:
www.ci.wheatridge.coms
DATE:
Vicinity Map
CURRENT
no address
PIN: 39-234-04-030
3845
7391
W. 38th Ave
7323
W. 38th Ave
IV.7m
—39TH'AVE
PROPOSED
7333 W. 38th Ave
(Lot 1, West End 38 Filing No. 11
(Tract A)
7391 W. 38th —�BTH AVE -
(Lot 2)
E -
L5
00113
Clty of
Wheatl�idge
COMMUNITY DEVELOPMENT
7500 W. 2911 Avenue * Wheat Ridge, CO 80033 * O: (303)235-2855 * F: (303)235-2857
Contractor Waiver for
Workers' Compensation Insurance
I, (print your name), 7U A. U�='
verify that I am the sole owner or partner of (company name):
which has no employees and is not required by the"State of Colorado to carry
workers' compensation insurance.
I further state that if I hire subcontractors, they are in compliance with the State of
Colorado Workers' Compensation insurance requirements and have obtained the
required contractor's business license from the City of Wheat Ridge.
Signature:
Date:
❑ No one available for inspection: Time's '� ' ,� (M/PM
Re -Inspection required: Yes -No
When corrections ave been made, call for re -inspection at 303 -234 -
Date:
DO NOT REMOVE THIS NOTICE
1
I
CITY OF WHEAT RIDGE
f
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION N0T CE
-7 °
Inspection Type:
Job Address:
J� J �Rr� /c, -7 el
Permit Number:
❑ No one available for inspection: Time's '� ' ,� (M/PM
Re -Inspection required: Yes -No
When corrections ave been made, call for re -inspection at 303 -234 -
Date:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
_:�!Pr(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
ILqv�
Job Address: ' -;, 3 S r�`'��
Permit Number: 2-011)n 5 z-1 k
❑ No one available for inspection: Time J AMIPM
Re -Inspection required: Yes %N�
When corrections have been made, (call for re -inspection at 303 -234 -
Date: t Inspector: -
DO NOT REMOVE THIS NOTICE