HomeMy WebLinkAbout3995 Balsam StreetCity of Wheat Ridge
E -Res. Furnace Replacement PERMIT - 202000384
PERMIT NO: 202000384 ISSUED: 02/21/2020
JOB ADDRESS: 3995 Balsam St EXPIRES: 02/20/2021
JOB DESCRIPTION: Replacing 90k BTU, 80% efficiency gas furnace in crawl space.
*** CONTACTS ***
OWNER (303)424-2921 MICKEL JAMES LEO
SUB (720)459-8373 RONNIE CORDOVA 190039 ACCURACY HEATING & COOLING
*** 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: 1,500.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 31.50
** TOTAL ** 71.50
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
. � 4 4 City ®f Wheat Ridge
E -Res. Furnace Replacement PERMIT - 202000384
PERMIT N0: 202000384 ISSUED: 02/21/2020
JOB ADDRESS: 3995 Balsam St EXPIRES: 02/20/2021
JOB DESCRIPTION: Replacing 90k BTU, 80% efficiency gas furnace in crawl space.
'b
y 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 alI entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
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 maybe subject to a fee equal to one-half of the originalpermit fee.
3_ If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding 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 prdinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Clfttef Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
uf �mt Rid� ��
Replacing 90k BTU, 8
C
AHUUINT
9rxr 3995 Balsam St 71.50
/ kPPL/PERMIT N0/ 2O2O0O384
/
PAYMENT RECEIVED AMOUNT
PP / 7154 71.50
AUTH CODE! 71555574
TOTAL 71.50
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, February 13, 2020 10:32 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Categories:
Need Insurance, Kim
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
3995 Balsam St
James Mickel
303-424-2921
accuracyheatingandcooling@gmail.com
IMG 0001 (1),Ipq
CONTRACTOR INFORMATION
Contractor Business Accuracy heating and cooling
Name
1
Contractor's License 190039
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 7204598373
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address accuracyheatingandcooling@gmail.com
Retype Contractor Email accuracyfieatingandcooling@gmail.com
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs
What is the efficiency
(%) of the unit?
Is the unit GAS or
ELECTRIC?
Where is the furnace or
boiler located (for
example, basement,
crawlspace, etc)?
90,000
80%
gas
Crawlspace
Project Value (contract 1500
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
2
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Ronnie Cordova
Permit
Email not displaying correctly? View it in your browser.
4',.
City of Wheat Ridge
v
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44 �,
Residential Roofing PERMIT
- 201701602
PERMIT NO:
201701602
ISSUED:
06/06/2017
JOB ADDRESS:
3995 Balsam ST
EXPIRES:
06/06/2018
JOB DESCRIPTION:
Permit for a reroof, replacing
entire roofing system w/GAF Timberline HD.
*** CONTACTS ***
OWNER (303)424-2921 MICKEL JAMES LEO
SUB (720)542-8715 Garrett Lister ��n �❑ r �_, __r_
*** 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: 7,710.00
FEES
Total Valuation 0.00
Use Tax 161.91
Permit Fee 172.60
** TOTAL ** 334.51
*** 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 A1/2 -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€"Is 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.
INSPECTION RECORD
(4- C� INSPECTION REQUEST LINE: (303) 234-5933
occupanc /y Type
:v--> Z� ---
Inspections will not be performed unless this card is posted on the project site.
(Fall flit, ;ncr.Pction renuest 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
CommentsInitials
Pier
Inspector
Initials
Comments
Electrical
Concrete Encased Ground (CEG)
Final Electrical
Foundation / P.E. Letter
Final Plumbing
Sewer Service
Do Not Pour
Concrete
rrlor 1 o x
provai vi i iiG huuva �1 1.7�.J�.a+�ai• •.�
Underground/Slab Inspections
Date
Inspector
Initials
Comments
Electrical
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Sewer Service
Final Mechanical
Roof
Final Window/Doors
Plumbing
Final Building
Do Not Cover Underground or Below/In-blab worK i -nor i o Appiuvell wi 1•,•,••-G •••�
Date Inspector Comments
Rough Inspections Initials
Wall Sheathing
Mid -Roof %
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical_ _ _-- _ – ------ f— --- �i
Rough Framing
Rough Grading
Insulation
Final Inspections Date
Landscaping & Parking / Planning Dept.
Inspector
Initials
Comments
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.
—.,IM -1 frnm the Firp nictrir.t and electrical low voltage
-For iow voitage permits – rivaac I,u au c
by the Building Division.
"For Inspection Time Window - Please email insptimerequest@Ci.Wheatridge.CO.US by 8:00 A.M. the morninq of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A 4 City of Wheat Ridge
Residential Roofing PERMIT - 201701602
PERMIT NO: 201701602 ISSUED: 06/06/2017
JOB ADDRESS: 3995 Balsam ST EXPIRES: 06/06/2018
JOB DESCRIPTION: Permit for a reroof, replacing entire roofing system w/GAF Timberline HD.
*** CONTACTS ***
OWNER (303)424-2921 MICKEL JAMES LEO
SUB (720)542-8715 Garrett Lister 130168 Capital Roofing
*** 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: 7,710.00
FEES
Total Valuation 0.00
Use Tax 161.91
Permit Fee 172.60
** TOTAL ** 334.51
*** 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 manufacturera€ms 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201701602
PERMIT NO: 201701602 ISSUED: 06/06/2017
JOB ADDRESS: 3995 Balsam ST EXPIRES: 06/06/2018
JOB DESCRIPTION: Permit for a reroof, replacing entire roofing system w/GAF Timberline HD.
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 l 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. 1. further ttestfthat I am le ally auth 'zed to include all entities named within this document as parties to the work to be
perform avid that I' .ork to.be per med i �s losed in this document and/or its'�xccompanying approved plans and specifications.
Signature of OWNER or 6ONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PH 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.
City Of
Wheatldge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933" i
Email: perm its(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: (A
l
Plan/Permit #
Z-0ri p j k. C) --
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: �l 5' ��, /S C) 7 �
Property Owner (please print): ��i Iy �� L 1'C �, / Phone G3 / `T Z q - 2 ? Z j
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: (
/f._�cl-I
Phone:
I v _
Contractors City License #: % 3 C�(n Phone: (�2 U� 3
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
✓l (/ if /° . r,:V
Other City Licensed Sub:
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 STRUCTUREeRESIDENTIAL
OMMERCIAL ROOFING
El COMMERCIAL ADDITION 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)
(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
Btu's
.SfC
Gallons
Squares c) O Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ -7, S O 0 0 () 2-6 `1 x 3�Q == --7-2 [0
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 prow' lication.
CIRCLE ONE: (OWNER) CONTRACTO or AUTHORIZE REPRESEN A I E) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $1 � 10
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:
Job Address. cJ a
Permit Number:D�
❑ No one available for inspection: Time AI1/PIVI�
Re -Inspection required: Yes (No
When corrections have been made, call for re -inspection at 303 -234 -
Date: Inspector: s�n ly �►
DO NOT REMOVE THIS NOTICE