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Home My WebLink About3685 Kipling Street�. City of Wheatie, " L;0MA-10NITY DEVELOPkUN47 Building & Inspection Seririces 7500 W. 290' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: pgrmits@ci.wheatridge.co.0 FOR OFFICE USE ONLY Date: 5 Plan/Permit # Plan Review fee$3 9- *� 3 Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: - (2 3C iy Property Owner (please print: Lmn_ Property Owner Email:, Tenant Name (Commercial Projects Only) . _ Property Owner Mailing Address: (if different than. property address) Address: City, State, Zip: Architect/Engineer E-mail: _ Phone:--- Contractor hone:___Contractor Name: City of Wheat Ridge License lit: Phone: Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone:- CONTACT EMAIL(please prinQ:, - Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License #` City License # Complete all highlighted fields. ❑CONi1YfERCIAL [X RESIDENTIAL Provide description of work:- For ALL projects, 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. w�U�'l Sq. FULF _ 81 Us Glanons 20x10 An -i _ -- Squares For Solan , LT..' -- - _ _ # of Panels Requires 811tructufal For Commercial Projects Only: Occupancy Type:. _ Construction Type: Occupancy L - Square Footage: Project Value: (Contract value or the cost of &materials and labor included in the entire project) -�> k-0 - Valuation adjusted 200 sq ft x 9.50 = 1,900,00 OWNEWCONTRACTOR 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, rales 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 ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED R"RESENTATIVE) of (OWNER) (CONTRACTOR) Sianature (first and last some): `— �, DATE: S I Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer PUBLIC"' RKS COMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: Building Division Valuation: G INSPECTION REQUEST LINE: (303) 234 -5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 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 Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concrete Prior To Onnrnval of The Ahmic Incnnr *:.� �� Underground /Slab Inspections Date Inspector Initials Comments Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Below / In -slab) Heating (Below / In -slab) AJu r.ur ..wer unaergrouna or meiownn -slap worK vrior 10 Approval Of The Above Inspections Rough Inspections Date Inspector „:.:,�� Comments Wall Sheathing Roof Sheathing Lath / Wall Tie Rough Electric Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Withou Approval Of Above Rough Inspections Insulation Drywall Screw / Nail Final Inspections Date I Inspector I Comment , 4 I s _,: . . rtitialss .._ Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking ROW & Drainage / Public Works Dept. inspections call 303 - 235 -2846. For ROW and drainage inspections call 303 - 235 -2861. For fire inspections Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project. "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 con stitut e autho o occu pancy. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather r CITY OF WHEAT RIDGE Building Inspection Division J (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address sf r Permit Number f) /1 /5 e � t'. ❑ -No one available for inspection , Timj AM /PM r : Re- Inspection required: Yes No When corre tions pavebeen made Celt tor" i 0ection at 303 - 234 -5933 Date: Inspector: t' DO NOT REMOVE THIS NOTICE ` .1 / City of Wheat Ridge .� Residential Mechanic PERMIT - 110870 PERMIT NO: 110870 ISSUED: 07/25/2011 JOB ADDRESS: 3G85 KIPLING ST EXPIRES: 07/24/2012 DESCRIPTION: Install new 13 seer 2 -ton A/C unit * ** CONTACTS * ** Owner 303/456 -5149 Patricia Lounders GC 303/418 -6024 ARS 02 -1694 ARS (Mechanical) sub 303/423 -1807 Bob Bevington 01 -9206 Positively Electric ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0645 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,750.00 FEES Permit Fee 60.00 -- Total Valuation .00 Use Tax 85.50 ** TOTAL ** 145.50 g��' 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 fd.nt scribed an approved in conjunction with this permit. I further attest that I am legally authorized to include all entmed wrth' this document as parties to the work to be performed and that all work to be performed is disclosed in th' a / its' accompanying appoved plans and specifications. C� 61 ! � uA 6'7- -25 -1/ J gnature 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, 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, any violation of any provision of any app icable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspec Signature of Chic , )� &uil6lng Offical Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ° Fw He p q City of Wheat Ridge Building Division m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 ` Fax: 303 - 235 -2857 cO <oiz A ° ° Inspection Line: 303 - 234 -5933 Building Permit Application Property Address 3Us UAMjy Property Owner (please print): Mailing Address: (if different than property address) Address: Date: 7 775 (1 Plan #: Permit #: �iZiENTO City, State, Zip: Contractor: 6&S Contractor License #: () Z, Uq4 Phone: 3 - }" kbl Sub Contractors: Electrical City License #: Plumbing City License #: Mechanical City License #: Company: t�(el Company Company: Exp. Date: Exp. Date: Exp, Date: Approval: Approval: Approval: Use of space (description): h.�� Yt lh construction value: $ 47 5 Desnl riptlon of Work: (as caiculated per the Building Valuation Data sheet) rr n� /S I Plan Review (due at time of submittal): b Sq. Ft /L.Ft added: Squares BTU's Gallons Amps OWNEWCONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject 'qd-, eection. CIRLCE ONE:: (O NI�ERR) ( ONTRACTO y or PERSONAL REPRESEN VE of WNER) (CONTRATOR) PRINT NAME: l�bR� I SIGNATURE: Date: