HomeMy WebLinkAbout4551 Quay Street13
i CITY OF WHEAT RIDGE
_13dilding Inspection`f ivision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: u,
Job Address: 1-) 5'S' I
Permit Number: -00 f S o 9 -7S7 -
L] No one available for inspection: Time _P 7V & A45
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: `7-S ),Z Inspector:
DO NOT REMOVE THIS NOTICE
" d City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201801975
PERMIT NO: 201801975 ISSUED: 07/11/2018
JOB ADDRESS: 4551 Quay ST EXPIRES: 07/11/2019
JOB DESCRIPTION: Basement escape window -egress window with vertical cuts using existing
opening.
*** CONTACTS ***
OWNER (303)947-2858 HOGSETT STEPHEN
SUB (720)338-9755 Colorado Native Sons Remodel 170505 Colorado Native Sons Remodel
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Total Valuation 0.00
Use Tax 52.50
Permit Fee 93.35
** TOTAL ** 145.85
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
1, by my 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 fhe legal owner or have been authorized
by the legal owner of the roperty authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I,�yrther attestppthat I al thorized to include all entities named within this document as parties to the work to be
performdnd�that all work e p r ed is disclosed in this document and/or its' accompanying approved plans and specifications.
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 expue 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior lot
date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding
Official and may be subject to a fee equal to one-half of the originalppermit 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 pprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief B.. dine Official and is not euaranteed_
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 is a e or�ranting o a ermit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
appli ab ode r any or ce or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE HAVE BY 11:59PH ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat f� dgc
COMMUNITY DF-M-01'MI:NI
Building & Inspection Services Division
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date
�//i//8
Plan/Permit #
A®� d 1 %7
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:
4551 Quay Street Wheat Ridge, CO 80033
Property Owner (please print): Stephen & Linda Hogsett Phone: 303.947.2858
Property Owner Email:
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer: Michael P Sheridan
Ph
com .
live
MikeSheridanPE
Architect/Engineer E-mail: @ one: 720.220.3699
Contractor: Colorado Native Sons Remodel & Egress, LLC.
City of Wheat Ridge License M
Contractor E-mail Address:
170505
Phone: 720.338.9755
steves@colo-nativesons.com
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Steve Simmons Phone:
CONTACT EMAIL(p/ease print): steves@colo-nativesons.com
720.338.9755
Sub Contractors (Must provide Wheat Ridge License No.):
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 #
❑ COMMERCIAL
0 RESIDENTIAL
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.
Basement Escape Window (Egress Window)
Vertical Cuts Using Existing Opening.
Commercial Projects Only: Occupancy Type:
Sq. FULF
Amps
BTUs
Squares
Construction Type:
Gallons
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
1800
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 provjde4-ee44aeapplication.
CIRCLE ONE: (OWNS (C(
Signature (first and last name):
Printed Name: fSi
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
(AUT�cTIVE)
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE: 0 tJ(J:7
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
�-� r . b I . I/ -a Lr t-& J11A—
Building Division Valuation: s -b0
GENERAL NOTES:
If a discrepancy exists between plans and applicable codes, the more stringent requirement shall apply. Notify Architect and /or
Engineer of any plan discrepancies.
Design Loads Design Factors
ROOF Wind design topographic effects Yes
Snow Load: 35 psf Subject to damage from weathering Severe
Dead Load: 18 psf Subject to damage from termite Slight To Moderate
Ground Snow Load: 50 psf Annual mean temp 50.5 deg F
Ice barrier underlayment required Yes
FLOOR Flood hazards Varies
Dead Load: 15 psf Air freezing index 532
Live Load: 40 psf Winter design temp 1 degF
DECK
Dead Load:: 15 psf
Live Load: 40 psf
WIND
136 mph, Exposure C
SEISMIC
Category B
DESIGN CODES:
1. 2015 IRC
2. ASCE 7-10 - Minimum Design Loads for Buildings and Other Structures
3. AISC Steel Construction Manual
4. ACI 318- Building Code Requirements for Structural Concrete
5. ACI 332 - Code Requirements for Residential Concrete Construction
6. ANSI/AWC National Design Specification (NDS) for Wood Construction
7. AWC WFCM- Wood Frame Construction Manual for One- and Two -Family Dwellings
WOOD FRAMING NOTES:
1. All wood for structural framing shall be Hem Fir visually graded lumber per NDS, unless noted otherwise on plans. All dimensional
lumber shall be S4S at maximum moisture content of 19%. Finger -jointed material is not permitted. Exterior framing walls shall be 2x6
studs at 16 -inches on -center with double top plate. Do not cut double top plates at headers.
2. Metal connectors specified as "Simpson" are manufactured by Simpson Strong -Tie., Inc. Installation of framing hardware and
fasteners shall be in strict compliance with manufacturer specifications. USP alternative hardware may be substituted upon approval by
otherwise on the plans. Wood sill plates in contact with concrete or masonry shall he preservative -treated or naturally durable wood.
Fasteners, including nuts and washers, and hardware at preservative treated wood shall be hot -dipped, zinc -coated galvanized steel,
stainless steel, silicon bronze or copper. Refer to manufacturer recommendations for coating types. Refer to IRC Section 8317 for
additional information.
Flee Notes
Scale — 9/16" = 1'
i
Pre Construction Checklist
Call Before You Dig (811) Yes
Site Drainage Yes
EOR Inspection Prior Cut Date 6/25/2018
Standard Window Specifications
Vinyl Casement Window
30x48 Size
7.6Sq.Ft. Escapable Area
0.30 U Value
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GENERAL NOTES:
If a discrepancy exists between plans and applicable codes, the more stringent requirement shall apply. Notify Architect and/or
Engineer of any plan discrepancies.
Design Loads
i
Design Factors
ROOF
a
Wind design topographic effects
Yes
Snow Load:
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Dead Load:
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Winter design temp
1 deg F
DECK
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Live Load: 40 psf
WIND
136 mph, Exposure C
SEISMIC
Category B
DESIGN CODES:
1. 2015 IRC
2. ASCE 7-10 - Minimum Design Loads for Buildings and Other Structures
3. AISC Steel Construction Manual
4. ACI 318- Building Code Requirements for Structural Concrete
5. ACI 332 - Code Requirements for Residential Concrete Construction
6. ANSI/AWCNational Design Specification (NDS) for Wood Construction
7. AWC WFCM- Wood Frame Construction Manual for One- and Two -Family Dwellings
WOOD FRAMINGNOTES:
1. All wood for structural framing shall be Hem Fir visually graded lumber per NDS, unless noted otherwise on plans. All dimensional
lumber shall be S4S at maximum moisture content of 19%. Finger -jointed material is not permitted. Exterior framing walls shall be 2x6
studs at 16 -inches on -center with double top plate. Do not cut double top plates at headers.
2. Metal connectors specified as "Simpson" are manufactured by Simpson Strong -Tie, Inc. Installation of framing hardware and
fasteners shall be in strict compliance with manufacturer specifications. USP alternative hardware may be substituted upon approval by
otherwise on the plans. Wood sill plates in contact with concrete or masonry shall he preservative -treated or naturally durable wood.
Fasteners, including nuts and washers, and hardware at preservative treated wood shall be hot -dipped, zinc -coated galvanized steel,
stainless steel, silicon bronze or copper. Refer to manufacturer recommendations for coating types. Refer to IRC Section R317 for
additional information.
Flee Notes
Scale - 3/16" = 1'
Pre Construction Checklist
Call Before You Dig (811) Yes
Site Drainage Yes
EOR Inspection Prior Cut Date 6/25/2018
14
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Standard Window Specifications
Vinyl Casement Window
30x48 Size
7.6 Sq. Ft. Escapable Area
0.30 UValue
Low E/Argon Filled
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INSPECTION RECORD 9�c,�
INSPECTION REQUEST LINE: (3173) 234-5933
Inspections will not be performed unless this card is
)sted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspe,.
a the following business day.**
Inspector Must Sign ALL Spaces per
int to this project
Foundation Inspections Date Inspector
Initials
Comments
Pier
Concrete Encased Ground (CEG)
Lath / Wall Tie
Foundation / P.E. Letter
Rough Electric "
UO Not Pour Concrete Prior To Approval Of The Ahnvp Incnpr--tinnc
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Annroval Of 'rho ohnvp Impar-finne
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
iMid-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.
For notification of your assigned inspection time window please email inWtimere,tuest(evci.wheatridge.co.us by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge 5�' --*
Residential Roofing PERMIT -- 201701826
'ERMIT NO: 201701826 ISSUED: 06/09/2017
OB ADDRESS: 4551 Quay ST EXPIRES: 06/09/2018
OB DESCRIPTION: Tear off existing and apply ice and water felt drip rake comp, house and
shed 4/12 OC Duration 37 squares.
** CONTACTS ***
)WNER (303)716-3376
HOGSETT STEPHEN
;UB (303)254-4303
Michael Lallier
018641 Lallier
Construction
** PARCEL INFO ***
;ONE CODE:
UA / Unassigned
USE:
UA i Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#:
0 /
°** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
7,328.00
FEES
Dotal Valuation
0.00
Tse Tax
153.89
?ermit Fee
172.60
F* TOTAL **
326.49
k * * COMMENTS
k** CONDITIONS ***
Effective December 1, 2014, ash _ 'ingle installations require an approved midroof
inspection, conducted when 25 ,�ej,-nt of the roof covering is installed, prior to final
approval. Installation of roof LL,>-:r},i_ng (new or over]..:;) reTAires an approved irnspection
..AP'i rior to i-nstailation o' 1:\;Y root coy,erirxgs and is rc,si ire on that critire r.cuf whe« spaced"
'or board sheathing with ANY gap exceeding A/cinch exists. Asphalt sningles 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€rms 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.
�y
A i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 0 F
Job Address: -1 0
Permit Number: D 1 7 0 /% Q
7`pi Uk� t
❑ No one available for inspection: Time t , U AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for
Date: �' �G Inspector:
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M i
Job Address: S Ci,} 0 _, 4i t
Permit Number: / {,
❑ No one available for inspection: Time�� = w AM/PM
Re -Inspection required: Yes No
1
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 8, 2017 6:47 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Antoinette
L
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 C�
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 24-48 hours, 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. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address 4551 Quay St
Property Owner Name Hogsett Stephan
Property Owner Phone 303-716-3375
Number
Property Owner Email Field not completed.
Address
Do you have a signed Yes
�^r
contract to reroof this
`—
property?
It will need to be
provided at the time of
r
permit pick-up.
CONTRACTOR INFORMATION
--�,
1
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Lallier construction
018641
303-254-4303
Contractor Email Address robert@lcidenver.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
How many squares of
material?
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Yes
11no
t/o apply ice & water felt drip rake comp
37
house and shed 4/12 oc duration
Project Value (contract 7328
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.
z
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 ROBERT VICHKON
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201 701826
PERMIT NO: 201701826 ISSUED: 06/09/2017
JOB ADDRESS: 4551 Quay ST EXPIRES: 06/09/2018
JOB DESCRIPTION: Tear off existing and apply ice and water felt drip rake comp, house and
shed 4/12 OC Duration 37 squares.
*** CONTACTS ***
OWNER (303)716-3376 HOGSETT STEPHEN
SUB (303)254-4303 Michael Lallier 018641 I.,allier Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,328.00
FEES
Total Valuation 0.00 1 r,
Use Tax 153.89
Permit Fee 172.60
** TOTAL ** 326.49
*** 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€lms 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 - 201701826
PERMIT NO: 201701826 ISSUED: 06/09/2017
JOB ADDRESS: 4551 Quay ST EXPIRES: 06/09/2018
JOB DESCRIPTION: Tear off existing and apply ice and water felt drip rake comp, house and
shed 4/12 OC Duration 37 squares.
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 further attest that I am le ally 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)fans 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 Official 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. Approval of work is subject to field inspection.
W
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.
FOR OFFICE USE ONLY
;M
ewpermit
City f Date:»
Wh6atR ie- 46-
Building & Inspection Services Division ti .
7500 W. 29`x' Ave., Wheat Ridge, CO800133 Plan Review F
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Ling: 303-234-5933
Building r t Application
Pleasecomplele all highlighted areae on both sides of this form. Inoorriptote applications may not be processed,
Property Address:
rrty'Ow+�%s print : N Phone: 3 ,
Property Owner E
Mailing Address: (if different than propertyaddress)
Address:
City, State,
Architect/EngineerE-mail: Phone:
Contractors City License :+ Phone:
Contractor E-mail dress:
Electrical: Plumbing: Mechanical:
W -R, City License # W.R. City License # WR City License #
Other City Licensed Sub. Other City Licensed Sub;
City License # City License #
Complete o,
qiw��in bf-work.: (Check all that
0 NEW COMMERCIAL STRUCTURE ELECTRICAL*M
STRUCTURENEW RESIDENTIAL COMMERCIALROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION �WIN1M•REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed,deck,
RESIDENTIALSTRUCTURE
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT
Ltum S7T'fT1c` ienaia LC7 ve urea, etc.)
Sq. FULF Btu's Gallons
Amps Square r
city O
e
COMMUNrry DEVELOPMENT
Building & Inspection .services Division
7500 W. 29 Ave:, Wheat Ridge, CO 80033
Office 3C 3- 235 - 2355 * Fax: 303- 237 -392
Inspection Linty 303-234-5933
Building Permit Application
Property Address. w.
• +•
aim
Address: -1
City, State, Zip: a / — 0
�aiMl��l 10 ��
C on t rac t ors k
Phone:
City License
Plumbing: Mechanical:
City License # City License
Bldg Valuation: s—