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2890 Gray Street
i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http.l www, ci. wheatridge.co. uslinspection Date: jInspector: DO NOT REMOVE THIS /NOTICE i CITY OF WHEAT RIDGE �'(303) Building Inspection Diviion (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: (--1 )'3 ' So i l cf' n n F',,,, i Job Address: c 9 fl a ra U S4 Permit Number: 0 1-7 0 5- 3 a t_/ ❑ No one available for inspection: Time /'0:: 3) AMAOM Re -Inspection required: (5 No When corrections have been made, call for re -inspection at 303-234-5933 Date: q 1693 / Inspector: =6 DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Roof PERMIT - 201705324 PERMIT NO: 201705324 ISSUED: 08/03/2017 JOB ADDRESS: 2890 Gray St EXPIRES: 05/22/2019 JOB DESCRIPTION: Replace siding and roofing; no tampering of existing envelope; weather barrier system; 17.67 squares for roof; 24 squares for siding; extend eaves from (e) flush to exterior face to be 2 ft off exterior face; 2 x 4s sistered to (e) rafters on rake dend; 2 x 4s half lapped to (e) rafter on gable end *******Revision add-redecking 17.67sq *** *** CONTACTS *** OWNER (541)777-7071 BANK JESSE A & ERIN JACOBSON SUB (720)544-7787 Cory Feco 170604 Siding Repair Systems *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,140.00 FEES Total Valuation 0.00 Use Tax 422.94 Permit Fee 378.65 ** TOTAL ** 801.59 *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Homeowner Roof PERMIT - 201705324 PERMIT NO: 201705324 ISSUED: 08/03/2017 JOB ADDRESS: 2890 Gray St EXPIRES: 05/22/2019 JOB DESCRIPTION: Replace siding and roofing; no tampering of existing envelope; barrier system; 17.67 squares for roof; 24 squares for siding; from (e) flush to exterior face to be 2 ft off exterior face; 2 sistered to (e) rafters on rake dend; 2 x 4s half lapped to (e) gable end *******Revision add-redecking 17.67sq *** weather extend eaves x 4s rafter on 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 ermit. I further attest that I am legally authorized to include alI 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 ' O*NER 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 andmay 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 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 changeof 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 Div 'on. 6. T i an a ologrrogrdifnancTor a it shall not be construed to be a permit for, or an approval of, anviolation of any provision of any de regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. RC IVCD City of { ��Wh6at'l�,.dge MUNITY DEVELOPENT�'r City of Wheat Ridge Municipal Building 7500 W. 29" 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 permits2ci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: h G Vne 0l t'v' Permit #,,2()J Property Address: ;98'7-8 :G kII2d , Phone # Email Address: is Cz (0 sop?,, e_�-l k7 • a @ qlN at'l •C om Reason for extension request: MA sS-CC CIt cy` i �i5 tYY'� 0Y7 r Number of days requested: &b C Printed Name: e it 1 L � Lrp�5(VI Signature: .(- I Date: . DD , -)-019 For office use only This request has been:Approved F1Denied Extended until: Approved by: Date:_ www.ci.wheatridge.co.us City of W heatj�Ac COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29" 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 vennits(&,ci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension:hbmp,Zla) c r Permit #,A Q) q 0 S-394 Property Address: Phone # 5A-& 54 - 19 A Email Address: Reason for extension request: Number of days requested: l 4�)b C \ a!=;Z j t 1 l Printed Name: e� } ( Signature: 4 v Date: /©,QQ , / For office use only This request has been: Approved by: Denied www.ci.wheatridge.co.0 s Extended until: Date: /0l Z 2,J1 M i CITY OF WHEAT RIDGE ®`Building Inspection t3fvision (303) 234-5933 Inspection line _1�9�(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: "3a Ll - bla o c— a a r ,— Job Address: 2 IF, 9 0 ^ rn:v S a - Permit Number: 2 0 1-7 O S -7Z -D Ll CL r' i- I e ❑ No one available for inspection: Time 1Tz x-13 Q PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: s i 1:3 Inspector: J i] DO NOT REMOVE THIS NOTICE Property Address Permit Number Permit Issued Date The City of Wheat Ridge Third Party Form Check List ®wrier Information Property Owner information Propetty Owner Address ln�ctor Information Inspection Compan Inspector Name y --- Inspector Contact info. P" Ins ector Statement and I hearty acknowled Acknowled that are ge the roof ► am ins ement under 6/12 must be ins inspecting is 6/12 or over, f hearty acknowledge 6112 inspected by the Ci All roots and found to the roofing °f wheat Ridge Buidin be in con"►piiance 8 system for the referenced building g Dept' IBC as well as all Ci with the minimum re g has been inspected City of Wheat requirements of the 2092 !RC recommendations and�sp i Ridge Policies and P and 2012 Inspector.-(,—_-, ions. Procedure and Manufacturer's (pate: ' _ - EEQge-rtv Owner Statement of Ac xl hearty acknowledge that 1 am the ©w knowl i ement MY consent for the listed third_ owner of the building to lieu of the Ci party inspection com 9 referenced above and t give Propety Owner/Agent: nt:eat pane ti perform my roof inspection ,�►�d9e Buiidin Division inspection. ®ate: This Original document and - I the Chief Buiidin permit card, as well as the roofs g Official within seven days of the final inspection. check list, must be submitted tc Drop off in person . Permit counter 2nd floor 7500 W_ 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 Please add note to reverse side The City of Wheat l�peciion Ch midge �k List notes Mid -Roof �1 +viA Q �i�e—lQn WA _ ❑ Fail EJ N!Aopan Q Fal Structural N/A jai roof # rnpon+ettts Fpassart Ftathat no more than 2 la rff 00 lalI ifng for roof and walls Yens of skiing exist IJ WA Sheathing is instar verify Q N/A � IJ Fait Perri desedptlon {ifaivation that it is listed in the Pam I3 N/A �,-r Crickets ean211 paftp be advusted} 0 IVA o Fal and saddles where (SGL,, �lG� & %cadu E3 wA ll Fal Vel B vent must have rte 0 WA � aPaz 0 � �edfj, no lashings Veft vent Daps boot same gauge as ripe A 0 ��El Fau Fair Step ff ft shall be damaged or �#� 0 NZA ta�.C0 Fa�1 vemy � d cuFl� allow for Pin.roper d peace per shingle Q WA 0 Fail water shield 2' =eated tall pa �I >vrA Pass � 0 Fart UnderlaymVerify roof � � � 24 ll spate CI ►�/A � 1 Fa,7 flnped a slope for p"Oper drains IRC 21112 #B Q WAPass 9 shall h g Ct �;l have R C1 AVA Cl Fal! Drr�d$e should rrtd Q# 2 oyedap pri g extend dowr? ruin 2� El iwi ped a shall past LE molt r1ofn ��l �� � y fastened 12 roof d� 1e88 than 2:12 slo i to roof slopes 0 WAPatios, carports pe: �'CePt►on, data ched Q � A 0 � o � 1:12 ' °pen on three sides w Mages; � -slope ? N/A C ❑ FagAbove S- min- ,epDr, r, � pe of iv/A D Fmi bow roof insulation R 25 min slope 1/4:12 slope AVA ❑ r below roof residential R-,38 Ej F.�� B� commercial R-32 trrust be jnstailed in a� accordance tnirr Slope 114:12 sl �pe�fffCatlonS- dust n€ a �r the manc.1 ope rens I,/A l?�of .S ar nt1r fh the adder on nufaclu�s letter- o 1_7 ail Metal roof � � letter for � ���fln IVA 13 shingles MG10 Wt N/A a 11&11 feta 3:12 11 fl d Q1 El r-il l valley flashin Metalvalley ttashir shag le t -"me m as roofce4Verffhe With f ,,b bWta rain. of! ° a min of a" fror7t ills I — t a i�oa€s a nor of f at e© line high splash d r �7 N/A R r morons ove pig a gy and oPes �co concrete tile shall have under require, doa rr+in- 2-112:12 slope uklo uncaNnent The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name: Inspector signature: Date of Inspection: 2 /1 / _ ���_� The City of Wheat Ridge inspection Check List notes Final Roof 2t�f tnscection ❑ N/A ❑I Pass ❑ Fail ❑ N/A 2� Pass Q Fail Structural roof components ❑ N/A 21- Pass Q Fail N/A ,'`Pass ❑ Fail Verify that no more than 2 layers of shingles exist Flashing for roof and walls �i ❑ Pass ❑ Fail if new sheathing is installed verify that it is listed in the ❑ N/A Pass Q Fail permit description (Valuation must be adjusted) N/A Pass ❑ Fail Verify sheathincu nail pattern (Sag P®llry & prnepdurLM5) Crickets and Saddles where ❑ N/A Pass Q Fail Q N/A Pass [] Fail needed Verify B vent must have boot same gauge as pipe ❑ N/A P Pass Q Fail ❑ N/A E,�' Pass ❑ Verify vent caps Verify no flashings are damaged or rusted Fail 'NSA ❑ Pass ❑ Fail Step flashing shall be min_ of 4x4 piece per shingle ❑ N/A q Pass ❑ Fai, Verify scuppers allow for proper drainage ice and water shield Z ❑ N/A Pass ❑ Fail in heated wail spaces Underlayments must follow 2012 IRC ❑ N/A Pass ❑ Fail / 2012 IBC Verify roof slope for proper drainage ❑ N/A([ Pass 0 Fail ❑ N/A P A. ❑ Fail Dripedge shall have min of 2" overiap N/A Pass Q fail ❑N/A Dripedge should extend down min 2" past roof deck Dripedge shall be mechanicaly fastened Pass [] Fail 90 12" QC LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, patios, carports, open on three sides with min. slope of N/A ❑ Pass ❑ Fail NIA Q Pass ❑ Fail 1:12 Modified Bitumen, EPDM, TPO min Slope 1/4:12 slope Above roof insulation R-25 N/A ❑ Pass ❑ Fail N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 codified Bitumen, slope roust be installed in accordance withslope thman fa ufcturlrr's specifications - !bust have manufacturer's letter of warranty with the address on the letter for final inspection le— Roo€ 3hIn fes fie N/A ❑ Pass Q Fall uIrements Metal 1`00f Shingles shall nOt be installed on slope N/A ❑ Pass ❑ Fai(!Metal f N/A L] PM El Fai1 valley flashing shall be the same material as roo metal valley flashing shall extend a rein of 8" from the f centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line ` of .� with sections overlapping a min. Tile R€zofsRe € I rerinen N/A ❑ Pass D Fai! Clay and concrete file shall have a min. 2-1/2:12 sloe Slopes 4:12 and under P require double underla ysnent The City of Wheat Ridge Inspection Check List notes Final Roof 's.� 0 Company Name: inspector signatum. Date of Inspection: r City of Wheat Ridge Homeowner Roof PERMIT - 201705324 PERMIT NO: 201705324 ISSUED:, 08/03/2017 JOB ADDRESS: 2890 Gray ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Replace siding and roofing; no tampering of existing envelope; weather barrier system; 17.67 squares for roof; 24 squares for siding; extend eaves from (e) flush to exterior face to be 2 ft off exterior face; 2 x 4s sistered to (e) rafters on rake dend; 2 x 4s half lapped to (e) rafter on gable end *******Revision add-redecking 17.67sq *** *** CONTACTS *** OWNER (541)777-7071 BANK JESSE A & ERIN JACOBSON SUB (720)544-7787 Cory Feco 170604 Siding Repair Systems *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,140.00 FEES Total Valuation 0.00 Use Tax 422.94 Permit Fee 378.65 ** TOTAL ** 801.59 *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Homeowner Roof PERMIT - 201705324 PERMIT NO: 201705324 ISSUED: 08/03/2017 JOB ADDRESS: 2890 Gray ST 3/201 JOB DESCRIPTION: Replace siding and roofing; no tampering PoRfEexisting0envelope; weather barrier system; 17.67 squares for roof; 24 squares for siding; extend eaves from (e) flush to exterior face to be 2 ft off exterior face; 2 x 4s sistered to (e) rafters on rake dend; 2 x 4s half lapped to (e) rafter on gable end *******Revision add-redecking 17.67sq *** I, by my signature, do hereby attes't 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 t i 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 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 ofAWNER or CONTRACTOR (Circle one) Date y 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 a licabl 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests fortextensioncmust be ies and madedinrwriting 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 ermit 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 changeof 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 oo"rddiin"a�nce or regulation of this jurisdiction. Approval of work is subject to field inspection. JW�1�+*ti• d Signature of Chief Building Official %ff Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I FOR OFFICE USE ONLY I City of Date: �Kwhcatj��jjge �� �� » _ -=� COMMUNITY DEVELOPMENT % Add to Permit # ) l �� � f 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 Email: permits(o)-ci.wheatridge.co.us Building Permit Revision/Amendment Application $Sol .5Z) *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 2590 Owner Property Owner Email: 1 Mailing Address: (if different than property address) Address: -� City, State, Zip: C Phone: 64 "17'7'"7 _ `ID/71 Submitting Company: '5PI,Z AtS CW -VF RLMX==2 Contact Person: iA _JQC'!Phone: -P91 Contractor: �`(^ Contractors City License #: M WA Phone: Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: -40lk: � 0 UEl2 v 5' c r I�c[,�` n N � o 5W.P Sq. FULF Amps Btu's Gallons e Squares f f • i Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 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 lication to list that entity on this application. CIRCLE ONE: (OWNER (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Cf�,PU �,JAC P---Ist7,J SIGNATURE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT USE ONLY ❑ Not Required ❑ Not Required ❑ Not Required DATE: Oq • ) '? OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of _'"V`Iheat �id�ge 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 Email: permits(&ci.wheatridge.co.us FOR OFFICE USE ONLY Date: I P/an/Permit # Plan Review TF Building Permit Application "* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. """ Property Address: SET Property Owner (please prino: J i5-b�;e 6Wk � CK1,Qc-,JA-K66 1 Phone: 6<t1 -r%-7'7-%0'71 Property Owner Email: I C S S e loan matf. C c',, Mailing --- Mailing Address: (if different than property address) Address: City, State, Zip: Arch itecVEngi neer E-mail: Phone: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Plumbing: W.R. City License # Pho Other City Licensed Sub: K-DrL-0-1 -� Other City Licensed Sub: City License #I !) �� RM19 + 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 ADDITIONAIWINDOW RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION 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/ ' 3F ,- dLfIN ( ) �. S C L SiLa'N Neu . (For ALL projects, please provide a data ed description of work to be performed, including current use of proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, amount of materials to be used, etc.) y type and Notwzc1 5`,, l ,-. &�5N6-T(C _ 6X7ZiVV 6l &F,S /-W&I <E) FW -51 76 Ek7Eki6k- Fri 7v f,�C OFF EXT ` /aQ� C , -�) -/z) (6) o7, '0 CWC >- `iAliStl - ' — ieW 1t1ji1Gj&) —h—z * e Cta -W U7,(14S Sq. FtA .F Amps Btu's 0%`7- PZJL47ri✓ Squares . l — SI Gallons 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 theinfo provided on the application. CIRCLE ONE: (OWNER (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name); DATE: c'i1l ZONING COM MMENTS: Reviewer - BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wh6atpji�ddge COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Property: Notarized signatu' T,Iof Applicant State of Colorado } County of Te) SQl.5Dn } ss 1Z 2� r '( _1 OD The foregoing instrument Ad 1ment was acknowledged by me this day of 1, 20 17 by c,� ' ►gin TAMARA D ODEAN NOTARY PUIILIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires _q 1 a2,20 ;70 Notary Public (E> 2 ) ( k ;,7fik, —� girl YS Csi-1 WS, TIC-- lop, f IC-Iap, NA1uN q 151 MPSON q, -r, s V6 Alf City C4 jotWh6at j� MUNsw DEVELOPMENT APPROVED Reviewed for Code Compliance P" •5-n Plans Exam er Date VaNdit d aermit- The issuance of o Permit or oPProval of Plans specifications and computations shall not be a permit for, or an approval of, any violation to "y of the provisions of the bulldirp code or of any City ordinances. Plemits Tr a Rfd pewmft to give authority to violate of canal the Provisions of the "WV t codes or other ordinances of the MY sholl not be valid. � gtlfGe._ ge l[) �x b r,'#Tar�z V( )o 77S qA �-T-rL IA I �-- rD "o -c' ir %IV I Wheat kage i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: V 0 q- r- n Job Address: 5 9 0 S Permit Number: 0 I-7 c) S 3 a c l O ad .er` 15�e v„ 4 Ur 00� ❑ No one available for inspection: Time / 3 = / AM� Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: 11 a o 111-7 Inspector: "1`7� DO NOT REMOVE THIS NOTICE � / 0,6 P/ 11, _._..i.. , . - -- -, #2A FIT -R- IA I L- I L';k-f,j) 4N TD 41 GTIR60F Pl-ptl SkAki5 P'/o ,A1, 7- �S I City of , Wheat Ridge X01 XJ,`I o C��Zu Ud 4 # I CS z i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: o , n 2 a Li , d - ',,z)oE4c- 11,/o4- ❑ No one available for inspection: Time 10-:- T19 M M Re -Inspection required: es ' No When corrections have been made, call for re -inspection at 303 -234 - Date: Ic rb //7 Inspector: -r-11�> DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 30(," - M, j Job Address: 9"D r raly 94 Permit Number: '0 017 0 -7 3 2 y w 0 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: /0 30 If7 Inspector: 'Tb DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 0 b - In • j Job Address: -,-3?Sqa Crau S -- Permit Number: 0 t -7 0 S -7, -;g L-1 rd - i"")06fi IUc1 ❑ No one available for inspection: Time ft _ 9 &PM Re -Inspection required:Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: f a --7 Inspector: '-rD DO NOT REMOVE THIS NOTICE I City of WheatP 0 d ge COMMUNrry DEVELOPMENT 0 0 ► Vil I 1111111111111111111 17 1111111 ''1 llilll;llill jj� 1 1 M Im T- "T". 1.9 1. 474 FOR OFFICE USE ONLY Date: ')4 1')tl plan1pennit # t' (71(1 04400*0* 2890 GRAY STREET WHEAT RIDGE, GO 80214 1 Address: SARAH PONKO Ph6fib: SARAHPONKO@YAHOO.COM OWNER (SARAH PONKO) :MM, ilain i 10 0606*".. OWNER (SARAH PONKO) ass: BRANDON HINZ Sub Contractors: 720-722-2619 CELL INTEGRATED PLUMBING Electrical: Plumbing: SOLUTIONS Mechanical: WR City License # W.R, City License ## 14-0174 WR City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # 1w, NEW COMMERCIAL STRUCTURE 0 ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE 0 COMMERCIAL COMMERCIAL ADDITION El RESIDENTIAL ROOFING RESDENTIAL ADDITION 0 WINDOW REPLACEMENT COMMERCIAL .Ry ACCESSORY orr ,,shed, deck, RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc,) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE w w a r or r r a CMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Describe)ADD T*,ILET tJTII--ITY—Q,**1J ADD TOILET AND SINK, WITH BASE CABINET ADD EXHAUST FAN AT CEILING, VENT THROUGH (E) OPENING AT ROOF, WORK • li if►. a Yb Jik �e ADD SWING DOOR TO (E) CASED OPENING ADD TILE FLOOR TO UTILITY ROOM AND EXTEND INTO ADJACENT KITCHEN BUILD 2X4 KNEE 4 iM. TOILET Sq. FULF 56.25 Btu's Gallons Amps squares Other ZC Z )5totv, b OCI*f,.WoX.41/5,r AfAl I ,r, r'& yc ----to(; 14 rs shall be required iri Smoke alarm swrand outside each comply with Section R315 of the sleeping area per 2012 IRC, Section 2102 IRC & not more than 10' fTom 13, A ;r F* °. r an, AI Of rant n$, ssns oft rs#art r I apt„ cod Aber nrdinaft, 0,% Of the t bevat .4,4111 .4pR rl V lrinwelvv� 4A,,:,47 ffzrw F 0 R OFFICE USE ONLY 4 . City of Date: h6at , e "_ 0 1,i:... Building & Inspection Services Division 7500 W, 2gth Ave., Wheat Ridge, CO 80033 Plan Review Office: 313.235-2355 * Fax: 303-237-892 Inspection Line: 03-234-5933 Building Permit Application Please complete all highlighted s on'both sides of this form. incomplete applications may not be processed. Property Address: `> ro ty Owner (please print): Phone: -, � c-' Property Owner Emall Mailing Address: (if different than property address) Address: City, State, Zi naineer Architect/Engineer E-mail: Phone.- Contractor hone.Con ct r -r r- Contractees City License e 17L Phone. Contractor, E-mail Address. Snub Contractom. Electrical: Plumbing: Mechanical: WR City License # W.k City License ## W.k City License ## Other City Licensed Saab. Other City LicensedSub: City License t# City License ## Complete all information axe BOTH sides of this fair � 6 ♦ �.� � � i AM All p �( �R 4 A L ! • A 1Nk aW ♦ w � w iYf 4 • � y s i` A M ■k A as � • • y amount of materials to be used, etc.) To 4 Wei Sq, FULF Stu's Gallons Amps Squares Other 11 FOR OFFICE USE ONLY l n Sq. FULF Btu 's Gallons Rs Squares Other I . 6 6'� A V4. - ALL UNITS VIEWED FROM OUTSIDE LOOKING IR 4/04/14 157 ALSIDE SUPPLY DENVER # 157-H4826 15:41:25 WINDOW ORDER - ----__----_-- Pa 1 -- ___-- .�__- - Customer: 01412 - - sa I ..,,...�. --- ------------------------- Ship to 0 2840 GREY ,S 157 ALSIDE SUPPLY DE PER $976 BROADWAY DENVER CO Given ust-PO Tax Ship-by Install Measured-by Auth# By 4104114 Y CT AM Job -pack Or erod Ln. D --Width-- - X - Height- Modal Description Color Set Poa Price Extonded LIVING ROOM 1. 1.0 68 X 46 7/ 8 03A3 MEZZO SR 3 -LITE ROLLER WHITE 47-JO06 -01 03A3 3SL 03I >10 229.46 47 -J1 : -00) CLI ' TEC14 34.61 47- J901 -00 HEADER R P ,00 Window total 264,07 264,07 Ln. Qty -- Width -- X -Height- Model 1 D ao iptio a Color Set Pos Price Extended 2. 2.0 52 5/ 8 49 1/ 8 OS 820 SH 2-LITE ROLLER WHITE 5�pF2C9Ca�t BEDROOM 1 4 7- 20305 -01 633 2SL 171 103 283.60 2 47- 11A3 -0 CLINATECH 28.50 47 -1 I -00 HEADER EXPANDER .00 Window total 212.18 424,.36 Qty --Width-- A -Height- Nadal Description Color Sot Poe Price Extended KiTCH N 3. 1,0 , > 35 1/ 2 30 36 3/ 4 03A2 MEZZO SH 2-LITE ROLLER WHITE 47- 1001 -01 03A2 ISL 1PI 73 149.24 47- IIAl -00 CLIMATECH 26.35 47:- 1 9131 -03 0 HEADER EXPANDER .00 Window total 1455.59 165:59 L . Qty -- Width -- A -Height- Model Description Color Sat. Poe Price Extended 4. 1.0 „9 46 l/ 8 03 MEZZO SH 3^-LI ROLLER WHITE A 4lwY C7t3 47- JOOS -01 03A3 3SL 02 144 262.24 7- J1A3 -00 CLIMATECH 40.68 47 -J 01 -00 HEADER ExPASHER, .00 Window total 301.92 301.92 Ln. Qty -- Width -- X -Height- Model Description Color Sat Poo Price Extended. 5. 2.0 35 3/ 4 X 35 1/ 2 03AO MEZZO SINGLE HUNG WHITE PORCH 47- HOOT -01 03AO SHG 581 73 140.98 PORCH 47- UlA1 -00 CLIMATECH 16.35 qg 47- 14901 -00 RR Ry � PR .Oq. Window to 257.33 314.66 Soo next page... I - 11 +x 11 Y - { f , # r S 1dV ti°1. ° 1p 4 11.1 ro �' ��a . x I- 1 1M 1 ^1 1 t wa � aw a axa ALL UNITS VIEWED FROM OUTSIDE LOOKING IN Price Extended BEDROOM i 4/04/14 49 1/ 4 03A2 MEZZO S8 2-LITE ROWHITE 157 ALSIDE SUPPLY DENVE . 157 --482 15.41:25 47 -I1 -00 CLINATECH 19,38 WINDOW ORDER 47-11 -00 HEADER E .00 Paw; 2 Ln Qty -- Width -- 3L -Height - Model Description Color Set Pus Price Extended BEDROOM `6 6. 1.0 35 1/ 4 38 03h0 }¢ 220 SIBS H UNG WHI 47- 8002 -0 03h,0 SSG U 83 1 4 7` 1. —00 �s IM C 16.35 47- H9D1 -00 HEADER EXPANDER .00 Window total. 166.67 168,67 Ln Qty --Width-- X - Height- Model Description Color Set Pon P Extended BATHROOM 7, 1.0 34 7/ 8 X 24 3/ 4 03AO MEZZO SINGLE HONG WH I TE 47-HOOI-01 030 SHG Ul 73 140.98 47- 81.h1 -00 CLIMATECH CLIMATE 16.35 47- 8901 -00 R M P8 EXPANDER ,00 Window total 157.33 157.33 In. Oty -- Width -- Y - Height_ Model Description Color Set Pus Prase Extended BEDROOM 2 8, 1,0 35 3/ 8 X 49 03.0 MEZZO SINGLE RUNG WHI 47- 73003 -01 03AO SHG Ul 93 163,66 47-HIA2-00 CLIMhTECH 19.38 47- 89DI -00 HEADER 81CP .00 In, Qty --Width-- - - Reight_ Model Description Color Set Pas Price Extended BEDROOM i 10, 1.0 35 / 8 X 49 1/ 4 03A2 MEZZO S8 2-LITE ROWHITE 47- 1003 -01 03A2 2SL UI 93 172,20 47 -I1 -00 CLINATECH 19,38 47-11 -00 HEADER E .00 Window Natal 191.58 191;58 Total windows ordered: 12 Total windows 2,810.38 Amunt due (PLUS TAX) 2,810.38 -UTE ROLLER 3-LITE ROLLER ATT ENTION I have reviewed this order and certify that it is correct, I unde rstand that is order is noncancallable, nonreturnable and nonrefundable.. By Authorized Representative City of Wh6_at -11 1 9 1 e COMMUNITY Dtivu(MIMEN'T k FOR OFIF�IICE U�SE O�NILV plift # '21VA-W-tV-�--, l 1 1111 1:11PIT11111 iiii Illilimill i; Property Address: Property Owner (please err Property Owner Email: 1= Address: C ty, State, Zip: Contractor Electil "ll City License Ai Plumbing: WR ON License # Mechanical: iiiiii City License Complete all information on BOTH sides of this form 5e�i ...... ... Electil "ll City License Ai Plumbing: WR ON License # Mechanical: iiiiii City License Complete all information on BOTH sides of this form Eli4uln of fiftut"Itins to ? � S q. F ULF St u's Gallons Amps qua Other City of WheatNdge COMMUNrn DEVELOPMENT # H 11 1111! Address: City, State, Z!2: _ Phone: Al LAL1 Electrical: W.R, Ci!y License # w Plumbing: I W.R. Citv Licea= I FOR OFFICE USE ONLY F Dater plawpormits 1' Mechanical: Complete all information on BOTH sides of this form 9, e> r 7 t rc. r j c T, rAj Z QX Sq. FULF Stu's Gallons Amps Squares Other ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: 04"", Job Address: ~7C~,Rhx C-7- Permit Number: a qcl F E. r i j ❑ No one available for inspection: Time 3: AM/PM Re-Inspection required: Yes N When corrections have been made, call for re-inspection at 303-2345933 Date: Inspector:~ DO NOT REMOVE THIS NOTICE i 090898? 2890 GRAY ST Sewer repair in the property 50 li PACTS Steve Vance 3/696-959.9 Steve Wakeham VFO UA 0531 Y ESTIMATEI FEEf 108.3( ition O( 54.0( k:. 162.3( field inspections oFw"E~TR City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 v ! m Office: 303-235-2855 ' Fax: 303-235-2857 Inspection Line: 303-234-5933 ~o/orxPO° Date: c Plan Permit Building Permit Application Property Address: Zgqo t2J 54- Property owner (please print):,954 fft& \J-, t., I~tvL~td ~ F Phone: Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: t~1Q~td~Lr ut6 Contractor License Phone: E, CkF _-q Sqq Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Description of work. 5 ¢wcr Sq. Ft./L.Ft added: Squares Construction Value: $ AES ~ (as calculated per the Building aluation Data sheet) ~f tvt "C Q Plan Review (due at time of submittal): $ BTU's Gallons Amps OWNERICONTRACTOR 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 to field inspection. CIRLCE ONE:'-{WNER)- (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: l lXt1tA.`?A? SIGNATURE: 9%0) %ASAa Date: Bldg Valuation: $ - I E L INVOICE# - F I P JNE JOB DATE IN C. M INDUS ° IES INC. P.O. Box 370 e Watkins, CO 80137 DATE 06/20/09 PO # 696-9599 ESTIMATOR Terry CALORIGIN $99 Rooter Fax(303)671-6871 SERVIC EMAN - = - JOB INFORMATION - - ;SILLMI NFORMATION; NAME ~~qqvl ~ ~~~J+C VQH~CG ; /~Ii C QG r NAME ADDRESS 2890 Gray St ADDRESS CITY Wheat Ride STATE CO ZIP 80214 CITY STATE ZIP PHONE 3-249-3573 mrslaurachadwick aho PHONE co DESCRIPTION OF SERVICES ESTIMATE' Replace/Pipe Burst 4" sewer line from the house to the city main in the street. s6,500.00 Approx. 65' long and up to 10' deep. *Includes: Saw Cut, Excavation, Plumbers, Laborers, Pipe & Fittings, Clean-outs, Bedding, Flowfill, Standard Asphalt, Speed Shoring , Backfill, Compaction, Saddle Tap, Clean Up, Haul Away, Barricades, Permits, Inspections & Pulling Equipment. * All items included if necessary WARRANTY Terms of Warranty: 5 year - Parts & Labor Excludes: Roots & Ground Movement (Acts of Nature) APPROVAL X COMMENTS: SIGNATURE SUBTOTAL THANK TAX " OU • PLEASE PAY THIS AMOUNT ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, $ decorative rock, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave-ins or any other unforeseen complications. PERMS: Job cancellation fees will apply. Invoices are payable -1/2 down and balance upon completion of work performed. Any invoice not paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's lien for all unpaid materials and labor supplied to building projects rsuant Colorado law. SIGNA RE ACCEPTANCE OF INVOICE X SIGNATURE ❑ VISA ❑ M/C ❑ AMEX CARD # EXP APPROVAL # ❑ CASH ❑ CHECK# CHARGE A/R ACCOUNT # Resiential Fe, e PERMIT - 071267 f Wheat "dge PERMIT NO: JOB ADDRESS: DESCRIPTION: 071267 2890 GRAY Building f nee around ISSUED: EXPIRES: andside of property. 11/16/2007 05/14/2008 *** CONTACTS*'** owner 303/408-7088 Christopher C ** PARCEL INFO ZONE CODE: SUBDIVISION: ** R-1C 0531 USE: BLOCK/LOT#: U 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** STIMATED FEES 58.34 .00 21.60 79.94 PROJECT VALUATION: 1.20~.00 ** FEE SUMMARY ** ~~ Comments: TRC: 11/15/07 6 FOOT FENCE MAY NOT EN ROACH IN THE DETAILS SUBJECT TO FIELD INSPEC ION HT DISTANCE TRIANGLE - SEE AERIAL FOR I hereby certify that the setba k distances propose4 ordinances, rules or regulation, of the City of Whe4 measurements shoWn, and'allegat ons made are accura~ application and that I assume f 11 responsibility fG applicable Wheat Ridge Ordinanc s, for work under t* A Y this permit application are accurate, and do not violate applicable Ridge or covenants, easements or restrictions of rec6rd; that all ; that I have read and agree to abide by all conditions printed on this compliance with the Wheat Ridge Building Code (l.B.C) and all other permit. Plans subject to field inspection. Signature of contractor/owner 0]- date 6. This permit was issu~d in ac ordance with the pr~ isions set forth in your application and is subject to the laws of the State of Colorado and to the: zoning Regulations; Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the ci ty , i This permit shall expire 180 days from the issue! date. An extension~ybe g,anted at the discret If this permit expires, a nel permit may be acquf changes have been or will be!made in the origina1 exceeded one {I) year. If c nges have been or ~ be paid for a new permit. I I No work of any manner shall 'e done that will Ch$ ge the natural flow of water causing a drainage probl~m. Contractor shall notify the uilding Inspector to/ nty-four (24) hours in advance for all inspections and shall receive written approval on inspecti'n card before proce, ing with successive phases of the job. The issuance of a permit or he approva of draw! 9s and specifications shall not be construed to be a permit for, nor an approval of, any violati of t p isions ~ the building codes or any other ordinance, law, rule or regulation. All plan review is subject t' pections.! te. Requests for an extension must n of the Building Official. ed for a fee of one-half the amount normally required~ provided no lans and specifications and any suspension or abando~nt has not suspension or abandonment exceeds one (1) year, full fees shall be received prior: to expiration 1. 2. 3. 4. 5. Signature of Chief Building Offi date (3G3)234-593 3PM ANY BUSI "11~1 Note: 0-1 - I 1s..~o..lIbtc"'locidhIa~ ......~ Impnl_ts 1CClII'd~ to tbc ....,IOYId....... NqUIled deveIopment~. The ~ Is IIOt mponslblefor InIcc:uI8Ie Infllf!nallon P'''''''"-'d withIIl tbc plan set IIId Ill)' ~ errors -1tina Iiom InIcc:uI8Ie InfonnallOn. INSPBCTION RBQUBST LINB! REQUESTS MUST BE MADE B BUILDING OFFICE: (303)235-2855 DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Ce d~( ~t:v1 V' ~ I DATE /I II (f/ NAME ~.. ~l { I 'f!:!1R\ESS ",..., I ORDER NO. v'cvr", ( CITY, STATE, ZIP SOLO BY CASH .0.0. CHARGE [ ON ACCT. MDSE_ RETD. PAID OUT aUAN. DESCRIPTION PRICE AMOUNT 1 : , , 2 [Q / :~ ~ k'J 3 t l, 'I, .. ; 2,{\ j. .A-- ! ( . U/~' 4 o ~Vf'1 ) 5 I / \ 6 r!J U yJ.. \l&rlJ : ~ PYtJI) 7 ( l c:;; O. ~ i L----r 8 \ if: , ~lq(I' 9 "\ II ~ i V' 10 ..' \ )/ II /' iI, I"' : I~, 11 '\'\ L'€ !( I' '" 12 .'>.. V- II 0(\'1 '-4 : VV': L.- I : 13 J. : 14 : : RECEIVED BY TAX TOTAL ~24705 .~ f ye C e 'f'1-, Lve be> ~5l-iT useA. ',. t'-' "" 581431 1J'ZC ~''''HE'>0 t-,. ~.'" Q U,.,..,'" 1, '" .,f" c,.,.""", "'0 OLORp..'O City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: II I 3 l'4- Plan #: ()7- 0'10/ Permit #: Building Permit Application Property Address J.fl1 D ~~ &t. lDhe.c... tR'~e.,(a> '&:>;) \ ~ Property Owner (please print)Chr:siDF' Chc,M.. . XL. Phone: 5D-S 4D'b-1D'b~ Mailing Address: (if different than property address) Address: ') ptV'v\.E City, State, Zip: Contractor: N '" N r> Contractor License #: Phone: Sub Contractors: /vcJl0e. Electrical City License #: Company: '-~ Exp, Date: ~ Approval: Plumbing City License #: Company ~ Exp, Date: Approval: Mechanical City License #: Company: ~ Exp, Date: Approval: Use of space (description): Description of work: f3,,, "d.,,') c>/ P~Y1c.e ""-"ur..d be>.cJ:. 11 SIde ",p p'vpe.r~. Construction Value: $ (as calculated per the Buildln Plan Review (due at time of submittal): $ Sq, Ft./L,Ft added: Squares BTU's Gallons Amps OWNERlCONTRACTOR SIGNATURE OF UNOERSTANDING 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,G) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: ((QWNER)) (CONTRACTOR) or PERSONAL REPRES7,NT'5IVE of (O~Ij"R) (CONTRATOR) PRINT NAME: Chr.S1r;FD~A,.j..llrLsIGNATURE: ('1 ,~ Date:t1/I:llo1- ZONING COMMENTS: ~ ~1 ~"'- Zoning: f-: \t- Reviewer: @ ~ DEPARTMENT USE ONLY ""'bt ",1ft ~.",-", '.... ~""-e Sj'-<< '-<<. Zy',,. \ +oJ ck-ta \S . JI~'I-M"", -(YI>:JI.t.-. PUBLIC WORKS COMMENTS: Reviewer' BUILDING DEPARTMENT COMMENTS: Reviewer OCCUPANCY FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved 0 no review required I Bldg Valuation: $ j '" , , , , , , , , , , , , , , , , , , , , , , , 4f!feet , , ~ - - -f4"fe~f -- 30:teet 6i~ng Fence~ ~ ~~ ~o ~~ \P ,'I' ."~'b 'h~1::>: :l' "~<>~""_<iI>'" GO~~i>"~~"'> :#'~~~ ~~~ 6 foot high privacy fence :E 900ZILZ/O~ :3.LV'a -i '" o i;\ 0069".,<:",0(: en ~OOB-"OOB 08 'a6P!lJ jeallM ~ anuaA'v' 416Z 15aM 009L g OpeJOIOO 'a6p!H 1ealfMJo A1!O en " x o w "i . 3 E:l30'v'N :Wn120 '*" auoz ]2Jlua:) opmolo:) @" uo!pafOJd aI2U!pJOO:) aU2ld alelS '!!- rp 133.:l . ~ l~ 9 . 3 1i I N '8IDuepl8::JuelS!p lLlD!S lOOJ 9 ~ Aq lOOJ 9 ~ 8Lll U!Lll!M p8MOlle lOU S! 8::JU8J looJ xIs 8Ll1. 'lS AU.I[) 068Z ;}l~UUP.L ;};)UtrJS!{] lq~!S COMMUNITY DEVELOPMEN BUILDING INSPECTION LlN CITY OF WHEAT IDGE 7500 WEST 29TH A ENUE WHEAT RIDGE, CO 80033 - 303-235-2855) DEPARTMENT - (303-234-5933) Building Permit Number: 17247 Date: 6/19/2004 Property Owner: GARY MI CH Property Address: 2890 G Y ST Contractor License No. : Company: If~l;ID Phone: 232-2613 Phone: OWNER/CONTRACTOR SIGNATURE OF UNDE STANDING AND AGREEMENT Total: $189.06 $30.55 $0.00 $3.78 $34.33 ation are accurate, and heat Ridge or Construction Value: Permit Fee: Plan Review Fee: Use Tax: (OWNER)(CONTRACTOR) SIGNE Use: Description: ING FENCE FROM 6' TO 36" AND BUILD A GATE FOR THE FRONT TO THE SAME FENCE (GATE) 36" ALSO BUILDING DEPARTMENT USE ONLY .rng~Q1Il!_ Approval: JH Zoning: R-1 C SIC: Sq. Ft.: /18/04 Please fi:n',,, <?wner I contractor is :-t.::~iJon'),t))" ";)" hnes and constructing in: l'ru':.' ~ , -. '"'ropcrtj a '1-' "l__''lt'r'" pproved plan and rc 'p " >J ," .c, to ::; The C..ty , "Ull", ucvduf'!llcn "tar'd' -d- . IS not responsiblt: for: ...,,' -' . j "~'-:so submllled w,'th,'n th I .naCCc,alc m10rm2':0- ep an set and '.. errors resulting from. , J?y construct~on maccur;".tc Information. B~g Csme. Approval: ~llc~sC9_i1~ Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plu bing License No : Co pany: Mechanical License No : Company: Expiration Date: Approval: Expi ation Date: App oval: Expiration Date: Approval: (1) This pannit was issued in accordance with the provisi ns set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Cola do or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is n t commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days, (3) If this permit expires, a new permit may be acquired f r a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension r abandonment has not exceeded one (1) year. If changes are made or jf suspension or abandonment exceeds one (1) year, full fees shall be paid for a new ermit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-fo r (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a ermit or the approval of drawings nd specifications shall not be construed to be a permit for, nor an approval of, any violation of the proviso uildin ther ordinanc ,law, rule or regulation. Chief Building I or Please sign Te ms and Conditions on reverse side of page, ~' .H[Ar.p ~ / ~ 0 - C> " ~ COLORf>,.,P COMMUI'IITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE. 303.234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 . (303.235-2855) APPLICATION Building Permit Number: Date: Property Owner: (! ,Lj ,\ '} /1 If' t, Property Address: ~!l? (; (;. ,Z; I -, f"""vu lu._'0~) " Contractor License No.: Company: (.(.... (,~ 1'/ Ph ,'-co:;' -<l. )~-;). (,/> one: .J . OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 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; thai 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 (U.B.C) and all other applicable Wheat Ridge Ordinances. for wor1< under this permit. Construction ValueS J L>;1'5 Permit Fee:$ Plan Review Fee:$ Use Tax:" Total:$ /OWNER)(CONTRACTORj: SIGNED DATE (OWNER)(CONTRACTOR):PRINTED C '1/ Dc'" AI No "" :,T. "J.V) F~vc.-<: Oescriptlon: 1N...{ '13 t{<'cI t' y.A: F." TA.., nevT S..-/"" (f?,,fc4 .vtf-~hjFT"-..... 5".1-1" F.",--i' "3../"'<..J "3C."<l/~o Sq. Ft. added BUILDING DEPARTMENT USE ONLY ONING COMMENTS: (r j ,j... Approval: JfI (, i()(CJ"J Zoning: f...-I C BUILOING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: ccupancy: Walls: Roof: Stories: Electrical License No: Company: Plumbing license No: Company: Expiration Oate: Approval: Expiration Date: Approval: Fl:cr, (..'FITo ;,(/1 SIC: Sq.Ft.: Residential Units: Mechanical License No: Company: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount nonnally required. provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year. full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural now of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for. nor an approval of, any violation of the provisions of the building codes or any other ordinance. law. rule or regulation. Chief Building Official I .\ ~l l 6~' r- ....' 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