HomeMy WebLinkAbout3030 Gray Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSP!4 TION NOTICE
Inspection Type: "I0��-
Job Address:�'�"'
Permit Number: 72'V_��
a
❑ No one available for inspection: Time 16Y1_'_'AM/PM
Re -Inspection required: Yes(1- No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci.wheatridge.co.us/nspgctio—n —)
Dd 2--7 asp
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 thispermit and perform the work described and approved in conjunction with
this permit. I further attest that I m Dally authorized to include all entities named within this document as parties to the work to be
pertormed and a 1 w k e r ed is disclosed in this document and/or
its' accompanying approved plans and specifications.
Signature o OWNER �ne
O Circle one) Date
1. This permit was issued bformation 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
a icable code ol4ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Electric PERMIT - 202000333
PERMIT NO:
202000333
ISSUED:
02/14/2020
JOB ADDRESS:
3030 Gray St
EXPIRES:
02/13/2021
JOB DESCRIPTION:
Electrical service change -
100 amps
*** CONTACTS ***
OWNER (303)455-4767
GREBB PROPERTIES
SUB (970)266-8100 CHAD VAN DYKE
021953 MERIT ELECTRIC, INC.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
UA / Unassigned
BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED
PROJECT VALUATION:
3,868.00
FEES
Total Valuation
0.00
Use Tax
81.23
Permit Fee
109.20
** TOTAL **
190.43
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/
2012 IRC & 2017 NEC. Subject
to field inspection.
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 thispermit and perform the work described and approved in conjunction with
this permit. I further attest that I m Dally authorized to include all entities named within this document as parties to the work to be
pertormed and a 1 w k e r ed is disclosed in this document and/or
its' accompanying approved plans and specifications.
Signature o OWNER �ne
O Circle one) Date
1. This permit was issued bformation 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
a icable code ol4ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
<.
City of
yea.. Wheatl e
MMUNrFy DEVELOPMENT
Building & Inspection Services
7500 W. 2911 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
FOR OFFICE USE ONLY
Date: D- 6 q J0-� Z
Plan/Permit # I KOW S'� 3
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: �i J
Property Owner (please print): �/� �b ��D����-t' Phone:��-��%
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: 11&4',@G'/ r/ede� ���% �l Phone:
Contractor Name: /h t ,-t- ��� ! Gr 1'--,J-
City
.� --
City of Wheat Ridge License #: 195-3 Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): OkAW VA,- 4t J k4�_- Phone: -:),-7kG
CONTACT EMAIL(p/ease print): &hApl t/
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.
❑COMMERCIAL 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.
,����r� l �aldiCQ�_✓'P�p�C��•�lI" �t��%Glvty
Sq. Ft./LF
BTUs
Gallons
Amps Squares For Solar: Kw # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
��� �'• CIU
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 provided on the application.
CIRCLE ONE: (OWNER) (CON
T) or (
T REPRESENTATIVE)
of (OWNER) (CONTRACTOR)
Signature (first and lasts ame)•
/RIZEDD
CJ
DATE:
Printed Name: �v[4 A�
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer:
BUILD[ ERAaIMENT COMMENTS:
Rev'ewer:
PUBLIC WORKS COMMENTS:
Reviewer.
Building Division Valuation:
On
1* � 4 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: '-! o 9 - j "n e, f
Job Address: 3 0 3 D 9 r air !g+
Permit Number: '-d o I q o a S'4s G+
❑ No one available for inspection: Time 55z!�/I,, wpM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:- 'd Inspector: 1
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: L-) a 9- Et' n e, l
Job Address: -3 0 3 o a-ct� S�
Permit Number: -off 0/ la o a s- g
V` f n A I Pct r- � . ,a, )
A)) e 15e
❑ No one available for inspection: Time 9 = 3 9 AM M
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303-234-5933
Date: a a! S Inspector: i D
DO NOT REMOVE THIS NOTICE
is
i CITY OF WHEAT RIDGE
_:�9�Building InspectiorYDvision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION,NOTICE
Inspection Type: 3 ° - CYl "d
Job Address: 30 30 o-aLt !3
Permit Number: 2' o I S o -g s' g-�;l
❑ No one available for inspection: Time 1 = I 1 AM49
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:A Inspector:
DO NOT REMOVE THIS NOTICE
'm
City of Wheat Ridge
Residential Roofing PERMIT - 201802582
PERMIT NO: 201802582 ISSUED: 09/21/2018
JOB ADDRESS: 3030 Gray St EXPIRES: 09/21/2019
JOB DESCRIPTION: Residential re -roof using 3 tab shingles, 3/8 OSB, 30 yer architectural
shingle. Squares: 27; Pitch: 5/12
*** CONTACTS ***
OWNER (303)455-4767 GERALD GREBB
SUB (720)527-2108 Chase Baron/Sean Smith 180169 Skyyguard Corp
*** PARCEL INFO ***
ZONE CODE: UA
/ Unassigned
USE: UA / Unassigned
SUBDIVISION CODE: UA
/ Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,052.16
FEES
Total Valuation 0.00
Use Tax 211.10
Permit Fee 220.15
** TOTAL ** 431.25
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
' Residential Roofing PERMIT - 201802582
PERMIT NO: 201802582 ISSUED: 09/21/2018
JOB ADDRESS: 3030 Gray St EXPIRES: 09/21/2019
JOB DESCRIPTION: Residential re -roof using 3 tab shingles, 3/8 OSB, 30 yer architectural
shingle. Squares: 27; Pitch: 5/12
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 legally authorized to includealI entities named within this document as parties to the work to be
perfonn�that all wor to be performed is disclosed in this document nd/or�its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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.
q. 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 ce or granti f a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
appl ab co e or any dinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat �d��
CoMMUN1TY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 11_�/ / 16
Plan/Permit #
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: 3c).3c-) - 3C)S-3—_) C(2_AJ ST �?_ty) Lt (6, �b 2i
Property Owner (please print): (1i 0 "S C'eLf✓S_4�> Phone:.3b3 - U -7 - 1 Z 3 q
Property Owner Email: �GCL� l�� I Z _3!S_ Q �' �'t'� I L; C �:'►-
Tenant (Commercial Projects Only) G;-ebJ l `I_
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip: b -e C-(7 ^Z Z
V+
Architect/Engineer E-mail: I Phone:
Contractor Name: S \'4� '* l'012\9 -g
City of Wheat Ridge License #: ) SbK 09l Phone:
Contractor E-mail Address: I iU f� C 51�`i'�'� - \JftfZD (OVV�
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): �_ � Pik) Phone: 303 " Cil Z _ (x,.52 3
CONTACT EMAIL(p/ease print): ry
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
)K 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.
Vh ar 6 C F.q-o,, P2e- 5 S1 - 6P-'21 �
It
G S 6 j u 4Cc uta c� �; I-; �,+
-ryT uICSC-)\%L�: * r)e
5/1 Z /tZe�Lc,:�)F / (Ze..D en< -
Sq. FULF �(0 � -i BTUs Ail k'
Gallons )/w
Amps IV Squares
Commercial Projects Only: Occupancy Type: MvLTIF"C' ons'truction Type: JZQ '(2 -(,Jr=
Occupancy Load:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ /btd52, r(Z)
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 provided on the application.
CIRCLE ONE. �ifFN�E)-CONTRACTOR) or (AUT ORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and/last name): DATE: Z
Printed Name: ( i l its'(. YJ+��--Illu
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
CONSTRUCTION TYPE:
Building Division Valuation:
nCOMMUNICATION AUTHORIZATION
SafeCo
Insurance Company
DATE: 05-29-2018
RE: COMMUNICATION AUTHORIZATION
TO ALL IT MAY CONCERN:
CLAIM # 037409728-01
This letter is to inform you of my desire to have you communicate with my
general contractor, SKYYGUARD, regarding my claim.
I am giving you permission and authorization to provide and discuss any and all
information pertaining to my claim, including but not limited to:
money, payments, adjuster estimates and revised estimates with their
representatives(s) as necessary via:
TELEPHONE #: 720- 527-2108
Please provide SKYYGUARD with a copy of all documents pertaining to this
claim, including but not limited to: copies of the adjuster's summary, estimates,
revised estimates and checks, so as to finalize my insurance claim and
authorize and issue payments in a timely manner.
I further authorize and give consent to SKYYGUARD representatives to voice
record telephone communications with my insurance company, their adjuster(s)
and any insurance meetings that take place on my property.
If you require verbal authorization in addition to this letter, please call me as
soon as possible.
If you have any questio s, p a e feel free to contact me.
/J4 I.,
Signature
Morey Grebb
Print name
3030 - 3050 Gray St. Wheatridge CO 80214
Address City State Zip Code
SK GUARD,
Property Owner ("Owner") Morey Grebb Email Mgrebb12355@gmail.com
Street ("The Property") 3030-3050 Gray St. City Wheatridge State CO Zip 80214
Home Phone Mr. Cell 303-617-1234 Mrs. Cell
Insurance Company SafeCo Claim # 037409728-01
Adjuster Nicholas Pabich Phone 407-318-6450
Shingle Manufacturer Tamko Heritage Estimated Xactimate Price $ 10,000
Year 30 Color Glacier White Down Payment As Per Insurance Coverage
Tear off 3 layer(s) of asphalt/shake/tile shingles Balance Plus Supplements and Deductible
X Install sheathing X 7/16"OSB_1/2" CDX plywood
Where As Needed
X Install felt -151b X 301b other Synthetic
XIce & Water shield to code
Xlnstall Metal Drip Edge. Color
X 6 nail pattern on shingle (+20mph wind resist)
X Valley(s) will be X closed _open
X Install new pipe jacks
X Install new vents as needed
_Install In. ft. of vent -a -ridge
_Re -flash chimney brick/wood size
X Re -flash wall abutment as needed if possible
(Stucco or siding may be deterrent)
X To clean up & haul away all job related debris
X Magnetic sweep of the yard for removal of nails
X 5 year workmanship warranty
First insurance check, deductible & upgrades are due prior to scheduling the job.
THE ESTIMATED DATES OF SERVICE FOR THIS JOB ARE:
4 - 6 Weeks Weather permitting
Improvements in exchange for Insurance Scope.
Breakdown and Supplemental Proceeds
Owner authorizes SKYYGUARD ("Contractor") to contact the Owner's insurance
company regarding damage to the Property. Owner understands that the Contractor
will assist the Owner in obtaining appropriate property insurance damage
adjustments, gaining approval of damage for repair and obtaining funds to repair
Owner's Property.
Owner authorizes Owner's insurance company to discuss all matters directly with
Contractor, or their representative. Owner agrees to provide Contractor with any and
all insurance information, claim number, insurance loss data information and
adjuster's report provided to the Owner by the Insurance Company.
Upon authorization of the Owner's Insurance Company, for a price agreeable to the
Contractor, Owner agrees that the Contractor shall perform work prescribed by the
Insurance Company's loss data sheet or adjuster's report which includes the
estimate of repair as set forth in the insurer's claim file plus any upgrades selected
by the Owner.
Special instructions To Repair All Storm Related Damages.
Owner is obligated to pay only the deductible required by the Owner's Insurance Company plus any upgrade requested by the Owner.
Owner further agrees to endorse insurance checks payable to the Contractor or to pay the Contractor an equal amount.
Contractor shall hold in trust any payment received from you until Contractor has delivered roofing materials at the site or has performed a
majority of the roofing work on your property.
Owner has the right to rescind this contract and obtain full refund of any deposit within 72 hours after entering the contract. Contractor
cannot pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your
property.
Otherwise, Owner understands that this is a binding agreement. If the Owner breaches this agreement before commencement of the work,
Owner agrees to pay the Contractor for the actual work performed.
Owner understands that, aside from upgrades, a summary of the work to be performed, a description of materials to be used or a list of
standard features included, the total contract price, or description of the basis on which the price will be calculated, is embodied in the
insurance loss data information provided by the Owner's insurer. Further, Owner authorizes the Contractor to submit supplemental
requests to the Insurance Company for additional payment required for omitted items from adjuster scope or due to price fluctuation
caused by supply/demand issues otherwise unknown at the time the contract was entered.
Owner warrants that this contract is signed without any reliance upon any representations or promises by the Contractor, or its agents,
except those that are specifically written in this contract, and that no additional promises or representations have been offered as
inducement for signing. Owner also acknowledge reading all the Terms and Conditions on the reverse side of this document.
*Owner owes the Contractor nothing in the event the Insurance Company does not authorize the repairs.
The purpose of GC Overhead & Profit is to pay for an actual contractor responsible for lining up the other trades required to complete the
job. By initialing belowyou wAh to have SKYYGUARD act on your behalf as the General Contractor.
Initials I IA
05-29-2018
Date
R senta
Property Owner
Property Owner
COMMUNITY DEVELOPMEN
BUILDING INS'PECTION LlN
CITY OF WHEAT IDGE
7500 WEST 29TH A ENUE
WHEAT RIDGE, CO 80033. (303-235-2855)
DEPARTMENT
- (303-234-5933)
Building Permit Number:
16607
Date: 12/29/2003
Property Owner: GERALD REBB
Property Address: 3030 GR Y ST
Contractor License No. : 21490
Company: Superior
OWNER/CONTRACTOR SIGNATURE OF UNDE STANDING AND AGREEMENT
Phone: 455-4767
Phone: 288-2691
Total:
$1,800.00
$82.16
$0.00
$21.60
$103,76
I hereby certify that the setbac~ distances proposed by t is 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 easurements shown, and allegations
made are accurate; that I have read and agree to abide yall conditions printed on this
application, and that I assume 'full responsibility for com Iianee with the Wheat Ridge Building
Code (U.B.C.) and all other applicabl eat Ridge ordi anees, for work under this permit.
(OWNER)(CONTRACTOR) SIGNE DATE /2 --2 '1-0.
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Description:
Use:
1C'f'- ""_.' .
~
INSTALL NEW FURNACE 70,000 BTU. ALSO: DUCT WORK.
~pning1tpommilllt,:
Approval:
Zoning:
Buildi"'g~Comni_llt~:
Approval:
PUblic Works comnilent~:
Approval:
Occupancy: Walls:
SIC:
BUILDING DEPARTMENT USE ONLY
Sq. Ft.:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plu bing License No :
Co pany:
Mechanical License No : 21490
Company: Superior Metals
Expiration Date: 12/29/2004
Approval: OK/KS
Expiration Date:
Approval:
Expi ation Date:
Appr val:
(1) This permit was issued in accordance with the provisi ns set forth in yopur application and is subject 10 the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge. Color do or any other applicable ordinances of the City.
(2) This permit shall expire if (Al the work authorized is no commenced within sixty (60) days from issue dale 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 fo 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 0 abandonment has not exceeded one (1) year. If changes are made or if 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 he natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-fa 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 rmil or the a proval of drawings a d specifications shall not be construed to be a permit for, nor an approval of, any violation of the
proviSion b din r any other ordinanc ,law, rule or regulation.
r
Please sign Te ms and Conditions on reverse side of page.
Building Permit Number:
Dale:
APPLlCA TION
Property Owner GefZ..AL(J G ~e.-,~&
Property Address: ~30 ~ ~f"I .j s. t
Contractor License No: .;2.. t q-q 0 +
Company SU Pe.J2, \0 ~ (Y\e; Pt L S
Phone 303-455-1-7(." 7
Phone 303-35?;-9Q7'b
OWNER/CONTRACTOR StGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are ao::urate, and do not violate
applicable ordinances, rules or regulations ollhe City of Wheat Ridge or co....enants, easements or restrictions of
record; that alt measurements shown. and allegations made are accurate; that I have read and agree to abide by
an conditions printed on this application and that I assume full responsibility lor compliance with the Wheat Ridge
Building Code (U.8.C) and all other applicable Wheat Ridge Ordinances, lor work under this permit.
{OWNERIICONTRACTORISIGNEO f J1..N- _ n~ DAT'/:2--;)"O,
(OWNER)ICONTRACTORI, PRINTED F--(.<. \ c- Ao (<:..\<."'-3 0 DATE I ;;l..- ;;l'1
DESCRIPTION: f<,e..PLAC-e...- G~'A'-J~-\-.j FU~(\Ac...L
rV'\~LL f\4..W FutZ.;f\f>'lC-L 70000 fS-Iv
flL.s.o~ Dvc+ V-JO~k.
BUILDING DEPARTMENT USE ONLY
Construction Value: $ If 'if 00
Permit Fee: $
Plan Review Fee: $
Use Tax: $
""
Total Fee:
$
SIC:
Sq,Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUIlOING COMMEHTS:
Approval:
PuBLIC WORKS COMMENTS:
Approval:
Occupancy
\Nails'
RO(jf
r. .
~d'.JrleS
Residential Units:
Plumbing Licenss No:
Company:
Mechanical License No:
Company:
Electrical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) TNI permit Wlslstued in aceonIInc. wIltl the provIsklnss. forth lit your lppIicItIofl and Is sub;ecl to thtllws of tht Stat. of Colorado and to the Zoning Regulations
and IkNkllng Codes ol'MINt Ridge, Colorado or any othtr 1ppIicab" ordinances of ttlt C!ty.
(2) Thb pennl staal ..... If (A) the work IUUKmad I. nol commenctd within .ixty (60) Gays from bsut dIlt 01 (8) the building authortztd I. IUSptfltMd or abandontd fQr a
"""'01'"''''''
(3) . tbit S*mIl: IIXpirH, a new pennl may be acqulrtd for . fit of on.tlatf tht amount nonnaIy reqund, provkItd no changes hav, bMn or will be rude in tht original
plan. and ~ and arry ....ptMion or abandonment has not uCMdtd one (1) y.... . changes hive ~ or If .u,,*,sion or Ihndonment uCMCis one (1)
yell', tvl tees .... be ,..., tor I ..ew pImlI.
(4) No work of any mamw thai be don,1hII w11 change the naturW now of wit. Quting . draIn.~.
(5) Contrac:tor .... notify the Building klspedor twtntr-Iow (24) hours In adv_c, for II Inspection. and thai raceiv, __ approval on in.Ipection card before
procHding wIItl svccattv. ph.... of the job.
(6) Th,I.suance of a p4lrlnIt 01 the approval of drawing. and ~ns thall not be (onstnltd to be. penNt for. nor an approval of, any vlotltion of the proviSions of
Ib, buldlng codn or any odl. onInance, law, Nle or regulation.
Chief Building Inspector
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSP f ION NOTICE
-.
Inspection Type:
Job Address:
Permit Number: s �%
et B
❑ No one available for inspection: Time j�` AM/PM
Re -Inspection required: YesNo
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci.wheatridge.co.uslinspeefion -)
Dta; 2-7 -72!;)-'s