HomeMy WebLinkAbout3155 Gray Street1* � � i City of Wheat Ridge
�� E -Res. Sewer/Waterline Repair PERMIT - 202100594
PERMIT NO: 202100594 ISSUED: 03/31/2021
JOB ADDRESS: 3155 Gray St EXPIRES: 03/31/2022
JOB DESCRIPTION: Sewer line repair, 10 ft in the front yard
*** CONTACTS ***
OWNER ( 7 2 0) 9 3 5- 3 2 2 1 ROME JACKSON
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11500.00
FEES
Total Valuation 0.00
Use Tax 31.50
Permit Fee 60.50
** TOTAL ** 92.00
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 202100594
202100594
ISSUED:
3155 Gray St EXPIRES:
Sewer line repair, 10 ft in the front yard
03/31/2021
03/31/2022
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 permrt. I further attest that I am leg 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
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
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, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/31/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Wednesday, March 31, 20213:04:56 PM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3155 Gray St
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Rome Jackson
Property Owner Email Field not completed.
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Afford -A -Rooter
Name
Contractor's License 130129
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-296-7972
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
affordarooter99@gmail.com
Address
Retype Contractor
affordarooter99@gmail.com
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
10 feet
Location of repair
Front yard
(backyard, frontyard,
etc)
Provide additional
n/a
details including
installation of clean-
o uts.
Project Value (contract
1500.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Robin Fulton
Permit
Email not displaying correctly? View it in your browser.
DEPARTMENT OF PLANNING A D DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT R DGE
7500 WEST 29TH A ENUE
WHEAT RIDGE, CO 80215 - ( 03-235-2855)
Building Permit Number: 12045
Date: 4/23/2001
Property Owner:
Property Address: 3155 GRAY T
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERS ANDING AND AGREEMENT
Phone: 237-5610
Phone:
Total:
$980.00
$38.75
$0.00
$24.50
$63.25
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulatio 5 of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all mea urements shown, and allegations
made are accurate; that I have read and agree to abide by II conditions printed on this
application, and that I assume full responsibility for complia ce with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordina ces, or work under this perm~t/
(OWNER)(CONTRACTOR) SIGNE . DATE 'f 1.J-7 ~I
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
-"'"'.......
I
I
FENCE - 4 FT - SPLIT RAILIIN FRONT YARD
,
i
i
BUILD NG DEPARTMENT USE ONLY
I
CO~PLlES W/ FENCE REGS
I
4/2r!01
I
SIC:
Sq. Ft.:
Description:
Walls:
Roof:
...... Note:
Owner I C)u"h.r... Is responsible for locating property
lines IIId constructing improvements according to the
approved plan Bnd required development standards.
The City is not responsible for inaccurate information
submitted within the plan set and any construction
errors resulting from inaccurate informal ion.
Stories: Residential Units:
Electrical License No :
Company:
Plumbi 9 License No :
Compa y:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiratibn Date:
Approv I:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions t 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, Colorado r any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not co menced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a f e 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 or ab ndonment 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 per it.
No work of any manner shall be done that will change the atural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four ( ) hours in advance for all inspections and shall receive written approval on inspection card before
proceediin with successive phases of the job.
The iss ~f a perm' rthe approv. I of drawings and pecifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
o ld' 9 yother ordinance, law, rule or r gulation.
I
Chief ~Uilding I~'< I
(4)
(s)
(6)
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH A VENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
A fflJc.ALlO ^I
GCL,Io~R, ~c pc<-
3 I ~S G~6 5i-,
Property Owner:
Property Address:
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
r hereby certify that the setback distances proposed by this pennit application are accurate.
and do not violate applicable ordinances, roles 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) haVe read and agree to abide by all conditions printed on this
aoplication, and that I assume rull responsibility for compliance with the Wheat Ridge Building
Code (U.8.C.) and all other applicable W at Ridge ordinances. for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
~
DATE t'- /8- O(
Description'
~c--:i\d
,~,'i.
+rv--... +
!I'I~""""'-l
)'c"",;/ ""1'1~f", l{':,:,,"~~~,~,. '.
'1~' '
BUILDING DEPARTMENT USE ONLY
Qb\1\p~S 1~\\UL 0\Q2J S.
~:omn:~9mpt~rf~,L ~ ,
Approval: "u.t~
Zoning: R-3
!;L.mwlllm!:Wmm.f~~q
Approval: 'I/:z. "!>/'"
!mP~QJ!KS1l;>arnm~JL~
Approval:
Occupancy:
Walls:
Roof:
Stories.
Electrical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Building Permit Number:
Date
Phone) 0 3 -?.37- 5b I D
Phone'
Construction Value;<> 7 C? (:). 0 U
Permit Fee:
Use Tax'
Total:
Use:
j\--.
SIC:
1},
~ <'(' -;, "~:7j!
;) <,\ '/
...7 ...~>...,~
r,-. _.<\
>>:\'(::::>
'>~:e,.
_1'\ ..--~f
Mechanical license 0':
Company:
Expiration Date:
Approval:
(I)
(2)
(0)
This permit was issued in accordance with the provisions set forth in yopur application and is Subject to the taws of the State of Colorado and to the Zoning
Regulations and BUIlding Code of VVheat Ridge, Colorado or any other applicable ordinances Of,the City.
This permit shall expire If (A) the work authOl1Zed is not commenced WIthin SIxty (60) days from Issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If thiS permit exoires, a new perrmt may be acquired for a fee of one-half t/le amount normally required. provided no changes have been or Will be made in the
onglnal plans and speclficatlons and any suspenSIOn or abandonment has not exceeded one (1) year. If cnanges are made or If suspensJOn or abandonment
exceeds one (1) year, fuU fees shall be paId ror a new pen-rut.
No wor!< of any manner shaJlbe done that will Change the natural flow of water causing a dramage problem.
Contractor shall notify the Building Inspector twenty.lour (24) hours in advance for aJllnspectJons and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval ot, any violation of the provisions
of the building codes or any other Ordinan:e. law, rule Or regulation.
~.L .L "'".~
Chief Building ins(ector
(4)
(5)
(6)
*___________________________: MetroScan / Jefferson
Schedqle ,022019 Bldg ,1 of 1
Parcel ,39 254 08 005 S ,25 T ,03S R ,69W Q
Owner :Clement Calvin MiPopa Barbara R
CoOwner
Site
Mail
Xfered
Price
Loan Amt
VestType
Lender
Land Use
Sub/Plat
Blk&Lot
Neighbhd
Bedrms
Bathrms
TotalRm
cooling
Heating
,3155 Gray St
,3155 Gray St
,03/25/1999
,$150,000
,$103,500
Wheat Ridge
Wheat Ridge
Doc #
Deed
Loan
:Joint Tenant IntRt
:North American Mortgage
:1112 Res/Improved Land
,Niles & Shaklee
,LOT 6
,0412
,)
,1.00
Total SF
BsmtSF
Porch
Porch SF
Deck SF
80214
Co 80214
,831579
: Warranty
: Conventional
,FIXED
,980
,980
: Covered
,490
:----------------------------*
AssdLand
,SE AssdStrc
AssdTotl
ActlLand
ActlStrc
ActlTotl
PrYrLnd
PrYrStr
PrYrTotl
PrActlLnd
PrActlStr
PrActl Totl
% Imprvd
% Owned
1999 Tax
Tax Dist
OwnerPhn
pierson
Census
Tract
Block
Year BIt
Style
Units
Fireplce
Pool
,1954
,1
,$3,500
,$8,820
,$12,320
,$35,890
,$90,500
,$126,390
,$3,500
,$8,820
,$12,320
,$90,500
,$35,890
,72
,100
,$1,029.66
,3139
,20 C
,107.02
,2
LotAcre
LotSqFt
Parking
ParkgSF
Jacuzzi
,Attached
,220
Information compiled from various sources. First American Real Estate Solutions, LP. makes no representations
or warranties as to the accuracy or completeness of information contained in this report.
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BUILDING DEPARTMENT
(303) 235.2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at .3/55 Gr7
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
i) 7~() II LIe<<,.-<<,--,c<._
nx.'" k'JC /es..z- ,-#,,,.-,.
, ,
tv ;dI,
. .,),
i5 nO';/ re~ 0.. , V'-'C
'" 4,;z- ...,,l-M
;/
ChCf?7;!t, ~N, "'- /77~-Il~!~/,
:'11
( ~Ii
6 ' -f(' fc;k
I J.:;9 ref
(' !1tl~c-
o '
-
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date !;:2-/- 9f
fl~
Ol' lor Building Dept,
DO NOT REMOVE THIS TAG
FORM WR8.22
.DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 8201
, BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 11/27/98
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address: 3155 GRAY ST
Contractor License No. : 20191
Company: Bargain Electric
Phone: 303-297~9379
Phone: 303-297-9379
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$1,675.00
$55.00
$0.00
$25.13
$80,13
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Use:
Description:
To rewire portion of house and change service
BUILDING DEPARTMENT USE ONLY
~
Approval:
Zoning:
SIC:
Sq. Ft.:
--
Approval:
~
Approval:
Occupancy: Walls:
Roof:
Stories:
Residentiai Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical LIcense No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This permit was issued in accordance with the provisions 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, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for 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 or 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 fora new permit
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permit or the approval of drawings and specifications shall not e 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. .
(1)
(2)
(3)
Chief Building Ins
THIS PERMIT VALID ONLY WHEN SIGNED YTHE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-593324 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address :
Contractor License No. :
If /"clh.(? d /'-1C> ~ /q ~ s-
J/5"S- C/J4>/ S"'7
~.$6.._~ c::.X)/9/
. (
Company: /::? ~~ <f1'" ~:J ~ --/ E<.- '/
OWNER/CONTRACTOR SIGNATURE OF UNDERtrANDING AND AGREEMENT
Phone: '1 u] ,- J. '77-9:179
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 8Qree to abide by all conditions printed on this
application. and that I assume full responslbi . forroPhance wnh the Wheat Ridge Building
Code (U.B,C.) and all other applicable Wh' idge . s, for work under this permn.
(DWNER)(CONTRACTDR) SIGNED ~ DATEij/.) ?/9
Phone: ? 0] ~G ?!i- "" "Y?6
Construction Value : ~ t 7 s:.9S
Permit Fee:
Use Tax:
Total:
$0.00
Use:
Description:
/1-1/ -:;
.~ ~t:n-":-(' "j 1"'",f(-o...J
C/UAJ'1;t- S-""/v j C ~~
<O!F /l'~ JJ<
BUILDING DEPARTMENT USE ONLY
tQIl!~O~~
Approval :
Zoning:
I3.mRhmnaomments~
Approval:
1~.!!'~l!l?W.!!~ksIl,)'~mm!lnlSJl
Approval:
Occupancy: Walls:
SIC:
Sq. Fl:
Roof:
Stories:
Residential Units:
Electrical License No: ~n.(
Company: /JA~74. ';v E(c'c.
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
l4)
5)
This pennit was Issued In aeo:wdance with the provisions set forth In yopur appUc:ation and is subject to the laws of the Slate of Colorado and to the Zoning
Regulations and Buikli~ Code of Wleat RId~e, Cok)rado or any other applicable ordinances of the City.
This pennit shall expire if (A) the work auUlonzed is not commenced within sixty (60) days from issue date or (B) the building authorized Is suspended or
abandoned for a period of 120 dar.s. .
If this permit expires. a new permit may be acquired for a fee of one-half the amount nonnalty required. provided no changes have been or win be made In the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made Of if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit
No wor'!( of any maMer shall be done that will change the natural now of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty.four (24) hours In advance fO( all Inspections and shall receive written approval on Inspection card before'
proceedilng wtth sucxesstve phases at the Job.
lhe issuance of a pennit 0( the approval of drawings and specifications shall not be construed to be a permit foe. nor an approval of. Iny violation of the provision.
of the building codes Of' any other Ol'dlnanc:e. law. Nle or regulation.
(1)
(2)
(3)
"
'(0)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-593324 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number: 95-583
Date : 3/22/95
Property Owner: MORRIS RICHARD T
Property Address: 3155 GRAY ST
Contractor License No. : 17291
Company: D & M Construction, Inc.
Phone:
Phone: 239 0764
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Use Tax:
$1,300.00
$31.00
$19.50
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 89ree 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 work under this permit.
Total:
$50.50
(OWNER)(CONTRACTOR) SIGNED
DATE
Description:
REROOF
BUILDING DEPARTMENT USE ONLY
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories :
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
.
Expiration Date:
Approval:
Expiration Date:
Approval:
.
.
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Buildin{;! Code of Wheat Rid~e, Colorado or any other applicable ordinances of the City.
This permit shall expire If (A) the work authonzed is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 day's.
If this permit expires, a new permit may be acquired for 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 or 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 permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notift the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the/'ob.
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
r tho e building codes or an~ othe/rdin~nce. law. rule or regulation.
. C /1L 6c1v11 l/[
( hief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
(1)
(2)
(3)
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DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Application Number:
Date:
Property Owner:
Property Address:
Contractor License No. :
Company:
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Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
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Phone: p :.:sy- ~Y-.s-cr
I hereby certify that the setback distances proposed by this permit application are accurate
and do not violate applicable ordmances. rules or regulatlons 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 (U.B.C.) and all other applicable e t Ridge ordinances, for work under this permit.
<.
(OWNER)(CONTRACTOR) SIGNE
DATE 1. . ?? -7>'s-'
Description:
BUILDING DEPARTMENT USE ONLY
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Approval:
Zoning:
R.iYIl .1'111'1 ,71 ^r"c .~ . me' t$:
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Approval:
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Approval:
Occupancy: Walls.
Roof:
Stories'
Electrical License No :
Company:
Plumbing license No .
Company
Expiration Date:
Approval:
1~lB.\I;:IulrelL'^
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Expiration Date:
Approval:
Plans Required
Construction Value:
Permit Fee:
Use Tax:
3( ~-/':::./
1/ j
Total:
H(OK l~4
Residential Units:
Mechanical License No :
Company:
Expiration Date:
Approval:
..J
This permit was ISSued in accordance with the provIsions 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 VVheal Ridge. Colorado or any other applicable ordinances of the City.
This permit shall eXlJire if (A) the work authorized is not commenced within sixty (60) days from Issue date or (B) the building authorized is suspended or
abandoned for a penod of 120 days.
If this permit expires, a new permit may be acqUired for a fee of one-hall the amount normally required. provided no changes have been or will be made in the
onglnal plans and speCIfications and any suspension or 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 permIt
No work of any manner shall be done that Will change the natural flow of water causing a drainage problem.
Contractor shall notIfy the BUilding Inspector twenty.four (24) hours In advance for all Inspections and shall receive written approval on inspection card before
proceediing with successive phases of the Job
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
(1)
(2)
(3)
(4)
(5)
(6)
For Mayor
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION