HomeMy WebLinkAbout3735 Harlan Street��+A
IN CTION RECORD Occupancy/Tyke
��3
AtINSPECTION REQUEST LINE: (303) 234-5933: /L
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
-Z U
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
-tor low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
"For Inspection Time Window — Please email inSptimerequest@Ci.wheatridge.CO.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
a City of Wheat Ridge
. Residential Roofing PERMIT - 201701476
?ERMIT NO: 201701476 ISSUED: 06/05/2017
TOB ADDRESS: 3735 Harlan ST EXPIRES: 06/05/2018
TOB DESCRIPTION: Reroof complete; remove one layer existing shingles to deck; install ice &
water shield; double ice & water valleys; and felt material; GAF 30 year
TImberline HD Arch - 19 squares
k** CONTACTS ***
DWNER (303)842-9602
DIXON ARTHUR G
SUB (720)530-7258
Lou Busnardo
080251 Centennial Exteriors, Inc.
*** PARCEL INFO ***
SONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 8,208.00
FEES
Potal Valuation
0.00
Jse Tax
172.37
Permit Fee
188.45
** TOTAL **
360.82
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A1/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
`J Residential Roofing PERMIT - 201701476
PERMIT NO: 201701476 ISSUED: 06/05/2017
JOB ADDRESS: 3735 Harlan ST EXPIRES: 06/05/2018
JOB DESCRIPTION: Reroof complete; remove one layer existing shingles to deck; install ice &
water shield; double ice & water valleys; and felt material; GAF 30 year
TImberline HD Arch - 19 squares
*** CONTACTS ***
OWNER (303)842-9602 DIXON ARTHUR G
SUB (720)530-7258 Lou Busnardo 080251 Centennial Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,208.00
FEES
Total Valuation 0.00
Use Tax 172.37 ;y
Permit Fee 188.45 ---------
** TOTAL ** 360.82
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A1/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701476
201701476
3735 Harlan ST
Reroof complete; remove
water shield; double ice
TImberline HD Arch - 19
ISSUED:
EXPIRES:
one layer existing shingles
& water valleys; and felt
squares
06/05/2017
06/05/2018
to deck; install ice &
material; GAF 30 year
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t11e 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 ermrt. 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 of ' OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall 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 ppermit fee.
3. if this pennit 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 Budding 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
applicable code or any..grdmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
W
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
/Wheat idge
MMUN[TY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # � JN
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: 3'135 uAkL.NN ST Lzk.a,+ 9;4ae_ CA eoo33
Property Owner (please print): A RT IC U R —1)\ KQ ►N1 Phone: 303 or> j ,a_ ,g 2
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Enaineer:
Arch itect/E ng 1 neer E-mail:
Contractor: C e i) -e n n%' oma.1 E)Cler i o r S INC
Phone:
Contractors City License #: 0 $ 0 a 5 l Phone: 303- "\q4- 9-S80
Contractor E-mail Address: m
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL E RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW 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)
(For ALL projects, please 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.)
Rte- V 1 4- - reMove onR sayer Q-%Ct`& n9
t ctis \� C2 y vd'a 4-A-- t-- �� �� C�outo(e \ Ce `f tela-�.Q 1` j/a����
\ I�.
t�o� a. ��� 3p'YR t�Mb�t-(ane �t2�44
Sq. FULF Btu's (� Gallons
Amps Squares '` 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 the information provided on the application.
CIRCLE ONE. (OWNER)CONTRACTOR),Ior (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): J, DATE: 0(.:;, V7
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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: � 0 J
Job Address: ,, % ? � //,4 /L. � 1
Permit Number: ? a / 12 0 / 1/1; 6
. (�, it`d
WV
( )J �L/
IT
,/A
l- v
❑ No one available for inspection: Time -'i AM/PM
Re -Inspection required: Yes /Noi
When corrections have been made, call for re -inspection at 303-234-5933
Date '.' 1 Inspector:h�
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M � I`
Job Address: Z -7 7
Permit Number: l
TF -yam
❑ No one available for inspection: Time/ w AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for_re-inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
IIYAr Cl/iIVIV LING. t�lV al�.:L.
Inspections will not be made unless this card is p
Call by 3:00 PM to receive inspection the foil
INSPECTOR MUST SIGN ALL SPACES PERTA
FOUNDATION INSPECTIONS
DATE.
-
'INSPECTOR 1.
;INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
A�r_-.
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PL
BE CALLED AT LEASI
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SI
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
- DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SI
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Electrical Service
Rough: Electric
Rough; Plumbing
Gas Piping
Rough: Mechanical `.
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROC
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
A�r_-.
Building Final
Fire Department
R C.W & Drainage
INSPECTIONS FOR PL
BE CALLED AT LEASI
Parking .& Landscaping
CITY OF WHEAT RIDGE
r 4000r u ilding Inspection Division
(303) 234 -5933 Inspection line
(
x 303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: X775 t, RL sT
Permit Number: /0/, i/-/
❑ No one available for inspection: Time /,0: A0 AM /PM
Re- Inspection required: Yes
When corrections have been made, Gaff forge- inspection at 303 -234 -5933
Date: - Inspector:
f 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: geeqF
Job Address: 3735 57
Permit Number:
/C &zj7 - R SH"62li - t
3 rr15Yp.11 V 7 .4, v3' s r aP�yr c > ✓/ � C
'A f� t t3� tff�T s�F�yi Z ES 3� 7 !/fzi7 5 C°a!6
i l�L
❑ No one available for inspection: Time
t/ AM ..M
Re- Inspection required: es . -No
When corrections have been made, calf for re at 303 - 234 - 5933
Date: &0 iz9 Inspector:
t,
DO NOT REMOVE THIS NOTICE
> ** kEE SUMMHKY ** ES'PIMA1'Ell PROJi
FEES
...Permit Fee _ 162.90
Total Valuation .00
Use Tax 98.64
** TOTAL * *' 261.54
c.
x
City of Wheat Ridge
ti
_
Residential Roofing PERMIT -
101514
PERMIT NO: ?101514`
`ISSUED:':
06/15/2010
JOB ADDRESS: 3735 HARLAN ST:
- :EXPIRES:
12/12/2010
"-
DESCRIPTION:;. T /o: Install 20 sqs re: -roof.
CONTACTS * **
�.`
s,
owner 303/842 9602 Art Dixon
gc 303/592 -7663 Aaron Anders
10-0039
Acclaimed Roofing Services`
�?
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION:: UA
iBLOCK /LOT #:
0/
> ** kEE SUMMHKY ** ES'PIMA1'Ell PROJi
FEES
...Permit Fee _ 162.90
Total Valuation .00
Use Tax 98.64
** TOTAL * *' 261.54
c.
x
Cit of
Y
y heat Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 -235 -2855 * Fax: 303- 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
?iobeny E1tldCesss
Property owner (please print): y'"_- /), Phone: - ,eq.?
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Colntractor: —AGG G A , sne 4d ; elev I o 5
i
Contractors City License #: Phone: 3 O
Sub, Gon`traetors'
Electrical: Plumbing: Mechanical:
City License # City License # City License #
D "e anpfion"of work.`
— Contract Value
Review Fee (due at time of submittal):
Squares �0 BTU's Gallons Amps Sq Ft. $
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.
CIRCLE ONE (OWNER) (CONTRACT or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: AI 7/c S SIGNATURE: DATE:
✓ ✓ � �✓ , � � AEARRTM� ft7SE O � �, " ��`� � u�y� y � K
i ZOJJIRG COI)IMERT$ � ✓ � i'Z .✓ p r ,� %�. i ✓ l .✓": / l �xd/p�" -, ✓ i � �
ZOnlnr� � r r 7 ✓ � Ir x� r� v✓ (�K✓� � � S3.�r a l
v f r � .✓. r > �S� + r aS�w�
r RQY10w12T' ,ems �i y tt i 'G ice✓ � .ri✓" ,,, 'f: �� �� I ":." � "'
- ...� �.. n'. asm ,.� �f .:',e, „, 'a n -.� ,� „,�,'.,._.<<, ,, ��, ,llbirt`n':..� E a1.✓_ uiw�r;». i x?... aa-'i , F.;+
Bldg Valuation;
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: t f'
Job Address/Permit Number: ; S F/fr f r6 51
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: -tsrf ;Inspector: DO NOT REMOVE THIS NOTICE
1
f
,JVJ/ L0Y-JJJJ 111opw"lull
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: r
Job Address/Permit Number: s `
,f 5
o e5
a
i f r' r, L
❑ No one available for inspection: Time AM/PM
Re-Inspection required: "Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: /_:`Inspector:1~rs1/j
DOjNOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: 3755 /{/lR!A+' ST'
Ij
re/?tVtiT ! 76'fZ,
'C1.. ,Ii
C~IE:ND u. veNT 10 {."
,1'-'I~'i" r"R.. O-E.Ap",,JcE:
L:,vv~~ niArJ f'l-.:>o~
, ,i iH-n-",!'J c. OL( p LII" (,..;:; C Ih_<-K VAL.; c: - :S m ML [) R, ,f><,
Lt::.Ai-!,tJi"
When corrections have been made, call for re-inspection at
303-234-5933. j
1'')
,I' 1/
;j !:/.I/n <_Jo-.vv.::.
- .
, Inspector
Date: l/i,J,.j.
DO NOT REMOV~ THIS NOTICE
.~---_._...~-_.~_.--". -..--------------...-. --------- -~ -
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033. (303-235-2855)
Building Permit Number: 17642
Date: 9/1/2004
Property Owner: ART DIXON
Property Address: 3735 HARLAN ST
Contractor License No,: 18464
Company: B & F Heating & AlC
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 842-9602
Phone: 431 8914
Total:
$6,090,00
$181.10
$0.00
$0,00
$181,10
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 af 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.
(OWNER)(CONTRACTOR) SIGNEot'IPiln Ita !Jkn('KMfi!JATE q -/ -(~
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
INSTAll 105,000 BTU'S BOilER. 150 AMP OVERHEAD SERVICE, NEW BOilER CIRCUIT,
NEW SUMP PUMP CIRCUIT
SIC:
BUilDING DEPARTMENT USE ONLY
;Z~Q1nn....._
Approval:
Zoning:
Sq. FI. :
~
Approval:
1m6~~
Approval:
Occupancy:
Walls:
Roof:
Stories :
Residential Units:
Electrical License No : 17875
Company : Coffman Electric, Inc
Expiration Date: 2/28/2005
Approval: OK/KS
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
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 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 tbeapproval of . s and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisions of th~_~uildin eS or er ordinan , W, rule or regulation.
/.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
(4)
(5)
(6)
Sep 0104 10:08a __...__.04_ ____..._. nl..I" DUIIUIlIY r-t::UTm "\Iumoer:
BUILDING INSPECTION DIVISION. 235-2855
CITY OF WHEo\T RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 A PPU C.f\T I 0 N
p.2
Property Owner: ?13fl#da47 51-
Property Address: 1Ir-f lll)((} n
Contractor License No,: Iff ~4 \
Company: 15 J- r:- Ii e(l-+;n~ ~ ID#OL/ II 0) Phone :5034-31 Fi9 / '-I
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value:
Phtlne: ~3,f~296tJ2
USE Tax:
c}cJfl;:J<1P
.8-
o
I hereby certify that the setback distances propOJod by this penn!t applk:lltton are accurate,
and do not violate applicabkt ordinances, rules Ot regulations of the City of Wheat Ridge or
covenants. easements or ,estridions of record: thai aU mel$urements shown, end IllegaUons
made are accurate; that f have read and 8Qree to abide by an conditions printed on this
application, and that I assume full responslbi for compliance with the Whelt Ridge Buifdlng
Code (U,B,C,) and all other applicable Who ~ge ordinances, for wor1l under this ~'] cj
(OWNER)(CONTRACTORl SIGNE '),,1/ ~ DATE q Z (f. Use:
/~7 s!a ! / It) rClCO 8/7A .5 !:iJ/k r
Description: &cMn~ (}f/t!rhac/ :Yrv;Cf:j/l!tw ti/ler(~^rct<;-6
;lit jf) J't'vIn Jlun, C; ~ c {.( ; r
BUILDING DEPARTMENT USE ONLY
Permi!: Fee:
Total:
~on!1]1Ij~!!!l!!!lln.!81
Approval:
Zoning:
SIC:
Sq. Ft.:
: T ',Il):'~'J'lLllil0c
Approval:
'I, ~n"
Approval:
Occupancy:
Walls:
Roof:
Stories:
ResidentiEl1 Units :
....
Electrical Lic~se ~o : / 7P15. Plumbing License No :
Company: o'!1fiI:J."1 E/ecfrJc Company:
Mechanical license No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval :
Expiration Dale:
Approval:
(1) Thi$ P8'!'1lt was iSS~1d tn ICCOf'dlnce wtIt1 the provisions sel forth in yopur appatlon and It lubted to the '-s oftIM State of Colotado lAd 10 tne Zoning
Regulaoon$ and BUilding Code of IM'Int Rklge. Colorado or"'y ottIer appliCable Oldinancea of !he CllV.
(2l Thi~ permit &hall expire if (A) ltle wortt authofiZed II not commenced WIthin sixty (GO) days m issue d... or (8) the building I\ItIlor1Zed is suspended or
abandoned tor I penOd of ':20 Dlys.
(3) I' lt1is permit expires. I new Ptnnit rMY be Qulred lor. fee of ont-flalf tho _mount Ilomllllly reqUIred. PfOViOed no Chengel hey"! been or will be made in ttte
origInal pIIns and SpedtiCltlons and Iny ""penllon or'baMonmen1 hQ not exaI8Cted one (1) yor. If Chqes are made or If SuspenSIOn or IblMonmenl
exceeds one (1) yor. full tees Ihd be pIIid for. new permit.
(4) No WO/1l of any m.nnor l&haII be done IhIt win change u. naMll now ofwatercaUling Idrllnag. prabIem. ~
(5) Contrldor lhell notify' the Building Inapector twenty.four (24) hours in advance tor 'I npec:tions and Ih.u l'8OIlve written apptOI.'al on i\st)ection card before
procoedi.,. WI'" sua:essMI _. of ""101>.
(6) The issuance Of a permit Of the aPP'OYII of drawings and IPIdftcatians IhaII not be constnJed to be a pennit for, nor an .pproval of. any violation of the pnwisions
"'... buTld;,g CXldesorllfYolher-.:e, 18w,00Ioor_,
Chief Building Inspector