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4375 Harlan Street
i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: P'605 Job Address: Permit Number:p f� ❑ No one available for inspection e $� AM/VM Re -Inspection required: Yes_.�,No When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date;,-' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 202000346 PERMtIT NO: 202000346 ISSUED: 02/18/2020 JOB ADDRESS: 4375 Harlan St EXPIRES: 02/17/2021 JOB DESCRIPTION: Repairing pipe burst from yard to city tap. Clean outs in yard. 65 feet. *** CONTACTS *** OWNER (303)981-0963 PHILPOTT JAMES P SUB (303)981-0079 CARLO SAIS 110007 PAYLESS ROOTER/MATO PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,400.00 FEES Total Valuation 0.00 Use Tax 113.40 Permit Fee 140.90 ** TOTAL ** 254.30 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specificationsZ applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 1 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 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 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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. X.Y Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ♦SAW - City Of 'o W heat P_j,dde COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291 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 I FOR OFFICE USE ONLY Date C��// -'�' co Plan/Permit # � �C7i_ 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: �A �) -'r5 Property Owner (please print): 2q, iv; c I<- I--(, t Q &A4 Phone: 563 -9F C— O k 4 3 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: Phone: Contractor Name: took.$e I..t.SS Y'eo Art✓ City of Wheat Ridge License #: Phone: 45o'3—ceaI —gzgj: j Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Ir L . S Phone: -4-2o —22&— Vi -VA L,.:52, CONTACT EMAIL(p/ease print): A%vig-SS re r_71P i oh -o ue-y". c -owl 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, if applicable. ❑COMMERCIAL 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. Pl pi �w54 S4v *-k-a- c,,,+ ( 5s?+ Sq. FULF w, 4-k t✓ BTUs Gallons 4-rt.(0 LA r. �. + >%4- rid 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) 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR)) j rAUTHORIZED REPRESENTATIV of (OWNER) (CONTRACTOR) Signature (first and last name): �.�-_ f� DATE: 2. J 1 i 12 O Printed Name: L"..` SGL. ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 41 CITY OF WHEAT RIDGE _A Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 6( 1 Job Address: Permit Number: J No one available for inspection: Time., Re -Inspection required: Yes.." No. When corrections have been made; call for re -inspection at 303-234-5933 Date: -q_ Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Sewer Repair PERMIT - 201901869 PERMIT NO: 201901869 ISSUED: 09/04/2019 JOB ADDRESS: 4375 Harlan St EXPIRES: 09/03/2020 JOB DESCRIPTION: Replace sewer line from back of house with cleanouts - 8 ft total *** CONTACTS *** OWNER (303)257-9706 PHILPOTT JAMES P SUB (303)981-0079 CARLO SAIS 110007 PAYLESS ROOTER/MATO PLUMBING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,700.00 FEES Total Valuation 0.00 Use Tax 35.70 Permit Fee 67.30 ** TOTAL ** 103.00 *** 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.** City of Wheat Ridge Residential Sewer Repair PERMIT - 201901869 PERMIT NO: 201901869 ISSUED: 09/04/2019 JOB ADDRESS: 4375 Harlan St EXPIRES: 09/03/2020 JOB DESCRIPTION: Replace sewer line from back of house with cleanouts - 8 ft total 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 include all entities named within this document as parties to the work to be performed and that all work to be perormeisdisclsed 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 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 Division. 6. The issuance or granting of a permit hall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or apy ordinance or leplation 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 �iC_ C COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(d-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # �0 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: 'Al _-�r S ha.,r l 0"V1 S f. Property Owner (please print): er, }y.; c_ Y, Phone: 363 - :�,S-4 -'('JGL 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: Phone: Contractor Name: V'Oo 4-e_r City of Wheat Ridge License #: n 6 Phone: 3o3— Contractor E-mail Address: 1....: S p0.vr IL SS ✓Oen 4f_ ✓ CI t Y .l t✓ . G a m For Plan Review Questions & Comments (please print): CONTACT NAME (please print): I _« : S Phone: -- 2 o C, CONTACT EMAIL(p/ease print):_L %..: S 6D na✓I t 15 Yr�r- i L✓Ax 1A.1d f. Co"', 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, if applicable. ❑ COMMERCIAL N 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. Sq. FULF BTUs Gallons o f 110 K Ste. S4 of 359 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) $ 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) or AUTHORIZED REPRESENTATIVE of (OWNER) (CONTRACTOR) Signature (first and last name): U DATE: Printed Name: L. ..; S S ' S ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: ADDRESS: JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground ii , l - 17 Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof ii , l - 17 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS r, - PERMIT: ADDRESS: JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous _ Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof _ 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* . 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. 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: 1109- (;:-, .' a I Job Address: cl -a '7 s' On r /c,,-, sq - Perm it Number: -�? fl 17 0 8-7 0 0 ❑ No one available for inspection: Time 0 = SSCM/PM Re -Inspection required: Yes C to When corrections have been made, call for re -inspection at 303 -234 - Date: It 7 J1-7Inspector: DO NOT REMOVE THIS NOTICE M 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: --s o � - 61 j , C Job Address: L/ 3 7 5— /4ca i -T, „ S IL Permit Number: ---d O/ 7 C S-7© o ME , ❑ No one available for inspection: Time ' c/ S AM PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-2345933 Date:—' I l r / 1-7 Inspector: —F, DO NOT REMOVE THIS NOTICE ► ' , City of Wheat Ridge "f Residential Roofing PERMIT - 201708700 PERMIT NO: 201708700 ISSUED: 10/30/2017 JOB ADDRESS: 4375 Harlan ST EXPIRES: 10/30/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 18.75 sq Pitch = 7/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)257-9706 PHILPOTT JAMES P SUB (303)375-0745 Paul Bonow 020146 Champion Windows of Denver *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,646.00 FEES Total Valuation 0.00 Use Tax 202.57 Permit Fee 204.30 ** TOTAL ** 406.87 *** 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 - 201708700 PERMIT NO: 201708700 ISSUED: 10/30/2017 JOB ADDRESS: 4375 Harlan ST EXPIRES: 10/30/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 18.75 sq Pitch = 7/12 (3rd party inspector required) I, by in 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 leggally authorized to include all entities named within this document as parties to the work to be performed and that all work to bUerformed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of `6WNER or CONTIt�_CTOR (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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a 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 applicablex.Qde or any 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. Dane Lovett �,()170 OO From: no-reply@ci.wheatridge.co.us Sent: Friday, October 27, 2017 1:15 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION A_� L Property Address 4375 Harlan St Property Owner Name Patrick Philpott Property Owner Phone 303-257-9706 Number (enter WITH dashes, eg 303-123-4567) P— Gr �. L__ Z Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract patrickphilpott926@gmail.com Yes Philpott.pdf CONTRACTOR INFORMATION Contractor Business Champion Windows of Denver Name Contractor's License 020146 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-375-0745 10035 E 40th Ave Denver, CO 80238 Contractor Email Address shemans@getchampion.com Retype Contractor Email shemans@getchampion.com Address DESCRIPTION OF WORK TOTAL SQUARES of 18.75 the entire scope of work: Project Value (contract $9,646.00 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or No Pitched roof (2:12 pitch or greater) 10 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof - Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 7/12 18.75 Owens Corning Oakridge Estate Gray Asphalt Main House and garage 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 this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to 11 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. Name of Applicant Steve Hemans Email not displaying correctly? View it in your browser. 12 Champion Window Company of Denver, LLC CHAMP, %� 10035 E. 40thAve #400 • Denver, C060238 High Performance I 3033750745.30375-1065 GetChampion.com ROOFING CONTRACT To PA7f1,lcK �� E -Mat PArlZ/CV- Pp,�pvrr92G leGMAI�. Cor^ Address L-/395 PAn.LAN ST Home Phone celvo9w5a3 9046:. C4141tyat- Z06c state._ zip V( statFactory p p /_'c rf' Estimate '7 '7 CHAMPIOM WMW COMPAMY OF DENVER, LLC (CHOP" MM 70 WASORE, MWSH AN WMLL THE i0t10WNG -- / FOR THE AMOUNT SfIPiNATED BELOW: xr� HO ROOFING 9 n Remove MMM mafng 0 Ia)er) to roof deck o / Note: PCWM and ftosal of additional layers of extstklg roofing materials will be an additanal cost of Ste. -_7 5 P. Za ❑ Inspect roof deck and replace wood as needed Note: Removing andwarped, or ordit decking to create a sound naffing surface for Champion Roof System application // a an additional cost of $ 7 par square foot 5i a Is drip edge ❑ Rakes ❑ t�aft edge ® &awn ❑ &ooze ❑ HTtite a Ofher. U VM (i) ❑ flips ❑ I :hryve; OO �• �• � ' U - i stall roof deck protection QD T0,7 A-6 /jn.rao-z .. t 1/13 install shingles per matMachaers' Insbuchons (D ShlagreManulechrrer17�T� (�✓ ' sfdnglestyfe _Qak ro 6E nkp 0/ 51 instal low slope rag roofing system Locdkff.• o \ Yk��f Sip 9 ® a Replace *1M New ❑use EdWM `�* - • ,,... F.i O/fitsthil Dead wan noshing 7` ❑/ t� Install Counter FWft Location: 51 ❑ Replace Pupa gods' 00fy: 2 'Caeroba oaFs net ►ria 1019 led b h=doa a coats ventibamn. Q( ❑ install hip and ridge cap per shingle mamdavierar ® O j 0 O YES NTUA7JON 3 ❑ xistali oOa ventilation bdhi o system a Install soffit roof veudatim Intake system ®a New ❑Cot -in QN: ❑use F.dating ❑ 11 Ridge ventilation othaust system til ❑ Install OTHER ventilation Woust system Type: Oty._ Loc8h&r NO GUTTERSAND DOWNSPOUTS ❑ existing gutters and downspouts as is (Do NOT REMOVE) O seamless gutters ❑ 5' Standard ❑ 6' Omw Shv CDW- ❑ k SM g ll(S) ctl0 3' Standard ❑ 4"Over Size Color ,../,7,�i,�_ _�IC;'Crik rartrmeaY�mregrt ed7r$Ylbsllafieb nxinRd. aair her AICfO�Q t]i6"fQadxfS, rnmam,.a b ilf6CC Mehnew�aarneyeea e@rstlaild nolbmcsoef i m�pMa mach tatQdm� PPIU, Remove all )ob-retated debris in job site waste receptocla, clean work arae, and nm magnetic room ever the work area ® o Champion will obtain an necessary state. county and local licensing. penult. aid bands as required by law STRUCTURAL CONCERNS reed Ie w, meted as an addendum batt the preparty —� Diampion, goeom is gnat M node for stamp and sly home no tebOty M ar forms loose d aYuchaa b a9W tan. materals eig4nient, foe, snow and rMer *tdo it oci reed blue fitting or after the uAned wok Scapa of mitsW not ens date[ bn r tion orranmval of asbestus or similar ar hdo RtS40 .0010Mt�the right trid nxawankdandwttmharardammetsared�aaned.Ciaresbnisnottesomre8lebrideim dresadninfanramme,vdax..4�anorn*Vd... pby HOA kWm'd Needed ' 'm npr�== newsay eWrars,UYER'S ELE21KITEALS INITIALS "W&RPAY&IM ounALS FMM At MONS SOMICE. There!Aa n2MhgM sWce-trip ch em be baste on filiation two kttsfesetion. BUYER'S RIGHT TO CANCEL Total investment $ 7 G 11 Go — BUYER MAY CANCEL THIS CONTRACT BY DEWERING WRITTEN NOTICE TO Down Payment (Method t $THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY Balance $ 6270 AFTER THE DATE OF TO TRANSACTION. BUYER MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL' AT THE BOTTOM AND Substantial Payment $ ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO FINAL Balance nue mm $ THE Sl IER AT THE ADDRESS SHOWN ABOVE Method: ❑ Finance Pian # Cash, Check or Charge W rescind tiffs —ori — w ua m aNcrarrou. rev vrurn o w tx wrnpreura rn a worsmam.e niammr a=MM 10 s411daTd pfaMM. Customer agrees that Champion may terminate contract, in whole or in part, with the rehan of any payments collected hp to the start of installation. Champion shall not be held responsible for time and material delays, strikes, acts of God or any o9w matters beyond its control. Champion shag not be liable for any pre-existing conditions or damages, or hidden site conditions that ars discovered during installation. Owner agrees that the equdy in ibis property is security for this contract. This contract cab for eustorn made to order goods, tantemer may cancel tis cm lftt at any *tom fatlotir6rg the three (3) day that of rescission period, subject to the customers agreement and obligation to pats a caftrsMation fee. wM charge alld (� rmr ar® pay five (5) percent of the total ambact price (up to t1lM as a fen H the tkmtomer p for to the project start dant Orme i. Cusatah of the �7 M Percent of the total contract price H the Customer carheets actor the project Rs -Measure Day but prim to the htalaAitat Is arm date On which a P� ��'the hdl cmrhactpurke shall bedim and payaWe and any SImb arty paid shall be Champion tedinician perkmi is all rami project messixer ants. In the event of default payment causing Cham to this matter in ton hands an attorney for collection, buyer agrees to pay all costs of collection, including a reasonable attogWs fee. Start installation appmdmatety weeks from contract date or the date on which Champion obtalm all HOA permisslom permits, final change orders, and Oiler contingencies necessary to complete the projecL Verbal promises can catise misunderstandings, therefore this contract and the aceommatrvim limited warranty consttdtas the entire tmderstarasm td thn nodus Nn n1Mr nrb,cfv d ' dl e l orotherwise, to remove and haul away all job related debts. All sales and discounts allotted. At charges included above. X . I-7 TURE Btrw?n•a SKM7UW Ar�trt�s itmrr eurEns NnME rmarr auYEt+s NAME ATNE axiNAlllnE Farm a: CW68-011GDE OChampane, 2016 CFS 77 ^— q1 Z _gs y/ l City f c t 'R,,,4c1gc Wh AUNIlY lXVf,l(,'WMLN1 Date: T3 Plan # Permit#,) c" t (Complete gff highlighted areas) Property Address. Property Owner (please print): 14r&Ck- r z-P0T7' Phone. 503 - 2,57- 5"'70k, Address ONNAER/CONTRACTOR SIGNATURE 'OF UNDFRSTANDINC AND AGREEMENT I hcrJ cc irify that themback di Proirosedh) this Permit application arcaccuratccased do not aiolatc rules or rowlation of the CirY of kk'hcar Ridge or cokeflairl, cascments or restrictions ofrecortl:' that all Iticasurcownis ',Jumn and alic"!atiolls r1lark arc accurale that I have read as agtcc to abi(l 11t'all contlitionN prinwki on diis application and that I a," full rcspon,,ihifitkl I'm compliarrec rkilij appli ('rl,, (:vj'Wj1c41t Rittge and ordinances for N%ork under anN ';S t. I I k ( C �dci� � , permit i �'u A I �,w I )n 111k jpphcatiofl„ that I arn lhkc legal ouncr or hakv lleckl authoriecd by the ic mi, ner of the prolwily to lictforin tire describ"I sa (irk and area al'o jullititi/cd by the lvga) owner of araatr enfrIN included on thk applic.ation to fist that cnti€N on dais application, CIRCI r 0A E (011A'Ek WO\TRACTOR) to (At 4VU41;7) REPRESENI� I III (0101-At) r(v\'fk,4c1'o)O DEPARTMENT USE ONLY ZONING COMMENTS Zoning: Reviewer: BUILDING DEPARTMENT COMMENTS! reviewer� PUBLIC WORKS COMMENTS OCCUPANCY� Reviewer, FIRE DEPARTMENTI': 0 approved w/ cornments C disapproved 1:1 no review required Bldg Valuation: $ A ON WINDOWS .R a DENVER, O rder Philpott, Patrick CUST #: 35739 HOUSi DIAGRAM e PION O of DENVER HOUSE DIAGR if a 0 +r WINDOWS of DIENVER HOUSE DIAG n 0 `aLV _. _. COLOR C ODE LEGEND iAW Awn n 2LC 2- de Csmt M _ WINDO s CREEr Ltd INSIDE S� M f x H OUTSIDE MS 11+LT W X S LDE L. H ORDER SIZE W X H W ULI YIN n 0 `aLV _. _. 3P -E 3 -Pane! Eaual Lite iAW Awn n 2LC 2- de Csmt M _ WINDO s CREEr Ltd INSIDE S� M f x H OUTSIDE MS 11+LT W X S LDE L. H ORDER SIZE W X H W ULI YIN w. F � 131 ._.,, fw_. ...,.._......_.........,_._._. ._ ! f '` 3 / x / _ 7 x x z x 8 x - x z x 9 x x z x 1 0 x x i x x x x 12 x x x 13 x x x 14 x x z x 151 1 x x x n 0 ♦ i CITY OF WHEAT RIDGE P; (303) Building Inspection Division P (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Lac Job Address: �1;74 Permit Number: 1 n4;2U__? ❑ No one available for inspection: Time 1 -);V AM#M ) Re- Inspection required: Yes "When corrections have been made, call for re-Inspection at 303 - 234 -5933 Date: D / Inspector: d` ry DO NOT REMOVE THIS NOTICE i C:itv of Wheat Ridap City of Wheat Ridge Building Division Date: ,, rn 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 235 -2857 Plan #: o�tcano °, Inspection Line: 303 - 234 -5933 Permit #: 2 Building Permit Application ct�� Property Address:, ✓'�j k. 5 j' kjPi�F 21LY LO 62 - 2 Property Owner (please print): n19GgLyfiy LAN( Phone: Mailing Address: (if different than property address) Address: c City, State, Zip: Contractor!: ,clog. ���� Contractor License #: 07© 15F5 Phone: Suh 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): Sr- xjr,� Construction Value: $ peso ption of work: • T At'= aw ro (as calculated per the Buildinq Valuation Data sheet) A5M r S.NIN(g-5_ Plan Review (due at time of submittal): $ SIAN( SR ANYl- 5/b N1 Sq. Ft. /L.Ft added: Squares 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:: (OWNER) (C NTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) ( ONTRATOR) C PRINT NAME: �VC..KeS I, IC�lS SIGNATURE: X20 Date: S- Bldg Valuation: DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE; CO 80215 - (303-235-2855) Building Permit Number: 14626 Date: 10/11/02 Property Owner: Jocelyn Lane Property Address: 4375 Harlan Street Contractor License No.: 18235 Company: Federal Heating, Inc. Phone: 303-423-8945 Phone: 934 7832 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT (OWNER)(CONTRACTOR) SIGNEO OATE JO / /1 In)... / / Total: $3,575.00 $97.25 $0.00 $42.90 $140.15 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. f),~, 6 ~ Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: Install new furnace 90,000 BTU BUILDING DEPARTMENT USE ONLY iOninll'Snm'1Jlll!:l Approval: Zoning: auildfl\~Gom__is Approval: ok/mlc lub.IIIJ:l.1V:Clrksllliiriienii! Approval: Occupancy: Walls: SIC: Sq. Ft.: 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: (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 Slate 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 pennit 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 s~a ify the Buil . g Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing. s ses of the job. The ;ssuan<;!l: of po r.,~ ro of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions.o'ft!\e bui~ 0 ~. inance, law. rule or regulation. (4) (5) (6) Chief Building Inspector Property Owner: Property Address: Contractor License No.: Company: DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) APPUCtTlON JOCELYN LANE L./.3 7) 111\(<.."1';,<1 fT. 1S-~15' fCDr./J/U fII!:IHII'IG Building Permit Number: Date: Phone: 'I). '3 - 99 If ~ Phone: Cj J '1- '7 f 31 OWNER/CONTRACTOR SIGNA TIlRE 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 (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Construction Value: !J J 'i 7,f, 00 Permit Fee: I ~ Plan Review Fee: en. 2 Use Tax: Total: (OWNER)(CONTRAcrOR), SIGNED ~_ C ")'l,.d DATE I 'i/II () .l Description: 7. N f' r Po/.,( No// Fe/ANA C t: 90, OPt> IJ ru BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Company: Plumbing License No: Company: Mechanical License No: I f ~ J 5' Company: Peocll /l '- ).I~Ar I/oIG Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) 111is 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 (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 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 sllspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (I) year, full fees shall be paid for a new permit. (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 Inspectortwenty-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) TIle 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 Inspector .:. .';.'.;"~~.".","~~'-;;(:-"."',' ", ,.:.'e--:..<.'. ,,,O:'~~"'~"~";"'""'..~~" ...,. ,', '~'\':"'.'.'~'; ':"""~,'~';': -,-"> '-, "," . " .y.:.~->-,,~ -'.:" BUILDING DEPARTME~l';-~>- ", :_~;;,_>_:. r.- (303) 235-2855 CITY OF WHEAT RIDGE * * '*~. ;:'.;, :t> c:~" ~ Correction Notice ""1"' ;';';.,.. 'l' ~+,.,.' ~'0 . Job Located at ~~i I have this day inspected this structure and . ese~r~rriises and ~'}"~". h. av.e found the following violations of City dlorState laws gov- lft;{ermng same: , ", fn~ :,,:::_\':~}:<;':-':':'::.- . ,. ~"\41;;>-Youare hereby n .fied to correct the foregoing violations. ~-Q" ~~hen. corrections ha . been made, call for Inspection. !&~~>-:f!:;;-..t" , _.c ,,~n:".~.''.' ',. "'0' o ':~9'~~'~J-:>: '" Inspector lor Bulkllng Depl. DO NOT REMOVE THIS TAG ',,::~i::~: .,,:::.:~ ';-, .' _' . __ "o,;;.-;;:.tt''"''-'',. ,~,,,:,\;,~*~it_~,,:,",..:..-,,.~,~:,~.~.>i;..;r;i~~,~~:b:~~~,~>.;.;,:.;,;:;:~ 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- 68 Date: 1/12/95 Property Owner: LANG JOCELYN D Property Address: 4375 HARLAN ST Contractor License No. : 8 Company: C~ c;....Lo-e (~. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: $1,000.00 $45 00 $0.00 $15.00 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. (OWNER)(CONTRACTOR) SIGNED DATE Total: $60.00 Description: PROVIDE 100 AMP SERVICE TO PHONE CABINET BUILDING DEPARTMENT USE ONLY Approval: Zoning: 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: 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 haye been o~ 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 .f 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 thel'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 e uild;n~des or any 0 er ord; nee. law. rule or regulat;onPhone : 896-7506 Phone: -1~~ C .. Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234.5933 24 HOURS PRIOR TO INSPECTION (1) (2) (3) (4) (5) (6) DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION 237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED 8Y THE CHIEF 8UILDING INSPECTOR AND RECEIPTED 8EL()W, APPLlCATIDN FOR MISCELLANEOUS PERMIT JOB ADDRESS /-I $"7 S' ~/,QJ'lJ.."J ~..,-. I OWNER I:A, <'. #6.5'7"' CONTRACTOR .,c:'-fY C/e~T"." "-- ~.o .' ADDRESS $"/ S'I i::;;")o PERMIT NO. .....--~1#1n.<:.. ATI~J,jt}S S'r- J7~/Jj/..:" ADDRESS .2 ~ b- :2 1?_H S-T PHONE ~<:t- 7J""'~ ZIP CODE CITY ,'?.P'-r~Pi5'~ ZIP CODE ?'_ 7<'> J SONTRACT PRICE $ Je;50~~#, ~L.) PHONE /.."",.., '7'-14-..0"'/44 LICENSE NO. <? I. TYPE Ground 0 WallO ProiectinoD Other S or 0 Foe. 2. MATERIAL Total Square Flit SIGNS 3. ILLUMINATION YOlO NoD Type Elect. Permit No. 4. SET BACK FROM PROPERTY LINE N_S_E_W Zont_ Approved, lone Inspector (Specify which is front) 0 0 0 0 Disapproved I. TYPE SolidO MOrl Thon 80% Op.nO Le.. Thon 800/0 Open FENCES ~, MATERIAL H.IGht 3. SET BACK FROM PROPERTY LINE N_S_E_W Zonl_ Approved,lonelnlpector (Specify which is front) 0 0 0 0 Disapproved I. /'=>n ~,.-rpe I.A~ ,Ad7)::- ~Cfi J/'rL:E" "72> rJ-l.evV~ .ol'3T~ OTHER 2. 3. DRAW SKETCH OR SHOW 8ELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVING DISTANCES FROM PROPERTY LINES. (SET8ACKS OR PROJECTIONS INCLUDED) REAR PROPERTY LINE UJ Z ::; >- ... a: UJ <>. o a: <>. ~ '" ~ ::; >- ti: i I!: ii'i + SPECIFY NORTH FRONT PROPERTY LINE STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TO- ADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LOTS, SHOW L&An DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPliCATION FOR PlUMBING; ELECTRICAL;MECHANICAL PERMIT THIS APPLICATION WILL 8ECOME A PERMIT TO PERFORM THE INOtCATED WORK ONLY UPON VALIDATION 8Y THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT PlUMBING PERMIT MECHANICAL PERMIT STATE LICENSE NO. <;< STATE LICENSE NO ALUMINUM WIRE UNDER SIZE 8 ILLEGAL FLOOR BSM 1ST 2ND 3RD 4TH NO. FUOL,CirtIt Qnel ~IOItlProponeICoollEleclSolot NO. WATER CLOSET FORCED AIR - 8TU , TEMPORARY METER WASH 80WL / HOT WATER - BTU ./ I NEW SERVICE - AMPS J0-7 I J:> 8ATH TUB STEAM - BTU /' CHANGE SERVICE - AMPS SHOWER /' AIR CONDITIONING -BTU ./ LIGHTING SINK /' OTHER /' HEATING GARBAGE DlSP /' REFRIGERATION S:tSTEM POWER SUB-CIRCUITS WATER HEATER ./ Refria.rant Gr0Y6 UTILITY (RANGE, DISPOSER, ETC ) AUTO. WASHER Pounds Char'" FIXTURES DISH WASHER / AUTOMATIlt'SPRINKLER SYSTEM WIRING MOTORS a CONTROLS FLOOR DRAIN ELEVAmR SIGNS URINAL / TRANSFORMERS a RECTFIERS SEWERS / ADDITION TO OLO WORK OTHER / MOTORS OVER I HP TOTAL FIXTURES REMARKS 7.i- P":;'6"'s"oC c::A,I ;r:-F"' . c ,L<<>- ) I hereby acknowledge thot this applieo. tion II correct and understand thot I cannot .tort this project until this appli- cation i. approved. 1 shall comply with the 10W1 of the Stote of Colorado and to the Zoning Regulations and Building Code of the City of Wheat Ridoe. Any violation of the obove terms will couse imm.diot ;::;;;Y' PERMIT FEE USE TAX TOTAL FEE k?"5'. ""'/ / ~ .<''''C'/ $ 6.c>_cP NOT VALID UNLESS RECEIPTED APPROVED DISAPPROVED CHIEF BUILDING INSPECTOR,Cily of Wheot Ridge CALL 237-6944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS Dote Issued yv6<;-r (_'lL> t-I"'P ~ ~.J~f'l-rti ,.Je r[t;.rs . \ vJtP":fP ~l1vi"55 ISJ-P. O~ ;J::? /-I,4;~ ,,-11,J p_fC~.~N H~d-s<:( pJ.P'" ~ 'S.4-