HomeMy WebLinkAbout4110-16 Lamar StreetCity of Wheat Ridge
Residential Mechanical PERMIT - 202000961
PERMIT NO: 202000961 ISSUED: 05/28/2020
JOB ADDRESS: 4110 Lamar St EXPIRES: 05/28/2021
JOB DESCRIPTION: Replace 2 ton, 13 SEER AC in backyard
*** CONTACTS ***
OWNER JOE H & CAROLINE E MARTIN REVO
SUB (303)418-6001 ARS 021694 ARS (MECHANICAL)
SUB (303)995-1720 TODD ENGLE 020349 ELECTRICAL & LIGHTING SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 6,250.00
FEES
A/C Replacement
60.00
Total Valuation
0.00
Use Tax
131.25
Investigative Fees
60.00
** TOTAL **
251.25
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
r A
City of Wheat Ridge
Residential Mechanical PERMIT - 202000961
PERMIT NO: 202000961 ISSUED: 05/28/2020
JOB ADDRESS: 4110 Lamar St EXPIRES: 05/28/2021
JOB DESCRIPTION: Replace 2 ton, 13 SEER AC in backyard
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 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 thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
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,.�pde or any ordiyance 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.
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, May 27, 2020 3:36 PM
To: CommDev Permits
Subject: Online Form Submittal: Replacement Air Conditioner/Evaporative Cooler Permit
Application
Categories: Dina
Replacement Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT AIR
CONDITIONER OR EVAPORATIVE COOLER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
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.
Is this application for a Yes
residential replacement
AC or Evaporative Cooler
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
4110 N Lamar
Mark Parker
3039474360
Field not completed.
Electron ic-Payment-Form.pdf
CONTRACTOR INFORMATION
I
Contractor Business ARS/Rescue Rooter
Name
Contractor's License 021694
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 7202986822
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address loriantczak_4@hotmail.com
Retype Contractor Email loriantczak_4@hotmail.com
Address
DESCRIPTION OF WORK
What type of replacement Replacement Air Conditioner
unit are you installing?
How many tons is the 2
unit?
For AC - what is the 13
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located backyard
(for example, rooftop,
backyard on ground etc)?
Is electrical needed for re- Yes
hook?
If electrical work is being 020349 AC re -hook
performed, you must
provide electrical
contractor's Wheat Ridge
license no. and scope of
work.
Project Value (contract 6250
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
z
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 been Yes
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 Lori Antczak- ARS
Permit
Email not displaying correctly? View it in your browser.
3
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ��3 F E 4
Job Address: 9116 Lqi 1'
Permit Number: ?-0/90009/
❑ No one available for inspection: Time % AM/PM
Re -Inspection required: Yes Uco
When corrections have been made, call for re -inspection at 303 -234-
Date: -
03 -234 -
Date: y 3 / Inspector: ! TH
DO NOT REMOVE THIS NOTICE
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le 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
perforrRed and that a 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 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.
Signature of Chief Building Official �`' Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Electric PERMIT -
201800081
PERMIT NO:
201800081
ISSUED:
01/09/2018
JOB ADDRESS:
4116 Lamar ST
EXPIRES:
01/09/2019
JOB DESCRIPTION:
Upgrade service and move outlets in kitchen.
*** CONTACTS ***
OWNER
JOE H & CAROLINE E MARTIN REVD
SUB (720)859-9567 Richard V. Brice
021504 RME ELECTRIC CORP.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
101 /
BLOCK/LOT#:
/
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
2,000.00
FEES
Total Valuation
0.00
Use Tax
42.00
Permit Fee
77.50
** TOTAL **
119.50
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/
2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le 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
perforrRed and that a 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 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.
Signature of Chief Building Official �`' Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of'
f W heat Midge
COMMUNITY 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: permits ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 1 q /?-
Plan/Permit #
69 a17 C) ooh 1
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: LA n -t A1(L S"t T Low k C- A, --k ,,.r
Property Owner (please print): CR-Qb L,N +J to ke c 1 nl Phone:
Property Owner Email: 1�1
Mailing Address: (if different than property address)
Address: 19 iGo S (`N\ k i l -k V t
City, State, Zip: AU (1 tl A %;, , �jn o l k
0
Architect/Engineer E-mail: 014 Phone: ti IA
Contractor: t, M C E (_ C,-� Q_
�- o2lroK
Contractors City License #: C-£ C 32 4 4 (wR) Phone: -1-Lc-
Contractor
1Zy Contractor E-mail Address: Re_4-&)teat& Cx-,'-A
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): 9 9_A*j�3 9,x�9,bkcsC Phone: 3y Gro 9 - Z S o 0
CONTACT EMAIL(p/ease print);Ra4+0 L e.M C C u- tee,.( L M
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL + RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMEkCIAL'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) U.DCY2AAE SC"rCC A-tj 7 tAW 0O tt,-C"rS l k) -T-C" r'�
(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.)
Sq. Ft./LF
Btu's
Amps 17,5 Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ Woo i\
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 pappucant fQr this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
r—
Signature (first and last name): uja, DATE:ni
,
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
114J-131Ji1=1 i! k K*i *0 k, I WA
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
A 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: 308 APA
Job Address: yf 6 L q mq.%- S;`
Permit Number: 9-019000,91
❑ No one available for inspection: T'me 130AM/PM
Re -Inspection required: Yes o
When corrections have been made, call for re -inspection at 303-234-5933
Date: I Inspector: m -rH
DO NOT REMOVE THIS NOTICE
303-667-�6-oO
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 33o tQ R E R
Job Address: q11 1-6, tyl /- 1 -
Permit
Permit Number: 2f)/eqC)nrL /
LJ No one available forinspection: pection: Time AM/PM
Re -Inspection required: es o
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
d
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: 309 K E
Job Address: '11/6 L -e m pl S i
Permit Number: _�20f(} OOC)S
❑ No one available for inspection: Time QZU AM/PM
Re -Inspection required, es No
When corrections have been- e, call for re -inspection at 303-234-5933
Date:b-3/9—Inspector n%
DO NOT REMOVE THIS NOTICE
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201701090
201701090 ISSUED: 05/31/2017
4110 Lamar ST EXPIRES: 05/31/2018
Tear off and reroof 27 squares on duplex; 11 squares on garage; 38 squares
total
*** CONTACTS ***
OWNER 303-233-6478 MARTIN CAROLINE
SUB (720)323-3673 Matthew Savarie
* * * PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned
170224 Ceramic Mosaic LLC
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,980.84
FEES
Total Valuation 0.00
Use Tax 377.60
Permit Fee 331.10
** TOTAL ** 708.70
*** 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 k/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€IMs 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.
+w
r N e- 1 -in i i-�Qi ( �
6
M" IN ECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
,
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
Sewer Service
Foundation Inspections Date Inspector Comments
Initials
Plumbing
Pier
Mid -Roof
Concrete Encased Ground (CEG)
Fire Inspection / Fire Protection Dist.
Foundation / P.E. Letter
Lath / Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
Comments
Sewer Service
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.
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
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.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath / Wall Tie
Final Plumbing
Rough Electric
Final Mechanical
Rough Plumbing/Gas Line
Roof
Al
Rough Mechanical
Final Building
Rough Framing
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.
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
Al
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.
"For 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.wheatrldge.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
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: por
Job Address: W10 LG moi S
Permit Number: 2D 1:7-01()10
❑ No one available for inspection: Time t `/" < AMOV
Re -Inspection required: Yes
*When corrections have been made, call for re -inspection at 303 -234 -
Date: 6/_ '//7 Inspector: .le
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701091
PERMIT NO: 201701091 ISSUED: 05/31/2017
JOB ADDRESS: 4114 Lamar ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Tear off and reroof 27 squares on duplex; 11 squares on garage; 38 squares
total
*** CONTACTS ***
OWNER 303-233-6478 MARTIN CAROLINE
SUB (720)323-3673 Matthew Savarie 170224 Ceramic Mosaic LLC
* * * PARCEL INFO * * *
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 100 / Apartments BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,980.84
FEES
Total Valuation 0.00
Use Tax 377.60
Permit Fee 331.10
** TOTAL ** 708.70
* * * 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 i�%-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 manufacturer&4pms 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.
+iii-4uu
�2427F-
Lar ,� e 1 1 0 iro j
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupa-cy Type
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
Comments
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour
Concrete Prior To Approval UT I he Above inspections
Underground/Slab Inspections
Date
Inspector
Initials
Comments
Electrical
Mid -Roof
Sewer Service
Lath / Wall Tie
Plumbing
Rough Electric
Do Not Cover Underaround 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
_92% GA
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.
*For 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 insptimereguest@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 i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: R o r
Job Address: 111M L—ql 1 G i
Permit Number: 2701071
❑ No one available for inspection: Time AM _
Re -Inspection required: Yes N
When corrections have been made, call for re -inspection at 303-234-
Date:- 6 /:` 2 //-'? Inspector: 6 n(
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701.091
PERMIT NO: 201701091 ISSUED: 05/31/201.7
JOB ADDRESS: 4114 Lamar ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Tear off and reroof 27 squares on duplex; 11 squares on garage; 38 squares
total
*** CONTACTS ***
OWNER 303-233-6478 MARTIN CAROLINE
SUB (720)323-3673 Matthew Savarie 170224 Ceramic Mosaic LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 100 / Apartments BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,980.84
FEES
Total Valuation 0.00
Use Tax 377.60
Permit Fee 331.10
** TOTAL ** 708.70
*** 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 A/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
Residential Roofing PERMIT - 201701091
PERMIT NO: 201701091 ISSUED: 05/31/2017
JOB ADDRESS: 4114 Lamar ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Tear off and reroof 27 squares on duplex; 11 squares on garage; 38 squares
total
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 M 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 per ormed is disclosed in this document nd/or its' accompanying approved plans and specifications.
s 3r�f7
Sign ture of OWNER or e6NTRACTOR (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 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 andspecific approval.
5. The pen -nit 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 q ordinance or -r ulati of)his 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.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
Wheati �e
COMMUNITY 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: permitstc'D.ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # `
Plan Review Fee:
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **"
141N - W 16
Property
L_ WX tk- Q
Property Owner (please print): 1!� /�r R.o t, ( fQT- M /-inn t4 Phone.- - Z 2 ,
Property Owner Email: lJ N..
Mailing Address: (if different than property address)
Address: .3 C) . C) - " S—t�
City, State, Zip: VJ �--1 eTNT- P--1 0&-e &Q 0OC:)3
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: 1� C_ CA AA IL M 0- /92 G 1 l C
Phone:
Contractors City License #:1 i 6 -Z Zq Phone:. 2-0 ` ✓ Z-5: 3e 7 .'
Contractor E-mail Address: ICA4 U SA iL 1/c Cl IUA--t/Z-f
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 ARESIDENTIAL
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.)
tpZ-c a 21 �b �; art^.raj f c5
tf-�-- �"��`.�'I� �- �� C 6 S �`-!C eZ�
30 F� /fig Pante P 0 10L". ;EIf /z
2-7+, �vPC II 0 G
Sq. Ft./LF Btu's Gallons
Amps Squares Other
I Project Value: (Contract value or the cost of all materials and labor included in the entire project)
n (:�Eo
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 on this application.
CIRCLE ONE: (O R) (CONTRA or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAIVE: M P Fy SIGNATURE: --DATE: t ��
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ® Received ❑ Not Required
Sanitation District ® Received ® Not Required
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
BuildingDivision Valuation:
$
CITY OF WHEAT RIDGE
_A Build�g Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: AD F—
Job Address: . Q d—
sf-
Permit Number: c'�' O 1 701 Qq
Ej 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
Dater Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
z/'" Residential Roofing PERMIT - 201701090
PERMIT NO: 201701090 ISSUED: 05/31/2017
JOB ADDRESS: 4110 Lamar ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Tear off and reroof 27 squares on duplex; 11 squares on garage; 38 squares
total
*** CONTACTS ***
OWNER 303-233-6478 MARTIN CAROLINE
SUB (720)323-3673 Matthew Savarie 170224 Ceramic Mosaic LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,980.84
FEES
Total Valuation 0.00
Use Tax 377.60
Permit Fee 331.10
** TOTAL ** 708.70
*** 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 A/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
Residential Roofing PERMIT - 201701090
PERMIT NO: 201701090 ISSUED: 05/31/2017
JOE ADDRESS: 4110 Lamar ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Tear off and reroof 27 squares on duplex; 11 squares on garage; 38 squares
total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable wilding 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
thispermIt. 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 worle bt,erformed is disclosed in this document and/or its' accompanying approved plans and specifications.
WMA
Signature of OWNER o,{ 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, po plans
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 originalermit 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.
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 6 _
a,�
co
MMUNITY 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: permits(a)-ci.wheatridae.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # j
jj
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: Li L I Q" Lf 11 Z L, fc� M iA_P_
Property Owner (please print): e- 14f20 L/ fV-C 114 AiCt 7AJ Phone: 3V-3 -Z33 . (jt( 78
Property Owner Email: �1-
Mailing Address: (if different than property address)
Address: -3c-Ac -S r—
City, State, Zip: W)4 6-79' Ai e- L 66 50033
ArchitectiEnginser E-mail:
Phone:
Contractor: % CP A4" t C. i'►') o S A-/ G I I C,
Contractors City License ; : -7 6 L LIA Phone: ? Z 32 z, , 3 7
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
05/-�'/L(/(.-
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Xa,
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ESIDENTIAL 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.) .�—Z
Lh/S1 -cL N&W 4-7Lzr p <—�pc-67 .SH/GZl'
36
.- K sr7t 1 _ wZY713 6-
Z 7 0 to r,' PLe;;e' I( 6 1
Sq. Ft./LF
Amps
Btu's
Gallons
Squares 27 Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
S l 7 I 0
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) CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: 1' 1 A" I I S ikVk P I tL SIGNATURE:
ZONING COMMMENTS.
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
DATE: 4� r -3 I W LV / 7
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANTLOAD.
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: M) D
Job Address: 1 U LAA 12 T
Permit Number: oon Oi n
❑ No one available for inspectio : e Z AM/ M
Re -Inspection required: Yes NJ
*When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NO ICE
le CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _ 1 N i1
Job Address: I 1 �j
Permit Number: !�l tT9�--T,,- -t
2-0 m d 10 �i I
❑ No one available for inspection: Time//.' 0 ' 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 7HIS kOTICE
IV �_ CITY OF WHEAT RIDGE
Building Inspection Division
(30$) 234-5933 Inspection line
(303)23 5-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1 D
Job Address: (4 1/ D (-Am P K �
Permit Number: :1 n I 'i o / 0 9'b
P /
u -F-)) n— C t S) r) (.� o �
R64 f /I U M0-f(C /P:� M I 1\1 f tj?IFPS C�
by lAlcr-Nyj;, .
P��tl �htYC 7 X P /rc��'�'C i7
❑ No one available for inspection: Time % d .'5- �, 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
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: k11 j
Job Address: L-A S T
Permit Number:�-
fV2n)AtE APPrQyvP
NSTr� I1 (1 A K Rb" N N O -o n t bPC �Pc uxs
❑ No one available for inspection: Time . L%� 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
^9 -
Inspection
-
i CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: Li I I
Permit Number: a o! -7 D o i 7
P'V r 0 ) e
N,e obi (oven PA?F A t S0,1) �/ � -
&' S 7 --a l! 0 A r ",0114 M I I) E
❑ No one available for inspection: Time 0/.- �_ ' 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 TMS 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: V� `
Job Address: L 2 i
Permit Number: ,— o/ C C, rC) a 3
P / l A K /fit✓ N ! ► ` D d i(i /� I r /D /( .
LN S T P lI O V V/i P L A
b� F11RE
❑ No one available for inspection: Time S� b 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
• Cit} of
�E'atR e
CE7��rl.4tukrr7f '�EYEL€3P.NEcc4'T�••�L�
Building & Inspection Services Division
7500 W. 29M Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date.
Plan/Pennit # r 1
`-
Plan Review Fee.
Building Permit Application
,....
s „ ease:,cO[SRM e a iig r[i Ftte=areason: ctr sr es o �s or r neome a �.ap ca�..o��ta spa - a er caress
6t?[? re r 1X2«
(please print): DD1
�al�
at rens (if dif,Ferent than proper l address)
Address: ' /� D� r —L-9-
City, State, Zip:
A"F'" ec�TEnae�eer
Etc fte iE Mie -tnaM C c e
WON
C`act r oc C _F oe�se DG4�
EM -5 �71-Z,41 7
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
A
Plumbing:
W.R. City License #
I 14ew-
Other City Licensed Sub:
City License #
lit pk �� 117
W.R.R. CiCitLicense #
Complete all information on BOTH sides of this form
y
escrr Tiro a war (Check all that apply)
Q NEtA/ COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
NEN/ RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
IDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
tiIECHANICAL SYSTENVAPPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEtIMENT
OTHER (Describel
Sq. FULF Btws 11
Gallons
Amps Squares Other
City of
,
jd
O&Wukny DEmop.�ffiNrr
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date.
PlanlPennit #
Plan Review Fee:
Building Permit Application
-e-
se print): , 11� �,Al
N 76ame-&=C N 'Ll"i e .7
DU
gt
ac �c�cC fess (if different than property address)
Address:
-71-
City, State, Zip: /--I-- X
POW 7,1-Z-4-11 7
C
ori R i ETS 'rE- m -a IN I I �r ress: s: zt 4,
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
:D:W-S"-c"—rrPTI--40rv��of,-,�.wo�r - (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE 0 ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE Q COMMERCIAL ROOFING
COMMERCIAL ADDITION 0 RESIDENTIAL ROOFING
RESDENTIAL ADDITION 0 WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
0 RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
EMECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTENVAPPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
AF115
Sq. FULF Btu's 1'1&xll� Gallons
Amps Squares Other
City of Wheat Ridge
Residential Mechanic PERMIT - 201601923
PERMIT NO: 201601923 ISSUED: 12/06/2016
JOB ADDRESS: 4110 Lamar ST EXPIRES: 12/06/2017
JOB DESCRIPTION: Replace furnace 80% efficiency; 45K BTUs
*** CONTACTS ***
OWNER 303-233-6478 MARTIN CAROLINE
GC (303)278-6417 Jimmy W. Broomhall 020647 Broomhall Brothers
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,200.00
FEES PAI" Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 39.60
** TOTAL ** 79.60
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply with applicable codes and ordinances and is subject to field
inspections.
I, by m signature, do hereby attest that the work to be performed shall comply with all accompanyin�app roved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am lelegal owner oave been authorized
bythe Ial owerofthe propertyandamauthorized to obtain this permitand perform the work descbed and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
2-
fv
Signature of OWNER or CONTRA& OR (Circle one) Date
1. This permit was issued based on the information provided in thepermit 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. Thispermit 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 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 rwitwg of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code orKA�t�
his jurisdiction. Approval of work is subject to field inspection.
I n J I t/—
Signature of Chief Building Official Date I
REQUESTS MUST BE MADE BY 11:59PH ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest(a-'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.
I FOR OFFICE USE ONLY
Date: I � 16 PL
WheatP, e r
IUNrry DEVELONAEM
Plan/Permit # I2
Building & Inspection Services Division �� ` �O' "
7500 W. 29'h Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
a fea`94 e�omp a s -."kg limed areas ori- otEs sI es of this form. Iricg" p a' pQT1bo
�110/,¢!a,e j
Prop er (please print):L'�Gd�itl�
(if different than property address)
Address: jxAm -14V &/-
City, State, Zip: "o
ArctitectlErrginee
c itectl gr tee E -mart: �?�' ioi 0
Conon art ctor.: 4,0oll'-1,411
Con rac.
ors ,Gi cease: q���� Phone"?
Con Tactor E'-maiF Tess:
Electrical: Plumbing: Mechanical:'�ilo
W.R. City License # W.R. City License # W.R. Citv License # el Z-/%
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
Descri tion of w6rk' (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.)
HRESIDENTIAL 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;
proosed uses, square footage, existing conditiarlsand propaseifnevcoitdition, appliance_size and efficiency, type and
amount of, materials to, be•.us_ eds etc ]
Sq. FtJLF
Amps
Btu'sGallons
Squares Other
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
f (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: ,f?,m;t 2rxir°
Job Address: Yffyl - P'lle- X x,21,,2 sr
Permit Number:
rrvS�Fc I
❑ No one available for inspection: Time A0 AM /PM
Re- Inspection required: Yes- No
'When corrections have been made, call for re- inspection at 303- 234 -5933
Date: 2/17/`og Inspector:
,
DO NOT REM VE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
]� (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION N E
Inspection Type:
Job Address:
—
Permit Number:
_ 7
❑ 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:
DO NOT REMOVE HIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ 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
f
Date: - ." Inspector.
DO NOT REMOVE IS NOTICE
" ' City of Wheat Ridge
Residential Roofing PERMIT - 091319
PERMIT NO: 091319 ISSUED: 08/14/2009
JOB ADDRESS: 4114-16 Lamar St EXPIRES: 02/10/2010
DESCRIPTION: Reroof 27.67 sqs
***CONTACTS***
owner 303/233-6478 Caroline Martin
sub - 3.03/242-8444 Jerod Raisch 09-0053 Metro Construction Inc
PARCEL INFO
ZONE CODE: UA.:. '-USE: - UA
SUBDIVISION:: .0373 BLOCK/LOT#: :0/
FEE SUMMARY ESTIMATED. PROJECT. VALUATION: 8,978.45
FEES
Permit Fee 217.50 ~ E 71
Total Valuation .00A~ )
Use Tax
161.61
* :TOTAL 379.11
s
'';.Conditions:
6 nail installation & mid-roof inspection required. Board sheathing spaced more
than a.1/2.of an inch apart requires plywood overlay on entire roof. Ice and
water shield required :from eave edge to 2''inside exterior walls::
Subject to field inspections. -
Thereby 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
1 -application and that Ias me full responsibility for compliance with the Wheat Ridge Building Code (I.B.C). and all other
is app ble Wheat Ridge finances, for work under this ezmit. Plans subject to field inspection.
rl" Signs ur of contract /owne
'date
1. Th s p rmit was issu d in ccordance with the provisions set forth in your application and is subject to the laws of the
nS Sta e f Colorado and he Zoning Regulations and Building Codes of Wheat Ridge,.. Colorado or any other applicable
'.'ordinances of the city.`
2. This permit.. shall :expire 180 days from the issue date. Requests for an extension must be received prior to expiration
r date. An. extension may be granted at the discretion of the. Building Official.
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 suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for anew permit.
4. No. work of any manner shall be done that will change the natural flow of water causing a drainage problem.
4. 5. Contractor shall notify the Building Inspector twentfour 24 hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
yy, 6. The.. issuance of a permit: or the approval. of drawings and specifications shall: not be :construed to be a permit for, nor
" an approval of, any 'violation of the provisions of the building codes or any other ordinance, law, rule or. regulation.
All plan review is.' ,b ect to field inspections.
Signature of ilding Official'' ".'date
INSPECTI REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
?ZZ
9
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Property Address:
Property Owner (plea
Mailing Address: (if different than property address)
Address:
City, State,
Contractor:
Contractor License '-j-.
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Use of space (description):
Description of work:
Sq. Ft./L.Ft added
Phone:
Plumbing City License
Company
Exp. Date:
Date:
Plan
Permit
Mechanical City License
Company:
Exp. Date:
ADDroval:
Construction Value: $~ffonDat
(as calculated per the Building__ l luation Data sheet)
Plan Review (due at time of submittal): $
Squares,i*7 ,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 'section.
CIRLCEONE:: (OWNER) (CO ACTOR) r PERSONALREPRE ENTATIVE f( N R) (CO iTRATOR)
PRINT NAME: SIGNATURE: Date:8-1~-09.
DEPARTMENT Ut ON
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS
Reviewer
LY
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved- ❑ no review requ
OCCUPANCY:
d Bldg Valuation: $
Building Permit Application
A 4' City of Wheat Ridge
►J Residential Roofing PERMIT - 091201
PERMIT NO: 091201 ISSUED: -.08/10/2009 -
JOB ADDRESS: 4110-.4116 Lamar St. EXPIRES: 02/06/2.010
DESCRIPTION: Reroof 37.34 sqs with 30 yr - comp shingles
***CONTACTS
owner 303/233-6.478 '.Joe Martin
sub- .303./242-8444Jerod Raisch 09-0053-Metro Construction Inc
**.PARCEL INFO
ZONE _CODE:. UA USE: UA
SUBDIVISION: .0373 'BLOCK/LOT#:..0/
**"FEE SUMMARY ESTIMATED PROJECT VALUATION: 14,999..52
FEES
Permit Fee 326.70 t
Total Valuation ,00 EoMm 4
Use Tax 269.99
**.TOTAL.**.. 596.69
Conditions:
6.nail installation & mid-roof inspection required. Board sheathing spaced more
than al/2of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 21 inside exterior walls..
Subject to field inspections.
I hereby certify. that the wetback 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. alle tons made are accurate; that I have read and agree to abide by all conditions printed on this
applic tion and that S ass e Bill responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
appli able w eat Ridge ordinances, for work under this permit, Plans subject to. field `inspection.
Vo /
Signat of ontractor/o laclco-.ance d e
1 This pe i was issued with the provisions set forth inyour application and issubject to the laws of the
Stateof C ling Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
'ordinanc of the -0ity...
2 This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new.. permit may be acquired. for afee 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. have. been or if suspension or abandonment exceeds one (1). year,. full fees shall
be paid for anew permit.
4 No work of any manner shall be done that will change the natural. flow of water causing a drainage problem.
5 Contractorshall notify.. the -Building Inspector twenty-four (24).. hours in advance for. all inspections and shall receive
written.; approval on inspection card before .proceeding . with. successive. phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any `violation of the :provisions of the building ;codes or any. other ordinance, law, rule or.. regulation. -
se
t to field inspections
All plan revierl
Signature of Ch f lding Official date
INSPECTIO REQUEST LINE: (303)234-5933 'BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE 'MADE BY -3PM ANY:BUSINESS -DAY FOR :INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge Building Division Date: al (0 Dq
m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Plan l
Office: 303-235-2855 ` Fax: 303-235-2857
o Inspection Line: 303-234-5933 d ~O U t
O~ORPD Permit ~d
Building Permit Application
Property Address: *D -t-u ~I1/ o ~"w
Property Owner (please print): 9 r l~V n Phone:, 2 3, 0 7~
Mailing Address: (if different than property address)
Address: 303D
City, State,
Contractor: 01&'Ceti ~ ~s ns itt t (~Y~
Contractor License #:09- 001;3 Phone:
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ c5oJ
D CI'IptlOn of work: (as calculated per the Building Valuation Data sheet)
i ~~yppp~~~r~,-~
_T6,^ Plan Review (due at time of submittal): $
I~f`~ 3U (fir, ~ .~rm??. ~ .
Sq. Ft./L.Ft added: Squaresa BTU's Gallons Amps
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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject t d-ir?st1@ction.
CIftLCE ONE:: ( R CO TRACTOR)r,/or PERSONAL REPRESEIITATIVE of(OwvN (CO RATOR)
PRINT NAME: SIGNATURE: K01 Date:Ug- lo-o
DEPARTMENT Uk=6NLY
ZONING COMMENTS:. -
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer
BUILDING DEPARTMENT' COMMENTS OCCUPANCY:
Reviewer:.
Bldg Valuation: $
FIRE pEPARTMENT° ❑ approved w/ comments ❑ disapproved ❑.no review required 9
~ 0 Plumb. 0 Mech. 0 Structural 0 Other
o 1st 02nd 0 3rd
Job Address: 4-///1 L/l#~~~...../ /.
/.? 5A'/yR/b".f<:1':v,/\/n knD ~~.I~;'5?::/
<:f!!). 00Ri/ //''''''-
? > ,9",R"L-A../" ~.F ~ 'c-............-::-c:!!J /).L..,.~
~.-1"".....o-(!!J /'V"o/..- K .,-9rk'.P7'"' ~~/.J\I.lRF..
..3..? .m--~/ ./l'Ja<P &.Rnl'-"tf__
~~~ :Z;:, ,a...o~r~:>
OA7D~~../ (
oRe-inspection fee of $ must be paid prior to re-inspection.
o Blocked Access
o No one available for inspection: Time AM/PM
'When corrections have been made, call for re-inspection at 303-234-5933
Date/J//?S --111 Inspector:
DO NOT REMOVE THIS
1"
City of Wheat Ridge
Residential Electric PERMIT - 070676
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
070676
4110 LAMAR ST
install service disconnects
ISSUED:
EXPIRES:
4112, 4114,
07/05/2007
01/01/2008
4116
4110 I
***
CONTACTS ***
720/859-9567
303/233-6478
Richard V. Brice
Joe Martin
02-1504 RME ELECTRIC CORP.
gc
owner
** PARCEL INFO
ZONE CODE:
SUBDIVISION:
**
UA
0373
USE:
BLOCK/LOT#:
UA
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED
FEES
108.30
.00
54.00
162.30
PROJECT VALUATION:
3,000.00
** FEE SUMMARY **
Jkl~
Comments:
Electrical must meet 2005 NEC
Subject to field inpection
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
applic ble Wheat Ri Ordi nces, for work under this permit. Plans subject to field inspection.
t 7-5'"07
signature of contractor/owner
date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
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 suspension 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 Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review ubject to fi ld inspections.
signature of Chi ~ 0
INSPECTION REQUEST LINE:
REQUESTS MUST BE MADE BY
date
(303)234-5933 BUILDING OFFICE: (303)235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
MINOR APPLICATION
Property Owner: ;roe. I, "'~v 11 Of r./ ,'/)
Property Address: 4110 411l. 4114- 4116 Lc< ~ '" r
/ 7 ,
Contractor License No.:
~f _HE" ~
~ ,
~ 0
- Q
U ~
COLOR~'OO
Building Permit Number:
Date:
I PLAN #
Phone: ? Os
z.o -(.4-76"
Company: f( ,A1 E
{;"/4c-l-r,'c,
Phone: 7 Z C? - 8'~'1- 5'~t:/
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildincl Dept. Valuation Figure: $ 1
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.
~
Value:$ .; (100.
-",-
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
(OWNER){CONTRA.CTOR): SIGNED
DATE
(OWNER)(CONTRACTOR):PRINTED
DATE
Use of Space (description):
Description of work: 1:/1 slqll
)'rt.-,"C~
d.'feo"]", <'<-15
Sq. Ft. added
~ONING COMMENTS:
Approval:
Zoning:
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
l::IRE DEPARTMENT COMMENTS:
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:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shalt 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 180 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 suspension or abandonment has not exceeded one
(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora 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 Inspector twenty-four (24) hours in advance for all inspections and shall receive written
approval on inspection card before proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an
approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review
is subject to field inspections.
Chief Building Official