HomeMy WebLinkAbout3255 Depew StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair
Date: Tuesday, March 8, 2022 5:42:01 PM
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PERMIT APPLICATION Sewer or Water Line Repair
This application is exclusively for SEWER OR WATER LINE REPAIR -IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3255 Depew St
Property Owner Name Chris Lisberg
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"
602-384-7337
christopher.lisberg@hotmail.com
Wheat Ridae Pay form. Cd
CONTRACTOR INFORMATION
Contractor Business Sewer Lines Only
Name
Contractor's License 180100
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-562-9800
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email lisa@sewerlinesonly.com
Address
Retype Contractor lisa@sewerlinesonly.com
Email Address
Is this a sewer line or
sewer Line
water line repair?
Length of repair
4'
Location of repair
Backyard
(backyard, frontyard,
etc)
Provide additional
Clean -outs being installed
details including
installation of clean -
outs.
Project Value (contract
3350
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Lisa Miller
Pe rm it
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201902109
PERMIT NO: 201902109 ISSUED: 10/04/2019
JOB ADDRESS: 3255 Depew St EXPIRES: 10/03/2020
JOB DESCRIPTION: Reroof with asphalt shingles; 4/12 pitch, 13 squares total.
**REVISION: Partial re -deck 7/16 OSB overlay on 13 squares. Added
valuation: $950.00
*** CONTACTS ***
OWNER (602)384-7337 LISBERG CHRISTOPHER
SUB (303)552-4467 JOHN HESS
150142 URBAN EXTERIORS, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,291.00
FEES
Total Valuation 0.00
Use Tax 90.11
Permit Fee 125.05
** TOTAL ** 215.16
*** COMMENTS ***
*** CONDITIONS ***
ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH.
FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 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 Building Division Policy
BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions,
whichever is more stringent.
MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an
approved mid -roof inspection, conducted when 25-75% 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% 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.
LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections.
COMMERCIAL ROOFS: 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 - 201902109
PERMIT NO: 201902109 ISSUED: 10/04/2019
JOB ADDRESS: 3255 Depew St EXPIRES: 10/03/2020
JOB DESCRIPTION: Reroof with asphalt shingles; 4/12 pitch, 13 squares total.
**REVISION: Partial re -deck 7/16 OSB overlay on 13 squares. Added
valuation: $950.00
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 e her attest that I am legally authorized to include all entities named within this document as parties to the work to be
med and t 11 to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signat of . WNER or CONTRACTOR (Circle one) Date
I.
Thi ermit was issue ed rmation provided in the permit application and accompanying plans and specifications and is
subject to the compliance wit those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 an 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
app,Uegrble code or arlyprdmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat age
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29t1 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date..
Add to Permit #
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Pronertv Owner
6S—
S�.
Property Owner Email: C (�� s��s�✓ ��cr�.. �_ut.e
Mailing Address: (if different than property address)
Address:
City, State, Zip: \
kL5
Phon
Contact Person: ��S Phone:` ?� Sid - q`f&
Contractor: _ W \_x - f` (,G✓ �
Contractors City License #:
Contractor E-mail Address:
Phone:
oz} .5sv-233%
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour - 2 hour minimum).
Description of revised/amended work: ✓rpt C
oVIV � �a g� 5F
Sq. Ft./LF
Amps
1 z,70
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
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" a property to perform the described work and am also authorized by the legal owner of any
entity included on this applicatio o list that en'Yy on this application.
CIRCLEONE: (OWNER) (CONTRACT or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: �_ "!A tom- S SIGNATURE: k3�DATE: 1 l
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received
Water District ❑ Received
Sanitation District ❑ Received
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
❑ Not Required
❑ Not Required
❑ Not Required Building Division Valuation: $
*** COMMENTS ***
*** CONDITIONS ***
ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH.
FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 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 Building Division Policy
BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions,
whichever is more stringent.
MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an
approved mid -roof inspection, conducted when 25-75% 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% 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.
LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections.
COMMERCIAL ROOFS: 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 -
201902109
PERMIT NO:
201902109
ISSUED:
10/04/2019
JOB ADDRESS:
3255 Depew St
EXPIRES:
10/03/2020
JOB DESCRIPTION:
Reroof with asphalt shingles; 4/12
pitch, 13 squares total
*** CONTACTS ***
OWNER (602)384-7337 LISBERG CHRISTOPHER
SUB (303)552-4467 JOHN HESS
150142 URBAN EXTERIORS, LLC
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS,
OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY
*** ESTIMATED PROJECT VALUATION:
3,341.00
FEES
Total Valuation
0.00
Use Tax
70.16
Permit Fee
109.20
** TOTAL **
179.36
*** COMMENTS ***
*** CONDITIONS ***
ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH.
FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 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 Building Division Policy
BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions,
whichever is more stringent.
MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an
approved mid -roof inspection, conducted when 25-75% 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% 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.
LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections.
COMMERCIAL ROOFS: 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.
V A IV City of Wheat Ridge
Residential Roofing PERMIT - 201902109
PERMIT NO: 201902109 ISSUED: 10/04/2019
JOB ADDRESS: 3255 Depew St EXPIRES: 10/03/2020
JOB DESCRIPTION: Reroof with asphalt shingles; 4/12 pitch, 13 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 t1�e 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 ali entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit tee.
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 shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance of 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
10/04/2019 Int I7 CEIBA
Ret„r_f with asphalt I
CDA021712 AMOUNT
BPSP 3255 DepeW St 179.36.
APPLIPERMIT NO: 20190109
PAYMENT RECEIVED AMOUNT
PP 1 9570 179.36
AUTH CODE! 65000599
TOTAL 179.36
-----------------------------------------
Kimberly Cook
a0
From:
no-reply@ci.wheatridge.co.us
Sent:
Friday, October 4, 2019 9:21 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new RESIDENTIAL roofing permits and for
licensed contractors only. Permits are processed and issued in the order they are
received. You will be notified if your contractor's license or insurance has
expired. The license and insurance must be current before the permit will be
processed.
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. The Building Division
permit counter is open from 7:30 am to 3:30 pm, 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
RESIDENTIAL reroof
permit?
How many dwelling units
are on the property?
Yes
Single Family Home
PROPERTY INFORMATION
Property Address 3255 Depew St
Property Owner Name Chris Lisberg
Property Owner Phone 602-384-7337
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address
1
Do you have a signed Yes
contract to reroof this
property?
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Urban Exteriors LLC
21168
303-552-4467
Contractor Email Address jennifer@urbanexteriorsllc.com
Retype Contractor Email jennifer@urbanexteriorsllc.com
Address
REQUIRED: Credit Card WR CC App.pdf
Authorization Form
DESCRIPTION OF WORK
TOTAL SQUARES of 13
the entire scope of work:
Project Value (contract 3250..
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
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:
No
Pitched roof (2:12 pitch or greater)
4:12
13
Asphalt Shingles - Owens Corning
2
Type of material for the Asphalt
PITCHED roof:
Provide any additional house
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
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.
3
FOR OFFICE USE ONLY
City cit Date:
](�j''Wh6atj�
COMMUNrry �
tenlpermit #
Building & Inspection .Services Division
7500 W. 2e Ave., Wheat Midge, CO 80033 Plan Review Fee.,
Office: 303-235-2555 * Fax: 303-237-5929
Inspection Line: 303-234-5933
il:emits ci.wheatridge.co.us
Building '+gr it Application
Pleasecomplete eft i ightigtited areas stdosotthlw form., IncompleteIncomolete applications may not be pr sed.
Property Address: Sa'615 'St
Prope! y Ownor (p/ease print .c Phori 0 - x
Property Carrier mail*.
Mailing Address.; (if different than property address)
Address.
City, State, Z2:
AmbblaVEasilimc
Arch t Engin rE-mail: Phone..
Contractor:
Contractors City License f :
j
Contractorg�-mai1 Address.: _CzvA
Sub Contractors:
Electrical:TA)s I
Plumbing: Mechanical:
Wk City License # W.k City License # W.k City License #
{ether City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information no BOTH sides of this for
0 COMMERCIAL
r t : r a X • wa a ,n. : r
ku t Of materials to be used, etc.) .,
m
Sq. FULBtu's Galleria
}ass Squares Other
r . , •
IN t i 0
[I a m Imsif Log am M-aggizig a Sm
WMEEM
•
MMEM=
Squares BTU's - Gallons Sq Ft,
A
WE==
♦ i CITY OF WHEAT RIDGE
~.j Building Inspection Division
lor (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: /E;w/ /'o0=
Job Address: V QcPf..~ Sr
Permit Number: 0 5'e7 31 T
G'el'd/ »YS"P6G'7-'i9rv .piiFi',/c>/.v/ ~.ifLlfiG/ Lf/f~Yfa~~/Z
~¢rula>7 5 4 S-A . !/i 5 ~ !S e~//~'I~fGTillscl
❑ No one available for inspection: Time 9 !S AM/PM
Re-Inspection required: ~ No
"When corrections have been made, call for re-inspection at 303-234-5933
Date: O Inspector: r
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
~-r Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
I INSPECTION NOTICE
Inspection Type:< F
Job Address: 362,5 5 X?cr~fr~ sue?'
Permit Number: 6FC 3/7
k A&I f 5_7,4,? 1' c~C. ° V y°~ ~.~9d•~-J• ,3 ✓'L~r S I mfr
❑ No one available for inspection: Time 51'_' o' AM/PM
Re-Inspection required: es No
"When corrections have been made, call for re-inspection at 303-234-5933
Date: 4; 4/r 9 Inspecto
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line -
~JJ (303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE CPS 7! ?
Inspection Type: A,~(Zn _P_
Job Address/Permit Number: -
r
❑ No one available for inspection: Time 2 :c-m> AM`pm\
Re-Inspection required: Tres % No
When corrections have been made, calf for re-inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
" , City of Wheat Ridge
:e, and do
I'NSPECTIOX,REAST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
kEQUESTS MUST BE MADE BY 3PMANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY
WHEgT
City of Wheat Ridge Building Division date: ~c~-~(; ~ (G J1
c 7500 W. 29th Ave., Wheat Ridge, CO 80033
cry Office: 303-235-2855 ' Fax: 303-235-2857 Plan
00 __`oo Inspection Liner 303-234-5933 Permit
t..
CORP ~~V.J"I
Property Address:
Property Owner (pie
Mailing Address: (if different than property address) 0I`S t pi"
1)3
Address.
City State Zip:
ContractoryF:"F. 77(7~
Contractor License Phone: 9 `7466 C
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: $ ~7 C?(
Description of work: 9 (as Calculated per the Building aluation Eata sheet)
'TIC Plan Review (due at time of submittal); $
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 Wheal 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 an 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) ON_-T-R~A-~CTOR) or PERSONAL REPRESENTATIVE of PLAINER) (CONTRATOR)
PRINT NAMIE-, SIGNATURE: ~C' - ' Date..
ZONING COMMENTS
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY:-
FIRE DEPARTMENT:: ❑ approved wl comments ❑ disapproved 0 no review required
Building Permit Application
""'i,~"",1ii~~"",~,_!l~tllt"'~""'''''''i'i''''''''''"",,,~,,,~,4,,,,,,U..,,.,.,, ",,,,,Ii.,,,",::,'" "'''''''''''''~'~''''''i,,,,,t.J~lrmQ'''V~''''''''i,,,,",,..,,,n," .,,,,,,,, ,I
~ '" DEP~R.TMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 2745
-" BUIU)'NG INSPECOON, DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
IfuL,~1)
Date:
3/13/96
Property owner: MCDONAlD BETlY L
Property Address: 3255 DEPEW ST
Contractor Ucense No,: 18768
Company: CARRY THE LIGHT ELECTRIC
Phone: 237-3918
Phone: 936-7922
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANOING AND AGREEMENT
Construction Value:
Permit Fee :
Plan Review Fee :
Use Tax :
I hereby Cllft!Ir lheIthe .....- ~ propooed by thls penn~ eppnc.tion are accurate,
and ~ not vlQl$ ,epr:dlcableordlllllllCQ, ruleaor regUlellonl of the City of Wheat RIdge or
COYeI\llI1ls, e_..or ~ Of~: that ilIl.......,remel1ls shown. and aII8gaIJon.
made arellCCUlatll; lheI IIlM l!I8dand 5:\0 abide;: aU condlIions prIn\ed on this
!lJlPIiCa1Jon. end that I ~ fun ~n for anoe with the Wheat RIdge Building
COde (U,B.C,) and ...Olheta~~ ge ~~forwork under this pamft,
(OWNERXCONTRACTOR) SIGNED d DATE ) /f) J1 t
~ , ,
Description: 150 AMP SERVICE CHANGE-PICK UP EXISTING CIRCUIT ONLY
Total:
$85Q,Q0
$45,00
$0.00
$12,75
$57,75
BUILDING DEPARTMENT USE ONLY
Approval :
Occupancy :
walls:
Roof:
Stories :
Residential Units :
Electrical LiCense No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date:
Approval:
.
Expiration Date :
Approval:
.
Expiration Date :
Approval:
.
(1) Thlsp8l11lll__In~_1I1e~"l'Ol1hlnycpur~,_II_lothe_Ofthe_0f~_llltheZonlng
~,,",,~coa.Ofv.tlOsl_, ~orony____OfthoCIty.
(2) ThIi l*IIlitohllO ~ W (A) lhe-x _Is not oo,....."o.d _lti IIx\y (80) dsya from 1sIuo.... or (8) the building _Is IUIpOlIded or
_18d lbra/lOilOd 0(1=:
(3) ff Ihlo pormIt e>q>QI, a""" _ be scqu/Iod lbr. lee Of _the smount nonnsIIy rsquIred, __ no ~ _ been or win be _In tho
orIglnIiI pions _"'*'"""'"" -1lIY........- or_montlNll notexcsodod one (1) yeor, lf~.. _orff~ or obe'odOo.,"'~
"",*""OIIO(l)Y*Ir.l\lII_""'bejlaldlbr.__ ,
(45l N<I_Of",__be_lIilIIwllI-'lhe_lIawOf_ClIUIIng.cII8lr1all'~
( ConlnI!:Iorllljllnollly lhe BUIjlIng~~'Iour (24) IloIn In _lbr on InIpoc:llons _ _ __ __ on Inspoctioncanl boIoro
(8) ~=~~:':=-the""riwtngs snd 1flI(iiftcs1Ico\l shaH not be conotruod III be. pormIllbr, nor on spprovaI Of.... _ Of the pnlVIIIons
::~__,_,~or~_,
THIS PERMIT VAUD ONLY WHEN SIGNED BY THE CHIEF BUILDING "SPECTO~
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : '~/I 3/9 j,
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address:
Contractor License No. :
Company:
/3~-rrr IUcbtJAJJ'!}-L.6
5C)5'S ~w
Phone: ;l \ I - "> 9 I <i
UWUty 7'7i ~ Dr; ^It- ~{. r- CI;( I C.
Phone: i'$ t- 7)b Y
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Use Tax:
(t '7-0_, -
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 (V. B.C.) and all other applicable Wheat Ridge ordinances. for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
Description: I~C> ~ ~ ~ -~ ""7'..%~ ~ ,,~.
BUILDING DEPARTMENT USE ONLY
41~J1UJ".!!i?1'~l>III' '11'1"
Approval :
Zoning:
~rlt ":\ ." '"!,~tl~]!\'F
Approval:
~b,llc~W~~infrl'tis-:J
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical license No :
Company:
Plumbing license No
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
.J Plans RAAu!tec[T.']
Expiration Date:
Approval:
J.l ,PllnsRequired
.1
Expiration Date:
Approval:
iI ' p..ns:1D'qulrlllfll'mll
(1)
(2)
(3)
This permit was ISSUed m accordance with the provisions set forth in yopur application and IS subject to the laws of the State of Colorado and 10 the Zoning
Regulations and Building Code of Vllheat Ridge. Coloraco or any other applicable ordinances of the City.
This permit shall expire If (A) the work authonzed IS not commenced Within SIXty (60) days from Issue date or (B) the bUilding authonzed is suspended or
abandone<:l for a penod of 120 days.
If this permit expires. a new permit may be acquired for a fee of one.half the amount normally reQUired, prOVided no changes have been or Will be made In the
ongmal plans anc Specifications and any suspenSion or abandonment has not exceeded one ll) year. If changes are made or If suspension or abandonment
exceeds one (1) year. full fees shall be paid for a new permIt.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor Shall notIfy the Building Inspector twenty-four (24) hours m advance for alllnspectJons and shall receive written approval on inspection card before
proceedllng With successIve phases of the lob.
The Issuance of a permit or the approval of draWings and specifications shall not be construe<:l10 be a permIt for. nor an approval of. any Violation of the prOVISions
Jf the bUlldmg codes or any other ordmance. law. rule or regulation.
(4)
(5)
(6\
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-593324 HOURS PRIOR TO INSPECTION
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 3 _` 4,(4f;_7
Job Address:
Permit Number:c
❑ No one available for inspection: Time' AM
Re -Inspection required: Ye 'No
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge, co, u-slinspection
Date: !.� %ls - If Inspector:
DO NOT REMOVE THIS NOTICE