HomeMy WebLinkAbout4012 Ames Street
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-S933)
CITY OF WHEAT RIDGE '
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number: 16800
Date: 3/10/2004
Property Owner: LILLIAN ELLSWORTH
Property Address: 4012 AMES ST
Contractor License No. : 20516
Company: Air Inc.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 908-9949
Phone: 909-8818
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and~allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicabl ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED - DATE~jv/cy
Total:
$1,800.00
$82.16
$0.00
$21.60
$103.76
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
100,00 _~
~3.7b
Description:
REPLACE FURANCE AND FLUE
~ M ,--."
'I' D! (;~Z-1 <,.j)
BUILDING DEPARTMENT USE ONLY
IIJI1mo.~
Approval:
Zon ing :
mIlJ~~
SIC:
Sq. Ft.:
Approval:
~~
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(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
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall notbe construed to be a permit for, nor an approval of, any violation of the
provisions of the buil' codes or any other ordinance, law, rule or regulation.
Chief Build
..........,
ase sign Terms and Conditions on reverse side of page.
0' ~H'.r COMMUNITY DEVELOPMENT DEPARTMENT
.:-~O BUILDING INSPECTION LINE - (303-234-5933)
u '" CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
00(0.,00 WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
Date:
APPLlCA nON
Property Owner: 1.-1 LL I AN E L ~J o!2-'iH
Property Address: if CJ 12 If Yl1 ES.'
Contractor License No.: '2-Zl1?! tp
Company: A\ t2 '"7 to L
Phone ?'C/? - 9ct', 7'99"1'
Phone: 30'-3. CYCJ'f - '09 ( '6
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify thai the setback distances proposed by this penn~ application are accurate, and do not violate
applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrlctions 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 1 assume full responsibility for compliance with the Wheat Ridge
Building Gode (U.B.C) and all other a ble Wheat Ridge Ordinances, for work under thIS pennl!
(OWNER)(CONTRACTOR). SIGNEO ~ DATE]';:;'; ik/
(OWNER)(CONTRACTOR): PRINTEO E',."f?It/IJiC-- DAT~
Construction Value: $
Pennit Fee: $
Plan Review Fee: $
Use Tax: $
/' a.. t3
,/0'-'
Total Fee:
$
DESCRIPTION:
(ZCPU)~
Pvf.Jli/~
~ jC'LV~
~
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUilDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit wllmuld in accordance wtth the provlslons.et forth In your application Ind i. lub}ect to the 11W1 of the State of Colorado and to the Zoning Regulations
and BuUdlng Cod.. of Wheat Ridge, Colorado or any other appltelblt ordinance. of the City.
(2) This penntl sh,ll expire if (A) the wort IUthOrlttd I, not commenced within sixty (60) dlY' from i.sue date or (B) the building luthOrtzed i. su.pended or abandoned for.
period of 120 day,.
(3) tf thl. plfmlt U.plrel, . new pennIt may be acquired for I fee of one-batf the amount normally required, provided no chang.. hIVe been or will be made In the original
plans and apedficat}onl and any su.penllon or lbandonment hIS not exceeded on. (1) year. tf changes hay. been or If tuspension or abandonment exceed. one (1)
ye.... full f... thai be paid for. new permit.
(4) No worll. of any INInnel' ,hall be done that wlH change tM n,tural flow of water causing a df'llnage ~em.
(5) Contractor shall notify the Building ....pector twenty-four (24) hours in advance for all in.pection. and .h.1l receive written approval on In.pection canl before
proceeding with .uteelllve ph.... of the job.
(6) The Issu.nce of a permJt or the approval of drawing. and .pecificatlons shall not be construed to be a permit for, nor an approval of, any violation of the provisions of
thebllilding codes or any other ordinance, law, rllle Of regulation.
Chief Building Inspector