HomeMy WebLinkAbout4025 Jay StreetCity of Wheat Ridge
Residential Roofing PERMIT - 201705097
PERMIT NO: 201705097 ISSUED: 07/31/2017
JOB ADDRESS: 4025 Jay ST EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 27.67
sq (25.67 sq pitched / 2 sq flat)
*** CONTACTS ***
OWNER (303)422-3972 DYSLIN LARRY G
SUB (720)504-5023 Travis Williams 170353 Green Gable Roofing & Exterior
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT4: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,272.91
FEES
Total Valuation 0.00
Use Tax 194.73
Permit Fee 204.30
** TOTAL ** 399.03
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A City of Wheat Ridge
Residential Roofing PERMIT - 201705097
PERMIT NO: 201705097 ISSUED: 07/31/2017
JOB ADDRESS: 4025 Jay ST EXPIRES: 07/31/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 27.67
sq (25.67 sq pitched / 2 sq flat)
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 atte I am legally authorized to include ali entities named within this document as partes to the work to be
performed a>t all w to a performed is disclosed in this document and/or its' accompanying approved plans and specifications.
r s—
Signature of OWNER ofONTRACTOR (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 fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit 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 or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building OfficiaY' Date
REQUESTS MUST BE MADE BY 11:59PM AN USINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz 2_0 ( C0 5_0q 7
From: no-reply@ci.wheatridge.co.us
Sent: Friday, July 21, 2017 2:50 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes���
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4025 Jay St P L
Larry Dyslin
303 422 3972
Field not completed.
$34q, 0 "S
Do you have a signed No
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Green Gable Roofing & Exteriors
170353
720 504 5023
Contractor Email Address support@greengableroofing.com
Retype Contractor Email support@greengableroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the Yes
roof?
Description of Roofing Asphalt shingles , modified bitumin
Material
Select Type of Material: Asphalt, Rolled
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 25.67
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 2
on the flat roof?
TOTAL SQUARES
(pitched + flat) of all
roofing material for this V, 6
proj ect
4
Provide additional detail removal of existing shingles and replacing asphalt shingles ,
here on the description of with modified bitumin on the flat , pitch is 4/12
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract--4&3&.,q9-
value or cost of ALL j
materials and labor) �y 2� �, � I
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 1 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.
Name of Applicant David Barnard
Email not displaying correctly? View it in your browser.
3
Address h
Insurance Co.
I% Cl
q aim Number
F 7 G! I �
Adjuster Appointment Date and Time:
Advocate Construction Office: 303-795-0527
40 W. Littleton Blvd., Ste 210-264 Fax: 303-632-2462
Littleton, CO 80124
Home Phone
City Cr
E Mail
00-1110 Z/� �c�,
Please call:
Phone:
�? :5— 7Z °aS—cJ-1
— . _7 � Zip Code ,1
- 3 Zk24% immediately!
This agreement is void if the roof is of approved for replacement by the insurance company.
Homeowner authorizes Advocate to represent them during the adjustment and supplementation process:
Homeowner requests that the insurance company provide Advocate copies of all claim correspondence:
Advocate agrees to perform all work per the insurance specifications at the agreed insurance company pricing:
Approximate Date of service: Approximate cost of service:
Notes:2 f'�a JR -S 40-1 v 5
6JEee4-, C -w r L,�s . ,e -W j�
Shingle Manufacturer:
Style:
Color:
Drip Edge: Black Gray
Mod. Bit Color:
White
Hip/ Ridge Style: Standard High Profile
Ice and Water Shield Upgrade if not covered by
Brown Tan Insurance: Add. Cost.
Initials:
Notice: Advocate Construction is not responsible for water damage in the areas typically covered by Ice and Water Shield,
(Eaves, Valleys. Fireplaces and Penetrations), if the H.O. elects to not install.
Initials:
Additional Details: �.-� OP l-05� 7/Yi l'
1 7 �7 m
of 11 L.eC,C;150r1
Roofing Contractors are prohibited by law from paying, waiving, rebating, or promising to pay, waive, or rebate all or part of any Insurance
deductible applicable to an insurance claim made to the property owner's property and casualty insured for payment for roofing work on
the residential property covered by a property and casualty insurance policy, per C.R.S. 6-22-101c.
RIGHT TO CANCEL: If the Homeowner does not want materials and/ or services, the Homeowner may cancel the contract and obtain a full
refund of any deposit within 72 hours after entering the agreement.
CANCELLATION POLICY: Advocate shall invest substantial time and resources in preparing to perform the scope of work described in this agreement and shall
suffer losses if the property owner cancels the work after the insurance company has approved the scope of work. Therefore, the following cancellation policy
shall apply: Charge following initial inspection: $200.00. Advocate meeting with the adjuster: $300.00. Supplementation complete: $150.00 per additional hour.
IClient Signature:
Advocate Rep's Signature:
....f1....�................................................... Date:
........... L,.f.:...-..�:�..;:..:M,�amu^......... ........ Date
�...
..�..........
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 It D / t
Job Address: (4 0 "4 &r
Permit Number: a o T7
❑ 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: �W-Inspector:
DO NOT REMOVE THIS NOTICE
�x
5,.
09/07/2010 TUE 19:26 FAX 303 237 8929 303 Best Way w w 2001/001
:. 11 • . •
Contractor License #.-
♦ A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax�yL'
INSPECTIO N NOTICE.
Inspection Type: �&&2`G17' / / f - 76e5-
Job Address: G _a� , c S;7
Permit Number: 149
s
e
/ tJlf9_ / /GEC
❑ No one available for
Re- Inspection required: Ye Nc
'When corre ions ave been ma
Date: Inspector: _
D NOT REMOVE
i e AM /PM
or re- inspection at 303 -234 -5933
i
IS NOTICE
•" City of Wheat Ridge
d
Residential Mechanic PERMIT - 101645
a
as
PERMIT NO: 1 101645 ISSUED:. 06/28/2010. 5
JOB ADDRESS; JAY ST EXPIRES: 12/25/2010 -
A
DESCRIPTION: Replace ton A/C unit
* ** CONTACTS
owner 303/422 -3972 Larry Duslin
sub 303/450-4148 01-7569 Brothers Plumbing &Heating; I
A,
** PARCEL INFO **
ZONE .CODE: UA ..:USE: UA ay
SUBDIVISION: 0414: BLOCK /LOT #: 0/
* "FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,566.00.
FEES
Permit Fee 60.00 -
Total valuation .00 '6i nzi;7
** TOTAL ** 60.00c' --+'
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION. WILL NOT BE PERFORMED.
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate '
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, work under .. this permit.. Plans subject to field inspection.
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 aj
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 a new permit.
4,. No work of any ... manner .. shall be done that will change the natural flow of water causing adrainage problem.
S. 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 codes or any other ordinance, law, rule or regulation.
All plan review is subject to field inspections.
Signature of Ch ding Official date
INSPECT20 RE EST LINE: (303)234 -5933 BUILDING OFFICE: (303)235-2855
REQUESTS
ST .MADE BY 3PM ANY BUSINESS DAY. FOR INSPECTIONS THE FOLLOWING BUSINESS DAY.
u
INSPECTION RECORD Occupancy /Type
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Electrical
101645
Permit Fee
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
- AMOUNT
Mechanical
_
_... _.._...
SIGNED PRIOR TO PRI
CITY OF WHEAT RIDGE
06/29/18 8 -00 AM cdbb
Brian Colasuonno
Weatherproof/ French Drain
Roof
Auth Code:
Rough Plumbing
Sewer Service Lines
- 7 6913 TOTAL
Gas Piping
Building Final
Water Service Lines
Rough Mechanical
Fire Department
-- ---- -- - -- --------- --------------_
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
ROUGHS
Sheathing
AMOUNT
FINALS
BPSP Replace 3 ton A/C un
Lath / Wall tie
Electrical
101645
Permit Fee
Mid -Roof
Electrical Service
- AMOUNT
Mechanical
_
_... _.._...
SIGNED PRIOR TO PRI
CITY OF WHEAT RIDGE
06/29/18 8 -00 AM cdbb
Brian Colasuonno
Rough Electric
Roof
Auth Code:
Rough Plumbing
- 7 6913 TOTAL
Gas Piping
Building Final
Rough Mechanical
Fire Department
-- ---- -- - -- --------- --------------_
ABOVE
INSPECTIONS TO BE
Framing
_
Insulation
Drywall Screw
ralnage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
" "NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
RECEIPT HO:CDB @04754
AMOUNT
FINALS
BPSP Replace 3 ton A/C un
60.00
Electrical
101645
Permit Fee
Plumbing
PAYMENT ftECEI4ED -
- AMOUNT
Mechanical
MC 8372
6 0.08
Roof
Auth Code:
- 7 6913 TOTAL
Building Final
68.00
Fire Department
-- ---- -- - -- --------- --------------_
ROW &D i
_
ralnage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
" "NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
FRONT
(MON)JUN 28 2010 16:11/8T.16:10/No.6800852381 P 2
City of
Wheatpide Date;
COMMUNITY DEVELOPMENT Permit M
Building Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303- 235 -2855' Fax: 303237 -8929
Inspection Line: 303 -234 -5933
Facsimile Building Permit Application
P,rA iPeftA t
Property Owner (please print). t, c `
Mailing Address: (if different than property address)
Address:
yzz �5�z
Use of __sppace ((description):
Descrfption'oi:' \ 1 k: 7 ({� O-0
Y ' to ( L \lJ J - 1 - 0 A-) Y " ` PIan ty (due at tlme of submittal): S
Sq. Ft. /L.Ftadded: Squares BTU's Gallons Amps & �C 97
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
\V (303) 234-5933 Inspection line
~\ (303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: #<(4;./ ,C,....,/I!-
.
Job Address/Permit Number: ;;..''''7< J//,' ,,... ;J 1-1-/'-,,:/'11
/f4KwfO
.
/{;ht/..k!!€ /5 A 9"rP.% + 11/0 $~p /r
~T .s-~Dt> =- 7Z' /A/$'nfll I r.
o No one available for inspection: Time 9'.' Ie AM/PM
Re-Inspection required: Yes ~j)
'When corrections have been made, call for re-inspection at 303-234-5933
Date: F/jl,)"?
,
Inspector: ,;::V c-'.
"
DO NOT REMOVE THIS NOTICE
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: Date: \ \ I \ q 101
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A Certificate of Occupancy J Completion
has been requested for:
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y of Wheat Ridge
Residential Mechanic PERMIT - 071231
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
071231
4025 JAY ST
Install 1 new 80% furnace in
ISSUED:
EXPIRES:
crawlspace.
11/13/2007
05/11/2008
*** CONTACTS ***
owner 303/295-6037
gc 303/450-4148
Larry Dyslin
01-7569 Brothers Plumbing & Heating, I
** PARCEL INFO
ZONE CODE:
SUBDIVISION:
**
UA
0414
USE:
BLOCK/LOT#:
r-3
0/
Permit Fee
Total Valuation
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
58.34
.00
58.34
1,200.00
** FEE SUMMARY **
Comments:
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 (r.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
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 (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 proceeding with successive phases of the job.
6. The issuance of a pe it or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, alation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan r subject to field inspections.
Signature of ~
date
INSPECTION 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
Residential Mechanic PERMIT - 071231
ERMIT NO:
OB ADDRESS:
ESCRIPTION:
071231
4025 JAY ST
Install 1 new 80% furnace in
ISSUED:
EXPIRES:
crawlspace.
11/13/2007
05/11/2008
*** CONTACTS ***
303/295-6037
303/450-4148
Larry Dyslin
01-7569 Brothers Plumbing & Heating, I
**
UA
0414
USE:
BLOCK/LOT#:
r-3
0/
FEE SUMMARY **
ESTIMATED
FEES
58.34
.00
58.34
PROJECT VALUATION:
1,200.00
Permit Fee
'Total Valuation
** TOTAL **
~mJ
J 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
cap~idge O~inances, for work under this permit. Plans subject to field inspection.
.' --.:Y": II-IS-O/-
Signature of contractor/owner date
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.
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.
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 a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
The issuance 0 permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an appr v any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All pI is subject to field inspections.
date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
EQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
COMMUNITY DEVELOPMENV)EPARTMENT'
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE.
WHEAT RIDGE. CO 80033' (303-235.2855)
APPLICATION
. Property a_er: !;,.Co,yI ~ '1 1J '1 f> h ,.J
Property Address: --'I.fOz-5"- "$"'-11 ~~i'ee,i,
Contractor License No.: 0 I 7 :;6"\
Company: iS~e.rs f!Mh"f~+-!:lec.A.v \' PhOM: 3-451-S1H)
OWNERlCONTRACToR SIGNATURE OF UNDERSTANDING AND AGREEMENT I BulJr/ina DaRt. ValuatIon Figure: $
I hereby certify that the aetback dIstances propossd by this perm1t'applicatlon are
accu~ate. and do npt violate applicable ordlna.nces. rules or regulatJons of the City of
Whea.t RJd~e or covenants, easements or restrIctions of record; that all measurements
shown, sAd allsgstlone made are accurate; that I have re<3.d and agree to abide by all
conditions prtntad on this application and that I assume full responsiblllty for
compllanO<l v.11h the Whe.tRldge Building Code (1.8.C) and.1I otherappllceble Whoat
Ridge ordInances, for work under thIs p.eImlt. lans SUbject ~ field Inspection. .
8ulldlng Parmlt Number:
Date:
PhOM: "3 -2I(S-6037
Value:$ .
Permit Fee:$
Plan Review Fee:$
Use Ta:d c,(.tde. fp,)'(.
Tota1:$
1;-1:::;
,"'"""'".....
1l"ll.07
1/-6-67
(OWNE.R}(CONTRACTOR): SIGNeD
(OWNER)(CONTRACTOR):PRINTED
DATI;
DATE;
~ .......,-
~;;;-~,:; ~\cJ<,5
Use of Space (description): ""1'1'5./<<.11 0) +otAC/U' .,{/oJ c.f'.",,",f 5pa~e
Description of work;
Sq. Ft. add~d
Sq.F\.:
!zONING COMMENTS:
Approval:
Zoning:
lHJlLDING DEPARTMENT USE ONLY
SIC:
BUILDING COMMENTS:
Approval:
ueLle WORKS COMMENTS:
Approyal:
IRe. DE:PAATMENT COMMENTS:
App~ovaJ:
Occupancy:
Walls:
Residential Units:
Roof:
Stories:
ElectrIcal License No:
Company:
Plumbing License No:
,Company:
Expiration Date;
Approval:
Mechanical License No:
. Company:
Expiration Dale:
~proval:
expiration Date;
Approval: .
(1)
ThIs permitwas Issued In;accordance with the provlelons set forth In yourapplloaUon and Is: SUbj~ctto tl1e.laws of the state of
Colorado and to the Zoning RegulatIons and Building Codes of Wheat Ridge, Colorado or any other applicabl~ ordinan,oes of
the City.
Thl~ pettnit aha.ll expll"& if (A) the work authorized Is not commenced wIthin sixty (90) days from Issue date or (6) the buildIng
authorized Is suspended or abandoned for a pGrtod of 1 ao days. .
If this permit expIres, a new petmitmay be acqulted fora fee of one.halfthe amount normally required, pnt-lfded ho changes
have been orwlll be made In the or'lglnal pl2.ns a.nd speCl'ficatlons and any suspension orabandonrnent has not exceeded one
('i)'year. If changes have been or If 8lIspenaion orabandonment exceeds one (1) year, fuJl fees shall be paId fora new ~errnit.
No work of any manner sh3.11 be done that will change the natulal flow of water caUsIng a draInage problem.
conwotor .hall notify tne Building Inspeotor twon"'-!our (24) hours In edvenoe for allln8peollons and shall receive Writton
approval an lnspsction catd before. proceedIng with suct:esslvQ phases ofths Job.
The \e:~'Uance of a permit or the approval of drawlnge: and speclflcatjon~ shall not be construed to be. a permIt forI nor an
approval of, anyvlalatlon of the provfslons oftha buIldIng codea or any other otdlnancellawt rule crregulatlon. All pI'9l1 review
Is sub)oet to f10ld Inspectlo"s.
(2)
(3)
(4)
(5)
(6)
Chief 8ulldihd Official
,O.d L,:L, SOO~ S ~aa
LS8~S>:~>:o>::xe.:J
fIld '3 9NINNI::Ild
"'r-:~i ",","c."'"" ---"?'~?'~""':>'.."',,~.,<O"":"~~-"r:"',,~:~_/",.,~_:t","",'C""~"'~"","':r-~<.:,~~,,,:,~c::~~~?T"0~r.:N~~~~'~7~.,"'~~
FORM (M)414.02-1123 - - - II XceIEnergy'. - . -- --- 180037 -1
j
l
-~
:.-;:1
FLOOR
APT. NO.
It'
OWNE~
ACTION TAKEN
NO SHUT OFF
APPLIANCE OFF
BOTH APPL_ & METER OFF
o METER SHUT OFF
~--__ - HAZARD -*1(.]:.>.3 0//7
CQNDITION TIrsE GORRECTED AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD. THIS EQUIPMENT MUST NOT BE PUT BACK'IN"""-
SE~CEJiNllL REPA S AND A THOROUGH INSPECllONHAVE BEEN MADE BV A QUALIFIED CONTRACTOR. CONTACTVqUR LOCAL
BUILDING'[iEPAB.~ T FOR CODE AND PERMIT REQUIREMENTS PRIOR TOPERFORMING,REPAIR WORK. 1,;..:,,,,",'
AGENT 0
OTHER 0
SPECIFY
o
~
TAGGED BY
ot:l..J:J..10
TIME
CUS~:~~CUPANT9IGtt~!URE!~ "
.::]', .'.<l!/'vJ..l: ,.P",/'~t.<";[A~V
RELATIONSHIP OFod::uPAN"!:ifo CUSTOMER
TIME
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
12534
7/26/01
r
Property Owner:
Property Address: 4025 JAY ST
Contractor License No.: 17533
Company: Ranco Roofing, Inc.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 205-5697
Phone: 2340102
i~
i}'
o:z
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
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 complianc ith the Wheat Ridge Building
Code (U.B.C.) and all other applicable W eat Ridge ordinan as, or work underthi~h;' ~ )
(OWNER)(CONTRACTOR) SIGNED DATE~
Totai:
$1,388.00
$50.95
$0.00
$20.82
$71.77
-
$
Use:
Description:
H: OVERLAY 3 SO 90 #. REAR PORCH: OVERLAY 4 SO 90#.
~
Approval:
Zoning:
SIC:
Sq. Ft.:
r-
BUILDING DEPARTMENT USE ONLY
~
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:
r
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new penmt may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the/'ob,
~he ; C7flOf a pe it or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
. ui i any other ordinance, law, rule or regulation,
, ~
Chief BUildingUnspector
(1)
(2)
(3)
~6l
(6)
~
~
f
I
I
~~'~~~1:t~'::.c<i~'~~~'-::-:';'r-:::;-;'~~:~~K;;~C:~':;:::'^;:~.~~i':::.{.'.:.,;2i;,..;,~,;.j;:~~1\;~#"..;:~~~~&2Y
-' _~~lf'4<?:';~;i~~::.,~j;-';":;':;~E*...:~~:~~j\'':.t:..:
.1', '_U'..'
"'~--'," ~"--, -'-,- ,'" .. , .
D::"'ARTMENT OF PLANNING AND DEVELOPMENT Buiiding Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: L~ D 'J S i ~ ()
Property Address: 40;;>5 &4 Sf-
Contractor License No.: II 533
Company: RO.JJ Co eoofl ()~ I t.JC-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AG EEMENT
Phone: C03 -'4.;05-6&17
] hereby ceriifY that the setback distances proposed by this permit appliC4tion are accurate,
and do not violate applicable ordinances, rules or regulations of the City at W'heat Ridge or
covenants, easements or restrictions of r rd: that all measurements shown. and allegations
made are accurate; that I have read an fee to abide b 1I co . ions. printf;!d on this
application, and that I assume full resp . ility for com a it the Wheat Ridge Building
Code (V.8.C.) and all other applicable Rid i a waf\< UDndA~T'Eth~f~tOI
(OWNER)(CONTRACTOR) SiGNED I ~
F fUn + Pq;-e.h ..
Description: ()vf-{ l~
f0-W- p~
Phone: 303. d:S <-j.-O I 02-
Construction Value: 13 cg<g. ~
Permit Fee:
Use Tax:
Total:
so.oo
~
3 r:j
y t1
qo tI-
CjO#
BUILDING DEPARTMENT USE ONLY
fOl]Ir1CL.Uol]Jml!ii~~
Approval:
Zoning:
grDram~ommen~
Approval:
e.l1B1~o~SU:;9ml1J~n~
Approval:
SIC:
Sq. Fl:
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:
(4)
(5)
(5)
This petmit was Issued In ac:cordance with !he provisions set fortn in vwur application and Is subject to the laws of the Stale of ~ and to the Zonin<J
Regulations and 8uilding Code ot 'Mleat Ric:lge, Cotor'ado ex any other apptic:atlle otdinanees at the City.
This permit Shalt expire if (A) the woc1c. authocized is not comme.lCed withln sixty (50) days from Issue date or (8) the buildlnQ authorized is SU$pended 0(
abandoned fot a period of 120 days. .
If ttlis pemWt expires, a new 'permit may be acquired for a fee of one-hatf the amount normally requi~. provided no Changes I'Iave been 0( 'MU be made in 1M
original plan:s and specifications and any suspemion or abandonment !\as not exceeded one (1) yeat. If dlanges are made or it suspension or abandonment
exceeds one (1) year, full fees shalt be paid fO( a new pemUl
No wol1t ot any manner sha!l be done that will change the natural now of water causing a drainage problem.
ContractoC' snail notify the 8uild1no InspedO/' twenty.four (2<() J'loUrs in advance tor aU Inspections and shan receive written approval on Inspection card before
Proceed'''' with s~ phaoeo 01 the lob.
The issuance of a permit or the approval o{ drawtngs and spedfic:ations shall not be construed to be a permit to(, not an approval ot, any violation of the provisions
ollhe buildinQ cod~ or any other ordinance. law, rule 0( requlation.
(1)
(2)
(3)
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
BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at 10.25 eLl "f!-.
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
P/hA<d (0.-11 /PI'~ 1'-'--- f'n-cJI.- ;jj, Cr--,
tf77 ;'n~;f2R(f;{)r> 6//7 ~ (;loY> e.-
II
(f'n;;.J Bkdn~ J
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date /,1-2;?' 96
ere; cJ
~~
Ins e r for Building Dept.
DO NOT REMOVE THIS TAG
FORM WR6.22
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 7909
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 10/6/98
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address: 4025 Jay Street
Contractor License No.: 18146
Company: McBride Electric
Phone:
Phone:
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 c mpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat R 9 inances, for work under this permit.
DATE fO-?- W
(OWNER)(CONTRACTOR) SIGNED
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
$1,575.00
$45.00
$0.00
$23.63
$68.63
Total:
Use:
Description:
Change service-add outlet in family room
BUILDING DEPARTMENT USE ONLY
---
Approval:
Zoning:
BD'itLn~: IT rr~mmJUe~
Approval:
SIC:
Sq. Ft.:
~
Approval:
Occupancy:
Stories:
Residential Units:
Roof:
Walls:
Electrical License No :
Company:
Mechanical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 day's.
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 Of abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permit or 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 buildin es or any other ordinance, law, rule or regulation.
(4)
(5)
(6)
ctor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-593324 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215-
Property Owner:
Property Address:
Contractor License No. :
Company:
OY5 L/rVj i..-Rf.<(Z..j
4025 JAY S:r--.
I 'Z14b
M c.-f3,e } oG" E.u::;c-rre ,c
Phone: 3?3-4Z:Z-$=;7Z
Phone: '3vS4.&/-b/"0
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
1575. gJ>-
45. ;!5!-
I hereby certify that the setback distances proposed by this pennit 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
applJcation, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U,B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED '---{fl ~ III ~~ Ci~TE/ D- r:..o9f{;
Description: ,25A- c.a5. I'1tJC I'I-N oa-ru?/ /N ~,4MI..y t<'aJM
Total:
23,IoZ
6g, GZ
rote -r. v,
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft. :
, "
Zo.nlmr..cOIDlJlel!ts;J
Approval:
Zoning:
BmICl~ommen~
Approval:
~lJljliClWMKS"...~tol11.me1)~
Approval:
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No: /<614 b
Company: f1c;-f5{Z.IDi? ~r~lc..
Expiration Date: -z / i rs /9 '1
Approval:
.II ~~!!fIIl...wl_
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval :
II 1f.!~..&~ql!!!:!!t!JllIlI
Expiration Date:
Approval :
III ~ec<lufr.e.~
(1)
(2)
(3)
This pennit was issued in accordance with the provisions set forth in yoptJr application and is subject to the laws of the State of CoJotado and to the Zoning
Regulations and Building Code of \lVheat Ridge, Colorado 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 (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one.half the amount normally required. provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permil
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notity 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 at the job.
lhe issuance of a permit or the approval of di'awings 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.
l4)
5)
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BYTHE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-593324 HOURS PRIOR TO INSPECTION
I
I
I-
i
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 6885
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 4/16/98
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address: 4025 JAY ST
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 422-3972
Phone:
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
$500.00
$22.00
$0.00
$12.50
( $34.50_____
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 responsibir y for co lianee with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe idge or L nees, r work under this p'ermit.
(OWNER)(CONTRACTOR) SIGNED .' DATE.
Total:
Use: -
Description:
6' WOOD FENCE ALONG 75' ON REAR OF LOT, INSIDE 4' CHAIN LINK
~;;])
BUILDING DEPARTMENT USE ONLY
_t1S~
~
Approval: MLC 4/14/98
Zoning: R-2
SIC:
Sq. Ft.:
~
Approval: BG
~
Approval:
Occupancy: Walls:
Stories:
Residential Units:
Roof:
Electrical License No :
Company:
Mechanical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with. successive phases of the/.ob.
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building es or any ther ordinance, law, rule or regulation.
(4)
(5)
(6)
Chief Building Inspec
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
CITY OF WHEAT RIDGE
04/13/98 1~05 PM cdb
L2J'Y)' DJ'slin
RECEIPT NO,C005178
FMSD BUILDING PERMITS
PAYi1ENT RECEIVED
CK 6271
TOTAL
AMOUNT
22.00
AMOUNT
22.00
22.00 .
~ (~'=,
2.) 00 \39
-;:::::
CITY OF w~EAT RIDGE
04/13/98 1:00 PI; cdb
Lar'r)' Dyslin
RECEIPT NO,C005177
FMSD BUILDING USE TAX
PAYMENT RECEI'!ED
CK 6271
TOTAL
Atl0UHT
12.50
A!10UrH
12.50
12.50
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 4!ig/ff5
7500 WEST 29TH AVENUE 'I;
WHEAT RIDGE, CO 80215
Property Owner: ;;~ ))y.>// I?
. Property Address: cft?c!).,5 J liy s'T
Contractor License No. : /VA
Company: 1/4-
Phone :fP2-3'17.2--
w/L; dO:')-.57:3C1'
Phone:
WNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: StJtJ.oo
hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee: odd ocJ
nd do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or ,
ovenants. easements or restrictions of record: that all measurements shown, and allegations Use Tax: j;) SO
ade are accurate; that I have read and agree to abide by all conditions printed on this
pplication, and that I assume full responsibility fOf compliance with the Wheat Ridge Building
ode (U.B.C.) and all other applicable Wheat Ridge or~f~r wo~ under this permit. Total: 31,50 $0.00.
WNER)(CONTRACTOR) SIGNED ~#' ~DATE 'l/L.:</'I15' U~
Description: ~,' WODd f.eVl.c..e I '15 I I o'!J' In 5 Ide.
e. X\'5t~
4' c.hCl..\ n \ In 'r<. -f.-e-y\ce.
BUILDING DEPARTMENT USE ONLY
f!?nhfmQO_l'itii.J SIC: Sq. Fl:
Approval: ~Q.. 4. .l~-c,e,
Zoning: R-2
~R1I!!!m<QmmeA~
Approval:
~~otkSl\,>.9Jl:1l!f~n~
Approval :
Occupancy: Walls: Root: Stories: Residential Units:
o
I
a
c
m
a
C
(0
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 provtsions set forth in yopur application and Is subjed. to the laws of the State of CoIocado and to the Zoning
Regulations and Buildi"9. Code of Wheat Rid~e, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire If (A) the work authonzed is not commenced within sixty (60) days from Issue date or (8) the building authorized is suspended or
abandoned for a period of 120 dar.s. .
(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 specirn:ations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Con shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
~ ng with successive phases of the I i.cob.
e iss ance Of. ~. or th approval 0 drawings and specifications shall nOt be construed to be a permit for. nor an approval of. any violation of the provisions
the ikf ~or .ny erordinanee, law, fUle or regulation. .
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(4)
(5)
(6)
<;: iet Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-593324 HOURS PRIOR TO INSPECTION
-286-2_
Robinson Surveying and Engineering Company
SubdiviSIon PI.""I".nd Surwylne
CIVIL, STRUCTURAL. AND SANITARV ENGINEERING
SUite 118 - 10 Wilt 6th Avenue
Denver, Colorado 80204
Survey #622~O
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Frame Storage
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5' Util ity easement
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CERflFICATION
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Th i s is to cert ify that on this 23rd day of Apr i 1" 1971, I made. '.....
a survey of ~025 Jay Street, Lot 6, .WRIGHT SUBDIVISION, County of
Jefferson, State of Colorado, and found the one story brick house
to be.located entirely within the boundary I ines'of the above de-
scribed property as shown on this plat. The location and dimensions
of all buildings, improvements, easements or rights.of way in evi-
dence or known to me and encroachments by or on the premises are
accurately shown. This plat is not to be used f r I eating fence
lines or other new improvements.
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