HomeMy WebLinkAbout4095 Jay Street-D
kq � �� S
J INSPECTIO1-� r� -�N RECORD
�( INSPECTION REQUEST LINE: (303) 234-5933
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
Inspector Comments
Initials
Concrete Encased Ground (CEG)
ROW &Drainage /Public Works Dept.
Foundation / P.E. Letter
Sewer Service
Do Not Pour
Concrete Prior 10 Approval UT i ne ADove InspecLwIls
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
ROW &Drainage /Public Works Dept.
Sewer Service
Fire Inspection / Fire Protection Dist.
Plumbing
Final Electrical
nn flint rnvar I Indprnrnund or Below/In-Slab WorK Prior 10 Approval UT I ne ADUVt! HnsP1:c:uU1M
Rough Inspections
Rouqh Mechanical
Final Inspections Date
Inspector
CommentsInitials
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
�-
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 pow voltage permits — riease De sure ulaL IUuyll IIIAPGVI�V110 Oluby the Building Division.
"For Inspection Time Window — Please email inSptimerequest C1. 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
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: hi 1 O
Job Address:
Permit Number:
❑ No one available for inspection: Time 0` U ' AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re-inspe tion a; 303-234-5933
Date: b Inspector:
DO NOT REMO Vi THIS NOTICE
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701740
201701740
4095 Jay ST
Remove and replace
Desert Shadow - 32
ISSUED: 06/08/2017
EXPIRES: 06/08/2018
composite shingles with Atlas Stormmaster shake in
squares
*** CONTACTS ***
OWNER (720)212-5047 JAMES C JORDAN & MARIAN K JORD
SUB (303)757-5555 Brian Cung 100121 Rocky Mountain Roofing & Rest.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** 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€r"Is 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701740
201701740
ISSUED
4095 Jay ST EXPIRES:
Remove and replace composite shingles with Atlas Stormmaster shake in
Desert Shadow - 32 squares
06/08/2017
06/08/2018
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 thispermit 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
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 oran r;dmance or . lat' o `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.
a0L
Kimberly Cook 0
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 7, 2017 2:04 PM
To: Permits CommDev "1�y lit
Subject: Online Form Submittal: Residential Roofing Permit Application lJ ll` U
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. 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. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
4095 Jay St.
James Jordan
720-212-5047
jamescjordan@comcast.net
Yes
CONTRACTOR INFORMATION
Contractor Name Rocky Mountain Roofing & Restoration
Contractor's License 100121
Number (for the City of
Wheat Ridge)
Contractor Phone 7204905747
Number
Contractor Email Address edith@rkymntroofing.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing Remove & Replace comp. shingle with Atlas Stormmaster
Material Shake in Desert Shadow
How many squares of 32
material?
Provide additional detail Small Shed, Large Shed, & Roof. Pitch 5/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 8000.00
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 this Yes
application is NOT a
2
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.
Name of Applicant Edith Salcedo
Email not displaying correctly? View it in your browser.
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: 1) f _ _
Job Address: til Amt S7r
Permit Number: o� /7 b / 7 'yo
I 1-7D
❑ No one available for inspection: Time ' AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re 'nspection at 303-234-5933
Date: h , / Inspect
DO NOT REMOVE THIS NOTICE
♦ 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:
Permit Number:
55'4skAa,6
✓ ,4v 57
s 0 ;2c , 2
i
El No one available for inspection: Time /PM
Re- Inspection required: Yes No
' When corrections have been made, call for re inspection at 303
Date: 8/256 Inspecto
DO NOT REMOVE THIS NOTICE
1.
" ' City of Wheat Ridge
.�
Residential Plumbing PERMIT - 102002
PERMIT NO: 102002 ISSUED: 08/19/2010
JOB ADDRESS: 4095 JAY ST EXPIRES: 08/19/2011
DESCRIPTION: Install gas to BBQ grill
* ** CONTACTS * **
owner 303/294 -2596 Jeff Jordan
sub 303/422 -8055 01 -8805 Tony V Plumbing & Heating
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0414 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 380.00
FEES
Permit Fee 26.50
Total Valuation .00
Use Tax 6.84
** TOTAL ** 33.34 uq c
Conditions:
Subject to field inspections.
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.
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 permit or the a oval of drawings and specif' ations shall not be construed to be a permit for, nor
an approval of, any viol ion of the provisions of the buildin c des or any other ordinance, law, rule or regulation.
All plan review is s j to field nspectrons.
/ 44 1 �g
Signature o H i ding Of ial date /
INSPECT N QUEST LI (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUES - MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
y
- t Etn!,bltlititll I)Pi ittA',Y iI'i 71
Plan 9
Building 8- Inspection Services Division Permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 -235 -2855 * Fax` 303- 237 -8929
Inspection Lino: 303 - 234 -5933
Building Permit Application
�1
Property At9d_i�ess' I aA�
Property Owner (please print): Q � ,lc — Pho i�l - ,> �5�6
Mailing Address: (if different than property address)
Address:
City, State, Zip;
Contractors City Lic ense Phone:
sub ontract 2rs
Electrical: Plumbing: Mechanical:
City License # City License # City License #
laescriratiaas
�5}\ \ cam 5t7 1jQ --
Contract Value:
$ - < C�)C:�
Review pee (due . at time of submittal): 1
Squares
BTU's 6 p� � �allons Amps Sq Ft. $ — _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 1 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 REPRESENTATi VE) of (OWNER) (CONTRACTOR)
JC
PRINT NAME: SIGNATURE: DATE:
r � D�PARTNfEi�'i"US�OtJ�Y t',
� j x
.. .. � .,� .RP.�IIP4�b�eh mew +.._ _: ._., d..v R �- ...,... ..H✓�.. ,..._fi`� �_ .., _. ..v ✓.,, �' F �'.,, ,�.« ..-�_ . ., .,e, ..
Bldg Valuation:
INSPECTION RECORD OCCDpBDCV /TyDO
INSPECTION LINE: (303) 234 -5933
IN PECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS :
DATE
INSIT PECTOR -.
INIALS
COMMENTS'.
Footings /Caissons.
Drywall Screw
Stemwall / (CEG) :Concrete
Encased Ground.`.
Reinforcing or Monolithic
Electrical
Weatherproof /French Drain -
Plumbing
Sewer Service Lines
Mechanical
Water: Service Lines
Roof
Jr.lr 0.;..
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /:Wall tie
Mid -Roof
Electrical Service
Rough
Rough: Plumbing
Gas Piping
Rough. Mechanical
1ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Jr.lr 0.;..
Building Final
Fire Department
R O.W &'Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking '& Landscaping
' * 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
iOFA CERTIFICATE OF. OCCUPANCY '.NOR PERMISSION FOR OCCUPANCY."
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
s a e CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: f%//� r2aoT
Job Address: rO9,f ✓4 � 57"
Permit Number: toiv 78
❑ No one available for inspection: Time a AM�'/ M
Re- Inspection required: Yes
When corrections have been made, call for r e-inspection at 303 -234 -5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
s A s CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 1'5 v,PL A49h:_
Job Address: 0 ?:. %y sT
Permit Number: 1010 �g
❑ No one available for inspection: Time L 45' A �. M
Re- Inspection required: Ye No
* When corrections have been made, call for re- Inspection at 303 - 234 -5933
I
I Date: aS /V// Inspector
DO NOT REMOVE THIS NOT /CE
v City of
6( W heat Midge Date: Y zq ho
- COMMUN[TYDEVELOPMENT
Plan #
Building & Inspection Services Division Permit # ( . ~(J
7500 W. 29t" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 , Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Property Owner (please print): JI(V\- 1f~(~tl1 V Phone:'5/'2 } rib`-/p
Mailing Address: (if different than property address)
Address:
City, State, Zip:
OOON W: 1CE Ad 1001 (~CtdO CK+2las
Contractors City License Phone: `73G- 7_~
Sub„Contractor
Electrical Plumbing: Mechanical
City License # City License # City License #
1~/e~scnpti fo~n=`of work:
t l n ~S Contract Value:
$ 7000
Review Fee (due at time of submittal):
Squarest BTU's Gallons Amps Sq Ft. $
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 of any. entity included on this application to list that entity on this application.
CIRCLEONE.• (OWNER) (CONTRACTO g (AWWORIZEDREP NTATIVE) of (OWNER) .(CONTRACTOR)
PRINT NAME: 1:) I t t Lt~t~Lt'lIZ' I SIGNATURE: n DATE: ( 21116
~FIRE~OEPARTMEyT ❑ appfOKed W/ C(Nf11t12~IlS1 diSappfOVe51 ,C3 n0•r$)neW TBQnlred Bldg Valuation E_
'DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEA T RIDGE, CO 80215 - (303-235-2855)
Building Permit Number:
Date:
13420
2/11/02
Property Owner:
Property Address: 4095 JAY ST
Contractor License No. : 17995
Company: Complete Electric
Phone 303- ,23-84 I b
Phone: 425 1777
Construction Value:
Permit Fee.
Plan Review Fee:
Use Tax.
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 (U.B.C.) and all other applicable W.h.. ~~t !lid97,9~~:~'s, for work under this permit
(OWNER)(CONTRACTOR) SIGNED '- :I:YI;;~c.----- DATI',9~~,;{
SERVICE CHANGE & ADDING CIRCUIT IN KITCHEN
Total:
$1,000.00
$38.75
$0.00
$1500
$53.75
Use
Description:
BUILDING DEPARTMENT USE ONLY
--
eB!~!_
Approval:
Zoning:
SIC.
Sq. Ft
_1IIIIIII1Ili__n
~~nmu~_9~1
Approval:
III""""
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 {Bl 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 natura! flow 01 water causing a dramage 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 not be construed to be a permit for. nor an approval of, any vIolation of the
provisions of the building codes or any other ordinance, law, rule or regulation
Chief Building Inspector
~~' ~H'~> 1>/
~ 0
- Q
'-' ~
COl.oR/>.,\P
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH A VENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPUCATlON
Property Owner: J/~ vi (!) 'rJ. C"- Y\
;:; DC(7 Ja.l{ 51-
Building Permit Number:
Date:
Property Address:
Contractor License No.:
Company: ~a,'(::/ ;?/~ f ~
,
, ''7
wt( Ct-ll/tJ) (
Phone: 36~~- 'f/;?,?i -- ~>//-r:
.-j -Iv
t::?te -" ~.'?
7-'Z:f ?
Phone: ;J'/,2- ,/,,;"".'--/--7-77
-",....~,~ ,&-~"*7 ,~/
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:$ ;jL9c:>'J.-
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree, to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge
Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under
this permit. /
(OWNERXCON'IRACTOR):SIGNED {'ic:;~b~"C;;'---- DATE..7/;;'/V'--< ~ _, .
Description: {0"CI4.7c' d7'kc.7'V'-<=::- 5i:v-V:~<: C". ~2~f(-;/:A r /?-~"~.d-:C~
f+:>v PrcC.2--<!?~ or 4..f--e (?v--{..cA( f /2- k4,1"
BUILDING DEPARTMENT USE ONLY
StC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company: o!.:.>.--vr'~;J(-iI(" ;;:lht"
Ptumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(I) 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 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 pennit expires, a new permit may be acquired for a fee of one-half the amount normally reqt\ired, 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 c11anges have been or if ~\,~pen~ion or ~bnl1dr\l1ment
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 ofwaler 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 pennit or the approval of drawings and specifications shall not be construed 10 be a penni! for, nor an approval of, any violation of the
provisions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Inspector
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL()W.
//" S- W, ~P-!,L1C~TION FOR MISCELLANEOUS PERMjT
JOB ADDRESS (<> .... 7)- ,I'-'L I OWNER //1,4//;5'0/)
CONTRACTOR ;Ore c" <; Z ADDRESS 5,(J/YI-<'.
ADDRESS ~ "go".- 12.0 2. PHONE LfJ. ') - 0 f' (? t::
CITY -----L'l/ I ZIP CODE <,rOC>"" I SON TRACT PRICE $ 100
PHONE &oj :2 )' - / (';.2- Y LICENSE NO. I ~ 7'0
I. TYPE GroundD WolIO Pro;ect;nQD
2. MATERIAL
SIGNS 3. ILLUMINATION Ye.O NoD Type
4. SET BACK FROM PROPERTY LINE N_ S_ E_ Y
(Spec;ly which i. front) 0 0 0
SolidO Moro Than BO% OpenO L.IS
7500 WEST 29th AVENUE
PERMIT NO. MP93#3408
ZIP CODE ?cv3 j
Other
_5 or 0 Fac.
\5
INSPECTION TICKET
FENCES z.
3.
1.
OTHER 2.
3.
1. TYPE
MATERIAL
SET BACK FROM PROPERTY LINE
(Specify which is front)
JOB ( <c---r----O !::> ()
ADDRESS 0 t ;;L ':;; UJ -5 "'-- v../'- ~^--
N_S_E_~
ODD
DATE:
-d- ::>-.
.YUW2
BLDG. PERMIT# 3'{od'
BLDG. CONTR.
PERMIT#
O~
DRAW SKETCH DR SHOW BELOW, THE FENCE,SIGN,DR OTHER STRUCTURE,GI
(SETBACKS OR PROJECTIONS INCLUDED)
REAR PROPERTY LINE
SUBCONTRACTOR
'"
z
::;
>-
>-
'"
'"
"-
~
"-
'"
ii'i
DATE INSP. REO./ ~ dl
TYPE OF INSP. ~ ~
,,,,eo,,,, "'" 1P 3
REMARKS 01::-
FRONT PROPERTY LINE
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TO-ADJOINING HOUSES, STREETS,
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
W.R. FORM 6-19
./
APPLICATION FOR PLUMBING, ELECTRIC
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DMSION.
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN TIIAT TIME.
ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT
STATE LICENSE NO STATE LICENSE NO /19 J ,/0
ALUMINUM WIRE UNDER SIZE B ILLEGAL FLOOR BSM 1ST 2ND 3RD 4TH NO. Fl.E:L'CircltOntIGatIOlI PrapantICoaltEltclSolar
NO. WATER CLOSET FORCED AIR - BTU
TEMPORARY METER WASH BOWL HOT WATER - BTU
NEW SERVICE - AMPS BATH TUB STEAM - BTU
CHANGE SERVICE - AMPS SHOWER AIR CONDITIONING -BTU
LIGHTING SINK OTHER
HEATING GARBAGE DISP REFRIGERATION SYSTEM
POWER SUB-CIRCUITS WATER HEATER V ~efria.rant GrOUD
UTILITY (RANGE, DISPOSER, ETC) AUTO. WASHER Pound. Choral
FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 6 CONTROLS FLOOR DRAIN ELEVATOR
SIGNS URINAL
TRANSFORMERS 6 RECTFIERS SEWERS
ADDITION TO OLD WORK OTHER
MOTORS OVER I HP TOTAL FIXTURES
REMARKS
r ",,,ac/,, ~,-
./
I IJ 5 ."p/ />0"--/
"
1 hereby acknowledge thot this applica.
tion II correct and understand that 1
cannot ,tart this project until this appli~
cation i. approved. 1 shall comply with
the lawI of the Slote of Colorado and to
the Zonino Reoulations ond Buildino
Code of the City of Wheat Ridoe. Any
violation of the above terms will couse
immediote revocation of this permit
PERMIT FEE
USE TAX
TOTAL FEE
APPROVED
CHIEF BUILDIN
/
S.,.,,'" ..--..5
NO), VALID UNLESS RECEIPTED
f:! II- 0.:17 8.3
JF;~~~
. t*- 5'7h
$
Date Issued I--I?
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS