HomeMy WebLinkAbout3810 Garrison Street1* ► � i City of Wheat Ridge
'/� Residential Solar PERMIT - 202100601
PERMIT NO: 202100601 ISSUED: 04/13/2021
JOB ADDRESS: 3810 Garrison St EXPIRES: 04/13/2022
JOB DESCRIPTION: 5.53 Kw PV Solar Panel Install, 17 panels, 9 over central part of home, 6
over new section, 2 on central nw part
*** CONTACTS ***
OWNER (303)356-5516 DALBEC CHARLES A
SUB (385)482-0045 JEFFERY LEE 180271 BRS FIELD OPS, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41989.17
FEES
Total Valuation 0.00
Residential Solar 500.00
** TOTAL ** 500.00
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal 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�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
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, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
04/13/2021
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
E -Res. Electrical Service PERMIT - 202100435
PERMIT NO: 202100435 ISSUED: 03/05/2021
JOB ADDRESS: 3810 Garrison St EXPIRES: 03/05/2022
JOB DESCRIPTION: Electrical upgrade, 200 AMPS on the back of the house.
*** CONTACTS ***
OWNER (303)356-5516 DALBEC CHARLES A
SUB (385) 482-0045 LEE HATLEY 180271 BRS FIELD OPS, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31898.00
FEES
Total Valuation 0.00
Use Tax 81.86
Permit Fee 109.20
** TOTAL ** 191.06
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � � i City of Wheat Ridge
E -Res. Electrical Service PERMIT - 202100435
PERMIT NO: 202100435 ISSUED: 03/05/2021
JOB ADDRESS: 3810 Garrison St EXPIRES: 03/05/2022
JOB DESCRIPTION: Electrical upgrade, 200 AMPS on the back of the house.
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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
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, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/05/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Friday, March 5, 2021 12:06:22 PM
Electrical Service Change/Upgrade/Electrical Work Permit
Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3810 Garrison St
Property Owner Name Teri Dalbec
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
303-356-5516
CONTRACTOR INFORMATION
Contractor Business BRS Field Ops, LLC
Name
Contractor's License
180271
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
385-482-0045
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permitting.department@blueravensolar.com
Address
Retype Contractor
permitting.department@blueravensolar.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
200
Location of work
Main service panel on the back of the home
(garage, house, etc)
Provide additional
n/a
details, if needed.
Project Value (contract
3898
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 Hannah Webb
Permit
Email not displaying correctly? View it in your browser.
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ` -�10
Job Address: ,ST
Permit Number:'4014-?o ?_9
S �/
❑ No one available for inspectiomTime ' F t` AM/PM
Re -Inspection required: Yes,, NO %1
When corrections have been made, call for re-inspectiopla 103-234-5933
Date: -V—/ �� � U7 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
9r(303)
Building Inspection Division
_:�(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: a d) i Q 3 (/ /
brp n(/ v -t I
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at, 03-234-5933
Date:7�/6 Inspector: -
DO NOT REMOVE THIS 0TICE
City of Wheat Ridge
F
Residential Roofing PERMIT - 201702954
PERMIT NO: 201702954 ISSUED: 06/30/2017
JOB ADDRESS: 3810 Garrison ST EXPIRES: 06/30/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles &
CertainTeed Flintlastic SA rolled roofing with 39 sq. (31 sq. pitched, 8
sq. flat)
*** CONTACTS ***
OWNER (303)875-9903 DALBEC CHARLES A
SUB (303)798-7663 Shane Knackstedt 100273 Armour Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,070.56
FEES
Total Valuation 0.00
Use Tax 295.48 PAID
Permit Fee 283.55
** TOTAL ** 579.03
*** 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) 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 one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
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.
City of Wheat Ridge
01 1"F Residential Roofing PERMIT - 201702954
PERMIT NO: 201702954 ISSUED: 06/30/2017
JOB ADDRESS: 3810 Garrison ST EXPIRES: 06/30/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles &
CertainTeed Fiintlastic SA rolled roofing with 39 sq. (31 sq. pitched,
sq. flat)
1, 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 t'he legal owner or have been authorized
by the legal ow -her of the pr fperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest-, at I am legally authorized to include all entities named within this document as parties to the work to be
perform and that allvrk to be performed is disclosed in this document and/r its' a companying approved plans and specifications.
Signature of•'6VI1CR or CONTRACTOR (Circle one) Dzitte
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 originalpermit fee.
3. If thi.s 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
applicable co ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick
c96F76. =-� -9 - S -4
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 19, 2017 4:07 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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 3-5 business days, 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. 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
3810 Garrison St
Charles & Teri Dalbec
303-875-9903
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Armour Roofing & Exteriors
100273
303-798-7663
Contractor Email Address info@armourexteriors.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email info@armourexteriors.com
Address
DESCRIPTION OF WORK
Are you re -decking the No VZ
roof?
Description of Roofing GAF Timberline HD (pitched) & CertainTeed Flintlastic SA (flat)
Material
Select Type of Material: Asphalt, Rolled
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 31
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 8
on the flat roof?
i
TOTAL SQUARES of all 39 t/
roofing material for this
project
Provide additional detail house, 4/12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract $14,070.56
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
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 Shane Knackstedt
Email not displaying correctly? View it in your browser.
9
Armour Roofing & Exteriors, LLC. Roofing Contract
5255 S Rio Grande St, Suite B j Littleton, CO 80120
Office: 303.798.ROOF (7663) Fax: 303.730.3968
Email: info@armourexteriors.com
Web site: www.ARMOUREXTERIORS.com
CUSTOMER(S) NAME
PROJECT ADDRESS
) €ZF
_.
CITY STATE ZIP
Mailing address: 99 -Same ❑ Different (See below)
MAILING ADDRESS
ARMOUR REPRESENTATIVE DATIE
lirA J."MOr"'MUr R
AV IL
HOME NUMBER FAX NUMBER
CELL NUMBER OFFICE NUMBER
EMAILADDRESSS p
INSURANCE COMPANY
14 z
CLAIM NUMBER
INSURANCE COMPANY PHONE NUMBER
PROJECT SPECIFICATIONS
Y_ Protect landscaping and clean project site
/16 Remove all layers of existing shingles down to decking
Number of Layers:__
❑ Replace damaged decking areas at $ ?1±j T;,to per sheet
Re -Deck: ❑ Yes No
Install drip edge: ❑ 2x2 Eaves 2x4 Eaves
❑ 2x2 Rakes D -Style Rakes
Color: ❑ Grey PBrown ❑ White ❑ Black ❑Other:
Install roofing felt: ❑ 301b. YSynthetic ❑ Other:
f " Install ice & water shield: Eaves .Valleys
XPenetrations ❑ Skylight(s) ❑Other._
Chimney(s)
PROJECT SUMMARY
Contract Price
(+I -)Other:
(+ 1-) Other:
( + / - ) Other:
Subtotal Z
(+) Supplements:
Final Contract Price:
AGREEMENT SIGNATURES
CUSTOMER(S) SIGNATURE date
✓�
ARM PRESENTATIVE SiG fzTURE date
[Valleys: ❑ Open Closed
Color: ❑ Grey ❑ Brown ❑ Black ❑ N/A
Install flashing: Sidewall ❑ Skylight(s) Chimney(s) ❑ N/A
[Install shingles using six nails per shingle
❑ Other: per manufacturer's specs
E Install ridge cap: V_ Standard El High Profile ❑ IR
Install ventilation: ❑ Low profile Current ventilation
❑ Ridge Vent: ❑ Other:
( Install plumbing jacks:" to 1°: El Split Boot El 4':
Nd Paint all roof accessories
° Remove and haul debris and roll property with magnetic sweeper
INSTALLMENT SUMMARY gl date
1st Installment: $�� p
Check Number:
2nd Installment: $9
Check Number =, 3
3rd Installment: $
Check Number: S f i� �
Final Amount Paid: $ ly
rep initials
• Installment Plan: ❑ A ❑ B ❑ C ❑ D ❑ E (see reverse)
* All approved supplements will be paid to Armour Roofing & Exteriors
* Make all checks payable to Armour Roofing & Exteriors
* Customer(s) agree that they have read, understand and agree to all the
TERMS AND CONDITIONS on both the front and back of this agreement.
Received Building Expectations Sheet & Insurance Carrier Identification.
Initials: HOMEOWNER PIM
DROP MATERIALS: DRoof Load Other:
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Q�
Job Address: 3 ��d �`�'So�-✓ /
Permit Number:
Re -Inspection required: Yes fNoD
When corrections have been made, call for re -inspection 303-04-5M
r
Date::�,_, Z, `` ) Inspector:
DO NOT REMOVE fiHIS NOTICE
e CITY OF WHEAT RIDGE
Building Inspection Division
_ (303) 234-5933 Inspection line
_1�9r(303) 235-2855 Office •_ (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type;`
Job Address: ( t
Permit Number:f �&
❑ No one available for inspection: TimeAM/PM
Re -Inspection required: Yes E` No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector. Y
DO NOT REMOVE°THIS�]NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201602035
PERMIT NO: 201602035 ISSUED: 12/28/2016
JOB ADDRESS: 3810 Garrison ST EXPIRES: 12/28/2017
JOB DESCRIPTION: Replacing 1 window; like for like; Ufactor .27
*** CONTACTS ***
OWNER (303)421-7058 DALBEC CHARLES A
GC (303)371-3750 Graydon Bevis 020762 Pella Windows & Doors Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,357.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 42.43
** TOTAL ** 92.43
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
1, 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 le al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this i I further attes at I am legally authorized to include all entities named within this document as parties to the work to be
per rme and 1 o to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
20 �C
SigL
re of O ER or CONTRACTOR (Circle one) Date
l . permi as issued based on the information provided in the permit application and accompanying plans and specifications and is
e 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 change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Bldmg O ficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
- City of
"t4 `JAI heat Rid e
CommuNi1Y DEVELOPMENT
Building & Inspection Services Division
7500 W.29 1h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY I
Date:
Plan/Permit # I
AW3�
Plan Review Fee:
Building Permit Application
** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 38,1 0 y j f 44-r CQ • 8",-661-3-3
Property Owner (please print) f `4A-QL/ E gQ24% d e c__ Phone: .3 0.3 - 9 ?,S_" 990 3
Property Owner Email
Mailing Address: (if different than property address)
Address: 38'10
State,
Architect/Engineer
Architect/Engineer E-mail:
Contractor: 7 4 64 -
Oda
Phone:
442o a
Contractors City License #: Phone: 3 V 3 - -25-3-VI
Contractor E-mail Address: rojakvSnCef2 ��.D�oL°r9t� •Can
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESIDENTIAL ADDITION [WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and, proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.) /
c(,� �j
�/rvG�7�l� �1 k� �d►C�l S�Z�pi2S'IZ�
ttiF146�0
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
2 , ,35/, n
OWNEWCONTRACTOR SIGN_1TURE 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 alleaanons made are
accurate, that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLEOAE' ONTR4CTOR) or 4UTHORI
PRINT i1AIV1E: Ot ���' � 'r"" SIG'\ATLtRE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS.-
Reviewer:
OMMENTS:Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ ' Received ❑ Not Required
DEPARTMENT ISE
ENT,4TIVE) of (OTTWER) (CONTR4CTOR)
DATE:
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $ C�
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2010 MON 16: 37
FAX 303 237 8929 303 Best way
01002/002
SZ7 t
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.
_ X,v��ri
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
I NITIALS
COMMENTS
Footings /Caissons
611003
Stemwall / (CEG) Concrete
TOTAL
----- -- -- -- -- --- --- ------ -----
512.77
- - - - --
Encased Ground
Reinfo or Mo nolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
,_ POU NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CRETE $LAB FLOOR
Elect rical (Underground)
bing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
PRIORTO PR CITY OF WHEAT RIDGE
11/01/10 3:29 PM cdbb
Kevin Shepherd
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
_
ABOVE.
INSPECTIONS TO BESIGN
Framing
Insulation
Drywall Screw
RFnFTC? NO•P ➢ApA4;G? mmrinWrt
FINALS
Electra[
Mechanical
Roof
BPSP fteroof 31 sqs with 0
512.77
102502
Permit Fee
267.70
Use Tax
245.07
PAYMENT RECET•UED
AVIN14T
VS 8936
512.77
Auth Code:
611003
TOTAL
----- -- -- -- -- --- --- ------ -----
512.77
- - - - --
Fire Dep artment
R.O.W &Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
EPar Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS,
ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZAT ION
OF A CERT O F OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
y;
♦ 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- .2e–x:5
Job Address: 35i n �'G r i sc sal
Permit Number: /02 5 2_
k
E7 No one available for inspection: Time �' t AM PM r
Re- Inspection required: Yes No
When corrections have been made, call for re -ins ecti n at 303 2345933
Date: {`?3 Inspector: 2 L
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
f Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: zr
Job Address: D ?f ��Ltxr/f5nin �f
Permit Number: lo:� r67,>
❑ No one available for inspection: Time 1: .5 2 0 A /PM
Re- Inspection required: Ye No
When corrections have been made, call for re-inspRotion a 303 2345933
Date: / '� Inspector: P'
DO NOT REMOVE THIS NOTICE
r. CITY OF WHEAT RIDGE
Building Inspection Division
r4000 (303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address t1 r^ 14
Permit Number
4
❑ No one available for inspection:: Time AM /PM
Re- Inspection required: Yes Nod i
" 4' City of Wheat Ridge
r400 0 "r,
Faxed Roof Permit PERMIT - 102502
PERMIT NO: 102502
ISSUED:
= 11/01/200
JOB ADDRESS: 3810 GARRISON ST
EXPIRES:
11/01/2011
DESCRIPTION: Reroof 31
sqs with Owens
Corning
shingle and redeck
* ** CONTACTS * * *-
owner 303/875 -9903
Charlie Dalbec
sub 303/458 -0727
Derek Hendricks
06 -0033
Brickey Construction
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION: UA
BLOCK /LOT #:
0/
** FEE SUMMARY **
ESTIMATED PROJECT VALUATION: 13,615.06
FEES
Permit Fee
267.70
Total Valuation
.00
Use Tax
245.07
** TOTAL **
512.77
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. 6 nails per shingle is
required. Ice dam membrane is required from eave edge to 2' inside exterior
walls. Board sheathing with any gap greater than 1/2" requires panel sheathing
overlay on entire roof. Sheathing inspection is required prior to covering.
Contractor shall provide ladder for inspections. Scheduled inspections that
cannot be performed due to inclement weather must be cancelled prior to 8:30
a.m. on the day of inspection or a re- inspection fee will be assessed.
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
applica Wheat Ridge Ordinances, for work under this per Plans subject to field inspection.
Signature of contracto wner ' 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 approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of ny violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All p vi is subject to field inspections.
Signatu of Vief Building Official 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.
"4' City of Wheat Ridge
r/ Faxed Roof Permit PERMIT - 102502
PERMIT NO: 102502 ISSUED: 11/01/2010
JOB ADDRESS: 3810 GARRISON ST EXPIRES: 11/01/2011
DESCRIPTION: Reroof 31 sqs with Owens Corning shingles
* ** CONTACTS * **
owner 303/875 -9903 Charlie Dalbec
sub 303/458 -0727 Derek Hendricks 06 -0033 Brickey Construction
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
UA
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 13,615.06
FEES
Permit Fee 267.70
Total Valuation .00
Use Tax 245.07 J
** TOTAL ** 512.77
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. 6 nails per shingle is
required. Ice dam membrane is required from eave edge to 2' inside exterior
walls. Board sheathing with any gap greater than 1/2" requires panel sheathing
overlay on entire roof. Sheathing inspection is required prior to covering.
Contractor shall provide ladder for inspections. Scheduled inspections that
cannot be performed due to inclement weather must be cancelled prior to 8:30
a.m. on the day of inspection or a re- inspection fee will be assessed.
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 approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan revi w is subject to field inspections.
Signatu let Building Official date
INSP CTION 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.
IU"��
INSPECTION RECORD Occupancy /Type
`lv'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 NITIALS
I
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
-
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
ROUGHS
Lath / Wall tie
Mid -Roof
Electrical Service
R ough Electric
Rough Plumbing
Gas Piping
Rouqh Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
CITY OF WHEAT RIDGE
11/01/10 3:23 PM cdbb
Kevin Shepherd
RECEIPT HO:CDD005332 AMOUHT
BPSP Re 31 sqs with O 512.77
102502
Permit Fee 267.70
Use Tax 245,07
rlumoing PAYNEHT RECEIVED ANWIT
Mechanical VS 8336 512.77
Auth Code:
Roof 611003
Building Final ____ TOTAL_____________________ _12_7
Fire Department
R.O.W & Drainage 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 CONSTITUTEAUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
11/01/2010 15:27 FAX 3039735058 BRICKY CONSTRUCTION 2002/003
1 4P 4'
City of
" meat i LOPAON
° C otv�nuisrn(Dnr Peen;:
Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303- 237 -8929
Inspection Line: 303 -234 -5933
Facsimile Building Permit Application
Property Owner (please print) Q)pc 0aA6Pr _ Phone: SO Is q'l
Mailing Address: (rf dfferant than property address)
License #. ht'(50s"� Phone:
ompany ain e: License #: Expiration Date: Trade/Profession: Approval:
Use of s ace descri lion): 'hC'�d'oo
C)
owrel 5 Q., n ¢ (h Plan Review (due at t i e of submittaq: i
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,
noes or regulations of the City of Wheat Ridge or covenants, easements or restrictions of accord; that all measurements shown, and
allegations made are accurate: that 1 have read and agree to abide by all conditions printed on this application and that I assume full
responsibiltty 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 rreld inspection.
CIRLCEONE:: (OWN p (— C�O- N— T�R—A-Cy/T'OR r PERSONAL REPRESENT IVE of (OWN ( CONTRATOR)
PRINT NAME: a f-r" tyC,&h SIGNATURE: — Date: 11 1 10
Bldg Valuation:
Credit Card Payment: Use credit card listed on file. Date:
Print name: NaA.d)i-� Area " p c , , Signature: -�i'�
I
I
I
BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
[ Job Located at
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I have this day inspected this structure and these premises and ..1.....1.'.
have found the following violations of City and/or State laws gov-,
erning same:
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You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
,
!
I
/ /' / /
'/ ;/"1< /~. / . / ~.::._,
, " -lnBj;eCi r Building Dept.
DO NOT REMOVE THIS TAG
Date
FORM WR8.22
t
- ~'.""-""'-"--'" . -.----. ---"-'--~-----~'-'-".~-'-'.
.~._.~~ _,___",,-,~~_---,-.__..o..___"""','""-_ ,~~____",,-_.___.".-,,-~.....~~_..-.........;
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1
BUILDING DEPARTMENT
237.6944 Ext. 255
CITY OF WHEAT RIDGE
* *
Correction Notice
/ -'
Job Located at ....:;-,,:;...:(.......,,~::;.:,:.:.......:..:......:..~............................
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws
governing same:
.
.........;.........;..;...... ....'...........:.:. /.... /.';' ,;. .:......... ;-...-;;... ;'::. ~'~....... /.:..........::.~....
............................................................................................................
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/ il
................,.... .;...... .'.... .;;'..'... .,:'-:. :'..;.t.;.'. ;;; :/';: ','. '.. ..';? J.':. ;/.~'-; f::.....f;. ~'.."':'. .'.;. '.'~...........
F ' ;",' .j .l' , ','
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.............................:................ ::-:J.... .:.:-.. ~ e.'.. ;:' ;'.~~;:~'- ~~;.............:....... jo ..;-;".:.
............................................................................................................
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date........,."."....:", u......",.....,.""....,.i. .............u......:..: '::....................
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
FORM WR6'U
~l J~!rrJil.!I'II~~""" ,..' .~,~_~~~U~,ll!!~ll!, ~,' .",~~~ '_.'''''' \1Jml,~\IlU!!!II",,,,,,..,.1 "",...,.",~m~.Jla~~~_~~.t.. !,~~I~IIJI'IJ"
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Di!PARTlWE$NT Of PLANNING AND DEVELOPMENT
BUllDINGINSPI;CTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
4041
10/15/96
Property Own.,r; DALBEC CHARLES A
Property AddreS$: 3810 GARRISON ST
Contractor License No.: 18023
Company; Schroeder Roofing Co.
Phone: 421-7058
Phone: 444 3538
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify lhallhe setback diSlances PrQIlOOeq by this permft application are accurate,
and do not VIolate ~ oIlllnal1C8$. ruIQ or regulallona of the City of Wheal RIdge or
covenants. easemei1l!l or ..slrtcllol\s of !8COrd; that all meaauremenls shown, and allegations
mode are accurate; that I have raid ~ 5'"10 ab:e~ condllIons p~ntecl on lhls
appUcalion. and lhall aesume fullleSpOl1S . for wtth the Wheal Ridge Building
Code (U;B,C.) and all otherappllcable;Z Idge ord~s. for wort< uncler this permft,
(OWNER)(CONTRACTOR) SIGNEO_~'/~ DATE#}"':r~
-
Description: REROOF
Total:
$3,822.00
$88.00
$0.00
$45.86
$133.86
Construction Value;
Pennit Fee ;
Plan Review Fee ;
Use Tax;
BUILDING DEPARTMENT USE ONLY
n~
SIC: Sq. Ft. :
Approval:
Occupancy ;
Walls:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No ;
Company:
Expiration Date:
Approval:
.
Expiration Date :
Approval:
.
Expiration Date :
Approval:
.
(1) thIS pjIItllIlWUlssueclln accortfanCO wIlh the prQVIslonS let Ior1h in yopur applk:aUon and is _lD the !awl of the S1ato 01 Colorado andlD the Zoning
Roglildona and 8\1_ Code 01_ Rldae, Colorado or any other _bIe ordinances 01 tile City.
(2) mo J*II1Il- e>qjIre I (1,) the _ authQriZed IS not commenced withm olx\y (eo) dayo rrom Isaue _ or (8) the building ._is auopended or
_ rot s poitod~120 dlyo.
(3) "thIS pennIt ~ . _ pjIItllIl may be _1Rld rot.leo of o_tho amount nonnolly required, 0/0VIdSd no chongso """" been or will be _In the
original pionO and~" snd any ouOllSllOlon 01' ....ndonment has not _ one (1) year. 11 changes... made or" ouspenoion or el>andonment
_0"'(1)_. 1UII,~""bepeldror.__
145) No _ of any "'""""'.... be donS lhol wtl, ch&ngll tho natunIi _ oIwaler causlr'll.:=- problem,
) ConlraclOrshsll ~~ty'Iour (24) hours In advance rot all .nd ohlIU -.. written appItMIl on In$pOCIlOn card_
(6) ofa permit, or I of _ngo and spedftoationo aha" not be conolnled lD be. permit rot, I10f an appltWlli of, any _ 01 the provisions
.C0de8 or . . ... nance. law. rule or regulation.
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-6933 24 HOURS PRIOR TO IN$PECTION
Prope,ty Owner: CJt-.C>.UVl'~ to "" \ 13 ..Q.. \
Property Address: :JEll D (JA-/lIl1!:Pv 9/-
C(,n\raclor lIr.ense No.: .<:c!A~( ~G:>
Company: <:),0(;,;40 <-/J--<fL ~~J
Phone : 421 - ?6J8
PhOOll :
Conslruc.liOn Value :
Permit Fee :
ulI8Tax:
38z..Z.
OWN!:.HICON lilAC' 011 SIGNA lURE OF UNoiORSl ANDING AND AGREEMENT
I hereby ~rtlty ,h~' ,he ..Iback di~'nce. PfopoHd by IhlS ~fl'nit .pplictUon lIe acQ.IraW.
.nd Clo not .,.olli'. .ppll~b6e O!'ClI!\''''''I, rullH Of tegulaltOns. ~f the City or \NheellUdge Of
COYe"."'li. cu.::menllo 01 reslt,dllOM 01 rec.otd. ~.l .M 1"M.'L1,.ments shown. ,nd llegaOoft.
made .,. .,curala. n\all h~ve ,..d end 19.'" 10 atMlM by all conchbont p,inled 01\ UVI
. tr"'o<ool,on. .nd '"011 ....me fuM respon.ib~Y to< """ph'nc.e w,'h ,.. Whel' fIldgc BvMd"'ll
ode (U O.C ) .nd .11 other .ppltColDII 'iNhea\ f'iOge MCllnlnee". IOf WO'" "nOef lhD permi..
(OWNER)(CONTRACTORI SIGNED
DeSCription ._ ~c:>fr-
~ ~ DATE/<!?,r"-
~ J,(J,.u .0\ Q~ -t2C/Fr (./ I ') ~j/J.b
u
BUILDING DEPARTMENT USE ONt. Y
Total :
EQJIfP!lAmme'f\\$':'
Approval'
Zoning'
Baltal~JRiWJmel\1~.ii
Approval'
~lt~;~.~!W"!JW
Approval
Occupancy, Walls:
Roof:
StorieS :
Residen1i81 Unb :
Plumbing L,cense No :
Company:
MeGhaoical LioenlIO No :
~V:
Eleclrgl License No '
Company ____
('1
C$)
Tho, ..."", w" ",..,., '" ..._....... _... .._,..' ""'... """".-..-............. ..._"'M _..~_....,....
R~UlihOtlS. ~nd l:Il11khAQ Code 01 w.e..t R._ C06QfidO QI' ~fly 0llW'f ~~ ~ d" c-y.
T... P<"'''' "..II "p""" IAI'''' _ .........." "",_",..od WI"'..-1y 1lIOl_---...1I1.....................,"'.... .,...
~\Nl'IdOntd 101 . pcflOO pi 120 d4Y' ' ' .
"''''' ,,",'.".'1>"",' ......1'0'......., be _cd \go.... 0' on< ...... ___ocl,.._..,_-_....be.-.. IN
1Il'9'." ,,,,,,.,., 'f.",r~..,,,,",...",,, ........._01 ,,,.,,,,,",,",..,",,,,--, - (II"" .-... _..I --..-............
f!ac;rtCh 0"1: (I) Veat 1u6l foet. .,1.11_ ptId tor. new pt'11I\l1
No \IINIk III .In, 111.:1'.',,"1 .h'" be done INilwiJ (;Nt,. lhe ".h,lf.lll tkWrt 01 .,tet aua.inCl. ~ JlIOb'Ilm., .
c..".... '" ',h.,"'"'''' ".. p......'lI'n_ ....""." '''' h'~" ,. ........IlIl'..""'*"""'".... ....,__~....-...lI..too.
pflK'(I~.lJt"'... ",.1" i\,lO:'C.C.U.,.... ~W$ oItha JOb .
...............".. 'w...., ~.... .........ct............ "."""coI","' "...nolloC-..... ......too,.......~...OI'lf_al..._I"'""
nlllM' IMI,"I,ttll' (-.J(') ell Iny olhe' Qf~ .... ...... 1.11 u~lJlo1htM' '
EXpiratIOn Dale:
Appro"al
_J ,Pla'!$ ~~.IIUl!.l1!;I..'Wil
Expiration 0lIte :
Approval:
II
.!Irl ;_ ,'1' I .'
Expirallon Date
Approval
'-I "'J.ns~equlril,cgaI
111
121
(31
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Ctlll '1\lIlhhn~lln:;pH~"-. _.~-- forM~yor
111151'1 IIMI r VALID ONLY Will N SI(;NI n BY THE CHIEf BUILDING INSPECTOR AND MAYOR
CAI L: 234.~9JJ 24 1I0UHS PRIOR TO INSPECTION
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