HomeMy WebLinkAbout4212 Garrison StreetCity of
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V V h6cat ldS-x-e Date:
COMMUNITY DEVELOPMENT Permit #:'�1 �L� -�
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 Address: t a I a GQf'r't Q D - Q-Q, �
Property Owner (please print) Phone:
Mailing Address: (if different than property address)
Address: 6 Amy
City, State, Zip: W )r)y�
Contractor: Qh l I�,� 5� Paf - Qtr h0. S TPj PIP -r ( n
Contractor License #: Phone: - t - p��
Sub Contractors:
Company Name: License #• Expiration Date: Trade/Profession: Approval:
Use of space (description):
Description of work:
,lion Value, 9 (n :.
Plan Review (due at time of submittal): $
Sq. Ft /L.Ft added: Squares __LCL_ BTU's Gallons Amps -
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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCEONE: (OWNER (CONTRACTOR) or PERSONALREPRESEN TI f(O NE NTRATOR)
PRINT NAME: 9 hi 11r0 C-t. l�f — )+ P SIGNATURE: m Date:
ZONING COMMENTS: DEPARTMENT USE ONLY
'
Zoning:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer:
FIREDEPARTMENT:: 17 approved w/ comments 0 disapproved 0 no review required . Bldg Valuation: $
Credit Card Payment: Use credit card listed on file. Date:
Print name: Signature:
~;',l ~Jl'~""'~"l,,(~,~,m',,~~'!I! ".' ,_"~",,,,~", ,",,.,4'r:,,,_.,,,m',,,,,,,~-..,,,,'T""""""l~"''''"''''-'''^'"''''''''''''".',> ,."",III,,4l'.'''!''''~''''''''''flm_'~',n''''''''''''"'''''
t'.ARlIIEI\IT OF PLANNING AND DEVELOPMENT Building Pennit Number: 3653
"8~IN$PECTlOI\I DIVISION - 235.2855
Cl1'Y OF .WtfEATR1[)GE Date: 8/13/96
'1~WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: GRIMM LAIRD C
Property Ad(lress: 4212 GARRISON ST
Contractor Licen$8 No. :
Company:
Phone: 431-7739
Phone:
OWNl:R/CONTRACTOR SIGNATURE Of' UNDERSTANDING AND AGREEMENT
I~, t>y,C8ItIfylhal" the$!llll8d<, ',,11,,_, n*p"ro~by this P!lnnft sppftcationare accurata,
~.~~~:=;':hatrev:s~~=~:.ra~'::a~~ns
".. ""'~_;,Ih*" 'ha"r!Ililf~'andto_=. aU COndIliORslll'lnled on tIlis
appNcallon,and Ihiltl HSume fUll' 'for ' willi the WIteat Ridge Building
COde (U.B,C.) .1Id aU other appllCable '*, Old anoes, lor work undsr tills P!lrmll,
,
(OWNER)(CONTRACTOR)SI<m DATE g---/3PJh
Construction Value :
1 Permit Fee :
Plan Review Fee :
UseTax:
Total:
$125.00
$15,00
$0,00
$2.50
$17.50
Description:
RePLACE 3
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Fl :
AppI'Oval :
Occupancy :
Wans:
Roof:
Stories:
Residential Units :
ElectriC$1 LiCense No :
Company:
Plumbing License No :
Company:
MechanicelLtoense No :
Company:
Expiration Date :
Approval:
.
expiration Date :
Approval:
.
Expiration Date :
Approval:
.
(1) _::i!!i~~~r:::W~:,n<f~~c~lhe_oflhe_o/CoIor1IdOandtolhe%onlng
(2) -=;;:=~s suIf10IfzscIIs not """.....1CSd WtthYn~{eO)dsysllomlslue_or(B)tI1eblllldlnG_ls___or
(3) Ifthls......~. S_ , ,l!IOYbe-""",roraleeofone-hslftl1e _lnormsJly~, _ no__--orwllbo-lntl1e
CI1iIIniI....snd .,' ilnd..,........- or _Idot.menl hss not _ one (1) year. 11 Chsngoo... _ or W ouspOnSkln or _.,_d
_"'(1) .flJII__bej>slclbts...._
(45l' No - ol..,..-._lMI daM tNolwll cIlsngt lI1e - - or_ :':'1ISdrSInage prollIsm.
( ~_llOIlIYtI1ell!lll!llllCJ InIlDlIctoi'twsn\y:01bur (24) hours In _for sII i1opoclIons and _.-... _ ~ 0Il1nspocllon CSRI_
_.......-....".."oI..jQb.
(6) '1M iIsIIsIilo.,s ",",",,"'lhelillP"lVSl"~ ond ......If...1ioIls _ not be....- to be S ",",""lor. nor SA __of. any -. oltl1e pnWiIlans
orlllS _ or anY _ , low, rille or rsgulatlon,
BUilding Inspector
SfOEM1ITVAUD ONLY WHEN, SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 23405833 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION. 235.2855
CITY OF WHEAT RIDGE Date: ~- 13--"1.6
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address:
Contractor License No. :
Company:
::]07)(.(
L/;)/;)'"
i tfl;t2i) Jr!-f ~n..
611,('.(2 i Sc-rJ 5-1"
Phone:
?f3!-7731
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
/.;;2-?-
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 at Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNE ...LJ;U""'~ DATE 'if - 13 ''1(" Total:
&;Jh~ 3 WI. (J'>J5 q~ I 0'P1)>2. - t4~N:> ~,,?/auc/ c' -)<
Description: ",Je,c:, ~ I'kf""'f>t ?<J/"'", l'<vlCJ,;.~t(# ~;Z1~~ "o/'~ ch'1 nP# dph!:-.
..<t?;<$/Ir" 'J/,d- /!;d,~
BUILDING DEPARTMENT USE ONLY
ZoliimrCo-m'mentS:J
Approval:
Zoning:
~UiI(ling'~Oijiiiients:l
Approval:
Pliblic:WOi'I<S';C!ffi11nents:]
Approval:
Occupancy: Walls:
SIC:
Sq_ Ft
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
fJ ~Plifis'J~eqiii~~
Expiration Date:
Approval:
~ 1P.lan~Re-qt1!rea~
Expiration Date:
Approval:
;J1I ~f>laifs'~equi.fe(f'~~l
(4)
(5)
(6)
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 tt\e Zoning
R~ulations and Buildin~ Code of\Nheat 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 suspeMded or
abandoned for a period of 120 days.
It 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. It changes are made or if suspension or a~andonment
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
proceedi. with successive phases of the job.
The is ce or a rmit 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 lding s or any other ord. nee, law, rule or regulation.
(I)
(2)
(3)
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234.5933 24 HOURS PRIOR TO INSPECTION