HomeMy WebLinkAbout3967 Hoyt Court♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSP NOTICE
Inspection Type: Ttti�dtiV t1C
Job Address: .81 `l C
Permit Number: d �`
y c _
❑ No one available for inspection: Time PM
Re- Inspection required: Yes vycq)
When corrections h ave been made, call for re- inspection at 303 - 2345933
Int
Date: 1 Inspector: '
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Dd\' f
Job Address: G
Permit Number:
4
F_
❑ No one available for inspection: Time AM/PM
i ~
Re-Inspection required: Yes
"When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: ~ N
DO NOT REMOVE THIS OTICE
City of Wheat Ridge
Residential Roofing PERMIT - 091294
PERMIT NO: 091294 ISSUED: 08/13/2009
JOB ADDRESS: 3967 HOYT CT - EXPIRES: 02/09./2010
DESCRIPTION:. t/o: Reroof 17 sqs w/ 30-yr; GAF Elk
***CONTACTS
s owner 303/320 3356 Crystal Martin
gc 303/450-5247 James Mosel 08-0268 Trinity Roofing
PARCEL `.INFO
ZONE CODE: UA USE: `.UA
SUBDIVISION: 0266 '.BLOCK/LOT#: 0/
**FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,009.00
FEES
Permit Fee 126.50
Total Valuation .00 ) ~~R ~
Use Tax 54.16 TS
M7ZIT2
TOTAL
180.66
Conditions :
6 hail installation& mid-roof inspection required. Board sheathing spaced more.
than a 1/2. of an inch apart requires plywood overlay on entire roof. Ice and
y; water shield required from eave'edge to 21 inside exterior walls'. -
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
a y 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 permrt. Planssubject to field inspection.
Signature of contractor/ er 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 ofthe 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 maybe 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. ne (1) year, full fees shall
'.be. paid for anew permit.
K 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.
x' 6. The. issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
R" an approval of, any violation of. the, provisions of the. building codes or any other :ordinance, law,.. rule or regulation.
j All. plan review ,ka 1'ect to field inspections
Signature of:C of ldmg Official date
r, INSPECTIO 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.
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~oF W"E T ~o City of Wheat Ridge Building Division Date: 0 ' x/09'
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan M
°OtoaPa° Inspection Line: 303-234-5933 Permit
Building Permit Application
Property Address;
Property Owner (please print): CJ7~/SJ /r `Ci2 ✓ J Phone: 5(/3 ' Z"3 ~Sb
Mailing Address: (if different than property address)
Address:
S
City, State, Zip:
Contractor: % )N)
Contractor License Phone: -3173 - C?7 , 7MI
Sub Contractors'-
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ 2-77-67
D@SCCIptIOp Of WOI'k: (ti/ 70 (as calculated per the Building Valuation Data sheet)
c> Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares _Z-7- 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.
C)RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENT E of (O ER) (CONTRATOR)
PRINT NAME: ~iul~c,N Crew SIGNATURE: Date:
Building Permit
CITY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
Permit Number
19328
10/1 0/2005
Inspection Line
3D3-234-5833
Residential Fence
PROPERTY 3967 Hoyt Ct
OWNER: Christie Fitzgerald
Unit:
(303) 941-0873
Description
6' cedar privacy fence.
1 rs;::L!.::l.....S:O:::-C0\
J ~~~{g~W
IFEE:S
IFees
IUse Tax
IPlan Review Fee
IPermit Fee
ITotal Fees
1
ICONTRACTORS
IName
IHomeOwner
1
IDue
1$26.18
1$45.66
1$70.25
1$142.09
1
1
1 License #
11
1
IPaid
1$26.18
1$45.66
1$70.25
1$142.09
I
I
IPhone
I
Units:
Occupancy:
Walls:
Roof:
Stories:
Sq Feet:
o
I hereby cerl:ifythat the setback distances proposed by thisperinit application are accurate,and do not violate applicable ordinances, rules or regulatioris'ofthe Cilyof
Wheat Ridge or covem'lnts, easements or restrictions of record; that all measurements sh(lwn, and allegations made are ai:curate; thatI have read and agree to abide by
all conditions prinledon this application, and that I assume full responsibility for compliance with _the Wheat RldgeBuilding Code{U.B,C) and all other applicable
Wh ld,'~'d;" ,~.r" w"'. ",m.p,C C lo/ro/cJ5
SIGNED DATE
1 Thhpermit was issued in accordance withtheprovisions set forth in your application and'issubjectto the laws of'the Si.'ahiofColorado"an:d to the :ZOnirig
Regulations and Building Code of Wheat Ridge, Colorado orany other applicable ordinances of the City.
This perIJiit shall expire If(A) the work authorized is not commenced within sixty (60) days from issue date'or (B) the buiilling authorized Is suSpended or
abaudoned for a perlod of120 days.
If this permit elpires,a new permit may be acqui~ f(lrafeeof one-half the amount normally required, provided no changes bavebeen orwill bemadein the
original plans and spccifieations and any suspension or abandonment has not exceeded one (1) year. If changes are made or ifsuspensiou or abandonment
excceds ODe (1) year, full fees shall be paid for,a neW permit.
No work ohny manDer shaU be dODe that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty~four (24) bours in advance for all inspections and shaU ~eeeh:e written approval on inspection card before
proceeding with successive phases of the job.
4
5
SIGNED DATE
Page 1 of 1
Chief Building Iruipector
Wednesday, October 12, 2005
"'t~.:j!;,,,,,,,,'l~r!~,,...,,~, ''''",""""""""",,?,,,,,,,,,,,~~'!J!!.~lr~''!fl\l!I!1lii~~1!;~.!',iIliI!\.,.,,,,,,C~~~,~.IJ'~'f",,,,~;.t;\,I.L,J.",,~Li~.,..,.~IJ"'Jrr.!.~~,';~~
Building Permit
CITY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
Permit Number
19328
10/10/2005
Inspection Line
303-234-5933
Residential Fence
PROPERTY 3967 Hoyt Ct
OWNER: Christie Fitzgerald
Unit:
(303) 941-0873
Description
6' cedar privacy fence,
Authorlzed By ZOning Approval
Authorized On
Zoning R-2
10/12/2005 Approved By MR
OK
Wednesday, October 12, 200S
Page 1 ofl
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
dSD0 ,APPUCATION
Building Permit Number:
Date:
Property Address: n (p '71-/qjf'
Contractor License No.: /) / Pi
Company: h FA
(, CWiB,3phone:?i:h411-Q'):;
Phone:
OWNER/CONTRACTOR SIGNATURE, OF UNDERSTANDING AND AGREEMENT I Bulldina DeDi. Valuation Figure: $
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.
(OWNER)(CONTRACTOR)'SIGNEo~l Of~ v/lkr;;7J(J t
(OWNER)(CONTRACTOR)IPRlNTEO "L:t _ ~_7iI:hA 01
Use of Space (description): if: j)C~ '
D~C:f;ljt- p(fV'O OJ GJ!.daru ~
Sq. Ft. addod nIt:!-
Value:$/J-/75Ji'2l;
Pennit Fee:$
Plan Review Fee:$
Use Tax'$
Total:$
1z0NING COMMENTS:
"Approval:
Zoning:
BlITLDING DEPARTMENT USE ONLY
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SIC:
Sq,Ft.:
r:-;-----
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i
IsUILDING COMMENTS:
Approval:
0'""
L._.~
,.--.,.--J'
..-....~-------
o 6 2005
PUBLIC WORKS COMMENTS:
Approval:
IRE DEPARTMENT COMMENTS:
Approval;
Occupancy:
WaUs:
Roof:
Stories: ,
Residential Units:
Mechanical License No: n ) f?r
Company:
Electrical License No:
Company:
nl'0'
, Plumbing License No: n I Pr
Company:
Expiration Date:
Approvai:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This penntt 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
~~ "
This permit shall. expire if (A) the work authorized Is not commenced within sixty (90) days from issue date or (8) the building
authorized Is suspended or abandoned for a period of 180 days.
If this permit expires, a new permit may be acquired for.a fee of one-halfthe 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 tNenty-four (24) hours In advance for all Inspections and shall receive written
approval on Inspection card before proceeding with succes:i1v6 phases of the job.
The Issuance of a permit .or the approval o.f drawings and specifications shall not be construed to be a Rermlt for, nor an
approval of, any violation of the provisions ofthe bufldlng.codes or anyotherordinance,law, rule or regulation. All plan review
Is subject to field Inspections.
(1)
(2)
(3)
Chief Buildina Official'
ii:!f,\ II~J"II.!I~;,"",,",,,,,~,, "".~_"~,, ,f1"I!I!,~",.." "....,,,,,,,' "I.,..,l!ll,I,JII."f,","""""""""Y'!~"."""""'.""""'''' """",1, i~"""""~"W,,,#,,,",,,,,,,,",,,,,,,.,L'f,,,II!;1f'i""""""'''W'''''W,!',I"
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 7633
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
"...
Date:
8/14/98
.'
Property OWner:
Property Address: 3967 Hoyt Court
Contractor License No,: 18675
Company: Quality Electric, Inc.
OWNER/CQNTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 403-1069
.
Phone: 2952221
Construction Value :
Pennit Fee :
Plan Review Fee:
Use Tax:
Total:
$300,00
$25.00
$0.00
$4.50
$29.50
I hel8by certify that the setbacl< distances proposed by this permtt application are accurate,
and do not violllle appncable onlinances, rules pr regulations of the City of Wheat Ridge or
covenants, easements or reslrlcllons of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printad on this
application, and that I assume fun responsibilItY for compnance with the Wheat Ridge Building
Code (U,B.C,) and all other applicable Wheat Ridge onllnances, for work under this permtt,
(OWNER)(CONTRACTOR) SIGNED
DATE
Use:
Description:
AlC circuit
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Ft. :
Approval:
~upancy :
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) 1blo pennll wos Issued In accordance with the provisions set forth In yopur application and Is sublecl to the laws 01 the State 01 Colorado and to tho Zoning
R_ and Buildlna,COda 01 Wheat Rldae. COloIado or any other _lcable onIInancos 01 the City,
(2) ThiS ponnII sholl expiIa W (Althe wort< authorIZed Is not commenced wIthln slxty (SO) days 110m Issue date or (B) the building outhortzod is IUIPOlldOd or
_forapet~iodof120 '
(3) W this ponnII expIIes, a now may be ocqulrod for alae 01 one-haW the amount normally raqulnld, provided no changas have _or will be mada In the
original plans and, and any __ or obandonment has not oxcaodod one (1) year, W changes are mada or W __ or a_
exceedS one (1) yeer, fullfees shall be paid for a new permit,
(4j No wort< 01 any _ sl1aII be dOne that will change tha natural_ 01 W_ cousing a draJnaga problem,
(5 C~ ahaD notIIy tha BuIlding _1WanIy.fOur (24) hounl in advanco lor a11IMpoc11ona and sholl rocoIva _ appnlVlII on inapoc:lion cord_
lllOCOOdlIng with succossIva _ 01 tha job,
(S) "'o,lsauanco oIa pennll or the apjlIOvet of drowlngs and specIIIcatlons shall not be construed to be a pennlt for, nor an approval 01, any _ 01 the pnwislons
of the bulktlng cod8s or any other ordinance, law, rule or regulation.
!L~~n~r '
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
Property Owner: L; /1 ol 01-'30 'h .~ ) D n
Property Address :sC) 67 I.t,>,-\ Ct-, wheJ,,;ds</ Co SC65D Phone: 1.-16 5'/['b'1
Contractor License No, : I g 675
Company: D uo..l lly f'\c"A,~ ( Phone: d qc;, ;;: 'd.,<< I
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: :s CC), '"'''
Permit 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 pnnted 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 t Ridge ord' nee t ork under thiS,j,rm0
(OWNER)(CONTRACTOR) SIGNED DATE <fu /,-1 q i
Description: ~ I c c. '<
Total:
BUILDING DEPARTMENT USE ONLY
Approval:
PJlbIlC;.WlIrl-;- -nuh*tl8~
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electncal License No : 5 r-1>:
Company' M 0 >T< ,5
I;nb
I'SU
Plumbing License No
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
...J pr"nsR~u!red;:J
Expiration Date:
Approval:
.J.I Plans ~equjred
Expiration Date:
Approval:
.lI : P.~.~!!.!--
;2)
(3)
This permIt was ISSUed In accordance with the provIsions set forth in yOpUT application and IS SUD)ect to the laws of the Slate of Colorado and to the Zoning
Regulations and Buildmg Code of VVheal Ridge. Colorado or any other appllcaole ordinances of the City
ThiS permit shall expire If (A) the worK authonzed 15 not commenced wlthm SIXty (60) days frem Issue date or (B) the bUllolng authOrized is suspended or
abandoned for a period of 120 days.
If this permit expires, anew 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 11) year. If changes are mace 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 dra;r:age problem
Contractor shaH notify the BUilding Inspector t'.venty-four (24) hours In advance fer alllnspectJons and shall receive written approval on inspection card before
proceedling with successive phases of the JOb
The issuance of a permit or the approval of draWings and specifications shall nct De construea 10 be a permit for. nor an approval of any violation of the provisions
:Jf the bUilding codes or any other ordinance. law, rule or regulation
(1)
,:4)
i5)
:6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
.
_..._.....~t,o....:_
PERMIT NUMBER
DATE: l/ - '--1-(17
A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR:
2, 0;0 7
/~lj
.s -\;- v--
PURPOSE OF STRUCTURE:
/.'/1
Building Dept. Approval:
zfi cV
Remarks:
Zoning Approval:
~
"/5/er:r
Remarks:
DATE:
\l_L(J1/
TO:
PUBLIC WORKS DEPARTMENT
FROM:
Building Department
RE:
co
The property at
signed off by the
inspection.
.3 CJ G~l~" 1-_~
Building D~~nt and is ready for
has been
a CO
Once the inspection has been completed, please inform the
building department as to the status.
Thank you.
PUBLIC WORKS APPROVAL C11<'
~.
u/'5}Cf1
( I
Remarks:
INSPECTIONS WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE BUILDING SITE
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE
( ;.)'.~, .')') ( .r'__
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INSPECTION RECORD
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JOB ADDRESS 3967 Hoyt Court
BUILDING PERMIT NO. 96-3462
OWNER Thomas Sloan
CONTRACTOR Wycolff Construction
SETBACKS FROM PROPERTY LINES: NORTH
DATE ISSUED 7/17/96
I TYPE OCCUPANCY I
SOUTH EAST
West
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
INSPECTION
DATE
INSPECTOR
Foundations
Footin s .&.
Caissons
Reinforcin or Monolithic I ,
W~~rm~n ~
POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Concrete Slab Floor: ..
Electrical (Ground Work)
Plumbino (Ground Work)
Heatino (Ground Work) :
Do NOT POUR FLOOR UNTIL ABOVE HAS B
Job Com leted
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCUPANCY IS ISSUED
'. PROTECT THIS CARD FROM THE WEATHER
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OFFICIAL
ZONING MAP
HHEA T RI DG!=
COLORADO
~A:::> ,A,,:xJO:::D: .Jurt. 15. iqq4
_Qsr ;::;:'evisior: :=ebruo'- J 8, Igg5
~N<"'~~~,~ CF ~..A"'<!:.6 Al.J ~-Y-::",(p'6n ~ 235-2ffi:
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-_..'"'....._....-~"-..,_.,
~
0,",,00 X'C sac .......'
_ 20~:E :J!5't<1C...... 5OU~:DRV
__ ?^R.C.ELiLOT BQ.JNDRv
,::::>ESiG"IA TE'S OHNERSMiPi
:.!,ATE'<: FEA,TuR::
?E"-iOTES ~UL"'" :::>~= ..l. J:R.::'S5::S
5(.ALE '".AOO
BUILDING DEPARTMENT
237.6944 Ext. 255
CITY OF WHEAT RIDGE
* *
Correction Notice
-: " " 7-1 + (-f.
Job Located at ... ..,:;;..1-,,,,..~........ J....... y;,...., ..:.-co....:.. ,.,.... .....,., .,..... ......
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws
governing same:
! .
~ i.' ,,- ,
, ~.. ."./ j../ I i \.. ,-"j r"" / '.'.I
0' / ..;,',.,,"< ~'f'+~ ;\1..-, I r.,.",,'.n :>~ .,j
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::::::;::::::;:;::X::l::~:;::::::::::.: ::: /;;: :~:i~:~:;:.:;:?:~::?~;;:,:~::,::;:;::;':: :~.::; ::::
. . . . . .. .. .. ~~f . ;: .f. . . . . . . . .. .. . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . .. .. . . . . . . . . . .. .. . . . . . . .. . .. . .. . . . . . . . .. . . . . .. .. .
.. ... .~'~'~'...,;. /..:,:.. .... .(~...,.r.... f.,:.:..... ........... ....... .... ....... '" ......... _................ ........
............................................................................................................
............................................................................................................
............................................................................................................
............................................................................................................
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date..... ...;.. -:".. ....... ._:... ;':.. ............ ................ ...... .t.. ::;'::~.:~.:. ./.'.......... ........
nspector fql Building Dept.
FORM WR6-U
DO NOT REMOVE THIS TAG
l
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. BUILDING DEPARTMENT
(303) 235.2855
CITY OF WHEAT RIDGE
,
* *
,
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Correction Notice
~ c; r; 7 lie '-/ I c t-
o
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 gov.
erning same:
1-
2~
N ole I p{.J11 ~> If.r Fie {' .
5t<;LL. >>/1 c.owd. lu'~CJ/,lJf-
1< i/t.v c;
2,-
,r-/rJ4 ~I
/-J I'?' C/ ,J
ptC-/J<-../'--<7
,r.(t/?/,;JI/,,,>
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date
/0' 7Q-C(c
J
/
-
,.' ,"i..--.
.{
Inspector lor Building Dept.
DO NOT REMOVE THIS TAG
FORM WR8-22
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""""""""""~~""~"';;'""'''''l'\'''''''r',.~".~"""".._.,.~",.",",1~i1l!,....,"" "'~' ",.J.,J\'~""Y""""""""" """",U""'~"""""''''~""".".,,,,,,~~.~,JI.,lI",,,,,,.,,...,,,,,,
QEPAftT.NT QFPl..ANNING AND DEVELOPMENT Building Permit Number: 3462
- . + , BUILDI~INSPECTlON DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 7/17/96
7~OWlSST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property OWner:
Property Address: 3967 HOYT CT
Contractor License No. : 18892
Company: Wycolff Construction
Phone:
Phone: 9403720
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I ~reIly certify thal!lte aetback lllillancaa proposad by thll pennft al'Plicallon are accurate,
.nd do not, vIOlate applicable, ordinanC8$, rIlleS or regulatIOn. of the City of Whe, at Ricfga or
cov-.s, a.......nts or restrtctlonlof record; thai aO mealurementa lhown, .nd .Ilegationl
made.reaecurate;. that I have """ agree to abide b .U condftionl printed on this
.pplk:atlon, .nd thall.~ fuO rea ,.1bIIi for nee with the Wheat Ridge Building
Code (U.B.C.) .nd allolhet ."""", for wort< underthlli panni/.
(OWNER)(CO!'lTRACTOR) SIGNED DATE~
Description ~ 1/2 DUPLEX (NORTH UNIT - LOT #5 FERNWOOD SUBDIVISION
BUILDING DEPARTMENT USE ONLY
Approval:
Occupancy :
Roof:
Stories :
Walls:
Electrical License No: I Cl'll ~
Company :rnodwrJa.E&cJttW
Expiration Date:;}... ac;J ~q 1
Approval:
.
Plumbing License No: lifl/I(
Company: f}l#Ffp,J 1("~-""1
Expiration Date: r12.-r7
Approval:
.
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax:
$75,000.00
$527.00
$0.00
$900.00
$1,427.00
Total:
SIC: Sq. Ft.: i'-l q &
Residential Units:
1
Mechanical License No: 16 t ~1
Company :~ -+~ \~E 41;-\ \ "'I\.
Expiration Date: 71'2./3/Q]
Approval:
.
'Pc-
(1) ThIs pomit w.. ~In ~nce W\!Il the provlslonl 88l foItIIln yepur appIIcatian and is subIed 10 1110 _ of 1110 _ or CoIorIdo and 10 1110 ZonIng
Rogu_andllulldlnaCo<leot__, Co/_oranyolhor~_of1hoCIty.
(2) ThIs ponnIl8l1all oxpIrO f!AI the _ oulhOriiod il not commoncod wlIhln aixty (80) days from iaauo date or (S) 1110 building _II auapondod or
abandonlld lor. poIriocIO(1=~.
(3) W Ihla ponnIl oxPli<II, . now _ be acquinld lor 0100 of ono-haiIlI1o omounl_1y required, orovldod no ~ _ boon or will be _in 1110
original pIOnO and lIpOl1Iflca and any IUIIlOn8lon or abandonment hn not _ ono (1) year. If d1angoa a... _ or W suapanaion or abandonmonI
_ono(1)yoot, fuiI__bejloldlora__
(41 No_or any_aIlaiIbe donolhalwlll changO \he naluralllowofwater caua!!1lla drainage pn>bIom.
(5 ~ 8I1aII nolIfy "'" Bullclinq i_ twenty-four (24) hours In advSnco lor ail""poettona and shill recaMl writIan -' on lnspoclton card boIont
_W\!Il""l ,*""ohaoOaoflholob.
(6) 'Il1o la8U8rii:o or. pomit or the IJlIlI!>Vlll of drawlnll' and lpocIIIcatlonllhan not be c:onalruad 10 be a pomit lor, nor an -' of, any _ of IhO proviIIonI
of~bu or oIheI nance, low, ruIoor_latIon. "f.17 . 14 Il /J
Is;(.. A/'ptU-~..
, C uilding Inspector ' For Mayor '
THIS PERMIT VAUD ONLY WHEN SIGNED BY THE CHieF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 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. ;
Lv Ytft
3'1 tlf f/e;r
#- 1'?9'i2..
companY:(;JYCiJif/--
S/~.(C 77,n..J
C-r
Phone:
);p
...
c:..-
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 aU conditions printed on this
application, and that I assume full re onsib' ity for com l.iRnce with the Wheat Ridge Building
Code (U.B.C.) and all other appliea e h . ge ces, for work under this permit.
I DATE ?-/G' 1(;
/i/2N~ ~i"B1L//r,~
(OWNER)(CONTRACTOR) SIGNED
Description '~/l..t.f.(tJ
!-or .pt 5-
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
~C)ilifi~r:p.ol1fll'!!fo!S~ v;-
Approval: /J
Zoning: rC - z--
Bliilaiifg~Con"ii'ifeots..~
"'""~'~~.., - ~ ~..
Approval:
t'Obli~W011<S';C!:,lfrfnents~
Approval:
Occupancy:
Roof:
Stories:
Residential Units:
Walls:
Electrical License No :
Company: m 0 );:;z/I3~
Plumbing License No : .~ _
Company ~ K. ./~--
Expiration Date:
Approval:
!\:J ~PlaifslRjilWi!J@'Jm
Expiration Date:
Approval:
IIllhplali~~!fqlii~e:d.m
Mechanical License No :
Company; 'Sm"-..-T
Expiration Date:
Approval:
fiI jlplans'~eq\ii(Il{J~
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the Slale of Colorado and to the Zoning
Re.Qulations and Building Code of VVheat Ridge, Colorado or any other applicable ordmances of the City.
ThIs permit shall expire if (A) the war!< aulhonzed is not commenced within sixty (60) days from issue dale or (B) 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 w;11 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 shan be done that will change the natural flow of water causin~ a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for alllnsp tions and shall receive writt
procee g wi successive phases of the/-ob.
The is u nee f a permit or th app.rovalo drawings and specifications shall not be cons ed to b/P. permit for, no n
of the Idin codes r ny rdinance, law, rule or regulation. 1/.
(1)
(2)
(3)
(4)
(5)
(6)
ilding Inspector For Mayor
IS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
Date:
7 --/t-Y6
~rt&7
DEPART1H;I:iT OF f'LANNING ~ DEVEL"l-h'.:,;
REQUEST FOR PUBLIC WORKS REVIEW
Location:
~,~~)Uildlr....; n"'::nt
9c'-
:3 '/b z..
,
~(jJ
Plea~e review the attached materials submitted In app,I";d~lon for
a . /;:;l ("~i?>L. , and indIcate your decls,.,.':r. those
Delow, and lease add any other comments 'whlCh yc" :,.CO,' :.,c,e ..;ndec
No,
approval c:
lterns checi
::umber ':'2.
l. -- Boundary Closure: .6 OK Not OK; refer ~:._pulat':'or;s
...
2, ~ Area: Acres Squace
~ t:: L~ .
J. .--------.Drainage:
a. Drainage plan (and report) needed
b. Drainage plan not needed ___
c. Drainage provisions have been reVle~e~
X OK Not OK; refer to stlp~,"'
______-- ""-p,.c~ Icy D.G,: """ ~/BA
NPDES Permit Required Y G.J
,.1 ,~ d~e
t O'......:~,~:: to be:
4.
5,
---- Legal Description:
If not okay, please
^ OK
explain:
Not OK;
~ (; : t2 ~
to stlpulatlons
6. .------ Public Improvements;
a. street paving needed (t:; N b, 0',",," ...."tter neededc:D
c. Sidewalk needed ClJ N d, Se:'ee', ',lghts needed^
e. Storm Sewer needed 0) N f, Ese;'_" ;'equlred LV
If Estcrow requir.ed, for wh'a.l: improveme::eso ::."::01t amount:
~ d.et-~~V'\~ \~ ....-.Jco("\t: r...cs\- c.~,?l~d. 'f\""\CJ'L -ro ,c.....o~ \"'<=-"D~
7 . ~evelopment Agreement required Y IF
If Yes, for ' '
t-;
CE
,.
.'
8. ~.
All necessary documents have been initlate~
attached hereto: n ""'0:.
PubllC ~orks
and at-t
9. ...-::::---Is a traffic impact analysis and report. re,j...,e.i"'
i
~
( ,
~-'
10. ~s a State Highway Access Permit needed:
(?.'
11....-----. New roadway or alley R.O.W. dedication IS ;el~c,;:,ended:( b
If yes, what is recommended:
12. .---'
All existing dedica-ced roadways and alleys :r.eet. the standards of ti"
City: '1=
If no, which do not and what is requested:
13. ----- All existing and proposed dedications have Uev' "eviewed and found c
--- be: ~ OK Not OK; refer to numbers 11 & :2.
l4.
-----.
Public Works Department has cevlel-ied this request an,'
subject to t~.e above and/or attache,
i~ /r,~val'
L~
Datee
(.! (7/'1&
,
15.
The PUblic Works Department has reviewed 1::, ~" cequest and does nv..
approve for the reasons stated:
Signature
Stipulations attached:
::::"'a":e.
16.
----
Yes
/7"
~~,)
17. ------- DEADLINE DATE FOR PUBLIC WORKS DEPARTMENT r<.i:.,~,--{:
r.
II , 11r
18. ~.
A; \ PLAN&cDZV . FRM (FORMS)
WARRANTY DEED
'IBIS DEED. NMo" May 24. 1996
~ SImer .. MCMillan and Irene S. McMillan
ofllll .aid c.olll,o( Jefferaon
COlorado
...-. ...
'ftMlIMI M. Sloan
oM _of
..................3975 Hoyt Court
Wheatr1dge. Co 8033
... IIlo .aid C<a"', of Jefferlon "" - of Colbrado
wm TH,'l1oIIIIII.-Ib<u.IlIl11"'I. ~.of"'_of <$UO.OOO.OO )
one hundred twenty thouI.nd doliarl and no c.ntl D01.VIS.
_ IOIIifI ... .11" ..,. 0("- II .., .....,;..\ II <, MI .......4'.. . ~, ..,ld ...s ~. oM ~ - ..... -
.... .......... _.... -ar.. onlo IIlo ...-l1li.............. _. on \lIo ..1 ..........' ...-..........-. ~ If..,.
...... """........... Said c.-, of Jefferson ...-
" COlorado ~.,lbooI.........'
LOti 4. 5. 6. and 7
PUIIIIOOO SOIDIVISIOtI II.
except that portion of Lot 4 conveyld by deed racorded July 24. 1972 in Book
2401 at.. 'age 50'1.
county of Jeffer.on,
'tat..of colorado.
..
. .
. .,.-,
._~_...__.: 3975 Hoyt Court
Wheat Ridg.. CO 80033
_._ wIIIl.. ... ....' Iho _1Ia_ ... ..,.,....-- _ ........inI. o. in ..yooi. 'rrL .............. -- .1llI
....._. .9 "" -.....AII.. r..rentI.............tIIIIIof,.....................tldc...Cral........--..-. ..AolUil
.....tlllllrlll.........,..........IOIIlI_....J. 'r . _1M.... .....v.......__.
1O..va AJG '10 IIOLD doo ..w ......... ._1lIIpI1III.... 4 .1lolI. ... "'1fIIl'IIl--. -....-. l1li...... .....
_. M'_'-, ......f. hiI......... ,..-a....-Jio.IhM. ....... V--.C"I1I. ..,"C.... ............ wllII..........
....... .......IIIM......... of 1M -U.. ........., of a.. ...-. ...- - 0( 1IlI............ -. ..,... .........-
....... ..........I~ I ~ ~u-_oflll""ll'- ...... ............ .......... Idl powc l1li.............,.............
........,.... _ III _ IIllI fatIIl H Ir-ow. ...1IloI1IlI... "".'" eta. - III -.......... ..........
-.-..._ .~,..,. . ~......,....tDUawot.......kW...............
t.... for the current ye.r and llIb.equent ye.rl. and except e...-.nta.
r..trlctlon.. rel.rvationl. ri;ht. of way and covenanta of record. if any.
n...-IIlOII'" will WAIUlANT ,,"D POJUlVI!Il DI!I'IlND Ille lbov..bIqIiMd prcml... in the qolel.......* r . of...
..... ......... ....... .......111 and ....., .......- .......,........ ... - 01' .., """...... n..............
....................,..... doo....... ....1IlI_ of.., ....1IlOII lit ......llII... ....... .
III ..... ..-""Jrf. ... 1'1_ ... ........II1II...011... -.. .........
~QwuJ e. r ~tl~
Il..r I. McMillan
~ I.'. )?/e.~~~I(.)
Irene I. McMillan
STATBOP Colorado
}
..
salel
. _............."'*'"_II1II 24th
. I. McMillen
a, of
May
."" .
..,
v~
rY\u
--
Rebecca J. Moore
........ ...._ .......,~_.. ...,M __
.1 ',," (I. ~n 1111
i::)
")-' ..
r"II!' D'Tl
~heat
GRidge
,',.'i
,..-': .
".,.
-,j
Ju I Y 2, 1996
Mr. Patrick Quinney, P.E.
The Tech Group, Inc.
9605 W. 49th Avenue
wheat Ridge, Colorado 80033
Re:
Fernwood II, 3950, 3952,
F'irst Review Comments of
3960 I -3962, 3965 & 39Cc; Hoyt COLlrt
tJut)l i c Improvement v:_,::-:1)l
'-\-"<'1 ~ ,',
OUlIHJl,y,
I have completed the first reVIeW of the publIC Impruvement plan
received on June 19, 1996 for the above referenced lots, and have
the following comments:
Drainage
1. Per the drainage/grading plan that was approved by the City
or. August 8, 1984, 9,inch minimum diameter rip-rap, 1.5' deep
!~. to be pJ3.ced on the apPJ:)prjat.e filter fal)r-lc ,;:' olund th"
'-111east e'en-ne'l of Lot l, Th]~.~ Dla(",::,m~Lt J.. (}id
1 !:,'
;': (~VI !- W,-lt, '-']
".11L l(-lli
i,l:
i lit] V,; ~ i 11
,
',_,Il(] t he
',:-:1: nq
Pd::;1 PI~Uf'('!1\'
LJ. -1 neh P - (' - p
1,'-"
,-,j
,1'
'j,
Ii'
~~,- type 'i<' inJet pJ-(JP(i:~~l,(j ;~; 1:--
;1 infonndt ion and imlJ](->!l1(-'j1t,J1
l'-' City's ;;tandard. jnlr-:,t det;-J.j]
Ci t Y ~:~~. (1111 J d :
,_J)] i nt- () tl;" :;.,
j :_~ prov i d,i:'(l
i.'.
11 '1'
l.
Public Improvements
1. ThE' standard curb walk s(.:-'cl.1un r:r<:':_lposed is nc)t t,
srandard. For your information and. jmplementat lon Jllll_) th,-'
:-H-,:,xt subm:ittc.ll, the C:ityJ:~. st.:"lno'1Td curbwalk ~_;("cticr' l:-~
c,')vjded.
.-'-.:} Y011!'
"""m] Ll al
: ;-0\1 i decl.
i_ !-j t UJ:-ma t ion and 1 ::11':' ; '-"I:il:"_
t11(" Cit.y':'--; tyrJ1C:,'-J. :,-::;e'
aLl.' r-, 1 :-J:
in ten
: !,.
- .,' ~
'(1 !
. ,. .-' {:~ ,
Traffic Requirements
1. ;Clease note on the plan as red 1 Lned tha:: a Type 1 J], ";,;cad
Closed" barricade will need to be placed at the end ot t1,e
exisling Hoyt Court roadway prlc~ t.Cl any con,c;trlJ(~t i(;!J
(=-(~;!1lmpnc ing ,
, ^ , ':".. :_:< :.____:...' .i.:",,::, ",. '::'. :::::,\-.'.,:..',::..: '.'" ;:-. '-",-C .:. .:'. ,:., _0:'.::'.:.,...;., .',: ,.." ..<..~.,...:'-, 'Co"'::<'.: ~<rr'.::'.__.,:;\. "'..r. -.:'~" ...:':'}'..'" .f', ":': ':"',::.." :., ".: .:':. ',:i, :.r~:
EPARTMENT OF PLANNING AND DEV [ PMENT
BUILDING INSPECnON DIVISldN .235*2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEATRIOGE. CO 80215
, ,,.,~. ,:-,-'" . ... . . -. . ,.
Building .Permit Number:
Date:
,,:.
'-'<.'--',
:~
7512
7/24/98
Property Owner :
Property Address: 3007 Hoyt Court
Contractor' L~nse No. : 17667
Company: Jebco Heating &AlC Inc.
. OWNER/CONTRACTORSIGNATORE OF UNOERSTANDING ANti) AGREEMeNt
~~:~~\":Jn-::,e:,~ba~~a~~~=~gera:'
coven_. " or reatfic!lo"oI'~; that an nieasu~ shown. and sllegsllons
m$de .... ac:ct/nlbO; tljalJ be"" ....Mll=1O ablde:'alI condillona r>r!lll8d on.,. '
appUc:ation, and ttlllt hs811mll ~/!lIP!lIl for', nc:aMt/) the WIliIat Ridge BUilding
Code (U.B.C.)andalolhet appttcable Wheat . e ord nan_i for wort< under Ih. pennft.
Phone: 403-1069
Phol:1e: 573-7300,
Construction Value :
Permit Fee :
Plan Review Fee :
UseTax:
Total:
, $2.187.16'
$63,00
$0.00
$32.81
$95.81
(OWNER)(CONTRACTOR) S~NED
DATE
Use:
Desqrlption :
install rounduaka 030JA2'(21/2ton)A1C
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Ft. :
Approval:
occupancy :
Walls: .
Roof:
StorieS :
Residential Units :
Electrical License No :
Company:
Plumbing License No :
. Company:
Mechanical UcenseNo :
Company:
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval:
(1)' ==~I~~~~"':fJ...~~~~~tIle_of!heSlate.,eo-ondto!he~
(2). :.sn=lH::~~SU_1s noll'O"'.",,_lIriIhln eOdy (eo) d8ys '""" '- _or(B) tile buIIdlng-eIf 18 IUIpencIed or
(3) 1111118 l>emlIIoxpIrlOS.' """./!I8Y be ~.lor a tee of.one-haIltlle 8IIIOU'1l ~!8<lulred. ~ noc:l18ngeehllve been.or" be rnld81n!he
orIgln8lpl8l1eond I ana.' 8IlY_or~""nol. ..-one (1) yeer. lrc:l18ngee8l8rn1d8orW_",,_
exceedsOll8(l)_.rutt_ehallllel>Old""__, . .
(4) No work oIan~_!l18IIbe ckx\!l1hel wltl cIlanOO lhenalul'il ftow ol_ceull/lg. dnIInage problem.
. ::: e,:w!=~~~=:(::t"J."::':be8H=::::::7~:""=.:~::'::_1
01 tile building _ or 8IlY _ c>(dln8l108. low. rule or regulBIIon.
Of::~'~IJlJ~n ,/L cf
THIS PERMIT VALID ONLY WHEN $IGNeD BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5$33 24 HOURS PRIOlt TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
/ -:1'1 !()f:QJDING INSPECTION DIVISION - 235-2855
L. 1 J CITY OF WHEAT RIDGE
( ,/ ' L 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
Property Owner: n a
Property Address: 59107
Contractor License No. : I i.&fPJ
company.c:1~c!()
() VI r:r;O(l . .
Y t CD lift Phone: rj D 3,- / DW
IJeithflttf ~ AiG Phone: S:13~~{)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Total:
Construction Value: 3/
Permit Fee:
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 89.ree to abide by all conditions printed on this
application. and that I assume full resp i for complia~ with the Wheat Ridge uiJding
Code (U.8.C.) and all other applicable he Rid ordin r~' for work under this p rTnlt. t'
(OWNER)(CONTRACTOR) SIGNE . TE /l '
Descnption : 'Jfl s12u WJ.d UAeIt D30J!r~ (; Y: i1Yt )Aic
Use Tax:
BUILDING DEPARTMENT USE ONLY
Approval:
. !l,:." t'I- ht:"'~~;l' III
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical license No :
Company'
Plumbing license No :
Company:
Mechanical license No .
Company'
Expiration Date:
Approval:
..J Pflns.ReQll!r8(t,:;'
Expiration Date:
Approval:
~ P..ns Required
I
Expiration Date:
Approval:
:.I f pailll"lDlI!lItlRIal'i;'€l
III
121
131
This permIt was issued in accordance with the proVISIons set forth in yopur application ana IS subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of VVheal 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 dale 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 .f 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 now of water causing a dramage problem
Contractor shall notify the Building Inspector twenty.four (24) hours in advance for alt inspections and shall receive wntten approval on inspection card before
proceediing with successive phases of the jab.
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.
141
151
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
I
1
, .
OMB. NO. J067-oon
E""ir.. M<ly 31. 1996
. ELEVATION CERTIFICATE
FEOERAL EMERGENCY MANAGEMENT AGENCY
NATlONALFLOOOINSURANCEPROGRAM
ATTENTION: Use at this <:erlilicat" does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevaUon information neoessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request tor a Letter of Map Amendment or Revision (LOMA or LOMR).
In$tructlons tor complBfing this form can be found on the following pages,
OCT 2 t 1996
SECTION A PROPERTY INFORMATION
FOR INSURANCi COMPANY USE
POLlCV Nu~aER
:~ ::
:~::
COMPANY NAIC NUMB!R
OTHER OES
J..af ~
IUld Block NUmbillrs, IiItc.J
F~,.,., WDl7d 'Jr S..h",~,.SI;''''
liP COOE
fJc~33
C11'Y
JIIhe,d
R,.tJf'!e.
SECTION e
arATe
Ct?
FLOOD INSURANce RATE MAP (FlRM) INFORMATION
Provide the following from the proper FIRM ($00 Instructions):
:.\
"',
,. COMMUNITY NUM8eR
08607'
z. PANEL NlJM8e~
:\_ SUFFIX
4. DATE Of Fl"M INoex
:j, FIRM ZONE
C;, OASt' rLOOl,) CI.I:V,4,TION
(inAOloo""-lJUldflplh)
~3~tP. 0
o &J() f>
c
HI- ~ /'68
A/CJ
7. Indicate the elevation datum system used on the FIRM lor Base Flood Elevations (BFE): ,NGVD '29 nOther (describ.on back)
8. For Zones A or V, where no BFE is providlK1 on tha FIRM, and the community has estab ished a BFE lor this building site, indicate
the oommunity's BFE: i I I 1 1 I LJ feet NGVD (or other FIRM datum.....e Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
~
!1
1. Using the Elevation Cortificate Instructions, indica~he diagram number from the diagrams found on Pag.. 5 and 6th'" best
describes the subject building's referenev hIVel .
2(a). FIRM Zones Al.A30, AE, AH, and A (wilh BFE). The top of the reference level floor Irom the seiected diagram is at an elevation
of I 1S'1!115'101,~ feel NGVO (or '?fher FIRM detum-see Seolion e, Item 7). .
(b). FIRM Zones Vl.v30, VE, and V (wiih BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I I I ! I ,U feet NGVD (or other FIRM datum-see Section B, Item 7).
(c). FIRM Zone A (wilhout BFE). The floor used as the reference level.frOm the selected diagram is W.U feet above 0 or
below 0 (Check one) the highest grade adjacent to the building,
(d). FIRM Zone AO, The floor U$9d as the reference level from the seleCled dillllram is LU U feel above 0 or below 0 (check
one) the highest grade adJaoentto the building, If no flood depth number is available, is thll bullding'a lowest floor (reference
level) elevated in accordance with the ccmmunlty's floodplain management ordlnance./ n Yes n No n Unknown
3. Indicate the elevation datum systom used in determining the above reference level elev.tio~;',t8( NeVO '29 0 Other (describe
under Comments on Page 2), (NOTE: "'he fJlevalion datum used ;rt measuring lhe elevatiorts ;$ differenl IIlart Ihal used on
the FIRM {see Seotiort 8, Item 7], then convert the elevations 10 Ihe datum syslem used on Ihe FIRM and show the convelslon
equalion und&r Commit"'. on Page 2,}
4. Eleva~on r.ference mark used appears on FIRM: 0 Yes ;S:NO (See Instructions on Page 4)
5. The referenceleltlll elevation is based on: 0 actual construction 0 construetlon drawings
(NOTE: Use of O()nstrucffon drawings Is only valid if Ihe building does nol yel have Ihe relerence level rloor in Place, in which
""59 Ihis Cl!J(/inCllle will only De valid for rhll building during Ifle course of construelion. A posl-construclion Elevalion Certificate
will ~ 1I1C/U/~ OMe construclion ;s complete.)
6, Tho elevation of the lowest grade immediately adjacent to the building is: I 1f!3IS'I71 ,~.feet NGVO (or other FIRM datum-see
Section 6, Item 7),
:;1
SECTION 0 COMMUNITY INFORMAnON
1, If the community offlclal responsible for verifying building elevations speCifies that the reference level Indicated in Section C, Item 1 .
is not ttle "lowest fioor" as defined in the community's floodplain management ordinance, the alevetion of the building'. "loweSI
floor" as defined by the ordinance Is: LL.J~..J ,U feet NGVD (or other FIRM datum-see Section 6, item 7).
2. Dale 01 the start of construction or substantial improvement .'.'
fEMA Form 81.31, MAY 93
REPlACES All PRE'IIOUS EomONS
SEE REVJ;RSE SIDE FOR CQNllNUA l10N
';;i
r...::
1
SECTION E CERTIFICATION
This certification is to be signed by a land survayor, Angina';I(, or arohitect who is authorill/d by state or local law to certify elevation
Information when me elevation information lor Zonas Al-A30, AE, AH, A (w~h BFE),Vt-V30,VE, and V (with 9FE) is required.
Community official. who are authorized by local law or ordinance to provide floodplain management Information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE). a building official, a properly owner, or an
owner's representative may also sign the certtflcaUOM.
Reference level di"llrilJT1S &, 7 and e ' DistingUishing Features-If the certifier is unable 10 certify to breakaway/non-breakaway wall.
enclosure size, location ot servicing equipment, area use. wall openings. or unfinished area Feature(s), then list the Featura(l) not
included in me certification und,r Comments below. TIle diagram numbtr. 591:110n C, Item' , must still be enterAd.
I certify tI1ilt the Informatlcn in Sfctions B and C on rhis certificate repres8flfs my best efforts to Interpret thr: data available.
I understand that any false sra/l~ment may be pun/shable by rine Of imprisonment under t8 U.S, Code; Secl/on 100/.
~~F'~""
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LICENSE NUMBEFl (O( ARia Seal)
I,"Pi<'f"(. q'1~R
COMPANY NAME
n_ Yot'h. r..r...,q.. Il1t
C'T'r STATE ZIP
. . _ ''''._ Roo:!1
I ~^Ti FMflI1i 'Id'-'
1"'1; I' ..a,mIUlUfUty gUl~8lt ~J lns~H'ce BgenllcOmJ'lny, ana 3) bUI 109 owner.
COMMIiNTS:
Rm:
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S1!. c.o"lo~__"
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(AI tI '(. Cl
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J::"L' !:~q5 II J::'.,
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-
ON
~
wnw
_aNT
ON~
PliRS, OR COLUIINI
A
ZONIS
V
ZONES
;~
A
ZCNES
V
ZONES
'""'iliir"
~
;;"'='1
,
The diagrams above illustrate the points at which the elevations should be meilliured in A Zonas and V Zones.
Elevations for all A Zones should be mea9ured at the top of the relerence level floor.
Elevations tor all V Zones should be measured at the bottom of the lowest horizontal structural member.
Poge2