HomeMy WebLinkAbout4350-4360 Brentwood StreetM
i CITY OF WHEAT RIDGE
Building Inspection --Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: L) 3 !2_;�-)
Permit Number: -901-7013-7C f
❑ No one available for inspection: Time ) = ) -2 AM#M
Re -Inspection required: Yes oNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: I//17 1 11-2Inspector: _7__a5
DO NOT REMOVE THIS NOTICE
me AM /PIV
"tllll " US 1 6 1 ) ' 1/26T1 ' MdN ' i'i'i 1114111111111 "AV 'l lTAP llll IIIII TOY IIIIIIItl w ILL11111111111 i1llll I ..IIIII111111111111111111. 1111111111111.1 I1yjV U w'd U L 1.11111111
INSPECTION ION RED Occupancy /TVpe
10- 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
GATE
NSPEC
INSPECTOR
COMMENTS:
Footings /Caissons
-
Stemwall / (CEG) Concrete
Encased Ground
-
Reinforcing or Monolithic
SIGNED PRIOR TO PROF
CITY OF WHEAT kIDfE
03/07/11 9 :01 AH cdbb
ANEW
Weatherproof/ French Drain
Rough Plumbing
Sewer Service Lines -
Gas Piping
Water Service Lines
Rough Mechanical
-
POURNO CONCRETE UWILABOVE HAS BEENSIGNED -
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground) - - -
Heating (Underground)
ROUGHS -
Sheathing
Lath " / Wall tie
-
Mid -Roof
-
Electrical Service
SIGNED PRIOR TO PROF
CITY OF WHEAT kIDfE
03/07/11 9 :01 AH cdbb
ANEW
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
-
ABOVE
INSPECTIONS TO BE
Framing
Insulation
Drywall Screw
-
RECEIPT 14.011005879 AMOUNT
FINALS DPSP Reroof 31 sqs with It
11020®
Electrical Permit Fee
Plumbing
Use Tax
Mechanical PAYNEIT RECEIVED AMOUNT
Roof j .2) / / }L Alitb Code- NOW
Building Final - 065809
TOTAL
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.
** MOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CER77FICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
.. r CITY OF WHEAT RIDGE
` Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ` (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type t -®
Job Address o
Permit Number _ etac c
E.
r
City of Wheat Ridge
r0 000 r-
Faxed Roof Permit PERMIT - 110200
PERMIT NO: 110200 ISSUED: 03/07/2011
JOB ADDRESS: 4350 -60 Brentwood St EXPIRES: 03/06/2012
DESCRIPTION: Reroof 31 sqs with dimensionalshingles
* ** CONTACTS * **
owner 303/994 -3034 Jeffco Housing _
sub 303/295 -7769 Robert Tichy 01 -7911 Alpine Roofing Co., Inc.
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0804 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,967.00
FEES
Permit Fee 172.60 1
Total Valuation .00
Use Tax 143.41
** TOTAL ** 316.01 ¢
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, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR
1.
2.
3.
4.
I.
6.
Date
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.
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.
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.
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.
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.
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 / 3 / pplicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field insD cAnJ� '
Signature of C&ef &ilding Offical Date
l 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.
,f1 _C
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
110200
Stemwall / (CEG) Concrete
Encased Ground
Permit Fee
172.60
Plumbing
Reinforcing or Monolithic
ROUGHS
Sheathing
PAYMENT RECEIVED
Weatherproof / French Drain
Lath/ Wall tie
316.01
Sewer Service Lines
Auth Code:
Mid -Roof
Building Final
Water Service Lines
Electrical Service
TOTAL
CONCRETE SLAB FLOOR
Electrical (Underground)
AMOUNT
FINALS
DPSP Reroof 31 sqs with d
Plumbing (Underground)
110200
Heating (Underground)
Permit Fee
172.60
Plumbing
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
PAYMENT RECEIVED
AMOUNT
Lath/ Wall tie
316.01
Roof
Auth Code:
Mid -Roof
Building Final
065809
Electrical Service
TOTAL
INSPECTIONS TO BE SIGNED PRIOR TO PRO(
CITY OF WHEAT RIDGE
03/07/11 9 :01 RN edbb
Robin Tiehy
Rough Electric
--------------------------------------
Rough Plumbing
ROW &D
Gas Piping
Rough Mechanical
ABOVE
Framing
Insulation
Drywall Screw
ralnage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* `NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY is ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
RECEIPT NO:CDD005879
AMOUNT
FINALS
DPSP Reroof 31 sqs with d
316.01
110200
Electrical
Permit Fee
172.60
Plumbing
Use Tax
143.41
Mechanical
PAYMENT RECEIVED
AMOUNT
US 0294
316.01
Roof
Auth Code:
Building Final
065809
TOTAL
31601
Fire Department
--------------------------------------
ROW &D
ralnage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* `NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY is ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
Mar 04 2011 4:50PM Alpine Roofing Co., Inc. 3032988803 p.l
City � o 3 f
/ "� / 'C0M li7 / I� r Y DEvnopiv ENT �`� ►►.•�� Permit #: 2y'C�.
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
k?7 �fiacSiFs ? 4350 4360 BRENTWOOD ST
Property Owner (please print): JEFFCO HOUSING CORP Phone: 303 - 994 -3034
Mailing Address: (jf different than property address)
Address: 7490 W 45TH AVE
City State Zip: WHEAT RIDGE, 00 80033
f ?Is Alpine Roofing Co., Inc.
Contractor License #: 17911 Phone: 303- 295 -7769
SUM i Name: License #: Expiration Date: Trade /Profession: Approval:
Use of s ace esc_ription): House - Pitched Roof
fpeiSja't d 5�.
tk,�.'l'i'CI 7,365.00
Tear off the existing roofing, install new underlayment & Plan Review (due at time ofsubmittaO! $
dimensional shingles, including mist sheet metal.
Sq. Ft 1L. Ft added: Squares 31 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,
rules or regulations of the City of Wheat Ridge or covenants, easOmerds 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 1 assume full
responsibility for compliance with the Wheat Ridge Building Code (LB.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field Inspection.
CIRLCE ONE:: (OWNER) 4VO or PERSONAL REPRESENTATIVE_O OWNER) (CONTRATOR)
PRINT NAME: Robert D. Tichy, President SI Date: 314111
Bldg Valuation:
Credit Card Payment: Use credit card listed on F1
Print name: Robin J. Tichy, Corp. Secretary Signature:
City of Wheat Ridge
1�
Faxed Mech. Permit PERMIT - 110191
PERMIT NO: 110191 ISSUED: 03/03/2011
JOB ADDRESS: 4350 BRENTWOOD ST EXPIRES: 03/02/2012
DESCRIPTION: Replace 75,000 BTU furnace
* ** CONTACTS * **
owner 303/403 -5431 Jeffco Housing
sub 303/421 -2161 01 -7835 Blue Sky Plumbing
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0804
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,700.00
FEES
Permit Fee 40.00
Total Valuation .00
Use Tax 30.60
** TOTAL ** 70.60
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. Work shall comply with 2006
IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed
in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure. Carbon Monoxide detectors are required . to be installed
within fifteen(15) feet outside the entrance to each sleeping room.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction . with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 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 o any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to fie on.
Signatuof "ief Building Offical Date
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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.
Lo-T- �+. Mr wciF
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Blue Sky Plumbinn
Drywall Screw
Stemwall / (CEG)
Encased Ground
RECEIPT NO:CDBOO5959
Reinforcing or Mon
oDrain
DPSP Replace 75,000 BTU f
70.60
Weatherproof / Fre Sewer
110191
Service Line Water
40.00
Electrical
Use Tax
Service Line
Plumbing
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
_._.... ----- _- ---------- -- - -- _.
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
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 CONSTITUTE AUTHORIZAT ION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
e bUVC wsrcc I IVNs I et swrvtU FRIUR I PRi CITY OF WHEAT RIDGE
Framing
03/03/11 9:31 AN cdbb
Insulation
Blue Sky Plumbinn
Drywall Screw
RECEIPT NO:CDBOO5959
AMOUNT
DPSP Replace 75,000 BTU f
70.60
FINALS
110191
Permit Fee
40.00
Electrical
Use Tax
30.60
Plumbing
PAYMENT RECEIVED
AMOUNT
Mechanical
MC 4689
70.60
Roof
Auth Cade:
003953
Building Final
TOTAL
70,60
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 CONSTITUTE AUTHORIZAT ION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
City of
Wh
6at I
COMMUN[Ty DEVELOPMEP4T
Building Division
7500 W. 29 Ave., Wheat Ridge, O 80033
Office: 303 -235 -2855 * Fax: 3D3 -137 -8929
Inspection Line: 303 -234 -5 33
Facsimile Building PermitApp,ication
Property Address; Lt-'� Q nICC�40 U
Property Owner (please print):
Mailing Address; (if different than p arty address)
Address: ' ii 1Lt.-, ..1 IL<4k lx1
Date:
Permit #.
Contractor: a4Lte SL N aAbi n 4 lV1
Contractor License M ISt3< Phone: 3 - 3U- atuI
Use of space (description):
Description of work:
Sa. Ft. /L Ft added: Scuares BTU's
plan R@Vlaw (due at 6me o/ submittal): $
Gallons --L Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are a
rules Or regulations of the City of Wheat Ridge or covenants, easements or restricti
allegations made ere accurate: that I have read and agree to abide by all conditjQnS
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all oil
under this permit. Plans subject to field inspection.
curate, and do not violate applicable ordinances,
nc of record; that all measurements shown, and
printed on this application and that 1 assume full
Wheat Ridge Ordinances, for work
I i
CIRLCE ONE:: (OWNER) (CONTRACTOR or PERSONAL RE PR NTAT
( CONTRATOR)
R(ON
PRINT NAME: a „ SQL SIGNATURE.
Date; .3 /
DEPARTMENT USE O
ZONING COMMENTS:
Zoning:
Reviewer:
-
PUBLIC WORKS COMMENTS: I
Reviewer;
auILDING DEPARTMENT COMMENTS: I
OCCUPANCY; -
Reviewer,
FIRE OFPARTMENT:; 0 approved wl comments ❑ disapprovad ❑ no revl uif
tl
Credit Card Payment Use credit card listed on file.
Print name: SSe L.44- (Tyg Sigm to
to l (
v
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033. (303-235-2855)
Building Permit Number:
15858
Date: 7/15/2003
Property Owner: JEFFCO HOUSING AUTHORITY
Property Address: 4350-60 BRENTWOOD ST
Contractor License No. : 20745
Company: H & F SERVICES
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 422-8600
Phone: 271-3942
I heireby 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 Of 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 Whe~t Ridge ordin ces, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED J" DATE 7 IT, }
Construction Value:
Permit Fee:
Total:
$0.00
$0.00
Use Tax:
Use:
Description:
SIDING
BUILDING DEPARTMENT USE ONLY
Zonirlg~eor:niTients.;,
Approval:
Zoning:
l3uildjl19leomm~;:;
Approval:
e9DIi.i:,~s:Comn:liiil1Ji
Approval:
Occupancy: Wails:
SIC:
Sq. Ft.:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth in yopur application and is subject 10 the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one~half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem,
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediin with successive phases of the job.
The is an emf pe or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
pons f i codes or any other ordinance, law, rule or regulation.
I .
, .
(1)
(2)
(3)
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING IlIiSPECTION LilliE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH A VElIiUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPLICATION
Building Permit Number:
Date:
Property O~ner~Jc. H A d..i:Ff C{.i. t:.hOJ i t/t., !t-':-7f'7{.>lLii ')
Property Address: "1 "bD '4 '0(-,0 04)'-'T''''''''9
Contractor License No.:
Company: I~ ~ I::: S.a..V' Lic.)
Phone: ')(_'5 'I?,~;J"),"-;
Phone: &.;3 (..17 -/ <;'i1
QW:,\[R/COl'iTRACTOR SIG~A Tl'RE Of l'r'liDERSTA~DI~G Aro;O AGREEMEi'iT
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 ofWhcat Ridge or
covenants, easements or restrictions of record; that all measurements ShO\\T1, 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 \\'heat Ridge
Building Code (U.B.C) and all other applicable Wheat Ridg Ordinances. for work under
this pennit
. I
(OWNERXCOr-;TRACTOR): SlG1\:ED 0- C
(O"'SERXCO'TRACTOR)PRl'TED /.J,4'fr/~ L- (NcIl{.S
7/)';<;)
DATE
DATE '7 ;S'C"]
Construction Value:S
Permit Fee:$
Plan Review Fee:S
Use Tax:$
Total:$
DESCRIPTION: SO) i (u~
BUlLDIlIiG DEPARTI\1ElIiT USE ONLY
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
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 pemlit was issued in accordance with the provisions set fonh in your application and is subject to the laws of the State of Colorado and 10 the lolling
Regulations and Building Codes of\\'heal Ridge. Colorado or any other applicabk ordinances of the City
(2} 111is pemlil shall e.\(,pire if(A) the "'.ork authorized is not commenced within Sillt)' (60) days from issue date or (B) tlle building authorized is suspended or
abandoned for a period of 120 days.
(3) [ft!lis permit npires, a ne..... pemlit may be acquired fOf a fee of one-half the amounlnomlal1y required. provided no changes have been or will be made
in the original plans and specifications and an)' suspension or abandonment has lIot eM'eeded one (I) year. If changes have been or if suspension Ot
abandonment e:'<.ceeds one (I) year. full fees shall be paid for a new pemlit.
(-I) So work of any manner shall be done thai will change the natural flow ofwaler causing a drainage problem.
(5) Contr.lctor shall notify the Building Inspector twenty-four (2~) hours in advance for all inspections and shall receive written'approval on inspeclion 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 pemlit for, nor an approval of. any violation of the
provisions of me building codes or any other ordinance. law, rule or regulation.
Chief Building Inspector