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HomeMy WebLinkAbout2660 Newland Streeti 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: e��^f Permit Number: ❑ No one available for inspection: Time 0'<. j `/ AhI/PM Re -Inspection required: Yes Wo When corrections have been made, call for re -inspection at 303-234-5933 Date: `^ '2 Inspector: , .__ /10 / r DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: rc CPG7 Permit Number: 2e1 -?o 5,57 _5_� ❑ No one available for inspection: Time -` — AM/pp Re -Inspection required: Yes o �7 When corrections have been made, call for re -inspection at 303-234-5933 Date: 2-6 fir) Inspector: DO NOT REMOVE THIS NOTICE ' , City of Wheat Ridge Residential Roofing PERMIT - 201705553 PERMIT NO: 201705553 ISSUED: 08/07/2017 JOB ADDRESS: 2660 Newland ST EXPIRES: 08/07/2018 JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II Laminate asphalt shingles with 12 sq. *** CONTACTS *** OWNER (303)532-9885 HORVATH BAR13ARA SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,600.00 FEES Total Valuation 0.0 Use Tax 75.660 Permit Fee 109.20 ** TOTAL ** 184.80 -1 *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. '► ` s PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201705553 201705553 ISSUED: 08/07/2017 2660 Newland ST EXPIRES: 08/07/2018 Residential Re—roof to install GAF ArmorShield II Laminate asphalt shingles with 12 sq. 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 own f he pro erty and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permrt. I fu h a t I am 1e ally authorized to include all entities named within this document as parties to the work to be performed and t k t be performed is disclosed in this document and/or its' acc�oanying approved plans and specifications. iL I I _ f I - Signature of OWNS or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying Flans 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 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 Building Official V Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz c; -o 176 S^ss3 From: no-reply@ci.wheatri dge.co.us Sent: Monday, July 31, 2017 4:17 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 and due to the volume of requests, time to process varies and is subject to change. 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. 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 2660 Newland Street Property Owner Name Barbara Horvath & Leigh A Hill Property Owner Phone 303-532-9885 Number Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Horvath Hill Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Lousberg Roofing & Exteriors Name Contractor's License 120073 Number (for the City of Wheat Ridge) Contractor Phone 720-7243213 Number Contractor Email Address jose@lousbergcontracting.com Retype Contractor Email jose@lousbergcontracting.com Address DESCRIPTION OF WORK Are you re-decking the No roof? Description of Roofing GAf Armorshiled II laminate shingle Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 12 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 12 ✓ (pitched + flat) of all z roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House only, 4/12 pitch 2 story 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 Jose Silva Email not displaying correctly? View it in your browser. 9 as PREFERRED CONTRACTOR LOUSBERG EMR ROOFING & EXTERIORS CONTRACT SUBMITTED TO:. - ITT T DATE: ADDRESS,, EMAIL: CITY: (� STATE: ZIP: PHONE: t WORK PHONE: INSURANCE COMPANY TIstP P CLAIM NUMBER: SCOPE OF WORK AND MATERIALS TO BE PROVIDED: THE SCOPE OF WORK RECOMMENDED BY LOUSBERG ROOFING & EXTERIORS, INC. ARE IDENTIFIED BELOW; HOWEVER, ANY .ADDITIONAL WORK NOT APPROVED BY THE INSURANCE COMPANY WILL NOT BE PERFORMED BY LOUSSERG ROOFING & EXTERIORS, UNLESS IT IS APPROVED BY AND PAID FOR BY THE HOMEOWNER. LOUSBERG ROOFING & EXTERIORS IS NOT OBLIGATED TO PERFORM ANY PART OF THE SCOPE OF WORK. .L/TEAR OFF LAYER(S) OF SHINGLES ------ _ INSTALL DECKING (7116" OSB) TO CODE r INSTALL ICE & WATER SHIELD TO CODE _ INSTALL 1°X 2� 4" DRIP EDGE COLOR INSTALL NEW FELT C IE / C --(RECOVER ROOF WITi��� i• �. p YEAR MANUFACTURER WARRANY COLOR ` 6 NAILS PER SHINGLE (NO STAPLES) CLOSED VALLEYS LASS 4 RIDGE STANDARD RIDGE _ HIGH PROFILE RIDGE _ INSTALL _ L. FT OF /r +" PIPE JACKS 3-N-1 4" 6" `PAINT ROOF STACKS TO MATCH SHINGLES RIDGE VENT LOW PROFILE / SLANT BACK_ PAINT TO MATCH SPECIAL INSTRUCTIONS: Ado' F-'GgU�TT�ERSS �!'`; PAIN7 ..�''"�WINDOWS ,_""-OTHER WORK: L� 4�,y��-J9/ —LAE -FLASH CHIMNEYS AND ALL SIDE WALLS IF POSSIBLE d ENERAL LIABILITY INSURANCE COVERAGE OF $210001000, O,ENERAL AGGREGATE WORKMANS COMRIED ON ALL CREWS I GLEAN UPI HAUL OFF T/R/�ASVH.- PROTECT LANDSCAPING _ SUPPLY PERMIT CLEAN OUT GUTTERS ROLL YARD WITH MAGNETIC ROLLER 1 B SED O D GES VOWN AT THE T O OUR INPEC N ON THE DATE ABOVE THE APPROXIMATE AMOUNT OF WORK AND MATERIALS UNDER THIS CONTRACT IS: $ ® . SCOPE OF WORK APPROVED BY THE INSURANCE COMPANY WILL BE PERFORMED BY LOUSBERG ROOFING & EXTERIORS, INC. FOR THE AMOUNT OF INSURANCE APPROVED PROCEEDS, WITH NO ADDITIONAL COSTS TO YOU, WITH THE EXCEPTION OF YOUR DEDUCTIBLE, UNLESS AUTHORIZED AND PAID FOR BY THE HOMEOWNER AS AN UPGRADE. ALL UPGRADES MUST BE AGREED TO IN WRITING SIGNED BY BOTH PARTIES, HOMEOWNER AUTHORIZES PAMELA S LOUSBERG ENTERPRISES. INC.: j dba "LOUSBERG ROOFING & EXTERIORS, INC." ('CONTRACTOR") TO ACCOMPLISH THE WORK SUMMARIZED HEREIN, BY SIGNING THIS AGREEMENT. THIS CONTRACT IS CONTINGENT j UPON THE APPROVAL OF THE INSURANCE COMPANY. ONCE APPROVED BY THE INSURANCE COMPANY & CONFIRMATION OF A REPLACEMENT COST POLICY, LOUSSERG ROOFING & EXTERIORS, INC. WILL COMPLETE SPECIFIED WORK AT THE PRICE AGREEABLE TO HE INSURANCE COMPANY AND TO THE CONTRACTOR. THE HOMEOWNER IS ONLY RESPONSIBLE FOR HIS OR HER DEDUCTIBLE AND REPLACEMENT COST IF AN ACTUAL CASH POLICY IS IN PLACE. BY REFERENCE, THE ADJUSTERS REPORT AND ESTIMATE THEN BECOMES PART OF THIS CONTRACT, AND THE PRICE HEREIN WILL BECOME FINAL CONTRACT PRICE AND CONTRACTOR WILL RECEIVE ALL INSURANCE PROCEEDS FOR THE WORK COMPLETED. THE WORK WILL BE COMPLETED IN ACCORDANCE WITH THE ABOVE SPECIFIED TERMS AND CONDITIONS CONTAINED HEREIN. THE PROPERTY OWNER MAY RESCIND A CONTRACT FOR SERVICES, THE PAYMENT FOR WHICH SHALL BE MADE FROM THE PROCEEDS OF A PROPERTY INSURANCE CLAIM. WITHIN 72 HOURS A RECEIVING NOTICE (FROM THEIR INSURER THAT THE CLAIM IS DENIED IN WHOLE OR PART. t'�,'jn '/ THE BUYER IS RESPONSIBLE FOR HIS OR HER DEDUCTIBLE AT THE SUM. $ / Q�f -.00VERIFICATION OF REPLACEMENT COST POLICY THE PROPERTY OWNER MAY RESCIND THE CONTRACT FOR ROOFING SERVICES TO BE PROVIDED BY LOUSBERG ROOFING AND EXTERIORS AND OBTAIN A FULL REFUND OF ANY DEPOSIT WITHIN 72 HOURS AFTER ENTERING THE CONTRACT. LOUSBERG ROOFING AND EXTERIORS SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE CONTRACTOR HAS DELIVERED THE ROOFING MATERIALS TO I THE JOBSITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE PROPERTY. t { �-" IT IS UNDERSTOOD THAT DATES OF SERVICEARESUBJECT T6 CONTRACTOR'S SCHEDULING, ANY CHANGE DUE TOUNSUAL DELAYS IN TRANSPORTATION OF MATERIALS. OR NARY EAT ER DELAYS, /O+R�BY ANY OTHER CAUSES BEYOND THE RESONABLE CONTROL OF CONTRACTOR. ESTIMATED DATES OF SERVICE ARE ? NOTICE: IF THE HOMEOWNER PLANS TO USE THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY ISSUED TO PART 1 OR ARTICLE 4 OF THE TITLE 10, C.R.S.. TO PAY 1 FOR THE ROOFING WORK, PURSUANT TO SECTION 6-22-105, THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY. WAIVE, OR REBATE ALL OR PART OF 4 ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR THE WORK ON THE COVERED RESIDENTIAL PROPERTY. -ACCEPTANCE OF PROPOSAL - THE ABOVE TERMS AND CONDITIONS ARE SATISFACTORY AND ARE HEREIN ACCEPTED. Building Division Valuation: ♦ � 4 4 , CITY OF WHEAT RIDGE fj Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Kerr ^T Job Address: rl, i' �t € 1 e?r, /Gt"CY � Permit Number: f ( f G ❑ No one available for inspection: Time 101 AM PM Re- Inspection required: Yes r o When corrections have been made, call for re-inspection at 303-234-5933 . Date: r Inspector: — h.00 - e DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Fr✓�L GZoorT Job Address: .57" Permit Number: 1o16/6 ❑ No one available for inspection: Time Xf AM M Re- Inspection required: (y`eee -_No When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector:/�,�. e DO NOT REMOVE THIS NOTICE E, ♦ i CITY OF WHEAT RIDGE J (3 Building Inspection Division (303) 234 -5933 Inspection line 03) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: �Stf£11��fi v� Job Address: Permit Number: /O16 /�G ,MLO ❑ No one available for inspection: Time _ ANt Re- Inspection required: Yes No When corrections have been made, call for re inspection at 303 - 234 - 5933 Date: e9 a Inspector i DO NOT REMOVE THIS NOTICE • r e L L - 7— t'CT� ©l . C1�� �Jh�aa "cic C "blctq W 1 60 266 b n%,N C�@ry ."+ ' 44 ok,v S C4 r p p Mt,cC _ i�.s � {�cv� -(- - (",'estc� Sal 20 z-Oto . CITY OF WHEAT RIDGE 67/16/10 1:32 PH cdha Rene Rodriquez RECEIPT NO:CDA884728 AMOUNT ro(�CK DPSP Reroof 12.66 sqs w/ 61.80 101666 Reinspection Fee 61.00 PAYMENT RECEIVED AMOUNT VS 3356 61.00 Auth Code: 071317 TOTAL 61.00 ---------------------------------------- 2000 South Os4ge Street • Denver, CO 80223 303.763 -9114 p. • 303.789 -3790 f. • www.interstateroof,com ♦ A i CITY OF WHEAT RIDGE f (3 Building Inspection Division (303) 234 -5933 Inspection line 03) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: SiLF�rz�.�G Job Address: J4 1,6 ar�ev�wo 5r Permit Number: i©,GG/ � , �T�o 5T'f� ❑ No one available for inspection: Time 7, -2 �&PM Re- Inspection required: es . No When corrections have been made, call for re inspection at 303 -234 -5933 ` Date: Z o Inspector: DO NOT REMOVE THIS NOTICE NO: f 101666; 1 'ISSUED: 07/01/2010 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. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Lath / Wall tie Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic _ Weatherproof / French Drain Rough Electric Sewer Service Lines Rough Plumbing _ Water Service Lines _. _ .. _... Rough Mechanical CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing _ Gas Piping _. _ .. _... Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE Framing 07/13/10 2:16 PM cdha Insulation Rene Rodriquez Drywall Screw RECEIPT NO:CDA004706 AMOUNT _DPSP Reroof 12.66 sqs a/ 154.91 FINALS 101666 Permit fee additiona 100.30 Electrical Use tax additional 46.61 Plumbing PAYMENT RECEIVED AMOUNT Mechanical VS 3356 154.91 Auth Code:_ Roof 016322 Building Final TOTAL __ 154.91 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 AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ``7� r.�t o �1t �� his �► City of Wh6c - d e Dare: o kA � —����° J C OMMUNITYDk'V>~LOPMENT Permit Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5833 Facsimile Building Permit Application Property Address: 2,f0 C, O St Property Owner (please print): ��rls res o r cx.t�^ Phone: S 3 2 113$,5 Maili:,j Address: (if different than property address) Address: City State Zip: o ti �«t (LcdCy ag2... Contractor: �1�,�(�5��• oilV1C 1C.- ,+ Contractor License #: O t � g Phone: jC7 _ 5 .q (Iq sub Contractors: Company Name: License # Expiration Date: TradelProfession: Approval; Use of space (description): Desoription 'Ytlfwork: Try ®� � r.eyicCC ,.-: t'� . Plan Review Idue f'time Of submHISO: S Sq. FtA.Ft added: Squares J2 BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMF;NT 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 wart under this permit. Plans subject to field inspection. - C1Rf.CEONE: (OWNER) (CONTRACTOR) or PI PRINT zoM.NC�MtNE�J:�s: AM* ReWewi#r. auaue:woitf�,4bitiRt>~e�s: arnt:ciMdti�`rat3laiiEY�B: t2dyfetiver. FlR6t7`= pat2TNYElY3F: Q�apprK;Vbii.w/robmrhetNS Gdisapprovad 0 Credit Card Print name: (CONTRATOR) Date: ?�1' 0 - - 2 0 16 ecetmaaacv:� Bldg Valuatlon: S on file. Date: Z -1-2 -Zola City of Wheat Ridge Y r/ Residential Roofing PERMIT - 101666 ;; PERMIT NO: 101666'. ISSUED: 07/01/2010 JOB ADDRESS:. 2660 NEWLAND ST EXPIRES: 12/28/2010 r DESCRIPTION:. Reroof '12.66 sqs w/ O.C. 30 yrduration. * ** CONTACTS * ** owner 303/532 -9855 Barbara Horvath gC 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing,' Incorporate n * *:PARCEL rINFO ** a ZONE CODE: UA ` USE: UA SUBDIVISION:. UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: '.5,038.40 r ' FEES 1 2 ,... r - -- ....... -- -.. —.���. ..,. ...... uc.y v «:. .,....oyc....i. assessed. from eave edge to le his City of . W heat �dge .� CC)Mh+l(.1NIT!' i�FI /Y�.till`M1:NT Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 " Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Iyt6`0WAY,! ia*b Property Owner (pfee Mailing Address: (if different than properly address) Address: Date: Plan # Permit # City, State, Zip: Owe bf Contractors City License #: Phone Sirti'Ctitidiactoiss. Electrical: Plumbing: Mechanical: City License # City License # City License # PS4_gcritiition'ofjl4,rk p,' io ►u y1S f (Il 8pl,Y' - ° In90 Review Fea (due at time of aubmittal): Squares BTU's Gallons Amps Sq Ft. 1 $ OWNER/CONTRACTORSIGNATURE OF UNDERSTANDING AND AGREEMENT i hereby certify that the setback distances proposed by this pennit application are accurate and do not violate applicable ordinamxs, roles or regulations of the City of Wheat Kidge or covenants, easements or restrictions nrrecord; that all measurements shoivn and allegations made arc accurate; that I have read. and agree to abide by all conditions printed an this application and that 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinancos for work under any permit issued based on this application; that I am the legal owner or have hem vulhorizcd by the Icgit 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. CfRCLEONE. tt(OW((N��ER)� myl (CONTRACTOR) Er (AUTAOR7ZEDRRPR •SENTATr E st ) rt of ( OWN -ERR)I (CONTRACTOR) .'�t PRINT NAMF: 1 7,:{T7I a GNATI1RTy� 1 SI/26 A i�l�JIMA 1ATF; +��l )l am v > c o A Of N tA N ; •d r a N f~ W y L ~ F ~ O a Na ~ _ ~ W M= O ~ y O N ~ M 7 w •w y t0 O LL. ~ Cf) p ~ N drn Z ~ LM ~ o U L 0a ~ O 'T y- cc 9 ~ d 9 M A N 7 {0 N W O > ..0 Of J tp y C d O t d ' ~ c o m o W « A e 32 O '5 'a m ~ C O • 0 0 V ~ } ; a ~ y a Q w C N 41 r r w ~ cc ~ > 0 o cc ° ~ °E W C ~ N Y ~ O C R ) L 0 d c ~ 0 d O L Y y ~ ~ L 1 ~ O U } L ~ 3 0 ~a 3 O LL 7500 wEST 29th nVEtaUE DEPARTMENT OF COMMUNITY DEVELOPMENT UILDING INSPECT 237-6944 EXT. 255 P.O. sox 638 BCITY OF WHEAT RI DGE,ICOLON PERMIT N0. g94#4884 THIS PERMIT VALID ONLY WHEN SIGNED 8Y THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION TWO 5ET5 OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCAMPANY THIS APPLICATION BUSINESS NAME COPY OF DEED AND IMPROVEMENT SURVEY REQUIRED z- /V W SPECIFY NORTH (CIRCLE FRONT) N E S W SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LiNES ON ABOVE SKETCH; cunw i FeS7 DIS7ANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. - 1~ OWNERS NAMEq n l (~C~.w:eJrS v LIC. N0. CONTRACTOR "L44-C: /~i P.,? -C-~;-et PHONE ?y - 6 ? -f i ADDRESS ZIP CODE '?'~Z'd GTY bSJ~e_ tr~`~ C~•I~r~4l`= LOT WIDTH 5' DEPTH 201~ AREA LEGAL DESCRIPTION ETES AND BOUNDS DESCRIPTION ATTACHED A~ ADDRESS ~ ID~C~ !V CVJ C. q-IJ p -T -lAT N0. BLOCK N0. SUBDIVISION FILING INDICATF THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING: CurbBGutter_StreetPovinQ-Water-Sewar-StamOrainaqe- HAVE AHRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTIN6YF~S_NO- ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY~YES_NO~~. EXTERIOR MATERIALSWALL ROOF OCCUPANCY ~ STORIES UNITS REMARKS= I (r" v OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT PERMIT FEE . p o l t i ~ o a e USE TAX UO~ certify that the above setback dlsiances shown on fnis permii apPlicafion are ocwrate, and do noi v I I+ereb ~ y opplicable ordinances, rules or regulations of the City of Wheat Rijqe or covenants, easemenis or rasirictiona of re- t I have read nnd aqree to abide by all TOTAL FEE $ 3(7 O t th D a e; cord; tha1 0ll measuremenis shown, and allegations mode are accura onsibility for compliance with the Wheat RidQe NOT ll es f p u l conditions piinted on this application, and that I assume Building Code NBG ) and all other aDDlicable Wh 9e ~ ces, for work under this permit. ~ DATE 3-, " 9Z/ C1 1 (OWNER)(CONTRACTOR) SIGNED BUILDING DEPARTMENT USE ONLY / SO.FT COST CATED AT BASEMENT-ROUGH THE PROPERTY LO D~~_- E IS PRESENTLY ZON _ ~ ~ fl4SEMENT-FINISHED - D UNDER THE ZONIN6 ORDWANCE. WE ALL A T) ) (-IS N O f5 THE PROPOSED USE ~ , ~ ' ~ ` 1 - GROUND FLOOR - VN ~ SECOND FLOOR MENTS~ I~ GARAGE t;~ L OTHER BUILDING COST OTHER ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT O C . CITY N0. STATE N0. CITY N0. arr No. STATE N0 NOT OK) OK)( ( ~ - - ANS REVIEWED (-OK)(-NOT OK) PLANS REVIEWED (--OK)(-NOT OK) PLANS REVIEWED- PI NO F'LANS NEEDED PIANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIT PERMIT ISSUED TO PER REQUEST AS PER PLANS NO AS QPPROVED AND ON FII.E IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR B` NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF PLUMBING PERMIT PERMIT ISSUED TO PER REOUEST AS PER PLANS N0. AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDINGINSPECTOR BY NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF MECHANICAL PERMIT PERMIT ISSUED TO PER REOUEST AS PER PLANS N0. AS APPROVED AND ON FILE IN MYOFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR BY )ITIONS: (I) AND TO THE ZONING flEGULAT ONS AND BU1ILDING CODE OFI WMEATTRIDGE, GOLOPADO ON IANY 1 0THER P PLICABLE ORD NANCES OF THE C TypTE OF LOLORADO THIS PERMIT SNPLL EXPIRE IF (A)TME WORN AUTHORIZED IS NOT GOMMENCED WITHIN SI%TY (60) DAYS FROM ISSUE DATE OR (B) TME BUILDING AUTHOR12ED IS SUSPENDED OR ABGNDONEU FOR A GERiOD OF 120 DAYS. (S) IF TMIS GERMIT EXPIRES, A NEW PERMIT MPY BE ALOUIHED FOR A FEE OF ONE-NALF TME AMOUNT NORMALLY REOUIRE~, PROVIDED NO CHANOES HAVE BEEN 00. WILL BE MPDE IN TME ORIGINPL PLlNS AND SPEGIFlCATIONS AND PNY SUSVENSION OR ABANDONMENT HAS NOT E%CEEDED ONE (pYEAF. IF CHPNGES ARE MADE OH IF SUSVENSION OR ABANDONMENT EXCEEDS ONE UIYEAR, FULL FEES SHALL BE GAID FOR NEW iERMIT. (1) NO WOPK OF ANNER SMALL DONE THAT WILL OBSTRl1CT TME NATURPL FLOW WATEfl CAUSING RAINAGE PROBLEM. (5) CONTfl OR SH L NOTIFY TH BUILDING INSPELTOR TWENTY-FOUR (24) HOURS I DVANCE FOR ALL PEGTIO AND SHAII fiECE1VE WNITTEN PPPRWAL ON I PEGTiON ARD BEFON OGEEDIN~IiH 5 GCE 5 OF THE JO . ~ OV - CHIEF B ILDWG INSPECTOR FOR MAYOR . ~ ~ ~ ~ - ~rG IC~ L - ~ ~ - 42 _ J d x J I ~n -3 ~ T N l n J ~'n yrJ J\ _ ~ ~ C, /...I il'G- 4OU5(-- / d hlof/e 5'h2C) lt~ 0(0 • Deaign Horka (8M), gugh M. Woods, A143 (Oak) Lakewood, CO 3/26/94 14:25 „ 12 ' ~u f--`~ /47~ ~ Deaign Aorks (SM), Hugh M 3/26/94 14:05 Woods, M143 (oak) Lakewood, Co Design Works (SM), Hugh M. Hoods, p143 (Oak) Lakerood, CO 3/26/94 14:05 81 Desiqn Works (SM), Hugh M. Woods, N143 (Oak) Lakerood, CO 3/26/94 13:53 B. Desiqn Works (3[d), Huqh M. Woods, N143 (Oak) Lakexood, CO 3/26/94 14:05 ~ S 8. Deaign Works (SM), Hugh M. Woods, Y143 (Oak) LakeMOOd, CO 3/26/94 14:05 JA B. Deaign Worka (SM), Hugh M. Woods, N143 (oak) Lakewood, CO 3/26/94 14:05 Denign Horka (SM), Hugh M. Woods, N143 (Oak) Lakeaood, co 3/26/94 13:51 a' cr oc~(( ~ ~ ~~-~U~'~ D ~ Voof(- Shanf GYd v¢ I Si'o p or T4cii So f s1dino~- ilz." Im.p. Sha Bloc Fihal Grac{a X - , s- I O.C. r IJOT. , , ~ ~ I. ~ ` I - l -.~-~o, lCoo{= (-c Shaa-tl GrAVa I S-{'o p o r( 4--4c, z-4 So f s1d tn aj- iti' Imp. sha BI oc Tinal Grad¢ Zo,~ K= , - c_s-- " O.C. k BA of- k , , . ~ = T Y I . r ; _ !N D. COLCRADO ENGINEERING ON a SURVEYING INC. 9990 90. 9herman 9C, 9ulte 7- Enqlowood, Colorada 00110 • 761-8055 SCALE 1- - 3~ • Surveying Colorado Sfnce 1972 • FAX: 761-0841 NQ. 91-12626 ( ROIiWEDER/BRANCIO) ~/f2T O~ TTfE S~✓'~st , SEC. ZS, T 1 S , 12 G 9 4•/ c+~ r~ G"-~ .N • G~r/N7T Of -~~~'c~zto^/ .al ze~-7o ~ ~ _I ~ ~ 200 L4/L ^1 O/ei✓f Y sn.tAyE _ . _ I !.t ~ N 3S• S- N ty ~ ~ zv p ly - Z!e SU , ; LEGAL DESCRIPTION: That part of tha sW1/4 0! 8ection 25, Township 3 South,.:Rangn 69 wast, :_dascribad ae Pollowa: ' ;r'BEGINNING t►t a point on tha East line of NewlanQ etreatItormnrlp Center ,.~:Strest) which paint. ;is .1815 9set .Weat :end 400 lnst North -oL.tha Bouthaast _:corner ot :said SWt/4, . _ . „ • . -~thance North aTong-the L*ast line of said strect'!'50 teet; - -:thanca Eaet at right anglea to _the Zaet line of said atrest 100 leetJ :--thenccs 9oufih paraliel ai.th the East line of eaid atrast 50 leet; thence WeaC 200 faet to tha POINm OF BEGINN2NG, • County a! Jeftcrson, StatB of Colorado Also known as 2660 Newlard Streei ecueue meCT FLOOn CEIITIFICATION TNa mmmunlry GO➢l PWtlpaN M CM NatluW Flood Inrunnw ProOrvn K TTI, oonwwil7341i~i1 VreWI. In ft 1,14IionY FboO Mwrao Ropvn- IMrsbynNNUUturoO~oW~yEaeaiMtlMr ~s/~~OrbGIMWIW~~11000~l2Wb0uM07'.(IOM C ).wmr0f^7bMrtroalwrt~nllboCWUrarc~nbmWlfrtm).paOUCM Cy tlw FWaral Menpenisnt A7.KY (FEMA). A cf p Fwoanuuamw.o.w 2 r--Bu Ca,n,„,nlly„u,,,E„ OB~07/ FnwnurnCar OOOS"-C IMPPOYEMEHiIOCRTIONCEHRFlCATE FBS Mortgage I MrNrywNNN~IW~ImprovMnntlonYOnwMllaYwuypvWla tlrl It U nd g IuM ~uwY ptl a MMmVernerM surnY pat W tw It u nM q M r.IIeU uPO^ I« M.mW 4xirnt a Nnw. bWIOInO, a otlar Mr. MTp'(na^*^1 um.. 26 - 9/ i iwnw o.urv wi u,. o~, m..eo.. a.ree.a ww m we a.N .rdW Wllry oomwcuau. wenNNY w1Wn M mudule, M ew Pa'W. *.np es sIwwn.VwVare ue m~o~Y WonVM WsMEMPwNwl bylmProvmanuonmy WIdnnOPrsmlws.eaospluhMlaW.vdfulMro 4mappvnnloNOwwd atlpndmYO&wmlmaoWnp 0! dvMNnV Ny pN 01 s!W yuC11. OtoW 41101W. . . , TMM OOaxnmlls prouctMUnMrtlrlow& dMFed1rYCapyripht ' . . Att TN,dnwinp MW mlM usM Cy1M tlNM af vyaMrDVM lof . ~YWP*" oNwMnMllofYAlIdh M6ewhK4pWrM. ir;.4 ~ . ABSENCE Of SIONATURB ANU(Ofl RED STAMPED • aEAL INDICATE8 A NONCERTIFIED CEflTIfICATB. ~ RECEPTION NO. 92000738 1/03/92 11:00 13.50 W A R R A N T Y D E ED RECORDED IN COUNTV OF JEFFERSON THIS DEED, Made thia 30TH day of DECEMBER, 1991 between STATE OF COLORADO Elizabeth P. Miccio of the County of Jefferson and State of Colorado, grantor, and I'~ Marya L. Brancio and Douglas D. Rohweder /h~VIbnR- / ~ , whoee legal addreee is 2660 Newland Street,bajceaeed, Colorado 80214 of the County of Jeffereon and State of colorado, granteee: WITNESS that tha grantor for and ia conaideration of the sum of EI68TY PIVE THOVSAND AND 00/100, ($85,000.00) Dollars, the receipt and sufficiency of which is heraby acknowledged, has granted, bargained, sold and conveyed, and by these presente does grant, bargain, sell, convey and confirm unto the granteas, their heirs and assigns forever, not in tenancy in common but ia joiat teaancy, all real property, together with improvemants, if anx, situate, lying and being in the Covnty of Jeffersoa and State of Colorado, described as follows: That part of the SW1/4 of Section 25, Townehip 3 South, Range 69 Weet, deacribed as followe: BEGZNNING at a point on the East line of NewlandStreet (formerly Center Street) which point ie 1815 feet Weat and 400 feet North of the Southeaet corner of eaid SWl/4, thence North along the Eaet line of eaid atreet 50 feet; thence Eaet at right angles to the Eaet line of eaid etreet 200 feet; thence South parallel with the East line of said etreet 50 feet; thence West 200 feet to the POINT OF BEGINNING, County of Jefferson, State of Colorado also known by street and number as 2660 Newland Street, Lakewood, Colorado 60214 T06ETHER with all and siagular the hereditaments and appurtenances thereunto baloaging, or in aaywise appertaiaing and the reversion and reversioas, remainder and remainders, rents, issues and profits thereof, and all the estate, right, title, iaterest, claim and demand whatsoever of the grantor, either in law or equity, of, ia and to the above bargained premises, with the hereditaments and appurteaances. TO HAVE AND TO HOLD the said premises above bargaiaed and described, with tha appurteaances, uato tha grantees, their heirs and assigns forever. And the grantor, ~ for himself, hie heirs and personal representatives, does covenant, grant, bargain, n ~ and agree to and with the grantaes, their heira and assigns, that at tha time of the ensealing and delivary of these presents, he is well seiaed of thta premises ebove Z ~ conveyad, has good, sure, perfect, absolute and indefeasible estae of inheriteace, in W ~ law, in fee simple, and has good right, full power and lawful authority to grant, M~ bargaia, sell and convep the same in manner and form aforesaid, and that the same are free and clear from all former and other grants, bargains, eales, liens, taxas, assessments, ancumbrances and restrictions of whatever kind or nature soever, except N general taxee for 1991 and aubaequent yeare; except easementa, reetrictione, k~IF"n covenante, conditione, reservationa and righte of way--of record, if any; The grantor shall and will WARRANT AND FOREVER DEFEND the above-barqained premises ia the qviet and peaceable possession of the graatees, their heirs aseigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular uumber shall include the plural, the plural the singular, and the use of aap gender shall be applicable to all genders. IN WITNESS WHEREOF the grantor has executed this deed oa the data aet forth abova. *Ebe/th ~'Ste P. Miccio Date STATE OF COLORADO County of ARAPAHOE by Elizabeth P. Miccio witnee.e my hand and officta My commi-osion expir'ee April No. 921A. R w: } } sa. The foregoinq instrument was acknowledged before me } thie 30TH day of DECEMHER, 1991 ~ ~ NOTARY PUBLIC 6 W. Creek Cr. #110 Littleton, COLORADO 80120 LJ ~cQc~~~ L 5xG i A ~ , 1994 ) RECEPTION N0. 93214167 T R[CORDED IN COUNTY OF JLFFLRSON ~ IT) l i I ti :V ~ J ] QUIT CLAIM DEI;D 5.00 STATE OF COLORADO 12/21/93 10:45 TIIIS DI:ED, MaJc this 7 th day of DGCF.MBIiR 11993 . bctwccn MARYA L. BRANCIO AND DOUGI.AS D. ROIIWLiDER of thc *County of JEPFI3RSON and Statc of Cobrado, grantor(s), and MAgyA L. ROIIWCDIiR ANll DOUCLAS D. ROIiWEDER whose legal address is ZEGO NEWI.AND STREL•'T WllE[ITRIDGli, CO 802 o(ihe Countyof JIiPFL•'RSON andSlateofColoredo,grantee(s), WITNfSSCTFI, Thal lhc granlor(s), for and in considcration of (hc sum of TL•T1 AND OTRIiR COOll AND VAi.UAiii,P. CONSIDGRATION--------- Dollars thc receipland sull'iciency ol'which is hereby acknowieciged, h,i V, remised, released, sold and QUPC CLAIMHD, mid by lhcsc prescnts do rcmisc, rclcasc, scll and QUIT CLAIM unto thc grantcc(s), their licirs, succcssors and assigns, forcvcr, all the riglil, titlc, inlcresl, claim :md dcmand which lhc grantor(s) ha ve in and lo Ihc rcal propcrty, togclhcr with improvcmcnts, if any, siluatc, tying and bcing in thc County uf JIiFPGRSON and Statc of Coloredo, dcscribed as follows: TIIAT PART OF TIIE SW 1/4 OF SiiCTION 25, TOWNSIIIP":3: SOUTII, RANGC 69 WIST, DCSCRII3ED AS POLi.OWS: BIiGINNING AT A POINT ON TfIC L•'AST LINC OF NtiWLAND STRCL'T (PORMrItLY CtiNTER STRIiCT) WI[ICII POINT IS 1815 PtiCT Wl?ST AND 400 PL'ET NOR111 OF TIIL•' SOUT[IEIIST CORNER OF SAID SW 1/4; TIIIIiCE NOR19l ALONG TIIE Et15T I.INL' OF SAID STRECT 50 PL'IiTc T[ICNCL''.LrAST AT RIGIIT ANGLES TO TIIE CAST LINC OF SAID STRE-CT 200 TCL'T; T(IIiNCE SOUTII PARAI.LLZ WITII TIIE EAST LINE OF SAID STItI:ET 50 PI'sET; TtICNCE [.EST 200 FCL•'T TO TIIIi POlNT OF IIrGINNINC, COUMl'7C OF JT•,PPL'RSON, STATL' OF WLORAUO. also known by strect and number as: 2660 NLWLAND STRL'CT WIII'sATItiDGti, CO 80214 TO I1AV8 AND TO FIOLD the samc, togclher wilh all anJ singular (hC appurlenances nnd privilcgcs ihcrcunlo belunging or in anywise thereunto appertaining, and aII the estale, righl, tille, inlerest and claim whatsoever, of the gmnlor(s), eilher in law or equity, lo lhe only propcr usc, bcnclil und bchonf of (hc gr:mlce(s) thC1T hcirs:md nssigns forcvcr. IN W I"1'NHSS WI1EI21701; Thc y,rantor(s) ha °e cxcculcJ Ihis Jccd on lhc dalc sct I'orth abovc. L. llRANCI,¢ - llOUGLAS D. ROIIWCllER S7ATG OF COLORADO, County of y~,~ ~ ss. day of The foregoing instrument was acko e ge~ before mc this 7a bY 1Nin2.V19 kZ,t/"INCIa ; ~uC,c~=1s (~8r~wc•I~Erc, My commission expires "If in Dcnvcr, insert "City /C/~ =3 ,.:r,~c ~Y K. /1n~•. 19 96, Witness my hand and o0icial seal. 19 ~ L • ~kom i~- Nolary Public % )Z/ Nn.933. Rcv. 6-92. QuITcLnim nee:n /il.,i OradforA Publishiny. 1743 Waeu~ SI.. Dcmcr. CO 80202 -(701) 272-2500 - 9'92 76 ~ a INSPECTI( INSPECTION TICKET JOB JOB ADDRESS ADDRESS 6 C) ~ ~-da-`~l ~ BLDG. PERMITM -q `4 DATE: DATE: ~ PERMITB BLDG. CONTR. , I BLDG. CONTR. SUBCONTRACTOR I SUBCONTRACTOR DATE INSP. REQ.-2---C DATE INSP. REQ. TYPE OF INSP. TYPE OF INSR INSPECTION MADE ~ . INSPECTION MADE Z REMARKS ~ REMARKS ~?C-Lc W.R. FORM 619 W.R. FORM 619 INSPECTIVN TicKei JOB ADDRESS DATE: BLDG. PERMITX PERMITN BLDG. CONTR. 1~~~ .~c._ SUBCONTRACTOR DATE INSP. REQ. TYPE OF ID INSPECTIOI REMARKS W.R. FORM F79 / DEPARTMENT OF GOMMUNITY DEVELOPMENT Y{-jr 7500 WEST 29in AVENUE BUILDING INSPECTION DIVISION PERMIT N0. H g 6,/ 237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY TNE CHIEF BUILDING INSPECTOR AND RECEIP?ED BEIOW. JOBADDRESS U VV"~"V L/~/ L OWNER ~~^7-~ ~DO~S CONTRACTOR ~21 Cw C Jx IC , T.yt/C• qDDRESS ADDRESS Cn~LE"S 7E. 7~ 1 PHONE t~ ZIpCODE CITY -E~`7M 'iVl P/lCP ZIP CODE 826U Z Zf CONTRACT PRICE $ PHONE N ~t ~J zil ~ LICENSE NO . DATE ZZ 1. TVPE Ground❑ Woll❑ proiactinp❑ Other SaDFOCe 2. MATERIAL Total SQuare FNt SIGNS 3. ILLUMINATION Yes❑ No❑ Typa EIK}. Permif No. 4 SET BACK FROM PROPERTV LINE N _ S_ E _ W Zona_ ApprovW,ZOns Inspector (Speaify whith ie f ronf ) ❑ ❑ ❑ ❑ DisaDDrwed 1. TYPE Solido More Thon 80% OpsnO Less Than 80% Open MATERIAL HeiQht FENCES 3. SET BACK FROM PROPERTV LINE N _ S_ E _ W Zone_ Apprwed,ZoM hupecta (Spscrty which is }ront) ❑ ❑ ❑ ❑ ptopprowd OTHER I. 2 INSPECTION tICKET t 3. JOB ADDR E DRAW S KETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTU RE, SS (SETBACKS OR PROJECTqNS INCLUDED) VW F "r , DATE: BLDG. PERMITM udy_S PERMITM BLDG. CONTR. ~ l'~ STREET N4ME $HOW DISTANCES FROM THE MAIN BUILDING TOADJOINING MOUSES, STREET DISTANCE TO PROPERTY LINES, NOT MCXIMUM OR qVERAGE DISTANCE. SUBCONTRACTOR DATE INSP. REO. 7YPE OF INSP.~ ~ INSPECTION MADE APPLICATION FOR PLUMBING; ELECTR REMARKS THISAPPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED W( PERMIT WILL El(PIRE 180 DAVS FROM THE DATE OF ISSUA ELECTRICAL PERMIT STATE LICENSE N0. ~it~ PLUMBING PE ti STATE LICENSE N0._ W.R. FORM 6.19 ALUMINUM VARE UNDER SIZE 8 ILLEGAL FLOOR BSM 15T Solm NO. WATER CIASET ~ TEMPORARY METER ` WASH BOWL NEW SERVICE ° AMPS BATH TUB CMANGE SERVICE-AMPS / SHOWER AIR GONOIIiVNiNG-tliu LIGHTING SINN OTFIER HEATING GARBAGE DISP REFHIGERATION SYSTEM POWER SU9-CIFCUITS WATER HEATER Ra}ri eront Grou UTILI7Y(RANGE, DISPoSER, ETL ) AUTO. WASMER Pounds LAOr e FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS d CONTROLS FIDOR DRAIN EIEVATOR SIGNS URINAL TRANSFOfiMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI7(TURES I Mreby ocknowledpe that this applica- tion u corroct and undersiond that I COnnOf ftart }his prOjtlCt unfil thib appli- eotion if opproved. I sholl comply wifh tha laws o1 Ihe State ol Colorado and fo ths Zoninq Requlations and Buildinp Code ofthe City of Wneot RidQe. Any violation of the above terms will couse immediate revocation of inis permlt CrP/ /~C~ PERMIT FEE usE Tax TOTAL FEE _ r q b-U NOT VALID UNLE55 RECEIPTED x 7 $ ~ 7z ~9s ~ 1J / l, ~gW/ CHIEF BUILDING Ify,B'PECTOR,Cityof Wheat Ridqe Date Issued ~Z~/ CALL 237-8944 EXT. 255 24 HOUHS IN ADVANCE FORINSPECTIONS ~o6ficcrA. roeaw,: ~ INSPECTION TICKET JOB ADDRESS o~ ` °~rA(0O ~i" A ~u-" ~ INSPECTION TICKET JOB l ADDRESS ls~L DATE: gLDG. PERM TM PERM ITM BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF I INSPECTIO REMARKS S INSPECTION TICKET JOB ADDRESS 0 DATE: y`I 3 SI q BLDG. PERMIT# S~s v PERMITB BLDG. CONTR. SUBCONTRACTOR , I ~ -9 C1 ~M DATE INSP. REQ. v TYPE OF II INSPECTIO REMARKS DATE: gLDG. PERMITN PERMITN BLDG. CONTR._ re-~ SUBCONTRACTOR - DATE INSP. REQ. ~j"~ S' S Y TYPE OF INSP. INSPECTION MAD/E~ REMARKS O/ ` 14 INSPECTION TICKET JOB ADDRESS DATE: ~ ~ 2 ~4 BLDG. PERMITX ~b u PERMITN BLDG. CONTR._ I IMk-"SUBCONTRACTOR DATE INSP. REQ. `f ~ ~ rryJ TYPE OF INSP. ~ ~TP INSPECTION MADE `r 17~ REMARKS W.R. FORM 6-19 j W.R. FORM 619