HomeMy WebLinkAbout3350 Oak Street♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: eVFeW- FIA4s 1 Xle
Job Address: 3351:> ®,4k 5'7'•
Permit Number: _ 0 `115"
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes ( &
* When corrections have been made, calf fo - re- inspection at 303 - 234 -5933
Dater 2Zg V4o c Inspector
9
DO NOT REMOVE THIS NOTICE
♦
V CITY OF WHEAT RIDGE
] Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: j *,AaLQr ,a
Job Address /Permit Number:
❑ No one available for inspection: Time AM
Re- Inspection required: 'Yes No
When corrections have been made, call for re- inspection at 303- 234 -5933
r
Y
s f
f
Date: �- r %�� Inspector:
DO NOT REMOVE THIS NOTICE
11L
c.�rvr c. �ccn cm.a nvo c oc.�.wnrcc ec�. nrr✓ ncrrcvvca,c r -u
.CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY
OCCUPANCY NOT PERMITTED UNTIL C
PROTECT THIS CARD
WING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
2M1SSlON.EQR.QQCUPANCY...,..... .. _..
=KATE OF OCCUPANCY IS ISSUED
THE WEATHER
Inspections will not be made unless this card is posted on the building site
a y ,: to receive Inspection the following business day _ .
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
, .INITIALS` INSPECTOR
COMMENTS:
Footings /Caisson s
Stemwall / (CEG) Concrete
?Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines `
POUR
NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
C
Electrical (Underground)
Plumbing (Underground)
':'
Heating (Underground)'
'.' DO NOT
POUR FLOOR UNTIL ABOVE. HAS BEEN SIGNED
X
ROUGHS
W 2
Sheathing
Lath /Wall tie
Mid -Roof
I�
Electrical Service
`
Rough Electric
K
Rough Plumbing
Gas Piping
Rough Mechanical
- :ABOVE :INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
c.�rvr c. �ccn cm.a nvo c oc.�.wnrcc ec�. nrr✓ ncrrcvvca,c r -u
.CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY
OCCUPANCY NOT PERMITTED UNTIL C
PROTECT THIS CARD
WING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
2M1SSlON.EQR.QQCUPANCY...,..... .. _..
=KATE OF OCCUPANCY IS ISSUED
THE WEATHER
" : City of Wheat Ridge
Residential Mechanic PERMIT - 091542
' PERMIT NO: 091542 ISSUED: 08/24/2009 -
'JOB ADDRESS: 3350 OAK ST EXPIRES: 02/20/2010
DESCRIPTION: Replace 3,ton A/C -
CONTACTS -
owner 303/681-4338 " Elizabeth Hampton
sub 303/466-4209 Rosalie Cooper 01-8111 Cooper Heating & Cooling
* * PARCEL INFO
ZONE CODE: (UA USE: UA
SUBDIVISION: 0649 .BLOCK/LOT##: 0/
**.FEE SUMMARY 'ESTIMATED PROJECT VALUATION: 2,600.00 -
FEES
Permit Fee 108.30
Total Valuation : ,00 ± C~;4fiZJ~~
Use. Tax 46.80
* * TOTAL. * 155.10
Conditions:
Must. comply w/.2003.IRC & 2005 `NEC.
Subject to field inspections.
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
I(% applicable Wheat Ridge Oidina ces, for work under this permit. Plans subject to field inspection.
- Signature of contractor/owner date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of. Colorado and. to the Zoning Regulations.. and Building Codes of Wheat Ridge, Colorado or any other applicable
a ordinances of the City.
1'12. This permit shall expire 180 days from the issue date.. Requests for. an extension must be received prior to expiration
~f. date..'. An extension may be. granted at the discretion. of. the Building Official.
3. If this permit expires, a new permit may be acquired for a fee. of one-half the amount normally required, provided no
changes have been. or will be. made in the original. plans and specifications and any suspension or abandonment has not
exceeded one. (1) year. If changes have.. been or if. suspension or abandonment exceeds one (1).. year, full. fees shall
be paid for a new permit. -
x 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
s' 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.
4~. 6 The. issuance of a permit or the approval of drawings. and specifications shall not be construed to be a permit for, nor
2e, an approval of;'. any violation of the provisions of the building codes or any other ordinance, law,: rule or regulation.
All. plan review is ubject to field inspections.
Signature of C ilding Official date
r".INSPECTI -RE UEST LINE: .(303)234-5933 BUILDING OFFICE: (303)235-2855
.
`-:REQUESTS ST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE. FOLLOWING -BUSINESS DAY..,
U,
v,
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
bo( ~G3'
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 1~0y
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : (ter fb/z-L"CO'. k -4-P dd ri
Property Address : 33 S 0 ~L-St u-e ! Phone : 3 - t ~1 ~ 3 3 6
I
Contractor License No. 018' It
Company: CCDpA tj& J4 Phone:--ffwJ
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CO TRACTO IGNED~/I~""~" ' DATE
Construction Value
Permit Fee
Plan Review Fee :
Use Tax :
Total :
Description : f k t w 3-( n% _ IS SEEK- A-I(! G✓ /le~jlcce~ ¢o
BUILDING DEPARTMENT USE ONLY
Zomny'.Comment3 SIC: Sq.Ft.'
Approval:
Zoning
Butldtng Comame~nts AUG 21 2009
Approval :
Pubhc'.WoFks Gommenfsi"t
Approval
Occupancy : Walls : Roof: Stories : Residential Units
Electrical License No,: p', t- f Plumbing License No Mechanical License No: Company:lkodjv,(c~ I:- Company: Company: eU~(idce6 y
Expiration Date< Expiration Date : Expiration Date
Approval: Approval: Approval:
Plans Regmretl inPlarRequi[epi P1ansRequtrdi
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(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 are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
((4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on Inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, not an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
Chief Building Inspector For Mayor COPY
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR COPY
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION COPY
♦��-e
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 235 -2857 Fax
INSPECTION NOTICE j
Inspection Type: �f✓
Job Address /Permit Number: 37 5!J
C
❑ No one available for inspection: Time '/ - AM /F
f
Re- Inspection required: "Yes
When corrections have been made, call for rensp cti at 3Q3-234-5933 Al
Date: Inspector: s,, e jhrt i s
DO NOT REMOVE THIS NOTICE
City of Wheat R
l Residential Roo]
PERMIT NO: 091036
JOB ADDRESS:'. 3350 OAK ST
DESCRIPTION:.:. 1/0 reroof 21 sqs with 30 y
***CONTACTS
owner 303/681-4338 Elizabeth Hampto
SUBDIVISION:' UA
**FEE SUMMARY
Permit Fee
Total Valuation
Use ;Tax
TOTAL
Conditions:.
5 nail installation & mid-roof inspec
_han'a 1/2 of an inch apart 'requires
water sheildlrequired from'eave edge.
Subject to field inspections.
on.
a
dge
ng PERMIT - 091036
ISSUED:'. 07./31/2009
EXPIRES: 01/27/2010
-:GAF/ELK
08-0268 Trinity Roofing
USE: sfr
iBLOCK/LOT#: 0/.
'IMATED PROJECT VALUATIONS 3,717.00
FEES
126.50
66.91
193.41
required.`. Board sheeting. spaced more
)od overlay on entire roof. Ice and
inside exterior walls.
his permit application are accurate, and do not violate. applicable
ge: or covenants, easements or restrictions of record; that all
at I have read and agree to abide by all conditions printed on this
pliance with the Wheat Ridge Building Code '(T.B.C) and all other
rmit. Plans subject to field inspection.
da6e
ns set forth in your application and is subject to the laws of the
ilding Codes. of Wheat :Ridge, Colorado or any:. other applicable
Requests for an extension must be received prior to expiration
f the Building Official
ora fee of one-half the amount normally required, provided no
sand specifications and any suspension or abandonment. has not
pension or abandonment exceeds one (1) year, i: full fees `shall
he natural flow of water causing adrainage problem.
four (24) hours in advance for all inspections and shall receive
- - = _
oFwHEgrR T City of Wheat Ridge Building Division 7a
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
v.
Office: 303-235-2855' Fax: 303-235-2857 c o Inspection Line: 303-234-5933 Building Permit Application
Property Address: 33 SC)
Property Owner (please print):
Phone:q3 7,i gg -/33c
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: ~IGJn ZIP ~~`U
Contractor License / U Phone: Sb-3 69f /
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ 336
Description of work: (as calculated per the Building valuation Data sheet)
7 /(C Plan Review (due at time of submittal): $
3a ~/r
Sq. Ft./L.Ft added: Squares Z / 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.
CIRLCE ONE:: WNER) (CON R R) or PERSONAL REPRESENTA$IVE of OWNER) (CONTRATOR)
PRINT NAME: SIGNATURSI- / Date: 71311 LP
~
City of Wheat Ridge
Residential Mechanic PERMIT - 070736
~070736 ISSUEDt
~3350 OAK ST EXPIRES:
INSTALL 3 TON AIR CONDITIONER + ELECTRICAL HOOK UP
o7/ie/zoo7
O1/14/2008
«r+e Cdt'~}1CTS rr+ . . .
(3C . 343/466-4209 Rosalie Cooper 01-8111 Cooper Heating & Cooling
SU$ ~~43/227-0326 _01-8057 Modelco Electric, Inc.
06ga$g 303/462-1829 ELIZABETH PAINTER ZdNBCODEr ! UA USE: sfr
.9UBDI'IxISIONcUA BLOCK/LOT#: 0/
ESTIMATED PROJPsCT VALUATION: 1,960.00 FEES
Perqfit 88a.i' . . 90.10 TotA3. Val,#ation .00
UBeTdX 35.28 125.38 .
f5~
(,'Op@It! O: r . . . gT.gC~~UU 'MUST MEET 2005 NEC giJH;7'ECT '1XJ iVIELD INSPECTION -
I hexe6y ceYtS$ythat the oetback dietancee propoaed by thie permit application aze accurate, and do not violate applicable
~ ordismncea.,{kkee or segulatione of the City of 7fieat Ridge or covenants, eaecmente or reetrictiona of record; that all
measuipmpnCi 4iw+n, and allegatione made are aCCUra[e; that I have read and agree to abide by all condltione printe8 on thie
epplicitiOq a3sd Chat Iaeaume full reaponaibility for compliance with the Wheat Ridge Building Code (I.B.C) end all other
..apylicableNh*bt'Ridge Ordiaancee, £or work under thie permit. Plane eubject to field inepectioa.
SiqnattLre of ConCractor/owner date .
1. Thia paTmlt~wan iaeued in accordance with tile provieiona eet forth Sn your application and ie eubject to the laws of the
9Lhte Of Cblorado and to the Zoning Regulatione and Huilding Codee of Hheat Aidge, Colozado or any other appliCable
ordinanCSS'Of the City.y,...Tq}p pg" :,shall expi;e 180 daya from the laeue date. Requeete for an exteneion must be received prior to expiration
'date. Rn 4%teneion may be granted at the discretion of Che Huilding Official.
3.EL tKia pQ3'mit ezpiree, a new pex'mit may be acqulred for a fee of one-half theamomt noxmally required, provided no
cAatlye4 1iaVe been or will be madein the original plane and epecificatrone and any euepeneion or abandonment hae =wt
licc;tledld 04s (1) yea=. IE changes have been or SE euepeneion or'abandonment exceede one (1) year, full feea ehall
he paigi fa;[~a new permlt. ' {..NO qDYR oY:any manner ehall be done that wiil change the natural flow of water caueing a drainage problem.
5."CptypYaCGo'r-ihall notify the Building Inepector twenty-four (24) houre in advance for all inepectione and ehall receive
wtittleA agproval on Snapection card before proceeding with euccegaive phaeee of the job.
6. Th! SaiUa#tib af a perniit orthe a pr 1 of drawinga and epecifications ehall not be conetrued to be a permit for, nar
. an-:gppLOvaa-of, azry YSolati0 o rovieione of the bullding codee or any other ozdinance, law, rule or re9ulation.
Ag p;syy xMView ie subject o inepectione. g}qnatCUre a~"¢Sef Buildirn,7 Of cial date
~p$Cl'E1'~.RBQST83T LIDTBs (303)234-5933 BUILDING OFFICE: (303)235-2855
-atzh(.?I4i~7'~RpMUST $E MADS BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLIAWING BUSINfiSS DAY.
DEPARTMENT OF PLANNlNG AND DEVELOPMENT Building Permit Number :
BUILQINGC TY OF WHEAY Rl GE Z35-2855 Date :7
7500 WEST 29TH AVENUE
WliEAT RIDGE, CO 80215
EL~ZHi~f P~;`N,-i,P
Property Owner : p
Property Address: ,a3,5 'Wh`~AT'c.'~~DJFhone`,7QJ~y~O~- ~a`~
Contractor License No. : p / g7
:OOPER HEATING & COOLItvG, iNOhone
Compa~y : 17a0 GLDE YVADSWORTH BLVD.
~R;`'^vMIFlELD COLO 80020
OWNERiCONTRACTOR SIGNATURE OF UNDERSTANDING ANO AGREEMENT Construction va~ue :$~9(~ U• v ~
I herehy ceAify tha[ the set6ack distances Droposed by this perm+t application a2 accura:e, Peffilit F0@ :
and do notviolale applicable oMinances, rules or regulations of the Gity oi W heat Ridge or
covenants, easements or restric5ons of recortl; lbat all measurements shown, and allegations Plan Review Fee :
made are accurate; ihat I have read and agree ta abide by sll condi[ions printed on this USe T8X :
application, antl thal I assume tull responsi6iliry for compliance ior the underRhispBU~iding
Code (U.B.C.) and all cther applieable Wheet Rid~, ordinan e~i j✓ f. TotBl : .
fOWNEf{1lCONTRACT(DR)SIGNED
-
Description L
BUILDING DEPARTM
NT USE ONLY
SIC : Sq. FL :
Zon ingiC~binmentyysa
Approval .
Zoning :
fs;j
Builwdi g Com eo
~
Approval : .
Putific Wi RS:
o
"
Approval:
Roof :
Stories : Residentiai UniEs :
Occupancy : Walls :
~ Electrical License No
Company : ~'`7U f7/=G Ca Q
Expiration Date:
Approval
E] r-PlanteqqlYw
l>> 7risperrilwasissuedMac
Regulalrons and Builtliny Co
(2) This percnit shall eapire d(A)
a6andoned or a peirmO W 1:
pJ If this perm8 eapires, a new
d
(S)
(5)
Mechanical License rvo :
7 Plumbing License No . Company :
Company :
Expiration Dale : Exoiration Dale :
Approval : Approvai :
n Z ~PI3fi~ReC~[v~d
wnh the provlsicns sel fa[h in yopur appliwtim aM is ~bjed to ,M1t ~aws ofIhe SWte ol Cdrnedo an61o lhe Zcn~g
eat RitlOe. Colorado or anV oiher app'.iwble eNinances W the CiN
B the 6uiM~~n9 ~+tharized is Suspe~Aed cr
. authonzetl is naI mmmenxd wllhin 6ixH (50) days fwm Issue ~te M( )
ry De accuiretl la a'ee of one-half the arounl normaAy requiretl, qavb°d na chaige5 have be!r awill be ma0= in U~e
ian5 and speufceUons ana a~y wspenslan oi abaittlonmell nas not exceeded ane (1) yetr. If changes are made or il susysnsion ar abandonmenl
one (l I Year,'ull fees shall 6e paid ror a new pemiL i u ~wai a~ insD~tio^ nr4 belore
of any manner sroll b¢ tlone Nat Mrill tlhan9e Ne na~hura
ourein a0 ~+~e IN311~~5pEGI0O5 2nd 51131I f2.^.ELL'2 k'fIRE11 8Pp
cr shall raUy the Building Inspeclorrtvanry. lour (i4)
i~ wi~hwccessiaep~ases of Ihe
ance a' a pertnil or U~e appro~al of drawings and speeifcationa shall rol be construed to be a perm.l for, mi an app~oval of, afry vidation of Ihe pmvanru°
titlini mdes a any cther obinance. law, role or regulafion.
For Mayor
Chief Building Inspector
THIS PERMIT VALID OALL W234 5933 24 HOURS PRIOR TO~INSPECTION ECTOR AND MAYOR
Z d 9Z£4-994 (£0£) BuiIooC) +g BugeeH jedoop 091:60 LO 81, Inf
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDWG INSPECTION LINE - 303-234-5933
~ a CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
~~LORPO~ ' MEl ♦V.LI APPLI(
Proper[yOwner:
PropertyAddress: ~)3sU Qe,u. S'\
Conaactor LicenseNo.: (0350
Building Permit Number:
Date:
PLAN #
TIQN
Phone:
Company: Phone: 3o3~--S'~l1»-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT BuildinaDept.ValuationFigure: $ aFsO~~`'zI hereby certify lhat the setback distances proposed by this permit application are
accurale, and do not violate.applicable ordinances, rules or regulations of the City of
W heat Ridge or covenants, easements or restrictions of record; that all measurements
shown, and alle9ations made are accurate; ihat I have read and agree to abide by all
conditions.printed on this application and that I assume full responsibility tor
compliance with the W heat Ridge Building Code (I.B.C) and all other applicable W heat
Ridge Ordinances, for work under this permit. Plans subject to field inspection.
(OWNER)(CONTRACTOR) '.SIGNED `✓~~f`~ DATE
(OWNER)(CONTftACTOR):PRINTED J//7-ffIYS DATE
Use of Space (description): s j-~ A?
Description of work: G ~ 444 S66( 1 r'(~
Ci S
Sq.Ft.added
Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:
TOt81:$
Expiration Date: Expiration Date: Expiration Date:
ApprovaP Approval: Approval:
(1) . This permitwas issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and to theZoning Regulations and Building Codes of W heat Ridge, Coloredo or any other applicable ordinances of
the City.
.(2) This permit shall expire if (A) the work authorized is not commenced within sizty (60) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(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 ezceeded one
. (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit.
(4) . No work of any manner shall be done that will change the natural Flow of water causing a drainage problem.
.(5) Contractor shall notify the Building Inspector lwenty-tour (24) hours in advance for all inspections and shall receive writlen
approval on inspection card before proceeding with successive phases of the job.
(6) The issuance of a permit or the appmval of drawings and specifcations shall not be construed to be a permit for, nor an
. approvalof,anyviolationoftheprovisionsofthebuildingcodesoranyother ordinance,law,ruleorregulation.Allpianreview
is su6)ect to field inspections.
Chief Building Official
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
SAN-4-2007 04:02P FROM:SOLSOL.IRCE DENVER 303.296.1261 T0:3033552428 P:2'4
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SANYO HIT solar panels have a btade anodiaed doublraraq aluminun
frme, TNe panpls Game prsaquipp(M with a toucMSafe junction yox, lead
wires, MCTM plug-noay comectors. and a unique rtrounting lip, all ot which
h¢Ip to minimize Support structuro malerials, installali0n tima arq Costs.
Valuable Feswras
SANYO HIT sdar panels have no mwring parts and weigh less than 31
pounds (14kg). The pansls are 10044 emieeion anC noise froe. The panele
cane wilh a 201"r Limited Power Output W'an'anry a'+d a 2-year Lim'rted
ProdUd WOrkmanBNp WaftBMy. P9r1e19 af0 UL 1703 S6toty f9teA TOf wintl,
Bre mxl haiL You pn transpott the panels to a srte usirg less space and our
ppyppqt" minimizas C9ftlbovtl wafta tlapositatl in a custanaY9 Uash.
Qualiry, Ratings, ReliabiliH
SANYO sdicon wafefs are manufadured in the USA snd the panels are
asaem6led in Meyjco_ All SANYO solar fectaies in North Am¢rica ere ISO
9001 ard 14001 cerfifiad. The panels undergo stria inspectian to ensure
eleGtriwl, m¢chanical, environmental, and visual compllance. SANYO's
conservativa madel ralings pive custamas more MNh per rated kW, and
assAM to more accuraiely pretlic[ pertortnance and finanaal ecoiranics.
O 10 August 2008
6anyo Energy (USN GRG.
gANYO HT Sabr CNI Strudura
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Unnecesaary Section WMn Using SANNO F6T
Mvdak HRxxaBA1
AeetrYsl SeseNlraHens 7SO 186 190 195 200 ZOS
puKyFywor(Pmex)'
W
180
188
100
793
200
205
NbmhnumFOwerV e (VPrri
V
54.0
54.4
50,8
55.3
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A
3-33
3,42
3,47
3.53
3.59
3.e2
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V
96,4
87.0
67.5
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88.7
88.8
Short Ckcu[ Qrrront (ke)
A
3.65
3.77
375
3.79
3.83
364
MnpnmFbwer(Pmin)
W
1e2.0
767.4
171.0
175.5
180.0
1805
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600
800
600
800
600
600
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15
15
15
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75
15
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!GNC
•0.11
-0.90
•0.30
-0.30
-0.29
•0.29
T reCaefficient(Voc)
VPC
-0.773
-0.10
-0.769
-0.170
•0.172
-0.172
Taiperolwe CcetlicaeM (fsc)
m4!°C
1.10
0.85
036
0.67
0.88
0.88
BtlGtfiGil TONfaflce
%
0
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+1- 70
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%
16.1
18.5
17.0
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7
15.0
15.4
15.8
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4 Bypass qodec
hbdule Area (n?)
12.69 R2 (1.18rcr)
WeIpM (10)
30.88 Lba. (1416)
rbcrPQ
112-F (++2°0
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51.9452zt.4in (1319x89Ax35mN
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30.7720.Bin IM1E30mN
Type
No.12AVVGlA4CT"Connecias
Statle Load VdM 1 Snpw (Pp)
SOPSF (2400Pa)136PSF (1876Pd)
PoY16~nc4n6lxWxH(mN
53x38x83h 1134Bx61W600mN
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36pcs 17102 Lbs (50Mg)
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980pCS 1796pCa / 972pc5
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SOC qedryve Fi.imldlry
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Setety enveioc'
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Fro Salery Classttleatlon
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Danenoions
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before we of lheio produeb.
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IIX MIOf! wOf!!aIIOn:
b/b:d 62b2SS££0£:01 T92L'962'£9£ 213AN30 309IOS-OS:WONU d£0:b0 L002-b-NtlS
Xantrex GT Series Grid Tie Solar Inverter
Electrica I 5pecificat ions
Madels
GT2.5-NA-DS-I40
GT3.0-NA-DS-340
GT3.3-NA-DS-740
G73.3-NA-D5-208
GT3.8-NA-D5-240
MaximumAfpowerautput
ACOUtputvoltage(nominap
AC output volta9e range
AC frequency (naminap
AC hequency range
Maximum cominuous output current
2500W
240VAC
211 264 VAC
60 Hz
593 - 605 Hz
11.8 N
3000W
240VAC
211 - 264 VAC
60 Hz
593 60.5 Hz
14.1 A
3300W
140VAC
211 -164 VAC
60 Hz
593 - 60.5 Hz
15.6 A
3300W
lOBVAC
183 - 138 VAC
60 Hx
593 - 60.5 Hz
18 A
3800W
240VAC
111 - 264 VAC
60 Hz
593 - 60.5 Hz
16 A
n--etun
<3%
<5%
<3% .
<3°k
<3%
Power (actor > 0.9 > 0.9 > 0.9 > u.y > V.l
DC input voltage range 195-6WVDC 195-600VDC 195-600VDC 195-600VDC 195-600VDC
Peakpowertrackingvoflageronge I 95-SSOVDC 795-550 VDC 195-550 VDC 195-550 VDC 795-55OVDC
PeakinvertereHicien[y 94.8% 9d.h 953% 94J% 953%
[ECefficiencv 940°h 94.5k 94.5% 94.0% 95.0%
u~„~.~ ~~mo m wr roncumotion 1 W 1 W 1 w
Output overarrent protection 15 A
10 A 70 A 25A
Mechanical Specifications
Operatin9 temperamce range
-13°Fio+149°F (-75°C10+65°q
Endosure Type
NEMA3R (outdoor raled)
Unit weiqht
49.0 Ibs (22.1 kg) m 51.0 Ibs (73.1 kg)
Shipping wei9ht
57.0 Ibs (25.9 kg) ro 59.0 (I6.8 kq)
Shipping dimensions (N z W e D)
34.1 x 30.4 x 103' (866 x 51.8 x 36.1 cm)
Inverter dimensions (H x W x D)
18.5 x 15 9 x 5.7' (75.5 x 403 x 146 cm)
Wail Mount (mounting 6racket included)
Communicatians
Wiring hox PV, utiliry, gmund, and mmmunications connxtians. The imerter can be separared fmm Ihe wiring box.
Warranry 5-year standard (an additional 5-year excended warranry is availa6k).
Part number (negative grountl) 864-0108 8640002 864-0707 8660111 864-0179
Part number (positive 9round) 864-01II 864-0114
UPLIODSPasitive 9rounding Positive 9munding configurations available for the GR.S-NA-DS-240, GT33-NA-05-140. GT33-NA-OSd08, & G13.8-NA-DS-240 inverrers as required.
Features
.
PVIUtility disconnect
Eliminates need for extemal PV (DC) disconnxL Complies wilh NEC requirements.
Convection cooled, fan not required.
Cooling
16-charac[er Liquid Crystal Display pmvide5 ins[antaneous power, daily and lifetime energy pmduction,
l-line
Backlit
Display
,
,
PV array voltage and artent utiliry voltage and frequency, time onilne'sellinq' teday,
fau%messagex and installer cusromizable screens.
One RS 237 and two Xanbuz R745 Dorts.
0 iaexamieere~nndayY m<. ui renis rcse,m. xamre.'~s a~ey~neree naeemaaai .111e. m1111uwwi. vamee m can.m
Xantrex inverters make installation easy and affordable
Xantrex offers a family oi grid tie wlar inverters designed with the knowledge and erpenise of renewable energy
dealers and installers.The result is a high performance series of inverters that makes utiliry interactive installations
easy and cost effective. Our high per(ormance photovoluic (PV) string inverters offer high efficiency, low insWlled
cost, dean design and high reliabiliry.The GT Series indudes high qualiry inverters that offer the best price versus
performanceintheindustry.
PHOTOVOLTPIC
pOWEPINVERTER
High performance string inverters:
c s
~ Peak and average efficiency gceater than 94% maximizes your PV imestment
harvest from your array under any conditions
m ener
i
gy
mu
0 Fast MPPT tracking algorithm ensures max
~ Excellent thermal performance provides full rated power up to 40° C
0 FCC Part B compliance means less potential interference with communication, radio, and consumer electronics
Easy and inexpensive to install:
~ Indudes inregrated lockable AUDC dismnnea that is NEC compliant as a DC disconnect
r Includes a lightweight and versatile mounting bracket that simplifies installation
, Offers wide MPPT tracking PV module input volUge range to make module selection & sizing eztremely flexible
v Modular design allows Xantrex GT Series Inverters with the same or different power levels to be mounted
side 6y side using the wiring box as a wiring raceway
Xantrex Technology Inc.
w Easy access PV and utiliry terminal block simplities wiring
r Wiring boc can be sepamted from the sealed inverter endosure allowing DCIAC mnnections ro remain intact
Headquaners
in the unlikely event [hal the inverter needs to be serviced
6999 Nelmn Way
0 Rugged NEMA 3R imerter endosure allows reliable outdoor and indoor installations
Bumaby, British Columbia
Canada VSA 4B5
Full feature inverter display and communications available day or night
r Indudes Liquid Crystal Display (LCD) providing instantaneous power, daily and liietime energy production. PV
5916195th Street NE
anay voltage and current, utiliry voltage and irequency, time online "selling" today, fault messages, and installer
Adington, Washington
[ustomizable screens
r LCD vibration sensor allovrs the tap of a finger to turn backlight on and display screen cycling
USA 98223
1 800 670 0707 Tel
r Bright LED indicaroa provide system status at a 9lance
1 800 994 7828 Faz
I, Integrated RS232 and Xanbus RJ45 communication ports
customerservice@zantrex.com
o Free PC whware for remote monitoring and system
troubleshootinq available online
For more information a6out the GT Series as well as access to our rtring sizing tool, and free downbad of GT View
www.xantrex.com
pleaze visit: www.zantrez.comlgridtie
aiWSxamreelrcM1nolowlnc AILghureerved 6an4orsarzpsteN1m@-A olamwlmemtianA.>nnrtdmCm.&
Certificate of Completion
AND/OR
Compliance
CITY OF WHEAT RIDGE
7500 W. 29TH AVENiJE
WHEAT RIDGE, COLORADO 80215
THIS CERTIFICATE VERIFIES THAT THE PROPERTY DESCRIBED BELOW, DOES
COMPLY WITH THE WHEAT RIDGE BUILDING CODE, ZONING AND OTHER
RELATED LAND USE AND DEVELOPMENT LAW S OF THE CITY OF WFEAT RIDGE
FOR THE FOLLOWING PURPOSE.
PERMIT # 12483
Patio Enclosure
OWNER: Michael Roberts ADDRESS: 3350 Oak Street
PROPERTY ADDRESS: 3350 Oak St. Wheat Rid e CO 80033
DATE 1119/01 CHIEF BUILDING OFFICIA
ZONING ADNIlNISTRATOR
"Im 101c,►bvc-K5 12Il~
INSPECTIONS WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE BUILDING SITE
HOURS NOTICE REQUIRED FOR INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE (303) 234-5933
INSPECTION RECORD
JOBADDRESS ~?J~~L~~K--~~ •
BUILDING PERMIT N0. DATE ISSUED TYPE OCCUPANCY
OWNER ~ 2" J S
CANTR4CTOR , v4 ^ , f'lC-
SETBACKSFROM PROPERTYLINES: NORTH SOUTH EAST WEST
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
INSPECTION DATE INSPECTOR
Foundations
Footings
Caissons
Reinforcing ar Monolithic
Weatherproofing
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Concrete Slab Floor.
Electrical (Ground Work)
Plumbing (Ground Work)
Heating (Ground Work)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Rough Electrical
Rough Plumbing -
Air Test Gas Piping
Rough Heating & Ventilation
41 .
• - v
(above must be signed prior to framing inspection)
Framing
Insulation
g t
Drywall nailing U,/-
a ~
Roofing
Refrigeration
Electrical underground
Fin I
Electrical •/r
/ G/
G
Plumbin
Heatin & Ventilatian
~
G
Frame
p 0)
. ~y
R.O.W. & Drainage
Fire Department
Parking & Landscigin,g
CG
r
-l<-
OG` ANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCIDPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12483
BUILDING INSPECTION LINE - 303-234-5933 Date : 7/17/01
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3350 OAK ST
Contractor License No. : 18961
Phone : 548-7798
Company : Native Sons Country Homes, inc. Phone : 237 6406
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
wvenants, easements or restridions 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 wgh the Wheat Ridge Building
Code (U.B.CJ and all other applicable W , Ridg ord' nc ~ ork u der this permit.
(OWNER)(CONTRACTOR) SIGNED ~ DA4-0~
Construction Value :
$2,000.00
Permit Fee :
$69.25
Plan Review Fee :
$0.00
Use Tax :
$30.00
Total:
$99.25
Use:
Description : PATIO ENCLOSURE. ROOF AND FOUNDATION EXISTING
~
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
~ ~ , . ✓ ~
Approval : MLC COMPLIES WI R-1 REGS.
Zoning : R-1
RAWNWINAMM 7/17/01
Approval: BG
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(7) This permit was issued in accordance with the pmvisions set forth in yopur application antl is subject to Ihe laws of the State of Coloredo and to the Zoning
Regula6ons and Building Code of VMeat Ridge, Colorado or any other apphcable ordinances oFthe City.
(2) This permit shall expire if (A) the work authorized is not commencetl within socty (60) days from issue date or (e) the building authonzed is suspentled or
abantloned for a penod of 120 days.
(3) If ihis permit tacpires, a new permi[ may be acquired For a fee of one-half the amount nortnally requiretl, provitled no changes have been or will be made in the
onginal plans and specdications and any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or aUantlonment
avcceeds one (7) year, full fees shall be paid for a new permit
(4) No work of any manner shall be tlone that will change the natural flow of water causing a tlraina9e problem.
(5) ContraQOr shall notiy the Building Inspector hvenry-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card before
proceediin with successive phases of the ob.
(8) The iss of~a ~pe~r~mit or ihe approval oildrawings and specifcations shall not be wnstrued to be a permit for, nor an approval of, any violation of Ihe provisions
of the, ~ild' g~~ ~ L y other ordinance, law, rule or regulation.
Chief Building pector
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7500 \NEST 29TH AVENUE
P 0 . BOX 638 (303) 234-5900
WHEAT RIDGE. CO8003d-0638
Gity Admm. Faz fJ 234-5924
DATE:
TO:
FROM:
SZJg JECT :
Poiice Dep1. Faz fl 2352949
July 29, 1997
ACCOUNTING DEPARTMENT
The Gny 01
= m
G1Vheat ~
GRidge
C~CORP~O
Director of Plannin4 & Development
ESCROW AEFUtZD
Reimbursement requested for escrow £unds being held for_
COMPLETION OF LANDSCAPING AT 3350 OAK STREET
The Landscaping has been completed to the City's satisfaction.
RELEASE TO• Native Sons Country Homes, Inc.
LOCATION: 2300 Estes Street
Lakewood, CO
$1,000.00
AMOUNT:
~ A. Hurst, Interim Development
Director of Planning &
~
DATE:
TO: PUBLIC WORKS DEPARTMENT
FROM: Building Department
R E : I c. C7
The property at AZ~ \.JC_tC__~ has been
signed off by the Building Department and is ready for a CO
inspection.
Once the inspection has been completed, please inform the
building department as to the status.
Thank
you.
1
PUBLIC
WORKS APPROVAL
6
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Remarks:
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(OPTION D or E)
ESCROW AGREEMENT
LANDSCAPING
'!'0: City of Wheat Ridge
P.O. Box 638
Wheat Ridge, Colorado 80034
The sum of One Thousand and no-------------------
DOLLARS
(S 1,000.00 ) to be held in escrow with C.ity of Wheat Ridge
(City of Wheat Ridge, Option D)
(Bank, Option E)
until landscaping is completed at 3350 Oak Street
(Description)
Wheat Ridge, Colorado by
_Native Sons Countrv Homes Inc.
(Contractor/Developer/Owner)
The City of Wheat Ridge shall have the absolute right to withdraw the
Escrow funds for the purpose of completing the landscaping of
3350 Oak Street
should
Native Sons Country Homes, Inc.
(Contractor/Developer/Owner)
faii to complete or provide said landscaping prior to the date of
July 31, 1997
The only requirement to withdraw the Escrow funds in behalf of the City
of the City, executed by the Director of said Department and witnessed by
the Mayor of the City of Wheat Ridge. Said letter shall state that the
landscaping, as above set forth, have not been completed or provided by
6ative Sons Country Homes, Inc.
(Contractor/Developer/Owner)
and that the date of Julv 31 1497
has expired.
(over)
(OPTION D or E)
ESCROW AGREEMENT
LANDSCAPING AND PARKING LOT IMPROVEMENTS
-2-
ACCEPTED:
Director of Planning & Develogr(ight Department - City of Wheat Ridge)
(Bank - Option E)
Address
Phone Number
3~~ic'~ &,5°6
Address Phone Number
Date
Temporary Certi£icate of Occupancy for structures covered by this agreement
inay be issued by the Mayor of the City of Wheat Ridge for a time period not
to exceed six (6) months upon acceptance of this agreement by the City.
(Contractor/Developer/Owner)
NATIVE SONS COUNTRY HOMES, INC.
2300 ESTES 237f4()6
LAKBNOOD. CO 80215
PAY TO THE
ORDEROF_
2,2196 6473
,ozo
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~
DATE
Ej $ 1 \~'rao
r----DOLLARS M +P
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~ rado National Bank
5168
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1: LO 20000 2 ii: L 2040 L7839 5il'647
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STREET CUT INSPECTION FORM
Location 3.~> j r) r tp. -ki Permk #
Cut Size
Inspect Date
Traffic Control: Pass _ Fail _
Weather
Commen
ASPHALT PATCH INSPECTION
Inspect Time
Mix Design: Concrete _ Asphak _ NIA _
Subgrade: Pass _ Fail _
Comment:
Patch Depth: Pass _ Fail _
Comment:
First Follow up Inspection (no charge)
Date Pass _ Fail _
Comment:
CONCRETE INSPECTION
Subgrade: Pass _ Fail _
Comment:
Form: Pass _ Fail _
Comment:
Tested: Yes No _
Comment:
Inspected• Pass a~ Fail
CommeM: -v
First Follow up Inspection (no charge)
Date Pass _ Fail
_ Commertt:
RE-INSPECTIONS
Type Date
Pass _
Fail _
Comment:
$
Type Date
Pass _
Fail _
Comment:
t
7ype Date
Pass _
Fail
_ Comment:
$
Type Date
Pass _
Fail
_ Comment:
$
Type Date
Pass _
Fail
_ Comment:
$
PROJECT COMPLETED
Yes _
No _
TOTAL FEES DUE $Contractor
Contact
Received by
Phone Time Date
C1. .forms\Insnect. frm
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)F PU1NFtING AND DEVELOPMENT Building Permit Number : 3430
ISPECTtON DIV#SIC>N - 235-2855
Tv nc wuewT otnr:F DBte : 7/15/96
CQ
31C3NATURE OF UNQERSTANDING AND AGREEMENT
Ygle tamily residence
BUILDWG DEPARTMENT USE ONLY
r-1
~ See Pablfc Works review sheat
GK TM1l98
Walls : Roof : Stories :
~p aPiumbing license No :/kC q S
p ~ r Company :snlv
Expiration Date : p li,~ /9L
Approval: ~
Dnstruction Vatue : $195;000.00
Pemmutt Fee :
$972.00
Plan Revisw Fee :
$0.00
Use Tauc :
$2,340.00
Total:
$3,312.00
SIC
Sq. Ft. : 3065
ResidenUal Un+ts
Company :
Expiration Date :
Approvai :
0
1
No:
ynwt Ape cowraoo«m,yanar ea~re~•~•,~•^•,.
Mk aWwifzetl. b not cortn+encetl wkM ~ebA~/ (80) daYe hom Wue tl~ or (B) IM DuUdirq wtlaAZe1 A suepwideC or
mry ha aoqWrW fort he of one4ialf tlhe amouM WmWN womd. ~ ~~~~Nor aOSn~EOn
a mr w~for a t~w ~p~q «ewndonmmt has na exoeaw ona raer. . .
t ba peMp~mft ~rq . . . .
netlW llM rnlunl Ibw oF wabr cy. a draineaemd~MM Moeive wrqtM pp~l o~ kfpec~ wM
~ bMae
hreosdo~r pUxeMydwr (24) houis Inadvance for W fnweeftne .
iiwel~ddrawlnp and sPeoNkad°^s enen nat be a Pem* Im. nar an ePWOVO a, +^Y VWsuon oitha poNdone .
rne Iaw.Nlearre9uwon.
Fo Mayor ' CHIEF CALL~234-5953 24 HOURS PRIOR TO iId PECTION E~~ AND NIAYdR
DE°ARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : C4Z~S/96
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : MIGN~ L- - £RQLZk1~ I- QC~TS
Property Address Phone : 233 (,S°t'}-
Contractor License No. :
Company : Up.T1t-I C- CrJ.-*JV'y lr~S l0c-: Phone :~~-7 64c6
2-3Ut'~ ESTC-=S ST.
LPctcE . CO PrJZ lff
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
and do not violate appliwble 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 responsibiliN for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other appliwble Wheat f~idq ordin nces, f rk u der this pertnit.
(OWNER)(CONTRACTOR) SIGNED ATE~~go
Description : kiew II-11i
Construction Value : 'S iCcrl~
Permit Fee :
Plan Review Fee :
Use Tax:
Total :
BUILDING DEPARTMENT USE ONLY
Zortiq~"C3riirtlen~s~ rlAP SIC: Sq.Ft.:3o(v5
Approval
Zoning:
Buifding~Comments;]
Approval:
Pubiic'.Wb"FKs'-COmmeiits:? ~.zx~
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : L?A3 STi4iE:-plumbing License No : Mechanical License No :
Company : lJ-~WIv1~ EJL~r Company :nT1JZk1T Company :ME3:4StC4:j StJF:R!t- t41E1tA'
Expiration Date :3 )47 Expiration Date : Expiration Date :
9 YOan'W~quiredz _ v wlans°Req~7ired, ~M F~PCanS`Requiied
(1) This permit was issued in accortlance wilh the Drovisions sel forth in yopur application anC is subject to the laws of the State of Coloratlo and to the Zoning
Regulalions antl Builtling Code o1 VMeat Ritlge, Colo2do or any other appliwble oMinances of the Ciry.
(2) This permi[ shall expire d(A) the work authoriled is not commencetl within sinty (60) tlays from issue tlate or (B) the builtling authorizetl is suspended or
abandoned for a period of 120 daps.
(3) If Ihis permit ezpires, a new permit may be acquire0 for a fee ol one-half the amount normally required, provideC no changes have been or will be maae in the
original plans antl specifications antl any suspension or abantlonmeni has not exceeded one (1) year. If changes are made or it suspension or abantlonment
exceeds one (7) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be tlone that will change the natural flow of water causing a dreinage problem.
(5) ContractoyMall no6y the Builtling Inspector iwenty-four (24) hours in atlvance for alfriippections and shalt r iv ntten approval on inspection card before
(6) 4tie uan of a rmR or the ap oval o( awings and specifcations 5hai1 not ron~1(ued to be a
of t buil no m s or anv rthe rd 9ulation. ~1/ J
Building Inspector - For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSF
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
oC any violation of the provisions
AND MAYOR
DEPARTMENT OF PLANNING L DEVELOPMF:hP
REQUE9T FOR PUBLZC WORKB REVZEW
q~-
Date: Case/BUildiny Yermit No.
r,oaation: ~ 3 SC> ~k '~-L
Plea evlew the attached materials submitted in application for approval of
a , and indicate your decision on those items check
below, and please add any other comments which you may have under number 18.
1- Boundary Closure: OK _ Not OK; refer to 5cipulations
Z• _ Area: Acres Square Feec
3. ✓ Drainage:
a. Drainage plan (and report) needed
b. Drainage plan not needed X
C. Drainage provisions have been reviewed and are found to be:
_ OK _ Not OK; refer to stipulations
4. NPDES Permit Required Y G)
5. / Legal DescYiption: T OK Not OK; refer to stipulations
If ngt okay, please explain: Qr.~ Cs. C~.dicv i~l o1e~- ,e lene.l ..j)
6. Publie Improvements:none. ceW d e 1e} r~c}'a ~Q-~t- ~-c~oe~o~►~
a. Street pavinq needed Y b. Curb & Gutter needed Y
C. SideWalk needed Y~ d. Street Lights needed Y~
e. Storm Sewer needed Y f. Escrow required Y N
If Escrow required, for what improvements? In what amount?
7. ~ Development Agreement required Y ~
IP Yes, for
8. All necessary documents have been initiated by Public Works and are
attached hereto: 00vNE
9. ✓ =6 a traffic impact analysis and report required? Y ~
10. Is a State Highway Access Permit needed? Y O
11. r New roadway or alley R.O.W. dedication is recommended:` lo-
If yes, what is recommended:
12. All e ting dedicated roadways and alleys meet the standards of the
City:~o
IP o whic do not and wh t is requested:
~cl.o~n ~ 1++^0ro.,w%ns ~n~ ~e be ~lW.
13. -~~6A11 existing and proposed dedications have been reviewed and found tc
be: OK _Not OK; refer to numbers 11 & 12.
The Public Works Department has reviewed this request and
14. ApprFt'
hsre give i~ ap ~ val, subject to the above and/or attached
stip
Date
15. _ The Public Works Department has reviewed this request and does not
approve for the reasons stated:
signature
Date
16.- Stipulations attached:
Yes
No
17. ~/-DEADLINE DATE FOR PUBLIC
WORKS
DEPARTMENT
REP
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