HomeMy WebLinkAbout4725-4735 Nelson StreetI 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:'" ( 40000�:--
Job Address: -22S_/0 /,Sc/n 5 l
Permit Number: 20/'� G 1-200
❑ No one available for inspection: Time0.d6i A /P
Re -Inspection required: Yes e�2o
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE 1:
Building Inspection Division ►u
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M P`�
Job Address: -7,2 5 PEF%i ECT) f
Permit Number: 20 (901-7UU
❑ No one available for inspection: Time A PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: is ' 2-2' I Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201801700
PERMIT NO: 201801700 ISSUED: 06/12/2018
JOB ADDRESS: 4725 Nelson ST EXPIRES: 06/12/2019
JOB DESCRIPTION: Reroof for 4725-4735 Nelson Street Duplex.
Remove and install Owens Corning Duration Storm Asphalt Shingles with 25
squares. Pitch 5/12.
*** CONTACTS ***
OWNER ROBERT HEALD
SUB (303)898-7884 Larry Lawler 140003 Clear Creek Limited LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,000.00
FEES
Total Valuation 0.00
Use Tax 231.00
Permit Fee 220.15
** TOTAL ** 451.15
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
I, by my sin re do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable ildi codes, and all a plicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the 1 I own r of the property nd am authorized to obtain this permit and perform the work described and approved in conjunction with
this mit. I her attes{ that I a leally authorized to include all entities named within this document as parties to the work to be
per rme n at ork to performed is disclosed in this document and/ r its' a companying approved plans and specifications.
�%�//5
S�'gnatur of OWNFA or//CONTRACTOR (Circle one) Date
V. Thi permit was issued 1(>tased on the information provided in the permit application and accompanying plans and specifications and is
C s ject to the cgfnpliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2L,,.'Phispermit shill 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 ermit 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, an violation of any provision of any
ode
applicable ccor any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11159PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Roofing PERMIT -
201801700
PERMIT NO:
201801700
ISSUED:
06/12/2018
JOB ADDRESS:
4725 Nelson ST
EXPIRES:
06/12/2019
JOB DESCRIPTION:
Reroof for 4725-4735 Nelson Street
Duplex.
Remove and install Owens Corning Duration
Storm
Asphalt Shingles with 25
squares. Pitch 5/12.
I, by my sin re do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable ildi codes, and all a plicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the 1 I own r of the property nd am authorized to obtain this permit and perform the work described and approved in conjunction with
this mit. I her attes{ that I a leally authorized to include all entities named within this document as parties to the work to be
per rme n at ork to performed is disclosed in this document and/ r its' a companying approved plans and specifications.
�%�//5
S�'gnatur of OWNFA or//CONTRACTOR (Circle one) Date
V. Thi permit was issued 1(>tased on the information provided in the permit application and accompanying plans and specifications and is
C s ject to the cgfnpliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2L,,.'Phispermit shill 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 ermit 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, an violation of any provision of any
ode
applicable ccor any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11159PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Lagenla Keimer 1,L/ ` Q k -J 1 -7
From:
Sent
To:
Subject:
0 Categories:
no -reply@ ci.wheatridge.co.us
Monday, June 11, 2018 3:50 PM
CommDev Permits
Online Form Submittal: Residential Roofing Permit Application
Gina
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 Hail. Revisions to existing permits (for example, to add redscking) must be
completed in person at City Hall. All other non -roofing permits mast 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 Duplex -----
are on the property?
PROPERTY INFORMATION ),
Property Address 4725 Nelson Street
Property Owner Name Robert Heald
Property Owner Phone 720-470-7609
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
CONTRACTOR INFORMATION
Contractor Business Clear Creek Limited I
Name
Contractor's License 140003
Number (This is a 5 or 6 J
digit number for the City
of Wheat Ridge)
Contractor Phone
3038987884
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
8090 NEWMAN ST
(Primary address of your
business)
Contractor Email Address
clearcreeklimited@gmail.com
Retype Contractor Email
clearcreekiimited@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 25 sqs. ove existing roof material and replace with laminate
the entire scope of work:
Project Value (contract 11000.00
value or cost of ALL C
materials and labor)
Are you re -decking the ("' No �1
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that -
apply)
What is the specific pitc �5/12
of the PITCHED roof'?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof -
Owens Corning Duration Storm
Type of material for the Asphalt
PITCHED roof:
Provide any additional LDupte epair from hail.
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
3
owner of the prope
submit this applica
and to perform the
described above.
I attest that everytr
stated in this applic
is true and correct ;
that falsifying
information in this
application is an ac
fraud and may be
punishable by fine,
imprisonment, or b
Person Applying ft
Permit
INSPECTION RECORD Occupancv/T
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.
./ ,A / � i F "m i.-+n /1 /i 1?
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB S
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (EEG) Concrete
Encased Ground
Reinforcing or Monolithic
Roof
Weatherproof / French Drain
Building Final
Sewer Service Lines
Fire Department
Water Service Lines
R.O.W & Drainage
CONCRETE SLAB FLOOR
Electrical (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Electrical Service
Roof
Rough Electric
Building Final
Rough Plumbing
Fire Department
Gas Piping
R.O.W & Drainage
Rough Mechanical
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
e DVvM INQrMV I1UNZ IU 6G WI NCU YKIUK IU PKVG[GUINU
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"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
r-
Inspections will not be made unless this card is posted on the building site
L Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB �, �
FOUNDATION INSPECTIONS DATE I INSPECTOR I COMMENTS:
Stemwall / (CEG) Concrete
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR -
Electrical (Underground)
Plumbing (Underground)
INOT
Heating (Underground)
OUR FLO OR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
Parking & Landscaping
"NOTE: ALL ITEMS MUST
CERTIFICATE OF OCCUPAI
OCCUPANCY
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
.ANNING AND ZONING, B UILDING AND PUBLIC WORKS BEFORE A
CONSTITUTE AUTHORIZATION
IS ISSUED
E
Re- Inspection required: Yes �Nd
When corrections have been ma 4e cal( , o . {e -ir
11
Date: Inspector:
i+
y DO
ti
Inspection Type
Job Address
Permit Number
eGr➢
4M
116a!?
/t1dkn 5t,
O A, 4
r MO 1
L1a..�,�v
F„
a
F °
C:
E
" : City of Wheat Ridge
Residential Electric PERMIT - 110233
PERMIT NO: 110233 ISSUED: 03/10/2011
JOB ADDRESS: 4725 NELSON ST EXPIRES: 03/09/2012
DESCRIPTION: 100 amp service change- meter housing and main breaker assem
* ** CONTACTS * **
owner Jeffco Housing
sub 303/254 -8007 Kirby Johnson
06 -0170 Safe Light Electric, LLC
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0802
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,500.00
FEES
Permit Fee 60.50
Total Valuation .00
Use Tax 27.00 � k
** TOTAL ** 87.50 WT1
Conditions:
Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspections
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 beerformed and that all work to be performed is disclosed in
this document and /or itompanying approved plans and specnf ations
Signature of OWNER' or CONTRACTOR (Circle one) Date
I. 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 of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field ins ct'
QW
Signature o hi Building Offical Date
INSPECT ON REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Clt Y Of
COMMUN ['fY DEVELOPMENT . �
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
�ro�ettyAdtiressh �1� � j �`��SG?h
(P p rint ) : _ YQIn remit. Wt�r9/ I hhoone
Pro Owner lease ` � �a� Phone: .
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractors City License #: Phone: (3833as'cI °g00
Sub�Contractdrs
Electrical: , Plumbing: Mechanical:
City License # City License # City License #
N r
G( ri?-c� -e��r l- }cJ5tw5„ C+Yrtl- 'CIYr�7`P Contract Value:
C3 w
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps )04- Ft. $
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 pr on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal 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.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTAVE) of (OWNER) (CONTRACTOR)
PRINT NAME: f w5d hJ SIGNATURE: DATE: 11
IRE DEPARTMENT ' C] eppSoUed W/ Cor17ry1eatS%C] dlsapproVed ❑710 re lewglj�lred Bldg Valuation:
City of Wheat Ridge
]!?� � Residential Electric PERMIT - 110234
PERMIT NO: 110234 ISSUED: 03/10/2011
JOB ADDRESS: 4735 NELSON ST EXPIRES: 03/09/2012
DESCRIPTION: 100 amp service change- meter housing and main breaker assem
* ** CONTACTS * **
owner Jeffco Housing
sub 303/254 -8007 Kirby Johnson
06 -0170 Safe Light Electric, LLC
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: UA
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,500.00
FEES
Permit Fee 60.50�`s"✓��t
Total Valuation .00
Use Tax 27.00
** TOTAL ** 87.50
Conditions:
Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspections.
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 docume t s parties to the work to be performed and that all work to be performed is disclosed in
this document and its' acc / o / 9Yp ng approved plans and specifications.
Signature of OWNER or CObfTRACTOR (Circle one) Date Y
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 of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspe is .
Signature of i f it ding Offical Date
INSPECTI; REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Cit of
Y
heat �idge
COMMUNITY DEVELOPMENT
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
Pro�;erty Atldr�ss �/� j i1%ril bid.- 5�-•
Property Owner (please print): . , Xorsax (�0yn)l-y # ppg�7 �d� iv e � Phone
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractors City License #: Phone:
SPi b;Contrattbys3
Electrical: _ Plumbing: Mechanical:
City License # City License# City License #
bescrlptloxe# work» I ' n
Gtic� Yi7r� l�avvty arvvX �j��tyeD7- Contract Value: Bo
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps A rw Sq Ft. $
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal 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.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTAT E) of (OWNER) (CONTRACTOR)
PRINT NAME: t 1PaL 6" SIGNATURE: DATE: r3 – 9 — 2+Otl
zz ':: / z r .;ri/ ' ;.z ",r . . l ,s r- r '� r � ti.� ... 3 r✓ ,+v '; r ���✓
r r ✓. �/r /r/� r ✓?, pj r9y r .+ `-.lsn .yi'` r I,��rr� ✓/ r':� �� %r" wn, n„ ° �Yr �
S,zONiNG COMMENTS ,: 3 r / 'z'`a, •'` y r z ,, r C ../r � tri.��� .� nrl.L � i2 �e''r �s 1 ,oa'S"ra. ; ✓r r
; o ) ✓ZO�tlfl9✓ ,+rte' ri i �erca r' .d i� f s' u r" � % � ^Sr''a . fv / >„� / /r r G> r � r ,. f
r ' / iRZNe ' Wer !'!+r?� ✓ ✓ /^���r� ✓y " <� F C S a S lr °�' f �� f �"� rr2 � "p a� s 3 �rr�^ r�r y lfr' �u 7"i;
q �..r�`+. r/ � v-i- � u �"s � � r r� r r � roc �'wr£z✓v"T^e.': '= r l4cF' w 5^' } r' /
BUILDING DEPARTMENT COMMENTS ro / +� sy ,f � � , air /gQir``sriCs�asar�r�/�*�^ij %vzr rte a ✓rid � ✓ d '�Ya Cs
�✓ r^r r RevleWery %'� � z" � � rar" i r✓ / l /9 ["fir � z ✓t r ?^{. � / rC J v� r<*s a
✓ �'. r✓ CJ,rY '" t.'- 7,.rr✓' r' I'/ "r ✓�-r z e 2^'%u "a cl2 �... ,��''�iln > � dp L ? �.+' ,n �,i�r.r
�/✓ ✓ . ' S /O.✓a/„7 /' �^ ���� �'? ✓ >- r ✓ ����'r f o ^. r'SS,,Y li✓ /rr /�`I�F✓ �'. F.ryr! r�`i r r ."r;.
!.' R�% r^r .✓ 4 od sr>z 'Sw'��`i',.: ' y„'�PUP`"�ee .ti fr�}w _,,.} S
,-�.1 /s G ✓i' z I' �/ J �1 r r' a�> p��`� .�' :v' > ✓i �" � a, +,a r " c 2 yr
M ' ✓ r 3 ✓+, � .,, r `r ,> ?. +r r / r,,, r + a �` Z io- /z ✓ . a r i s"` r� . ? / ? f /
,, / ;..P r.,c ✓ ✓r r . � lj ! "r /S� la 5' e,v f r � r✓ J + mo w,.✓ /
,. r ,/✓/ st � ¢ ry r�r n ✓,/3 ., r -�'v Y�1`+"�+"�.,?.>7 v � + r e
UBLIC � a � vj ! y r ras r t ✓ 1f� ✓rr�
P WORKS COMMENTS ,; � Z / ✓ �' r''J' :// sz' r; v✓ �M r '�" r � rP / d r °U '" OCCUPANCY r a
t ✓ RBVIBW2r E �a �e� � �! r c Y ^ s r Tr ✓n"rn"r yb z f ✓3 6 l/ s ��� a+ ":
» FIRE DEPARTM�NT� )7 /pt�rylmeptSr C�1 da5ap)3roVed ❑ g9'1 Bldg Vdluation. $
CITY OF WHEAT RIDGE
�/j j o Building Inspection Division
/' (303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type 10,E — 7-'it
Job Address e17A5 s r
Permit Number IfcV
��r✓� ""fe�za � k'��Li�.�,� es a.€.. c r•.gF .s�l.',.��.�31sv^1 -"? � t =�1
Saar fz �cir sit s ✓tiffs of 12.7 a��
❑ No one available for inspection: Time AM/
r. Re- Inspection required:dY�es> No
k.
r`
when corrections have been made, call for re- inspection at 303 - 234 -5933
Date: < Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
�J (303) 234 -5933 Inspection line
(303) 235 -2855 Office'; (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type _///Rr 7.'W �� r
Job Address
permit Number
d� a Fe
f /ems
❑ No one available for inspection: Time a?% V� AM /1N
Re- Inspection required: (`� No
*When corrections have been made, call for re-inspection at 303-234-5933
Date: ,✓to Inspector -,�
DO NOT REMOVE THIS NOTICE
4' City of Wheat Ridge
Residential Mechanic PERMIT - 110213
PERMIT NO: 110213
JOB ADDRESS: 4725 NELSON ST
DESCRIPTION: Replace 75,000 btu furnace
ISSUED: 03/07/2011
EXPIRES: 03/06/2012
* ** CONTACTS * **
owner 303/403 -5431 Jeffco Housing
sub 303/421 -5525 Thomas D'Agostino
08 -0274 Cardom Plumbing & Heating
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION:__ - 0802
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: .1.,280.00
FEES
Permit Fee ..40.00
- Total - Valuation - -- Use Tax
** TOTAL **
23.04
63.04
Conditions:
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. Subject to field inspections.
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',agcompapying approved plans and specificatipns.
Sig
nature of OWNER or CON TOR
9 (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 of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field ' s 'on.
Signatu I
of ief Building Offical Date
INSP CTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
pe
eity of
( Wheat id g..
C01MMUNITY DF.VF1.01PMENT
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
Date:
Plan #
Permit #
Property Owner (please print) Sb`y) C PVX !�!!v3) I1-J4 Phone: 3 03 yb3' S 43)
Mailing Address: (if different than property address)
Address: 7� u o W t) � / VA
City, State, Zip: ^ 1 ` G � � p173
Go taet ' : l q h) -d I' � J
Contractors City License #:
SutlCtinttl¢toGS
Electrical:
City License #
Descrt ttonwor
��P �C� zJrrvkLQ
y 00
Squares BTU's / Gallons _ Amps Sq Ft. L
Contract I�alue:
S ) 1 a��v
Review Fee (due at time of submittal):
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate mid 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal 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.
CIRCLE ONE ( OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NADIE: q� S ila - j 6 s ;u SIGNATURE:
-., .....,a .. ............ _._— .,,_.._. w...�.�...�..,. .,,_,.< ,...
DEPARTMENT USE ONLY
ZQN7NG�COMMENTS:
BUILDING DEPARTMENT COMMENTS:
Reviewer
PUBLIC WORKS COMMENTS: OCCUPANCY:
Reviewer:
FIRE DEPARTMENT:: ❑ approved wl comments ❑ disapproved ❑ no review required Bldg Valuation: $
Phone: J h� _✓ ` I a )y
Plumbing: Mechanical:
City License # City License #
SUB - CONTRACTOR AUTHORIZATION FORM
Project Address: 4 _ S 1%)B aw St Permit #:
General Contractor:
I_Electri Contractor
Company Name:
State License #:
Signature of Authorized Agent
Date
Plum Co
Company Name:
State License #:
Wheat Ridge License #:
Phone #:
Master #:
Phone #:
Master #:
Signature of Authorized Agent
Date
I Mechanical Contractor I
Company Name: <.c� rd
Wheat Ridge License #:
Phone:
Signature of Authckized Agent Date
*This application must be signed by each sub - contractor confirming the same.
♦ 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: 57-
Permit Number: 3
❑ No one available for inspection: Time .SG AM4
Re- Inspection required: Yes No
When corrections have been made, cafl for re inspection at 303 -234 - 5933
Date: ?,11711c> Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD OccupancylTVpe
°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.
"f ,r
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
s
s`
rs.
- FOUNDATION INSPECTIONS DATE INSPECTOR C
COMMENTS:
Footings /Caissons
'. 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
l
Electrical ;(Undergrouhd)
" Plumbmg'(Underground)
Heating (Underground)
e ' rAn Nnr Pnno Frnno Ylerrn nonv� u.:. o ... c.,.... -..
$ tie tric y;. ll'tie ervice
Sectric bing
m g
rG
Insulation
Drywall Screw �.
i
FINALS
Electrical
Plumbing
Mechanical
Roof Y117 in
Building Final
Fire Department
R.O.W &Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking $ Landscaping '`. SHOULD 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
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
t
♦ 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: Fn119%L, 110
Job Address:
Permit Number:
/o nn Ao. r
No one available for inspection: Time /9: -90 AMV
Re- Inspection required: es No
When corrections have been made, call for re- inspection at 303 -234 -5933
Date: 3 -/® -1/59 inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /si7Z~G~t~6=
Job Address: V72S - O°734
Permit Number: s~C33S3
t
i
f
t
t ❑ No one available for inspection: Time 1 e ~PM
f
Re-Inspection required: Yes (No_
When corrections have been made, call for re-inspection at 303-234-5933
Date: 7/1_o Inspector: DO NOT REMOVE THIS NOTICE
of "'"E?T~, City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-235-2857
oo<oano° Inspection Line: 303-234-5933
Building Permit(` Application
Property Owner (please
Mailing Address: (if different than property address)
Address: --7 Ll Q i , I, , 1 L /ice `-[::h
State, Zip:
MtraIr: _sI,J6~ ~ri`I~~1
Date:
Plan
Permit /U
le: ,-5 C)-.-J ° .
U->f L 4
Contractor License Phone: -7'ab _'3 Z-1 - " -7 'j
NO) NIB Yra~cto s:
Electrical City License
Company: d) /
Plumbing City License Mechanical City License
Company ~A (A Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./LFt added: D~( Squares 26L 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, 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:: OWNER NTRACTOR or PERSONAL REPRESENTATIVE of OWNER CONT TOR
PRINT NAME: t SIGNATURE: IP/.s~J//l2fe p~ Date:
z -N -loo
X
C C r.
u
W ~ z "no
N C N
cc ~ V N
C o m
w oS•
= Q ~`'1 U
L3j„ C tg O
O r M N
f-'v 1~
U 'S o N
m ~o
`
-14
W
U
O
Z
Z
O
f-
U
W
a
N
Z
d i
G d
H r
o z
Y ~
Q E
d
= a
N
N
v
v
Q
a
0
~
~
M
~
~
~E i
V
N
d
M
Q
ry
t
O
v
r
C
~
o
R
C
~
~
Z
V
~
aP
a
O
n
a
N
c
~
C
d
~
c
S
o
-0
'
a)
~
3
cr
~
L
(6
C
\
co
0
u
~
C
o
N
a
y
O
n
J
z
CD
~
2
.
~
(
I
iY.
x
L"L
W
~ N C N
0 > O no
~ 0 V N
~ Gl v1
Q ~ y M
W
= ac~ c~i
M~
LL C t? O
0 ol LO
Y = N N
F~^LO
U•~ ~c`~v
m ~o
m
W
U
1"'
z
Z
0
U
W
a
N
Z
~ L
G ~
£
~
o z
-5 YG
d G
O. i
N d
~ a
N
d
v
a
¢
n
0
~
a
~
Q
N
~
C
O
U
(D
{1
~
C
O
a)
~
~
co
N
C
O
0
z
❑
co
}
-o
~
~
Q
~
C
0
U
~
a
~
C
a~
~
~
~
~
~
Q
~
N
M
0
M
m
0
u
d
N
C
~
s
U
a
E
c
W
a
~
z
C
O
~
U
e
m
3
~
O
U
a~
d
N
C
~
r.
N
m
0
. , ~ . . . . . .
. ~ . ' ry ' • . .
~.+~s.~ 1'~ , scel~ant+et)us F~~l~`~' -
VkItMIT 00: 080321"" FSS'UEbp 04/14/,2$68,'
'46b W5BR8S54725'NSZSOtC`3T ~ 87CPTRES: 10I07I2008
"~sCiRTPTZON; .F"uYnace rep;.acement . „ _
y . . . . ,
~
CoNTAJCTB ik.4• .
c~iriex 303/422•$6SJ0 Jeffco Hausing AuEho JeEfcG HouaSi~g F~t}sc~*iCy
303/981-2161 Jesse Lanyon 01-7835 Blue Sky P2iialbing .
• _ . . _ . .
, ik PARCEL INPp
~~Nfi"4~DE : ' UA . USE : 01i
oa:ao BLOCx>zoT#: o/
.
85TYriIA'TED PROJECT VALUA'PZON: . .1.238.00
. . . . . . FEES . . . , . ,
, ;~erthf t Pee , 62,31 46tai Valuation .00
' liBeTa,X ' . 22.28. . . , . .
T(67Tpy 84.59 {
,~F her¢6y ceE'iify thpt Nhe•eeCh~YCk distances pTG{wtad yY ttua PesmitappFica,tion ase aCCLLrate, and ilo:.mt vioYa;e app4ieablp
aMdinanezs, nalee Or m4+?katiunti,o[the City of Wheat RSdge oY co'venanEe; easamrente orreetzict4ane of zacarditiuC all .,~Agurpmerts Ohown, atW al3eghC0.eae.made are aceurate; that I.have read antl agree to aDide by all cGrniitione.pzinted oa Utip~~~.appllcaEial,aAd Chat I'"8wne fltl.l"seePOneibility for compliance with the.vihentAidge Building Cade...(I.H.C) a:W.sil otn,er„yIla siheat R i ee,, or WrkuxMer thie.permit. Plene subject to fleld inepectioC.
'019aeura o c,4n ae . bwnes " . . . flate . _ . . . . ' .
15. 'Thys peyiaip vss SBRUeddn hcCOrdance wltti. khe pxwieione aet £orth 1n your appllcxtion and Se eaCject to the laMF p$ t3ab
&£ate O!'Ctilo1"ado 2ltd'EO Cl16 9m111g.ite9ulatione and' SuilCing Cpdee of. Wheat Rldge, ColotaHO or dny" oChez npp11c8L3e
o'tdinaacesoP Che Clty: , . . . " .
2hia pernip.ariall ercpiYe 380 days from theieeue date. Reques[s Eor an extenalon must be received pr3or to expizatloa .
daGB, ~ext"RFgp way be grante8 at the dtncretion ot Che eu#181ng DEficial. If this.perm7,t ex4ftzr6; a neW peimtt may tieacquiiedfor a Eae;of one-half the 8mountnormally repuf.red, pxovided AC .
, chan9es hdve b$Cn'aX`Kili be! made in Che or191na1 plane awd epkclficatione azu1 anY euaPensSdn.OraUanOonuienC tfa8 ao5,.
eXqqedai osye (1) y#4~,'.~-tE;changse have boCn or,iC suepene4on qs.abandtlnment exceGde.one (1) yeaY, CU11 Eele'etLaIl'
?}r
ba padd Ear a ibw ppaRtt. , : a• . . , .
"c NO vork of any emntrAx eriall be done triat wvll change the natural Elow oF Water caueiag a 8iainage pmDlem.
" S.~j..CbntYaeton.stAli IkQE1fy 6hm Butlding.Inepector twenty-Eour (24) .Fioure Sp advanepfar all inspecti<uss and ohall raceiva~ .
"~...WSCten approvail da StwgaCtion card befare yroeeedtng with sucCeeeive phaeea of the.job. ~4;+'ltieSamusiice of a pe,zirtiC 'or Yhd approval ofdrawinge and epeciSicaEiohe 8lia11 not be.conatYtYed Wbt 8 Vetq3t toY, nt3Y.''eki approvql' Cf„ any; \?,sGimri of .x31e BroviaSOne.. of the building codee pr arly other ordinance, laK, rule or:regulaeimn{°
All plan revie t to £ic,ld inepectione. . . , .
, ,Sig6uituro o£, catii ottlciaX. . . date _ , . . .
E~~SP~'."PIOl7 8#3iT8$T':I+2N%: (303)734-5933 gUILD12SG OFFTCPs: (303)235-2865
Mt7ST ffS, MAD`k' 8'Y 38M ANY. SUSINFSS DAY FORFAf9PECTI.ON THS FOLL4>mZ4'tG BUSIgIFSS AA7t. .
. . - . . .
R > . . . . . . . . . . .
2
64/10/2008 15:51 3034240495 BLUE SKY PLUMBING
City of Wheat Ridge Buildiag Divfsion
7500 W. 29th Ave., Wheat Ridge, CO 80033
~ . ~
° Office: 303-235-2855 " Fax: 303-235-2857
Inspection Line: 303-234-5933
~coaao
Property Address; '-T
Property Owner (please I
Building Permit Application
Mailing Address; (if dilfereni than property address)
Address:
Contra¢tar'
Srtb Gontraotors:
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
E)cp. Date:
ny~
Use of spaGe (description):
Description of work:
Sq. FtJL.Ft added: Sauares BTU's
PAGE 01
City License 03 -qt'~;
Date: 'A I *T:
ConstructionVal6e: E 41'" ~
(as caleulatetl oerM~ SuildinA valuation Data sheeB
pian Reviaw (due 411 fiMe o( submtttap:
oallons AT'PS
CyyNEpjCON7RACTOR SIGNATURE OF UNDERSTANPING AND A6REEMENT
I nereby certTy that the setbBcK dlstances proposeC by this permM1 applwatlon arB I
sWd
rvles or regulations ai the cKY °t Vvbeet Rldge or cwenaMs, aasements or re
eesponslbilitmy fore ormPlian e wlth tho Nhave lheat Ritlpetl8u9iid ~ Cof1e (I 6.C) a a I~o
unaer this permit, Plans subJect to tleid inspeelion.
ClRLCE ONE:: (OwNER) C~ or PERSONAI R ESeN
SIGNATURE:
pWNT NAME:
ZONING COMMEN73:
Zoning:
Reviewer:
PUBLIC WORKS COMMEN75:
Reviewer:
BUIIPINGDEFARTN1EroT CAMMENT3:
RaNewer'
- ordinences,
• shown,and
I assume full
ces. frn work
(CONTRATOR)
- - bate: "
' gld Va1tlaUOn: a„~-
FIREOEPARTMEM:: daOPro~'~-'dW/COmmBfit9`O.di36dpmVCd C7.no.RiawrEqu1red~
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15859
BUILDING IN8PECTION LINE -(303-254-5933) Date : 7/15/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: JEFFCO HOUSING AUTHORITY
Property Address : 4725-35 NELSON ST
Contractor License No. : 20745
Phone : 422-8600
Company : H& F SERVICES Phone : 2713942
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy lhal the setback dislances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or re9ulalions of the City of W heat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurete; 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 Wh~ea~t,Ridge ordinan s, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE 7
Description : SIDING
Construction Value :
Permit Fee :
Use Tax : $0.00
Total: $0.00
Use :
BUILDING DEPARTMENT USE ONLY
Zoning Col~]T~e~xs:, SIC : Sq. Ft. :
Approval :
Zoning :
Buifd4~9 ~O;~C.imer~M1
Approval :
P~h1i~~1No'rl~Cc
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company:
Expiration Date :
Approval :
(1) This pertnit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloredo and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any ather applicable ordinancas 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 Denod of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normalry required, provided no changes have been or will be made in the
original plans and specifications antl any suspension or abandonment has not exceeded one (1) yeac If changes are made or if suspension or a6andonment
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 pmblem.
(5) Contraclot shall notiy the Building Inspeclor twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
pmceediin with suaessive phases of the job.
(8) The iss of a r the aDProval of drawings and specifcations shall not be consWed lo be a permit for, nor an approval of, any vioiation of the
p s t/Ccodas or any other ordinance, law, rule or re9ulation.
•
Chief Building I pector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMEtiT Building Permit Number.
v+'+Fa
BtiILDINGItiSPECTIONLInE-303-234-5933 Date:
r= °c CITY OF WHEAT RIDGE
(u m 7500 WEST 29TH AVENUE
WHEAT RIDCE, CO 80215 - (303-235-2855)
~CGRPC~
ApPLrcATIbN
,
PropertyOwner:JCNA J-tZ~`1=.Co- i?~- 1~s:efo,C,;r
Property Address: "125y 73 Phone Z z-%s
Contractor License No._
Company: 0s, r S1-_2vic(3 Phone: ;~".5 -~-97 /SyS
ONk'N ER/COSTRACTOR SIGNATI'RE OF URDERSTASDINC A%D ACREEMENT
I hcrcby cenify that the sctback distances proposed by this pcrmiI application arc accurate,
and do not violatz applicable ordinances, rulcs or rcgulations of the City o(\1'hcat Ridge or
corcnanis, easemrnts or restnctions of record; that ail measu¢meots shown, and allegations
made are a<curate; that I have read and agrcc to abidc by all mnditions pnnted on [his
applicalion and ihat I assume full respon5ibility for compliance with the Wheai Ridge
6uilding Code (U.Q.C) and all other appiicabie Wheat Ridge dinanccs, for work under
this permit.
(ON'0'HRxCOMRACTOR):9Gi1'ED DATH - LIO-~
(ON'SERHCOVTRACI'OR).PRIN'fED GC./A`7^C M~✓I.~DATE 7/SL.~3
DESCRIPTION: S 1 D i i`'r-
Construction ValueS
Permit Fee:$
Plan Review Fee:S
Use Tax:$
Total:$
BU[LDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
20NIN6 COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiwtion Date: Expiration Date: Expira[ion Date:
Approval: Approval: Approval:
(1) 7liis pcmiil xas ismed in accordance with ihe pmrisions set foM in wur application and is subjat in the law s of the Suie ofColondo and athe Zmiing
Regulmions and Buiiding Codes of N'heat Ridga CobnJo or any other applicabk ordinance> of tlm Ciry.
(2) This pemiit shall ezplre if(A) tli<uork awhorized is not commrnccd xahin sinry(GO) dan Gom issuc da¢ or (6) thc building authonz<d is suspmidad or
abandoned 6r a p<nod of 120 days.
(3) If Ihis permit cxpires, a n<u pemiit may be acquired for a ftt ofonohal( LM1e amounl nomially reqvired, procidcd no changcs have been or will be madc
in Lh< onginal plans and spttiGntions and any suspension or abandonmrnt has not eeceed<d on< (i) yeao If changes hare been or if suspcnsion or
abandonmmt ezcttds one (I) year, full fees shall be paid for a new permit.
(1) No w'ork of any manner shall bc done ihrt will change tl¢ nawnl Oow o(wa(er cauving a dninagc probl<m.
(S) Cono-acror shall notify [he Building Inspecmr M'enry-four (24) hours in advance (or aIl inspections and shall receivc wduen approral on inspection card
be(ore proceeding wiLh successive phues of the job.
(6) The iuuance of a permit or tM1e apProval o( Mwings and spetifitaUOnt shall no1 be conshued io b< a pertnit for, mt an appmral of, any violation of thc
pmcisiws of the building cod<s or any olher ordinanm, law, rvle or rcgulation.
Chief Building Inspector