HomeMy WebLinkAbout3710 Parfet StreetU
EION
INECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
rwcm ( 0— INSPECTION REQUEST LINE: (303) 234-5933
Occuuar., - / 7 e
1 -6 f'L� �� __
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Insnections
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To ADnroval Of The Above Insnectinns
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
7 f
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
%
Final Window/Doors
Final Building
NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For iow voltage permits — mease be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
" ., City of Wheat Ridge
Residential Roofing PERMIT - 201702909
PERMIT NO: 201702909 ISSUED: 06/29/2017
JOB ADDRESS: 3159 Vivian ST EXPIRES: 06/29/2018
JOB DESCRIPTION: Redeck & Re -roof to install Certainteed Laminated Shingles asphalt shingles
- 37 squares
*** CONTACTS ***
DWNER (303)233-3173 ZIMMERMAN BILL
3UB (303)234-1539 S.Kowalski/M.Kowalsk 017246 Any Weather Roofing, Inc.
`** PARCEL INFO ***
'ONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,600.00
FEES
'otal Valuation 0.00
Ise Tax 327.60
lermit Fee 204.30
* TOTAL ** 531.90
** COMMENTS ***
** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A1/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
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 manufacturera€rms 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's 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.
►' City of Wheat Ridge
J
Commercial Roofing PERMIT - 201702843
PERMIT NO: 201702843 ISSUED: 06/29/2017
JOB ADDRESS: 3710 Parfet ST EXPIRES: 06/29/2018
JOB DESCRIPTION: Reroof with asphalt shingles; OC Duration; 55 squares
*** CONTACTS ***
OWNER (303)420-6420 BEVERLY THYGESIN
SUB (303)777-0333 Ron Tutton 021585 Homestreet Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,800.00
FEES
Total Valuation 0.00 -
Use Tax 352.80
Permit Fee 315.25
** TOTAL ** 668.05 _--_-
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, a
letter of inspection and approval from the manufacturer's 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. 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) requires an approved inspection prior to installation of
ANY roof coverings and is require on the entire roof when spaced or board sheathing with
ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof
deck with a minimum of 6 nails per shingle. 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&erms installation
instructions, whichever is more stringent.
' City of Wheat Ridge
Commercial Roofing PERMIT - 201702843
PERMIT NO: 201702843 ISSUED: 06/29/2017
JOB ADDRESS: 3710 Parfet ST EXPIRES: 06/29/2018
JOB DESCRIPTION: Reroof with asphalt shingles; OC Duration; 55 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
appllicabble building codes, and all a licable munici al codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the properly a dam au ed b obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I leg�ally au sized to include all entities named within this document as partes to the workto be
performed and that all work to _erto% d di ed In in this document and/or its' accompanying approved plans and specifications.
Signature of OWN1 R or CbN f ACTOR (Cdrele 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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Bing Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
Wheat j�iclge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(@cimheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # A�3 ���JJJ���
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner (please
Property Owner Email:
Mailing Address: (if different than property address)
Address:
Citv. State. Zi
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor:
Phone:
Contractors City License #: (� ��� Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Phone:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE❑ ECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE .J -J COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
�2 C ti�V . C00
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 1 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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE:
(OWNER) (CONTRACTOR)
Electronic Signature (first and last name):
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
ER) (CONTRACTOR)
DEPARTMENT USE ONLY
DATE:
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
I* � I 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: �\ i p
Job Address: --S -71 b Q t
Permit Number: b!? 0 N -
❑ No one available for inspection: Time / ' AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
r �
Date:' -7. Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: O r—
Job Address: 3D 10 PAL6 L T S7
Permit Number: 2—,-,> 1 "% �Z -214
Ll No one available for ins ection: Time (J`� AM/ M
Re -Inspection required: Ye)No
When corrections have been ade, call for re -inspection at 303-234-5933
Date: ,, �Q Inspector: Irl
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 0011 -0 -
Job Address: iO WrC T ST
Permit Number: Zol --) OZ �9H 3
❑ No one available for inspectio L Time 0`171,6 AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: -7/1
03 -234 -Date:%
7—Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancy /Type
INSPECTION LINE: (303) 234 -5933
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
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.
g
-
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
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
.Electrical (Underground) '..
-
Plumbing (Underground)
Heating (Underground)
ROUGHS
g
-
ll tie
l Service
Rmec hanicai
lectric
lumbingg
echanical
ABOVE
INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
-
Insulation
Drywall Screw
FINALS
Electrical
-
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUBLIC 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
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
♦ i CITY OF WHEAT RIDGE
f (3 uilding Inspection Division
(303) 234 -5933 Inspection line
03) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: P�
Job Address: 3 7167 57`
Permit Number: /&7/1 g?
�draf�
❑ No one available for inspection: Time ✓ MEW-
Re-inspection required: Yes No
When corrections have been made, call for re- inspection at 303 -234 -5933
Date: Inspector:
pi
DO NOT REMOVE THIS NOTICE
c
City of
Wheatldge Date:
COMMUN [TY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit #
7500 W. 29th Ave., Wheat Ridge; CO 80033
Office: 303-235-2855 . Fax; 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
PropertyAddress'=/aYnr f CM[175 ~i Llr
Property Owner (please print): Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: n b Gvr~'/GV N t L
Contractors City License /0 t1) C Phone: 3o3 S jrr ®3 S o
Sub'_Contractors
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Descrttr~tlon'iof uncork--
Contract
G,' 5 / - V zlo-7 ol4le
Squares d BTU's Review Fee (due at time of submittal):
( t <Gallons_Amps SgFt. $
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) orL~ UTHORIZED REPRESENTATI P of (OWNER) { NTRACTOR
PRINT NAME: A nI , [stAl!'P//SIGNATURE• DATE:
Jr2 / f r✓ r z
DEPARTM USE ONL', N r s'
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City of Wheat Ridge
Building Permit Submittal List
The following items are required for the single- or two farnily building permit submittal for the property located at
. If any of the required items are not included in the submittal, the submittal will be considered incomplete and
returned immediately without review.
This sheet must be st signifying that it has been
included. rr
Review Required by: V -
IoneU
SUBMITTAL DOCUII P ENlAC~nRArr
Plans: mma ° zwc
gre1larl in -
❑ Three (3) full-size
(Contents of plans de SWlb ill 'rte..
so
NortAem C+91rRd ady
❑ Three (3) stampe a cmr„
❑ Three (3) copies t ° S°u Gent. Gbnado ckma% zonos
SouMem A
❑ One (1) copy of a
DOCUMENTATION: blu
❑ One (1) complete 14"IpA571tEp.
❑One(1)property LA 6110 WA17SLIDERViNYL
❑ One (1) certified : 9116-CLAP
National Fenestration AIR FILL
El Proof of utility aw -~~RatingCouncile LOE.f14
❑ One (1) building I M " l MEMN"Jo11Le19 77LCt /0416/1716-226
❑ One Grade/Fill p ENERGYPERF RMANCERATINGS
EVALUATION DES PROPRIETES ENERGETIQUES
U-F r/JJJ(((aaale Fu Solar HeatGain(oeffiderrt
The following items 11 Coe(fi degalt de rsolaire rte property located at
returned immediate ( I~'di ~+~y,,~~~/ re considered incomplete and
i
(U.S./I-P) (SO
If you had apre-, ADDITIONAL PERFORMANCE RATINGS is sheet must be submitted with
the bu
Holing permit,
i EVALUATION SUPPLEMENTAIRE DES PROPRIETES ;d.
nce/ on visible AirLeakage/IgfiJti.n
Visible TranD.5-7
Review Required b SUBMITTAL DOCI
Plans: (U.S./I-P)
(SI)
❑ Four (4) full-sir: Manufadurefstipulatesthattheseratingsconform toapplicableNFRCproceduresfordetenniningwhole
(Contents of plans Productperformance.NFRClatngsaredeterminedforafixedsetofenvironmentalcondiVonsandaspecific
El Two (2) copies ayspecificuse.Consultmanufacturer'slitany erra product d rproductperformancelinformation.www.nfrc.org
OR
Two.(2)copies Selonlefabriantcescotes; sent confmmesauxprocedures applicablesduNFRCservantaetablirle
❑Two (2)copies Rendementglobal du produit Les cotesdu NFRCsonteabliesselon les conditions environnementales et
Des dimensions de produftspecifiques. NFRC ne reommande aumn produits et ne garantitaucun Produits
17 Two (2) copies clans leursapplications etrewmmandationsdInstallations.Consultezialitterature duManufaduderpour
OR delinformationsurlarendementdetoutautre rodultwww.nfrcorg
Two(2)copies This fenestration product has been certifiedbythemanufacturertomeettheairinfiltration
requirements of Section 116(a)1.,1992 California Energy Standards
DOCUMENTATIC
❑ One (1) completed building permit application.
❑ One (1) property deed.
❑ One (1) certified survey or improvement Location Certificate.
❑ Proof of utility availability (form provided by city).
❑ One (1) building permit submittal list.
❑ One Grade/Fill permit.
INSPECTMW PMORW + OccupanGy/TVpe
Sheathing
Lath / Wall tie
'INSPECTION LINE: (303) 234 -5933
Mid -Roof 112 , _,,!2
Inspections will not be made unless this card is posted on the building site
Electrical Service
Call by 3:00 PM to receive inspection the following business day.
Rough Plumbing
d
Gas Piping
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
Rough Mechanical
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INnIALB
COMMENTS:
Footings /Caissons
Stemwall /(CEG)Concrete
;
Encased Ground
Reinforcing or Monolithic
;
Weatherproof / French Drain
Sewer Service Lines
- -
Water Service Lines
-y
POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CRETE SLAB FLOOR
[ Elec trical
(Underground)
Plumbing (Underground)
Heating (Underground)
vv Iwl rUUK rLUUK un I IL AbUVL NAJ 6tLN JIGNLU +. 1 % ,
ROUGHS
Sheathing
Lath / Wall tie
- --
Mid -Roof 112 , _,,!2
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
-
Framing
Insulation
Drywall Screw
FINALS
Electrical
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping I I I 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
a.
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: oc~~
Job Address: 3711)
Permit Number: Ih~~ '2, f7
❑ No one available for inspection- Time AM PM
Re-Inspection required: Yes P
'When corrections rhave been made, call fordrre-inspection at 303-234-5933
Date:/ P~'CJq Inspector: I~ia R o
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /V /w f20 0
l
Job Address: ?7>0
~e~f; Sf
Permit Number: L' 3S
rT~~/zIJ✓e~
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes -No-
*When corrections have been made, call for re-inspection at 303-234-5933
Date: %2 - /6 - 0 9 Inspector: IRV
DO NOT REMOVE THIS NOTICE
Citv of Wheat Ridge
an approval f., any violation of the provisions of the building codes or any :other ordinance, law, rule or regulation.
r: A11': a re w is subject to field inspections.
Sign at e o ChiefBuilding Official date
INS ECTION 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,
x
joF""E?rp City of Wheat Ridge Building Division
'y 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
cOroRao° Inspection Line: 303-234-5933
Building Permit Application
Date:
Plan
Permit
Property Address; /
Property Owner (please print): ,~"~/✓~P jr~ rid 1 Phone: ,r ~
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: %~jtrvDs? ~ry
Contractor License
Sub Contractors:
Electrical City License
Company:
Phone:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
Description of work: (as calculated per the Building Valuation Data sheet)
A644- I Plan Review (due at time of submittal): $
Sq. Ft./LFt added: Squares ~ BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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:: 7(011F
) (CO RACTO or PERSONAL REPRESENTA: VE of (OWNER)C RATOR)
PRINT NAME:
XJ- 6✓tS'~`f.- SIGNATURE: //t< /sue ._-sue Date: 25
._~Yd-~/,. 3'c
Bldg Valuation:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (803-234-5933)
CITY OF WHEAT RIDGE f
7500 WEST 29TH AVENUE y
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: BEVERLY THYGESIN
Property Address : 3710 PARFET ST
Phone : 420-6420
Contractor License No. : 21766
Company : Mascarenas Enterprises Inc. Phone :(720) 329-6453
OW NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify thal the setback distances proposed by this permit appliration are accurate, and
do not violate applicable ordinances, mles or regulations of the City of W heat Ridge or
covenants, easements or reshictions of record; that all measuremenis shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
applicatlon, and lhat I assume full resp ility for compliance with the Wheat Ridge Building
Code (U.B.CJ and all other applicable he t Ridg ances, for work under this pe~rm/it.^0(OWNER)(CONTRACTOR)SIGNED_ DATEj~ / U!
Construction Value :
$6,920.00
Permit Fee :
$181.10
Plan Review Fee :
$0.00
Use Tax :
$83.04
Total:
$264.14
Use :
Description : TEAR OFF OLD SHINGLES - REPLACE BAD PLYWOOD. INSTALL 30# FELT AN 3-TABS
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
APProval :
Zoning :
O_ W
Approval :
r.,
~
sairmw_wswl
Approval :
Walls : Roof : Stories : Residential Units :
Occupancy:
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date ExPiration Date : Expiration Date :
:
Approval : Approval : Approval :
(1) This permit was issued in accordance with the provisions set forlh in yopur appliwlion and is subject to the laws of the State of Colorado and to ihe Zoning
Re9ulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances ot the City.
(2) This permit shall enpire if (A) the work authorized is not commenced within sixry (80) tlays from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days. the (3) If Nis pertnit expires, a new permit may be acquired for a fee of one-half the amount normally reQUired, pro„ ^9 s are made oa f suspension'IOr~abamade ndonme t
onginal plans and specifications and any suspension or abandonment has not exceeded one (1) yea
ezceeds one (1) year, full (ees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow o(water causing a drainage problem.
(5) ContracWr shall noGfy the Building Inspedor lwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
prpceetliin8 with successive phases of the job.
(6) The I i ce of a per it or the approval of drawings antl sDecifications shall not be consiruad to be a permit for, nor an approval of, any violation o t e
on o g codes or any other ordinance, law, rule or regulalion.
7'~- -
Chief Building spector
Please sign Terms and Conditions on reverse side of page.
Building Permit Number : 76485
Date : 11/7/2003
W~Eq COMMIJNITY DEVELOP6SENT DEPARTMENT
, o~ r 9 BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
V 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
~oc oa rv°
~~~~ICATION
PropertyOwner: L°%/etl_
Property Address: 3-)/0 Contractor License K'o.: ~~Gj(p T
Company:
ONVnER/CONTIiACTOR SIGRATURE OF UNDERSTANDING aND AGREEMERT
1 hereby ccrti(y that the setback dismnca proposed by lhis pertnil application are accurate,
and do not violate applicable ordinanca, rula or regula[ions of the Ciry o! Whtat Ridge or
covrnanu, eascmcnts or rcstrictions o(rccord; that all meazurcmcnts shown, and allcgations
made arc accurete; that 1 havc read and agrce to abide by all conditions printed on this
appliwtion and that I assume full responsibility for compliancc with the Wheat Ridgc
Building Code (U.B.C) and all o[her applicable N'hwt Ridge Ordinances, for work under
Ihis permil .
JONTERHCONTRACTORySIGKED DATE
(ONTERHCOTTRACTOR).
Building Permit Number:
Date:
Phone : ~1Z(~j- ~e~92e)
Phone:
Construction Value:$ ipp24.'~~
Permit Fee:$ ~
Plan Review Fee:$
Use Tax:$
T0t8l:$
DESCRIPTIOn: -WAQ
4_~
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONIN6 COMMENTE:
Approval:
Zoning:
BUILDIN6 COMMENTS:
Approval:
PUSIIG WORKS COMMENT3:
Approval:
Occupancy: Walls: Roof: Stories: Residentiallinits:
Electrical License No: Plumbing License No: Mechanical Licease No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(7) Thu pe+mit uss issued in accordaMe witA the provisions sn foM in your applicauw md a subjat w the laws of the Staw of Cobndo and W the 7oning
ftcgulations aid BuiWing Codes of Whem Ridge, Cobndo or any oUi<r applicabk ordinanca of the Ciry.
This permil shall sxpirt if(A) the work authorizrA is not commenccd withm sixry (60) dny5 from iuue dau or (B) the building auNOriz<d is susyended or
abandoned fm a penod of 120 days.
(3) If this permh n.pires, a new pemiit may be acquimd for a fec of onehalf the amoum nonnally requimd pro.ide-0 no changes ha.< been or xill be made
in the original plans and spaifications md any suspension m abandonment hu nd enceeded one (I) year. If changes Nv< bcen or if susyension or
abmdonmrn, enceeds oM (1) yeu, full fns shall be paid fw a new pnmiL
(4) No work of any mannn shill be dame tha1 will change the mNnl ibw o( walcr causing a Mimagc probkm.
(5) ConCnebr shall mtify the BuiWing InsyeOOr iwrnry-four (20) hours in advince fm dl insytttlons aod shail receirs wnlun appmval on inspecuon card
befort proceeding widh sunessive phues of the A.
(6) The issuance o(a permil m the appmval of dnwings uM specificuions shall wt be conswed m be a permit f«, nrn an apDroval af, anv violuion of Ju
prorisions o( the buiNing codo m"y other ordimnce, law, ruk or rcgu6eoa '
5
Chief Building Inspec[or