HomeMy WebLinkAbout3965 Parfet Street"�•` City of
�WheatR.dge
Commumiy DEVELOPMENT
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits@ci.wheatridge.co.us
I FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
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Property Address: � q,/,f5 � 5 l�gRF l -S % �1f�
Property Owner (please print): �W Phone:
Property Owner Email: 5h h ��V�ylr 2 r� {�! rrraf7
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
, State, Zip:
Architect/Engineer E-mail:
Contractor Name:
City of Wheat Ridge License #:
Contractor E-mail Address:
Phone:
Phone:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):,/(:x fes Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub:
City License #
10
Other City Licensed Sub:
City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
,RESIDENTIAL
Provide description of work: For ALL projects, 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.
6-1
Sq. FULF
BTUs
Gallons
Amps 47—S Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the en ire project)
pG
s
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 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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): 4,4, DATE:
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST 29tn AVENUE BUILDING INSPECTION DIVISION
237-6944 EX7. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF
APPLICATION FOR MI,'
JOB ADDRESS ~~~T '57-
CONTRACTOR SEL'a--
ADDRESS
CITY ZIP CODE _
PHONE LICENSE NO.
AND RECEIPTED BEL9W.
OWNER
PERMIT N0. n'1~j'3 1-'
/ SS'S`vs
~
ADDRESS ✓ 7 H/Cr'G/
PHONE 1*7YZ3-41107 ZIP CODE 00.33
OONTRACT PRICE $ ir?'(_)O
L TYPE Groune❑ Woll❑ Proisofinp❑ O1Mr SaDFaee
2. MATERIAL Tolel Square Feef
SIGNS 3. ILLUMINATION Yet❑ No❑ 7ypa Elee}, Permit No.
4 SET BACK FROM PROPERTY LINE N_ 5_ E_ W Zon*_ Approvsd, Zona Inspseta
(Soacifvwhichisfrontl n n n n
1. TYPE SolidU More Than BO% ODen❑ Lest TAon 80% Opm
FENCES MATERIAL Heipht
3. SET BACK FROM PRQPERTY LINE N__ S_ E_ W ZOM_ ApprweE,Zom ImDeota
(Spscify which iefront) ❑ ❑ ❑ ❑ Diaapprovad
1.
\ ^
OTHER 2
3.
DRAW SKETCH qt SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVihG DISTAI
(SETBACNS OR PROJECTIONS INCLUDED)
/O%7 r~
S
! 1
0
?'r Iz'-+
~
INSPECTION TICKET
JOB ~
ADDRESS
a m43'v~ ~
DATE: BLDG. PERMITN
PERMITA
Uf
STREET NAME ?,49FF7-
SF10W DISTANCES FROM THE MAIN BUILDING TUADJOINING MOUSES, STREETS, ANO PROPE
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPI_ICATION FOR PLUMBING; ELECTRICAL; MECH
THIS APPUCATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORN ONLY UPf
PERMIT WILL E7(P1RE 60 DAVS FROM DATE OF ISSUANCE !F WORK IS Ni
BLDG. CONTR.~A I ~
SUBCONTRACTOR
DATE INSP. qEo. a Cy
TYPE OF INSP.
INSPECTION MADE 3
ELECTRICAL PERMIT
STATE LICENSE NO.
i i
PLUMBING PERMIT qEMARKS
STATE LICENSE N0.
r
ALUTAINUAq WIRE UNDERSIZE 8 ILLEGAL
FLOOR
BSM
IST
2N0
3RC ~Q
R F1OU T^
NO.
WATER CtASET
TEMPORARY METER
WASH BOWL
NEW SERVICE AMPS
BATH TUB
W. . FOR 1g
CNANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
HEATINC,
GARBAGE DISF
POWER SUB-CIRCUITS
WATER HEATER
UTILITY(RANGE,DISPOSER,ETC)
AUTO.WASHER
FIXTURES
DISH WASNER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 6 CONTROLS
FLOOH DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAI. FI%TURES
PERMIT FEE
S
P--(/
NOT VALID UNLESS RECEIaTED
I heroby ocknowledqe ihot thia opplico-
_
tion it correct ond understond thot I
USE TAX
' 0-ev
eannof ftort fnis project until this opDli-
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totion is approved. I nhall tomply with
TOTA
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tha l awa of Ihe State ot Colorodo ond to
ths Zoninq Rapuloliona ond Buildinq
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vioiation of the abova terme will cause
CNIEF BUILD G IP, SP Ci h at Ridqe
immadiafe ravowiion of thia permit.
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
Date ISSUed
FOR INSPECTIONS
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