HomeMy WebLinkAbout3295 Otis StreetCity of Wheat Ridge
Dw-1`A—
Residential
Roofing PERMIT - 201701914
PERMIT NO: 201701914 ISSUED: 06/12/2017
JOB ADDRESS: 3295 Otis ST EXPIRES: 06/12/2018
JOB DESCRIPTION: Residential Reroof: remove existing materials, install Owens Corning
Duration 4/12 pitch 27.3 squares
*** CONTACTS ***
OWNER (720)962-4475 DRAVES RANDALL
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,025.95
FEES
Total Valuation 0.00
Use Tax 273.54
Permit Fee 267.70
** TOTAL ** 541.24
*** 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 k/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 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 manufacturera€ms 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.
INSPECTION RECORD
(� INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Comments
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.**
C *
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 Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date Inspector
Initials
Comments
1l Sheathing
f
Mid -Roof
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.
Lath / Wall Tie
Floodplain Inspection (if applicable)
Rough Electric'
Fire Inspection / Fire Protection Dist.
Rough Plumbing/Gas Line
Final Electrical
Rough Mechanical
Rough Framing
Rough Grading
Final Mechanical
Insulation
Roof
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
i
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 low voltage permits — Please be sure that rough inspections are compietea rrom the l-- ire district ana eiecincai low voitage
by the Building Division.
For notification of your assigned inspection time window please email instittieregijest(a;ci.wlieatrid-�le,co_u by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office e (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: U ` 0 /—
Job Address: T-2 y�
Permit Number:
Irl
k.
❑ No one available for inspection: Time �/ AM/PM
Re -Inspection required: Yes No/
When corrections have been made, call for re-ieetion at 303-234-5933
Date: Inspector:
DO NOT RENOVE' THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701914
PERMIT NO: 201701914 ISSUED: 06/12/2017
JOB ADDRESS: 3295 Otis ST EXPIRES: 06/12/2018
JOB DESCRIP'T'ION: Residential Reroof: remove existing materials, install Owens Corning
Duration 4/12 pitch 27.3 squares
*** CONTACTS ***
OWNER (720)962-4475 DRAVES RANDALL
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,025.95
FEES
Total Valuation 0.00
Use Tax 273.54
Permit Fee 267.70
** TOTAL ** 541.24
*** 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 A/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 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 manufacturera€lms 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
Residential Roofing PERMIT - 201701914
PERMIT NO: 201701914 ISSUED: 06/12/2017
JOB ADDRESS: 3295 Otis ST EXPIRES: 06/12/2018
JOB DESCRIPTION: Residential Reroof: remove existing materials, install Owens Corning
Duration 4/12 pitch 27.3 squares
I, by my signature, do hereby attest that the work to be per
shall comply with all accompanying approved plans and specifications,
applica le 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 includeali 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' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying )Tans 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 re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection �ervices
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an a,p al of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is ject to field,, intion.
Signature of Chief Building 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.
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OOFING
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by eco • rts,uan ora �j ung tosed on =- r,,,;e ma t afts fcv tcer ars race w: + no addittots, cot to you tib V t
8MI ar:y _we" o a era tt -"y Pau Isar Wit r4 tart st Me t ff uraruaa Own Sb"" your irutwrance Opirg rvy 0" It PA roof
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. t (W*) hereby aathsot€ze an&w instrutf any tegei w or Agan of CJ Roofing to oto any assts all to tertnatsarr ueCt y to ntgot ee iht
of my soar) claim as Wei as any WAWMOP rw&nxy to CMOK# the turtriu:g VWASt rtlilfine to the clAim numdtar 499 abow
. i Aft) htroby authorize and or it itr CJ Roofing to pick up in Parton any ims &Jft Of Chocks Crt Doth MY four) b0aff anal tiewof of CJ Roofing
• f ft tie"auM ua and* instrvv, CJ Roo" to xa as nay epstr} Ganem Caneraetor lot tit anotia noir*acd dw n runner and inttnct my tour#
IMwanea tmtapeny to caustic t" c,wsto ry 10% Ovah"d Vat t#%aroft for UA8Ma tq ford coordinating any and V trades Aa*dtd,
• CJ Roofing tha0 twt0 in tryst any tasymtnt rtcoi"d ft M you urs 1111at460 have beem dtt)vared
wptw S vArw' T CJ R000ffmo r n r and a rs a oweppt that
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5475 Ptwla St Una 4405 110 tr.. CO $023* t f% 3una_202
mn..CJRaafirg.co'n
�
Antoinette Kulick v l� � -1 C)
(`
property?
From: no-reply@ci.wheatridge.co.us
It will need to be
Sent: Thursday, June 8, 2017 10:22 AM
provided at the time of
To: Permits CommDev
permit pick-up.
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
7
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. YOU WILL BE CONTACTED WHEN YOUR PERMIT
ISREADY 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. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (for example, to add
redecking) must be completed in person at City Hall. All other non -roofing permits
must be completed in person at City Hall. The Building Division will be open from
7:30-10:30 a.m., Monday through Friday to process these types of requests.
PROPERTY INFORMATION
Property Address 3295 Otis St
Property Owner Name Randall Draves
Property Owner Phone 3035072436
Number
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
(`
property?
It will need to be
provided at the time of
�.
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Elite Roofing
Contractor's License 130240
Number (for the City of
Wheat Ridge)
Contractor Phone 3032960361
Number '
Contractor Email Address hilda@elite-roofs.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing Owens Corning Duration
Material
How many squares of 27.3
material?
Provide additional detail 4/12 pitch, 3 layers to tear off with 1 layer total upon
here on the description of completion, 1 story
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 13025.94
value or cost of ALL
materials and labor)
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
z
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Deborah Sinclair
Email not displaying correctly? View it in your browser.
city Of
wl leat f�kj,:c
11,111, - ME #41
1,11!I-Illipill Pill iiiii
FOR OFFICE USE ONLY
Alan Permit #
`14�
zM=1
Property Address: 329-5 Otis St Wheat Ridge, CO 80033
Property Owner (please print): RandyDraves Phone: 720-962-4475 1
mom"*
Address- Same as Above
City, State, Zip-
A[2_WpjL
qCttEnq[neerj N/A
����Jneer E-mail: - Phone:
Contractor'Thd at Home Services, Inc
5mum
Contractor E-mail Address: copermits@gmaii.com
Electrical:
W,R, City License #
Plumbing -
Mechanical:
Complete all information on BOTH sides of this form
0 NEW COMMERCIAL
A • ► El ELECTRICAL
A SERVICE UPGRADE
0 NEW RESIDENTIAL STRUCTURE 0 COMMERCIAL ROOFING
0 COMMERCIAL ADDITION El RESIDENTIAL ROOFING
COMMERCIAL STRUCTURE
RESIDENTIAL A•s STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL .A♦• A REPAIR REPLACEMENT
•LUMBING SYSTEM/APPLIAREPAIR o, REPLACMENT
ELECTRICAL
A #A REPAIR
r AR• REPLACEMENT
EOTHER.« .
amount(For ALL projects, please provide a detailed description of work to be pefformed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
of +M be used,
Replace ( 2 ) windows, like for like in existing openings. U-value=.32 max
Sq. RAY F _.... Canons
Amps__._� , m _._.._..._..._ �.......__. Squares _.._.�.�.. _........w__�m._A�_ _,..� Other
I
el
■
m
I
cr
4n
v�
tv
I
I I
Building er it Application
(please print): 1 1 10\
Mailing abase: if different than property address)
Address:
City, State, i
I
Complete all information on BOTH sides of this form
Sq. FULF Btu's Gallons
Amps Squares Other
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17737
BUILDING INSPECTION LINE -(303-234-5933) Date : 9/22/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: MAUREEN KOHL ESTATE
Property Address : 3295 OTIS STREET Phone : 3-888-4871
Contractor License No. : Mo
Company: Phone:
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 W heat Ridge or
covenants, easements or restrictions of record; lhat 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 withjpe Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat VdgeycdinancQs, ~f work under this permit.
DATE ~%-a.....
Construction Value : $1,440.00
Permit Fee : $7025
Plan Review Fee : $0.00
Use Tax : $28.80
Total: $99.05
Use :
Description : LOW PITCH AREA, W EST SIDE OF HOUSE ONLY. TEAR OFF DECKING. PUT BACK TORCH-
ON MODIFIED ROOFING.
BUILDING DEPARTMENT USE ONLY
2oning CQmrnflnts: SIC : Sq. Ft. :
Approval:
Zoning :
B6ilding Comments::
Approval :
Pub11c Wo,rks Corrimen#§:
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:
(t) This pertnit was issued in accordance wilh the provisions sat forth in yopur application and is subjecl to lhe laws of lhe State of Coloredo and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances o( lha City.
(2) This permit shall expire if (A) the work authorized is not commencetl within sizry (60) days fmm issue date or (B) the building authonzed is suspended or
abandonad for a period of 120 days.
(3) If ihis permit expires, a naw permit may be acquired for a fee of one-half lhe amount normaly requiretl, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonmenl has not exceeded one (1) year. If changes are made or if sus0ension ar 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 lhe naNral Flow of water wusing a drainage probtem.
(5) Contractor shall notify the Buildin Oector hve 24) hours in advance for afl inspections and shall receive written approval on inspection card before
proceediing with succes j of t ye-p (6) Tha issuance of a p efiit p o! dr win ations shall not be construed to be a permit for, nor an approval of, any violation of the
provisions of the ' o w, rule or regulalion.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
~ w+e~J
n
~
~o~~.~
COMMUNITY DEVELOPMENT DEPARTMENT
BUIIDING iNSPECTION LINE • 303-2345933
C17y OF WHEAT RIDGE
7500 WEST 49TH AVENUE
WHEAT RIDGE, CO 80033 - 4303-235-2855)
APPLICATION
Propcrry OWna:
Properry Address:
Conaactor Licensc No.:
Company
ow04ewconnucTOR swp
y C -
CJr. 'i\ . ~"IC
IATURE OF UNOERSTANOING AN AGREFyENT
Buildin9 Permit Number:
Date:
( PHone:~g~$
Phone:
I herebY certiN thal the aelback distancss WoWSed CY ihis PemiI aDWicaUOn are
a(xurn. and do not viots4 appbcayk adinancu, ruka w repulations ol me City ot
wheat RMpe a cwananis. easemenu «.est+etia+s ot recad: mat ar mwaxeme*its
st~own. an0 aNSpaoo^s ms0e aro acw2te: Uwt l have rea0 an0 a0rx to aDiOe GY aq
C,X,dilions printed on Mis apWication anO tnat I assume IWi resDO^sib'Iiry iw
complynce wth yx Wheat RiOpe BuilCinp Cotle (U.B.C) and11 oUer applipbk
pe n V
W heat R49e Ordinanoes. ta w~un fh.s
)rswction Value:5 /ylhlC `e"
Permit Fee:S
plan Review Fee:S
tlcr Tax:C
Total:$
(owwEa)(ca+rruaon):vrunrEO r- ~u i~ C7ll~
~,-~cIl c~Fz-~)E-~~ ;~.C C Ca ~ /
Dssc~ptioo: ~-C" ` (-6d`~
~ru; ca~ ie c~ccA"' n0 . 1~~-I' lxc I -t'c~ch ~n t~~~~ .s.~Ec,
~
Sp. Ft. adAed
BUILDIIG DEPARTMEIT L'SE ONLY SIC: Sq.FI.:
C
:
FUILOINGCOWPAENTS: :
TS:
l:
a.N+~+rs:
i:
Wa11s: Ro of: Stories: Residential Units:
E~~ L~~ Na: Plumbing License No: Mechanical L+cense No:
ComPa^y. Ca^Ra^Y
CanPeny
Exp'vation Date: Expirat+o~ Date:
E~cpiratioo Date: Anoroval: pooroval:
A raval
(1) ~~M ~p q~ in ~ooo,Aar,oe 1-0 u,s po+~sims sel twm n yac appMr~O^ a~+d a su~sc~ w me Iaws or dirlar"s ot
Cdorsdo ~rd b Ms Zoirrq aepuY~ons a^d ~ro C°~ d 1Nheat RiADe. ~~~0 a snY o0isr eOPa~e
tM GM. winun swY (60) ~ri hom ;w~e wte a (B) the bui~^fl
(2) ~~M yyy expee A 4A1 ~ wark sutl+oriu0 k not eonunm+ostl
"a1sW is wwPMftp a sbwWa»d b a DrioO d t20 dari•
i nww Dwmit meY W a°~b br s M d omduM IM amarM ~Y ~'b ~V~~~~a+s
(3) ~"~i~,,,p~ E.,ni~nre.lne»«qh oWnand+v~a^°nnwnv«rbnaaboWa""'~t la.ane~.vem+L
(t) YW- H d~rq~s Iw° ew~ a M swD~io^ w aWnd°n"°M °'°°WS one 1 Yer. 1u~ Mss shY ee Paid
(s) No wrk d anY ~^r11°' aMO W dons IrW wi~ cnxq~ B'° nalurall s) hs~n a0vrw~nWK~ ~~srwn reodve wrinen
(5) y~m Pp w~ M+~°" d Ur job.
atrusd a be s M'^~R Iw. no~ an
(6) TAS'swxhce d s WI^~ d ItM apprnal a~~~ ~~~e rqt De con
app,,,at 01, any vidatbn ol " Vmvis'°^s d the buidnW ooAes a anY ottxr ordv'anx, law. rule a roqulamn.
7500 wEST 29tn AvENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-8944 ExT. 255 P.O. BOX 638 BUILDING INSPECTION OIVISION PERMIT N0. MP92/I3262
CITY OF WHEAT RIDGE, C0L0.
THIS PERMIT VALID ONLY WNEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
Joe ADDRESS -;-z75 Df lS Sr PLICATIQN FOR MISCELLANEOUGy~ P MIT • /
CONTRACTOR ~ re G1CE. OWNER ~9 c~f LJ~~ O~l/
ADDRESS 7O0,3 Q(~jefp - I ADDRESS~°~-2.!_S7 '1~~/~s•
I PHONE
CITY qS W/I I l'~S l,/- , y,pNTRACT PRICE $~~~Ua-~ ZIP CODE
PHONEI°~ '(p S 7 . -ZiPCODFSDO~O`, I ~
LICENSE NO.(S y6 ~
I. TYPE Ground❑ wall❑ Proiecrin
2. MATERIAL S w D Focs
SIGN$ 3. ILIUMINATION Ysa❑ No❑ Typs Tola~ Squore Faat
Elaet. Parmif No.
4 SET BACK FROM PROPERTY (.INE Ne g_ E_ W
(s..1ir„ W~,~.. ~ ('1 r-7 ~ ~ Zons_ ApprovW,Zona inapeetor
I, TYPE SolidO More Thon 800% OpsnO Len Thon BO%
FENCES MATERIAL
3. SET BACK FROM pROPERTY LINE N__ S__ E__ W
(Specity whieA it front) ❑ ❑ ❑ ❑
i. U c / ' ~
OTHER z. -I`~1l'r ~~O" !9'~/~f~p-7~q •
I 3.
3
DR
INSPECTIOOV TICKET cruni
PERMIT fEE
Joe - ~ c, c` r u~i Joe ~ /
ADDRESS J~~"1 ) ~Tj1 ADDRESS 2°Z~1 S O~ p ~lL
DATE: ~ mrq~
BLDC. PERMITk
PERMITk
HsiQM
Z0116_ ApprwW,Zonsi Inspsetw
Dieapproved
INSPECTION TICKET
BLDG. CONTR. ~ BLDG. CONTq. ~4 a., t & Q
SUBCONTRACTOR TvLi1, SUBCONTRACTOR
DATE INSP. REQ.~~ ' DATE INSP. REQ.
Sp STREE
STANC
TYPE OF INSP. ~ TYPE OF INSP.
~ LECT
THI INSPECTION MADE ATED INSPECTION MADE V! 9 ~ iION.
-r- _ m iUANC' T >
HEMARKS ~ BING REMARKS
~ N0_ C (IN~
~
~ SM
I
lee saor
W.R. FORM &19
W.R. FORM 61g
✓
L
/
UTILITY (RANGE, DISPOSER, ETC.)
AUTO. WASHER
~ chwas
FI%TURES
WIRING MOTORS 9 CONTROLS
DISH WASHER
FLOOR DRAIN
AUTOMATIC $PRINKLER SYSTEM
ELEVATpR
SIGNS
URINAI
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
1 hereby ocknowledqe fhot this apDlica-
tion u eorroct ond undaratand thot I
cannot Start tAis projecf until }hia appli-
cation ie aOCroved. I sAall comply witn
tha lawf ot the Stote of Colorodo and to
fhe 2oninq Requiotions ond Buildinp
Code otthe Cify ot Wheof Ridqe. Any
violation of ihe above terma will cause
immediote revocation }hia per
~soeeaoi. s~a•a~~.
NOT
I USE TAX I/</. </D I
I TOTAL FEE ~ I $ ~ 3 VI/ I
CHIEF BUILDI
yyp 92
DATE: In ~ S BLDG. PERMITM 3 2oZ
PERMITM
,Cify of Wheat Ridqe
UNLESS
cFy
CALL 237-6944 EXT. 255
24 HOUR5 IN ADVANCE
~o ZI -,7 / FOR INSPECTIONS
Da}e Issued `