HomeMy WebLinkAbout3465 Otis Street■
W
✓_ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 4-11 O - F,`„ck
Job Address: —SL/4,9— 0 4-k-5 S) -
Permit Number: a o l g o l a (, /,
❑ No one available for inspection: Time 10 : o) AM M
Re -Inspection required: Yes 0
*When corrections have been made, call for re -inspection at 303 -234 -
Date: S" 31 ZInspector: —T -D
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201801266
PERMIT NO: 201801266 ISSUED: 05/03/2018
JOB ADDRESS: 3465 Otis ST EXPIRES: 05/03/2019
JOB DESCRIPTION: Replacing 4 windows and 1 door like for like; u -value = .30 or better
*** CONTACTS ***
OWNER (303)378-0478 DINNELL ROXANNE & MARK
SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,807.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 226.95
** TOTAL ** 276.95
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
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' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in thepermit application and accompanying Flans 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.
1 If this permit expires, a new permit may be required to be 0btamed. 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 changeof 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 rigplation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Rjdge
'/'�(C_ 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
FOR OFFICE USE ONLY
Date: � )
Plan/Permit #' 0
Plan Review Fee:
— Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 3465 Otis St
Property Owner (please print): Mark Dinnell Phone: 303-378-0478
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: Matthew Seiler
Contractors City License #: CL3-130206
Contractor E-mail Address: mseiler@renewalcolorado.com
Sub Contractors:
Electdcal;
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 303-945-1519
Other City Licensed Sub:
City License #
Mechanical:
W.R City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ 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.)
Replacing 4 windows and 1 door like for like. U factor will be .30 or better.
Sq. Ft.1LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
s 10,807
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 orthe 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 1 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.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of(OWNER)(CONTRACTOR)
PRINT NAME: Matthew Seiler SIGNATURE: ,%�t? DATE:
ZONING COMMMENTS'
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer,
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION -
Building Division Valuation:
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Patio Door Order Form
Fax to your Customer Service Associate
Dinnell Mark
RETAIL LOCATIOIM NAME
STORE NUMBER
HOMEOWNER
3465 Otis St.
PHONE
FAX•
ADDRESS
Wheat Ridge - CO
I
PHONE
80033
ORDER DATE
TOTAL NUMBER OF DOORS FOR JOB
SALES REP ID NUMBER
REQUESTED DEFERRED SHIP DATE
PURCHASE ORDER NUMBER
- REFERENCE
CITY/STATE/ZIP
Page _ Of _
PCheck
Check if accompanied by window product order form
Check if rIOT accompanied by window product order form
if accompanied by Sidelight & Transom Order Form
KD
AMB
DEPTH
QTY SIZE
CUSTOM SIZE
OPERATION EXTERIOR INTERIOR GLAZING
1
Peama-Sheild Gliding (PS)
1 P551168
1
L White White XY
2
2
0
3
3
4
4
z
Hardware Key
Metro Hardware CollectionAndiron
Hardware Collection
Estate Hardware Collection
1
2
3
4
( X ) BOTH
( 1) INTERIOR
( E ) EXTERIOR
X Tribeca white
Matched Hinges (inswing doors only) Grille Type Grille Width
Grille Pattern WxH
Hardware Accessories Quantity
z
O
1
Matching Auxiliary Lock (FWG.PS,NLGD) 1
2
3
4
O
Insect Screens
Sill Options
Mull/Joining Kits Qty
Jamb Accessories Depth Quantity
1
x Gliding
2
3
4
Special Instructions:
Room locations:
Floor: Thresholds Quantity
1 Living Rm
1st Floor Oak Threshold 1
2
3
4
A i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L� 0 9 _
Job Address: 344 �� _ c) s S 4-
Permit Number: -3 017 c 9 -,9 q c/
Vu
❑ No one available for inspection: Time �1= y I �PM
Re -Inspection required: Yes 9 O
When corrections have been made, call for re -inspection at 303 -234 -
Date:— 5-4 lq Inspector: TZN
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: W-Aidfoj�
Job Address: � W
Permit Number: 101,;?vg2 yq
❑ No one available for inspection: Time % ()()
Re -Inspection required: Yes (�PIQ
When corrections have been made, call for re -inspection at 303-234-5933
Date: VZY 1 0 Inspector: bare Lq44
DO NOT REMOVE THIS NOTICE
im
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: 3 E) 3 - S/..eG-��,,,z
Job Address: '-S 14 4.T- O 4,'s 64 -
Permit Number: -J'V 1-70 q 0 9 cl
"a 44 .
❑ No one available for inspection: Time = AM' -""PN
Re -Inspection required: Yes 0
When corrections have been made, call for re -inspection at 303-234-5933
Date:--3L-dp / g Inspector: --r- i>
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201709244
r
PERMIT NO: 201709244 ISSUED: 11/22/2017
JOB ADDRESS: 3465 Otis ST EXPIRES: 11/22/2018
JOB DESCRIPTION: Re -roof with asphalt shingles. Pitch is 5/12 and 21 total squares
**REVISION: Address changed from 3460 Otis Street to 3465 Otis Street
*** CONTACTS ***
OWNER (303)378-0478 MARK DINNEL
SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,700.00
FEES
Total Valuation 0.00
Use Tax 182.70
Permit Fee 188.45
** TOTAL ** 371.15
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201709244
r
PERMIT NO: 201709244 ISSUED: 11/22/2017
JOB ADDRESS: 3465 Otis ST EXPIRES: 11/22/2018
JOB DESCRIPTION: Re -roof with asphalt shingles. Pitch is 5/12 and 21 total squares
"REVISION: Address changed from 3460 Otis Street to 3465 Otis Street
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 1 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
thispermit. I further attest that I aml�e�,,,�ally authorized to include all entities named within this document as parties to the work to be
performed and, hat all wor e..pertormed is disclosed in this document and/or its' accompanying approved plans and specifications.
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 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 shill 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 r lation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official F Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
""'Wheat dge
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(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date; L.J C / /ff/
Add to Permit # �O�
qj 1 �'J
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
3H&5 ot, 5 s --
Property Owner (please print): DOOL) , Ma, % Phone: 303 -5N-0�78
Property Owner Email: MA t ✓14 e l (0 L► , K)k-ta+r JIe,. L 0, i- 5
Mailing Address: (if different than property address)
Address
City, State, Zip:
Submitting Company: 4Ay41,t C_ek E_X fe r � o, -� L
Contact Person: Ze �L� ��� �G� Phone: 7ZO
Contractor: 4 ✓ao &ek 5-x feri o r-5 l,a c -
Contractors City License #: O qO / 3q Phone: 50.3 156 7� 6 3
Contractor E-mail Address: Zbz? J'ce r�����
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour - 2 hour minimum).
Description of revised/amended work:
FLA��z� a P�ry�I+ For 4e- wrv��9 JJ('e55. � �D�G�'i�j
I J /►I + rbc 3,-1 �,S 0r,5 5t
SVlOWS
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
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 orHoTIVE)f OWNER) (CONTRACTOR)
PRINT NAME: Z�iC� 5L,- ke_r- SIGNATURE: tel/' NA �� DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
Inspections will not be perforined urd card is posted on the project site.
ess this
Call the inspection request line
11:5
before•, inspection ,
day.
Inspector Must Sign ALL Spaces pertinent to this project
Illlllgllp� I�
Foundation
Inspections
M;�VIII�I�I� IIS III
t , ,f
UndergroundiSlab Inspedlocommentsr.
#1. WOW#
ater - #..round)
# # # #
Inspections
4 _
, mm.w.rmg,
`tt' Sheathing
Lath / Wall Tie
Rough
Rough «t f
t #
Gas Piping
AM
# ming
Insulation
Final Plumbing
Final Mechanical
#s
Landscaping & Parking Planning Dept. j
ROW Drainage• WorksDept,MUM
! tt # # • `�! • •
# • ## t •
• � t !l s # t t .
#
•
MOV/1 /3313/SU 03:45 PM FAX No, P,002
aw
piuNluul�q
COMMUNITY DEvELOPMENIT
Building Division
7500 W. 20 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-89
: r r
s
Inspection#
BuildingFacsimile Application
! d y # r rM
x m
Property y,
IMI iM a �� .. � ,, •. . s..�.... . � � #.. * �
I
City
COMMUNITY DEVELOPMENT
Pr000rty Y CO 4
r r , y k
Property Owrw (please print)
Address: fif different then property address,
Address.
City State, Zip.
Plan
r' t V o
L icense M 0*
Squares BTU's GaRo a _ Sq fit. __
City of Wheat Ridge
- r�
Resid. Windows /Doors PERMIT - 110916
PERMIT NO: 110916 ISSUED: 08/03/2011
JOB ADDRESS: 3465 OTIS ST EXPIRES: 08/02/2012
DESCRIPTION: Replace 4 vinyl windows- no structural changes
* ** CONTACTS * **
owner 303/378 -0478
sub 303/375 -0745
Mark Dinnell
Timothy Slattery
02 -0146
Champion Windows of Denver
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0781
BLOCK /LOT##:
0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 2,374.00
FEES
Permit Fee
50.00
Total Valuation
.'0
-
Use Tax
42.7 1. �
** TOTAL **
92.7
Conditions:
Windows shall have a .35 or better U- factor and shall have safety glazing if
within a tub enclosure or if less than 18 inches above the floor or within 24
inches of a vertical edge of a door. 2006 IRC applies. Subject to field
inspection.
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 doc ment as parties to the work to be performed and that all work to be performed is disclosed in
thl d cument and /or its' a c pan i 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 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 :6'ny 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 inspection.
Signal r " of Building Offical Date
INSP TI REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQU STS . MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City, State, Zip: ��'� 77
0, pp bCF
�dA
Wg&4T r
Contractor: 4AMPJ&x1 !�I1_, OF ))i�/U I)E4
Contractors City License #: 0 Phone:
Electrical:
Plumbing:
Mechanical:
City License #
City License #
Description of work:
R&P,�, cwc 17 i)1NY� Ujtuf)duus
SAME sac_ CAI �/fNCS
V6 S71exrJ LfM - ' = J
BTU's Gallons Amps SgFt.
City License #
Contract Value: 2
$
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 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.
CIRCLEONE: (OWNER) (CONS CTOR) or (AUTHORIZED PRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: V t4lJF— (N(.U/I 7_# SIGNATURE: DATE:
WORKS COMMENTS;;
Reviewer:
_PARTMENT:: 0 approved w /.(
rents 0 disaE
I Bldg Valuation: $
�a 73
City of
Date:
COMMUNITY DEVELOPMENT `•..•
Plan #
Building & Inspection Services Division
Permit U '
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
PropertyAcidress 31(05 Orts �Tr_&ET
Property Owner (please print) /W{}P lc F P664)rJF J 6Wt)ELL
Phone: 303
Mailing Address: (if different than property address)
Address: Nbs 0175 l rp-
City, State, Zip: ��'� 77
0, pp bCF
�dA
Wg&4T r
Contractor: 4AMPJ&x1 !�I1_, OF ))i�/U I)E4
Contractors City License #: 0 Phone:
Electrical:
Plumbing:
Mechanical:
City License #
City License #
Description of work:
R&P,�, cwc 17 i)1NY� Ujtuf)duus
SAME sac_ CAI �/fNCS
V6 S71exrJ LfM - ' = J
BTU's Gallons Amps SgFt.
City License #
Contract Value: 2
$
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 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.
CIRCLEONE: (OWNER) (CONS CTOR) or (AUTHORIZED PRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: V t4lJF— (N(.U/I 7_# SIGNATURE: DATE:
WORKS COMMENTS;;
Reviewer:
_PARTMENT:: 0 approved w /.(
rents 0 disaE
I Bldg Valuation: $
�a 73
'r'^ = x~ e $°~~"`,x wrv.. ~ , s-e~mT Y„~:ta~;-»x.mro~r,~"?t":'~"~`.~Ntn°'; 9 x; •~:~,ar~*t.
. ~ . a . , ,r a , .rNc.~ , . a
. y ~ . . . . . . . '
= Building Permit ~ , PermitNumber
19126
CTTY OF WI-IEAT RIDGE ` 'l'• $/23/2005
7500 West 29TH Avenue '
vvheatridBe, co 80033 Inspection Line
303-235-2855 ~q~orvmeerraeoe
303-234-5933
Residential Plumbing
PROPERTY 3465 OrIS St Unit:
owrtER: Roxanne Dinnell (303) 237-9450
Description
Replace water heatei
UnIts: Occupancy: Walls: Roof: Stories: Sq Feet:
7 hert4Y ttkify qM the adbu4 d4fmcee pmpaed bY " 1ers^n appllutloo art ettunh, md do vot viWae aPPllubk oNiaevee; ruln w repbtl8ae otUe Ciry of
Wheat Rld{e m avmevb, wemmb or wtrlellooe o(rtwN; that WI meuorcmmh ahown, aod allegotbva m~tle ua attunte: tWt I Wve rcatl aed apx b Wltla by
a coedltbu prloled ov Nb applkstloq aed Nvt I aveme fdl reepo~uWWtY for compWece wIM Ne Wheat Rid[e ButlJ4i[ Code (U.B.C.) aed a11 oWw apptlobk
Wheat RIE`e ordiasccw, fur woeic mder W4 permit.
SIGIYID DATE
1. T61s pprmlt wa 4nuN In axorAance wtlA Me provbbm eet forth lo yoar appllutlov svd 4 eubfM m the hm otlhe Shh ofCobndo aed H the leeh{
Aqohtlme mE Bu11tlWL Cale of Whest Rideq Colondo or my other ~pptlubk orNauocn of M. Clry.
3 Th4 permll shdl uptre if(A) the work nathorlud pmt rommeoced wifhin gsy (M) Eoy, Irom 4we tlate or We bailAWt suMOrhetl Y soquded or
abuMesed for . psrlod of 120 drys.
J V Ibb perult eapim, o new permit moy be acqulred for a Re afooo-hslfthe emoovt vorvuly rtqu4ed, pwNdd no elunea Nre Wm w MYbe sWe le We
miqWlP6. uWepecutcaNOnvandanymapesWOnorsbuutloureseot huootexeaGMOae(1)Y+u.IfsLaoeauemadearifowpeeYOVarW~adoomrt eueetls, one (1) ye.r, ma hcv m.u ne vla ro., om permm
4 NowarkotmynsnoerelWlbeAOnetiutwNchmeetheoatwdMwofwuhrnuMega drtlueepmbkm.
5 CoeUremr AM0 votlfy the Bv11dWL InTKs^r [weery-fovr (21) bovn iv advion for a0lwpeetiom mJ sho0 raNVe we1t4n appmral m WpMbn earJ 6ebrt
PreventinL wlti maaNe phuee of NeloE.
6 1beYUs~aof• or[he• ~odapMMatlonnboOnofbecovstruedmbea permi[for,owauapprovala4anyHOhebvofOe
proWbo t~ or any oNer orJin w, rvk or regula[bn.
Tuesday, August 23, 2005 Page i of 1
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Perntit Number:
BUILDING IN5PECTION LINE - 303-234-5933 Date
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
~PLICATtON
Property Owner: ~oyr.an~-a d'•»+<
Properry Address: q~f 6 5 4 L i 5 SZ- Phone . ,2, j J- Q5'S0
Contractor License No.: / 3 Z
Company: Poe c i se P/~..o 61•'4 y -T~ c- Phone: Jr3 O rS'
OwNEgiCONCRACTOR SICPiATUR& OF UNDERSfANDINC AND AGR&&MENT
I heuby certify that the setback distancw propased by 1}tis permit application ere
aecurate, and do not violnte applicable ordinancas, mlas or regulations of the City
oC Wheat RiAge or covenazrts, eesements or rasteictions of roeord; that all
meuurements shown, azid afingalions made are aeeurate; that I hnve read and
agee to abide by all conditions printed on this applications and that I essume full
resporeibility for complianw with the Whaat Ridge Building Code (U.B.C) and
nlf other applicable Wheal Ridge Ordinancas, for woik undertktis permit.
COIlStLUChOIl V3lUe' ~0(rP
Permit Fee: 3y. s ~
Plan Review Fee: n
TTCP TaY' N/Jn S Y'UC{
Total: 3 5/, s ;i,
ML'uGR)CO:J'IRACTOR;. SIONEll~ yL+AIg
Descriphon:
relp /9 c ¢
Electrical License No: Plumbing License No, Mechanical License No.
Company Company Company.
Expiration Date: Expiration Date: Expirauon Date:
Approval: Approval: Approval:
This pumit was ismed in eccorAance wiN the provieione eet forth in your application md ie subject to the lewe of the SGte oI ColoreAo anA to [hc Zoning
Rcgulatlons anA Building Code of Whest ftidge, Colondo or my other appliuble ordvunces ofthe Ciry
.
n., pe+mit ahall cxpue S(a) me wo& .mad:ea„ noi <o,M,en«n w;u,m ,ixry (so) my: frorn i„ue n,te or (e) me bwiam8 eumori:ea i::u~vtra«d oi
abandoneA for a pedod of 120 days.
If LFvs pemtit exp¢es, a new prtmit mey bc acquired for e fee of ono-half lhe emowt nomully mquired, prwideA no changes have been or will be maAc m
Lhe ongvul pluu and specifinliotu md ury nupassian or abmdonmen[ hss not exceeded one (1) year. If changes have been or if suspension or abanAolunent
exceeAs one (t) yeu, fWl Ceu ahall be peid for a new peemil.
:JO work oC any menner e}W7 be done Net will chenge 1he+uNrel Elow of wetec ceusing a drtinage problem.
Con¢actot shell notify the 8uilding LupecWr twenty-four (24) hov[s in advence Co[ all impec4om md shell iecaive wntten apprwal on inspecfion cazd belou
proceeding wiN mecusive pLum of Ihejob.
(§j Trte issumce of a pemut or Ne spprwal af drawingt md epecificetions aiull not be constved ro bc a pemtit fo{ mr an approval of, any violatior. of ehe
pravisiorts of the buildvng codea or ury other ordinutc4 l+'x', vile oc regula4on
Chief Building Inspector