HomeMy WebLinkAbout3490 Otis StreetlM
A 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: L-) 0 9 - P-111, cz )
Job Address: 3 9 9a O -E s S -i!-
Permit Number: -Do )!a 0 9 t, -;? g
❑ No one available for inspection: Time L AM M
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: S— Inspector: —T
DO NOT REMOVE THIS NOTICE
lM
A 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: L-) 0 9 - P-111, cz )
Job Address: 3 9 9a O -E s S -i!-
Permit Number: -Do )!a 0 9 t, -;? g
❑ No one available for inspection: Time L AM M
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: S— Inspector: —T
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201800628
PERMIT NO: 201800628 ISSUED: 03/07/2018
JOB ADDRESS: 3490 Otis ST EXPIRES: 03/07/2019
JOB DESCRIPTION: Residential Reroofing Permit remove and install 30 yr dimensional asphalt
shingles with 19squares.
Pitch= 4/12.
*** CONTACTS ***
OWNER (250)897-5072 KOHLMAN ALYSSA
SUB (303)548-5000 Alan Parkes
021001 Roof Corp of Metro Denver 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: 12,000.00
FEES
Total Valuation 0.00
Use Tax 252.00
Permit Fee 236.00
** TOTAL ** 488.00
*** 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 - 201800628
PERMIT N0: 201800628 ISSUED: 03/07/2018
JOB ADDRESS: 3490 Otis ST EXPIRES: 03/07/2019
JOB DESCRIPTION: Residential Reroofing Permit remove and install 30 yr dimensional asphalt
shingles with 19squares.
Pitch= 4/12.
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 an 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 fyyrther attest that Irlegally authorized to include all entities named within this document as parties to the work to be
pertorme d that all work Se perfof ret%disc ed in this document and/or its' accompanying approved plans and specifications.
Signage of OWNER , of-: -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 maybe 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 p it shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinanor regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of thief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
b -68M
1685 South Colorado Blvd. Ste 240 9-7 31
Denver, CO $0222 (303) 766-2444 office
(303) 766-0077 fax
6890 South Tucson Way � a roofe-o12Rrp@msn.com rp cr,msn.com email
Centennial, CO 40112 VVFCORP wwu'.roofcorpinc.com
Of Metro Denver Inc.
AGREEMENT FOR ROOF INSTALLATION
CUSTOMER NAME:
ADDRESS: 5-tPS S�l )
City � rnd�-t'r[J Lip
`'HONE:21G � email 0, D
�` L v
ttoofcorp ol` Metro Denver Inc. hereby proposes to furnish the following: _
Roofing Material: Gf�F �,m�Prlrn j�
----•---.-__t / �� Calor:r�" Rating:
Existing Layers: Layers to be torn tiff: -
_ structtus r
The following items,are included for all Roofcorp installations:
Clean job site thoroughly removing all trastiatvd4ebrj
s.
All t3ashings shall be replaced orsealed as necessary' including pipe jacks, step flashing, chimneys and skylights_
All roof installations shall be in accordance with -required manufacturer specificatti*6
Upon request, customer shall be provided with writ[*t invoice which includes and 5 year roof certification„
rn addition to the manufacturer warranty, a `j 2 j✓5 year trans fezab ,Yorkmanship Fears
It is understood that any decking which requires replacement shall betrts`talled for au a(Iditi , }age o @S50 perd for lRx4tshepi
In the event that there are "hidden layers" found during tear offail ddltlonal chargeof 25 per 100 sq per l yer may apply,
ADDITIONAL COMMENTS I ADDITIONS: f
TOTA[, PROPOSED COST TO INSTALL ROOFING
Mote: Above Driee inellld—u .._._ -- ... .
�• 11ue an aagitional charge of 1.S% added to balance paid •� -4""' once Inspection is closed out. If payment is made with
+Options and upgrades: (When initi !ed by customer, all option pric all be added to the total proposed
Shingle upgrade. C6rrr t k� u r �� T�C�rr4 S+ i p R ed cost listed above.)
S'00
Shingle upgrade: -- Initials
__
M� t�
ST
Mise. upgrade: _ j �Ar
5" seamless aluminum gutters and 203 doNvnspouts:
1V' =!— daft:
S+
- Initials
�� Initials
Initials` _____._
L
corp Of M o Denver Inc. --- _-_____._date Z
€3 xi nine � {�wner
s this ec ee ed A i n is understood that [Eris shaft become 2 legally binding contract. Payment for about work shat, be due upon compaction. In the event that
paumcut 1s not received within 10 days alter cotnpletian, any remainiae balance shall be subjeta to a late fee of L5%per month from the day of completion. Customer
Cu tl also be 11 halve the for dtc cost of collecting said debt and will be additionally liable for all court costs, collection agency and auorncy/Icgal fees.
Customer shall hate the right to cancel this aureement in writing within 3 days ol'signing.
Lagenia Reimer 'X, (';
From: no-reply@ci.wheatri dge.co.us
Sent: Tuesday, March 6, 2018 2:36 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: 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 Hall. Revisions to existing permits (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.
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 Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
3490 Otis St
Alyssa Kohlman
Property Owner Phone 250-897-5072 J/
Number (enter WITH
j �(�1
dashes, eg 303-123-4567) Lf V , ct
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
akohlman@mcelhanney.com
Yes
3490 Otis st.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Roofcorp of Metro Denver, Inc.
021001
303-766-2444
Contractor Address 6890 S Tucson Way Ste 106 Centennial, CO 80112
(Primary address of your
business)
Contractor Email Address permits@roofcorpinc.com
Retype Contractor Email permits@roofcorpinc.com
Address
DESCRIPTION OF WORK .-^1
i
TOTAL SQUARES of 19
the entire scope of work" (,
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
12000
No /
/I
Pitched roof (2:12 pitch or greater)
2
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
19 `
30 yr dimensional asphalt
Asphalt
House
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
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
3
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Stuart Webb
Email not displaying correctly? View it in your browser.
f 15-
1* � A 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: 306 hildrff
Job Address: 3W 04;S S+,
Permit Number: 201000 P 0
t r l r`�i"17 e� i�� !!) �/'{�C����� 1/.► rd ! ' l>t�/!% Vl`
❑ No one available for inspection: Time 1 r0 S
Re -Inspection required: Yes 60)
When corrections have been made, call for re -inspection at 303-234-5933
Date:_V15/ ld Inspector: �Irv_
DO NOT REMOVE THIS NOTICE
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City of Wheat Ridge
Residential Mechanic PERMIT - 080300
PERMIT NO:080300 . ISSUED: 04/04/2008
JOB ADDRESS: 3490 OTIS'STEXPIRES: 10/01/2008
DESCRIPTION: Replace 75K BTU 80% furnace.
CONTACTS
owner 303/903-6714 Alyssa Wohlman gc 303/320-0404 02-0737 AIR CURRENTS INC. PARCEL INFO ZONE CODE: UA USE: r-3
SUBDIVISZON: 0481 BLOCK/LOT#: 0/
FEE SUPS7Y ESTIMATED PROJECT VALUATION: 1,448.00
FEES
Permit Fee 70.25
Total Valuation .00
Use Tax 26.06
TOTAL 96.31
i hereby certify that theeetback distancea proposed by thie permit application are accurate, and do not violate applicable
ordinances, rulea oz regulationa of the City of Wheat Ridge or covenanta, eaeemente or zestrictione of record; that all
meaeuremente ehown, and allegatione made ase accurate; that I have read and agree to abide by all conditione printed on thia
application and that I aeeume full reeponeibility for compliance with the wheat Ridge 9uilding Code (I.H.C) antl all other
applicable Wheat Ridge Ordinancea, for work under this permit. Plane eubject to field inepection.
Signature oPcontractor/owner . date
Thie pexmit wae ieaued in accordance with the provieions aet forth in your application and ie eubject to the laweof the
State of Colozado and to the Zoning Re9ulatione and Huilding Codea of [aheat Ridge, Colorado or any other applicable
ordinancee of the City.
Thie pezmit ehall expire 180 daye from the ieeue date. aequeste for an exteneion muet be received prior to expiration
date. M exteneion may be granted at the diecretion of the Building Official.
If thle pezmit expizee, a new pezmit may be acquized for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plana and apecificatione and any auepeneion or abandonment haa not
exceeded one (1) year. If change9 have been or if auspenaion or abandonment exceeda one (1) year, full feee ehall
be paid for a new permit.
No vrork of any manner ehall be done that will change the natural flow of water cauein9 a drainage problem.
Contractor ehall notify the Huilding Inapector twenty-four (24) houra in advance for all inepectione and ehall receive
written approval on inepection card before proceeding with eucceesive phasee of the job. .
The iesuance of a permlt or the approval of drawinge and epecificationa ehall not be conetrued to be a permit for, nor
aa approval of, any violation of the provieiona of the building codes or any other ordinance, law, rule or regulation.
All plan review ieAaulpet to field inapectione.
Signature
Official
aace
IN3PSCTION
REQUESTS M
'T LINSs(303)234-5933 BUILDING OFFICE:t(303)235-2855
MADE BY3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
:9
City of Wheat Ridge
Residential Mechanic PERMIT - 080300
'.p$R[1IT N0: 080300 ISSUED: 04/04/2008
JOB'ADDRESS: 3490 OTIS ST EXPIRES: 10/01/2008
DESCRIPTION: Replace 75K BTU 80% furnace.
CONTACTS
owaer 303/903-6714 Alyssa Cohlman
qc. 303/320-0404 02-0737 AIR CURRENTS INC.
**..-.'~pARCEL INFO
Z0NECODE : UA
S'IMDIVISION: 0481
USE: r-3
BLOCK/LOT#: 0/
**!'~FEE SUMMARY ESTIMATED PROJECT VALUATION: 1,4423.VU
FEES
pCr[nit Fee 70.25
Tot'al valuation .00
:VPo.e Tax 26.06
TOTAL 96.31
s'f .31
I YteTeby ceYtify that the setback distances proposed by this permit applica[ion are accurate, and do not violate applicable
oS'din e, cules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of rerord; [hat a11
remen s ehown, and allegations made are accurate; that I have read and agree to abide by all condi[ions printed on this
iCat n d t~j x'esponsibility for mmpliance with the wheat Ridge Building Code (I.B.C) and all other
le e Ordinances f'or work under this permit. Plans subject to field inspection.
. re of contractor/owner date
1::. Thie pexmit was issued in aCCOrdance with the prwisions set forth in your application and is subject to the laws of Che
StaCe of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
. Osdinances of the City.
Thie permit aha11 expire 180 daYr from the issue date. Requests for an extension must be received prior to expiration 2.
date. M exteneion may be granted at the discretion of the euilding Official. rovided no
;:`.If thie permit expirea, a new permit may be acquired for a fee of one-half the amount nocmally reqaired, p has . Changes have been or will be made in the original plans and specifications and any suspension or abfualnfees shallot
exceeded one (1) year. If chang~=_s have been or if suspension or abandonment exceeds one (1) year,
be paid for a new pennit.
4:~.NO work of any manner shall be done that will change the na[ural flow of water causing a drainage problem.
8.'Contx'actor shall notify the Building Inspector twenty-four (2e) hours in advance for all inspections and shall receive
.'.wiitten approval on inspection card before proceed9ng withSUCcessive phases of the job. nor
' b!, The ieeuance of a permit or the approval of drawins and sPeci:ications shall not be construedao be ule P
ormregula[ion-
- 'an approval of, any violation of the prwisions of the building codes or any othez ordinance, l
pll plan review is s'ec field inspections.
U
of Chief
Qace
N RE4~EST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
oFWH~rq City of Wheat Ridge Building Division
7500 W. 29~h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-235-2857
o ~oR~oo Inspection Line: 303-234-5933
Building Permit Application
Property Address: 341 F0 Srjec+
Property Owner (please print): Y' /"S ta
Da te:
Plan
Permit
Phone: 3L~ J~ ' ~C • (0 7~-7
Mailing Address: (if di(ferent than property address)
Address:
State,
Contractor: F}-"r
ContrectorLicense#: Phone: -103'•~c~a -O~'{D~
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (deSCription): Construction Value: $ 11 ylq
De!s1CriptiOn of Wol'k: ~?r,1 (as calculated per the Buflding Valuation Data sheeQ
Rro fIfC 7S,ODG ~J ~ MQ~C W C a Plan Review (due at time o/submittal): $
• •'1
Sq. Ft./L.Ft added: Squares BTU's 7~-OL9 Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that lhe setback dislances proposed by this permit applicalion 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 reatl and agree to abide by all conditions pdnted on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (1.8P-antlall other applicable Wheat Ridge Ordinances, for work
untler this permit. Plans subJect to Fl tlon.
C/RLCEONE: WNER) NTRACTOR \ PERSONAL E (OWNER ONTRATOR) ,J
PRINT NAME: ~~t•M6£V~ L' i 0/ SIGNATURE: Dale: (I4
-
ZONING COMMENTS:
Zoning:
Reviewec
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
BUILDIN6 DEPARTMENT COMMENTS: OCCUPANCY:
Reviewec
FIRE DEPAR7MENT:t 11 appwved w/ comments ❑ disapproved ❑ no review required
7500 WEST 29th AVENUE
237-6944 EXT. 255 P.0. BOX 838
THIS PERMIT VALID
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
BY THE CHIEF
JOB ADDRESS ,
~ n ,a o
CONTRACTOR
ADDRESS~~
qTY L!~ Z1P CODE 89-
~ e
PHONE 2ga-/.,/ rr LICENSE NO.I
SIGNS
PLUMBING PERMIT
~ MATERIAL
FENCES 3 SET BACK FROM PROFERTY LINE N__ S__
(Soatifv whieh i1 fronf) ❑ Fl
I.
OTHER 2'
b.
STATE LICENSE N0.
DRAW SKETCH OR SHOW BEI.OW, THE FENCE,SIGN,OR OtHER STRUCTURE,GIVIN'u DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PFOJECTIONS INCIUDED)
~
SPECIFY NORTH
STREET NAME
$HpW DISTANCES FROM T!E MAIN BUILDING TUADJOINING HOUSES,STREETS, AND PROPERTY LINES; ON IRREGULAR lAT5,5HOW LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT PERFORM
UPON THIS APPLICATION~RMIT WIOL'L EXPIREM60 DAYS FROM DATEEOFa55UANCE OlFRWORIfr~ ~'lOT STARTED WTHNJ THAT TLDING ~INSPECTION DIVISION.
. urnunuirAi DFRMIT
ELECTRICAL PERMIT
LICENSE N0
1 WIRE UNDER SIZE 8 ILIEI
FLDbR
TO
I hsreby ocknowledqe thot thia aDDI ~~co-
tion 18 eorr eet ond undarstand thot i
eonnot stort tAis Drojeet until thi+ eDDli"
oation is apOroved. 1 aholl eomply wifh
tAe lawl of the Stote o1 Colorado ond to
the Zoninp Repulalions and Buildinp
CoES of tAe City of Wheot Ridps. AnY
violotion of the abova terms will couse
immediqte revoeation of this permit
I. TYPE Ground❑ Woll❑ Proieelinp❑ Othsr SaDFae~
Totol SQuan Feet
2. MAtER1AL
3. ILLUMINATION Yef❑ No❑ TYM El~ct. P~rmit No.
Zone_ ApprovW,ZonO Inapettor
4. SET BACK FROM PROPERTY LINE N._ 5 Q E a W❑ Ditapp/WSd
(Seeeifv whiCh it fronf ) ❑
I 7ypE SolidO More Thon BO%
PERMIT FEE
USE TAX
TOTAL FEE
CHIEF BUI
AND RECEIPTED BEL
OWNER
PERMIT N0MIA91413678
PHONEG '~-)L?5~~~ ZIPCODE
:ONTRACT PRICE $ qyO•Dei Leu Than 80% Op9n
HNpht
W ZaH- ADWov*d,ZonsInsPkta
$
City of Wheat Ridqe
Dote Issu " '
.Circle0ne Got 0il
RCED AIR - BTU 7,
7 WATER - BTU
cwu _ BTII
NOT VALID UNlES
,ett UG 76 D
3.ak-9/
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FOR INSPECTIONS
isvUeaot, aianaW.
~ DEPARTMENT 0F COMMUNITY DEVELAPMENT pERMIT N0. M91~116465
~500 WEST 2stn AvENUE BUILDING INSPECTION DIVISION
237-8944 ExT. 255 P.O. BOx 63e CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CNIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW.
APPLICATION FOR MISCELLANEOUS PE@MIT yLOif
~Tqn n 7F~~
TiC ,ST - I OWNER " TA
JOB ADDRESS Q -CD OT/S S7
6`S T ADDRESS ~ipQ ?
CONTRACTOR ~
~LL/~2 PHONE 2-3 7 Z~/'z3 ZIPCODE
ADDRESS Q
~l 3 ~ oO 7
n~---s=~ - CONTRACT PRICE $~(ZQ O
ZIP CODE 0 >
cirv /U3y/ oa--9,
PHONE L"Ig6 Z LICENSE NO. o6
Woil❑ Proiectiny❑ O1M, SaDFoee
I. TYPE Ground ❑ Total Square Fee1
2. MATERIAL El~et. Permit No.
SIGNS 3. ILLUMINATION Ya+❑ No❑ TYDe
ADVrwad~ 2ona Insp~etor
. SE7 BACK FROM PROPERTY LINE N_ S__ E__'M Zons DisopMwad
4
(Spatifywhithiafront) ❑ ~ cl 11
1. TYPE Soiid0 More Thon 80% OPanU lesa Than 800/0 OM^
HeipM
MATERIAL A Zom 1mveata
FENCES E_, w za+•_ vc~wse,
3. SET BACN FROM PROPERTY LINE N_- 5 a ❑ ❑ DieaDDrovad
(Speeily wtileh is front) ❑ ~
Xle /Lv~i / /t
i.
OTHER 2'
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,
(SETBACKS OR PROJELTIONS INCLUDED) ~ INSPECTION T~
6
JOB CM !El ADDRESS
-BLDG. PERMITM ~ ~y (05
DATE:
PERMITN
BLDG. CONTR.
zS -/~zC)
STREET NAME SUBCONTRACTOR
$NpW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES,STREET
AGE DISTANCE DATE INSP. REQ.
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVER n
qPpLICATION FOR PLUDABING; ELECTF TYPE OF INSP.
THIS APPLICATION ~RMIT EyOME EXPIRE M60 D
DAYS FROM DATE OFISSUANCE
- INSPECTION N
ELECTRICAL PERMIT
STATE IICENSE N0.
UMINUM W~RE UNDER SIZ A
TEMPORARY METER _
NEW SERVICE . - AMPS
CHANGE SERVICE -AMPS
LIGHTING
HEATING
ppWER SUB-CIFCUITS
UTILITY (RANGE, OISPOSER, ETi
FIXTURES
WIRING MOTOFtS B CONTROLS
SIGNS
roeuSFOHMERS 9 RECTFIERS
1 herebY ocknowled9e thot Mia aDDlico- '
tion ie cortecl and understand thot I
cannut Norf this project unfil this opPfi-
cotion is aDGroved. I ahall comDlY with
the lawf oi the Stote of Colorado ond to
the Zoninq Requlations ond Buildinq
Code of fhe City of Wheot Ridpe. Any
violafion of fhe above terms will cause
imme ate revocotion of thls permil.
~OOlieant~ i0natur~
PLUMBING P
S7ATE LICENSE NO._ REMARKS _
T- f / /
W.R. FORM 619 ~
/
DRAIN
SEWERS
PERMIT FEE ~ ^ O1
USE TAX
TOTAL FEE $
CHIEF BUILDING INS CTOR,City of Wheai Ridqe
0"017~
6a-o6-9~
Date Issued
ON.
NOT VAUD UNLwa n--r-I
39897
, 9/
C/.3
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
G