HomeMy WebLinkAbout4370 Otis StreetP01761S,�;-19
4gX �� INSPECTION RECORD Occ�u�p�ancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this car ted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive a 'nspection the following business day.**
Inspector Must Sign ALL Spaces pe anent to this project
Foundation Inspections Date Inspector Com ent
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Insnectio
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To ADDroval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
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 Y - ON
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 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 - 201705519
PERMIT NO: 201705519 ISSUED: 08/05/2017
JOB ADDRESS: 4370 Otis ST EXPIRES: 08/05/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 22 sq.
*** CONTACTS ***
OWNER (303)618-6349 MAES CARL I
SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & 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: 9,300.00
FEES
Total Valuation 0.00
Use Tax 195.30
Permit Fee 204.30
** TOTAL ** 399.60
*** 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) 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
r
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: 41?1Ar
Job Address: W7o of, S S
Permit Number: 170 _5SIg
❑ No one available for inspection: Time
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date:>/� �%�' /7 Inspector: JekJ
DO NOT REMOVE THIS NOTICE
i CITY CF^WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:)
Job Address: L13?o e) S*
Permit Number:o /7 n S-�"
Lzr%-Aoisd
❑ No one available for inspection: Time fae AN PN
Re -Inspection required: Yes CITO)
When corrections have been made, call for re -inspection at 303-234-5933
Date: 4%31 Inspector: T_6
DO NOT REMOVE THIS NOTICE
A
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201705519
201705519 ISSUED: 08/05/2017
4370 Otis ST EXPIRES: 08/05/2018
Residential Re -roof to install Owens Corning asphalt shingles with 22 sq.
*** CONTACTS ***
OWNER (303)618-6349 MAES CARL I
SUB (303)981-1265 Jon Lowrie
100243 Monarch Construction & 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: 9,300.00
FEES
Total Valuation 0.00
Use Tax 195.30
Permit Fee 204.30PAN
** TOTAL ** 399.60
*** 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) 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
N,P°.r
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201705519
201705519 ISSUED: 08/05/2017
4370 Otis ST EXPIRES: 08/05/2018
Residential Re—roof to install Owens Corning asphalt shingles with 22 sq.
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 lobe
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
4
� iZ C `�-
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 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 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 or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
11. G91"170 Mf �1
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz c;)6/7
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 31, 2017 2:38 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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
Property Owner Phone
Number
Property Owner Email
Address
4370 otis
cart Maes
3036186349
Field not completed.
7
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of Field not completed.
Contract
CONTRACTOR INFORMATION
Contractor Business monarch construction
Name
Contractor's License 100243
Number (for the City of
Wheat Ridge)
Contractor Phone 3039811265
Number
Contractor Email Address permits@monarchroofs.com
Retype Contractor Email permits@monarchroofs.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing owens corning
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 22
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 22
(pitched + flat) of all
N
roofing material for this
project
Provide additional detail house
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 9300
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
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 brie lowrie
Email not displaying correctly? View it in your browser.
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Address 4370 Otis Wheat ridge CO 80033
Phone 3036186346 Alt. Phone
Email ccrnaesacorrlcast,net
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ins.Pglicy # O5-73-4150803.2
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A i CITY OF WHEAT RIDGE
-1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: q370
Permit Number: -7 ✓TUT I
❑ No one available for inspection: Time 1 S AM/Rj
je-Inspection required: Ne No `.,
*When corrections have been made, call for re -inspection at 303-234-5933
Date: -r ` I ( Inspector:f�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
1
Residential Mechanic PERMIT - 101703
PERMIT NO: 101703 ISSUED:: 07/07/2010
JOB ADDRESS: 4370 OTIS ST C EXPIRES: +01/03/2011
DESCRIPTION: Furnace replacement -.95% 80K BTU, A/C add on 2.5 ` =ton 16se
* ** CONTACTS * **
owner 303/618 -6346 Carl Maes
gc 303/347 -1958 08.0125 Steele Bros.Heating, Inc.%
* *.I PARCEL 'INFO **
ZONE:.: CODE: UA USE: UA
SUBDIVISION: 0405 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATEDc PROJECT. VALUATION: 6,000:0.0
FEES
aluation .00
108.00
L ** 208.00
30B. 0o
"- onditions
4ust: comply 'w/ 2003 -IRC & 2005 NEC.
subject to field inspections.
that ii
Ordinances,. for work: under'thi
i /owner
aed in accordance with the prow
,ad to the Zoning Regulations an
ity.?S
D
in your ap
ire accurate, and 'do not violate applicable
its or restrictions of record; :S that all
to abide by all conditions .printed on this
ridge Building Code- :(I.B.C) and all other'
field inspection.
plication: and is subject to the laws of the
dge, Colorado or any other applicable
on must be received: prior to expiration
ally required, provided no
JUL/07/2010/WED 10:44 AM Steele Bros Heating FAX No,303 347 - 2317 F.001 /001
City of
. MMUNIWDEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 : Fax. 303- 237 -8929
Inspection Line_ 303 - 234 -5933
Building Permit Application
Property Address:
Date:
Plan #
Permit #
Property Owner (please print) &l mao-, Phone: a jQ ? j - (01 - (/Js
Malting Address: (if different than property address)
Address:
City, State, Zip:
Contracwr: <'-6k
Contractors Citv License #: n') 17C Phone: Sn1 - "<Wk-
Electrical: 0 -oNx of Plumbing: Mechanical:
City License # City License # City License #
Description of work
c ontra C t Value:
E ��j Odo • co
5e�--
Review Fee (due at time of submittal):
Squares BTU's Gallons _Amps SgFt. $
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application arc 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.complianec 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 y (OWNER) (CONTRACTOR) r (AYJTXIORI'21SD REPRE5ENTATIt�E) of (OWNER) (CONTRACTOR)�J J�
PRINT NAME: VCI.QER 9 fjVbV 1 SIGNATU - DATE:
DEPARTMENT USE ONLY
'ZONINGCOMMENTS " .. -
'2oning ..
Reviewer. ..
':9UILDING DEPARTMENT' COMMENTS .: " ..
.., ,,,.Ravlalver:::. ..
:. PUbdcftRKScOMMENTS: OCCIIPgNCY '
'Reviewer,
DEPARTMENT :o approved wt eornmQntB ❑disapprove[{ ❑ no review reGUlreel Bld;Valuation: $
e ` d s CITY OF WHEAT RIDGE
' Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPE NOTICE
Inspection Type: f`.a ( 1 )\
Job Address: Z _i S
Permit Number: /002141
❑ No one available for inspection: Time _� PM
Re- Inspection required: Yes .No
When corrections have been made, Gaff for re- inspection at 303 -234 -5933
L
Date: " { 7 Inspector: 0`1
DO NOT REMOVE THIS kOTICE
e CITY OF WHEAT RIDGE
° Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 office - (303) 237-8929 Fax
INSPECTION NOTI
Inspection Type: V\-1 aL V1116~
Job Address: Lt 3-7 U~
Permit Number:
No one available for inspection: Time 1KPM
Re-Inspection required: Yes Ne
*When /corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
04/09/2010 08:15 3039352606 METRO CONSTRUCTION I PAGE 01/01
metro
CONSTRUCTION
1732 Wazee Suite 205 Denver, CO 80202 Phone: 303.242.8444 Fax 303-936.2606
To:
City of Wheat Ridge
From.
Metro Construction
Attn:
Melissa
Phone:
719-423-8988, Elena
Fax :
303-235-2857
Pages:
1
Phone:
Date:
49-10
Re:
Reinspection Fee
Thanks for your help for our mid roof inspection today.
I didn't even get a chance to ask how was your Easter? My was good, went to
Church play on Saturday, then went to my neighbor's house for early dinner.
Do you have e-mail? My e-mail address is elena m metroconstrucbon.com write
me
Here we go, permit for reinspection fee for mid roof.
Permit #100241 = 4370 Otis Street, Wheatridge
Please put re-inspection fees on our credit card.
Thanks
CITY OF WHEAT RIDGE
04/89/10 10:02 AN cdba
Jerod W. Raisch
RECEIPT NO:CDA884091
AMOUNT
DPBP Reroof 41.67 sqs wit
61.08
180241
Reinspection Fee
61.88
w.
PAYMENT RECEIVED
AMOUNT
Vs 2691
61.80
Auth Code:
810312
TOTAL
61.08
v- ♦ i CITY OF WHEAT RIDGE
f -285 Building Inspection Division
5 (303) 234 -5933 Inspection line
303) 235 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: _rir�QaaF
Job Address: Y370 ol 5 r
Permit Number: eb9.;Z<l/
f
❑ No one available for inspection: Time Os;
Re- Inspection required: es _No
When corrections have been made, nail for r inspection at 303 - 234 - 5933
Date: azlir� Inspector: �/� .®
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD OccupaDDV/Ty
'O-INSPECTION LINE: (303) 234-5933
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.
i INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS I DATE I INSPECTOR I COMMENTS:
INITIALS
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
POUR
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath /Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Insulation
Drywall Screw
TO BE
FINALS
TA
CITYHT RID
01/26110 10:07 AN cdhh
- Jerod W Raisch -
RECEIPT NO-CDE003819 AMOUNT
OPSP Reroof 41.67 sqs wit 377.05
180241
Electrical Permit Fee 217.58
Use Tax 159.55
Plumbing.
Mechanical _ _PAYMENT RECEIVED - AMOUNT
V5 2691 377.05
Roof Auth Code:
030812
Building Final TOTAL 377.05
Ice Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping 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.
OCCIIPANCY NnT PF=DAnITTCfI I IKITn
ABOVE
FLOOR
01/26/2010 10:17 3039352606 METRO CONSTRUCTION I PAGE 03/03
♦~A4'
~ Y V i ~ r7~-Ceea OF ~ Date: n /
1 .L 1~ ~ Permit ~ U~~s~~.
COMMUNITY DEVELOPMENT
Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-2352855 * Fax: 303237-8929
Inspection Line: 303-234-5933
Facsimile
Property Address:
Property Owner (please print:,
Malling Address: (rf~ll~mnt tl
Address: ,
Contractor:
Sub Contractors:
e e ss o roe
Company e License 0: n
Use of s ace (fdescripbon):
Descri lon`o wo/pk: ` ,~/J
~i~{' ~~j. ()7)f( c.J Wqt Plan Review (due at time of sudmitteq:s
~P/cR -WIJ]~~fI/ui/~° U
~F ~X
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT are lesor regoladthat s of the Claty of Wriest Ritlgcv°r c venalnts easeapp or restrictions oate f record; thaita Ivmeasurements she=, and
respdn191biliRy for C°mpllanC twlth thehWheat RIdgO BUllQing C°die (Ibe.C) and eu othef appllcab mlwtiealt R1dga OMlnances, fvrr work
under this permit. Plans suhiect t° field InspoctlCn. r
CIRLCE ONE: (O E (CO TRACTOR °r PERSONAL REPRESENT//N1f~iVE of~(O^/WNE\ ~y NfRATO ~r f
PRINT NAME; SIGNATURE: _~=t'~I /JL~C lcit~r~-C~Daie!O
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
DEPARTMENT Q! 1E ONLY
Reviewer,
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer.
FIRE DEPARTMENT:: ❑ approved w/ comments Cl disapproved r_1 no review required Bldg Valuation: $
Permit Application
4
Credit Card Payment: Use credit card listed on file, Date: 1- a- L - i
Print name: T--- r v2 .4 s c- -I Signature: ~ ~ - - - ~
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14806
BUILDING INSPECTION LINE - 303-234-5933 Date : 11/14/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: CARL MAES
Property Address : 4370 OTIS ST
Contractor License No. : 18701
Phone : 418-6029
Company : ARS Rescue Rooter Phone : 739-2993
O\NNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit 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 Ritlge Building
Code (U.B.C.) and all other applicableVheat Ridge ordinagces, for work und9r~Fjis permit.
~ TE
(OWN ER)(CONTRACTOR) SIGNED
Description : REPAIR SEWER LINE FROM HOUSE TO CITY MAIN
Construction Value : $5,700.00
Permit Fee : $12525
Plan Review Fee : $0.00
Use Tax : $68.40
Total: $193.65
USB: z
IC.~I28
BUILDING DEPARTMENT USE ONLY
2#iix[ng<'tomro$lit~ SIC : Sq. Ft. :
Approval :
Zoning :
~ Gi lcj1~9~ ~O min3w~~';
Approval :
, , . ~
pu6 LiC ,VI{otks: Cb~iTl~~~ ks='
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
E:lectrical License No : Plumbing License No :18701 Mechanical License No :
C:ompany : Company :ARS Rescue Rooter Company :
Expiration Date : 8/31 /03
E:xpiration Date : Approval : OKIKS Expiration Date :
Approval : Approval :
(1) This permit was issued in acwrdance with the provisions set forth in yoDUr applicalion and is subject to the laws of lhe State of Colorado and to lhe Zoning
Regulations and Building Code of Wheal Ridge, Coloratlo or any other applicable oMinances of the City.
(2) This permit shall ezpire if (A) the work authorized is not commenced within sixty (60) days from issua date or (B) the building authorized is suspanded or
abandoned for a period of 120 days.
(3) If this permit ezpires, a new pertnit may be acquired for a fee of one-hal( the amount normally required, provided no changes have been or will be made in the
original plans and specifwtions and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) ~Jqworlk of any manner shall be done that will change the natural Flow of water causing a drainage problem.
(5) C 2,N1= notiy the Builtling Inspedor Rvenry-four (24) hours in advance tor all inspections and shall receive written approval on inspeclion card before
p successive phases of lhe job.
e Ide approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
pro uilding codes or any other ordinance, law, rule or regulation.
Chief Building Inspector
nEPA81'MNT OF PLAIVNING AND AEVELOPMENT ' Buildi¢g Pacmit Nimmbu:
~ r BUIY.b1NG IIYSP$L°ITON LIN1C - 303-234-5933 Date:
CITS' OF WHLA'C ItIDGE
7500 VS'E9T 19TH AVENIIE
ca~ ^ WEMAT RTDGE, CO 80215 • (303-135•2855)
- APP~CAMN
Prapetty Owaer: C 4,r d VyL 4~4 S _
Property Addrwa: q?>"?0.O4--S Phonc:Sbs-U(?'r90Zt?
Contraacmt Licease No :
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I nethy «w* m.e me ,tw,k a~m Fopwoa by me yrr& arvuwoa ConsUuction Value: 5 70D -01D
amarrte, aae do mtviolw qptiabie ntdiomeu, fdw ar m`datlou oitm l]ty of Peimit Fee:
whaua;a~ w cwvenma eummoa mrm'"am ofm`°`4*.c m°""`mtm' Plan Review Pee:
shown, md II1estl3oos m.ae qe,ccuram; wu I h.rs ie.e mar~ee m.biee 6y .n
wodcon* ermree oa mIc apvu-tlCO .natfi,c z-, au mpom3uih.ft Use Tax: .
wmpliimee vuit4 t5e Whw $idp HwANU[ Code (US.L) md aU othet epp(iable
WSewtRtdgeOrd'mamus,thrwod[4mf# WhPefmit . . • TOtal:
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U
' BIIA.AIIQG DEYART'NIENT IISE ONLY . .
5IC: ` Sq.PS..:
Zorru~s Caa~rs: .
Approvel• , .
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ApprOVej;
OccPmcY- Wallr. Rqof: Storiea: ReadeatiatUnib:
Elecmeal Licexue No: Plzmbmg Licanse No: Mechanicai Licenee No:
Company Compapy; Compamy: .
Bxpiratlon Daix: Facpuatioa Dam: ' ExpiraROn Date:
APP7OVel: ApproVal• Apptoval•
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➢m~aediq wi~ ~ses~~ phm~ ot~ejob.
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ChiefBuildiag7nspectoz -
TOTRL PAGE.03