HomeMy WebLinkAbout4629 Otis StreetINSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive -an inspection the following business day
PERMIT: ADDRESS: �l;,-� JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT:500OUL ADDRESS:q)-, � JOB CODEI,7Kf
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
'For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection**'
415 Public Works Final*"
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
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: y e q - rte. I
Job Address: Q to 17 t?_� -)-
Permit Number: C i-7 og
�__k
❑ No one available for inspection: Time WPM
Re -Inspection required: Yes (EOD
When corrections have been made, call for re -inspection at 303-234-5933
Date: /-z r a 21-7 Inspector: T
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
��P�Building Inspection Division_
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: A ( 0 �
Job Address:Avzj1 S�
Permit Number: *,2_0 1_1 09 -2 (1 b
❑ No one available for inspection: Time 1 Ute)AM PM
Re -Inspection required: Yes No
When corrections have been made, call fo e -inspection at 303-234-5933
c.
Date: 1 1 1
Inspector:
DO NOT REMOVE THIS NOTICE
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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.
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 -roof inspections may be called in at the same time, 100 percent of the sheathing must
be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. 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.
City of Wheat Ridge
Commercial Roofing PERMIT
- 201709268
PERMIT NO:
201709268
ISSUED:
11/27/2017
JOB ADDRESS:
4629 Otis ST
EXPIRES:
11/27/2018
JOB DESCRIPTION:
Reroof with 30 year asphalt
shingles; 4/12 pitch;
98 squares
*** CONTACTS ***
OWNER (720)979-5094
LOMBARDI EZIO
SUB (303)593-2761 Caine Knapp
170225 Gold Star Premium Roofing
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 102 /
BLOCK/LOT#:
0 /
*** FEE SUMMARY
*** ESTIMATED
PROJECT VALUATION:
25,186.00
FEES
Total Valuation
0.00
Use Tax
528.91
Permit Fee
453.55
** TOTAL **
982.46
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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.
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 -roof inspections may be called in at the same time, 100 percent of the sheathing must
be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. 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.
City of Wheat Ridge
u Commercial Roofing PERMIT - 201709268
PERMIT NO: 201709268 ISSUED: 11/27/2017
JOB ADDRESS: 4629 Otis ST EXPIRES: 11/27/2018
JOB DESCRIPTION: Reroof with 30 year asphalt shingles; 4/12 pitch; 98 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 1 work to be er ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER orONTRACTOR le one) Date
1. This permit was issued based on the infor ation 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 Budding
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 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 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.
Signature of Chief Building Official _ Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
heat�dge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: T
-10h
#j,/Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: `7! OT f^ ;
Property Owner (please print): - (3 �� t.�, I,,�„ .� I" Phone: "� - O (Lj
Property Owner Email:
Mailing Address: (if different than property address)
Address:
, State, Zi
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor:
s A P`. P
Phone:
v_
Contractors City License #: / Gaal; - Phone: 3o-;?.,, j q % a
Contractor E-mail Address: `-17�
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
El 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) 5' A.A..... ,i .,--L Lr,I CSS , At f
(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.)
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided ou_tf a mn ication.
CIRCLE ONE: (OWNS (CO/NTRACTORy)� �1(,A,UTHORIZ(�E,D�REEPREESENTA�T`IV,E) of (OWNER) (CONTRACTOR)
Signature (first and last name): !rte \ " - J`"` '� DATE: i r^
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation:
U` L R` ' l
R0 I
�_.
With payments to be made as follows
0
Any alteration of deviation from above specifications involving extra costs will be executed only upon written order,
and will become an extra charge over and above estimate. All agreements contingent upon strikes, accidents or delays
beyond our control.
Respectfully submitted
i�`%~"
Note - this proposal may be withdrawn by us if not accepted within
7
ACCEPTANCE OF PROPOSAL
The above prices. specifications and conditions are satisfactory and are hereby accepted. You are authorized to work
as specified. Payments will be made as out lined above.
�iJ l
r
Date of acceptance Si Signature
/
UJD
y
M
P'a r
--bql43�y
2
"ro%// % �// / i ,
i
i�
4 1,,..,.,�,lar.,_.
♦ 4' CITY OF WHEAT RIDGE
V B uil di ng Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L � 0
Job Address: � _5'7
Permit Number: A-)
Is
❑ No one available for inspection: Time X2 S AM/PM
Re-inspection required: Yes No
When corrections have been made, call for re-inspection at 303-2345933
Date: Inspector:
D NOT REMOVE THIS NOTICE
♦ e 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: &&v Z A�V/f
Job Address: A I 57
Permit Number: iLV // Yr
❑ No one available for inspection: Time c`3 1 D (;kMIPM
Re- Inspection required: <� e �_No
When corrections have been made, call for re - inspection at 303 - 234 - 5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
0 Az , Y" ,4,tW 7 —
E
F
s " ' City of Wheat Ridge
Residential Roofing PERMIT - 101140
ons
per shingle is required. Ice dam membrane is required from eave edge to
de exterior walls. Board sheathing with any gap greater than 1/2"
rr::, °..
INSPECTION REQUEST LINE: (303)234 -5933 :BUILDING OFFICE: (303)235 '.
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLD
FEES
Fee
548.09
.00
a, PERMIT NO: 101140
K
ISSUED:
05/05/2010
JOB ADDRESS: 4629 OTIS
ST
'- EXPIRES.:
11/01/2010
DESCRIPTION: <Reroof 100
sqs; with 30 yr
Tamko shingles -
ye
{ * ** CONTACTS * * *1
owner. 303/947-4040
Ezio Lombardi
It sub '. 303/465-2791
David Falbo
10-0009
Bell Contractors
r
ons
per shingle is required. Ice dam membrane is required from eave edge to
de exterior walls. Board sheathing with any gap greater than 1/2"
rr::, °..
INSPECTION REQUEST LINE: (303)234 -5933 :BUILDING OFFICE: (303)235 '.
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLD
FEES
Fee
548.09
.00
t2 Valuation
K
SO4 00
AL.:
1,052.09
�
ons
per shingle is required. Ice dam membrane is required from eave edge to
de exterior walls. Board sheathing with any gap greater than 1/2"
rr::, °..
INSPECTION REQUEST LINE: (303)234 -5933 :BUILDING OFFICE: (303)235 '.
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLD
`� ,7�City of
yy cleat" C Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division
7500 W. 29 Ave., Wheat Ridge, CO 80033 Permit #
Office: 303 -235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property AddW � L q a
Property Owner (please print): e LDyvLe�r-�A ( Phone:���
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Corifractox: -) v G t
Contractors Citv License #: 0 — na�5
SIC
Plumbing:
Mechanical:
City License # City License # City License #
Des�rl ttori�of work�� l / /��,
i L !? f� �a CSI 1`— Contract Value Oo
' $
Review Fee (due at time of submittal):
Squares O® BTU's Gallons U Amps Sq Ft. $
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) or (AOTHORIZED RESENTATIVE) of (OWN / E / R�) (CONTRACTOR)
iJ 6 SIGNAT D � DATE:
PRINT NAME: _
F1R €DEPARrMeNr. q aprove'tl w /eomments�: Jl Cisapproveslrro�revaelwarequired ] Bldg Valuation $
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-734
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :4/12/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 4629-53 OTIS ST
Contractor License No. :
Company :
Phone: 433-9473
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : $500.
I hereby certify that the setback distances proposed by this pertnit application are accurate,
tions of the Ciry of Wheat Ridge or
l
l
P2fflllt F6B :$0.
a
es or regu
and do not violate applicable ordinances, ru
covenants, easements or restrictions of rewrd; that all measurements shown, and allegations
Use TB,-.•-'
l!.
6P
made are accurete; 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 Ridge Building
s0
Code (U.B.C.) and all other applicable W t Ridge orclinancar~ for work under this permit.
Tot81 :
(OWNER)(CONTRACTOR) SIGNED ' DATE,44 -A-LJ
Description : ENCLOSE MPSTER
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This permit was issuetl in accortlance with the provisions set torth in yopur application and is subjecl to the laws of the State of Colo24o and to ihe Zoning
Re9ulations and Builtlin~ Cotle of Wheat Ritlae, Coloratlo or any other applicaUle orUinances of Ihe City.
(2) This pertnit shall expire rf(A) the work authonzed is not commenced wM1hin sixty (80) days fmm issue date or (B) the Ouilding authorizetl is suspentled or
abantlonetl for a penotl of 120 tlays.
(3) If this permit expires, a new pertnit may be acquired for a fee of one-halF the amount normally requireQ provided no changes have been or will be made in ihe
original plans and speciFlCatlons anC any suspension or abandonment has not exceeded one (1) year. If changes are matle or rt suspension or abantlonment
exceetls one (1) year, lull fees shall be paid for a new permit
(4) No work of any manner shall be done that will change the natural flow otwater causing a drainage proDlem.
(5) Contrector shall notify Ihe Building Inspeclor lwenry-four (24) hours in advance for all inspections and shall receive writlen approval on inspeclion card 6efore
proceediing with successive phases of the job.
(e) The the buJdig of or i any t [he~om naoce law~nule otl regulationtions shall not be construetl to be a permit tor, nor an approval of, any viola6on of ihe provisions
of
~~`-~--P~-✓~._ ~?_~.~k _~J : Le./1
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Application Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address :
Contractor License No. :
Company :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback tlistances proposetl by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
coveqants, easemenis or restrictions of record; that all measurements shown, and allegations
made are accurate: that I have read and agree to abitle by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Builtling
Code (U.B.C.) and all other applicable W~Aat Ridge ordinaryces, for y/qglp under this permit.
(OWNER)(CONTR4CTOR)
Description :
Phone : a ~ 3 - 9q7~
Phone:
Construction Value :
Permit Fee :
Use Tax;
Total ;
~ 3 BUILDING DEPARTMENT USE ONLY
i
~6R1411B nts*" ~ ~VI
Approval: i
\D
Zoning x +
.CS entsz;
Approval ~S ~j-~t~~j SvoZJ1(n 0o5lZ oF WAy
P~pU~ seComments:
APProval u 4
Occupancy : Walls Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date Expiration Date :
Approval : Approval Approval :
Plans Required ; J li[ *
(1) This permit was issuetl in accortlance with the pmvisions set Porth in yopur appliwtion and is subject to the laws o/ the State of Coloretlo and ta tha Zoning
Regula[ions antl Builtling Cotle oF Wheat Ritlge, Coiorado or any other applicable ortlinances ot the Ciy.
(2) This permit shall ezpire d(A) the work authorizetl is not commencetl wM1hin sixry (60) days from issue tlate or (B) Ihe builtling au[honzetl is suspentletl or
abantlonetl for a penotl of 120 days.
(3) If Ihis permit expires, a new permit may be acquuetl for a fee of one-half the amount normally reQuiretl, providetl no changes have been or will be made in ihe
Oflginal IanS 2ntl SpeGfiWtions and any SuSpension or abandonment has not ezCeedetl One (1) yeaf. If Ch2ngE3 afe rt12d2 0! If Su8pBO5i00 Of 3b3ntlo0ment
Ex one (1) yeaC /UII fEES Sh211 bE p3itl fof a new permtl.
(4) No wo( any manner shall be tlone that will chanqe ine natural flow ot water causing a Oraina9e pmDlem.
(5) Cont2clor shall notity Ne Building Inspector hvenry-four (24) hours in atlvance for all inspections and shall receive wntlen approval on inspectian caM Oefore
proceEdiing with successi ases of the lob.
(6) The iesuance of a per ' or the ap0rovai oi drawings and specdications shall not be construetl to be a permR lor, nor an apDroval of, any violation of the provisions
of ~ e b iltling wdes y other or nance. law. rWe or re9ulabon.
~
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
TE~
7500 WEST 29th AVENUE
237-8944 EXT. 255 P.O. BOX 638
PERMIT N0. M911116762
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BWLDING_ INSPECTOR AND RECEIPTED BELOW.
JOB ADDR[SS 1-23
CONTRAC70R
ADDRESS
CITV ZIP CODE
PHONE_L65l-7}'5 7 LICENSE NO.A~9!A-
.LLHIVCVVJ rGnrvnI
/
/
.
-
OWNER
ADDRESS 71321
, "~n'y"
PHONE
ZIP CODE
;ONTRAGT PRICE $
%n
O '
1. TYPE GrounA ❑
Woll❑
Proieclinp❑
OMer
5 w 0 FocS
2. MATERIAL
Totai SQUOrs F"N
$IGN$
3. ILIUMINATION Yei❑ No❑
TYDS
Eleel. Parmit No.
SET BACK FROM PROPERTY LINE N
4
_
S_ E
_ W
Zone_
Appraed,ionalnapeeta
.
(SDseity whieh is front)
❑
❑
❑ ❑
Diaopprwed
1. TYPE Solido More TAOn BO% ODSn[]
Less TAon BO
% Open
MATERIAL
HeiQht
FENCES
3 SET BACK FROM PROPER7Y LINE N
_
5_ E
_ W
Zons_
ApprwW,Zons Impatta
(Soacitv whieh iatroot)
❑
❑
❑ _ ❑
Disapvroved
1.
OTHER 2'
13.
pRAW SKETCH OR SHOW BELOW,THE PENCE,SIGN,OR OTMER STRUC
(SETBACKS OR PROJECTIONS INCLUDED)
STREET NAME
$HOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, 5
DISTANCE TO PROPERTY LINES,NOT MA%IMUM OR AVERAGE DISI
APPLICATION FOR PLUMBING; EL
THIS APPLICATION WIIL BECOME A PERMIT TO PERFORM THE INDICAI
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSU
ry
INSPECTION TICKET
JOB
ADDRESS14612r1-~
YW e-t /
OATE: BLDG. PERMITB 14 762'
PERMITM '7H
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. CY .
INSPECTION MADE_7'?~
REMARKS
DIVISION.
ELECTRICAL PERMIT
PLUMBI v
STATE LICENSE NO.
STATE LICENSE h
E Sola
ALUMINUM WIRE UNDER SIZE 8 ILLEGAL
FLOOR
BSI
WATER IXASET
W.R. FORM &18
TEMPORARY METER
WASH 80WL
NEW SERVICE AMPS
BATH TUB
CHANGE SERVICE -AMPS
SHOWER
LIGHTING
SINK
N D~D~GM
GARBAGE DISP
K[~RIG[NAIN
HEATIN6
POWER SUB-CIFCU~TS
WATER HEATEti
Retri aront Cwou
HER
Pound~ CMr e
UTILITY(RANGE,DISPOSER,ETCJ
AUTO. WAS
AUTOMATIC SPRINKLER SYSTEM
FIXTURES
DISH WASHER
ELEVATOR
WIRING MOTORS d CONTR0L5
FLDOR ORAIN
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
PERMIT PEE
63- ~
1 hsreby ucknowledqe thot fhis opDlico-
tion ia correct and understond fhaf I
USE TAX
connot stort fhis projett unfil this oDDli'
ith
AL FEE
$ 103
L
cotion is apOroved. I ahall comDlY w
TOT
_
fhe lows ot the State of Colorado and to
ihe Zi>ninq Requlotiona ond Buildinp
APPROVE
Code of the City of Wheat Ridqe. AnY
t the above terme win couse
ti
CHIEF BUILDI
INSPECTOR~City of Wheat Ridqe
on o
violo
immediote revocation of ihis permil
_
-
DOte ISSUPd-
~'91
oney. j~ w,. ~
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
VAIID UNLESS RECEIPTED
CALL 237-8944 EXT. 255
24 HOUfiS IN ADVANCE
FORINSPECTIONS