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HomeMy WebLinkAbout4747 Otis StreetCity of Wheat Ridge Resid. Windows/Doors PERMIT - 201702185 PERMIT NO: 201702185 ISSUED: 06/20/2017 JOB ADDRESS: 4747 Otis ST EXPIRES: 06/20/2018 JOB DESCRIPTION: Replace 1 bedroom window; 1 living room; u factor = .30 or better *** CONTACTS *** OWNER (303)523-2787 KERR HORACE S II 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: 4,518.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 94.88 ** TOTAL ** 144.88 *** 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 tI obtain this permit and perform the work described and approved in conjunction with this ermrt. I further attest that I am le ally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit 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 ff 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, an 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 Chiefuilding OfficialDate REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. LJ-) q -) t+ c- 5�, �V q od"'� YS INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 �J Occuparr Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter �T.7 � Ri i •1TITii •KT.T.T'� T7 J7Ti7-� A_ • • • l�j i � i1:�G1 �Z•��La 11 F-9 �I�•l � [•716 Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing r'ie% Mr%f rnuar I Inrlarnrnunrl nr RPlnwiln-Slab Work Prior 10 ADDroval UT I ne ADOve 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 Final Window/Doors 711,017 6j A Final Building (VOTE: 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 — riease De sure tnat rougn inspections are cUrrlplCldu IlUlll Lilt: FllU UIZLIIL.l CII lu GIGLII IUCII IVW vUnayc by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather e City of Wheat Ridge Resid. Windows/Doors PERMIT - 201702185 PERMIT NO: 201702185 ISSUED: 06/20/2017 JOB ADDRESS: 4747 Otis ST EXPIRES: 06/20/2018 JOB DESCRIPTION: Replace 1 bedroom window; 1 living room; u factor = .30 or better *** CONTACTS *** OWNER (303)523-2787 KERR HORACE S II 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: 4,518.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 94.88 ** TOTAL ** 144.88 *** 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�perim - I further attest that I am legally authorized to include alI 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 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. perm it 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. Isuance 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 andspecific 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 ordinae or to at ion 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of W heat T-�d�c COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 1 FOR OFFICE USE ONLY Date: T Plan/Permit # r 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: 4747 Otis St. Wheatridge, Co. 80033 Property Owner (please print): Horace Kerr Phone: 303/523-2787 Property Owner Email: Mailing Address: (if different than property address) ress: Same as above City, State, Zip: Architect/Engineer: Arch itect/En g 1 neer E-mail: Phone: Contractor: Matthew Seiler Contractors City License #: CL3-130206 Contractor E-mail Address: inseiler@renewalcoiorado.coin Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # 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) 1 -bedroom window, and 1- Living room window. U factor will be .30 or better (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. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 4,518.00 OWNEWCONTRACTOR 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 1 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) PRINT NAME: Matthew Seiler ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer, PUBLIC WORKS COMMENTS: Reviewer, PROOF OF SUBMISSION FORMS Lr (AUTHORIZED REPRESENTATIVE) of (OWNER) _ SIGNATURE: �Li,. ✓ DATE Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY (CONTRACTOR) OCCUPANCY CLASSIFICATION: Building Division Valuation: $ D= O 0 0 3 Z E o a v c o a 0 o F n n 0 0 z w w Width a N IMgI to e x WWidthAdi P ER9 ER A D Cel � V W O Ah O P M/MOrder 2 D Width g D Z Ordern M/M a Db o Style 3 � 0 0 Check 0 Rail � 91l¢ F FCLR Extc m F FCLR InyD v x yxz z w c o n D o n � O `r D O J n_ O � s o m' Screen z 0 z CaNa1n O Profle F x F v 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: FW b Job Address: �r< ) C) t 5 Permit Number: 2�017 ©1 I f ❑ No one available for inspection: Time j11-5 alpm Re -Inspection required: Yes 6z When corrections have been made, call for re -inspection at 303 -234 - Date:— Inspector:f� DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705258 4a PERMIT NO: 201705258 ISSUED: 08/02/2017 JOB ADDRESS: 4747 Otis ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with ROOF DECKING - 20 sq (8 sq pitched / 2 sq flat) *** CONTACTS *** OWNER (303)523-2787 KERR HORACE S II SUB (303)600-8696 Lawrence Kerr 110274 Formula 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: 11,000.00 FEES Total Valuation 0.00 Use Tax 231.00 Permit Fee 220.15 ** TOTAL ** 451.15 *** 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. 1w If, City of Wheat Ridge Residential Roofing PERMIT - 201705258 PERMIT NO: 201705258 ISSUED: 08/02/2017 JOB ADDRESS: 4747 Otis ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles with ROOF DECKING - 20 sq (8 sq pitched / 2 sq flat) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, ap�ermt cable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized bye legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thio be permed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying 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 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 issuanceo66gt ng of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable codordinaneee��egulagp f this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official QQ Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz "2z 120 5'71 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 25, 2017 8:32 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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 4747 Otis St Property Owner Name Horace Kerr Property Owner Phone 3035232787 Number Property Owner Email formularoofing1@gmail.com Address 3 G Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Business Formula Roofing Name h Contractor's License 110274 Number (for the City of Wheat Ridge) Contractor Phone 3036008696 Number Contractor Email Address formularoofingl @gmail.com Retype Contractor Email formularoofingl @gmail.com Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing GAF Shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 18 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 2 on the flat roof? TOTAL SQUARES 20 / (pitched + flat) of all roofing material for this project PJ Provide additional detail Install new Ice and Water with new drip edge 6/12 Pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 11000 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 Dominick Orrino Email not displaying correctly? View it in your browser. 3 e00 FORMULA ROOFING a REMODELING AGREEMENT 4550 Columbine 5t. Denver, CO 80215 303.600.8696 FAX 303.600.8654 Building Solutions for Colorado t Customer Na/me: Address: �/ 441< -- Customef Phoney � g `,f �' Ph#2 5' , G Email: rtrr" Insurance: `4.. 'il t__. i; eve.... Claim Adjuster Name: Adjuster Phone: Shingle Manufacturer: 4 Style of Shingles: Color of Shingles: r - � Number of Squares: % •" j� i Tear o ff# of layers: i Install Felt: /` c ,✓' . Replace Plumbing Jack:° ..„.. �°J Replace Roof Vents: ( ' Ice and Water Shield: Nailing Pattern: r -\"L, 1 Drip Edge: t' Appropriate County/City Code Requirements Clean-up and haul o ffall trash from roof Roll yard and driveway with magnetic roller Clean gutters of roofing debris Formula R & R will furnish all material & labor Permit pulled by Formula R & R All new roofs guaranteed or 5 years All repairs guaranteed for 9 ays. - Additional Warranty: L1 Homeowner Upgrades: !' i if e tCt,r- -�� �. Customer Signature: ,r../' Total Cost: S i't"! s'-=� '' Formula Representative: Excluding permit and coite requirements Customer Initials Customer ,'initials ;Fk�; Customer W =M'.."""'T'Iff.arElte WEATHER STOR'Eti'ROOFlRG Cal(rRAClUR Rep: Phone: Email: # = C �.. yy.� + �x ! r Pitch: e- Trailer Access: f Stories: Adjuster Email: Formula Roofing & Remodeling will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Gutters Windows Screens`Glazing Bead i Paint Fence/Deck A" _"_'-"a 'S. Y94:,I,L :t >'t`.... ..„.. �°J tit nl`�ommen I ` . { t 3� �, . �f / a r � By signing this contract 1, the `owner, agree[ to the above sled work being comp rope leted as outlined. Insurance Claim: By signing this contract I do hereby give Limited Power of Attorney to Formula Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing & Remodeling on my behalf with anyand all dealings regardingthe current claim listed in this contract. Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full. Formula Roofing & Remodeling will bill my insurance company for all work, including code required work necessary, which. in most cases, is payable by my insurance company. 1, the insured, will not be responsible for any monies not paid by the insurance company except for the deductible and optional upgrades listed on contract, unless notification is made prior to work being completed. or in cases of "No Code Coverage" or "Non -Recoverable Depreciation" on my insurance policy. Code items are required to comply with city -county code and are not optional. Formula Roofing & Remodeling will request the final inspection with the appropriate City.County Authority.Formula Roofing & Remodeling will perform any and all supplemental work approved by the property owner's insurance company. Any additional funds- allocated undsallocated for additional work as part of this claim will be payable to Formula Roofing & Remodeling Initials once the work has been completed and funds have been released. THE "TERAS AND CONDITIONS OF THE .AGREEMENT- PRINTED ON THE BACK OF THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREENIENT. Contractor shall hold in trust any payment received from Owner until Contractor has delivered roofing materials to the site or has performed a majority of the roofing work on the property. whichever occurs first.UJ Deposit Received: S V t Approximate date of service commencement: , Insurance claims proceeds: Owner to remit ACR' insurance payment no later than date of service commencement. Final payment due upon completion of scope of work as agreed upon, receipt of insurance proceeds (if applicable) and/or approval of building department final inspection. Upon signing of the contract the owner reserves the right to a three day rescission period. If the contract is canceled after that three day period, customer will pay 25% of contract price. S Customer Signature:4kl. Date Date: Date: 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: Fw b Job Address: �� ) 61-15 ST Permit Number: C Or) 0 2 I f U No one available for inspection: Time 35 (0/PM Re -Inspection required: Yes 62 When corrections have been made, call for re -inspection at 303 -234 - Date: -7//o7/7 Inspector: Cry DO NOT REMOVE THIS NOTICE I- 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 2378929 Fax -INSPECTION NOTICE Inspection Tyne: fi 0 F T C-7 44 Ll No one available for inspection: Tim q/ AM/PM Re -inspection required: `Yes ) No —? When corrections have been made, call for re-inspeic"tl6nd 363-234-5933 Date: z Inspector: DO NOT REMOVE THIS NOTICE Job Address: Permit Number: 2_0 '-ice, -- /.�.�c..�.�� _ �.� T C-7 44 Ll No one available for inspection: Tim q/ AM/PM Re -inspection required: `Yes ) No —? When corrections have been made, call for re-inspeic"tl6nd 363-234-5933 Date: z Inspector: DO NOT REMOVE THIS NOTICE i i CITY OF WHEAT RIDGE Rr Building Inspection Division ►/ (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE � Inspection Type: "/tE j Job Address: Permit Number: d `M f ✓ ❑ No one available for inspection: Time :` `' AM/PM Re -Inspection required: "Yes` No t When corrections have been made, call for re -inspection at 303-234-5933 3 r,, c �- Date: Inspector,% DO NOT REMOVE THIS NOTICE 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: A, 1-0 Job Address: / % r-TSF- Permit _Permit Number: 20 / %O � Z- ❑ No one available for inspection Time //L/ / AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 3-234-5933 Date:' Inspector: - Gs DO NOT REMOVE THIS NOTICE t, INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR .INITIALS COMMENTS: Footings/Caissons Sternwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain Building %Final Sewer Service dines Fire Department Water Service Lines R.O W &'Drainage - '. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) " DO: NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie i MId -Roof Electrical Service Rough Electric Rough. Plumbing '- Gas Piping Rough. Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING -(( Framing' ',' Insulation r Drywall .Screw FINALS ' Electrical Plumbing Mechanical Roof Building %Final Fire Department R.O W &'Drainage - INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping " * 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 d OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY..` OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED a,. PROTECT THIS CARD FROM THE WEATHER `► / 4, �_ ._CITY OF WHEAT RIDGE f Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION N OTICE I Inspection Type: �� I S\ ta, I Job Address: 04 - ') S T Permit Number: -T)o 7Z ❑ No one available for inspection: Time / AMe Re- Inspection required: Yes Nj When corrections have been made, call fo r e - Inspection at 303 -234 -5933 Date: i�l 0 Inspector: t �U DO NOT REMOVE THIS N TICS o I ✓ CITY OF WHEAT RIDGE Building Inspection Division j (303) 234 -5933 Inspection line (303) 235 -2855 Otfice • (303) 237 -8929 Fax INSPE�TIO OTICE Inspection Type: `t> Job Address: Permit Number: ❑ No one available for inspection: Time 0 T AMP Re- Inspection required: Yes Ne When corrections have been made, call for re ospection at 303 -234 -5933 Date: �'� Inspector: DO NOT REMOVE THIS NOTICE REQU44'A,MUST BE eJtyY0fAt " tNR4 fteFOR INSPECTION THE FOLLOWING BUSINESS DAY. J Residential Roofing PERMIT - 100729 PERMIT N0: 100729 ISSUED: . 03/22/2010 JOB ADDRESS: 4747 OTIS ST EXPIRES: 09/18/2010 DESCRIPTION:-ReroQf 13 sqs CONTACTS owner 303/423-7483 Horrace Kerr sub 720/979-6587 R.Hendricks 09-0249 Team Construction Services Inc PARCEL INFO ZONE CODE: UA, USE: UA SUBDIVISION:. 0369 -BLOCK/LOT#: 0/, FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,274.42 FEES Permit Fee 199.30 t~ Total Valuation .00 + ve Use Tax 130.94.C`.'~1C2„l~L TOTAL 330.24 Conditions: 6 nail installation & mid roof inspection required. Board sheathing spaced more thana 1/2 of an inch apart.. requires plywood overlay on entire roof. Ice and water shield required from eave edge to 21 inside exterior walls. ***Contractor or Property owner shall provide ladder(s) secured in place for inppections. It is the responsibility of the person/firm requesting the inspection to insure roofs are clear for inspection. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re-inspection fee of $61.00 will be assessed. 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 the Wheat Ridge Building Code (I.B C) and all other applicable Wheat. Ridge Ordinances, for work under this permit. Plans subject to field inspection. A Signature of cont c or caner date 0 your application and is subject to. the laws of the 1. This permit: was issued in accordance with the provisions set forth in , State of Colorado and. to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of:. the City.. 2. This permit 'shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted. at the discretion of the Building Official. 3. If this permit expires, a new. permit may be acquired, for afee : of one-half the amount. normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not - exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall bepaid for a new permit. _ 4 No work of any manner shall be done that will change the natural flow of. water pausing a drainage problem. 1'? 5 Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before' proceeding. with successive phases of the job.' 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to. be a permit for, nor an approval of, any violation of the provisions of the building codes or. any other ordinance, law, -rule or regulation. .,y All plan revi w i,9 subject to field inspections. bJ1{/ I Signature of h 'uilding Official' date >r INSPECT NREQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 ; REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of I~ Wheat~~e Date: COMMUNITY DEVELOPMENT Permit b ~vl Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property Address: o'Fl C w e a-{ y-, dt g2L ' v Property Owner (please print):: J+o -[-a ~ V-e, y' U Phone: 3 p 3 L (a Q~ Mailing Address: (if different than property address) Address: State, Zip: Contractor: e Owi,) O a7 n s{ OA C tl o tr) Contractor License Phone: 30 3 2 B -i O -y t; O Sub Contractors: Use of space (description): Description of work: Value, $ -7 ii Q, Vtn-OV2. Q.yt G~ Q106L CL.. rroU Plan Review (due at time of submittal): $ 'L - r Sq. Ft./L.Ft added: Squares 354 BTU' 3J Gallons 61) Amps 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 the eat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to- ection. CIRLCE ONE:: ( WNER) (C NT or PERSONAL REPR C S V ATIVE of (OWN (CONTRATOR) / PRINT NAME: _4_117 a.~5'11'l SIGNATURE/ Date: C~ (7( DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer. - - PUBLIC WORKS COMMENTS: Reviewer: ` - BUILDING DEPARTMENT COMMENTS:. OCCUPANCY: Reviewer FIRE DEPARTMENT:: 0.2pproved w/Comments O disapproved ❑ no review required Bldg Valuation: $ Credit Card Payment: Use c edi card listed on file. Dale: Print name: OSC~ /n~> i c,('s Signature: us , e~r~i DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9303 . BUILDING INSPECTION LINE - 303-234-5933 Date : 8/11/99 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 4747 Otis St Phone : 3034238208 Contractor License No. : Company : Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1,300.00 I hereby certify that the setback distances proposed by this permit application are accurate, P8ff1'11t FeB : $47.90 and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or easements or restrictions of record; that all measurements shown, and allegations ovenants plan Review Fee : $0.00 , c made are accurate; that I have read and agree to abide by all conditions printed on this i Use Tax : $32.50 ng applicatian, and that I assume full responsibiliry for compliance with the Wheat Ridge Build ) and all other applicable Wheat Ridge ordinan es, for work under this permit. Code (U B C . . . ~i DATE 11 9% TOtal: $80.40 CWNER CONTRACTOR) SIGNED Use: sc _ Description : Installin6-r~eplacement windows. No structural changes. Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company: Expiration Date : Approval: Expiration Date : Approval: Expiration Date : Approval: (1) This permit was issued in accortlance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to ihe Zoning Regulalions and Builtling Code of Wheat Ridge, Coloredo or any other applicable ordmances of ihe City. (2) This permit shall expire if (A) the work authorize0 is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abantloned for a penod of 120 tlays. (3) If this permit expires, a new permit may be acquireC for a fee of one-half the amount nortnalty required, provided no changes have been or will be made in lhe original plans antl specifications antl any susDension or abantlonment has not exceetled one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full tees shall be paitl (or a new permit. (4) No work of any manner shall be done ihat wtll change the natural flax otwater causing a tlrainage problem. (5) Contractor shall noliy the Building Inspector twenry-four (24) hours in atlvance for all inspections and shall receive written approval on inspeclion card before proceediing with successive phases of the 1ob. (6) The issuance of a permit or the approval of drawings and specifcations shall not be construed to he a permit for, nor an approval of, any violation of the provisions of the Duilding codes or any other ordinance, law, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPLICATIo N PropertyOwner: JANL=T GG-A-A-ICl Property Address : AgAq- crnS 6j Contractor License No. :N D NG Company : 00NL Phone : f.i/A OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accurete, and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ritlge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that 1 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 Code (U.B.C.) and all other applicable Wheat Ridge ordina ces, forwork unEer this permit. (OWNER)( ONTRACTOR) SIGNED DATE l1 • I/ Description : t--AO Approval: Zoning : EMMEEMEM Approval : Approval: Occupancy : Walis Electrical License No : Company : Expiration Date : Approval: Construction Value : Permit Fee : L.{" i Use Tax : Total : Use: cek Cj~) o-rn BUILDING DEPARTMENT USE ONLY Phone : 3pe -'`~Z3-9wb SIC : Sq. Ft. : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company: Company: Expiration Date : Expiration Date : Approval : Approval : (1) This permit was issueG in atcoNance with the provisions set forth in yopur applira6on and is subjecl to the laws of the SWte o( Calo2do and to the Zoning Regulations antl Building Catle of Wheat Ritlge, Coloratlo or any other applica0le ordinances of the Ciry. (2) This pertnit shall expire if (A) the work auMOnzetl is not commenceE within sixty (60) days from issue date or (e) the builtling authonzed is suspenEeE of abanEanetl tor a Denatl of 120 tlays. (3) If this permit expires, a new Oertnit may Ee acquired kr a fee of one-half the amount nortnaly required. 0mvitleC no changes have Oeen or will he matle in the anginal plans and specifications antl any suspension or aEandonment Iws not exceeEed one (1) year. It changes are maAe or if suspension or abantlonment exceeds one (1) year, /ull fees shall be paiA For a new pertnit (a) No vrork of any manner shall be done Nat wili change the nalu2l Ilow of water pusing a tl2inage problem. (5) CanVactor shall naGfy the Building Inspectar twenry-(our (24) hours in advance for all inspections anO shall receive wriHen approval on inspection prC before proceetliing with successive Ohases of Me7'a6. (e) The issuance of a permil or the approval o( Erawings and spedfiraGOns shall not be mnswed ro be a pertnit far, nor an approval of, any violation of the provisions of the DuilEing cotles or arry oNer ortlinance, law, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 13795 5/1 /02 Property Owner: Property Address : 4747 OTIS ST Contractor License No. : 17152 Company : Precise Plumbing Phone: 423-8208 Phone: 534 0881 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 responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. Construction Value : $478 00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $0.00 Total R $23.50 (OWNER)(CONTRACTOR) SIGNED IJA I t US@ : Description : REPLACE WATER HEATER, READY FOR INSPECTION IZ3 BUILDING DEPARTMENT USE ONLY v SIC : Sq Ft zo'_ Approval : Zoning : 0 e. Approval: P.. Wm. _ .~•{A.~. .a Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No :17152 Mechanical License No Company : Company : Precise Plumbing Company : Expiration Date : 9/13/02 Expiration Date : Approval : OKIKS Expiration Date : Approval : Approval : (1) This permit was issued in accordance with the provisions set PoRh in yopur application and is subject to the laws of the State of Coloredo and to the Zoning Regulations and Builtling Code of VJheai Rid9e, Coloratlo or any other applicable ortlinances of the Ciry. (2) This permit shall expire if (A) the work authorized is nol commenced within siMy (60) days From issue date or (B) the buiiding authorized is suspended or abantloned for a period o! 120 days. (3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required. pmvided no changes have been or w-ll be made in the original plans antl specifcations and any suspension or abandonment has not exceetletl one (1) year. If changes are matle or it suspension or abanoonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done thal wiil change the natural 9ow of water causing a dreinage pmblem. (5) Contractor shall notify the Building Inspeclor Rventy-four (24) hours in advance for all inspeclions and shall receive written approval on inspection cartl before pmceetliing with successive phases of the job. (6) Th s ance. wof. ap~/ ~r mit or the approval of drawings and specifcations shall not 6e consirued to be a permit for, nor an approval of, any violation of the wsi n/~ [ in9 cotles or any other ordinance, law, mle or re9ulation. Chief Buildi inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building PeRnit Number : BUILDING INSPECTION DNISION - 235-2855 . CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : Contractor License No. : 7' Phone : y'a 3 - 5 .2d 1' 7i s-z Company: P" G/SC X/"n -2;; c~ ~ OWNEWCONTRACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT I hersCy ceruty Nat Me setback tlistfnees propose0 py Nis pemM appueatbn are aewrate. anG ao not vioute aopuc1016 oravfancn. rubs of regwuons of Ne City of YVneat Ritlye or covsnartts. eassments or mstncdons of taeorE: that aY measuramsrHS shown. ano aUpatlons ;maos aro accurace: tnat I navs reaa ano ayree ro aDw ey atl mnaioons pnmao on this app~caoon. ana mat I assums luq rosponsabiYN for convofnea wah Me WMU RMqs BuBdGg CoEe (U.B.C.) ana all otl+x appnpbN Whsat itid aromanop. lorwork un0er Mis pwmrt. (OWNER)(CONTitACTOR) SIGNED/O~~ pA7'E 3 e j) Phone : , o S'sr/ Construction Value : y 7 5- Pertnit Fee : 2 3 S' c Use TaX : ,Q-,0^5 P''O' roai : 2 3 s o Descnption : rcP/ c e ~~~.ilyo 14,,- ~/'r R~ ,~'v~ i n~. ~ ~/••o.~ BUILDING DEPARTMENT USE ONLY emp.lftm Approval : Zoning : R81ldlfiaaL'CSlaiiiiFlf! Approval ~ P061f r Approval : Occupancy : Walls Roof : Stories : Residential Units : Eiectncal License No : Plumbing License No : Mechanical License No : Company : Expiretlon Date : Approvai : ~ 2~PJWs:K3qulred= Company: Expiretion Date : Approval : 3 - P" R"uUed:'-] Company : Expiradon Date : Approval : A rnmmm (i) iTU psrmn waa uwea n atmNanea wnn ma pmwqns sM brm n yopur a0pKJ0on an0 u wq~ft tl 1M lawa y Te Stab of CdoqOO an0 b OM Zwwp RsqWauons ana B Wainq Coaa ol YMess Rwqe. Caoraoo d ury otner aop4nON orowness of tl+e Cily. R) Tn~s wrmrt swi aore e (A) me walc ouoNonsaa n nm mmmsnoea wvun wM Iaol e+n hom ww mn or (e) ma dnWuq wnionzsa n uuoraw or awMOnaa ror a parpo a 720 Caya (J) 1/ W3 Dem+n nDUSa. a naw DMM miY 0e SWYM b a fN W aW-MM IM Omoultt nWmMW AOwW. pOYqaA no CJwqtl Mw OM11 M wil W ffd" n IM orW.W yans ano fosaheaoona ua arry sunipruqn w swioonrtwrt nu na *aw*we ons 17 ) Ye+ir. q Nvqftan maaoa A wspauqn or swmnrm e.nsaa one 11) vw. h+N Hn uW De ww br a nnv osmYc (4) NO wurk of atry maflnN fMM Df OOM Y4I W Clinqe py MOYf1110w Of witM fJUfmp i 0laYliqf pr00Wn. (5) Conuanor snan robry me BwlOUg inaoKtp twantyaour (24) nours m aavance lor au inspewons On0 MW recom wnpan a0proql on nspqon nraWla~ Oroteeannq w~m fuccassm Onasss d tne po. (6) TTe usuance ol a Dertmt or Vro aOWA'v U Enwuiqs ana seauficibons snan not De opnsWaO b De a permt fpr. npr an aOPrmaI d. alry ndaeon W 7a Oomwns of Cf! Oun0in9 COOlS W iny ONff 0lOtninCl, 13W, N;! M flyWUOn. Chief 8wltling Inspecror For Mayor THIS ?ERMIT VALID ONLY WHEN SIGNEO BY THE CHIEF BUILDING INSPECTOR AND NIAYOR CALL: 234-5993 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF GOMMUNITY DEVELOPMENT 75ooWEST29thAVENUE 234-5933 P.O. BUILDING INSPECTION DIVISION PERMIT N0. eOxs38 CITV OF WHEAT RIDGE,COLO, biM93#4299 THIS PERMIT VALID ONI.Y WHEN SiGNED BY TNE CHIEF BUiL01NG INSPECTOR AND RECEIPTED BELOW. Af]rll IIATI1.1 r-~ n~~. . . JOB ADDRESS -7 / IV Ul /b T "n2U :3 CONTRACTOR /w2E5"TSi DC ADDRESS 2?gffeD CDf44 L f~ "~'~yE/G cirv I-X-'+/'~0vA if_ Z,PCOOE PHONE 0~ LICENSE NO. Ae335 Wol l ❑ TYPE Groune U NOT VALID UNLESS RECEIi a-.- ~t a s ,ss .,1,~,~537« SIGNS I 2. MATERIAL Total Squan FNt 3 ILLUMINATION Yea❑ No❑ Typa 4. SET BACN FROM PROPERTY LINE N_ S_ E_ W_ (Spseify whitA is }ront) ❑ n n 1. TYPE SolidO Mort Thon 80% 00enO Lus re INSPECTION TICKET FENCES MATERIAL JOB ~ ( L 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W_ ADDRESS ~l U O lAi~ ~ (Spstify whith is }ront) 1:1 ❑ ❑ I. l OTHER 2. DATE: BLOG. PERMITN PERMITN DRAW SKETCH OR SHOW BELOW,THE FENCE, SIGN, OR OTHERSTRUCTURE, GIViI r n ' (SETBACKS OR PROJECTIONS INCLUDED) BLDG. CONTR. l AJ X~'~'-- SUBCONTRACTOR DATE INSP. REQ. l I-C;~-G STREET N4ME SMOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AN DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANI;E. APPLICATION FOR PLUMBING; ELECTRICA THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK 0 PERMIT WILL ERPIRE 180 DAYS FROM THE DATE OF ISSUANCE II TYPE OF II INSPECTIO REMARKS W.R. FORM &19 ~ ~ ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT SiATE LICENSE NO. MECHANICAL PERMIT ALUMINUM WIRE UNDERSIZE 8 ILlE6AL FLOOR BSM IST 2ND 3RD 4TH NQ FLELC'rtlsOm pl E Splp NO. WATER CLASET ~ FORCED AIR - BTU G~I o0 TEMPORARY METER WASH BOWL FpT WATER BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTIN6 SINN OTMER HEATING GARBAGE DISP REFRIGERATpN SYSTEM POWER SUB-CIFCUITS WATER HEATER Retri aranf Group UTIUTY(RANGE,DISPOSER,ETC.) qUTO. WASHER Pounda CMr • FI%TURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTOftS 9 CONTROLS FLDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS B RECTFIER$ SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES REMARKS //D/P/ 2'}'4/"/) /f L r/.(ue.Al.4'!°e /0(J (f/'/a-LrJ L. S~~-t-~. --T I Aereby ocknowledQe tnot tnis ovvlico- PERMIT FEE fion ie eorrecl and understond tnat I USE TAX eonnot itort thie project unfil this oppli- wtion is opprovee. I shall comply wirn TOTAL FEE fM lowe ot fhe Stafe of Colorodo ond to the Zoninp Requlatiom ond BuiidinQ APpROVEI Code ofthe City of Wheat Ridqe. Any DFSARRli violorion of tne obovs rerme wdl couee CHIEF BUILDI immediate revowhon of fhis permif Date Issued_ ~y0licanb 9i0natur• OWNER . IrIi LOKPLY T7. J(,cJpR% Z ADDRESS1/770 OT/S PHONE 72/ " o G/4 ff ZIPCODE p0033 CONTRACT PRICE $ "~~/G) f~ Z) DATE 7 PraieotinpU OM*r 5 a D Faee ,City of Wheat Ridqe 2>- CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS