HomeMy WebLinkAbout3405 Miller StreetFrom: rnni Pte.
TO: +or:mne-aow<a::oan. ram••
¢: rnni Pte.
soNece RG: aome roar Submittal: AF Goole: Permit Apiion
oa@: Firl June 11, 20218:12:42 PM
Good morning,
Structural calculations are required for a new unit installation. If you can email those over to us in
this email chain, we will process your application and put the calculation in for plan check.
Thank you and be safe!
Justin Berry
Building Division
Office Phone: 303-235-2855
Office Hows: 7 am — 4pm
City of
WheatR0dge
COMMUNm Elm"MFNT
From: no-reply@ci.wheatridge.co.us mmrreply@cl.wheatndge.co.us>
Sent: Friday, June 11, 26217:41 AM
To: CommDev Permits <Permits@ ci.wheatridge.co.us>
SubjesT Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application
Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is this a new install or New Unit Installation
replacement for an existing
AC unit?
Is this Residential or Residential
Commercial?
Property Address 3405 MILLER ST
Property Owner Name BARBARA CARMOSINO
Property Owner Phone
303842-5499
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
CARMOSINOCONSTRUCTIONfoICOMCAST.NET
Address
Attach City of Wheat Ridge
WHEAT RIDGE PAYMENT FORM FOR CARMOSII
Electronic Payment Form -
**DO NOT ATTACH A
PICTURE OF A CREDIT
CARD**
CONTRACTOR INFORMATION
Contractor Business Name
THE COOLER COMPANY
Contractor's License
021365
Number (This is a 5 or 6
digit number for the City of
Wheat Ridge)
Contractor Phone Number
303-422-5308
(enter WITH dashes, eg
303-123-4567)
Contractor Email Address
LORIno THECOOLERCOMPANY.COM
Retype Contractor Email
LORIno THECOOLERCOMPANY COM
Address
DESCRIPTION OF WORK
What type of replacement
Evaporetive Cooler
unit are you installing?
How many tons is the unit?
0
For AC - what is the SEER?
5500
For Evaporative Coolers,
what is the CFMs?
Where is the unit located ROOFTOP
(for example, rooftop,
backyard on ground etc)?
Is electrical needed for re- Yes
hook?
Provide Electrical
021365
Contractor's Wheat Ridge
License No.
Project Value (contract
5500 Valuation Okay
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility
Yes
for compliance with
applicable City of Wheat
Ridge codes and ordinances
for work under any permit
Issued based on this
application.
I understand that work may
Yes
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.
I attest that everything
Yes
stated in this application is
true and correct and that
falsifying information in this
application is an act of
fraud and may be
punishable byfire,
imprisonment, or bath.
Person Applying for Permit Lon Martinson
Email not displaying conecdy?y it in your browser.
regFarvomre WO Noun Podiouon
Good morning
Structural calculations are required for a new unit installation. If you an emau those overto us In
this emau chain wewul process your application and put the calculation in for plan check
11i you and be afel
Justin Bary
Building Division
Office Phone 303-235-2855
Office Hours: four—part
�
' W City
Counm
From: no r pN@a wKetr dge cc us mo-reply@a wbeamdge m. us.
Sent Fdtlay, Jun, 11 2021 7'41AM
10: Comm Day Farm its 6ennl[s@a who at m. us.
Subject: onllneForm Submittal Air Conditioner/Evapoative Cooler Permit Application
Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for AIR CON MITI ON ER OR EVAPORATIVE
COOLER
YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it Is
pro cesped
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is this a new lnsta 11 or New Unit l date Ration
rept ac ment for an existing
AC unit?
Is this Residential or Reside imaI
Commercial?
Property Address 3405 MILLER ST
Property Owner Name BARBARA CARMOSINO
Property Owner Phone
303-842-5499
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
CARMOSINOCONSTRUCTIONQCOMCAST NET
Address
Attach City of Wheat Ridge
WHEAT RIDGE PAYMENT FORM FOR CARMOSINO Ddf
Electronic Payment Form -
**DO NOT ATTACH A
PICTURE OF A CREDIT
CARD**
CONTRACTOR INFORMATION
Contractor Business Name
THE COOLER COMPANY
Contractor's License
021365
Number (This is a 5 or 6
digit numberfor the City of
Wheat Ridge)
Contractor Phone Number
303-422-5308
(enter WITH dashes, eg
303-123-4567)
Contractor Email Address
LORIQTHECOOLERCOMPANY COM
Retype Contractor Email
LORIQTHECOOLERCOMPANY COM
Address
DESCRIPTION OF WORK
What type of replacement
Evaporative Cooler
unit are you installing?
How many tons is the unit?
0
For AC - what is the SEER?
5500
For Evaporative Coolers,
what is the CFMs?
Where is the unit located
(for example, rooftop,
backyard on ground etc)?
Is electrical needed for re -
hook?
ROOFTOP
Yes
Provide Electrical 021365
Contractor's Wheat Ridge
License No.
Project Value (contract 5500 Valuation Okay
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full responsibility Yes
for compliance with
applicable City of Wheat
Ridge codes and ordinances
for work under any permit
issued based on this
application.
I understand that work may Yes
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.
I attest that everything Yes
stated in this application is
true and correct and that
falsifying information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Permit Lori Martinson
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
-.A Residential Mechanical PERMIT - 202101246
PERMIT NO: 202101246 ISSUED: 08/18/2021
JOB ADDRESS: 3405 Miller St EXPIRES: 08/18/2022
JOB DESCRIPTION: New installation of a rooftop evaporative cooler. 5500 CFM
*** CONTACTS ***
SUB (303)422-5308 STEVE
BRANDT
021365 THE COOLER
COMPANY
OWNER (303)503-1112 BRUNK
BRIAN
SUB (303)422-5308 STEVE
BRANDT
021365 THE COOLER
COMPANY
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2403 /
APPLEWOOD
VILLAGES, PROSPECT V BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 51500.00
FEES
Total Valuation
0.00
Use Tax
115.50
Permit Fee
140.90
Permit fee additiona
140.90
** TOTAL **
397.30
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Mechanical PERMIT - 202101246
202101246
3405 Miller St
ISSUED: 08/18/2021
EXPIRES: 08/18/2022
New installation of a rooftop evaporative cooler. 5500 CFM
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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of 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 requ�ired
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, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
08/18/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
E -Res. Electrical Service PERMIT - 202101259
PERMIT NO: 202101259 ISSUED: 06/14/2021
JOB ADDRESS: 3405 Miller St EXPIRES: 06/14/2022
JOB DESCRIPTION: Replace existing panel in garage with new 200A panel
*** CONTACTS ***
OWNER (303)503-1112 BRUNK BRIAN
SUB (303)487-1142 WADE SWANSON 090461 KM ELECTRIC, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21800.00
FEES
Total Valuation 0.00
Use Tax 58.80
Permit Fee 93.35
** TOTAL ** 152.15
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Electrical Service PERMIT - 202101259
202101259
3405 Miller St
ISSUED: 06/14/2021
EXPIRES: 06/14/2022
Replace existing panel in garage with new 200A panel
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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of 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 requ�ired
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, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/14/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Monday, June 14, 2021 11:00:12 AM
Electrical Service Change/Upgrade/Electrical Work Permit
Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3405 Miller Street
Property Owner Name Brian Bronc
Property Owner Phone 303-503-1112
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat TEXT HERE - Electronic Payment Form - Revised 5-1-20
Ridge Electronic Fillable 202005011620013849 202006081141368198 Ddf
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business KM Electric LLC
Name
Contractor's License
094061
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-487-1142
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
cblair@kmelectricllc.com
Address
Retype Contractor
cblair@kmelectricllc.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Change
service upgrade or
change?
Number of Amps
200 amps
Location of work
House..... existing Panel is inside of garage
(garage, house, etc)
Provide additional
Panel is located in garage, old pushmatic ITE. Needs to be
details, if needed.
replaced
Project Value (contract
2800.00
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for wade Swanson
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: .S
Job Address: 3 I
Permit Number: Z0Z-U 0 /Q..;_t 7
❑ No one available for inspection: Time AM/
Re -Inspection required: Yes 9
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge.co.us4nspectiod
Date: /Al -,X ,= f Inspector: a
DO NOT REMOVE THIS NOTICE
f
. 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: 6-C 1
Job Address: _,� 4 65, M
Permit Number: Z 0 / -7 n 0 �-
❑ No one available for inspection: Time/U•'3 AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: q. ) / Inspector:
4E:110V�_
DO NOT REMOVETHIS NOTICE
ra City of Wheat Ridge
Residential Demoliti PERMIT - 201700504
PERMIT NO: 201700504 ISSUED: 04/14/2017
JOB ADDRESS: 3405 Miller ST EXPIRES: 04/14/2018
JOB DESCRIPTION: Remove pool shell (fiberglass); remove pool equipment (heater, pump,
filter); cap off gas line and electric to pool; backfill pool and compact
*** CONTACTS ***
OWNER BORNT CHERYL E
SUB (303)842-5278 Dustin Donner 150015 Pool & Spa Medics, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00
FEES
Total Valuation 0.00
Demolition Fee 50.00
* * TOTAL * * 50.00
t�%YCJ
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permit. I further attes that I am legally authorized to include all entities named within this document as parties to the work to be
performed andtjial all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
7
Signature of OWNER or'CbNTRACTOR (Circle one) Date
1. This permit was issued 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 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, any violation of any provision of any
applicable cod ordmance 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.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
eat id
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 290' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cD_ci.wheatrid4e.co.us
FOR OFFICE USE ONLY
Date:
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: 3 Lj D M I I J (?,(-
Property Owner (please print): J P C, E Born t Phone: 7,20 q53
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Engineer E-mail:
Phone:
Contractor: PDO) Wh C "-) R�l /V lea � C:5
Contractors City License #:J 50015 Phone: -303 �/qa " 6d 21?
Contractor E-mail Address: 10,
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
�P ►Goma,, I .C.a
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL 4 RESIDENTIAL
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
12, OTHER (Describe) �P-, be -r-0 (Ca5S P00 I-e-MQn/
(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.)
( g -(y10 % pool -51, e1 I i b erq l asS
Pw N�� � �Wn , 7I
� We- � I C� � tY� �.l�—j- � J
�
0.0P
foo) arZ-q C -e) r/paL--
Sq. FULF
Amps
Btu's Gallons
Squares
Other
Project
�Value: (Contract value or the cost of all materials and labor included in the entire project)
C / C/
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 on the application.
CIRCLEONE.- (OWNER)CONTRACT0 ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): _ _ ��� DATE: 411141117
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
r
Inspection Type: d
Job Address: ® �Y
Permit Number: 01 1
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
h
f * When corrections have been made, calf for re- inspection at 303 -234 -5933
r
I /
Date: - pector: nt -
DO OT REMOVE THIS NOTICE
i
♦ A i CITY OF WHEAT RIDGE
~-j- Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
!NjSPECTION NOTICE
Inspection Type: i~
Job Address: 1L~ S!
Permit Number: J~
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-ins action at 303-234-5933
r
Date] Inspector:
DO NOT REMOVE THIS NOTICE
♦ 16 4 i CITY OF WHEAT RIDGE
�-r Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
0,61' >rs a s° ^ f -
d7 >S D.av&l rip 7z3,`
❑ No one available for inspection: Time !s AM /PM
I:
Re- Inspection required: No
d[' "When corrections have been made, call for re- inspection at 303 - 234 -5933
ti �
t
i Date: ?// Inspecto r
si DO NOT REMOVE THIS NOTICE
Inspection Type: 1/71_0 (VVO
Job Address: . ?V05 A>s/r!F` e 5t°""
Permit Number: 0�-? )/37
04 City of Wheat Ridge Building Division
7500 W. 29th AVG., Wheat Ridge, CO 80033 . Defer
Office: 303-235-2855 * Fax: 303-235-2857 Plan A:
o Inspection Line: 303-234-5933
Building Permit Application
w l 3`tO5 r Ilex s~ SSvca~~
Property Owner (please print): 5L~wieC_ Phone:3oLAjA- (ODr~
Mailing Address: (if different then property address)
Address:
City, State, ,Zip:
QOotfti: P.n sT72uc-nDn Iola 5. ~t u Pktu :Engle Bona
-018
SPOOR! 4
Electrical City License
Company:
Plumbing City License
Company
Exp, Date:
Exp. Date:
Mechanical City License
Company:
Exp. Date:
Use of space (descrittion): 5 F V Construction Value; $ S 8.3.E -5r7
calculated per the smrarrmt VaruaBon Data sheet)
CG4(` bra- £ , CbC7•F. Plan Review (due at trme orsubmittali: $
r
Sq.Pt./L.Ftadded; SquareaL 7 BTU's Gallons Amps
OWNERICONTRACTOR 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, and
allegallonsgmade are e~ aite Ihe[~I have red and agree m aejtle b yYnegl condltlcosopr)n[ed record; this eppllcationsanCmBffi 1 dBSimlO full
responsibility for compliance with the VJlI at Ridga Building Cobde (1,B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plana subjecttoflaldI apaotion.
CIRLCE ONEe (OWNER) (CO RACTO or PERSONAL REPRESENTATIV Of (OWNER) (CONTRATOR)
PR NT NAME: gY a,G Jn SIGNATURE:
Date;
oc ~
INSPECTION TICKET
JOB Sj YO C V`""~ ADDRESS
DATE: -0 BLDG. P&T# q qO a
PENMiT#
BLDG. CONTR
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE
REMARKS
4,
ot- 01 ~
I
INSPECTION TICKET
JoB G
ADDRESS ~
( 69`{
DATE: `n O -q ~I BLDG. PEFMITN
PERMITM
BIDG. CON7R.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. itru,~^""' '
1NSPECTION MADE
,
REMARKS e+
W.A.FORM 619
~
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BUILDING DEPARTMENT
237•6944 Ext. 255
CITY OF WHEAT RIDGE
+ *
Correction Notice
~
Job Located at .......!•!•..'~.?..,..,'f
I have this day inspected this structuse and these premises and
have found the following violations of City and/or State laws
governing same: j
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t</~ ~.r~„e........~.:J~......`J..!2P,.k.a...('.e.^.:....~✓6.,' %i.......
.....~7..[.: ti'.::.~..... ..iJ~:........~, f :r::f :r ' .
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You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
,
. ;
D a te
Inspector for Building Dept.
DO NOT REMOVE THIS TAG
FOFM WR6-33
rj y
INSPECTION TICKET
JOB
ADORESS
DATE: ~I-r ~ - C/ v gLDG. P RMTk 4~62
PERMIT#
BLDG. CONTR. --4447- Ia-ra-u-~T-
SUBCONTRACTOR
DATE INSP. REQ.~
TYPE OP INSP./ f
INSPECTION MADE ~,/1~i/ 4i
REMARKS (~1 . . ~
l>q J
INSPECTION TICKET
JOB
ADDRESS ~O
DATE `1 4 BLDG. E~2 c1
RMITk V~CtOZ
PERMITM
BLDG. CONTR.
SUBCONTRACTOR 1-1_
~
DATE INSP. REO. TYPE OF INSP. ~Y - I!~'e-
INSPECTION MADE
REMARKS_
W.R. FORM 619
(
INSPECTION TICKET
JOB
ADDHESS
DATE: BLDG. PERC ITM (I ~G
PERMIT#
BLDG. CONTR,
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE ~
REMARKS__ ~
L
INSPECTIO TICKET
JOB ~
ADDRESS ~ ~Q S ,C.c.tZ,
DA7E: Lj -zl ~ gLDG. PERMIT#
~SO„1
PERMIT#
BLDG. CONTp.
SUBCONTRACTOR
DqTE INSP. REQ._ a' / 7
TYPE OF INSP. Cr LV
INSPECTION MADE ~
REMARK3
W.R.FORM 6.19
J
7500 WEST 291h AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-6944 EXT. 255 P.O. aOx 638 BUILDING INSPECTION DIVISION PERMIT N0. g94#4902
CITY Of WHEAT RIDGE, C0L0.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCAMPANY THIS APPLICATION
BUSINESS NAME ADDRESS
COPY OF DEED AND IMPROVEMENT SURVEY REQUIRED
S ~ Al
W
E
SPECIFY NORTH
(CIRCLE FRONT) N E S W
SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH;
SHOW LEAST DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DIS7ANCE.
OWNERS NAME FR~ r1X;4A✓0S76K) ~•Pf3~✓1EG LEGAL DESCRIPTION
CONTRACTOR __7 LIC. N0. METES AND BOUNDS DESCRIPTION ATTACHED
ADDRESS ~ 1 pHONE ,:Pp3~~60~ ADDRESS ~4'S ! M/LL E~' S T
CITY ~ ZIP COOEp~ 3~ -LAT N0. ~l 6 BLOCK N0.
LOT WIDTH DEPTH AREA SUBDIVISION" VtRLVOe GS742~I1LING
INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING~ Curb&Gufter_StreatPovinq_WOtsr_SSwer_Stormqoinaqa-
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING: YES_NO_
ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES_NOX
OCCUPANCY L14P'h3 1~_- I~ 1"&K-4v p, ~.E,X~TERIO,R~ M~ATERI,A~LS; WALLg(~ ~ ROO~F ~'rrSTlN6-
STORIES UNITS REMARKS: le.x¢.{ni
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
PERMIT FEE
6-,00
I hereby certify ihof ihe above setback distances shown on ihis permit opplicafion are accurote, and do nof violota
U$E TAX
a
~
e m covenonts
easements or restrictions of re-
f th
Cit
f Wheat Rii
l
fi
l
S
,
y o
g
es or regu
ons o
e
opplicable ordinances, ru
a
cord; ihat all measurementa shown, and allegations mode ore accurate; that I hove read and agree to abide by oll
TOTAL FEE
3, 00
G
condifions printad on this applicofion, and 1 1I assume full responsibility for compliance with the Wheat Ridqe
NOT E TED
C
8uilding Code (U.BC.) and all other aOPlica Whea Ridge or i nces, tor work under this permit.
C
c DATE
(OWNER)(CONTRACTOR) SIGNED
BUILDING DEPARTMENT USE ONLY
SQ.FT
COST
~
-
THE PROPERTY LOCATED AT, + ~
BASEMENT-ROUGH
~
A
C~
BASEMENT-FINISHED - IS PRESENTLY ZONED~
GROUND FLOOR THE PROPOSED USE (_L-1<_IS NOT) ALIAWED UNDER THE ZONIN6 ORDINANCE.
'
SECOND FLOOR COMMENTS:
GARAGE
OTHER \
DU
Od
,
OTHER BUILDING COST f
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE N0. CITY NO_
STATE N0. CITY N0.
CITY N0.
PLANS REVIEWED (-OK)(-NOT OK)
PLANS REVIEWED (-OK)(_NOT OK)
PLANS REVIEWED-(-OK)(-NOT OK)
NO PLANS NEEDED
NO PLANS NEEDED
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE OF
ELECTRICAL PERMIT
PLUMBIN6 PERMIT
MECHANICAL PERMIT
PERMIT ISSUED TO
PERMIT ISSUED TO
PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO
PER REOUEST AS PER PLANS N0.
PER REQUEST AS PER PLANS N0,
AS APPROVED AND ON FILE IN MY OFFICE
AS APPROVED AND ON FILE IN MYOFFICE
AS APPROVED AND ON FILE IN MYOFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
DO NOT ISSUE PERMIT UNTIL CLEARED BY
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
CHIEF BUILDING INSPECTOR
CHIEF BUILDING INSPECTOR
DATE CLEARED BY _
DATE CLEARED BY
DATE CLEARED BY
CHIEF BUILDINGINSPECTOR
CHIEF BUILDINGINSPECTOR
CHIEF BUILDINGINSPECTOR
BY
BY
BY
DATE
DATE
DATE
CONDITIONS:
(I) THIS PERMIT WAS ISSUED IN ACGORDGNGE WITX THE PROVISIONS SET FOHTN IN YOUfl APPLIGIITION AND IS SUBJELT TO THE Ll.W3 OF THE STATE OF COLONRDO
AND TO TME ZONING FEGULATIONS AND BUILDING CODE OF WHEAT NIDGE, LOLORAW OR ANY OTHER APPLICABLE ORDINANCES OF THE CITY.
(2) THIS PERMIT SHPLL EXVIRE IF (A) TME WORN AUTHORIZEO IS NOT COMMENCED WITHIN SIXTY (80) DAYS FFOM ISSUE DATE OR (B) THE BUILDING AUTHOHIZED IS
SUSPENDED OR ABANDONED FOF A VERIOD OF 120 OAYS.
(3) IF TMIS PERMIT EXPIflES, A NEW PERMIT MAY BE AGOlIIRED FON A FEE OF ONE-NALF THE AMOUNT NORMALLY flEOUIRED, PROVIDED NO CHANGES NAVE BEEN Ofl WILL
BE M4DE IN THE ORIGINAL GLiNS AND SPEGiFIGATIONS ANO ANY SUSPENSION OR ABRNDONMENT XpS NOT E%CEEDED ONE(I) VEAR. IF CHANGES 4RE MADE OR IF
SUSPENSION Ofi AB<NDONMENT E%CEEDS ONE (i)YEAR, FULL FEES SHALL BE PAID FOR A NEW iERMIT.
(4) miu BE DONE THAT WILI OBSTRUCT THE NWATER CAUS A DRAINAGE PRO BLEM.
(S) BULLDI INSP TOR WENTY-FOUANCE FOR INS TIONS AND SHAII RECEIVE WPITTEN PPPi10VAL
~E~WI 19 SUGCTESSIVE PH45E~ Dr7T~~1PPR6dED
R
G IFOR MAY R
;-04-94 11:54AM FROM FBS MORTGAGE TO 93032942583 P002
ir7.... gal aeocrfptlon l . (_l
bv cusmnw
' LOT g ~
I VEI,N~TY ~OF E~FFER
CO SON :
STATE OF COLORFlDO ~
i
NOTE: SFEp EN(:ROACFES
ONTO LO7 5 wES7GRN La~E oF PIGI.IC
FR~hE SFED
NO CONC 247_9' SERVICE EASEFENT
,1' ~fENCE
10.0' sAsEmENr
- r3405 31.
F ~RnGE prE srpRy 3a.n
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BRICK w Pv' PORCF CONC
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FND PN Z59a5' FND PN
NOTF; C9NC.ENCROACHES
pNTO ESMT. ,
N TH
OOI.UMpINE $yF1VEY1Np, INC.
eaoi s. ai.rcO a340
unWon, co roua
or
' 972•9000 , s
IMPRAVEM6NT LQCA710N CEA7IFICATE
I nueby wnlly nat IMS Impravomwi locqbn wMlkal■ woo pr.panA la FBS MpRTGAGE
M.t 11 1s na g t«W vuwvq WaI ar Nnprm*m*nt Iwvey pitl, uW tnmt R b am to or reiea epon lof IM taiWI1lhtMOt of M1rtow, puitCing. of olhr
~ Iu1W~ Imp~w~tMnl Iln~~.
~ I lWtlio! Ohly WI IM Nnprowmma m Ihr abow d.a11490 Wlai. eKCrp[ uUlIN acnrrrcllrnw, eve rnUnly wlptln Ihe 6owauM4 ul tnr paral, vrNPI
u shawn, thal tMn re M1o oneraxnmenu upon the dacilWd Pnm4a bY Imprawrmnn on any 11411e1tnlnp pnm11161. OxaOpt af Inaieaua, arW tMI
Ihele Ie no appYOM1i Mao-'rM or Iqn wmy eawmonl erwlslna a burWnlnq any part al wa puai, oMppt af neua.
Wwi~^YµdKRiM~Ma,•w.wNbr~u~^W w~w~•1riYnYw! WRMM.~.er~eww~.~+~w.~w~n«xrnrM~wMan,Mrwl9w9mnx..1' w
. . . ..nlicr.w+. ~ Mn r.u ~saw M ~+^^w~•^ awM , ~w.. un.nH~. ~w.~. ~^1'•
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(Space Above Thls Llne For Recording Data)
DEED Or TRUST
1'IIIS DL-'ED OP TRUST ("Security Inslrumenl") is rnade on NOVEMBER 6TH
92 , arno1ig the grantor, FRANC I SZEK KRAW I EC AND STAN I SLAWA KRAW I EC
("Borrower"), the Public Trustee of
uily (^'fruslee"), and the beneficiary, FBS MOPTGAGE
cr the laevso( THE STATE OF NFVApA
DOX 1199 MINNEAPOLIS MN 55440
rower uwes Lender the principal swri of UNE IIUNDRED
JFFFFRSON
CURPONATION, A NEVApa CORPORqTION
, ancl whose address is , which is urganized and exisling
F0RTV THOUSAND AND NO/ 1 00 ("Lender").
Doliars(U.S.S 7 q0,000.00 This debt is evidenced orrower's
dated the same date as this Securi(y hulrument ("Note"), by fi
which provides for monthly payments, with Ihe full debt,
t paid earllcr, due antl payable on pECEMf]FR 01 2007
es lo Lender: (a) the repayment of lI1P, dCbl fVIdCf1CP.d by IIIP. Note, wllh interesl, and a11 e
1 riewais, r' extelRioru na xl
ificalioitc o( Ihe Note; (b) (he paymen( of all ulher sums, with inleresl, advanced under puragroph 7 to protect ihe
ity o( this Security frutrument; and (c) the pertormance o( Dorrower's covenanfs and agreements under this Secwity
imenl and ihe Nole. Por Ihis purpose, Borrower, in concideralion o( the debt and the Irust herein crealed,
wably grants and conveys to 7'rustee, in hust, with power of sale, the following described property localed in
I ERSON Counly, Colorado:
6, OVEfiL00K ESTATES,
NTY OF JEFFERSON,
FE OF COLORADO.
has ihe address of 3405 M I LLER ST
~ WHEAT RIDGE
(StreeO
CIO 80033 ("Property Address"); (city)
(rp coda)
TOGETHGR WITFI all the impmvements now or hereafter erected on ihe propert4', and all easemenls,
nances, and fixtures now or hereafter a parl of llte pr„perry. AII replaremenl, aluI addilinn5 shall also be covered
Security hutrumenL All of Ihe foregoing is referred lo in this Securily hutrument as [lie "properly."
30RROWFR COVENANTS ihat Ciorrower is Iawluity seised o1 the estate hereby mnveyed and has the righl to
nd convey Ihe Prupmrty ancl Ihal the Properly is uimmcumbered, excepl for erxumbrances of record. Borrower
~ and will defend gencrally the Iitle to ihe Properly agairut all claims anci demands, subject lo any enewnbrances
d.
ADO -Single Femlly-Fannle Mae/Freddle Mac UNIFORM INSTRUMENT
Form 3006 1/91 fpeqe l ot 6 oegesl
1/COCD1 5803721
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