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HomeMy WebLinkAbout3555 Miller Streeti CITY OF WHEAT RIDGE Buildi�dlnspecti&i Di slon (303) 234-5933 Inspection -line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE 1 Inspection Type: Ui 07 Ljp, Job Address: Permit Number: J (Z ( 7 a tom_ tel. i ❑ No one available for inspection: Time j AM Re -Inspection required: Yes 6'o'l When corrections have been made, call for re -inspection at 303-234-5933 Date: M 141 Inspector:�� trt" DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 201803176 201803176 ISSUED: 12/07/2018 3555 Miller St EXPIRES: 12/07/2019 Replace 40 gallon gas water heater, 40K BTUs *** CONTACTS *** OWNER (303)425-9549 DIANUCH JANCE SUB (303)421-2161 Stephen Lanyon 017835 Blue Sky Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,076.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 43.60 ** TOTAL ** 83.60 *** 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 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 t e 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 ermrt. 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 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 pplans 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offcial 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 a1pprmit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable c or any ordin _ e 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. CKimberly Cook From: no-reply@ci.wheatri dge.co.us Sent: Friday, December 7, 2018 11:03 AM To: CommDev Permits Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application Categories: Kim Residential Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. 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 a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 3555 Miller St Jance Dianuch 303-425-9549 janedianich@yahoo.com scan0337.pdf CONTRACTOR INFORMATION Contractor Business Blue Sky Plumbing & Heating Name 1 Contractor's License 17835 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-421-2161 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address tommiw@blueskyplumbing.com Retype Contractor Email tommiw@blueskyplumbing.com Address DESCRIPTION OF WORK Number of gallons 40 Is the water heater GAS gas or ELECTRIC? If GAS, enter # of BTUs. 40000 If electric, enter n/a Where is the water heater Mechanical Room located (for example, basement, crawlspace, etc)? Project Value (contract 2076 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. 2 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 Tommi Whittenburg Permit Email not displaying correctly? View it in your browser. INSPECTION 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;C20 I W)(00-0 �o ADDRESS: `' rC 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 %� 7 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 %� 7 307 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 F314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ( ADDRESS: ,,-3SS /!%i���'a��` JOB CODE: Iel2r-- 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 401 Gasline 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 r (303) 234-5933 Inspection line �(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �Oq _ fi, w / L(}� Job Address: 3555 M1%lpr E Permit Number: 20170 20� ❑ No one available for inspection: Time1"20l PM Re -Inspection required: Yes CNo) When corrections have been made, call for re -inspection at 303-234-5933 Date:,3/1 V19 Inspectorl� LovO° DO NOT REMOVE THIS NOTICE a i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: yoq- p'ndl t2o�& Job Address: ,SSSS A"l Pl- St, Permit Number: Z01 70T2_ F((?-P T-,' /^a ( 141 ft nom; i v Pcl -⁢5+ Sift r I,r)w-cl LAp'o er T rde 1 ;'n �e Ct iCrn ❑ No one available for inspection: Time 6I /PM Re -inspection required: (e'0' No When corrections have been made, call for re -inspection at 303-234-5933 Date: 350 I(Lb Inspector: Ddht Love DO NOT REMOVE THIS NOTICE i CITY OF WHET RIDGE Building Inspection -Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 3 SSS' f f P r s4 Permit Number: C' ► -7 0 lv 3 0 r , el e5T 0 6.1j OD- L Cover ii0) i✓ti Snout_ �nA��e ❑ No one available for inspection: Time ss ZOOM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 -Date: a 3 1? Inspector: `T -S DO NOT REMOVE THIS NOTICE City of Wheat Ridge e Residential Roofing PERMIT - 201706206 PERMIT NO: 201706206 ISSUED: 08/16/2017 JOB ADDRESS: 3555 Miller ST EXPIRES: 08/16/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 25 sq *** CONTACTS *** OWNER (720)205-2553 MODRESKI PETER J SUB (720)432-6770 David Earl & Stuart Allen 170223 E1 Rancho Construction 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: 12,569.30 FEES Total Valuation 0.00 Use Tax 263.96 Permit Fee 251.85 ** TOTAL ** 515.81 *** 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. A City of Wheat Ridge Residential Roofing PERMIT - 201706206 PERMIT NO: 201706206 ISSUED: 08/16/2017 JOB ADDRESS: 3555 Miller ST EXPIRES: 08/16/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 25 sq I, by my signature, do hereby attest applicable building codes, and all al bythe legal owner of the property a this permit. I further attest that I am performed and that all work to be p( Signature oT O)fN$R or 1. This permit was issuedA subiect to the comnlia a 2. 3. 4. 5. 6. work to be performed shall comply with all accompanyingg approved plans and specifications= municippal codes, policies and procedures, and that I am t7�e legal owner or have been authorized athorized to obtain this permit and perform the work described and approved in conjunction with authorized to include all entities named within this document as parties to the work to be is dam' °se this document and/or its' accompafying approved plans and specifications. NTRACTOR (Circle one) Date on the information provided in the permit application and accompanying plans and specifications and is i those documents, and all applicable statutes, ordinances, regulations, policies and procedures. ims permu snau expire":) 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. 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. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 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. The issuance or 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 o a dinp �a cee orreg�[i tionjurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. -2ol7o6206 Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, August 14, 2017 2:S0 PM --� To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Q Follow Up Flag: Follow up C Flag Status: Completed Z__ C Categories: Danny (� Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come CS 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 (1 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 �i✓ Property Address 3555 Miller St Wheat Ridge CO 80033 Property Owner Name Peter Modreski 193 Property Owner Phone 720-205-2553 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed contract.pdf Contract CONTRACTOR INFORMATION Contractor Business EI Rancho Construction LLC Name Contractor's License 170223 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-921-9874 520 E 56th Ave Denver CO 80216 Contractor Email Address earlconstruction@icloud.com Retype Contractor Email earlconstruction@icloud.com Address DESCRIPTION OF WORK TOTAL SQUARES of 25 the entire scope of work: Project Value (contract 12569.3 value or cost of ALL materials and labor) 194 Are you re -decking the roof? Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No No / Yes 25 GAF shingles Asphalt Tear off and reroof house with attached garage. Uncertain about redecking since we haven't inspected current decking yet. 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 195 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. Name of Applicant David Earl Email not displaying correctly? View it in your browser. 196 t CONSTRUCTION 520 E 56'h Ave. Denver, CO 80216 Phone: 720-432-6770 Property Otvn�� r � � ( Date Street AddressEstimator I L.� �2 J L City. State, Zip k-t(�l-��` 9W33pany Ff J� Insurance ComN)6�4� u5Ar Main Phone Alternate Phone. Claim# 41412123 / f 2 1 G r� J 2 -7 t '7 Email �,. A ('6M Work to be completed as follows: IV Tear off _L layers of composition_0 laNers of = Install Ridge Vent cedar Satellite I( Inspect decking ^ Install Decking Install Rubber Pipe Jacks Install Drip Edge, Color I Install Turtle Vents Caps Remove & Reinstall Install Furnance Onstall ice &Water Shield "t, Paint Pipe Jacks & Turtle Vents to Match Install #30 Felt Xinstall synthetic underlayment c Step Flash Sidewalls o Step Flash Chimney Shingle n %Clean tip & Remove Trash o Clean Out Gutters ype )t Sweep Yard with Magnet x1permit Furnished d Shingle ii V, EI Rancho Construction One Year Warranty Color l �� �,��,�� AI El Rancho Construction Liability Insurance f Manufacturer's Warranty 0 � _Z_ C c `� =Promotional Discounts Closed Valleys o Open Valleys ystandard Ridge High Profile Ridge c Special Instructions � � � "j lNi 1 !�i � 0o\),p �_iz-9 Work to be completed according to the above specifications in the amount of: $ Dollars In addition to the above amount, any and all supplements billed on behalf of the insured by EI Rancho Construction and approved by the insurance company will become part of this contract and will be paid to El Rancho Construction in addition to contract amount stated above. Down Payment: $ I (We) agree, by signing below, to all the contract conditions on both front and back, of this agreement. ?--- 7 -7 �f Date r EI Rancho Construction Representative: 1* � 4 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: M d Job Address: 3 $' .s- s M �' !J -e r S - Permit Number: G�y 1-7 0 4 -c;� O G. C: Ca ❑ No one available for inspection: Time 1 l / C 6m M Re -inspection required: Yes (9 When corrections have been made, call for re -inspection at 303 -234 - Date:— g / -0 inspector: —r Is DO NOT REMOVE THIS NOTICE Complete all information on BOTH skies of this form amount of materials rial be used, .. ..) $ & *d Y Sq. Ft. LF Btu's Gallons Asps squares Other Building Division Valuation: INSPECTION RECORD oGCDDanovRvDe IV - INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB FOUNDATION INSPECTIONS DATE INSPECTOR - INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground - Plumbing (Underground) Reinforcing or Monolithic Heating (Underground) Weatherproof/ French Drain Building Final Do NOT Sewer .Service Lines . Fire Department ROUGHS Water Service tines 'Sheathing G FINALS POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED - - CONCRETE SLAB FLOOR - - ' Electrical (Underground) Mechanical Plumbing (Underground) Roof Heating (Underground) Building Final Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Fire Department ROUGHS 'Sheathing G '.INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS .SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ' Parking &.Landscaping - Lath / Wall tie "'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 AUTHORIZAT ION OF A CERTIFICATE OF OCCUPANCY .NOR PERMISSION FOR OCCUPANCY. `Mid -Roof - Electrical Service Rough Electric Rough Plumbing Gas piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED. PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS ` Electrical '. Plumbing -' Mechanical Roof Building Final Fire Department R.O.W &.Drainage '.INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE 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 AUTHORIZAT ION OF A CERTIFICATE OF OCCUPANCY .NOR PERMISSION FOR OCCUPANCY. OGGUPANCY T' PERMITTED UNTIL ' CERTIFICATE OF CCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER QEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number Date 4123 10/30/96 Property Owner: BROCK EDWIN L Property Address : 3555 MILLER ST Contractor License No. : 18935 Company : Heat Exchange Systems, Ltd. Phone : 431-8533 Phone : 478 6926 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I heretiy certify that the setback distances proposed by this permit application are accurate, and do not violate applieable ordinances, rules or regulations of the City of Wheat Ritlge or covenants, easements or restridions of record; that all measurements shown, and allegations made are accurate; that I have read and a9ree 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 Whe % Ridge ordinances, for work under this permit. (OWNF_R)(CONTRACTOR) SIGNED.!' DATE/ l 2- 6 Description : REPLACE FURNACE Electrical License No : Plumbing License No : Mechanical License No : Comipany : Company : Company : Expiration Date : Expiration Date : Expiration Date : Appnoval : Approval : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur appliw6on and is subject to the laws of ihe State of ColoreOO and to the Zoning Regulations and BuilGing Cotle of Wheat Ridge, Colorado or any other applicaDle or0inances oFihe City. (2) This pertnit shall expire if (A) the work authorize0 is not commenced within sixry (60) tlays from issue tlate or (B) the buildin9 auNOrizeO is suspended or abandoned for a period o1120 tlays. (3) If ~his pertnit expires, a new permit may be acquired for a fee of one-half the amount nortnalry requireq provided no changes have Deen or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change ihe natural ilow of water causing a tlrainage problem. (5) Contredor shall notiry the Builtling Inspector twenty-four (24) hours in advance for all inspec[ions and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The iss ance of a permit or ihe approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violatlon of the provisions pf~he Ii iltlingQodes or any,eMer ortlinancg, law, rule or regulation. Construction Value : $1,150.00 Permit Fee : $41.25 Plan Review Fee : $0.00 Use Tax : $13.80 Total: $55.05 PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION QEPARTMENT 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 Property Owner : OIGIki-(! Li95&1 Property Address : 3SS~ m'll{r S} Phone 3~ Contractor License No. Company :C-Xc.ltinnyt Sy sAr•,5 L't'b Phone OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certity that the setback distances proposed by this permit appliwtion are accurete, and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or restnctions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to a6ide 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 ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED JGAit GN-~141"--L DATE 0'Dj-Q4 Description : Fvrr74G.,L C h d,-7 OVJ- Construction Value : Permit Fee : Plan Review Fee : Use Tax : 1/ Total : Ii, f S D. (90 BUILDING DEPARTMENT USE ONLY Zoniri~C~m~neriYs`~ Approval: Zoning : Approval: Approval : Occupancy : Walls SIC : Sq. Ft. : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval: ;M €;Plan~,Reqili,Se . Plumbing License No : Company: Expiration Date : Approval: In 1XPlans;1Keqilired~ Mechanical License No : Company : Expiration Date : Approval: 0 ~PIan3',Re~qyireZl~ (1) This permit was issued in accordance with lhe provisions set forth in yopur applicaUon and is subject to the laws of the State of Coloredo and to the Zoning Regulations antl Builtling CoEe of Wheat Ritlge, Colo2do or any other applicaEle orUinances of t0e Ciry. (2) This pertnit shall expire d(A) Ihe work authonzed is nol commencetl within sizly (60) tlays from issue date or (B) Me building auNOrizetl is suspentletl or abandoned for a penod of 120 days. (3) If this pertnit ex0ires, a new permit may be acquired for a fee of one-half the amount normalty requireC, provide0 no changes have been or will be made in the original plans and specifications anE any suspension or aEandonment has not exceetletl one (1) year. If changes are made or if suspension or aOanAOnment exceetls one (1) year, (ull fees shall be paid (or a new permit. (4) No work of any manner shall be done Ihat wiil Change the natural 9ow o( water causing a drainage problem. (5) Contractor shall notiy ihe Builtling Inspeclor twenry-Pour (24) hours in advance for all inspections ana shalt receive writlen approval on inspeclion cartl before proceetliing with successive phases of the job. (6) The issuance of a pertnit or the approval of tlrawings and specifirations shall not Ee constmed to be a permit for, nor an approval oi, any violation of the provisions of the builtling wtles or any other ordinance, law, rule or reguiation. 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