HomeMy WebLinkAbout4560 Field StreetCITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office o (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: yy-� k' -T-
Job Address: U `S U6 C�-
Permit Number: 2 U \C1
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: _)' 10' � C Inspector:
®O NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. A/C Replacement PERMIT - 201901164
PERMIT NO: 201901164 ISSUED: 06/07/2019
JOB ADDRESS: 4560 Field St EXPIRES: 06/06/2020
JOB DESCRIPTION: Replacement A/C, 2.5 tons and 14 seers on the side of the house.
*** CONTACTS ***
OWNER (303)423-1806 FITZWATER ROBERT L
SUB (720)459-8373 RONNIE CORDOVA
190.039 ACCURACY HEATING & COOLING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,200.00
FEES
A/C Replacement 60.00
Total Valuation 0.00
Use Tax 88.20
** TOTAL ** 148.20
*** 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 the legal owner or have been authorzed
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 legally authorized to include all entities named within this document as partes 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 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 original permit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
apo,Q#ble code or a0y1ordmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Ckef Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kem
9n/
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 7, 2019 8:37 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler
Permit Application
Categories: Dina
Residential Replacement Air Conditioner/Evaporative Cooler Permit
Application
This application is exclusively for RESIDENTIAL REPLACEMENT AIR
CONDITIONER OR EVAPORATIVE COOLER - 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
residential replacement
AC or Evaporative Cooler
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**
4560 Field st
RI Fitwater
3034231806
accuracyheatingandcooling@gmail.com
IMG 0001 (1).jpq
CONTRACTOR INFORMATION
1
Contractor Business
Name
Contractor's License
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)
Accuracy heating and cooling
190039
7204598373
Contractor Email Address accuracypermits@gmail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
What type of replacement
unit are you installing?
How many tons is the
unit?
For AC - what is the
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located
(for example, rooftop,
backyard on ground etc)?
accuracypermits@gmail.com
Replacement Air Conditioner
2.5
14
side of the house
Is electrical needed for re- No
hook?
Project Value (contract 4200
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
2
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 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 Accuracy heating and cooling
Permit
Email not displaying correctly? View it in your browser.
0 0-)
'PECTION RECORD
.ION REQUEST LINE: (303) 234-5933
Occu anc /T e
Inspections wit, .,, oe 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
Initials
Comments
Pier
Electrical
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour
Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Sewer Service
Plumbing
Lath / Wall Tie
nn Nnf Cover Underground or Below/in-Slab Work Prior To ADDroval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
t
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are compietea rrom the Tire district ana eiectncai low voitage
by the Building Division.
"For Inspection Time Window — Please email irlsij4i1nieregL)J .,d lig?cl.tAreRtr'idge.z1; -US by 8:00 A.M. the morning of the
%-ection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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:��
Job Address: H 56 o i`- f 1E L0 ST
Permit Number: .7111 _7M_?l 9
❑ No one available for inspection: Time 0: C0 (A"
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: g�f I �� Inspector:
_G" 167
DO NOT REMOVE THIS NOTICE
s CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: w r r-., 5_7
Permit Number: �) b/ 7 d ?7
o 1, c : h n. A/ ,,v pS SU —)-
:571-
S1- C L,, �: A l /A 7) 1) r K
)J, A
❑ No one available for inspection: Time % AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
a--�Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line C_-
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M I P
Job Address: 41560 rl t c o 3T
Permit Number: 2 0 l '700-77 3
❑ No one available for inspection: Time J �/G7 A
Re -Inspection required: Yes
*When corrections have been made, call for re -inspection at 303-234-5933
DateInspector: Yqme" {1�
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE }
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:' w P 1
Job Address: p F1 e I D 57
Permit Number: 'S. o) 7 6 C Y:
S re (-, �,' , r) N b v c -/� D
6 N'1 0 X N Tkq� -�,
S T A-7 V S' d '"l p� C.
❑ No one available for inspection: Time % 3 AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700976
PERMIT NO: 201700976 ISSUED: 05/30/2017
JOB ADDRESS: 4560 Field ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Reroof 30.66 squares with Owens Corning Oakridge shingles, single family,
single story, single layer removal 4/12 pitch; house, detached garage and
shed only, 20.33 squares for house roof; 8.66 squares for detached garage
and 1.66 for shed - total 30.66 squares
*** CONTACTS ***
OWNER (303)423-1806
FITZWATER ROBERT L
SUB (630)353-1900
Mike Gray
130198 American
Dream Home Improv.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2002 / KIPLING,
I-70 & CLEARCREEK ARE BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
13,030.50
FEES
Total Valuation
0.00
Use Tax
234.55
Permit Fee
267.70
** TOTAL **
502.25
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding j1% -inch exists. 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 manufacturera€ms 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's 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201700976
PERMIT NO: 201700976 ISSUED: 05/30/2017
JOB ADDRESS: 4560 Field ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Reroof 30.66 squares with Owens Corning Oakridge shingles, single family,
single story, single layer removal 4/12 pitch; house, detached garage and
shed only, 20.33 squares for house roof; 8.66 squares for detached garage
and 1.66 for shed - total 30.66 squares
I, by n signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am le ally authorized to include al
entities named within this document as parties to the work to be
perfoI d and that et c k to�be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
S[3oI11
Signature of OWNER or C(NTRACTOR (Circle one) Date
I . This permit was issued base n 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. RegNests 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 ermit 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 change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official ``W 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.
DNCO-261624
EM'd 05/25/17
CIter of
W h6at fUtmb
C,;OMMU'NITY 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
Email: permits(-)ci.wheatridge.co.us
Build Date: 05/30/17
FOR OFFICE USE ONLY
Date:
Plan/Permit # D-0
Plan Review Fee:
Building Permit Application
"70i)97�,
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may, not be processed. ***
Property Address: 4560 Field St.
Property Owner (please print): Robert Fitzwater Phone: (303) 423-1806
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Enaineer:
Architect/Engineer E-mail:
Contractor: American Dream Home Improvement, Inc.
Contractors City License #: 130198
Contractor E-mail Address: cncoprod.adhi@gmail.com
Sub Contractors:
Phone:
Phone: (720) 398-6672
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
❑ 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)
(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.)
Re -roof 30.66 Sq. w/ Owens Coring Oakridge shingles, single family, single story, single layer
removal, 4:12 pitch, house, detachedgarage and shed only. 20.33 Sq. for house roof, 8.66 sq. for
detached garage and 1.66 Sq. for shed.
Sq. FULF 3,066 Btu's
Amps Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$13
,030.50
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 provid he application.
CIRCLE ONE: (OWNER)
Electronic Signature (first and
ZONING COMMMENTS:
Reviewer:
of (OWNER) (CONTRACTOR)
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
DATE: 05/25/2017
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201700793
201700793 ISSUED:
4560 Field ST EXPIRES:
Reroof house and detached garage; tear off shingles;
shingles - 31 squares
*** CONTACTS ***
OWNER (303)423-1806 FITZWATER ROBERT L
SUB (303)942-0732 Armando J. Boon
05/23/2017
05/23/2018
install duration storm
170162 A.J. Boone Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,700.00
FEES
Total Valuation 0.00
Use Tax 174.60
Permit Fee 204.30
** TOTAL ** 378.90
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€ms 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's 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201700793
201700793 ISSUED: 05/23/2017
4560 Field ST EXPIRES: 05/23/2018
Reroof house and detached garage; tear off shingles; install duration storm
shingles - 31 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
app ica le 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 ppermit. 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 ll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
.�
- 3- !"
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. 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or an ' r ance or reguja;i-on of & j indiction. 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
_'.4 W heat 1�idge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: S 1 • n
Plan/Permit # ae �
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: 4f5-,,60 d/ .S 7? L0033
Property Owner (please print): Ra bex-�- f, �z 4e'� Phone:,3p3_ y" -/8od
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: __"J U. spaw e� C7o %�e� �d 7-,-t c.
Contractors City License #:
Phone:
Phone: '790 - 3P3- 57�7�7
Contractor E-mail Address:
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
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 ❑ 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
❑ OTHER (Describe)
(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.)
Re Poo fovs 0_ -AJ �f�f �arQyc
✓ e-cly 0,0.0 - o Id -S A rns %a,S ,2
J'^S1e7L1 DuY2]t��» $ %drat S 11, �if�es
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)
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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
WWW.POWERHRG.COM
�,i0i�1a)5a'
PROJECT AMENDMENT
Joyce and Robert Fitzwater
32-44714
t6W�dd �--
Buyer(s)' Information and Description of the Property:
Project Number: 32-44714
April 12, 2017
Joyce Fitzwater
(303) 423-1806 (Nome)
Date of Agreement
May 02, 2017
Robert Fitzwater
Date of Amendment
4560 Field St
Wheat Ridge, CO, 80033
County: Jefferson
Township:
This Amendment ("Amendment") is to the CUSTOM REMODELING AND IMPROVEMENT AGREEMENT ("Agreement") by and
between Power Home Remodeling Group, LLC ("Contractor"), and "Buyer(s)" listed above. Contractor and Buyer(s) hereby
agree to amend and modify the Agreement as indicated below. Other than as specifically indicated below, all the terms and
conditions of the Agreement will remain in full force and effect. This Amendment is subject to the terms and conditions of
the Agreement. The following additions, alterations, or deletions to the products and services Buyer(s) ordered are being
made:
Previous Project Price:
Previous Down Payments Required:
Previous Down Payments Collected:
$11,881.96 1 New Project Price:
$0.00 1 Additional Down Payment Required:
Additional Down Payment Collected:
Additional Down Payment Still Due:
$11,881.96
$0.00
$0.00
It is agreed and understood by and between the parties that this Amendment and the original Agreement constitute the
entire understanding between the parties, and there are no verbal understandings changing or modifying any of the terms
of this Amendment. Buyer(s) hereby acknowledges that Buyer(s) has read this Amendment and has received a completed,
signed, and dated copy of this Amendment on the date written below.
I have read and received each page of this 3 page amendment.
Power Home Remodeling Group
/05/02/17
Signature of PHRG Representative
Joshua Chiero
May 02, 2017 20:45
Buyer(s)
/05/02/17
Signature
Joyce Fitzwater
Buyer(s)
/05/02/17
Signature
Robert Fitzwater
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
# WWW.POWERHRG.COM
Amended Project Specifications
Windows:
Family Room 1 46.25'x45.75"
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Family Room 1 45.75"x33 75'
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Kitchen 1 47.0'x34.75"
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern . None / Removal Aluminum I Vinyl I Additional Details
None
Windows:
Laundry Room 1 35.25x23.25"
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Master Bath 1 47.0"x23.0"
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl l Additional Details
None
Windows:
Guest bedroom 1 47.0"x23.25'
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
New window W:19 H: 18 Net: 2.38sf
May 02. 2017 20:45
Joyce and Robert Fitzwater
32-44714
r-------- 7
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
WWW.POWERHRG.COM
Amended Project Specifications
4p, —." -
Windows:
Guest Room 1 47.25"x23.25"
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Master bedroom 1 47.0"x35.0"
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / WWte : Grid Pattern : None l Removal Aluminum / Vinyl I Additional Details
None
h
! New window WA H: 30 Net: 3.96sf
Windows:
Living Room 1 47.01'x35.0"
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None l Removal Aluminum / Vinyl t Additional Details
None
Windows:
Living Room 1 71.01'x47.0"
WINDOWS.
Models SL 2700 Styles Slider Types 3 -Lite Configs 1/4 - 1/2 - 1/4
OPTIONS:
Color White / White : Grid Pattern : None 1 Removal Aluminum / Vinyl 1 Additional Details
None
May 02, 2017 20:45
Joyce and Hobert Fitzwater
32-44714
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201700528
PERMIT NO: 201700528 ISSUED: 04/20/2017
JOB ADDRESS: 4560 Field ST EXPIRES: 04/20/2018
JOB DESCRIPTION: Remove & replace 10 windows; U -factor is .27; no structural changes
*** CONTACTS ***
OWNER (303)423-1806 FITZWATER ROBERT L & JOYCE
SUB (888)736-6335 Adam Kaliner 160260 Power Home Remodeling Group
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,881.96
FEES
Window Replacement 50.00,
Total Valuation 0.00
Use Tax 213.88
** TOTAL ** 263.88
*** 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.
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.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as partes 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)Tans 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 an 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 of any provision of any
applicable code,or.apy ordinance orrr�e-g~ulation of this jurisdiction. Approval of work is subject to f eld inspection.
4�1
yl
Signature of Chief Building Official Date
REQUESTS NUST 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
W heat Pge
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
Email: permits ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
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: _ 4560 Field St, Wheat Ridge, CO 80033
Property Owner (please print): Joyce and Robert Fitzwater Phone: (303) 423-1806
Property Owner Email: djones@powerhrg.com
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer: N/A
Architect/Engineer E-mail:
Contractor: Power Home Remodeling Group
Phone:
Contractors City License #: pending I a 6 0 Phone:
Contractor E-mail Address: djones@powerhrg.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
888-736-6335 x3440
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ® RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESIDENTIAL 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)
(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.)
Remove & replace 10 vinyl windows. U -Factor is 0.27. No structural changes.
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
11881.96
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.
CIRCLE ONE: (OWNER) ONTRACT or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Si¢nature (first and last name): DATE: 4-20-2017
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
w WWW.POWERHRG.COM
Project Specifications
Windows:
Family Room 1 46.5'x34.0"
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Family Room 1 46.75'x46.5'
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White: Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Kitchen 1 47.5'x35.25'
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White: Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Laundry Room 1 35.5'x23.25'
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White: Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Master Bath 1 47.25'x23.5'
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White: Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Guest Room 1 47.5'x23.25'
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
April 12, 2017 13:45
Joyce and Robert Fitzwater
32-44714
April 12, 2017
Page 2 of 3
National Headquarters
2501 Seaport Drive, Chester, PA 19013
888-736-6335
WWW.POWERHRG.COM
4 ..... -" -
Project Specifications
Windows
Guest Room 1 47.75'x23 75'
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Master Bedroom 1 47 75'x25.5'
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Living Room 1 47 5x35 7`
WINDOWS:
Models SL 2700 Styles Slider Types 2 -Lite Configs None
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
Windows:
Living Room 1 7575x41
WINDOWS:
Models SL 2700 Styles Slider Types 3 -Lite Configs 1/4 - 1/2 - 1/4
OPTIONS:
Color White / White : Grid Pattern : None I Removal Aluminum / Vinyl I Additional Details
None
April 12, 2017 13:45
Joyce and Robert Fitzwater
32-44714
April 12, 2017
Page 3 of 3
A i CITY OF WHEAT RIDGE
��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
►� 0 f ' J— , fl c l ?"
Job Address: y5-60 t' iE2_-%) ST
Permit Number:
❑ No one available for inspection: Time l S AM/PM
Re -Inspection required: Yes No
*When corrections have been made, calf for re -inspection at 303-234-5933
Date: Inspector:' /1-1�'/
DO NOT REMOVE THIS NOTICE
Building r it Application
IT UPW W * V{ 0110 IW IT . —, ...
- i I i
* y «: # ', • is jjpj
Mailing Ad dress: (ff different than property address)
Address.
City, State, Zip: r''_ ° ,
Ar chitect/Engineer ngineer E - ait Phone
C omplete ail information on BOTH sides of this form
• � _ «,rM�
~
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: 11025
Date: 8/16/2000
Property Owner:
Property Address: 4560 FIELD ST
Contractor License No. : 20767
Company: FCC HEATING & AIR CONDITIONING
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 303-423-1806
Phone: 303-289-6441
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 8Qree 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 Ri ordinan S, for 011< under this perm~.
(OWNER)(CONTRACTOR) SIGNED ATFf?~/I'-"'"
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
$5,000.00
$111.25
$0.00
$75.00
$186.25
Use:
Description :
INSTALL FURNACE AND AlC
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
Approval:
Occupancy:
Walls:
Roof:
Stories :
Residential Units:
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 accordance with the provIsions set forth in yopur application and Is subject to the laws of the State of Colorado and to the Zoning
Regulations and Buildin~ Code of V\ltleat Rid~e, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire If (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of oneMhalf 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 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 the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Insfector twentyMfour (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases 0 thelob.
(6) ~~it or the approval 0 drawings and specifications shall not be conslrued to be a pennrt for. nor an approval of, any violation of the provisions
d 1/ / I';; any other ordinanca. law, rule or regulation.
Chi:fBuildin~
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)
\0
rf2o~-c:>-+ ~i;z
4.560 r,,,tO<
Building Permit Number:
Date:
SearS
Property Owner:
Property Address:
Contractor License No. :
'<~ -<c ;/ erz..
sr-
Phone: tf.?-J -fi'06
Company: pre /-/~-"L-:-67 if/?-/ c....
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: '3~j'- .;:7rC{-oVV/
Construction Value: ~o <:l cJ 0 0
.-'
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 a~ree 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 idge ordi nces, for work under this permit.
Permit Fee:
Use Tax:
Total:
(OWNER)(CONTRACTOR) SIGNE
DATE8-4("C?c: Use:
Description: ;:T:>1..- s-h (I f e-J /J -+- h-/c..-
&-0 006 g TV ;2 ,S- 7O../L..DZ-~ C
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
Approval:
_mJU1utH
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company: pc :1',;1-. t -ci
Plumbing License No :
.F kc Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the, Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. -
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee 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 are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of thel'ob. . .
The issuance of a permit or the approval 0 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.
(4)
(5)
(6)
Chief Building Inspector
City of Wheat Ridge
Building Department
7500 W. 29th Ave.
Wheat Ridge, CO 80215
(303) 235-2855
Bob- (303) 235-2850
Darin- (303) 235-2853
It has been brought to our attention that the property at
455() qc /'d ~.,
may be In need of the following:
D fence or wall permit
N1!oofing or Siding permit
D Deck permit
D Sprinkler permit
D Shed permit
D Sign permit
D Driveway or walk-
way permit
D ncavatlon permit
D Demolition permit
D Interior Interior Remodel
permit
D Detached/Attached (jarage
permit
D Addition to residence
permit
D
D
Please call or stop by City Mall within 7 days for information.
Thank you.
<33
City of Wheat Ridge Building Inspector
II J~!rJr)
I v
Date
.>
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:
10968
8/4/2000
Property Owner:
Property Address: 4560 FIELD ST
Contractor License No.: 19206
Company: Positively Electric
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone : 423-1806
Phone: 423 1807
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$428.00
$23.50
$0.00
$6.43
$29.93
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
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 restrldlons of record; that all measurements shown, and allegations
made are accurate; that I have read and Blaree 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 orchnancas, for work undar this permit.
Use:
Description :
FURNACE & AlC
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval :
Expiration Date:
Approval:
l~l
(6)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and BuildlnQ Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire If (A) the work authonzed is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for,s period of 120 days.
If this permit expires, a new pennlt may be acquired for a fee 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 are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new pennlt.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
contracto~Sh otify the Building Inspector twenty-four (24) hours in advance for all inspections and shall recelve written approval on inspection card before
roceedil th Iv es of the ~ b.
~he Iss ~PProval ~raWlngS and specifications shall not be constNed to be a pennlt for, nor an approval of, any violation of the provisions
oftheb . ,'"'r~~aw, ruleorregulalion.
.
Chief Building Inspector
(1)
(2)
(3)
DEPARTMENT OF PLANNING AND DEVELOPMENT BUilding Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: Y-/-ce>
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
....
Property )wner: j?1Z-W4-r."
Property Address: '-/ $Zoo P;dQ SY
Contractor License No.: / '1 ;k1L.
Company,' fi" /.v,,1y ;i!ke :;:;Vc
Phone :ib3-~~ 3-/,F".9c"
!
I
Phone: 3?'3-o/';2 3-/g'c7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
ConstnJction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
i/,Jfi'; peP
~g.ro
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances. nJles or regulations of the City of Wheat Ridge or
covenants, easements Of restrictions of record: that all measurements shown. and allegations
made are accurate; that I ha....e read and agre,e to abide by all conditions printed on this
applIcation, and thaI I assume full responsIbility tor compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable w~ ordinances, for work under this permit.
(OWNER){CONTRACTOR) SIGNED /,,'v ~} /' DATE ?-/-"""j;
Description: ~--<-<- .-of-kc'.P ( 4/~
t. "'3
Total:
;1;73
BUILDING DEPARTMENT USE ONLY
Zo-rilf"!j'J;cj1l\mem~
Approval:
Zoning:
BmICl[~OmmentS"1
Approval:
f\n\jI~~CommeD~
Approval:
SIC:
Sq. Fl. :
..
Occupancy:
Walls:
Roof:
Stories:
Retidential Units:
Plumbing License No :
Company:
Mechanical License No
. . Company:
Electrical License No :
Company:
Expiration Date:
Approval:
m lP.Lin"SlR!rnID..I1JlJJll
Expiration Date:
Approval:
II ~1~R.~.@ll__
Expiration Date:
Approval:
. ~ulr.e.Qftjm
('1
15)
161
This penT\l1 was luued in accordance wilh the provisions sel forth in yopur application and Is Sl.lbtect to the ~~ of lhe Slate of Colorado and to the ll)l'lii'\Q
R~ul.hOOS and BUilding Code of ,^"eat Ridge. Colol'1do Of any other applicable ordinances of the City.
This permit shill expire if (A) the wor1l: .ulhonzed is not commenceQ WIthin sixty (60) days from issue dale Of (8) the building authorized is susp,~r\O.e'~ 0;
ab.JncJoned 10( II penod of 120 days. .
II this perml expll"u. I new .perrrlll fNy be aCQuired for a fee 01 one-hall the amount normally required. provided no changes have been or will!,., rn~de ;n the
angInal plans Ind SpeCIfications and any suspension or abandonment ~s not exceeded one (1) yur. If changes are made 0( If suspension Of :rd)d~,jonmenl
excoe<;ls ono (1) yur, lull f~s shall be pAid 10( a new permit.
No wor1r. 01 any rNMf:r shall ,be dOM that Will ctlanQc the nalural now of waler causin~ a dra1nage problem. .' . ' .
Contractor shall nObly the BUlldtnQ Inspector twenty.lour (24) hours In advance lor all inspectiOns .nd shall receIVe wrttten approval on Inspet',cli CJ,"tl oefore
p~lIng Wllh SUcceUlvc' ph.ses 01 IhelOb
The Issuance of . permit or the approval 0 drawin9s and specifications shall not be construed to be a permit for, nor an approval of. any roallc,j cI Uje provisions
of tf1e bUIlding codes or any otf1er ordinance, law, rule or f~ulallon.
(1)
(21
III
For Mayor
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-593324 HOURS PRIOR TO INSPECTION
- DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
9846
11/30/99
Property Owner:
Property Address: 4560 FIELD ST
Contractor License No. : 19926
Company: Elite Roofing & Siding
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 423-1806
Phone: 361-6595
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
DATE
$3,950.00
$97.25
$0.00
$59.25
$156.50
Use:
Description:
Tear off 3 layers and install 3-tab 25 year o/c
BUILDING DEPARTMENT USE ONLY
D
SIC:
Sq. Ft.:
lUll I
Approval:
Zoning:
----
Approval:
III- ,__
Approval:
Occupancy:
Roof:
Stories:
Walls:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Buildin!:! Code of VVheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire If (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee 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 are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
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 buil. odes or any other ordinance, law, rule or regulation.
(1)
(2)
(3)
(4)
(5)
(6)
Chi
ctor
DEPARTMENT 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 11- ::'0 - ~ I
APPl\C~TID N
Property Owner: Ko()~(.1 ~ ;Tt. Wi-tTeJ'1.
Property Address 45/"D F Ie..Lct ST.10hl-A,(2;cl";J\(.
Contractor License No. : / 11;){.f, . - ,
Company: [L; {<<... R.M~ I }../Sc Sld'N'b
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone C?,o 3)LlcJ?, - 1<6 O~
Phone GDs131..(. l,S IS
Construction Value: 3 CJ OS o. ~
Permit Fee:
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ~. {\~" DATE]- 'SD -J~ Use:
.. ,... An.O((.?""L"\io(l'S~~O-r::N'S1\1lL '2>:)86.;;,)'sy--tf.1(l, Ole...
Description: I Q. r.::> q 'V
Use Tax:
Total:
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
~~zS'i!m~
Approval:
Zoning:
~..!!!!!mf~mg
Approval:
e,q/;l,~~!:J..~
Approval:
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the .l.oning
Regulations and Building Code ot Wheat Ridge, Colorado or any other applicable ordinances ot the City.
This permit shall expire if (A) the work autholized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned_ for a penod of 120 days.
If this permit expires, a new permit may be acquired for a fee 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 are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid fora new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shalt notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permit or the approval of drawings and specifi,cations 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.
(4)
(5)
(6)
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number: 95-1017
Date : 5/18/95
Property Owner: FITZWATER ROBERT L
Property Address: 4560 FIELD ST
Contractor License No.: 17576
Company: Patio Enclosures, Inc.
Phone:
Phone: 293-9707
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Use Tax:
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 comphance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Total:
$15,047.00
$171.00
$225.71
$396.71
(OWNER)(CONTRACTOR) SIGNED
DATE
Description:
UNHEATED PORCH ENCLOSURE
BUILDING DEPARTMENT USE ONLY
ELECTRICAL TO BE INSTALLED PER NEC
Approval: JE 05/16/95
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
III
Expiration Date:
Approval:
Expiration Date:
Approval :
III
III
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and BuildinQ Code of Wheat Rid$l8, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire If (A) the work authonzed is not commenced within sixty (60) days from issue date or (6) the building authorized is suspended or
abandoned for a period of 120 dar.s.
(3) 11 this permit expires, a new permit may be acquired for a fee 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 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 the natural flow of water causing a drainage problem.
(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
proceediing with successive phases at thel'Ob,
(6) The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
~~ftibU~= an~~1;( law. rule or regulation. / dJ-/ ,::k; -1L jL lL~
ChietJiuilding Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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PATIO ENCLOSURES, INC. ~
1723 East 58th Avenue
DENVER, COLORADO 80216
(303)1293-9707 . FAX (303) 293.9726
JOB
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Rt'u'ptiun Su.___.._______ __~~_
R~CORDED IN
COUNTY OF JEFFERSON
STATE OF COLORADO
RECEPTION N~. 9~D971D6
D9/12/9~ 13.20 10.9S
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^- - ---.-.-----.----' .-.-
-------. -----.----
THIs DEED. .r.d.. thl. 30th da)' or Augul'It.
bl"fw"l'n SHAJ.()N K. SfJ,(RY
.1' 9S,
tI(th.. Count}'''( Jeff(!rson
C..luJ/ul...orth.. fir>>t part, and
I<O!;-'F:kT L. FITZWATER and JOYCE E. FITZWATER
and Slat. of
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u(lh.. em,,"l)' lOr Jet' fC!Y"IrJn and Stat. of
1"..loln.,/".fI(tllO'.'-""n,1 purl:
WIT:\f::~:-;!-;TII. that 1~1t' "sid pl.Irt)'o(thl' fint parI, (or and In tonsidl'utlonohhc sum d _ _
- - SEVENTY-NINE THOUSAND FIVE HUNDRED AND NO/lO~) - - ($7'J.500.00l - DOLLARS
"fI.1 "tlwr ~"",I UIl,1 \'uluulJl.. ('on~HI.'rali.mll to tll.. ".id pllrty O( th.,. nllt part in hand paid by th. laid parUe. 0( the
"<>(',,",1 I'ilrl, ! tl<' n"'I'I"t whl,rt."r III hrr,'hy ,'ollr.,.."r,J And ....kno~ l..dlCl"d, h... ,.,.nted, barellned. .old alld ~nYe,ed, and
1,.\' Ih...... Ilr..,...n". <I.....,:-fllllt. harICuin, "..II, ('olwry IIntl...un(jrm unto th. ~.Id partie. of Ilttond pari, their hel,.. and
;1~~'..:'Il" (,,!"t'\"-f. Iwl I" tt>nant.). in ('umllWIl hut injoiut h.n..n...y..1I the (ollowinl'delK'rlbed lot. or parC'...1 or
1;,,1,1, ~Jt""t.-.I_\"lI:~ an,II,..",.: In th.. ruum.)'..r Je f fe rson and St.tt' o'C,hrado. t.o wit:
Lot 3,
Trout Subdivision,
County of Jefferson,
State of Colorado.,.
'I w'.o k,wwn ...".". nn,1 nu,,"'"
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TflGt:-rllt:n with ull and singular till' h",r...dltamrnta and appurunaneu thereunto bPlonlinll. tor In an,...i.. apper-
tllinin/: untl Iht' f..vt'rsioll and revt'nil')na, rt'mainder and ...emalnder.. rent.. I.,ue. and profit. thereor; and an the
..~t:lt.', n.:hl, titlt,. int"ft'.t, ..!ainl an,1 d..mand whllhOl'Vl,.'rorthe ..id p.rty urthe fir.t part.. ..It her in 1.. or lPqulty. or: In
:.n,ll" 1110' ..h,,,',, lo"r.:,,'n.,.lrft'noj"I'II. with till' h..t,'oIit..no~'nlll.nd IIppurt~nant'.-L
1'IIII.\\'t .\:\11 TO 1101.1) th.< .~al!lllft""i".,~ llhu\,,'I...rlo:'..illt'd line' d...t'tilMod. wit!' the .pputh.n.nt.....unt(o tnt' .aii
1);1111<" or 1111' M"'''Il,'I,atl. Ih.-If h"lr... :,rul ;I"...ilo:'n... (4.tr\'"r. "fld thl' .ai,1 party urthe (I'st p.rt.. ror him.dr, h:, h..i,..
,'\.', "'''I~, all,l ",I",,"b.1 .-:11"1'''. ,I",'~ ""\'I'mtllt, I.::l"ant, 1.:.rl.::lI;" IIlltl a!:'rl'l' to ..nd with th... s.id patti.,.s o( th" .w...nd part.
11"'11 Io..,,.~ ;".,1 ;I'MI.::""', tl'al ;l( tI\I' tl"'" "r 110,. "IllIt'Ulllllo:'lI'ul dt'hvl,ty ,,(th...s.. ptll!...nh, h.. i. well M ..tl u(th.. pr..mlM'a
"I....", ,-",\\"',\ .-,1, ;'~ ,,( 1:",,,,01. ~lJro', I...dl,,'t. ul,,,,,'uh' IInd in,lt,{t'.~lhlt' t'ltlltt' ..( inhl.'rit.ar,tt'. in 1110.. in (IN ,impl... and h..
",,,.,,1 .-whl, {"It I'''"'',. alld l:owful :'lllh"I'II.\' I.. ~rant, !'argllln, '1'1111".1 rllnv,-,y the sam.. in mllnn...r and form arore.aid,
a."llh"I 11u- ""1111' ;Ift' (n'" 1lI,,1 1'1":11' (r"m nit {"r"",,' "lid ..Ih,'r .lC"r.nh, bar".ln.. ..I..s. Ii..n.. lax..... ......alm...nb .rld
"""II"d'r,ll""'~ ,,( ~'t,.,I,'\'",- 1.1I"I..r mil Uti' "'''''\'4'r,: ('xc,,!".. till': (",("n~rill Taxe~; f0r 19B') and suh~l"qu(:n
year';; ")(C"pt p<ls....rnents. r('Htrif"tir"I"l, ,"sprvatin"l:', rights of way and cov('nant:~;,
app"Hrmt~ or of YL'cord; and pxcrpt a !)r'('d of Tru',t ill favor of WF.sTr.R1~ FF:Dr.RAL
:, SAVIl:GS JI..NLJ JA)J\N .\SSOCIATION OF DENVeR, r0cor~rd Ff;hruary lb, 1971. in Booy. 22.lA,
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~'" \ 1\ "1' ..r 111"111, 111I',r a"'~'c:n~ UII.I tl... Iw'r. 1lnol U'""j,('Il" <I( lIue'" Jllurvivor, .Iit'ain.t a!1 and .ver)' ,.r.on or perMtn.
la,,'(ulh daomlllC: UI' ,..d:mn I tl<' "..1,,,1,, '"' ;lny 11I.r! Ih..r.."r, t h.. .ald f..rt)' o(the (If.' part ,.h.II .nd will WARRANT AND
J.'OR..:n.: It hE...t:~1\ TI\t' 1I11I..:'ullOr nU'lllo", ~hull indl.ldt. ttlt' pll.lrltl, th. plur.1 th. .in.ru1.r. and th. UI'" 0( any ..net..r
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IS WIT;.;t::-:s W"t:nt:OF It... "lIi411'"rty "rtht' (jr.t I.art h.. h..nanto Ht hi, hand and ...,,1 the d.y and )'t'ar rirllt
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7500 WEST 29th AVENUE
237-6944 EXT. 255 P.O. BOX 638
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
THI5 PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPLICATION
BUSINESS NAME Po -hi) rill' /020..(1$ , .Lt'1( ~ ADDRESS \ 1 J ".", ? 0.. y(
COpy OF DEED ANO IMPROVEMENT SURVEY REQUIRED
S' REAR
PERMIT NO.
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SPECIFY NORTH
~
F~T PROFlERTY LINE
STREET NAME 1-1 P tu (CIRCLE FRONT)
SHOW DISTANCES FROM THE MAIN BUILOING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH;
SHOW LEAST OISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
OWNERS NAME V. J ~\~:be(-\-- r, twuA-c, LEGAL DESCRIPTION
CONTRACTOR ~ -I-wy (ld ~ (I'') L1C. NO.~ METES AND BOUNDS OESCRIPTION ATTACHED
AOORESS 113.:) 'l co,",.,- CoB tb I\ro..>i. PHONE,~C( "'>'flul AODRESS 4'>1,0 ~ -- e lei s.~
CITyj)P(\ ZIP CODE LOT NO. :3 BLOCK NO.
LOT WIDTH 8;J DEPTH \ 1'3 . 1" AREA <4 "J.,f) \71Zl"" SUBOIVISION -r rL\;.t t- FILING
N E S@
..JlJ
s~')...
INDICATE THOSE OF THE FOLLOWING OFF - SITE IMPROVEMENTS NOW EXISTING: Curb a Gutter ~treet Povino V--Waler ~ewer ....!:::::..Storm Drainooe~
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING. YES_NO_
ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY. YES_NO~
OCCUPANCY
STORIES
7<-3
F'L1i2<cpc 01' ",,,,,Oc.<1
~lA,.U\.. ROOF \nlU)'\ t"t ~~ Po, Ae-J
(~J ~j V\c.~
PERMIT FEE
USE TAX
\
EXTERIOR MATERIALS. WALLS
UNITS REMARKS. I \1'\ \\Qa..\c(( -:j)",ct"\. f'"d 0;'.<..,...<,
OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the above setback distances shown on this permit application ore accurote, ond do not violate
applicable ordinances, rules or regulations of the City of Wheat Rijge or covenants, eosements or restrictions of re-
cordi thot 011 measurements shown, and 011 lations mode ore accurate; that 1 hove read and agree to obide by all
conditions printed on this application, on h9" I assume full esp sibility for compliance with the Wheat Ridge
Building Code (U.S.C) and all other plic le!Whe~' Ridge or.,in C $, for work under this permitS/' /
(OWNER)(CONTRACTOR) SIGNE' <-, DATE - Il L ~
SQ,FT
BUILDING DEPARTMENT USE ONLY
COST
THE PROPERTY LOCATED AT --I-?w" I"'li'-t> .,T".
1Z--?>
BASEMENT -ROUGH
BASEMENT -FINISHED
GROUNO FLOOR
SECONO FLOOR
GARAGE
OTHER
OTHER
NDER THE ZONING OROINANCE.
ELECTRICAL PERMIT
STATE NO CITY NO.
PLANS REVIEWED_ (_OK)(_NOT OK)
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
ELECTRICAL PERMIT
PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
DATE CLEAREO BY
CHIEF BUILDING INSPECTOR
BUILDING COST $
PLUMBING PERMIT
AJ
I 6~ () '17,
c)--d'
--;/
STATE NO.
PLANS REVIEWED
CITY NO.
(_OK)(_NOT OK)
MECHANICAL PERMIT
CITY NO
PLANS REVIEWED_ (_OK) (_NOT OK)
NO PLANS NEEDED_
PLANS NEE OED PRIOR TO ISSUANCE OF
MECHANICAL PERMIT
PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO.
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
DATE CLEARED BY
CHIEF BUILOING INSPECTOR
NO PLANS NEEDED_
PLANS NEEDED PRIOR TO ISSUANCE OF
PLUMBING PERMIT
PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO
AS APPROVEO AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
DATE CLEAREO BY
CHIEF BUILDING INSPECTOR
BY
DATE
CONDITIONS.
(I) THIS PERMIT WAS ISSUED IN ACCORDANCE WITH THE PROVISIONS SET FORTH IN YOUR APPLICATION AND IS SUBJECT TO THE LAWS OF THE STATE OF COLORADO
AND TO THE ZONING REGULATIONS AND BUILDING CODE OF WHEAT RIDGE, COLORADO OR ANY OTHER APPLICABLE ORDINANCES OF THE CITY.
(2.) THIS PERMIT SHALL EXPIRE IF (A) THE WORK AUTHORIZED IS NOT COMMENCED WITHIN SIXTY (60) DAYS FROM ISSUE DATE OR (B) THE BUILDING AUTHORIZED IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS.
(31 If THIS PERMIT EXPIRES, A NEW PERMIT MAY BE ACQUIRED FOR A FEE 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 (I) YEAR. IF CHANGES ARE MADE OR IF
SUSPENSION OR ABANDONMENT EXCEEDS ONE (I)YEAR, FULL FEES SHALL BE PAID FOR A NEW PERMIT
(4) NO WORK OF Y MANNER SHALL BE DONE THAT WILL OBSTRUCT THE NATUR FLOW OF WATER CA G A
(5) CONTRAC R HA;~D~,IF,( THE BUILDING INSPECTOR TWENTY-FOUR {2.4} URS IN ADVANCE FO A L IN
ON INSP TI C'iv~FORC7pTH SUCCESSIVE PHASES OF t E J ·
CHIEF BUILDING INSPECTOR
BY
DATE
BY
DATE
A AGE PROBLEM.
ONS AND SHALL RECEIVE WRITTEN APPROVAL
~ROV~
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