HomeMy WebLinkAbout4668 Dudley Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: 44 tl'k�.:� I : I—T
Permit Number:
❑ No one available for inspectio-:-jBmne O !,L'A QPM
Re -Inspection required: Yep" No
When corrections have been made, schedule for re -inspection online at.
http✓/www.ci. wheatridge.co. usrnspection
Date: Inspector:
xd.__._
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201902470
PERMIT NO: 201902470 ISSUED: 11/22/2019
JOB ADDRESS: 4668 Dudley St EXPIRES: 11/21/2020
JOB DESCRIPTION: Replace 8 windows (2 dining, 1 office, 2 roommate, 3 master), u -value = .30
or better
*** CONTACTS ***
OWNER (720)602-7680 FERRARIO ADAM
SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION
*** 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: 16,227.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 340.77
** TOTAL ** 390.77
*** 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 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 ennrt. 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 plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a pen -nit for or an approval of, any violation of any provision of any
applicable code or any ordinance or reg�jl4tion 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.
r� 0lqaq�o
Kimberly Cook
From: no-reply@ci.wheatri dge.co.us
Sent: Friday, November 22, 2019 11:51 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories: Kim
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) 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
**REQUIRED** Attach
Credit Card Authorization
Form - **DO NOT
ATTACH RANDOM
DOCUMENTS
4668 Dudley St
Adam Ferrario-Tweeten
720-602-7680
Field not completed.
ferrario cc auth.pdf
CONTRACTOR INFORMATION
Contractor Business Seiler Construction
Name
Contractor's License 180220
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-945-1519
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address mbeaudoin@renewalcolorado.com
Retype Contractor Email mbeaudoin@renewalcolorado.com
Address
DESCRIPTION OF WORK
Number of window 8 windows
and/or doors being
replaced
Location of 2 dining, 1 office, 2 roommate, 3 master
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the a -value of the .30 or better
window(s)/door(s)? City
of Wheat Ridge requires
the a -value to be .32 or
better on windows..
Attach copy of Ferrario-Tweeten Adam measure.pdf
window/door cut sheets
showing sizes and a -value
Project Value (contract 16227
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
N
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have 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 Mackenzie Beaudoin
Permit
Email not displaying correctly? View it in your browser.
A
V,
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Electric PERMIT - 201801567
201801567 ISSUED: 05/30/2018
4668 Dudley ST EXPIRES: 05/30/2019
Residential electric on main electrical panel. 150 AMPS
*** CONTACTS ***
OWNER (720)602-7680 FERRARIO ADAM
SUB (720)979-9655 Arturo Serna 180157 Alliance Electric
*** 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: 3,400.00
FEES
Total Valuation 0.00
Use Tax 71.40
Permit Fee 109.20
** TOTAL ** 180.60
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e legal owner or have been author►zed
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 ermIt. 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
I . This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
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 originalpennit 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• roceed or conceal work without written approval of such work from the Building and Inspection Services
Division, ;
6. The issuce o grantinka permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appl;a' o any or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat�ir3ge
COMMUNITY DEVELOPMENT
Building 8 Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(c cimheatridpe.co.us
FOR OFFICE USE ONLY
PlaT't;e
#
')/�
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: t o Io s btu tey 5+ l 7��e- Cc
Property Owner (please print): M('LM Re((Oy i v Phone: --12-b - IoOZ-1fc
Property Owner
Mailing Address: (if different than property address)
Address:
City, State Zip:
1, (L)ryl
Arch itect/Engineer•
Architect/Engineer E-mail: Phone:
Contractor tri 0 Pw__ L) a5e Jnr _
Contractors City License #:
Phone: "120 - L -71- t9 Ia SS
Contractor E-mail Address • a h 0-n c e- C I cc -t V-'; C 1� I\ V e, f& cy. .
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
LUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)' ki e.i k,�
(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.) a _ o - In (f tCu t" (ca-( 1-4r\el
Sq. FtJLF Btu's
Amps 1 Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$.-____ 51" 1s-_._ . __e__ __
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.
CIRCLEONE. O►i'A'E�NTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINTNAME: hY 0,((, �e-i(nA— SIGNATURE: Ogu� DATE:13 I�
ZONING COMMMENTS
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer
PUBLIC WORKS COMMENTS
Reviewer
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION
TYPE OF CONSTRUCTION
SPRINKLERED
OCCUPANT LOAD
Building Division Valuation: $
A
V,
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Electric PERMIT - 201801567
201801567 ISSUED: 05/30/2018
4668 Dudley ST EXPIRES: 05/30/2019
Residential electric on main electrical panel. 150 AMPS
*** CONTACTS ***
OWNER (720)602-7680 FERRARIO ADAM
SUB (720)979-9655 Arturo Serna 180157 Alliance Electric
*** 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: 3,400.00
FEES
Total Valuation 0.00
Use Tax 71.40
Permit Fee 109.20
** TOTAL ** 180.60
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e legal owner or have been author►zed
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 ermIt. 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
I . This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
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 originalpennit 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• roceed or conceal work without written approval of such work from the Building and Inspection Services
Division, ;
6. The issuce o grantinka permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appl;a' o any or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat�ir3ge
COMMUNITY DEVELOPMENT
Building 8 Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(c cimheatridpe.co.us
FOR OFFICE USE ONLY
PlaT't;e
#
')/�
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: t o Io s btu tey 5+ l 7��e- Cc
Property Owner (please print): M('LM Re((Oy i v Phone: --12-b - IoOZ-1fc
Property Owner
Mailing Address: (if different than property address)
Address:
City, State Zip:
1, (L)ryl
Arch itect/Engineer•
Architect/Engineer E-mail: Phone:
Contractor tri 0 Pw__ L) a5e Jnr _
Contractors City License #:
Phone: "120 - L -71- t9 Ia SS
Contractor E-mail Address • a h 0-n c e- C I cc -t V-'; C 1� I\ V e, f& cy. .
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
LUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)' ki e.i k,�
(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.) a _ o - In (f tCu t" (ca-( 1-4r\el
Sq. FtJLF Btu's
Amps 1 Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$.-____ 51" 1s-_._ . __e__ __
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.
CIRCLEONE. O►i'A'E�NTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINTNAME: hY 0,((, �e-i(nA— SIGNATURE: Ogu� DATE:13 I�
ZONING COMMMENTS
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer
PUBLIC WORKS COMMENTS
Reviewer
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION
TYPE OF CONSTRUCTION
SPRINKLERED
OCCUPANT LOAD
Building Division Valuation: $
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: 3/O i� A03 : 'FP
Job Address: _ � 1911 01&V S
Permit Number:(]/f;0
❑ No one available for inspectio" . e AM/PM
Re -Inspection required: Yes N
When corrections have been made, call for re -inspection at 303 -234 -
Date:— Inspector: mT#
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Ir -
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: �/�6 �tJ� L
Permit Number: C/ /0
❑ No one available for inspectio ime AM/PM
Re -Inspection required: Yes 640
When corrections have been made, call for re-inspe ctio at 303-234-5933
Dater f� Inspector: �LI
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /, 11-T-1
Job Address: 1,1d F
Permit Number: � 0/ )� a Z 5'
to one available for inspection: Time J Z AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re-ispe ' i4` at 303-234-5933
Date: / '��/ Inspector:
City of Wheat Ridge
Residential Roofing PERMIT - 201702980
PERMIT NO: 201702980 ISSUED: 06/30/2017
JOB ADDRESS: 4668 Dudley ST EXPIRES: 06/30/2018
JOB DESCRIPTION: Residential Re -roof to install Duration Storm asphalt shingles - 28 sq.
*** CONTACTS ***
OWNER (303)467-3148 VANCE AMY L
SUB (303)942-0732 Armando J. Boon 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: 8,000.00
FEES
Total Valuation 0.00 ID
Use Tax 168.00
Permit Fee 172.60 P fisk
**
TOTAL ** 340.601
*** 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 one half 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 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201702980
PERMIT NO: 201702980 ISSUED: 06/30/2017
JOB ADDRESS: 4668 Dudley ST EXPIRES: 06/30/2018
JOB DESCRIPTION: Residential Re -roof to install Duration Storm asphalt shingles - 28 sq.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanyini approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performe ork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OW]qfR 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 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
insrwWns 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 comer any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
iii
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.
Antoinette Kulick Un
17 PZ ft
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 19, 2017 8:24 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4668 Dudley St
Amy Vance
303-467-3148
Field not completed.
ow
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
ARMANDO J BOONE
170162
7203835677
Contractor Email Address ajbooneexteriors@gmail.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email ajbooneexteriors@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing DURATON STORM
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 28
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
2
TOTAL SQUARES of all 28
roofing material for this
project
Provide additional detail 5/12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 8000.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Armando Boone
Email not displaying correctly? View it in your browser.
3
4245 S. Cimarron Way Suite 416
Aurora, CO 80014
303-942-0732
Ajbooneexteriors@gmail.com
AIBOONE
EXTERIORS
jhR
Customer`,'i�s
Street �" I ' 4-
City ti `. , a STJ zip
Email
Home Cell ;J`
SPECIFICATION
❑ Mfg. of Shingle
r
❑ Style of Shingle
❑ Warranty
❑ Valley
Vents
❑ Drip Edge 2x2
Color
❑ Drip Edge 2x4
Color
❑ Layers
2 Story
❑ Chimney Flash
Pipe Boots
❑ Bath Vents
Stepflash
❑ Ice & Water Shield
Rows
❑ Modified Bit
Color
❑ Decking '/z OSB
❑ Skylights: How many?
Size
❑ Permit Furnished: ❑ Y
❑ N
PAYMENT SCHEUDLE
'/z Contract Price Upon Delivery
of Material and
Balance Due Upon Completion of Each Trade
Date
Consultant
Estimated Start Date i Finish
Number of Squares
Agent
SPECIAL INSTRUCTIONS
/..�/a}�� Com.
r
v 11 f' Q r tif'
a ei ['t r,
t� �
�.✓ �-. �00 t t ` t iA if Ex
Debris Removal
Tax
Permit
Overhead/Profit
TOTAL
PLUS PERMIT AND SUPPLEMENTS N TIAL
Terms: This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and is subject to insurance company approval. This does not
obligate client or AJ Boone Exteriors unless repairs are approved by homeowner's insurance company. By signing this agreement the
homeowner authorize-, AJ Boone Exteriors to pursue homeowners best interest for all repairs at a price agreeable to the insurance
company and AJ Boone Exteriors at NO COST TO THE CLIENT EXCEPT FOR THE INSURANCE DEDUCTIBLE.The final price
agreed on between the insurance company and AJ Boone Exteriors shall become the final contract price. The specifications INITIAL
are set out herein and on the reverse side hereof to accomplish the replacement or repairAJ Boone Exteriors is hereby authorized to
perform at their discretion all insurance prescribed repairs for the price of full scope of insurance proceeds agreed upon by my insurance
company and AJ Boone Exteriors. The terms and specifications stated and special conditions are accepted.
THREE DAY RIGHT OF RESCISSION:
I have hereby been notified that I may cancel this agreement at any time prior to midnight of the third business day after the
date of this agreement-.'
ACCEPTED BY:: DATE: CONSULTANT: `` DATE I ,
VERBAL COMMITMENTS WILL NOT BE HONORED AND MAKE ALL PAYMENTS TO AJ Boone Exteriors.
THIS AGREEMENT CONSISTS OF THE FRONT AND BACKSIDE OF THIS DOCUMENT. CLIENTS RESPONSIBLE FOR
H.O.A. OR COVENANT APPROVAL FOR SHINGLES.
i CITY OF WHEAT RIDGE
Building Inspection Division
��(303)
(303) 234-5933 Inspection line
235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: CZ Y DC►oc. o -i f
,Permit Number: 2_0 0 (f2 Sio
❑ No one available for inspection: Time /,9.0 A PM
Re -Inspection required: Yes tNo
When corrections have been made, call for re -inspection at 303-234-
Date:- /—Inspector
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
1�9Residential Roofing PERMIT - 201702980
PERMIT NO: 201702980 ISSUED: 06/30/2017
JOB ADDRESS: 4668 Dudley ST EXPIRES: 06/30/2018
JOB DESCRIPTION: Residential Re -roof to install Duration Storm asphalt shingles - 28 sq.
**REVISION**Adding redecking; Added valuation: $700.00
*** CONTACTS ***
OWNER (303)467-3148 VANCE AMY L
SUB (303)942-0732 Armando J. Boon 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: 8,700.00
FEES
Total Valuation 0.00
Use Tax 182.70 _
Permit Fee 188.45
** TOTAL ** 371.15
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) 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 one half 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 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201702980
PERMIT NO: 201702980 ISSUED: 06/30/2017
JOB ADDRESS: 4668 Dudley ST EXPIRES: 06/30/2018
JOB DESCRIPTION: Residential Re -roof to install Duration Storm asphalt shingles - 28 sq.
**REVISION**Adding redecking; Added valuation: $700.00
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicabble 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 ennrt. I further attest that I am legally authorized to include all entities named within this document as pa�t�es to the work to be
performed and that all work to b, e nertormed 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 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 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 pen -nit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official -Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheatj�iclge
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(o)ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Add to Permit #
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: :`Y669 Doze.)- 5/ -
Property Owner (please print): &chcrzi Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Submitting Company: J �� 00-7-7e ��le-4-10 �
Contact Person: .�3 �/1 a �l�e 000�e--Phone:
Contractor:
Contractors City License #:
Contractor E-mail Address:
Phone:
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
Sq. FULF
Amps
Btu's
Squares '-
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
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 = t entity on this application.
CIRCLE ONE: (OWN ) (CONTRACTO ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
J n
PRINT NAME: ��� (221% (Gt '_ l 0071el BLGNATURE— �— DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received
Water District ❑ Received
Sanitation District ❑ Received
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
❑ Not Required
❑ Not Required
❑ Not Required Building Division Valuation: $
t cat
Building r w s
750 W 29 a Ridgej CO :1
(Mice: 303-235-2855 Fax: 303 -237 -3929
Inspection Lire: 303 - 234 -5933
Building Permit Application
Property Address:
Property Owner (please pfint):
Address: Mailing
A.
CIRCLE ONE (OWNER) (CONTRACTOR) gr (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONIWACh"
NAME-
Bldg
INSPECTION RECORD o ccupancVIType
'O LANE: (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.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
.Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
>• - Lath /Wall tie -
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
INS CTOR MUST SIGN. ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS
INITIALS
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service
FINALS
Electrical
Plumbing
Mechanical
Roof
ry
44yynn
t
Building Final
-
Fire Department
Lines
R.O.W & Drainage
FINALS
Electrical
Plumbing
Mechanical
Roof
ry
44yynn
t
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 AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY .NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL 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) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: Q
Job Address:
Permit Number:
I
r,
❑ No one available for inspection: Time !6z' AM/ M1
f Re- Inspection required: Yes L� c f
'When corrections have been made for re- inspection at 303 -234 -5933
Date: (1 Inspector: PLO
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: d
Job Address: g4i~6Z- (D-.~.
Permit Number: c ~i 7 z'
❑ No one available for-inspection: Time AM/PM
Re-Inspection required: Yes
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: A'11'7 ,-oo
Job Address: .Xe,~rg'
C~ursLF~
Permit Number: ,9c7?1?77
OS TT grw` -/7 crJlT. ~r2sb Sf_'i uP
❑ No one available for inspection: Time f,'.20 AM/PM
Re-Inspection required: Yes1 No
"When corrections have been made, call for re-inspection at 303-234-5933
Date: 7//7 /,OF Inspector:
DO NOT REMOVE THIS NOTICE
OF W HEgT
~ Ro
v m
°O<oRPO°
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
Property Address:
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
Zip:
Sub Contractors:
Electrical City License
Company:
Date: 0-i'
Plan
Permit
Phone:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): F7C- S'aQ~ Construction Value: $ rsS?>!
Description of work: 4~ At~ 2pv (as calculated per the Building Valuation Data sheet)
C f J 6 Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares V BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to-fieldiDspection.
CIRLCE ONE:: (OWNER (CONTRT,.O.. or PERSONAL REPRESENTATIVE of (OWNER). (CONTRATOR)
PRINT NAME: .~tZ SIGNATURE: I~LYL~AT Date: rI
s+
A
Contractor License Phone: /?-Q 15'~o (3')'
i<~, ,,'"" ".) ~''''~"'' "".~w""",,,,,_v~,^.,,,,.,",' '!""""" c".~ ~"',.,~., ,?''',"' ~~"or:" "CO" , ',' ",' .,,' ."" "'.,4h..~~~, ~,... ","'''''' _."JIl"",_,~^,.._",. .",,,,,,,,-.'
I
D'EPARTlAiSN10F PI.ANNING AND DEVELOPMENT
";' BUILDING INSPEcnQN DMSION - 235-2855
C1TY OF WHEAT RIDGE
7500 Wl!;ST ,2tTH AVENUE
WHEAT RI~E. CO 80215
Building Permit Number: 95-2340
Date: 12/4/95
Property Owner: JAMES DAVID C
Property Address: 4668 DUDLEY ST
Contractor License No.: 18111
Company: Cooper Heating & Cooling
Phone: 436-1929
Phone: 466 4209
..........
OWNEIRlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
=:~~~=or~=r;:.~~~=:='
~, ....III.ill. orieellldlOns of record; thele. meuurements .hown, .nd elleglllion.
rnadfa,l". eccurete; thellhaVe read~' ancI to abide bY all condlIlon. Drlnted on Ihla
lIIlIllIcatIon, ancI tIlall_1uB , for ClIIIllIlance with the Wheat RIdge Building
CiOde(lJI.B,C.) and all other apptIcabIli Wheel, Idge ordInences, for work under thIS pennft.
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax:
(OWNEIR)(CONTRACTOR) SIGNED
DATE
Total:
$1,000.00
$25.00
$0.00
$15.00
$40.00
Des<:rlptlon :
FURNACE REPLACEMENT
BUILDING DEPARTMENT USE ONLY
Approval:
Oc:cupancy :
Walls:
Roof:
Stories:
Residential Units:
--
ElectriCal License No :
Company:
Plumbing License No :
Company:
MechaniCal License No :
Company:
Expinltlon Date:
Approval:
.
Expiration Date:
Approval:
.
Expiration Date :
Approval:
.
(1) lbI8 oonnIl_1elued1n _ _ tI1e ~ 881_1n yopur apjlIIcatlcII1l11ld lleu_1O tI1e _ 01 the Slllo 01 CO/oradOIIIld 10 the ZonIng
Rea~IIIld~Cc>cleol__, CO/oradOotony _ilJ>pI__oItheCIly.
(2) 111lI pennII_ expke J lo'!l the WOO< authoriZed II not _.,..._ _ obcIy (tlO) dayo from illuo - or (8) the building _II suopoI1ded or
__IcrOpollOd0f120= .
(3) WtI1I1 pennIIl!JllIi!eo. 0 _ moy l>o """'"* lor oleo of _ the amount _Iy roquIred.1l!llVIded no "'- hovo _ or lOIIIl>o _In the
orIglnOIp/onIOnd.....1ICoIIot Ondany_or_IdoI.....~hoonot_one(1)yeor. If__....'''*orW_or_ldoIol'IIOl1l
_one(1).,.,..t\lII__l>ojloldlbro.-_
14) No WIllI< 01 any __ _lholwlll~ the _ - oI_couoIng 0 droI~ pnlIlIem.
6) ~_ lllJllUIIdInll__lY'_(24) houlllnodvonoolorolinlpecllonl and ___ ~onk\lPldlOll_boIore
(S) =roo .. ,ott.::...tI1eJ'l'....ond ..,...mcotIon1 _ not l>o _10 l>o 0 permlllor, nor on __ 01, any _lion oIt11e prt>YiIIonI
oIt11e or __,,,",,rUleorrogulotlon.
cPL
Inspector
THIS PERMIT VAUD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL; 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION
234.59113 P,O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW
APPLICATION FOR MISCELLANEOUS PERMIT
c+ D ~6
PERMIT NO.
JOB ,~ODRE
'tblP D
SIGNS
:SS 'D ltd e'j :J OWNER ave IneS
OR Coo1,ec H lei t Cc)c \ 1(' 01 ,]i\G ADDRESS 41006 Lw.d I e 't c:,+
\ \780 Oide WoClSu.A:.w+h (3ivc.c.. PHONE 43b-\"129 ZIP CODE 'doo~'i3
DI'<l-\.'le.\cL ZIP CODE 8:)0-2.0 CONTRACT PRICE $ \ onoc-S
blo-42.o9 LICENSE NO, IlJi .! DATE \1/30ICJ5
I. TYPE Ground 0 WallO Proiec:tinoO Of her S or 0 Fact
2 MATERIAL Total Square Fe.t
3 ILLUMINATION YOlO NoD Type Elect. Permit NO.
4 SET BACK FROM PROPERTY LINE N_S_E_W 20"1_ Approved, Ion. Inspector
(Specify which is front) 0 0 0 0 Disapproved
I. TYPE SolidO Mor. Than 800/0 Op,nD Len Than 800/0 Open
,. ~. MATERIAL HeiQht
,) SET BACK FROM PROPERTY LINE N_S_E_W
3 Zont_ Approvld,Zontlnlptctor
(Specify which i. front) 0 0 0 0 Disapproved
I.
! 2.
3.
CONTRACT
ADDRESS
CITY'h
PHONE 4
FENCE
OTHEF
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVING DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
REAR PROPERTY LINE
w
z
::;
>-
...
'"
W
Q.
o
'"
Q.
~
"'
Vi?)
w
z
::;
>-
...
i
~
Vi
+
SPECIFY NORTH
FRONT PROPERTY LINE
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LOTS. SHOW LUll
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALlOATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS fROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME,
-.
ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT
STATE LICENSE NO STATE LICENSE NO
ALUMINUM WIRE UNDER SIZE B ILLEGAL FLOOR BSM 1ST 2ND 3RD 4TH NO. FUEL'CirtleOnoI GaoIOlllPnlpoMICaodEleclSoIor
NO. WATER CLOSET \ FORCED AIR (',01'0 BTU Lf 0 onO
TEMPORARY METER WASH BOWL HOT WATER - BTU
'IEW SERVICE - AMPS BATH TUB STEAM - BTU
CHANGE SERVICE AMPS SHOWER AIR CONDITIONING -BTU
l.1GHTING SINK OTHER
HEATING GARBAGE DISP REFRIGERATION SYSTEM
POWER SUB-CIRCUITS WATER HEATER ~efriaeront Group
UTILITY (RANGE, OISPOSER, ETC) AUTO. WASHER Pounds Choral
FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS a CONTROLS FLOOR DRAIN ELEVATOR
SIGNS URINAL
TRANSFORMERS a RECTFIERS SEWERS
J~DDITION TO OLD WORK OTHER
MOTORS OVER I HP TOTAL FIXTURES
-.
1'lEMARKS
hereb
" c
'I.
i.
, I NOT VALID UNLESS RECEIPTED
''i acknowledge thot this opplico- PERMIT FEE :2.5 00
orreet and understand thot 1 USE TAX \5 co
tart this project until this oppli- 40,00
approved. I shall comply with TOTAL FEE $
I of the State of Colorado ond to
'Q ReQulat,ons ond Building APPROVED
e City of Wheat Ridljle. Any DISAPPROVED
, the obo.... terms will couse CHIEF BUILDING INSPECTOR,Clty of Wheel Ridge
vocation of thiS permif CALL 234-5933
24 HOURS IN ADVANCE
ili FOR INSPECTIONS
Dole Issued