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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