HomeMy WebLinkAbout4668 Dover Street'Vel fi 1/7N117 ,
CT1ON REC// _D
INSPECTION ONLINE F R http,//www.ci.wheatridge. /ipcto _
INSPECTION REQUEST LINE: (303) 234-5933?/��
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Wall Sheathing
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Mid -Roof
Lath / Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: M /
Permit Number:
r
L64
n�!inlL-
1
❑ No one available for inspection: Time I I (AY/pm
Re -Inspection required: Yes 0
*When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700977
PERMIT NO: 201700977 ISSUED: 05/30/2017
JOB ADDRESS: 4668 Dover ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Replace roof with asphalt shingles - 23 squares
*** CONTACTS ***
OWNER (720)415-7640 SEMSACK RICHARD CLARK
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: 10,500.00
FEES
Total Valuation 0.00
Use Tax 189.00
Permit Fee 220.15
** TOTAL ** 409.15
*** 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 k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€IMs installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201700977
PERMIT NO: 201700977 ISSUED: 05/30/2017
JOB ADDRESS: 4668 Dover ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Replace roof with asphalt shingles - 23 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that a wor e performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building
Official and 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
inspections ands 11 not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or of a permi'sfiall t b construed to be a permit for, or an approval of, an violation of any provision of any
applicable cod o,_; a Ance of, f this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
_,�rWh6atfQ
MMUNm DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-23778929
Inspection Line: 303-234-5933
Email: permits 6D-ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Pennit # ` +�
Plan Review Fee:
Building Permit Application
— Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.'
Property Address: (�' (� � >%3 V iY �1� Why-() y -() � k ' �� C� � l� c� ��� ��i
Property Owner (please print): i f ' ` of i :t:�e ( Phone: -7,,20-'L115---76q0
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Enalneer:
Architect/Engineer E-mail: Phone:
Contractor: L5.
Contractors City License #: I `-% ( L �� Phone:
Contractor E-mail Address: I
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 EYRESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION 9 WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
gPLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF23 Btu's
Amps Squares
Gallons
Other
I Project Value: (Contract value or the cost of all materials and labor included in the entire project)
I iN C' /1/ 1 . A/-)
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.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAMEA r ft A1C .5 Q,) SIGNATURE:
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
Q—ifofi— ni¢trirt 11 RPraivad 171 Not Reouired
DEPARTMENT USE ONLY
DATE:
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201700977
PERMIT NO: 201700977 ISSUED: 05/30/2017
JOB ADDRESS: 4668 Dover ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Replace roof with asphalt shingles - 23 squares
**REVISION**Added redecking; Added valuation: $700.00
*** CONTACTS ***
OWNER (720)415-7640 SEMSACK RICHARD CLARK
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: 10,500.00
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€TMs installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
FEES
Total Valuation
0.00
Use Tax
189.00
Permit Fee
220.15
Misc. Fee
10.00
** TOTAL **
419.15
*** 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 k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€TMs installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201700977
PERMIT NO: 201700977 ISSUED: 05/30/2017
JOB ADDRESS: 4668 Dover ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Replace roof with asphalt shingles - 23 squares
**REVISION**Added 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,
applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with
this ppermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
pertormed aff_W6 k be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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.
" A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /`Iu. F
Job Address: /" �
Permit Number: 1-7d v -77
❑ No one available for inspection: Time !`?� lA /PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: �� J7 Inspector:
DO NOT REMOVE THIS NOTICE
♦ 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: liru.YL awl=
Job Address: n®v�.2 -7
Permit Number: 0975/33
❑ No one available for inspection: Time , A /PM
Re- Inspection required: Yes No
* When corrections have been made, call for re inspection at 303 - 234 - 5933
Date: K llilleq Inspecto
DO NOT REMOVE THIS NOTICE
A s CITY OF WHEAT RIDGE
/ r Building Inspection Division
( (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 2(_ �
Job Address: 4/./,/,, 9 j �,,, L4
Permit Number: oq -� 1
f ❑ No one available for inspection: Time P : Z AM /PM
Re- Inspection required: Yes No
When corrections have been made, call for re-inspection at 303234 -5933
Date: 5 /Z /- li , Inspector s+
DO NOT REMOVE THIS NOTICE
ti d 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: l
Job Address: Yl l? 5 7
Permit Number: 119`7.3/.
�f�i�t�/) - aris✓4'iy //�irG /c'�P7
❑ No one available for inspection: Time AM/PM
Re- Inspection required: Yes No
When corrections have been made, call for r inspection at 303
Date: � Inspector: % gy
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I' a\ ,Noz~
Job Address: 4 LUR Q) V-9
Permit Number: (DZ) I
❑ No one available for inspection: Time ' i cT AIVdy
IPM
Re-Inspection required: Yes, I ~Qo
`When corrections have been made, call for r -inspection at 303-234-5933
Date: f a7 D Inspector: 71o
DO NOT REMOVE THIS NOTICE
)
City of Wheat Ridge
r4000r, Residential Roofing PERMIT - 093133
PERMIT NO: 093133 ISSUED:- 10/07/2009
n, JOB ADDRESS: 34668 DOVER ST : ?EXPIRES: 04/05/2010
DESCRIPTION= Reroof '.21 sqs
CONTACTS
owner 303/424-9322 Clark Semsack
sub ` 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing Incorporate
F
PARCEL INFO
ZONE CODE: UA "USE: UA
SU13DIVISION:I 0215: BLOCK/LOT#: 0/'
s,-
FEE SUMMARY ESTIMATED PROJECT VALUATION: .4,410.00.'
x FEES
Permit Fee 144.70 fA ^ .R
Total Valuation i .00
eyC~'~t?Z~{.
. Use Tax 79.38
` TOTAL '224.08
G
,C Conditions;
Both `front and back of permit need to be posted on job site. If one or the other
,r is not : Dresent. TNSPP.rTTnN: WTT T Mr) r PP. :DRAFnoMWn
1 This permit was issued in accordance with the {provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning. Regulations and Building
Codes of Wheat Ridge, Colorado or any, other applicable
ordinances of the City.
2. This permit shall expire `180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit' expires, a new permit may be acquired fora fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1)
year, 'full fees shall
be paid for a new permit..
4. No work of any manner shall be done that will change thee. natural flow of water causing adrainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job..'
`tee` 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
' an approval of ny violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All p v ' is subject to field inspections.
x
Signatur of Chief Building Official date
INSP CTION REQUEST LINE: (303)234-5933 BUILDING OFFICE:'. (303)235-2855
",,REQUESTS MUST BE MADE BY 3PM-ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. "
f`
INSPECTION RECORD OccupanGy/TVpe
INSPECTION LINE: (303) 234-5933
I Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
I FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO N
OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
CITY OF WHEAT RIDGE
i0f08/09 9:15 AN cubs
ABOVE INSPECTIONS TO BE SIGNED PRIOR T(
Framing
Robert Fowler
Insulation
RECEIPT NO.CDA@02777
AMOUNT
Drywall Screw
BPSP Reroof 38 sqs
328.90
093130
Permit Fee
199.30
FINALS
Use Tax
129.50
DPSP Reroof 34 sqs
400.94
Electrical
093131
Permit Fee
2335.70 -
Plumbing
Use
b`a-i 4
BPSP Reroof 21 sqs
224.08
Mechanical
093133
Roof
Permit Fee
144.70
Use Tax
79.38
Building Final
PAYMENT RECEIVED
AMOUNT
Fire Department
VS 4950
953.92
R.O.W & Drainage
Auth Code:
INSPECTIONS I 015541#- '
Parking & Landscaping
SHOULD BE CI TOTAL
953.92
**NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONur
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE A
UTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PRnTFCT T14M f-APn FRf1M T419= wFATFIFR
qa ws
Properly Addma;
Property Owner (pier
r ~yCity of a
I VY i 6a't.~ te:
ConnnturriTy Di oht> Nr Permh l f 1'
Building Division
7500 W, 29th Ave., Wheat Ridge, CO 800..33
Office: 303-235-2855 * Fax: 303-237-88"
Inspection Line: 303-234-5933
IWallia
Address: g Address: (if different then property address)
confraafnr.
Contrador License M
Sub Conhimtots:
Co,Imtpar)v Name: License fi: Expimflon Mo. Tit #aftdanelan: Approval:
Use of s ace descri lion):
T gyp. rIC WIT ~t lL~~If`'Y~`/~ Plan Ravtaw (due 41 lime of sUhMfftatJ: S
Sq. Ft L.Ftadded: W v`( Squares Cf I BTU's Gallons Amps
OWNEMONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby oer* that the setback distances proposed by this permit application ara accurats, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictlons of ref.. M; that all Measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed of ;thls application and that I assume full
respp-oon 1111y for compliance with the Wheat Ridgge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
vender this pennh. Plans sub*ct to field InapaeVon,
CIriLCE ONE„ (OWNER) (CONTRACTOR) or PERSONAL. REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: SIGNATURE: Date:
Prr4~[c9 . s ~
>9t111at1fF9 ;
"er>~:aa~epmti>t~rst~ .»rdl~aypre,rara o ,rra:aa _ I3Id~ valuaNOn: S
Credit Card Pa ment: Us• c and listed on rile.
Print name: I1)YI Y1 DTI Signature:
Facsimile Building Permit Application
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234.5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Part/tAl
Job Address/Permit Number: I/tIY Om/hi ST.
~~I"~ ':;/;1.0//1/6 ;)ER/K,r //: J"/"". u.>>llJL f?/>".6
~l!R/-;v/~r'.?
~
~
o No one available for inspection: Time 1,'05
AM/PM
-
Re_lnspection required: Yes No
'When corrections have been made, call for re_inspection at 303-234-5933
Date: ;,/;< liPS Inspector: .f:"" c:
/
DO NOT REMOVE THIS NOTICE
~_._.._"..- - ~. _._,.,..~. -"- .--"
- ...~... -'-
.
,'" ',;:~~:::~! Jt'~\' _'L_"
-'-"'l'f~'lL~'i\-:;"':'::"'-'-
.r"1~'jil~.,'! :~',t, ';',~,,:?f;
BUildi~ PWmit' N~r : 6759
Date : 3123/98. '
.
'"(' ,
>',-,.,' ,
,,' (i -,;.,
"-:'_',~';:3,r>,',:::_ t,?:-: ',; - f ~.,- , - 'if
:-' . ,'~' ';\~~:;~-'~l,~~r:"~}~'~_
'" .:,
~",:
" , ^ ~ - ,
Phone ;
,...i.,_,' ',,-'"
"',', -
~' ':~ ,':<-'
, ,. ,1,_:~'_) ',-
" -,.I,
:)1' ,~ ' .
,"",,_,_r',,' .,
C.~fVB1lie:~C';i',;..$~, ,~' .
. Permit Fee~. $45.W:
Plan R~Fee :' , $0:.
....~t.:...f,ct. ;,':' ,..iI;'m
; "'.. -J~}: ;,~ \-;(,-,J--' :;, ,'~'~'t~", '
: " 0:_ ~:~~:':"~~":~"";~>::'$;~~~:}!It~-'
TotaI.c, ' . ~g.~:.
Use:"
D~n: . Service change tb-150 amp
" ,'-/
~
. i7_lftft
"~w-'V'
;co-;"
BUILDING DEPARTMENT OSE ONL V
sq., R. :
SIC:
, . 'APProval:
~:
Stories :
~Il;lntt. :
Meclienical' ~No:
,:-"'-.
corilpany :
ROof:
Walle :
-"A --
","':-:":'" '
electllCiil~ No :
.,-'"'\'>-\-",' :
Company:
. ",'"
Plumbing Ljcense No :
. Company::
Expiration ~ate :
. Approval: ,
!
. , " .
ExpI~Oate: ..' ,
':.,__:".' "I.,
Approval : .
,,''''.,'
-"',"-,'l';"
expiAJtio!1 bate :
ApPt:l>Vilf: '
,:,
,I..'
.jwvtotonallll In' ~ 1a=lotllo_OIfle."SlIIIi<t. ,.... IIolltt .lOljlnQ.' ; .
~~~ _VOPUr~ ~...... .... ,.. '.,
'~-'" ~1lx\yl'Dl_fIoIft_d*cr(8)lIttllUlldln8~.Iioi"'lClodoi,
loralllo<t_Ille__lyreq_,....-llli....._i.~xo;w.__~=
.""",~hasnot_~(1)yeor. 1I.........1lIiiII!'...... l'~l'mor_....., :'."
lINtn....lIow<t_~.__..-. ", '
. _(24)~~_lorllll~Il1d_--_lljIpr\MII'."llllf!I!on-~i.
Il1d 1JlIlOIII-.. _ not be _lobe. pennIt.... .......apjIiIMlar.............. <t"'~!llIh"
,Iaw,...."'~. ..'
I
. lJuikII I .;
c' ,. ng nspeOtor. ' , . , " ,
'M PeRMIT VAUDONJ.,.VwtlEN SIGN~D IilVTHE CHIEF BUILDING INSPeCTOR AMi.VoIt .
, . . CALl.: ~933 2It HOURS PRIOR TO INSPamoN' ,;: '
.,. " 'I ."
~\
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: :D,e k .s: I AA.. Sad"
Property Address: 'i b b R- Uo V € r
Contractor License No.: ""-I {p oS
Company: KfU!.e. 9\ec+tlc Tn <:-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: ~ -;J -<; - 9 :~ ::;> ":(
Phone: <-t.J::2 - b S'''..5
I hereby certify that the setback distances proposed by this pannit 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 aQree to a ide by all C odilia"s printed on this
application, and that I assume full responsibility f ,mpUan with the Wheat Ridge Building
Code (U.B.C.) and all other apPlicabll, at Ri 0 "an 5, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED - / 1 r; ATE :] c;;! S' 9
Construction Value :7 D D, l)
Permit Fee: 1S.00
Use Tax:
Total:
$0.00
Use:
Description:
S'e -r-v;~e
ISO o.~ I t6
C ~G./v,~ e..
BUILDING DEPARTMENT USE ONLY
'J 1l(j('l'~'J ,-'1(\011 ,,1
SIC:
Sq. Ft. :
Approval :
Zoning:
:, I {!j (:-El.1l11l\.J!1~
Approval :
~H~. (~\..:kl-;4-.:. c~l'JlJl~;;ul~:
Approval :
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No: -<( (;, o.!'J
Company :/(1""'-'s<" f')e,..t-t"c r,,~
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date: :;) - ::i ~. q 9
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was Issued In accon:tance with the provisions set forth In yopur application and Is subjed. to the laws of the State of CoIol"ado and to the Zoning
RegulaUons and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire ff (A) the work authorized Is not commenced within sixty (60) days from issue date or (B) the building authortzed is suspended or
abandoned for a period of 120 days. .
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made In the
original plans and speelflcaUons and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural now of water causing a drainage problem.
Contractor shall notify the BUilding Inspector twenty.four (24) hours In advance for all Inspections and shall receive written approval on klspectlon card before
proceediing with successive phases of the I lob.
The Issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
I;!
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION