HomeMy WebLinkAbout5474 W. 35th Avenue6-4-24-'I 301h - INSPECTION RECORD OcWiacy'�we
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspectional
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the followinu hnsinesc (Inv **
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
l a s1n■mR A I. I Y/J1-M• MF.l■MMEW.1111VII111.11-ATLI ISAMci■LT7.\_T_t1T_7/LT_TT7T
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
�-A.M\AM IV I"NIP IMID IN ISIS= III= -11 11.1/I 1. r• 11-1._1/1/.1J IAAr.11 ir7♦r TITtTGl WANT 1. 0T_ Vi
Rough Inspections
- --
Date Inspector
Initials
---- - ---- — - - r._ � .v ■■wN`a.alvlla
Comments
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 l } >
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.
- _. ._- _ _.__�_ I.,......,,, — —, L11— Iv Jl l 1110VUVIIV1IJ G1IU UU1IIPIUM U nvrnl me rlre uisuict ana 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
Residential Roofing PERMIT - 201705461
PERMIT NO: 201705461 ISSUED: 08/04/2017
JOB ADDRESS: 5474 W 35th AVE EXPIRES: 08/04/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with ROOF
DECKING
*** CONTACTS ***
DWNER (303)274-9335 RAE JOEL J
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,294.00
FEES
Total Valuation 0.00
PAID
Use Tax 321.17
Permit Fee 299.40
** TOTAL ** 620.57
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
1 av
Residential Roofing PERMIT - 201705461
PERMIT NO: 201705461 ISSUED: 08/04/2017
JOB ADDRESS: 5474 W 35th AVE EXPIRES: 08/04/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with ROOF
DECKING
*** CONTACTS ***
OWNER (303)274-9335 RAE JOEL J
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,294.00
FEES
Total Valuation 0.00
Use Tax 321.17 PAID
Permit Fee 299.40
** TOTAL ** 620.57
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A d City of Wheat Ridge
Residential Roofing PERMIT - 201705461
PERMIT NO: 201705461 ISSUED: 08/04/2017
JOB ADDRESS: 5474 W 35th AVE EXPIRES: 08/04/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with ROOF
DECKING
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 a t. I further attest that I am le ally authorized to include all entities named within this document as partes to the work to be
perPiettd that all work to be permed is di�alfised in this document and/ort its' 7ccompanying approved plans and specifications.
.yrignature of OWNER or ONTRACTOR (C)40 one) Date/ /
1. This permit was issue as the informaf provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those docum s, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of anmanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holdy er 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
Divisio
6. The iss 'a:njc.k granting oLuamit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicab pyk1QyWr ma cf or r&dlaJon 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
Dan Schultz
From:
no- reply@ci.wheatri dge.co.us
Sent:
Friday, July 28, 2017 12:42 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
5474 W. 35th Ave
Joel Rae
303-274-9335
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attach Copy of Contact RAE CONTRACT.pdf
CONTRACTOR INFORMATION
Contractor Business J & K Roofing
Name
Contractor's License 019983
Number (for the City of
Wheat Ridge)
Contractor Phone 303-425-7531
Number
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the No,_"�
roof?
Description of Roofing GAF Timberline HD
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 30
material selected above?
Does any portion of the No V.
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 30
(pitched + flat) of all
2
�b (o 2,0.
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
House - 8 & 12/12 Pitch, Garage - 4/12 - J&K Job #6734
15294
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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
CONTRACT
J&K Roofing
131313. 13000 W. 43rd Drive • Golden, CO 80403 i"�20,,
Phone: 303-425-7531 • Fax: 303-425-1562
www.jkroofing.com
Representative �i ��c hG.l�pZ� Contact ��� �S -'IS .3 7 Date S Z9_ 20/7
Name Jo eJ Rr^ Q 1 Phone _-�Zo - Yct O - 7_1S Z
Address S q _� � W . 3-S L ( )3vQnv j-
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS, TERMS,
AND CONDITIONS. PLEASE READ CAREFULLY:
Recover roof with 11a4-cL Lru,,Aj
I$ Color of shingles Me%�- r't-U+ate 1.nd _
Manufacturer's Warranty Lr A t_
X Tear off a l l lc,krS J 1*
ID' Install Underlayment 3p ti r4e.1
X Double all Eaves Ice- a- W-Jej S k;4
Re -Flash ChimneydSkylights
New Valleys C1=1 /�,�
X Replace Ridge vf+, l^ t t -e—
Ventilation �2 fox VtJt S
Galvanized Fasteners 6 n a, S 17Q I t A� (R
Replace 3 Plumbing Jacks
Paint roof stacks to M
1
($ Install 1�.J�r- Metal Ed ing FavQs
❑ Patio or Flat roof jJa� incw�l t�
C Year Warranty on labor
X J & K Roofing to furnish all material and labor
® Permit: VA44AAtacluded NOT Included
X Clean-up debris and haul off all trash from roof
Roll yard with magnetic roller
(7 Gutters cleaned of roofing debris i
[I Decking Repairs $_L� per S(
❑++ rHidden Layers (tear off) $ per layer
Ems► �� MAOCI`
(Carrie') (Policy Number)
0 2_!5 qct-oI
(Claim tt) (Adjustor)
(Mortgage Co.) (Mortgage Loan Number)
email ioe i!_ rc e Ld,-1s-k 1 Z .of-_
City bLA0JF Zip u U Z! Z
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
Policy #CS00061742
❑ Extra work
LG ct C , 4,ss %L 2a►,,,.u�� pi s = ,�„s IZe�
OA
e�����'
c s<_ ,1,The propy owner i_ using p eeds from
property and casualty insurance policy.
Crr 14Q� $
Deductible if applicable $-2,.50 C�
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible.
Estimated Start Date
TOTAL ESTIMATE $ Sy/3A�M�
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
C
J&K Representative Date S ��
Homeowner Date 50�
Homeowner Date
Expiration Date
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
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: a - C
Job Address: 574-7L-1 w
Permit Number: '.� o r 7 o '57- k I
d ,R im'
Rn M vC�
❑ No one available for inspection: Time = JQ"M� Pm
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -/o b --,/1-7 Inspector: Ta
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 MIOTIC
Inspection Type: %� J
nE
Job Address: S `-/7 c_- c� I C C,
Permit Number: 7 q
❑ No one available for inspection: Time S
Re -Inspection required: Yes �N
d
When corrections have been made, call for re -inspection at 303-234-5933
Date: l�f ` Inspector:
DO NOT REMOVE THIS NOTICE
CERTIFICATE OF COMPLETION
City of Wheat Ridge
7500 W 29th Ave
Wheat Ridge CO 80033
Permit# 110609
Stipulations:
Issued: 07/01/11
864 sq ft Detached Garage.
This certificate verifies that the building constructed and/
or the use proposed of the building and /or premises, under
the above permit number and on property described below,
does comply with the Wheat Ridge Building Code and
development standards of the zone district in which it is
located and may be occupied. All other licensing
requirements for the City must be met.
Site Address: 5474 W 35TH AVE
Parcel Number: 39- 251 -14 -024
Owner: Joel Rae
5474 W. 35th Ave
Wheat Ridge CO 80033
Contractor: A -Shed USA
4755 Lipan St.
Denver, CO 80211
For the Following Purpose: Res. Garage /Carport
Code Editions NO change shall be made in the USE of
_ — n06 ICC /2008 NEC this building without prior notice
2006 ICC /2005 NEC and a new Certificate of Completion
_ 2003 ICC /2005 NEC from the City of Wheat Ridge.
rinkler System
of ding Inspector 166ning Administrator
CERTIFICATE MUST BE POSTED BY FRONT DOOR OF
COMMERCIAL OCCUPANCIES
bp70l -ls
PERMIT INFORMATION - 110609
PERMIT INFORMATION:
Permit #: 110609
Permit Type: Res. Garage /Carport
Permit ot: 05/27/2011
Expires: 05/26/2012
LAND PARCEL INFORMATION:
Zone Cd:
Funct Use: Unassigned
Subdivision: COLUMBIA HEIGHTS
Cant Type: Miscellaneous
Legal:
JOE DESCRIPTION: 864 sq to detached garage
Address: 5474 W 35TH AVE
Parcel Cd: 39-251 -14 -024
OWNER: Joel Rae
Address: 5474 W. 35th Ave
City /St /Zip: Wheat Ridge CO 80033
DU: 1
Last Zone It
Annex Dt:
Lot: Block No: 0
FEES
QTY
DUE
PAID:
Permit Fee
32,400.00
534.05
534.05
Plan Review Fee
.00
235.82
235.82
Plan Review Addtiona
.00
111.31
111.31
Total Valuation
32,400.00
.00
.00
Use Tax
32,400.00
583.20
563.20
---- - -
1,464.38
- - --
--- - -
1,464.38
- - --
SetBacks- Front: 0.0
Left: 0.0
Right: 0.0
Back: 0.0
CONTACTS:
owner Joel Rae 5474 W. 35th Ave Wheat Ridge CO 80033 3032749335
go CL3 A -Shed USA 4755 Lipan St. Denver, CO 60211 3032898620
PARCEL INFORMATION:
10 Structure Type 1.55
20 Year Built 1909.00
30 Property Type RESID
PERMIT CONDITIONS:
MR: Approved. Zoned C -1. Subject to field inspection.
Note: Owner /Contractor is responsible for locating property lines and
constructing improvements according to the approved plan and required
development standards. The City is not responsible for inaccurate information
submitted within the plan set and any construction errors resulting from
inaccurate information.
KC: Approved per plans and red -line notes on plans. Must comply with 2006 IRE,
2005 NEC and all applicable City of Wheat Ridge Municipal Codes. Subject to
field inspections.
* *NO electrical or mechanical included in this permit. **
APPROVALS:
REQUIRED INSPECTIONS STATUS:
mmackey
PERMIT NOTES:
05/27/11 CREATED FROM APPL# 11 -0141
05/26/11 Oversize garage permitted pursuant to Case No. WA- 11 -05. Approved by planning.
05/26/11 Owner contacted re. existing large shed on properyt. Per owner, it is being torn down and replaced with garage.
05/24/11 Given to MH for review. -
INSPECTION INFORMATION:
# TYPE CONTR# CALLED CNCL WHO REQ DT INS DT STATUS 07/07/11 10:32:01
bp701 -1s PERMIT INFORMATION - 110609 ..key
1 FOT:FOOting Inspection
2 EUG: Electrical Undergrd.
3 SHE:Sheathing /Sheer Insp
02 -2249 06/02/11 no KC
02 -2249 06/02/11 no KC
02 -2249 06110111 no KC
06/03/11 06/03/11 COMPLETE
06/03/11 06/03/11 COMPLETE
06/13/11 06/13/11 COMPLETE
5 ROF:ROOf Inspection
02 -2249
06/10/11
no
KC
06/13/11
06/13/11
COMPLETE
6 BFI:Building Final Insp
02 -2249
06/10/11
no
KC
06/13/11
06/13/11
INCOMPLETE
7 LFI:Landscaping Final
02 -2249
06/14/11
no
LM
06/15/11
06115111
COMPLETE
B BFI:Building Final Snap
02 -2249
06/24/11
no
SCSI
06/27/11
06/27/11
INCOMPLETE
9 BFI :Building Final Insp
02 -2249
06/30/11
no
BCSI
07/01/11
07/01/11
COMPLETE
INSPECTION RECORD
OccuaancvlTvpe
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
7� ic1 s 1.6 ntoA q /9
—v v
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
L/C
u4i5
Reinforcing or Monolithic
(3 sy
ILG'
Weatherproof/ French Drain
—7 -1_8
Pb
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
F V UN NU UUNURt It UN I IL FUiUVE 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
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
—7 -1_8
Pb
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
14
I'I
' "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
41
., r
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ` (303) 237-8929 Fax
Inspection Type
Job Address
INSPECTION NOTICE
bo'l ` k fV&
q f 1I 3,f
Permit Number
d(�i
.�� E`�`s� '
kv P,. f 9 )
h n,. tF. �<��'i „r,A ,;� + 1 7i�rn � �a ta5�l:
�P?LE iG..''A `-
p
1s4'1/'xuP Alf
❑ No one available for inspection: Time M PM
Re- Inspection required: Yes f'Nloj
When corrections have been made, call w r -ins ec ' h at 303 - 234 -5933
Date: — 7 -Ai Inspector: i f r ^`
DO NOT REMOVE THIS NOTICE
`
r. . CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type zsiFEr 1" 7 rt
Job Address
Permit Number
❑ No one available for inspection: Time $ ' -5 k m /PAA
1
Re- Inspection required: s No
*When corrections have been made, call o a -i�fp t' n at 303 - 234 -5933
Date °�!� Inspector: �x
DO NOT REMOVE THIS NOTICE
b�
. p r
�l
♦ 4' 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 V
Job Address: fq_q - 1 4 Ste^
Permit Number: I
r,
k
n ,
\ "
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
*When corrections have been made, call f ire insp at 303 5933
Date: `C t Inspector: 9
DO NOT REMOVE THIS NOTICE
.. . CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type - 5W94-1.11,1 - CA 7g� z F e
Job Address rY7
Permit Number 11616&V
a
�� s9,a° /� .f➢%��rl: lrLf,:f� l�f`t :.l� �.
<VAP A-11
A
&�c 0' s� ,/10 .�.8? -aE/i d�l,%a'7 to "'.''� [d�t.tJ3,.�'e a✓` ,fi'.>fs. Sul
� a3f!$� ' f✓d- t?/a p- .S�� s r". Ems= a '° e
❑ No one available for inspection: Time a' ;3` A J, M
Re- Inspection required: a No
When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: 6 pa -Y11t Inspectors:
DO NOT REMOVE THIS NOTICE
41
y CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office, * (303), 237 -8929 Fax
INSPECTION NOTICE
Inspection Type F1- • I 14TV4 e'v leg/A
Job Address
Permit Number 11r�G
❑ No one available for inspection: Time AM /,)
Re- Inspection required: Yes ll�o
♦��4'
City of Wheat Ridge
Res. Garage /Carport PERMIT - 110609
PERMIT NO: 110609 ISSUED: 05/27/2011
JOB ADDRESS: 5474 W 35TH AVE EXPIRES: 05/26/2012
DESCRIPTION: 864 sq ft detached garage
* ** CONTACTS * **
owner 303/274 -9335 Joel Rae
gc 303/289 -8620 02 -2249 A -Shed USA
** PARCEL INFO
**
ZONE CODE:
R1 -C
USE:
UA
SUBDIVISION:
0463
BLOCK /LOT #:
0/
Conditions:
MR: Approved. Zoned C -1. Subject to field inspection.
Note: Owner /Contractor is responsible for locating property lines and
constructing improvements according to the approved plan and required
development standards. The City is not responsible for inaccurate information
submitted within the plan set and any construction errors resulting from
inaccurate information.
KC: Approved per plans and red -line notes on plans. Must comply with 2006 IRC,
2005 NEC and all applicable City of Wheat Ridge Municipal Codes. Subject to
field inspections.
* *No electrical or mechanical included in this permit. **
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 all work to be performed is disclosed in
this document and /or its' accompanying approved plans and specifications.
or CONTRACTOR (Circle one)
3.
5
6
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.
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.
If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field
Signature o )FAChij/ Building Off ical Date
INSPECTION 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.
City of
° ° Wh6atl�idge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Date:
Plan # 1 —
Permit#
PropertyAddress: 5 �A1 L� W - '�) S UQ `66`), 1
Property Owner (please print): LocA Phone: 303
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: SPA
Contractors Cltv License #: L `a `t'�A Phone: c�l -
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Descriptlon of work:
�C. rH�e WU Contract Value:
$ 2(3 @C`c
p Review Fee (due at time of submittal):
Squares C '� BTU's Gallons _ Amps Sq Ft.
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: (O� / WNER) CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: S� ,eAk \\ SIGNATURE: \ 1 ��N WN — DATE: S 2 3 I I
i., Bidg Valuation: $ 3dI yc�cl "°
�s
0
r
�v
i
a
N
P
n
c
;n
X
r
a
C'
G
F
i
a
N
Address. j `{ 4'A u), - 5q� - th
Zoning: ° i t ci Property in the flood plain?
Lot Size: l �A '7,1 sq. ft. Lot Width: (0 4 ft.
Maximum Lot Coverage: 40 %
Proposed Improvements_
House: - sq. ft.
Addition to House: sq. ft.
Shed: sq. ft.
Detached Garage: $ b { sq. ft.
Proposed Lot Coverage: (Total) � %
. sq. ft.
Existing hnprovement(s):
House: Zd r3 sq. ft.
Shed: sq. ft.
Detached Garage: sq, ft.
Other: sq. ft.
21 sq. ft.
Required Setbacks: FR
S S
R
Provided Setbacks: FR (1 t?
S ( Cti S
t
R I o
Maximum Height _ ft. Maximum Size: (00 (7 sq. ft.
- Proposed Height: ft. Proposed Size: (n sq. ft.
' V p v c 0. -_ q V a Vi ^l'r.. - s "z rL
Access Notes to
For one and two- famtty dwellings, the first 25' of driveway area from the existing edge of pavement into the site
shall be surfaced with concrete, asphalt, brick pavers or similar materials.
For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any
property line, except when used as joint access for two or more lots.
In residential zone districts, curb cuts shalt be at least 10 feet and not more than 24 feet in width.
One and two- family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet
apart, measured from the interior edges.
For all uses, one access point per property is permitted.
Landscaping Notes
For one -and two - family dwellings, one tree for every 70 feet of street frontage is required.
100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O.
Street trees required: _ Street trees provided:
/
\ \
� \
City of
Wheatdge
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29 Ave. Wheat Ridge, CO 80033 -8001 P: 303.235.2846 F: 303.235.2857
Sec. 26 -208. Residential -One C District (RAC).
A. Intent and purpose: This district is established to provide high quality, safe, quiet and stable, medium- density single - family
residential neighborhoods, and to prohibit activities of any nature which are incompatible with the medium - density residential
character.
B. Development standards:
Notes:
(a) Corner lots shall have a minimum lot width of eighty (80) feet for both street frontages.
(b) Front setback reductions may be allowed in accordance with Section 26 -611.
(c) Any side or rear yard which abuts a public street shall have a minimum setback of twenty (20) feet for all structures.
(d) Front setbacks for structures on lots or portions of lots which abut cul -de -sacs may be reduced to ten (10) feet for
those portions of lots which abut a cul -de -sac bulb. (See Figure 26 -123.3 at the end of section 26 -123)
(e) See Section 26 -625 for additional regulations pertaining to accessory buildings.
(Ord. No. 2001 -1215, § 1, 2- 26 -01; Ord. No. 1313, § 3, 10- 27 -03; Ord. No. 1448, § 2, 8- 24 -09)
Maximum
Height
Maximum
Building
CoSetback
Minim um
Lot
Minimum
Lot
Minimum
Front
Minimum
.-
Yard
Minimum
Rear
Yard
Principal .
Buildings
One- family
35'
40%
5,000 sf
50'
20' (d)
5'
5'
,' ;
dwelling
Group home
35'
40%
5,000 sf
50'
20' (d)
5'
5'
Churches,
schools,
government and
quasi-
government
buildings, golf
35'
40%
1 acre
200'
20' (d)
15'
20'
courses, small
'+
day care center,
and nursing,
elderly and
congregate care
homes
Accessory ! '<
Major
15'
600 sf
NIA _
N/A
20' (d)
5'
5'
Buildings
i '
Minor
10'
300 sf
N/A
N/A
e
AlhOther Uses.,;'
35'
40%
9,000 sf
60'
20' (d)
5' (e)
10'
Notes:
(a) Corner lots shall have a minimum lot width of eighty (80) feet for both street frontages.
(b) Front setback reductions may be allowed in accordance with Section 26 -611.
(c) Any side or rear yard which abuts a public street shall have a minimum setback of twenty (20) feet for all structures.
(d) Front setbacks for structures on lots or portions of lots which abut cul -de -sacs may be reduced to ten (10) feet for
those portions of lots which abut a cul -de -sac bulb. (See Figure 26 -123.3 at the end of section 26 -123)
(e) See Section 26 -625 for additional regulations pertaining to accessory buildings.
(Ord. No. 2001 -1215, § 1, 2- 26 -01; Ord. No. 1313, § 3, 10- 27 -03; Ord. No. 1448, § 2, 8- 24 -09)
Property appraisal system
Page 1 of 2
o
Pr a a� a
. 11177 A
ISection
ITownship
Inr tro
ormatlon k,
Land Sgft
007
Previous 2 OF 16 Next
F
GENERAL INFORMATION
13
Schedule: 021818 Parcel ID: 39- 251 -14 -024
Print Helo
Status: Active Property Type: Residential
007
Property Address: 05474 W 35TH AVE
768
lOwner Name(s)
3
WHEAT RIDGE CO 80212
COVERED PORCH
IRAE JOEL J
007
Mailing Address: SAME ADDRESS AS PROPERTY
Quit Claim Deed - Joint Tenancy
Neighborhood: 2412 - LAKESIDE, STEWART GARDENS, OLINGER GARDENS
13
PROPERTY DESCRIPTION
Quit Claim Deed - Joint Tenancy
Subdivision Name: 146600 - COLUMBIA HEIGHTS
007
Block
Lot
lKey
ISection
ITownship
lRange
Quarter5ection
Land Sgft
007
0001
F
25
13
69
NE.
0
007
0002
768
25
3
69
COVERED PORCH
0
007
0003
Quit Claim Deed - Joint Tenancy
12
13
69
Quit Claim Deed - Joint Tenancy
0
007
0004
Quit Claim Deed
25
13
169
Warranty Deed
0
Total
0
Assessor Parcel Maps Associated with Schedule
oma239- 251d.odf Graphic Parcel Mai) MaoOuest Location
PROPERTYINVENTORY
Property Type RESID Year Built: 1909 Adjusted Year Built: 1909
Design: 1 1/2 Story Improvement Number:1
Item Quality No.
Areas
Quality
Construction
Sgft
FIRST FLOOR
Fair
F
866
1/2 STORY TOT
Fair
F
384
1/2 STORY FIN
Fair
Quit Claim Deed
384
BSMTTOTAL
Fair
768
COVERED PORCH
Fair
129
COVERED PORCH
Low
300
RES BLDG /SHED
Quit Claim Deed - Joint Tenancy
F.
400
Adjustment Code Adjustment SgFt -
HOT WTR HEAT 1250
BSMT HOT WTR 768
I
SALE HISTORY
Sale Date
Sale Amount
Deed Type
Reception
11 -23 -1979
0
FULL BATH
CONVER01
10 -28 -1991
45,000
Warranty Deed
91100978
11 -04 -1991
0
Quit Claim Deed
91105019
03 -02 -1994
0
Quit Claim Deed
94047111
06 -30 -1995.
82,500
Warranty Deed - Joint Tenancy
F0079036
03 -20 -1998
0
Quit Claim Deed - Joint Tenancy
F0603301
1i- 16-1999
0
Quit Claim Deed - Joint Tenancy
F0980937
08 -28 -2000
0
Quit Claim Deed
F1112 596.
08 -31 -2000
112,000
Warranty Deed
F1112597
TAX INFORMATION
http:// www. co. jefferson. co .us /ats /displaygeneral.do ?sch= 021818 &offset =l 5/26/2011
MAIN BEDROOM
3
FULL BATH
Faire
1
r,
Colorado Chapter of the 1
Wheat Ridge Building
M
I Complete this Building Guide by filling in the blanks on page two and three, and
indicating which construction details will be used.
2 Ppovide 2 Plot Plans (site plan) showing dimensions of your project or addition
and its relationship to existing buildings or structures on the pro H and the distance
to existing property lines, drawn to scale. � r �_
3 Fill out a building permit application.
The majority of permit
applications are processed
with little delay. The
submitted documents will
help determine if the
project is in compliance
with building safety codes, p
zoning ordinances and
other applicable laws. .,_
�ng-
The Colorado Chapter of the International
Code Council is a professional
organization seeking to promote the public
health, safety and welfare to building
construction. We appreciate your feedback
and suggestions. To obtain a master copy
of this building guide, please write to the
Colorado Chapter of the International Code
Council, P.O. Box 961, Arvada, CO 80001.
This handout was developed by the Colorado
Chapter of the International Code Council as a
basic plan submittal under the 2000 International
Residential Code. It is not intended to cover all
circumstances. Check with your Department of
Building Safety for additional requirements.
Work 'shall comply with the vm
following codes: 2006 IRC, 2006
IECC, & 2005 NEC.
How to Use this Guide
Provide two sets of plans and complete the following:
6/18/02 rh
Directions
1. Fill in the blanks on pages 2 and 3 with dimensions
and materials which will be used to build the
structure. Please print legibly. t cc i ka. C`- `5c� �Z "•L
2. Indicate in the check boxes on page 3 which detail from page 4 will be used.
Note. Heated garages may require special provisions.
Dimension 7�
Locate and
detail bracing
❑ Garage is heated
0`Garage is not heated
Indicate rafter or
truss direction
I
'vim
Show door and window header sizes and location
and size of landing in front of door
Floor
slope
3 minimum concrete slab
(� 1 x header -:�.
(example: (2) 2 x l0
1 Note:
If roof trusses or rafters bear on header,
special header design may be required
Double 2x4 or 2x6 trimmers each
end of overhead door header
Garage door opening width
- L_
Dimension" = * 2' 8" minimum, with plywood sheathing on outside of entire wall Dimension =?
with hold downs. If less than 2'8", engineering may be required.
This handout was developed by the Colorado Chapter of the APPROVED
International Code Council as a basic plan submittal under Subject to Field Inspections
the 2000 International Residential Code. It is not intended
to cover all circumstances. Check with your Department of
Building Safety for additional requirements. Wheat )il Building Dept.
Lap ' rrdation a
ni um of 1 ".
6" min.
Finished grade
18" min.
Note: Check with local building
department for swelling soils.
Caissons may be required.
g" I
Lap siding over foundation
a minimum of 1"
Finished grade
Note: Check wjthl&cal building
department swelling soils. ' ?;4
Caisson ay be required. :.
This handout was developed by the Colorado Chapter of the
International Code Council as a basic plan submittal under
the 2000 International Residential Code. It is not intended
to cover all circumstances. Check with your Department of
Building Safety for additional requirements.
1 /2" x 10" steel anchor bolts 6' -0" O.C. max.,
7" min. penetration max. 12" from corner
and 12" from each end of plate.
Bottom plate shall be min. 8" above grade, or be
treated wood or decay resistive wood
3 1 /2" Minimum Concrete Slab
#4 rebar min. Cont. top & bottom
1 /2" x 10" steel anchor bolts 6' -0" O.C. max.,
7" min. penetration max. 12" from corner
and 12" from each end of plate
Bottom plate shall be min. 8' a grade, or
be treated wood or decav Istive wood
3 1 /2" Minimum concrete slab
expansion joint
Provide #4 rebar vert. @ 4' -0" O.C. insert
rebar into concrete footing or key way
3 "
#4
Subject to Field Inspections
Wheat Ridge Building Dept.
Plan checker
Provide truss manufacturer's profile Rafters shall bear fully at heel cut
drawings at time of frame and shall have one H2.5 clip per
inspection. Uplift connections and rafter at bearing point.
bearing shall comply with drawings.
For roofs with slopes between 2:12 -4:12, follow manufacturer's instrustions for low slope application of roofing material.
Truss or 2x_ rafters spaced it
(example: Put checkmark in box -or.2 x Io Raflers Spaced24'
Minimum
x
board
Roof
�y
Class
. pitch 1
Provide roof tie downs and solid
2x blocking between rafters
(2x12 or greater)
Ceiling Insulation
(If
hea ted- example: R -38)
2x_ ceiling joists @ _O.C.
(example: 2 x 8 @ 24' O. C.)
Double 2x =top plate
`� (example: 2 x 6)
Note: Pre - engineered roof trusses
w /truss clips and hardened nails may be
used in lieu of roof structure shown.
Diagonal wind bracing or plywood shear panels
@ corners and each 25' of wall.
Span
(example: 23'5
Ceiling height __
(example: 8')
Sidin
(example: lap orT -111)
Wall sheathin .fig � :1. , ,i
2x '-f studs @ lia O.C.
rexamole: 2 x 6 B 24'0.CI
Foundation Detail A
Foundation Detail B
(see page 4)
All shingles shall be nailed with a Pier of the
minimum of 6 nails per shingle and nded
mid roof inspection required on tile,jrtment of
concrete, or metal roofs.
B ;.
(example:2 z 6)
,G
Wail Insulation
.. (1 /heated - example: R -19 Fiberglass BatGg
Footing size x
(example: 8'x 16
APPROVED
Subject to Field Inspections
Wheat 12idge Building Dept.
m
n checker
♦ 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: K e,70. '
1 "
Job Address: ���� / W 3 �`' A v °'
Permit Number: ;'/ _tC7a r
❑ No one available for inspection: Time AM
Re- Inspection required: Yes ��
When corrections have been made, call for re -ins, action at 303- 234 -5933
Date: L Inspector: L_
DO NOT REMOVE THIS NOTICE
_INSPECTION RECORD o ccupancy /Type
cv - INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
Fia 1 _4 Ili. 0 //)
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
..a
Weatherproof / French Drain
-
Sewer Service Lines
Water Service Lines
-
YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
ABOVE HAS BEEN SIGNED
ROUGHS
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
..a
Building Final
Fire Department
R.O.W - & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC 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 CONSTITUTEAUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
City of Wheat Ridge
y
z Residential Roofing PERMIT -101098
PERMIT NO: .1101098 ISSUED: 04/30/2010
JOB 'ADDRESS:.. 5474 W=35TH AVE .',EXPIRES: 10/27/2010
ti. DESCRIPTION:Reroof 24 sqs with 30 yr shingles
v
CONTACTS
owner 303./274-9335 Joel Rae
sub 303/425-7531 John Borfitz 01-9983 J K Roofing Inc.
;E SUMMARY ESTIMATED PROJECT VALUATION: 9,537.00
FEES
iit Fee 235.70
it Valuation .00
Tax 171.67
'OTAL 407.37w.`s
tions:
.ls per shingle is required. Ice dam membrane is required from eave edge to
iside exterior walls. Board sheathing with any gap greater than 1/2°'
:res panel sheathing overlay onentire -.roof. Sheathing inspection is
.red prior to covering. :Midroofinspection is not required on, permits
lased after 4/18/10. Contractor shall provide ;ladder for inspections.'
luled inspections that cannot be performed due to inclement weather must be
filled prior to 8:30 a.m. on the day of inspection or a re inspection 'fee
be assessed.
(303)235-2855-:
)N THE FOLLOWING BUSINESS DAY.:
04-29-'10 11:53 FROM-
7560 W. 29th Ave„ Wheat Ridge, CO 80033 .
y Office: 303-235-2855 t Fa) 303-235-2857
0 Inspection Line: 303-234-5933
R
IOX-49 ( BuiidingPermit Appiication
UNIMMMM 5(41y w, '-364-h PiVe
Property Owner (please prln@: t,)Oe) Qt1c Phone. '214'
Q '~J
Mailing Address: (if different than property address)
Address: Coq-11.q . ' GJ th ,i'Ve'
City, State, Zip;/ t Y (Clt Q~ a z ( Z
T-023 P0018/0018 F-030
rare: .
Plan
permit
Contractor License
Phone:
IMM
Electrical City License Plumbing City License
Company: Company
Mechanical City License
Company:
Exp. Date: Exp. Date; Exp. Date:
Approval: A' proval: Approval:
Use of s ace dtssori tion): Construction Vblue: -
(as cal°ulaied per tho Oullding Valaadon oats shoot)
X20 4 C~tJ,t ~
Plan Review (true at ffine of submiftap: $r o uS~ G ctrl f ~l E Yey '(Au
L-t-S-J 0't1jP~X~-
Sq. FUL.Ft a dod: Squares _1~4 BTU's Cations Amps
OWNER(CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances PProposed 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 811 measurementhshowrl, and
allegations made are accurate; that I have read and agroe to abide by all conditions printed on this applcadon and that 'I assume full
responsibility for compliance With the Wheat Ridge Building Code (I.E.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to fluid Inspection,
CAdLCE ONE::,.(OWN_ ER~Tft;4,CT0 vr, PERSONAL T ° ( AT pale:
IfVF/"`1/ILn~~1
PRINT NAME vPSI