HomeMy WebLinkAbout4230 Balsam StreetINSPECTION RECORD
Inspection online form: http:/twww.ci.wheatridge.co.us/inspection
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 MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: ` b 176 C 'Iqq ADDRESS: `6M JOB CODE: QPP
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT:
ADDRESS: �� � JOB CODE:
KKF-
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Lk TD
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
Lk TD
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
*'**For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
AM
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 by the Fire District and
Electrical low voltage by the Building Division.
P!1
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/ C 9 - i I •')�
Job Address: C! ? 3 e [3 ,
Permit Number: 'd c 17 0 1 L4 -7 y
❑ No one available for inspection: Time fg_ ) Q (A Rpm
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: I J 8 Inspector: -T-b
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701474
PERMIT NO: 201701474 ISSUED: 06/05/2017
JOB ADDRESS: 4230 Balsam ST EXPIRES: 06/05/2018
JOB DESCRIPTION: Reroof with GAF Timberline Armourshield II slate - 25 squares
*** CONTACTS ***
OWNER (303)913-6930 LYNN H GLEASON TRUST
SUB (303)646-3977 Mike Essary 090139 Shield Const. & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,500.00
FEES
Total Valuation 0.00
Use Tax 178.50
Permit Fee 188.45
** TOTAL ** 366.95
*** 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 A/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€lms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701474
201701474 ISSUED: 06/05/2017
4230 Balsam ST EXPIRES: 06/05/2018
Reroof with GAF Timberline Armourshield II slate - 25 squares
I, by in 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 Inda that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
6
,17E TA cu art l 1
Signature 6f OWN4 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 originalermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulati a o this jurisdiction. Approval of work is subject to field inspection.
b�
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 CA-
�`Y W heat id
i`I I_ }I �Ji 1()1"mi t"' i
Building & Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: t?Errr�its��ci.wh.e, itriclge.ca.us
FOR OFFICE USE ONLY
Date;
Plan/Permit #
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: ZA L :5() 6A 1 S,q M
Property Owner (please print): 06 0 V) Phone: 3U-� �
Property Owner Email:
Mailing Address: (if different than property address)
Address: S-�j►��
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor:
Contractors City License #: q 0i 39
Phone:
Contractor E-mail Address: d r
(A � �' � t Q l r) c o a � V L4
(+ i
or), luT
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub:
City License #
Other City Licensed Sub:
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 -,IT -RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. FULF
Amps
�' /I"'� / , �%�' �� �t,� � f Y►'1 U W'� fit, 'C, i{ N �-�' �/lti/_ �
Btu's
Gallons
Squares Other
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
LL
Electronic SlQnature (first and last name): DATE: O
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $ 0���
4' CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ry) / A
Job Address: L� �Q o ( A /_S A 7—
Permit Number: l y '� q l
n t" f e m 4 C IP r) a' N �i `1- L'
Ll No one available for inspection: Time ` ' AM/PM
Re -inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
r
Date: Inspector:
DO NOT REMOVE THIS NO ICE
11 _ /l I (-\ t'\ i --t , � r-1
't1.3L � - L�i� } �. ICD
L 11 �/�. � INSPECTION RECORD Occupancy/Type
i�il�l" ��_ INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
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
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.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath / Wall Tie
Final Electrical
Rough Electric
Final Plumbing
Rough Plumbing/Gas Line
Final Mechanical
n �.J�il iveG i!« ai
Roof
Rough Framing
Final Window/Doors
f7
Insulation
Final Building
Drywall Screw/ Nail
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.
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.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
f7
Final Building
if
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.
"For Inspection Time Window Requests — Please email insptimereouest(cDei.wheatridge.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Fw D
Job Address:
Permit Number: 10170 ,375
❑ No one available for inspection: T -i-1
me ''5® AQ
Re -Inspection required: YeZ55
When corrections have been made, call for re -inspection at 303-234-5933
Date: ��.� j'� Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201700375
PERMIT NO: 201700375 ISSUED: 03/15/2017
JOB ADDRESS: 4230 Balsam ST EXPIRES: 03/15/2018
JOB DESCRIPTION: Replace 11 windows, like for like in existing openings; U -value = .32
*** CONTACTS ***
OWNER (303)913-6930 LYNN H GLEASON TRUST
GC (770)779-1423 Marc Brogan 070156 THD At -Home Services, Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,236.70
FEES
Window Replacement 50.00 E.
Total Valuation 0.00 40 16%
Use Tax 166.26 --
** TOTAL ** 216.26
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
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 rs 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 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code -by any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
_) .—
Signature of Chief Building Official Q Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
t
10000or
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
I FOR OFFICE USE ONLY
Date: 3/
Plan/Permit # 1� �, I ---' 0 112
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:
4230 Balsam Street WHEAT RIDGE, CO 80033
Property Owner (please print): Lynn Gleason Phone: (303) 913-6930
Property Owner Email: not available
Mailing Address: (if different than property address)
Address: Same as Above
City, State, Zip:
Arch itect/Engineer. N/A
Architect/Engineer E-mail:
Contractor: Thd at Home Services, Inc
Contractors City License #: 070156
Contractor E-mail Address: copermits@gmail.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 1-855-712-8899
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION � INDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Replace ( )( ) Windows, Like for like in exisiting openings. U -value = 0.32 .
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
9,236.70
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 describ o authorized by the legal owner of any
entity included on this application to list that entity on this applic --��
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUT ORIZED REPRESENTATIVE) (OWNER) CONTRACTOR)
Jules Landis
PRINT NAME: SIGNATURE: DATE: 5
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.
Building Division Valuation: $
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*HE gT COMMUNITY DEVELOPMENT DEPT.
m Inspection Services Division
(303) 235 -2855
° otoaa� o
Correction Notice
Job Address:G���" s
� �"''rif -".✓mac �.�' :u Games✓ ".
When corrections have been made, call for re- inspection at
303 - 234 -5933
Inspector
THI NOTICE
City of Wheat Ridge
Residential Mechanic PERMIT - 060332
PERMIT NO: 060332 ISSUED: 05/08/2006
JOB ADDRESS: 4230 BALSAM ST EXPIRES: 11/08/2007
DESCRIPTION: replace furnace /install 2 ton a/c Westco to do electric
* ** CONTACTS * ** -
gc 303/469 -4507 Richard C. Pfeifer 01 -9814 Westside Heating and Air Condi
SUB 720/890 -8133 Jeremiah Detrick 02 -0724 WESTCO ELECTRIC, INC.
owner 303/456 -0113 Lynn Gleason
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: UA BLOCK /LOT##: 0/
** FEE SUMMARY ** - ESTIMATED PROJECT VALUATION: 8,113.00
FEES
Permit Fee 217.50
Total Valuation .00
Use Tax 146.03 {✓� ,�'
** TOTAL ** 363.53
Comments:
replace furnace with new 80,000 BTU furnace, install 2 ton a.c. unit. Westco is
doing 150 ampere service change
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 field inspection.
Signature of contractor /owner' date -
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 if (A) the work authorized is not commenced wit li3'h Sixty (60) days from issue date or (B) the
building authorized is suspended or abandoned for a period of 180 days.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes 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 the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
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 plan v' is ct to fi inspections.
Signature of
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.
of wHegr DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303 - 234 -5933
m CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
cocoenoo WHEAT RIDGE, CO 80215 - (303 - 235 -2855)
APPUCATION
Property Owner: LlL !'11n
Property Address: 0 3 lL -
Contractor License No.:1QV l�
Company: (o p�,H D V� D n ✓ e �L� t YY
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Ih=by certify thatthe setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules orregulations of the City of WheatRidge or
covenants, easements orrestrictions ofrecord; that allmeasuremeats shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the wheat Ridge
Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under
this permit
(OWNER CONIRACIO :SIGNED f A�lJl_SC O DATE
Building Permit Number: �51
Date:
Phone: -L 1 G j&
Phone: - toAVI J 607
Construction Value:$ —
Permit Fee:$
Plan Review Fee:$
Use Tax:$ .
Total :$
DESCRIPTION:
V �,�.
,��
L
1'
�L 0,0
r
BUILDING DEPARTMENT USE ONLY
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof
SIC: Sq.Ft.:
Stories: Residential Units:
Electrical License No ti �C, i L Plumbing License No: Mechanical License No: `a U (�
Company ��� f t'r` a Company Company ��cJ�I�j \{FC�l✓)C� 4�-
Expiration Date: Expiration Date: Expiration Date: kj j 0 ,C{/0j U
Approval: Approval: Approval:
(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 Budding Codes of What Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit Shall expire if (A) the work authorized is not commenced within si#y(60) days from issue date or(B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) Ifdds permit expires, anew permit may be acquired for a feeof 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 "coeds one (1) yea r�fuil fees shell be paid for a new permit
(4) No work of any manner shall be done that will change the unaral_flow of water rasing a drainage problem.
(5) Contractor shall notify the Ehuldmg Inspector twenty- four (24) hours in advance for all inspections and shag receive written approval on inspection card
before proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be apemit for, nor an approval at any violation of the
provisions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Inspector