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HomeMy WebLinkAbout4490 Balsam StreetA 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: P Of Job Address: -i o1 -:sl -w) Permit Number:-2_0Q00G9!j N�► % _ t�L► NIMMIN ❑ No one available for inspection: Timed AM/ M Re -Inspection required: Ye<No) A When corrections have been made, call for re-'I pectionJ3034- 3 i Date: i,3 Inspector: R ` 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: 2mr ,SII `P M'l 1D Job Address: t4l,Q f) A p p .S -a M ST Permit Number: �L 21 1 -� (3 0 E k(?P/?0v-P ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -i s action at a3=234-5933 0 Date:" �° - 1 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201700699 PERMIT NO: 201700699 ISSUED: 05/17/2017 JOB ADDRESS: 4490 Balsam ST EXPIRES: 05/17/2018 JOB DESCRIPTION: Remove 26 squares of roofing material to deck; replace with Owens Corning duration driftwood *** CONTACTS *** OWNER (303)886-7055 SUB (303)422-2725 BOXLER HAROLD & Gary Theriaque DONNA 021170 Bear Brothers Roofing *** 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: 13,290.98 FEES Total Valuation 0.00 in IAN Use Tax 239.24 ELAW_ Permit Fee 267.70 ** TOTAL ** 506.94 -, *** 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 manufacturer&C—s 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. Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. City of Wheat Ridge Residential Roofing PERMIT - 201700699 PERMIT NO: 201700699 ISSUED: 05/17/2017 JOB ADDRESS: 4490 Balsam ST EXPIRES: 05/17/2018 JOB DESCRIPTION: Remove 26 squares of roofing material to deck; replace with Owens Corning duration driftwood I by my signature do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am 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 le ally 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 thepermit 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 and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance orgranting 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 o any ordmann reg i of this jurisdiction. Approval of work is subject to held 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 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. rl n I —IT— ,,,/ ,. n,--2 5 I N S I�&� � RE C O R D INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type 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 Initials Comments Pier one week in adv Concrete Encased Ground (CEG) Foundation / P.E. Letter inspections call 3 inspections call 3 Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing one week in adv Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing one week in adv Mid -Roof inspections call 3 inspections call 3 Lath / Wall Tie Fire Inspection / Fire Protection Dist. r`y of Wheat ki` °e 0511712017 13:4v IDEA Remove 26 so'uaTes of Rough Electric contact the Fire F Final Electrical Rough Plumbing/Gas Line Rough Mechanical Rough Framing h Gradin Rough 9 Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Landscaping & Parking / Planning Dept. Inspections fror ROW & Drainage / Public Works Dept. one week in adv Floodplain Inspection (if applicable) inspections call 3 inspections call 3 Fire Inspection / Fire Protection Dist. contact the Fire F Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building L V14014641 HMUN f BH)P 4490 Balsam 5T 506.94 wPF'L!F ;Ri i K, 2K7@0639 �IAYhEHT RECEIVED AMOUNT Vs f 044 J016.34 AUTH CODE: 0°4.380 T1=16.94 ------------------------------- 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 - Please email insptimerequest@Ci.Wheatridge.Co.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City Of Wheat idge COMMUNITY DEVELOPMENT 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 Email: Permitsna.ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit# ,,�j � / �! � 1 Plan Review Fee.- *** ee. Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: I/Y-90 484LSAM S7— Property owner (please print): /i/,"040 9'' 6WAI* 80XLE/Q Phone:303-88(o-70`% Property Owner Email: NoT" PR ovs'DED Mailing Address: (if different than property address) Address: Sqm E City, State, Zip. Architect/Engineer E-mail: Phone: Contractors City License #: C)211'70 Phone: 363'"412-2-- 7.746 Contractor E-mail Addri Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION Q 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.) 95mov a 2�6 &S OF ROd.C-Z;4mfrTt`2• L Tb A"6' !✓ t�E� 4 vi 10) 26 t y of 6 W6W CoeAl-tNG 011,eh-r .rZA) Sq. Ft./LF Btu's Gallons Amps Squares �� Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) /3, ?-90. 98 OWNEWCONTRACTOR 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) gr AUTHORIZED REPRESENTATI ) of (OWNER) ONTRACTOR) ^ � Electronic Signature (first and last name . DATE: `� I ZC! / ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: VA \ �_') Job Address: Li `i 90 AA wl � Permit Number: G ❑ 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 Date:' �ci Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201700699 PERMIT NO: 201700699 ISSUED: 05/17/2017 JOB ADDRESS: 4490 Balsam ST EXPIRES: 05/17/2018 JOB DESCRIPTION: Remove 26 squares of roofing material to deck; replace with Owens Corning duration driftwood **REVISION**Adding 8 squares of decking; Added valuation $2000.00 *** CONTACTS *** OWNER (303)886-7055 BOXLER HAROLD & DONNA SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing *** 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: 15,290.98 FEES Total Valuation 0.00 Use Tax 275.24 Permit Fee 299.40 j� ., r ** TOTAL ** 574.64 C/ll.►_ I0_1 qq *** 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 manufactureriElms 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&#39;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. Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. City of Wheat Ridge "2q Residential Roofing PERMIT - 201700699 PERMIT NO: 201700699 ISSUED: 05/17/2017 JOB ADDRESS: 4490 Balsam ST EXPIRES: 05/17/2018 JOB DESCRIPTION: Remove 26 squares of roofing material to deck; replace with Owens Corning duration driftwood **REVISION**Adding 8 squares of decking; Added valuation $2000.00 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 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 thispermrt. I further attest that I am legally authorized to include ali entities named within this document as partes to the work to be peri formed and that all worl�tp be performed is disclosed in this document and/or its' accompanying approved plans and specifications. S/25/2 b r Z Signature of OWNER o CONTRAC bOR (Circle one) Date 1. This permit was issued base on t e information provided in the permit application and accompanying Flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a 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. 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 W heat R ic% COMMUNI I DEVELMML-Nr 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: permits ci.wheatridge.co us FOR OFFICE USE ONLY Date: Add to Permit #, Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _TT 90 1341154M S7- Property TProperty Owner (please print): WAeo(D cV-DdpjN0 g0,(C,6-,? Phone: 3o.3 -f-566--7065 Property Owner Email: A/67" (ri'✓FN Mailing Address: (if different than property address) Address: S'sA►rxe ,43 ��✓E City, State, Zip: _�y v Contact Person: J—VS-t, n �rn tom') Phone: -719 -963 -9797 Contractor: v Contractors City License #: _ daT7 0 Phone: -303- D `.2 % 25 Contractor E-mail Address: Gip # b r brG+-k-s roof, >n2� • Cl6tn'-) U - Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. — If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: k�v a lov,) S [6P�e_j Ow �b r 0.G h l Sq. Ft./LF Amps Btu's Gallons Squares 6 -133 t';F�.5' Other i3MO-(�� Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) s �, 2.000, 0b OWNERICONTRACTOR 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 PRINT NAME: J U Sfi'h J r�►�`�'] SIGNATU ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer PUBLIC WORKS COMMENTS Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received Sanitation District ❑ Received REPRESENTATIV of (OWNER) CONTRALTO DEPARTMENT USE ONLY DATE: RZYA917 OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required Building Division Valuation: $ COMMUNITY DEVELOPMENT DEPARTMENT Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address /Permit Number: D sr '42PROaF_ ❑ No one available for inspection: Time ✓l /� AM /PM Re- Inspection required: Yes When corrections have been made, call for re- inspection at 303 - 234 -5933 X Date: r ail° Inspecto — r DO NOT REMOVE THIS NOTICE City of Wheat Ridge CO LORPU0 Residential Mechanic PERMIT — 071203 4/ PERMIT NO::.. 071203. ISSUED: .11/02/2007 JOB ADDRESS: 4490 BALSAM ST EXPIRES: 04/30/2008 DESCRIPTION: install 100K furance, +.hook up. and GFCI CONTACTS " * - gc 303/431 -8914 J. Patrick Quinlan 01 -8464 B & F Heating & A/C sub .'303/420 -1516 'Jay Patrick Quinlan 01 -7875 Coffman Electric, Inc owner 303/422-0141 Harold Boxler * *PARCEL INFO * *. ZONE CODE: UA - USE: UA SUBDIVISION: 0311 BLOCK /LOT#: 0/ * *FEE SUMMARY ** ESTIMATED PROJECT. VALUATION: 1,350.00 FEES Permit .Fee 66.28' Total Valuation - .00 **'TOTAL ** - 66.28 Comments: Electrical must meet 2005 NEC _Subject to field inspection 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 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 for a.£ee 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 adrainage. problem. S. 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, any violation of thW s of the building codes or any other ordinance, law, rule or regulation.. All plan review is subject to field s. Signature of Chief Building Official ;`/ date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY B C R 1q 7E7 C LLOWING BUSINESS DAY.. Repla ,F r, F s /furnaces - Minimum of 80 %AFUE Boilers+ a r reve construction -minimum of 90% AFUE Setba required (Except for Hydronic Heat) Gas , .:-users Minimum of,80 Energy Factor Elecm v e, paters - Minimum of .93 Energy Factor Insulancr , equgements, M R -21 Walls E R -38 Ceilings ®R 19 Crawl Spaces 01 R -19 Basement walls OF WHEgT�i rn City of Wheat Ridge CC LORN 0 Residential Mechanic PERMIT - 071203 PERMIT NO: 071203 'ISSUED: 11/02/2007 JOB ADDRESS: 4490 BALSAM ST EXPIRES: 04/30/2008 DESCRIPTION: install 100K £urance, + hook . up and GFCI * *.CONTACTS. * ** gc 303/431 -8914 J. .Patrick Quinlan 01 -8464 B F Heating & A/C sub 303/420 -1516 Jay Patrick Quinlan 01 -7875 Coffman Electric, Inc owner 303/422 -0141 Harold Boxler - ** PARCEL INFO ** ZONE CODE: UA - USE: UA SUBDIVISION: 0311 BLOCK /LOT #:. 0/ * *.FEE SUMMARY ** ESTIMATED PROJECT VALUATION: .1,350.00 FEES Permit Fee 66.28 Total Valuation '.00 1 ( 44 Z 9 ** TOTAL ** 66.28 n Comments: Electrical must meet 2005 NEC Subject to field inspection 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 u 1 responsibility for compliance with the Wheat Ridge Building Code. (I.B.C) and all other applicable Wheat age Ord' f s, for w under this permit.. subject to field inspection. Signatuofcontracto er da e 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 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 raw "ngs and specifications shall not be construed to be a permit for, nor ' an approval of, any violation of the pr f the building codes or any other .. ordinance, law, rule or regulation. All plan review is subject to field Be i Signature of Chief Building Official 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. PRESC RIPTIVE ENERGY CODE Replacement boilers /furnaces - Minimum of 80 %AFUE Boilerstfurnaces in new construction - Minimum of 90% AFUE Setback 7hermostatrequired (Except for Hydronic Heat) Gas Water Heaters - Minimum of .60 Energy factor Electri< Wahe i Heaters -Minimum of .93 Energy Factor Insulation requirements: ® R -21 Walls 0 R -38 Ceilings ® R -19 Crawl Spaces a R -19 Basement walls Nov 02 07 09:57a Patta Schmidt of "' "�° > City of Wheat Ridge Building Division m 7500 W. 29 Ave., Wheat Ridge, CO 80033 ` l ;? Office: 303- 235 -2855 * Fax: 303 -235 -2857 O LORP O Inspection Line: 303- 234 -593 % ool� f Pe V 9 , Zg Property Address: Property Owner (please print): Mailing Address: (if different than property address) Date: Plan #: Permit A Phone: Address: City, State, Zip: n Contractor: B I I Ctj - i'i rl o, (7 -T D -# Z9 e1110 ) �f��/ l/ Contractor License #: Phone: j0 3 11,31 , JlT Exp. Date: j /ZX / 20e Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ / 3 S(j Description of work! / � (as calculated per the Building valuation Data sheet) �� / I �6' IZ ,S Plan Review (due at time of submittail: $ C ��jGGn E /eGC �DC'G Alfrt���� - C� Sq. Ft.1L.Ft added: Squares BTU's Gallons Amps Sub Contractors: Electrical City License #:1�7,? � Plumbing City License #: Mechanical City License #: Company -C � `C � r 1 .G Company Company: 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 an this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Meat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE.: OWNER) 4(kQtNTRCTOR) A or / PERSONAL REPRESENTATIVE of (OWNER) ( CONTRATOR) PRINT NAME: 7 c i cl f SIGNATURE:C- -r"z Ga. �L r ��+�v'r iC�( Data r ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS' Reviewer: FIRE DEPARTMENT:: ❑ approved wi comments ❑ disapproved ❑ no review required OCCUPANCY: Building Permit Application 615al�7 Sf DEPARTMENT USE ONLY 303- 421 -1298 P.3 sHEgT m City of Wheat Ridge 0 LORa Residential Plumbing PERMIT - :070688 PERMIT NO: 070688 : ISSUED: 07/09/2007 JOB ADDRESS: 4490 BALSAM ST EXPIRES: 01/05/2008. DESCRIPTION: instdall outside tap and backflow preventor *. ** CONTACTS * ** gc .303/238 -6789 Larry Peppel 02 -0428 Peppel Mechanical Enterprises, owner 303/238 -6789 Harry Boxler * *PARCEL INFO ** ZONE CODE: UA USE: ': UA SUBDIVISION: 0311 BLOCK /LOT##: 0/ ' ** FEE SUMMARY ** ;ESTIMATED. PROJECT VALUATION:. 1,000.00 FEES Permit Fee 50.40 #..��_. Total Valuation .00 �y Use Tax 18.00 * TOTAL *< 68.40�3k` Comments: subject to field inspection lI 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 she., 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 applicab Wheat Ri Ordinances, for work under this permit. Plans subject to field inspection. Signature of on@racto / wner 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 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 for a fee of . one-half . the amount normally required, . provided. no - changes have been on 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 th approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any viol at of the Pr vi of the building codes or any other ordinance, law, rule or regulation. All plan review is subj a /ield i C' ns. d Signature of Chief Building Official 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` COMMUNITY DEVELOPMENT DEPARTMENT of w "E4r� BUILDING INSPECTION LINE - 303 - 234 -5933 a CITY OF WHEAT RIDGE ° 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 800 - (303- 235 - , 2 [ 855) cOCORP00 MINOR A PPI Property Owner: 41aJol<f Property Address: G�(f, 1 I Q OX4_a ,,,,-. Contractor License No.: .20 L 1 2 --s Company: Po.rA n 41 'P�'_jP%_o OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Building Dept. Valuation Figure: $ ®mod? 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; thatall 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 otherapplicable Wheat Ridge Ordinances, for work under" permit. Plans subject to field inspection. (OWNER)(CONTRACTOm: (OWNER)(CONTRACTOR):PRINTED DATE Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ Use of S pace ( description / � / � Vescription of work: Jll,� i Sq. Ft. added Electrical License No: Plumbing Li rise No: Mechanical License No: Company: Company:yuAQaCompany: Expiration Date: Expiration Date: Expiration Date: 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 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 within 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, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. Chief Building Official Building Permit Number: Date: PLAN # Phone: Phone: �23' Cn COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303- 234 -5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303- 235 -2855) Building Permit Number: 16463 Date : 11/14/2003 Property Owner: HARRY BOXLER Property Address: 4490 BALSAM ST Phone: 422 -0141 Contractor License No.: 17082 Company: Rod Hall Co Phone : 777 -7700 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Construction Value : $1,500.00 Permit Fee : $70.50 Plan Review Fee: $0.00 Use Tax: $18.00 Total: $88.50 Use: Description : CONVER WOOD TO GAS INSERT. NAPOLEAN GD12C 24,000 BTU'S WARNOCK HERSEY Z 21.88 & CSA 2.31 BUILDING DEPARTMENT USE ONLY :� SIC: S 2orirn �pmttis: s 4• Ft.: Approval : Zoning: Approval : � W z �f'c�Worics.Co its,, Approval : Occupancy: Walls: Roof: Stories : Residential Units Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date : Expiration Date : Expiration Date Approval : Approval : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code 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 within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 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 are made 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 proceediing with successive phases of the job. (6) The! uahce of a pe it or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the p7cy so o ng codes or any other ordinance, law, rule or regulation. Chief Building nspector Please sign Terms and Conditions on reverse side of page. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: - 10512 BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE Date : 5/12/00 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Property Owner: Property Address : 4490 BALSAM STREET Phone: 422 -0141 Contractor License No.: 17152 Company : Precise Plumbing Phone : 534 0881 OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : Replace ,eater heater, ready for inspection Construction Value : $475.00 Permit Fee: $23.50 Plan Review Fee: $0.00 Use Tax: lines and constructing improvements according to the Total: $23.50 Use: BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : Approval : Zoning : Please Motet Owner / contractor is responsible for locating propert WNWRAVER, e t lines and constructing improvements according to the Approval : approved plan and required development standards. The City is not responsible for inaccurate information orbs ments'm submitted within the plan set and any construction Approval : errors resulting from inaccurate information. Occupancy: Walls : Roof: Stories : Residential Units: Electrical License No : Company: Plumbing License No :17152 Company : Precise Plumbing Expiration Date : 9/8100 Mechanical License No: Company: Expiration Date Approval : Approval : Expiration Date Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code 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 within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 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 are made 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 sha tity the Buildi 9 Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceetlii s cce ses of the job. (6) The issuan of per approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the bull des y h c law, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Building Permit Number Date 10/21/99 Property Owner: Property Address: 4490 BALSAM ST Contractor License No.: 17202 Company : Stahl Roofing, Inc. Phone : 422 -0141 Phone: 469 -1917 OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Construction Value : $1,512.95 Permit Fee: $57.05 Plan Review Fee: $0.00 Use Tax: $22.69 Total: $79.74 Use: Description : Tear off to deck and replace with 15 sq's of new shingles Electrical License No Company: Expiration Date Approval: Plumbing License No: Company: Expiration Date: Approval: Mechanical License No : Company : Expiration Date Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is sub act to the laws of the State of Colorado and to the Zoning Regulations and Building Code of wheat Ridge, Colorado or any other applicable ordinances of City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 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 are made 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 pr thing with successive phases of thejob. (6) uan of ennit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions f th b s or any other ordinance, law, rule or regulation. Chief Build' g Inspector 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 APPLICATION Property Owner: OAixogt, Property Address: y Y-)E> Phone: q � Contractor License No.: .- -- - Company: tA►}r_ 2 ®oFSn+ Phone: OWNERICONTRACTOR 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, rregulations of the City of Wheat Ridge or covenants, easements or restrictions of re rd at all measurements shown, and allegations made are accurate: that I have read and a abide by all conditions printed on this application, and that I assume full respon with the Wheat Ridge Building Code (U.B.C.) and all other applicable Qp finances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED /��/.1UL \ DATE 10 Construction Value: Permit Fee: Use Tax: Total : Use: Description : �� 61t( 0 r' F Td _'h 0 C K ) S SDS. �r M51' aIIIV 6- C e BUILDING DEPARTMENT USE ONLY ZU IT Approval Zoning: Approval: Approval: Occupancy: Walls SIC: Sq. Ft.: Roof : Stories: Residential Units : Electrical License No: Company: Plumbing License No: Company : Mechanical License No: Company: Expiration Date : Expiration Date : Expiration Date Approval: Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the : oning 2) R ulations and Building Code of Wheat Ritlge, Colorado or any other applicable ordinances of the City. ( permit shall expire tt (A) the work authonzetl is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 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 are made 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 cart before proceediing with successive phases o the iab. (6) Th e issuance of a permit or the approval of 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. Chief Building Inspector n DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner Property Address Contractor License No. BOXLER HAROLD 4490 BALSAM ST 17326 Company: A -1 Home Remodelers, Inc. Phone: 422 -0141 Phone : 778 8010 OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. 1 4 rzN T (OWNER)(CONTRACTOR) SIGNED DATE I h Z4f aS Description : 100,000 BTU FURNACE REPLACEMENT Building Permit Number: 95 -174 Date: 1/24/95 Construction Value : $2,200.00 Permit Fee : $54.00 Plan Review Fee: $0.00 Use Tax: $33.00 Total: $87.00 BUILDING DEPARTMENT USE ONLY Approval: Zoning ,, . Approval : Approval : Occupancy: Walls: Roof : Stories : Residential Units Electrical License No Company: Plumbing License No Company: Mechanical License No: Company: Expiration Date : Expiration Date : Expiration Date Approval:. Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code 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 within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 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 are made 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 prooeediing 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, any violation of the provisions of the building codes or any othe ordinance, law, rule or regulation. Sf ia) g l CAL Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234 - 5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPEMENT Application Number: 95 -36 BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date: 1/9/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: BOXLER HAROLD OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe Ridge ordinances, fcy work under this permit. (OWNER)(CONTRACTOR)SIGN / DATE -9 -gS Description : reconnec urnace Construction Value : $150.00 Permit Fee: $25.00 Use Tax: $2.25 Total: $27.25 Electrical License No: Company : Plumbing License No: Company: Mechanical License No: Company: Expiration Date Approval : Expiration Date Approval Expiration Date: Approval Ri (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code 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 within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 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 are made 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 promediing 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, any violation of the provisions of the b Phone : 422 -0141 Phone: I1 nn uilding codes or any other ordinance, law rule or regulation. _ W F— Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION Property Address : 4490 BALSAM ST Contractor License No.: 428 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:' °X��� Property Address : 1-1 p0 Z 4 Phone: �2 2 o /�V/ Contractor License No.: / 7/ f-,Z Company Y� /�recisc P��� l,.. � � 3 e Phone :SSs'fi p8'Fr/ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ' 1 hereby cenffy that the setback distances proposed by this permit application are accurate. - and do not violate applicable ordmances. odes or ht"i tms of Me City of Wheat Ridpe or Construction Value: y'7 5" — Permit Fee : SO cdvenarml- easements or restrictions of record: that all measurements shown. and aftalu ns I'mme are accurate: that 1 have read and agree to abide by ag oagaona printed on this e Code aria Matt assume r emm" or WMM with the Wheat Rill" guftkV Coda fU.S.C.) and air outer appocabls %twat ancss. forsfork _. - Use Tax :.�' txtdsr this psmet (OWNER)(CONTRACTOR)SIGNE DATE TOtal :23 Description c.; •4 WYd z<ri- i r �d . t c' . BUILDING DEPARTMENT USE ONLY Approval : Zoning • ti ,,. V Approval Approval: I - ai o �•` V' . O ccupancy: Walls Roof : Stories es Electrical License No: Plumbing License No: Mechanical License No: Company: Company:' Company: Expiration Date: Expiration Date : Expiration Date Approval: Approval : Approval cP.lii WITirqufred "� : Pty R�ulmd - . j � Putria!L'� (i) TN3 pemm wall issued in aCCdfdanCa wrm the MOwyOna set ronn in yopur iOpOCaOon and a sub)eC b Ifl )ewe W the Staff of Colorado, am b pa Zoning Reguatbns am Building of wheat Ridge. Caoraoo or arty other applicable oramances of the Ciy. ;2) This belie snap Denoo o f pa y . aYNplaep u; opt Cdritrrlerlrap W surly (60) days from Wue date or (S) ale buildup Suirlohm a suapalbad or atamoned for 1l "W e if #p Jaya (7) If INS beano excues. a new pemm may W actk rso for a fee of one•nah me amount rbmutay raOW/ad. prWrled lip original Plans and soeo6rations aria dry susosns" or awndonmem nos not exceeded one (t) year. ti Martpes rIM been Or Witt W in n me excaadi One I t ). year,. Are fees shall be dab for anew oahnn. Geodes are made or if suspension or asshoo inam (0 No work of any manner shall W done pat will Can" pre natural 110, Of wadi Causing a drayage �5) , ContraCbr snail C . notify me.. Building lnSOaOI tweny. row (24) hours In advance for an inspeG OmblMn. 70nt aria shall feCelvl written approval On inspection card WA01e "'prOCeepnng curd success" Massa of me PD. ,e) `Th osuanrr of a Dane w me A01"Oval of drawings ano somiirations snail not W Cons Wed to W a pemb for. nor an Sommer of. any vblaoon O/ IM Provisions ?. Or the oplOmg 000es M any Other ordinance, law. ru ;e or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF' BUILDING' INSPECTOR`AND'MAYOR CALL. 2345933 24 HOURS PRIOR TO INSPECTION O Z t- Ld W a F- 3 z W _ O Z LL JOp W y J > -O 4 W >U LL 00 ' Z ¢ }� C roo_ z d OU O LLI a Q W W S?3 O� O z _Z z O U r ® w a W w � 2 r r O z w W = ❑m W x Z Q x0 0 t m O N Q Q ra > W r 2 r N _ N J = Q W O U IL N. 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