HomeMy WebLinkAbout3245 Moore Streetfs
�.� CITY OF WHEAT RIDGE .
- Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: IC 1)
Job Address: m o o ►2 6 -S
Permit Number: A 0 /') V /c/o/
❑ No one available for inspection: Time AM/PM
Re -Inspection required(:Yes No C/'P, 1
r
When corrections have been made, call for re -inspection at 303-2345933
Date: / Inspector':
DO NOT REMOVE THIS NOTICE
.�. * u City of Wheat Ridge
Residential Roofing PERMIT - 201701401
PERMIT NO: 201701401 ISSUED: 06/02/2017
JOB ADDRESS: 3245 Moore ST EXPIRES: 06/02/2018
JOB DESCRIPTION: Tear off existing roof and reapply with Malarkey Legacy Class IV shingles;
no redecking; 42 squares
*** CONTACTS ***
OWNER STRONG MICHAEL
SUB (720)921-6717 Kurt Ulrich 170107 The Colorado Roofing Company
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00
FEES
Total Valuation 0.00
Use Tax 294.00
Permit Fee 267.70
** TOTAL ** 561.70
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€rms 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.
IN PE T O RECORD
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
Mid -Roof
Plumbing
Concrete Encased Ground (CEG)
Lath / Wall Tie
Foundation / P.E. Letter
Rough Electric
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
71%
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
**For Inspection Time Window — Please email InSptimerequeSt@CI.Wheatrldge.co.US by 8:00 A.M. the morninq 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 Ridge
Residential Roofing PERMIT - 201701401
PERMIT NO: 201701401 ISSUED: 06/02/2017
JOB ADDRESS: 3245 Moore ST EXPIRES: 06/02/2018
JOB DESCRIPTION: Tear off existing roof and reapply with Malarkey Legacy Class IV shingles;
no redecking; 42 squares
*** CONTACTS ***
OWNER STRONG MICHAEL
SUB (720)921-6717 Kurt Ulrich 170107 The Colorado Roofing Company
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00
FEES
Total Valuation 0.00
Use Tax 294.00
Permit Fee 267.70
** TOTAL ** 561.70
*** 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&Oms 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 - 201701401
201701401 ISSUED: 06/02/2017
3245 Moore ST EXPIRES: 06/02/2018
Tear off existing roof and reapply with Malarkey Legacy Class IV shingles;
no redecking; 42 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed�an that all work to tormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
1 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall nqJ proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or grantiri permits of be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ord .fix regu n o thi 'urisdiction. Approval of work is subject to field inspection.
k,
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
Wheat 1 A,e
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29t" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permitsp_ci.wheatridge.co.us
1 FOR OFFICE USE ONLY I
Date:
Plan/Permit # .)� ) 61
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: _ Z `',� /`(ao�e Sf . 4� 4 d �« cc)
Property Owner (please print): /Lfr��� S��a,.� Phone: 3o3 -,577-/&/e2'
Property Owner Email: 6 /�-< J� ro4 co,-?
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer.
Architect/Engineer E-mail:
Phone:
Contractor:
Contractors City License #: /7o/o7 Phone: `7t a - 9 z
Contractor E-mail Address:
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 19 RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ 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.)
m -o cAI & J /ooh � !c--✓//r�!t/��1�� kefti/ Clkss /// 6�KJ�
t
Sq. Ft./LF
Amps
Btu's
Gallons
Squares `-/.? Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
l y1000 —
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.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name)• �DATE: G.
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Tyi 1 b
Job Address: 3 ;�,.y'TO 11)4) (5 2 r � T
Permit Number: D- 0 /-7 a / V ()/
1z0 V
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
I
When corrections have been made, call for re -ins ection at 303-234-5933
Date: // " / -) Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: / ` 0
Job Address:
Permit Number: 2v17 u / `/ul
❑ No one available for inspection: Time � 9' // —I/PM
Re -Inspection required: Yes V
When corrections have been made, call for re -inspection at 303-234-5933
Date: j qff117Inspector: f �le–
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �u�
Job Address:
Permit Number: 2u j 7 y / `/Ul
❑ No one available for inspection: Time &/PM
Re -Inspection required: Yes V
When corrections have been made, call for re -inspection at 303-234-5933
Date: I qff//Z Inspector: Kle—
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
�-
Residential Roofing PERMIT - 201700605
PERMIT NO: 201700605 ISSUED: 05/03/2017
JOB ADDRESS: 3245 Moore ST EXPIRES: 05/03/2018
JOB DESCRIPTION: Tear off two areas for a total of 8 squares to determine source of water
leak and reroof
*** CONTACTS ***
OWNER STRONG MICHAEL
SUB (720)921-6717 Kurt Ulrich
170107 The Colorado Roofing Company
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,000.00
FEES
Total Valuation 0.00
Use Tax 72.00
Permit Fee 109.20��
* * TOTAL * * 181.20
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera -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.
City of Wheat Ridge
Residential Roofing PERMIT - 201700605
PERMIT NO: 201700605 ISSUED: 05/03/2017
JOB ADDRESS: 3245 Moore ST EXPIRES: 05/03/2018
JOB DESCRIPTION: Tear off two areas for a total of 8 squares to determine source of water
leak and reroof
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 ali entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief 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 ordmange�eguI ion f this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
INSPE6fi'ON"AEC0RD
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
Mid -Roof
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Insaections
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
City of Wheat Ridge051/04if017 06:4 1 CDi r
Tear off two a-reas f
X14
lDL7Ui�rF�IflF ii. 's iUN
APSA 3245 Moore ST 1++1.20
APTL/PERMIT NO: 20/-700605
BPSL LIC -CLE- TOTAL FEE RAID 75.00
CONTRACTOR NO: 170107
PAYMENT RECEIVE' AMOUNT
VS} 79600
RUTH COIF: 036788
Inspections froi TOTAL 2`6,.20
one week in adi ----------------------------------------
inspections call
inspections call buo-,_oa-zoo 1. 1 --or tire inspections
contact the Fire Protection District for your project.
Sewer Service
Plumbing
Mid -Roof
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections
Rough Inspections
Date
Inspector
Initials
City of Wheat Ridge051/04if017 06:4 1 CDi r
Tear off two a-reas f
X14
lDL7Ui�rF�IflF ii. 's iUN
APSA 3245 Moore ST 1++1.20
APTL/PERMIT NO: 20/-700605
BPSL LIC -CLE- TOTAL FEE RAID 75.00
CONTRACTOR NO: 170107
PAYMENT RECEIVE' AMOUNT
VS} 79600
RUTH COIF: 036788
Inspections froi TOTAL 2`6,.20
one week in adi ----------------------------------------
inspections call
inspections call buo-,_oa-zoo 1. 1 --or tire inspections
contact the Fire Protection District for your project.
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date
Inspector
Initials
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
"For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
*"For Inspection Time Window — Please email insptimerequest@ci.wheatddge.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 ()l
Wheat,e
COMMUNITY DLVELL)PMLNT
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: permits(a)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
5/3/0
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. I
Property Address: 2 �/ /�/oor e (�-q
Property Owner (please print): %l/�,cta t ,� cava Phone: _�C.5 X577-/( Z Z
Property Owner Email: e- S f ro n c e -e -
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Phone:
Contractor: / 4 Cil
Contractors City License Mr .3O Phone: ';72 U -
Contractor E-mail Address: //c'(o C r-0 rt� 6�':�
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL X RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITIONRESIDENTIAL ROOFING
❑ RESIDENTIAL 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.)
/ c:t
t4/Z) / c /
G.rc.e � ��� µ ,Fc�r, � ^� '> '� C
be
Sq. Ft./LF > CJ�% Btu's
Amps
Squares
K k •^z GV. c
Gallons
8— Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
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. I, the applicant for this building pennit application, warrant the
truthfulness of the information pro�the onn.
CIRCLE ONE.• (OWNER) (_UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Sienature (first and last name): _ �` DATL: l Z 7, Z-cl 7
ZONING COMMMENTS:
Reviewer -
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
I
11►ICl�C�+T���� oc�+w®
Inspt
:Z
1 3:00 PM to receive inspection the following business day.
FOUNDATION INSPECTIONS
'
DATE INSPECTOR COMMENTS:
Plumbing
- ..INITIALS
Footings /Caissons
Stemwall / (CEG) Concrete
Fire Department
:- Encased Ground
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking $ Landscaping
r
'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS
' Reinforcing or Monolithic
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
Weatherproof/ French Drain
t Sewer Service Lines'
Water Service Lines'
r
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
r- CONCRETE SLAB FLOOR
H
' Electrical (Underground)
Plumbing,(Underground)
:.Heating (Underground)
`
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
ME OCCUPANCY NOT P
:Rough Plumbing
Gas Piping
r nvriw
- Electrical
Plumbing
Mechanical s
Roof
r�
Building Final ----
Fire Department
R.O.W & Drain age
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking $ Landscaping
: SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL: INSPECTIONS.
'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 S
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
I
UPANCY IS ISSUED
♦ 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: Ptf"r(
Job Address: j,Gr:F
Permit Number: T I)C.
C)(", - - n/
❑ No one available for inspection: Time (,)r, AM
Re-Inspection required: Yes 6)
When corrections have been made, calf Tr7_, s action at 303-2$4-5933
Date: Inspector: , , V1, V
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r ~c,r3~ t`
Job Address: S llor) r°c S T
Permit Number: fr!7J 4
I ❑ 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: _12 I ! f AG9 Inspector:
DO NOT REMOVE THIS NOTICE
City of
Wh6at Date:
Permit#:
COMMUNITY DEVELOPMENT
'0g1e
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
P'topertya[idress 32y5 Moore S
Property Owner (please print):; Ckof i 5°1-iro n! Phone: 303-977- ZZ
Mailing Address: (if different than property address)
Address:
City, State, Zip: W h e" R 1,.,t e/ CO 90033
C,ontraefgr: _D L.t.--G h Bros. Pi o o'i a na ~o kc+i O I15
.Contractor License _O9 0 19 2 Phone: 303- 314,/0-070Z
I&M Contrct-ct-
COmpanV Name License Expiration Date: Trade/Profession: Approval:
Use of space (description): Remove wile- layer'
Dese J) on'gb S io'r7i3 fdory~ ice tJtiterc{yy(Meld per 2 .riA g CaJe, -Cn W l lr e 0.r1 ? V2 pM 27-R, j ~tt s c j/ Plan Review (due at time of submittal): $
hegjZoyrd meujsl - 'h,ngle
Sq. Ft./L. Ft added: Squares ~(O. BTU's Gallons Amos
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 1 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.
"CIRLCE ONE:: °cOWNER t(/CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINTNAME: 3.-Lyon Va-&/ g{4~n an SIGNATURE: (/Jp„kr-b&l_ a,2vun-t. Date: 1-27-10
Bldg Valuation: $
Credit Card Payment: Use credit card listed on file. Date:
Print name: Signature: