HomeMy WebLinkAbout4216 Moore StreetFORM (M) 414 -02 -1123
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ENERGY A A e)1'1
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FLOOR
APT. NO:.
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GUST MEP NAME (PRINT)
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ACTION
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TAKEN
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❑ NO SHUT OFF
❑'�9CPPLIANCE OFF
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1
OWNER
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TENANT
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AGENT
sPEGIPY
OTHER
❑ BOTH APPL. 8 METER
❑ 'METER SHUT OFF
CONDITION TO BE COflRECTEO
BACK
AS SHOWN BELOW CREATES AN IMMEDIATE HAZARD. THIS E IPMENT MUS NOT IN
SERVICE UNTIL REPAIRS AND ATHOROUGH INSPECTION HAVE BEEN MADE BY A QUALIFIED CONTRACTOR. CONTACTYOUR LOCAL
4 1 BUILDING DEPARTMENT FOR CODE AND PERMIT REQUIREMENTS PRIOR TO PERFORMING REPAIR WORK.`,
" NAMEANDTYPE OFAPPLIANCE
( F
°
CONDITIONT09 CORECTE6
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FOR FURTHER INFORMATION, PHONE'� °` !
GED BY p . 'x
TIMES
DATE
[ TAG
USTOMER / OCCUPANT SIGNATURE
TIMEm
DATE
�IVI�rCV 1 �Vn KCVVKY
Occupancy/Tvpe
r-INSPECTION LINE: (303) 234 -5933
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS :JOB
FOUNDATION INSPECTIONS
DATE
NSPECTOR
I I NITIALS -
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased .Ground
Reinforcing or Monolithic
-
Weatherproof / French Drain
Sewer Service Lines
`
Water Service. Lines
-.
INSPECTIONS FOR PLANNING$ ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground) - -
Heating (Underground) _.
`- DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
f.` ROUGHS:
Sheathing
i" Lath / Wall tie
r` Mid Roof
Electricals Service
Rough Electric
.;
Rough iPlumbing
t
Gas Piping
it Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
i
FINALS
Electrical`.
Plumbing
Mechanical
Roof
Building .Final
Fire Department
ROW &.Drainage
INSPECTIONS FOR PLANNING$ ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
* "NOTE: ALL ITEMS MUST BE. COMPLETED: AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A 4
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
'- PROTECT THIS CARD FROM THE WEATHER
�r
e l s CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: /h 1/, n r
Permit Number: fin 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: i 2 ;0 Inspector:
l
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: ,yf.r
Job Address: W16
Permit Number: f�SG
❑ 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: 711011,0 Inspecto
DO NOT REMOVE THIS NOTICE
T
41 City of Wheat Ridge
s Residential Mechanic PERMIT - 100566
IN,
{
PERMIT NO: . 100566 ISSUED: 03/05/2010
JOB 'ADDRESS: 4216 MOORE ST EXPIRES: 09/01/2010
DESCRIPTION:' Replace 70,000 btu furnace
s CONTACTS
owner 303/947-1017 Tony Weiss.`
sub 303/232-3939 David Jenkins 02-0227 Nationwide Heating Air Condi
PARCEL INFO
W ZONE CODE: UA - USE: UA
s' SUBDIVISION:. UA BLOCK/LOT#: 0/
G
q' FEE SUMMARY ESTIMATED PROJECT VALUATION: 1,200.00
FEES
r Permit Fee: 40.00
a~ Total Valuation .00
2U se Tax 21.60
TOTAL 61.60 r
Conditions:`
Subject to field inspections.
t.
~r
I hereby certify that the (setback distances proposed by this permit application are accurate, and do not violate applicable
G~ ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record;; that all
r 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
f~ applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection
1 31
Signatur o cont acto owner ate
c 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:
k 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
z' changes have been or will he 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 causinga drainage problem.
5 Contractor shall notify, the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
f. written approval on inspection card before proceeding with successive phases of the lob.
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 reviyw Ajeubject to field inspections.
REQUEST vMUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
1=
~oF""E'Tp City of Wheat Ridge Building Division
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
°OtoRPa° Inspection Line: 303-234-5933
Property Address:
Property Owner (please print):
Building Permit Application
Aza~
4z V 4a Mailing Address: (if different th property addres$)
9 ~
Address: n9- ~n
City, State, Zip: &21Z 3
Contractor: W /IhZrx,,.,1J~n c _ A„ _
Contractor License
Sub Contractors:
Electrical City License
Company:
303) ~2,3,-~2 -:3
Plumbing City License
Company
Date: 4)3161ovlo ll)
Plan
Permit
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval Approval:
Use of space (description):
Des'ption of work: ¢f-
~P,gj2p7tiQ.
Construction Value: $
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
v.~`
Sq. Ft./L.Ftadded: Squares BTU's. IGallons Amps
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 con onsprinted on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) aq all Other applicable-tNheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. /
CIRLCE ONE:: (OWNER) {(CONTRACTOR) or PERSONAL REI
PRINT NAME: SIGNATURE:
Date: