HomeMy WebLinkAbout3640-3650 Lewis Street41
City of
'Date:
`T heat idle
COMMUNITY DEVELOPMENT Permit#:
Building Division
W. 29th Ave., Wheat Ridge, CO 80033
k e: 303-235-2855 * Fax: 303-237-8929
- inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address: 3b5 o Le w iS St.
Property Owner (please print): B -(y Q yS K u ln Phone:
Mailing Address: (if different than property address)
Address: 1 (0 6 L-kylplYI Stt �a-33b
City State Zip: De y\ ✓-2 I- CO O 0 ,�- 6 �
Contractor: iii uS �e r S G Ve- c* 1(,t (M T Y Q dz 6
Contractor License #: 002 Phone: �� a -a I d*- % �q
Sub Contractors:
Company Name License #: Expiration Date: Trade/Profession: Approval:
Use of space (description): 20 S 18Y) h a
Description of work: 0.0
Vv � TI? (L yt a Y10 6 k V i Q. d O Y\ �� Fel Plan Review (due at time of submittal): $
Sq. Ft -/L -Ft added: Squares BTU's Gallons 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 conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (i.B.C) and ail other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: nn(OWNER) TRACTO or
PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: K SAA o' .4 S . -C6AA SIGNATURE: Date: �S I1
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS*
Reviewer
BUILDING DEPARTMENT COMMENTS: OCCUPANCY
Reviewer
FIRE DEPARTMENT:: ❑ approved wl comments G disapproved O no review required Bldg Valuation: $
Credit Card Payment: Use credit card listed on file, Date:
Print name: Signature: _ _
City of Wheat Ridge
Residential Electric PERMIT - 201706630
PERMIT NO: 201706630 ISSUED: 08/28/2017
JOB ADDRESS: 3650 Lewis ST EXPIRES: 08/28/2018
JOB DESCRIPTION: Permit to install wire and hook up for radon fan.
*** CONTACTS ***
OWNER KUHN, BRYAN
SUB (303)221-2979 Rudolph Stan Todd
160030 Masters Electrical Contractors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 250.00
FEES
Total Valuation 0.00
Use Tax 5.25
Permit Fee 26.50
** TOTAL ** 31.75
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
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 ennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work 10 be
performed and that all work to bp-p(�io ed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) "bate
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writim,, 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 I obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and rocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Offcial 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 thisjurisdic proval 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.
City of Wheat Ridge
E� Residential Electric PERMIT - 201706629
PERMIT NO: 201706629 ISSUED: 08/28/2017
JOB ADDRESS: 3640 Lewis ST EXPIRES: 08/28/2018
JOB DESCRIPTION: Permit to install wire and hookup for radon fan.
*** CONTACTS ***
OWNER (303)424-4286 KUHN, BRYAN
SUB (303)221-2979 Rudolph Stan Todd 160030 Masters Electrical Contractors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 %
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 250.00
FEES
Total Valuation 0.00
Use Tax 5.25
Permit Fee 26.50
** TOTAL ** 31.75
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le building codes, and all applicable municipal codes, policies and procedures, and that I am file 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all orl� to be performed i isclosed in this document and/or its' accompanying approved plans and specifications.
erg----.�-,, _._ .� � ._
Signature of OWNER or CONTRACTOR (Circle one) JVate
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2,This pernmt 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 or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date V
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Property Address:
Property Owner (plea
lip 41
City of Date:
- W h6at R Jddg1e
COMMUNITY DEVELOPMENT Permit#:
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8928 ` �1 (;�
Inspection line: 303-234-5933 ` " "�
Facsimile Building Permit Application v1 Z ?1n
Mailing Address: (if different than property address)
Address: I b � 0 _ lrl InCof yN st 44--a33 0
City, State, Zip: DQ nV.Q
Contractor: M6, S-�? Y j E' e (,-%1(1 C (L(p)-\ Tl' a c+o rS
Contractor License #: ( 600.3n Phone: c* J- a 9 ?_
Sub Contractors:
Company Name: License #: Expiration Date: Trade/Profession: Approval:
Use of space (description): t 11 ;-6L7—
GL
Description of work: 1 0
W', r2 Cllrn. h00 �� `� rad or --ra- n Plan Review (due at time of submittal): $
_ d
Sq. Ft./L.Ft added: Squares BTU's Gallons 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 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. Pians subject to field inspection.
CIRLCE ONE:. (OWNER`) CONTRACTOR` or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) O -7
PRINT NAMEi VAAo I p k _ TQ�d SIGNATURE: J Az I Ole Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS OCCUPANCY
Reviewer:
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required Bldg Valuation: $
Credit Card Payment: Use credit card listed on file. Date:
Print name: Signature:
City of Wheat Ridge
Residential Roofing PERMIT - 201701057
PERMIT NO: 201701057 ISSUED: 05/31/2017
JOB ADDRESS: 3640 Lewis ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Re.roof 38 squares 4/12 pitch (3640-3650 Lewis Street - DUPLEX)
*** CONTACTS ***
OWNER (303)548-5812 LINN DANIEL J
SUB (720)270-5600 Charles Riley 150026 Lifetime Construction LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,766.00
FEES
Total Valuation 0.00
Use Tax 205.09
Permit Fee 204.30
** TOTAL ** 409.39
*** 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&4F''ms 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.
l
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201701057
201701057 ISSUED: 05/31/207.7
3640 Lewis ST EXPIRES: 05/31/2018
Reroof 38 squares 4/12 pitch (3640-3650 Lewis Street - DUPLEX)
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 ermrt. I further attest that I am le ally authorizcdto include all entities named within this document as parties to the work to be
performed and that all work to be per#rmect is disclosed in this document and/orj its' accompanying approved plans and specifications.
Signature of OWNER` or CONTRACTOR (Circle one) Date
I : This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Isuance 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 not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any -ordinance or 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 ins ptimerequest@c i. wheat ridge. 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
" Iheat jdge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: cl' ? g `
Plan/Permit # N-� 0 �1 �
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: _� �-�U �(� �) U �-� WSS1.
Property Owner (please print): Din ,r\ L; pf\ Phone: -'07,-544 e611
Property Owner Email:_ot", -' \,I C' vv -,y .3 (C) r1
Mailing Address: (if different than property address)
Address:
City, State, Zip:
r
Architeci/Engineer:
Architect/Engineer E-mail: - Phone:
Contractor:
Contractors City License #: i GCtD d' (, Phone -.31
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 #
ct l
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 RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft.1LF
Amps
Btu's
Gallons
Squares 3
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ -- 00 C�
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the plication.
CIRCLE ONE: (OWNER)(CONTRACTOR or (9 UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): ! DATE:
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
`
Building Division Valuation: $ I I `
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:
Job Address:�j-
Permit Number: ')-J/To h6 20 / goIi066 T�
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes 0
When corrections have been made, call for re -inspection at 303-234-5933
Date: 7 Inspector:
DO NOT REMOVE THIS NOTICE
e i CITY OF WHEAT RIDGE
-.A Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I 2
Job Address: 3 G LIO (sve1) ST
Permit Number: 77,2ID 010572
❑ No one available for inspection: Tim AM/PM
Re -Inspection required: Ye -(No
* When corrections have been made call for re-InSIM01on at 303-234-5933
Date: L- - _ Inspector:
DO NOT REMOVE tj I NOTICE
41 CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Y -y-) 10
Job Address: 31, q a r _S S-)-
❑ No one available for inspection: Time , : 5C /PM
�:
Re -Inspection required: Y�''�iV
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspecto .
DO NOT REMOVE THIS NOTICE
41 CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Y -y-) 10
Job Address: 31, q a r _S S-)-
❑ No one available for inspection: Time , : 5C /PM
�:
Re -Inspection required: Y�''�iV
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspecto .
DO NOT REMOVE THIS NOTICE
C
41 CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I'�) ) J')
Job Address: :1'Nw 4 d II! %,1 1 5 S� -
Permit Number: 3 Q
�A PP?,j E
rI Q�
❑ No one available for inspectio 'Time 3 . .'�_6 AM op
Re-Inspection required: Yes No
* When corrections have been made, call, for re -inspection at 303-234-5933
Date: L "7 Inspector:
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: din stL Qey/
Job Address: 3 - <®
Permit Number: 7
❑ No one available for inspection: Time ✓�✓ : 5 YQ� /PM
s"
Re- Inspection required: No
"When corrections have been made, ,call for re- inspection of 303 - 2345933
Date: FIW1L' Inspector: l z; e_
DO NOT REMOVE THIS NOTICE
"!, City of Wheat Ridge
Residential Roofing PERMIT - 094127
PERMIT NO: 094127 ISSUED: 11/17/2009
JOB ADDRESS: 3640 -50 Lewis St EXPIRES: 12/31/2010
DESCRIPTION: Reroof 39 sqs with GAF /ELK
* ** CONTACTS * **
owner 303/940 -1610
Dan Lynn
sub 303/727 -1110
Michael O'Donnell
02 -2175 A -1 Roofing
** PARCEL INFO **
ZONE CODE: UA
USE: UA
SUBDIVISION: 0633
BLOCK /LOT #: 0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 6,903.00
FEES
Extend Expired Permi
90.55
Permit Fee
181.10
Total Valuation
.00
Use Tax
124.25
llu6�n
** TOTAL **
395.90
-� --'
Conditions:
6 nail installation & mid -roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exterior walls.
** *Contractor /Property owner shall provide ladder(s) secured in place for
inpsections.
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
2.
3.
4.
5.
6.
This permit was issued in accordance witp._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.
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.
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.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
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.
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.
Signature of ilding Official date
INSPECTS 7RQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2655
REQUEST E MADE BY,3PM APY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
♦ 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: yo"s•,r
Job Address: sgel 4r7 /_P(co" Sf
Permit Number: 6 1(/P 7
❑ No one available for inspection: Time -M AM PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
l
Date: fl';?rl( Inspector: L
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 10/}~ 1(6,jl
Job Address: ~f t1D-.fJ /.Pct ?
Permit Number:
n
❑ No one available for i7Yes" con: Time Jr VrL AM, M
Re-Inspection required: No
' W hen corrections have been made, call or r -inspection at 303-2345933
Date: Inspector: u «
1L~~'cc JDO NOT REMOVE THIS NOTICE
City of Wheat Ridge Building Division Date:
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
cotolxaoo Inspection Line: 303-234-5933
Permit
Building Permit Application
Property Address: ':3 ( _ ~ SCE L~ S
Property Owner (please print)_31 0-n ~S~r111 Phone:
Mailing Address: (if different than property address)
Address: S,2
~C (a- o ✓4 .
City, State, Zip:
Contractor:
Contractor License o 2z/ `7 Phone: ~2 7 Z77 - fl
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): (E\.- C- - 4E:,f:2~~ y S Construction Value: $
Description of work: 3o YK-5 (as calculated per the Building Valuation Data sheet)
(OCC~-- Plan Review (due at 6me of submittal): $
Sq. Ft./L.Ft added: Squares 3-T- BTU's Gallons Amps
OWNER/CONTRACTORSIGNATURE 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: DD(OWNER) CONTRACTOR PERSONAL REPRES TATIVE of (OWNER) (CONTRATOR)
PRINT NAME: Ey/-a) zorqcitt[o Z-17 -6
SIGNATURE: DateZ
t ea Bldg Valuation: l I/ UI I I-) UU