HomeMy WebLinkAbout11001-11005 W. 38th Avenuei CITY OF WHEAT RIDGE
Bd'rtding Inspection: Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: W- 1l� & 1(1
Job Address: I ! co _ 3r �. 4ve,
Permit Number: 201002002
r
❑ No one available for inspection: Time '` ' t_ mkpm
Re -Inspection required: YesI
When corrections have been made, ca4ft for re -inspection at 303 -234 -
Date: OZ i Inspector: C- t,ye t
DO NOT REMOVE THIS NOTICE
M
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: L/ 7
Job Address: //001 A4411vf,
Permit Number: `2 01002 00
❑ No one available for inspection: Time Vt30 AMIPM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: )0 ` L(Z 1 Inspector:,b,7/)!_11
DO NOT REMOVE THIS NOTICE
*** CONTACTS ***
OWNER (303)431-2735 EKNES PATRICIA
SUB (303)781-3711 David Cohen
SUB (303)660-9812 James Ennis
180341 Omni Sprinkler & Landscape
130097 Ennis Plumbing LLC
*** PARCEL INFO ***
City of Wheat Ridge
ZONE CODE: UA /
Residential Miscella PERMIT -
201802802
UA / Unassigned
SUBDIVISION CODE: 2403
/ APPLEWOOD VILLAGES,
PROSPECT V BLOCK/LOT#:
/
PERMIT NO:
201802802
ISSUED:
10/22/2018
JOB ADDRESS:
11005 W 38th Ave
EXPIRES:
10/22/2019
JOB DESCRIPTION:
Sprinkler system installation with
backflow device
-400 sq ft
*** CONTACTS ***
OWNER (303)431-2735 EKNES PATRICIA
SUB (303)781-3711 David Cohen
SUB (303)660-9812 James Ennis
180341 Omni Sprinkler & Landscape
130097 Ennis Plumbing LLC
*** PARCEL INFO ***
ZONE CODE: UA /
Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2403
/ APPLEWOOD VILLAGES,
PROSPECT V BLOCK/LOT#:
/
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,400.00
FEES
Total Valuation 0.00
Use Tax 113.40
Permit Fee 140.90
** TOTAL ** 254.30
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 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 m signature, do hereby attest that the work to be performed shalt 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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTACTOR (Circle one) Date
I. This permit was issued based on the information provided in the pen -nit application and accompanyingplans 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 ming of a p it shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable c e an "ordin r e Nation 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.
City of
Wheat R.,je
Om
MUNITy DEVELOPMENT
Building & Inspection Services
7500 W. 29' 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 I
Date:Plan/Permit # O '02o
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 1/ p D 3 ` t� h �,,-r 0, A 7
Property Owner (please print): P,,Tr 1= k V c c Phone: 303 L/3f >�5�
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Eng !nee r E-mail:
Phone:
Contractor Name: _512r (r c e. 4 �_ cl L v , 0 ✓� _
City of Wheat Ridge License #: / 3 0 3 y / Phone: 30.x' - 221 .3 i 1
Contractor E-mail Address: vim' vV w , v w, K', s'c -k 1 c o yn
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Ph , � `^ Phone: -;� Z o - G `-/ 1 -
CONTACT EMAIL(p/ease print): D G. 1 e ; �I 9 Gi v- s 1 , c. 0 w,
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
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 highlighted fields, if applicable.
❑COMMERCIAL
❑ RESIDENTIAL
Provide description of work: For ALL projects, 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.
s�( inn lrJ t r'ST-' ('.. ,
k`-5° k c t p, STs.
Sq. FULF BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
00-
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 sboHm 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) o THORIZED REPRESENTATIVE). of (OWNER) (CONTRACTOR)
Signature (first and last name): '—�,q DATE:
Printed Name: L � I, EC- (c ',-L, L
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
City of Wheat Ridge
Residential Miscella PERMIT - 201802800
PERMIT NO: 201802800 ISSUED: 10/22/2018
JOB ADDRESS: 11001 W 38th Ave EXPIRES: 10/22/2019
JOB DESCRIPTION: Sprinkler system installation with backflow device -400 sq ft
*** CONTACTS ***
OWNER (303)426-5550 MOK ALLEN
SUB (303)781-3711 David Cohen
SUB (303)660-9812 James Ennis
180341 Omni Sprinkler & Landscape
130097 Ennis Plumbing 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: 5,400.00
FEES
Total Valuation 0.00
Use Tax 113.40
Permit Fee 140.90
** TOTAL ** 254.30
*** COMMENTS ***
*** CONDITIONS ***
Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes.
Work is subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed 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 thepermit 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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 changeof 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 issuanc or granting of It permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicabl co or any ord ce 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.
City of
Wheat I ,dge
COMMUNITY DEVELOI'MENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
0
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: _�j DO l
32—
Au c-
wt,,[ R, d 2 c_ Ye' 0 "2 3
Property Owner (please print):
PaT v` ;
,� ;
Ic rl S
. Phone: -303 - �-/3i - -7-73S_
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itectlEngineer E-mail:
Phone:
Contractor Name: O vti r, *, S D f `E -1c �!' s ci_ c'_ �� n / , ti p
City of Wheat Ridge License #: 1 '90 3't ( Phone: 3 3
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone: 7.) 0 `- 611) ` ?,DDS—
CONTACT EMAIL(please print):0 V 1 e r-. A i 5� r; v k (r r��iv.�. ` 1 c vy
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
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 highlighted fields, if applicable.
[—]COMMERCIAL
❑ RESIDENTIAL
Provide description of work: For ALL projects, 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.
5 P 'r , Is, l C f- �� r, s% a k r, T, e v-- ,
p v'3 k'I, & 1"k iPq v^TS
Sq. FULF �/ 0 a t BTUs
Gallons
V/yGk- VKfCC I
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
00
OV1'NER/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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (C_O�Nj)TRACTO or(AUTHORIZED REPRESENTATI' of (OWNER) (CONTRACTOR)
Signature (first and last name): ////% P Y•/� DATE: %r% -•22— / r3
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
rZ �_ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: / vr-
Job Address: I ICY
Permit Number: -7
r
❑ No one available for inspection: Time �� s �' AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: n1 7r 1—! Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Vr- Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Y-1-7) D
Job Address: ) i (',0 1 L-✓ 38 fiV
Permit Number: Z o 1700 g6 7
❑ No one available for inspection: Time A PM
Re -Inspection required: Yes
*When corrections have been made, call for -inspection a 303-234-5933
Date: ' 0)c� Inspector:
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: R 6 i
Job Address: 1 1 0 0/ A v E
Permit Number: `') h 1 7 b
❑ No one available for inspection: Time 14. YD AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date
Inspector:
DO NOT REMOVE THIS NOTICE
�P uffo
❑ No one available for inspection: Time 14. YD AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date
Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700869
PERMIT NO: 201700869 ISSUED: 05/25/2017
JOB ADDRESS: 11001 W 38th AVE EXPIRES: 05/25/2018
JOB DESCRIPTION: Remove and reroof install Owens Corning 30 year Oakridge shingles - 25
squares
*** CONTACTS ***
OWNER (303)431-2785 EKNES PATRICIA L
SUB (303)378-7959 Jeff Aguon 022298 J.A. Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,180.00
FEES
Total Valuation 0.00
Use Tax 129.24
Permit Fee 172.60
** TOTAL ** 301.84
*** 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 a
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€'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.
City of Wheat Ridge
Residential Roofing PERMIT - 201700869
PERMIT NO: 201700869 ISSUED: 05/25/2017
JOB ADDRESS: 11001 W 38th AVE EXPIRES: 05/25/2018
JOB DESCRIPTION: Remove and reroof install Owens Corning 30 year Oakridge shingles - 25
squares
1 by in signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perform a tha ll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
natu of V ER or CO&IRACTOR_�Circle one) Date
Thi permit wa 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.
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.
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 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.
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.
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.
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 -ala , ordinan gulation of this jurisdiction. Approval of work is subject to field inspection.
Al���.
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.
E City of
OMCOMMUNITY Wheatl� 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(a)_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: d�:5/
�
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: (3 Aye ( _
Property Owner (please print): / ��, �, �� Phonik:_?,�; �(,S � b
Property Owner Email:
Mailing Address: (if different than property address)
Address: T ( 0 � t'j '.�
City, State, Zip: C< C___
Arch itect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor:
Contractors City License #: Phone: 3 6 � J 5
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 ❑ 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/APPLI/ NCE REPAIR-or REPLACEMENT_
OTHER (Describe) Y� - n;c
(For ALL projects, please provide a detailed crescription 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.) f ,
�.�-�:✓ lZ c� � � � ave G' � ' L-- -t-- '''' � T�9- �� ��'�'��?r��' ��fL.�l� i K.�
0 yt,
Sq. FtJLF Btu's
Amps
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNCR/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): ,�
DATE:
f
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of
heat
-]( �CCon MkA IM W 'VELOPMENT
I UNiiy DU
_!�OR "FF1 E_ USE ONLY
Plan/Permit #
wm=��
Building Permit Application
&VIA
"o6*o*o*
Contractor:
W -
031 IVA ' 021 A U N i
Mechanical:
WR Cii� Limns)
Complete all information on BOTH sides of this form
Dn
� � a`o s t •+r� ..s•
Complete all information on BOTH sides of this farm
a � Illilliliii _ + •
Property Owne Email.
! F 3 Y 1!. R. 4 • M � Mt � M IM #
• � p 1! 111 �. t• • i � � '�'` � i
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CITY OF WHEAT RIDGE
� 000000 0 Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: 44, '4^ fe4q�
Job Address /Permit Number: i.Z/L*I- r� ,0, ye �c91 g
❑ No one available for inspection: Time (al i AMf M
Re Inspection required: 'Yes No
f
When corrections have been made, call f re- inspection at 303 - 234 -$933
Date: (� ' c Inspector:
" DO NOT REMOVE THIS NOTICE
[i?
r
V
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: =! W41,
Job Address:
Permit Number: Z Z �q
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
"When corrections have been made, call a ti n at 303- 234 -5933
Date: Inspector.
DO NOT REMOVE THIS NOTICE
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~oF WHe"R, City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
o dd s, //Oc~ -0S- G). 39'
Date:
Plan
Permit
Property Owner (please prinn) -rk / C l,q L . E&AJ EZ Phone:3A3- L/,3J -,27.35-
Mailing Address: (if different than property address)
Address:
City, state, zip: (,J Esq..? l :Z>G g- . C o. $oa33 - 3?o5-
Contractor License Phone:
15~ IS.~
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of s ace descn tion): L- C Construction Value: $
" 5 Ot'r &'3 y,.;:,, (as calculated per the Building Valuation Data sheet)
oc6 lc Plan Review (due at time of submittal): $
016 0I CJ! a2e~~` 5hfd~~, 2 k a
Sq. Ft./L.Ft added:3 it'll, Squares .141 BTU's Gallons Amps
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 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:: OWNER) (CONTRACTOR) or PERSONAL REP SENTATIVE of (OWNE~RR)(nI(CONTRATOR)
PRINT NAME ArMcitc' L. EkN$5 SIGNATURE - Ul~if~.a.~ Date: