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4620 Otis Street
City of Wheat Ridge Residential Mechanic PERMIT - 201601450 PERMIT NO: 201601450 ISSUED: 09/21/2016 JOB ADDRESS: 4620 Otis ST EXPIRES: 09/21/2017 JOB DESCRIPTION: Replace existing furnace with new 40K 95% horizontal *** CONTACTS *** OWNER (303)423-6192 JACOBS GOLDIE J GC (720)236-1344 Howard Brooks 140153 Energy Resource Center *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,850.00 FEES Furnace Replacement 40.00 PAID Total Valuation 0.00 Use Tax 33.30f ** TOTAL ** 73.30 *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyin% 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 uthorized to include I en ties named within this document as parties to the work to be performed and that I wor be perfo is disclosed in this d cu ent and/or its' a comp nying approved plans and specifications. Signature of OWNER or CONTRAC •ircle one) Date I. This permit was issued ba on provided in the permit application and accompanying )tans 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 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 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 f any 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 Wheatjdgc 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(d)ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: 9/1I/I� Plan/Pennit # 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: Property Owner (please print): &o I L,,P— ,\ cz b S P h o n e: 30-3 - q9- 3 �19z Property Owner Email: Mailing Address: (if different than property address) Address: City State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Phone: Contractor: )e Eq v keSOct rC-P_ G,&) TS, r Contractors City License M NO 153 Phone: -72_0-236-13` 4 Contractor E-mail Address: WOW 14-�& 177717�- al e-r'C - C 0 1 0 r - Sub Contractors: Electrical.- W.R. lectrical: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 (Gars she MECHANICAL SYSTEM/APPLIANCE REPAIR o REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or R ❑ !� 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./LF Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) �d/C OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE:�O I ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS Reviewer DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ INSPECTION RECORD Occupancyaype INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. L In 1) r, .7C_Ll INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR. INITIALS COMMENTS: Footings /Caissons Drywall Screw — Stemwall / (CEG) Concrete Encased Ground 2 Reinforcing or Monolithic Electrical v Weatherproof / French Drain Plumbing Sewer Service Lines Mechanical Water Service Lines Roof POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR - Electrical (Underground) Plumbing (Underground) Heating (Underground) Dn NOT POIIR FI nOR I INTII ARnVF HAS RFFN SIGNFn ROUGHS Sheathing Insulation Lath / Wall tie Drywall Screw Mid -Roof 2 Electrical Service Electrical v Rough Electric Plumbing Rough Plumbing Mechanical Gas Piping Roof Rough Mechanical Building Final AROVF INSPFCTIONS TO RF SIGNFD PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage 'INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE 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 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 ♦ All i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INS ECTION Inspection Type: t- F Kp Job Address: S S Permit Number: B. c- I (( ❑ No one available for inspection: Time M Re- Inspection required: Yes No 'When corrections have been made, call for re inspection at 303 - 234 - 5933 Date: Inspector: t DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line ]~;'r(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: l✓, Job Address: G~t 1 L~ J` Permit Number: ~Q n ❑ No one available for inspection: Time _ : ,-'~l AM/PM Re-Inspection required'/'Yes No No,, When corrections have been made, cal/ for re-inspection at 303-234-5933 Date: CX Inspector: -22 f D NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 2374929 Fax INSPECTION NOTI E Inspection Type: 1 l Job Address: Permit Number: u)4 ❑ No one available for ins ection: Time Re-Inspection required: ,Q No When correctio ns have been made, call for r~ Date: b Inspector: DO NOT REMOVE -THL ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPEgTION NOTICE Inspection Type: € Job Address- Permit Number: V " E., e f. 'r Ir' ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call for'e ins tion at 303-234-5933 Date: 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: Job Address: /G 20 d7-/ S s r Permit Number:9 2 a/Y ,''~,C rte, r?t.~'T. ,Yrra 13~ ~`%c~G` ✓ r>~~2~r~'ii/ izl a 7Z> cr SPY--=rii.~v~ 'k-/ET '_7.11 19~y F' fll:dtrcl r:~' 4'~ a~ {r!i-x.r-iii'L: ~,fS< ~T7.~4 s' ❑ No one available for inspection: Time to %30 AM/PM Re-Inspection required: Yes No ` *When corrections have been made, call for re-inspection at 303-234-5933 Date: _1fJ~g/o9 Inspector: DO NOT REMOVE THIS NOTICE ♦ 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: MID - a00 r Job Address: 4-1 2 o ai+, s S4: Permit Number: Cog 2tw 1 11 s No one available for inspection: Time AM/PM) Re-Inspection required: Yes CN When corrections have been made, call for re-inspection at 303-234-5933 - Date: (D-w-oo Inspector: ~J DO NOT REMOVE THIS NOTICE ♦ 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: r4,,b Poar Job Address: 4L20 0-h,s Permit Number: 00, 20 ~✓Se ,6c7/,O/L/ r~r2on/ n - 2,9 - ©`i l 00 / ci -a9 /gL/ /5- -'D9'/3V f7/a ~ /~~R~v1 ❑ No one available for inspection: Time M Re-Inspection required: des No When corrections have been made, call for re-inspection at 303-2345933 Date: I0-s13-og Inspector: T? DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE r Building Inspection Division x 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Nlvm , 4>A,11.? R/> Job Address: /l?o or- S 57- Permit Number: ❑ No one available for inspection: Time 3S AM/PM Re-Inspection required: Yes No ' When corrections have been made, call for re-inspection at 303-234-5933 Date: 14 z2/ Z Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 092944 PERMIT NO: 092944 ISSUED: 10/02/2009 JOB ADDRESS:.. 4620 OTIS ST : EXPIRES: 03/31/2.010 DESCRIPTION: Replace main sewer pipe from house 45 if CONTACTS owner 303/423-6192 Goldie Jacobs **PARCEL. INFO ZONE CODE: UA USE: UA SUBDIVISION: 0375 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,500.00 FEES Permit Fee 108.30 t Total Valuation .00i Use Tax 45.00 **TOTAL 153.30 -Conditions: Subject to field inspections. I hereby cert-fy.that the etback distances proposed by this permit application are accurate, and do not violate applicable ordinances,: les or regu tions of :the city of wheat Ridge or covenants, easements or restrictions of record; that all measurement shwas, and. legations made are accurate; that I have read and agree to abide by all conditions printed on this applicatio an that I sume full responsibility for compliance with the Wheat 'Ridge Building Code (I.B.C): and all other applicabl Wh t.Ridge rdina c ,.for work :under this permit. Plans subject to field inspection. z Signs r of coast c r/o er ' date 1. T i permit as ssued in accordance with the. provisions set forth in your application and is subject to the laws of the + t to of eo or o and to. the zoning Regulations and Building Codes of Wheat Ridge,: Colorado or, any other. applicable dinances f he City. 2. is permit all 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. e 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 fora'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. K 6. The issuance of a permit or the approval of drawings and specifications shall not be :construed to be a permit for, nor ,yy an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation All. plan ev' is subject to field inspections. Signatu of ref Building official date , INSP CT ION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 V REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. e; :v oe w"~T City of Wheat Ridge Building Division °m 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-235-2857 Inspection Line: 303-234-5933 OLORAO Property Address: Property Owner (please Mailing Address: (if different than property address) D Date: Plan Permit O Address: ~j City State Zip: ~I pl\ CA~ Contractor: Contractor License Phone: Sub Contractors: Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Mechanical City License Company: Exp. Date: Use of space (description): C6nstruction value: $ * /C'( - - Description ofwork: (-e-Oace- t`at ,rN =tn1a~(a;~4 (as calculated per the Building Valuation Data sheet) 'Vora koo& Plan Review (due at time of submittal): $ it Sq. FLOcided: ' Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT - 1 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:: or PERSONAL Date: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT:: 0 approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $ ZONING COMMENTS: Zoning: Reviewer: DEPARTMENT USE ONLY OCCUPANCY: Building Pennit Application --V~CC101~~L~"k GAS I I , c DS-o_d ♦ i CITY OF WHEAT RIDGE Building Inspection Division r' (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: bo T- Job Address: ~oc~ I 5 `>T Permit Number: Mid A_P Pee v C r t~ ~ r~J ~ Pte, c ❑ No one available for inspection: Time AM/PM Re-Inspection required: es No 'When corrections have been made, call for re-Inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE ♦ 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: !2J11 ° 90") Job Address: #620 of "z ` Permit Number: 0 /i f GY~7yF ~:Ja~,~/GJtG/' .S'~z~' /xJ,Sf'~G7JO~LJ AS-No one available for inspection: Time 0: O 69%PM Re-Inspection required: Yes No *When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: 14~ DO NOT REMOVE THIS NOTICE ♦ 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address: n 0,77 5 s 6_ Permit Number: ! fir en~,t° o! L lQ oo - 04 b v S=OP )k)V: C -r/0 ) ❑ No one available for inspection: Time AM/PM Re-Inspection required: es No 'When corrections have been made, call for pr7peotion at 303-234-5933 Date: f d Inspector: DO NOT REMOVE THIS NOTICE ^"L :.vz. . 3Y'f x_ vx✓ ~y .`Tw..^ "v :-k J. Na.~. S.i"Y.A` v .j:. ~w ~,Y 1, A i CITY OF WHEAT RIDGE ~-j Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /1910 1Z00F Job Address: 4rf 20 c~)hs S Permit Number: Cc? 2 b 6q :LSl9EC71Z)A./ 1&11Ci/,1e ❑ 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: /0 -!N - o 9 Inspector: /RV DO NOT REMOVE THIS NOTICE 44' City of Wheat Ridge Residential Roofing PERMIT - 092604 ` PERMIT NO: 092604 ISSUED: 09/21/2009 JOB ADDRESS: 4620 OTIS ST 'I. EXPIRES: 03/20/2010 DESCRIPTION:T/o: Install 20 sqs OC 30 yr laminate shingle. Vent to code CONTACTS owner 303/423-6192 Jacobs gc 612/623-4245 Mike McAlpin 09-0178 Direct Exteriors SUBDIVISION:? 0375: 'BLOCK/LC!T 0/; FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,61 FEES Permit Fee 126.50 Total Valuation .00 " Use Tax 64.80 TOTAL ..191.30 Conditions: 6 nail installation & mid-roof inspection require d. Board sheathing spaced mi thane-a1/2 of an inch apart ` requires plywood over lay on entire roof. Ice and t= water shield:. required from eave edge to 21 inside exterior -walls.! . k Subject to field inspection. kis Sep 21 09 01:36p Kallio ~oF N"E?r p City of Wheat Ridge Building Division "t m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 « Fax: 303-237-8929 cOLORA00 Inspection Line: 303-234-5933 Property Address: %Z o o f i 5 15-11- Property Owner (please print). Jw406 rj Phone: ?o3 -Y03 ~~PI9Z Mailing Address: (if different than property address) Address: City, State, Building Permit Application 720-920-9647 p.1 Date. Pian Permit Contractor: ~,~/L ~X{~✓~'Q~ Contractor License Phone: ~o j - 354 Sub Contractors: Electrical City License P Company: Plumbing City License Company Mechanical City License#: Company: Exp. Date: Exp. Date: Exp. Date: Use of space (description): ~fiOtRl Construction Value: $ _3(n00 Description of work: I (as calculated per the Building Valuation Data sheet) kewfo&'e-, ' Cr. A,q(4CC Wj1*r ZD 6~'5 Plan Review (due attime ofsubmittao:b D4c 4L 36,4r. Lu•nrw44e 5A,-k5r1cs. (,ti.-f fry cam Sq. Ft./L.Ft added: Squares 10_ BTU's Gallons Amps OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 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 t 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. CIRLCEO(vE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESEN ATI Eo, OWNE Tx~ PRINT NAME: 6664 t Kmi- SIGNATURE: ,Vl Date: 'l! DEPARTMENT USE ONLY ZONING COMMENTS: - - - Zoning: - Reviewer PUBLIC WORKS COMMENTS: Reviewer. - - - BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer. - - - FIRE DEPARTMENT::. E7 approved wJ eomMents. LD disapproved ❑'no review required Bldg Valuation: $