HomeMy WebLinkAbout10210 W. 34th AvenueA 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: ( 967F
Job Address: /O (f►/1 3 ZE ✓�
Permit Number: q0 /70 .3
❑ No one available for inspectio . me AM/PM
Re -inspection required: Yes giN,
When cns have been made, ca%1 or re-inspect)ioLn at 303-234-5933
Date: orrec io/9)—Inspector: yn
DO NOT REMOVE THIS NOTICE
I-JERMIT:
ADDRESS: V- *i Ate, JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Land scape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business G
PERMIT:'- � ADDRESS: - JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION--N--O�TIC
Inspection Type:
Job Address:
Permit Number: o2D%i0 ��13C
r�
❑ 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: Inspector:
DO NOT REMOVE THIS NOTICE
p 4 ' City of Wheat Ridge
Residential Roofing PERMIT - 201708436
PERMIT NO: 201708436 ISSUED: 10/18/2017
JOB ADDRESS: 10210 W 34th AVE EXPIRES: 10/18/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 22 sq Pitch = 4/12
*** CONTACTS ***
OWNER (805)234-0654 JIMENEZ GUSTAVO
SUB (303)548-5000 Alan Parkes 021001 Roof Corp of Metro Denver Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00
FEES
Total Valuation 0.00
Use Tax 315.00
Permit Fee 283.55
** TOTAL ** 598.55
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. 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 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 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.
A , Citv of Wheat RidLye
Residential Roofing PERMIT - 201708436
PERMIT NO: 201708436 ISSUED: 10/18/2017
JOB ADDRESS: 10210 W 34th AVE EXPIRES: 10/18/2018
JOB DESCRIPTION: Residential Re—roof to install asphalt shingles — 22 sq Pitch = 4/12
1, 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 furt attest tha am le all uthorized t include all entities named within this document as parties to the work to be
per nd t at all be perfg ed is disci d in this document and/or its' accompanying approved plans and specifications.
Signature or OWNER or TRACTOR (Circle one) Date
I. This permit was issue ed 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 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 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 border 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'co r any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
%�y .
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 70
From: no-reply@ci.wheatridge.co.us C
Sent: Wednesday, October 18, 2017 11:27 AM -�
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Flag Status:
Follow up
Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 10210 W 34th Ave
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Gustavo Jimenez
805-234-0654
17
R
Property Owner Email
brandon@keyrenterdenver.com
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
10210 W 34th.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Roofcorp of Metro Denver, Inc
Name
.
Contractor's License
1
021001
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-766-2444
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
6890 S Tucson Way
(Primary address of your
business)
Contractor Email Address
permits@roofcorpinc.com
Retype Contractor Email
permits@roofcorpinc.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
22 ,
the entire scope of work:
Project Value (contract
15000
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
18
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 22
part of the PITCHED `
roof?
Describe the roofing 50 yr asphalt
materials for the
PITCHED roof -
Type of material for the Asphalt
PITCHED roof -
Provide any additional House reroof
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
19
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Stuart Webbb
Email not displaying correctly? View it in your browser.
20
1685 S. Colorado Blvd, Ste 240 6890 South Tucson Way
'Denver. CO 80222
® Centennial, CO 80112
1303) 766-2444 "R
®®FC®RP
1
Not just another house... Of Metro Denver Inc.
BBB
It's your home! AGREEMENT FOR ROOF INSTALLATION F.
Gold Star Award
A+ Rating
f a
ADDRESS: �? �� iJ. � Au, cityl���'�� I Zip ���✓ � DATE: -2 Z
OWNER: SALES REP:
.
PHONE: home: S -- cell::ge' 7/5 %U- work/email: �"� TC, y,
If this contract is for an insurance or manufacturer defect claim, AGREEMENT SHALL BE CONTINGENT UPON
INSURANCE COMPANY OR MANUFACTURER APPROVAL.
Roofcorp Inc. hereby agrees to supply all materials and labor necessary to install roof as speccied bel
New roofing material: manufacturer -OV -1y5 � ting: ' ` color: t
✓ Remove and dispose of existing layers of shingles /)C wood shake other
✓
Install new manufacturer approved underlaytnents on entire roof. Felt grade shall be
✓ Remove existing valley and replace. New valley material shall be 96-)141
✓ New plywood/OSB decking shall shall not /� be installed.
✓ Remove trash and debris from property and use magnetic sweep for nails.
✓
✓
Mise items
Replace/install new flashing as required by code.
In addition to manufacturer warranty, Roofcorp will provide ❑ 2 5 year transferable workmanship warranty.
Upon request homeowner
It'
%fi(Pf -I �,_ 11, SAA, !
receive a written invoice with lien waiver and 5 year roof certification.
In the event there are hidden layers of existing roofing found, damaged decking is replaced, damaged /deteriorated siding is replaced,
code upgrades are required, or other mist repairs are needed, customer understands that Roofcorp shall submit a supplemental claim
to insurance company and shall be paid full recovered amount of supplemental claim including overhead profit. In the event that
said required additional items e not reppvere,d from insurance corn ay customer agrees to reimburse Roofcorp for said repairs on
ep
material and labor basis.,
Insurance Company/Manufacturer: C/ � ,.', CLAIM # - 1
Phone:_ 5,�� Fax: Type Of Loss
Adjuster
Adjuster Phone
Email:
Full Replacement Coverage Yes �' No, Actual Cash Value Coverage Yes No, '' , Code Upgrade Coverage Yes, No
Roofcorp hereby agrees to replace roof to above specifications/for insurance coo pany RCV (Replacement Cost Value)
TOTAL$ TOTAL APPROVED INSURANCE $
Payment terms: Payment is due upon completion and shall be cash or check. In the event the city inspections are delayed;
customer agrees to pay 90% of contract price (or first insurance check) within 10 day§ c�-Qmpletion and balance once
Docu&gn Envelope ID: 97156DB1-90D9-44D4-9F77-552BA260A2AA
�ouul �_oiorauo MN CI, etc -
Deriver. CO 80222`%
6890 South Tucson «av 1+
�} e'RP
Centennial. CO 80112 K Of Meir De ver Inc. �r
(303 ) 766-2444 office
(303) 766-0077 fax
roofcorpCmsn.com email
www.roofcorpinc.com
AGREE NIE T FOR ROOF INSTALLATION
Gustavo Jimenez
CUSTO'\iL-R\:�'�9E:
ADDRESS: Cite Zip
PHONE: 805-234-0654 ,mail gpjimenez@gmail.com
Roofcorp of Metro Denver Inc. hereb\ proposes to furnish the folloxvin�ty:
Roofing MaWrial: Color:
Existing Lavers:
Layers to be torn .off:
The follo"ine items are included for all Roofcorp installations:
Structures:
Rating:
Clean job site ihorou2hIv rernovtng all trash and debris_
All flashings shal l be replaced or sealed as necessary including pipe jacks. step flashing. chimneys and skAYIights.
:all roof installations shall be in accordance with required manufacturer specifications.
Upon request. customer shall be provided with written invoice which includes lien xcaiver and 5 year roof certification.
In addition to the manufacturer warraniv. a 2 S rear transferable work?nanship «arrancy is included for all installations.
It is understood that anv decking which requires replacement shall be installed for an additional charge of S-50 per 8x4 sheet.
In the event that there are "hidden lavers"° found during tear W. an additional charge of S25 per 100 sgft per layer may apply.
ADDITIONAL COi1IENTS / ADDITIONS: _
TOTAL. PROPOSED COST TO J N ST AL.L ROOFING SYSTEM
.Note: Above e price includes all taxes and fees but does NOT include any options listed below+.
Pa}-ment terms: Payment is due upon completion and shall he cash or check. In the event the cite inspections are delayed, customer agrees to paN
90",0 of contract price (or first insurance check) N ithin 10 days of completion and balance once inspection is closed out. if payment is made with
credit card there shall be an additional charge of 1.'-;% added to balance paid.
Options and upgrades: (N hen initialed be customer, all option prices shall be added to the total proposed cost listed above.)
Shingle upgrade:
Shingle upgrade:
Mise. upgrade:
S=
S -
Initials
Initials_ ---.os
Initials
5" seamless aluminum nutters and _x3 downSPonts: S— Initials
oou igne y:
-- - date raUSi�Au�b ,�wtt,Ine/� date 7/29/2017
Rootcorp Of Metro Denver Inc. O i ticF D807cD3c9e0a4D5...
Bv si_r:in_° this a_reement. it i> undl rStood that this :hall become a le_ lix Nndin_ contract. Pad ment for above work shall be due upon completion. in the event that
pay?nen: is not recei-,ed a ithin t0 da%s aber completion. sn; balance shall be subject to a late lee of Lie(, Per
month from the day of completion. Customer
shall also be responsible for the cost of collecting said debt and a ill be addit.onaIN liabic for all court cost_. cotiection a<_>ency and 2nom.yie<zst lees.
Customer shall ha,.e the rid>ht to cancer this a_reemrnt in ii ruin_ x3 ititir.: da%S of s _nin_.
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: 30,6 141119
Job Address: I0 3-10 W AC
Permit Number: f 7®g
❑ No one available for inspecti - : Time 7 AM/PM
Re -Inspection required: Yes No
When corre/cti s have been made, call for re -inspection at 303-234-5933
Date: ( Inspector:
DO NOT REMOVE THIS NOTICE
GGLt ,mac/
inspectionInspections will not be performed unless this card is posted on the project site.
Call the beforei p.m. to receive an inspection• business N
mowg�aK��u�l iu
Foundation #wInspector �►.9�
Initials
Monolithic Slab Reinforcement
Encased Ground (CEG)
.-Concrete
���
Inspector
Inspections
Initials
Electrical (Underground)
Water Service (Underground) « # w # �I� IIS.........
FM
I # ««ctor
h Inspections
Comments
Initils
'^ . #
Roof Sheathing
:.
ough Mechanical
N�
# #Do
Not Proceed WithquttApproval Of Abo, Rank!Mna ons
Framing
Insulation
ScrewRough
Drywall Nail
���.
Final # I w � ! #
Comments
Final
11MI# • �
...
Final« ...�
Final Building/ Frame
ROW & Drainage / Public Works
Fire Inspection / Fire Protection D'st.
! «' : ! 1... ! .,...i a # :. # • 1, < # # s ! ♦ # f 1. r'r #: ! # -!
.ca. r pro+
a
.. ss � " ' ," � > � a �_ +r "r rx. �" ". M at a o f.� r a �: �It ♦ .,. �.., ; �. �.
FOR OFFICE USE ONLY
City of *
.,i(R"�Wh6atl�
Building & Inspection Services Division
ti; > 1
7500 W. 29th Ave,, Wheat Fridge, CO 80033 Plan Review
Office: 303-235-2355 * Fax; 303.237-5929
Inspection Line: 303-234-5933
Building it Application
Please tome ete alt highlighted, a s oo bothsides of this tonn. In pets applications may not boProcessed.
we.
Mailing Address (if different than property address)
Address,
Ci!Y, Mate, ZIP: _
Architect/Engineer E- ail, _. Phone
■
Contractom City License !hone. - —
ContractorE-mail Address:
Stab Contractors:
Electrical: Plumbing: Mechanical:
WR. 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 far
w
r. «� arae ♦ r : r a r. � ... r a
r x a r r a r r a r r r a
Sq. FULF Btu's a 3 Gallon
Amps Squares.Other
1 / 41 CITY OF WHEAT RIDGE
r Building Inspection Division
f (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: sA Pl.
Job Address: tlrIA
Permit Number:
v�
❑ No one available for inspection: Time S 1, /�rtn
Re- Inspection required: Yesf Nb C__ -'
l
"When corrections have been made,, call for re- inspection at 303 - 234 -5933
Date n Inspector:
�v
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
' ;* v Building Inspection Division
� (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: /��;� �09
Permit Number: te s!ii
❑ 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 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: wl~_r
Job Address: 1&VIO w Yr~ *(/9
Permit Number: le p,,26.?
❑ No one available for inspection: Time r?t'YO AM/ M
Re-Inspection required: Yeses
*When corrections have been made, call for re-inspection at 303-234-5933
Date: 3 /O Inspector:
DO NOT REMOVE THIS NOTICE
100263 ISSUED:'.. 01/28/2010
10210 W 34TH AVE EXPIRES: 07/27/2010
Install new direct vent aas !insert into existina
bUt31)1V1SlU1V: Ub4b
'h6 VU&/LUl$: V/:
N%
r,
FEE SUMMARY
ESTIMATED
PROJECT VALUATION: 2,800.00
FEES
Permit Fee
108.30
`
Total Valuation
.00
lf
Use Tax
50.40
V
J~~
a
.
TOTAL
158.70
Conditions
E WHEgT
o P
v m
~~LORP~O
Plan Review
Building Permit Number: z)
Date: "
Property Owner: Eli z; bee% - ICS
Property Address: 1&,Z)o w3St~Rvcn e
Contractor License No.:
Company:
>cFJ~4ct 7~Gr,%/ ~xy0<tS
Phone: 30 3 2 3 5- 01'7
Phone: 3 03887- 5~7z7
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Building Dept. Valuation Figure: $
Value:$ 2
Pe=t Fee:$
Plan Review Fee:$
Use Tax:
Total:$
Use of Space (description): I?e,,a a `Ky,4-6 F.'.r~Jac< ana/ ;456,# ci clew
Description of work: #th;cct Vent yos';'~ge.t Connrcd: 9 to e><:st') gas 4ekee-r-
Sq. Ft. added
Expiration Date: __Expiration_Date:_ Expiration Date:
Approval: Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subjectto 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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(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 for a 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.
(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 review
is subject to field inspections.
Chief Building Official-
City of Wheat Ridge
Community Development Department
MINOR
RUrL DING PERMT
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.
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Jan 28 10 02:36p Fireplace and Grill
HEAT&GLO.
No one builds a better fire -
Models:
Cosmo-SXT-IPI
Cosmo-GXT-IPI
CAUTION
GAS-FIRED
C UL US
LISTED
pcq~ t
v~s r
7
DO NOT DISCARD THIS MANUAL
• Important operating Read, understand and follow - Leave this manual with
and maintenance these instructions for safe party responsible for use
instructions included. installation and operation. and operation.
A WARNING: If the information in these
instructions is not followed exactly, a fire
or explosion may result causing property
damage, personal injury, or death.
• Do not store or use gasoline or other flam-
mable vapors and liquids in the vicinity of
this or any other appliance.
What to do if you smell gas
- Do not try to light any appliance
- Do not touch any electrical switch. Do not
use any phone in your building.
- Immediately call your gas supplier from"a
neighbor's phone. Follow the gas suppli-
er's instructions.
- If you cannot reach your gas supplier, call
the fire department.
• Installation and service must be performed
by a qualified installer, service agency, or the
gas supplier.
This appliance may be installed as an OEM installation in
manufactured home (USA only) or mobile home and must be
installed in accordancewith the manufacturers instructions and
the manufactured home construction and safety standard, Tide
24CFR, Part3260 or Standard for Installation in Mobile Homes,
CAN/CSA Z24OMH.
This appliance is only foruse with the type(s) of gas indicated
on the rating plate.
I A WARNING I
720-529-3771 p.1
Owner's Manual
Installation and Operation
NOT SURFACES!
Glass and other surfaces are hot during
operation AND cool down.
Hot glass will cause bums.
• Do not touch glass until it is cooled
• NEVER allow children to touch glass
• Keep children away
• CAREFULLY SUPERVISE children in same room as
fireplace.
• Alert children and adults to hazards of high temperatures.
High temperatures may ignite clothing or otherflammable
materials.
• Keep clothing, furniture, draperies and other flammable
materials away.
This appliance has been supplied with an integral barrier
to prevent direct contact with the fixed glass panel. DO
NOT operate the appliance with the barrier removed.
Contact your dealer or Hearth & Home Technologies if the
barrier is not present or help is needed to properly install one.
In the Commonwealth of Massachusetts:
• installation must be performed by a licensed plumber
or gas fitter;
• a CO detector shall be installed in the room where the
appliance is installed.
Installation and service of this appliance should be
> performed by qualified personnel. Hearth & Home
Technologies suggests NFI certified or factory trained
professionals, or technicians supervised by an NFI
certified professional.
Heat & Glo • CosmoSXT-IPI, Cosmo-GXT-IPI • 2203-900 Rev. E • 1110
Jan 28 10 02:37p Fireplace and Grill 720-529-3771 p.1
1 Listing and Code Approvals -
A. Appliance Certification
MODELS- CosmoSXT-IPI, Cosmo-GXT4PI
,LABORATORY- Underwriters Laboratories, Inc. (UL)
TYPE: Vented Gas Appliance Heaters
STANDARD: ANSI Z21.88B-2009 • CSA 2.33A - 2008
This product is listed to ANSI standards for "Vented Gas
Appliance Heaters" and applicable sections of "Gas Burn-
ing Heating Appliances for Manufactured Homes and
Recreational Vehicles", and "Gas Fired Appliances for
Use at High Attitudes".
NOT INTENDED FOR USE AS A PRIMARY HEAT SOURCE.
This appliance is tested and approved as either supplemen-
tal room heat or as a decorative appliance. It should not be
factored as primary heat in residential heating calculations.
Note: To assure top performance, safety and efficiency,
inserts must be installed with an approved flue liner as per
CANICGA B-149 or National Fuel Gas Code ANSI 7223 and
these instructions.
C. High Altitudes Installations
U.L. Listed gas appliances are tested and approved with-
out requiring changes for elevations from 0 to 2000 feet in
the U.S.A. and Canada.
When installing this appliance at an elevation above 2000
feet, it may be necessary to decrease the input rating
by changing the existing burner orifice to a smaller size.
Input rate should be reduced by 4% for each 1000 feet
above a 2000 foot elevation in the U.S.A., or 10% for el-
evations between 2000 and 4500 feet in Canada. If the
heating value of the gas has been reduced, these rules
do not apply. To identify the proper orifice size, check with
the local gas utility.
If installing this appliance at an elevation above 4500 feet
(in Canada), check with local authorities.
A WARNING
Do NOT use this appliance if any part has been under water.
Immediately call a qualified service technician to inspect the
appliance and to replace any part of the control system and
any gas control which has been under water.
D. Non-Combustible Materials Specification
Note: This installation must conform with local codes. In the
absence of local codes you must comply with the National
Fuel Gas Code, ANSI Z223.1-latest edition in the U.S.A. and
the CANICGA B149 Installation Codes in Canada.
B. BTU Specifications
Models
Maximum
Minimum
orifice
(U.S. or Canada)
Mput
Min
input
STUM
Sze
CUM$)
C
SXT
IPI
NG
us
(02000 FT..)
24,000
18,000
42,
osmo
-
)
(
CANADA
21,600
16,200
43
-
(2000-0500 FT.)
C
GXT
IPI
G
us
(0-2000 FT.)
29,000
20,000
38
osmo-
-
(N
)
CANADA
26,1 D0
18,000
39
(2000-0500 FT.)
us
(0_2000 FT.)
24,000
18,000
33
CosmoSXT4PI (LP)
CANADA
21
600
16
200
54
(20004500 FT.)
,
.
C
GXT
IPI
LP
us
(0
2000 F
T.)
29,000
21,000
52
osmo-
-
(
)
DA
CANA
26100
18,900
53
(2000-4500 FT.)
Material which will not ignite and bum- Such materials are
those consisting entirely of steel, iron, brick, tile, concrete,
slate, glass or plasters, or any combination thereof.
Materials that are reported as passing ASTM E 136,
Standard Test Method for Behavior of Materials in a
-Verticaf Tube Furnace at 7500 C, shall be considered
non-combustible materials.
E. Combustible Materials Specification
Materials made of or surfaced with wood, compressed
paper, plant fibers, plastics, or other material that cgn ig-
nite and burn, whether flame proofed or not, or whether
plastered or unplastered shal I be considered combustible
materials.
F. Electrical Codes
NOTICE: This appliance must be electrically wired and
grounded in accordance with local codes or, in the absence
of local codes, with National Electric Code ANSI/NFPA
70-latest edition or the Canadian Electric Code CSA
022.1.
A 110-120 VAC circuit for this product must be protected
with ground-fault circuit-interrupter protection, incompliance,
with the applicable electrical codes, when it is installed in
locations such as in bathrooms or near sinks.
Heat & Glo - Cosmo-SXT-IPI, Cosmc-GXT-IPI - 2203-900 Rev. E - 1110
..Valuation..
ax
PAL
`'s
OFWHEgT~i City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
U
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
pCORP~
Date: Gl
Plan
Permit 0S'C/
Building Permit Application
Property Address: r 0'2"() t)GS1' 3'I L 14-Ve- &)Jfca-9f6 J d'r9U 33
Property Owner (p/ease print): t-L) 5A13,cTFt t Cy rr7g-- 195 Phone( 303) 23S 01 17
Mailing Address: (if different than property address)
Address:
State,
Contractor: y-/At-A CIe,V-0Xve-s7onf e0 .
Contractor License / -5-1 Phone: CS 0 3 J! 341 3 ° 310 S
S,ub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
X00
Use of space (description): Construction Value: $ 7
Description of work: (as calculated per the Building Valuation Data sheet)
L~YV eTt yY r~ r~
.e><X-0 79i Plan Review (due of time of submittal): $
/oysYLY S t/.~yL $ 3.. ,0
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 all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINTNAME: ~m 'T~m~s mt SIGNATURE: Date: S`~"17
l?EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12708
BUILDING WSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 8129/01
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 10210 W 34TH AVE Phone : 472-9330
Contractor License No. : 18118
Company : Excel Roofing, Inc. Phone : 761 6400
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $10,960.00
I hereby certify that the setback distances proposed by this permit application are accurate, and Permit Fee : $195.25
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 Plan Review Fee : $0.00
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 US@ T8X : $164.40
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
9 _ ° / I I uLai . I
(OWNER)(CONTRACTOR) SIGNED~~inMP~ DATE ~z
USB :
Description : TEAR OFF AND REPLACE WITH 27 SQ. CELOTEX AUTUMN BLEND 40 YR
mo
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This permit was issuetl in accordance with the provisions set forth in yopur application and is sub'ect to the laws of the State of Colorado and to the Zoning
wu lations and Building Code of Wheat Ridge, Colorado or any oiher applica ble ordinances of t~e City.
permit shall expire if (A) the work authorizetl is not commenced within sixly (60) days from issue date or (B) the building au[horizedis suspentled or
doned for a period of 120 days.
permit expires, a new permi[ may be acquired for a fee of one-half ihe amount normally required, provitled no changes have been or will be made in the
al plans antl specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or a6andonment
ds one (1) year, full fees shall be paid for a new permit ork of any manner shall be tlone that will change the natural flow of water causing a tlrainage problem. ractor shall noiify the Building Inspeclor hventy-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card before
ediing with SUCCessive phases of the job.
ssua of a permit the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violatitqi of the provisions
b~ in cod other ordinance, law, rule or regu
la6on. . . .
Chief Building In ector
, t /zl 2
I' DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
PropertyOwner: Ctin'S , gr; fwez
PropertyAddress:j6216) 4.,).3/fia~~ whe~fr~'dye5 ce.80v~3phone:363-`~~~
Contractor License No.
Company: Phone: 303-'7&"-~'100
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
ConstructionValue: /p" yv.oo
Permit Fee :
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 accurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE e-L
Use Tax :
Total :
use :
Description: 7Eu~ vf( ~.,c) ~ePlwce ~ G• Cc/c~e?<
BUILDING DEPARTMENT USE ONLY
Z3T~
Approval :
Zoning :
Bui~dina :o"~G mmen sf~_~
Approval :
_PMMot~~"'ra~
Approval:
Occupancy : Walls
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company :
Mechanical License No :
Company:
Expiration Date :
Approval :
Expiretion Date :
Approval :
(1) This permit was issued in accortlance willi the provisions set forth in yopur appliw6on and is subject to the laws of the State of Coloretlo and to the.Zoning
Regulations antl Builtling Code of Wheat Ridge. Colo2tlo or any other applicaEle ordinances otthe Ciry.
(2) This permit shall expire if (A) the woAC authonzed is not commenced within sixly (60) days 6am issue date or (B) the building authorizetl is suspentleC or
abantlonetl tor a penod ot 120 days.
(3) IF ths permit expires, a new pertni[ may be acquired for a tee ot one-half the amount nartnalty require4 provided no changes have heen or will be made in the
orig inal plans and specifica6ons antl any suspensian or abantlonment has not exceetled one (7) year. If changes are made or if suspension or abandonment
ezceeds one (t) year full tees shall be paitl tor a new ertnk
(Sj
(6)
of any manner shall 6e tlone ihat will change p
the naNral tlaw of water causing a drainage problem.
or shail notify the Builtlin9 Inspector iwenty-four (24) hours in atlvance for all inspectlons and shall receive wntten approval on inspection card betore
ing with successive phases of ihe job. .
ance of a pertnit or the approval of d2wings and specifications shall not be consWed to be a permit for, nor an approval of, any violation of the provisions
iltling cotles or any other otdinance, law, rule or regula6on.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
9567
10/4/99
Property Owner :
Property Address : 10210 W 34TH AVE
Contractor License No. : 17152
Company : Precise Plumbing
Phone: 949-8725
Phone: 534 0881
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 wnditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Replace hot water heater
Construction Value :
$350.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$23.50
Use:
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is sub1'ect to the laws of the Sta[e of Colorado and to the Zonin9
Regula6ons and Building Code of Wheat Ridge, Coloratlo or any other applipble ortlinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixiy (60) days (rom issue date or (B) the building authorizetl is suspendetl or
abandoned for a period of 120 tlays.
(3) If this permiF expires, a new permit may be acquired for a fee of one-halF ihe amount nomially required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonmenl has not exceeded one (1) year. If changes are made or if suspension or abandonmen[
ezceeds one (1) year, full fees shall be paid for a new permit
(4) No work of any manner shall be done thatwill change the naturel Flow of water causing a tlrainage problem.
(5) Contrac[or shall notiry the Building Inspectoriwenty-four (24) hours in advance for all inspections antl shall receive written appmval on inspection card before
proceediing ' successiv phasesofthejob.
(6) The issua e a he approval of drewings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of th mg o her i ance, law, rule or regulatiort Chief Building Inspector
1 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTfON OIVISION • 235-2866
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : •
Property Address : /O A /O W. 3 y Phone :
Concractor License No. 7/ 1-1Z
company : 3 e3,)
y Phone : s'Fy_o 8~sr/
~ OWNER/CONTRACTOR SIGNATW pF UNDERSTANDING AND AGREEMENT
I heieby cerufy that the setDadc tlistances propoyeC py this partM apppqtjpn are acCYrate.
antl Oo not nolate acpuabb ommanoes. rules or reguyUOm of ihe Ciry of Whea[ RitlQsor
covanams. easemenn a resactions W reapny: ftt an meuuromerns aNOwn. sna allagauons
rm+as arc axurate: mat I have reaa anC ro abi0e by an eontfiaons 9rtnt.tl-an thia
a9Plxedon. ana cnat Ia"urroahiilfor eomPUanw wah Me YYINat Ritlqs 8u9din9
CoCe (U.B.C.) ana aU othx app~pbN YVhNt ' prpmanm. for wotk. under pha pomut
(OWNER)(COMTRACTOR) SIGNED/~v~ R~DATE D /
Construction Value : 3 so ~
Pertnit Fee : z i SO
. . 1356 TaJ( : .%-o,'S . 9C+-c„iy
TOtal : 2 1-
escnpGon .
Z~f1fi7t`L~b~ifttie
Approval :
Zoning :
Fi8( duiir?~+~•
Approvai
. PQ61[t~Wb7l~tun~iis~
i . Appreva! :
Occupancy : Walls
Electncal License No :
Company :
BUILDING DEPARTMENT USE ONLY
Roof
Stories
Residential Units :
Piumbing License No
Company:
Mechanical License No :
Company :
Expire6on Date : Expiradon Date :
Approval : Expiratlon Date :
Approvai : Approval :
PIYhs ROuUed:°'
: ~ ~uitHtl~1
(1) Thii oermrt was iswea o armmanea rmm me wewans sel lorm n yowr aowpbon ana u suWea ro me iaws d me Sfaa d Cobnao ana m me Zoniig
RepWauw+s ax 8utioug Coea of NTeat Rwqa. Co:oraco a arry oNx aopunda «oinanees of tne Ciry.
; 21 This oarmrt snan ezoue d(a) me waic auvanzee u rot eommencea
.
aDanaonca ror a oerwu or tZO aan. wdvun " (80) aayt trom itsw Wh a(B) the EuilCUq autnonxaa q susWtwW w
(3) if we Permrt e:aros. a new wrmt ~n~ a sefin ~Mn me amoum normeuy reauusd. prwqaa rb yyipes nav~ Own a wulW mea n tne
0^0~ Wans ana sDeemrat~s sra any nam naa not exoeeaw ona (i) ysar. p
acaeas one 11) yea/. h~li kes snau Oe aq ror a naw oemme ~ aro maas a if suspewon a awnoorrnont
(4) ~ IJO wwK ot am manner snan Oe Oone mae wtl1 enanqe me nau= Ilow or watw pusinq a eninaqe pru0km.
f5) Contraa0[ Snall npUN.tne 8 WlCUtq In30lCly t1v"ry.lpyf (24) IlOUfs m a0van0! !O/ all iMpOCpph7 l!q iMq ffGlrvp "pen aPqpy,l pn infpK00f1 GI? DOkf~
-v~ceeCimq witn sueeassrve oMSe! ot tne p0.
(6) TTG uauan~e o/i Oemirt Of N! 70Pfovil 0/ Ernwnqs anG SOea(iCauOn2 Snill nOt Ds cpnSWeO tp pp 1 pefM (p. nq an IP0rovs10l. ilry vIpIaG0110! Qlf pfWifqns
o! me owwmq Cmes or any omer ommance. ww. ru:e a reqwuon.
Chief Buiiding Inspeccor For Mayor
.:THIS..PERMIT VALID ONLY WHEN SIGNED 8Y THE•ENIEF'BtlILDIWG INSPECTOR AND MAYOR "
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9526
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 9/23/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80275 - (303-235-2855)
Property Owner :
Property Address : 70210 W 34TH AVE
Contractor License No. : 17885
Phone : 2384593
Company : Lakewood Plumbing, Inc. Phone : 233 7007
OWNER/CONTR4CTOR 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Description : Replace damaged boiler
Construction Value :
$3,780.00
Permit Fee :
$97.25
Plan Review Fee :
$0.00
Use Tax :
$56.70
Total:
$153.95
Use:
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date :
Approval :
Expiration Date :
Approval :
Expiration Date :
Approvai:
(7) iriis permit was issued in accordance with the provisions set Forth in yopur application and is subject to the laws of fhe Siate of Coloratlo antl lo the Zoning
Regulations antl euilding Code of Wheat Ridge, Colorado or any other applipble ordinances of ihe City.
(2) This permit shall expire if (A) the work authonzed is not commenced within si#y (60) days from issue date or (6) the building au[horized is suspended or
abandoned for a period of 720 days.
(3) If this permit ezpires, a new permit may be acquiretl for a Fee of one-half the amount normally required, provitled no changes have been or will be made in the
original plans antl specifications and any suspension or abandonment has not exceetletl one (1) year. If chan9es are made or if suspension or a6andonment
exceeds one (t) year, full fees shall be paid for a new permit.
(4) No woric of any manner shall be done that will change the naturel Flow of water causing a drainage problem.
(5) Contractor shall notiry the Building Inspectorhventy-four (24) hours in advance for all inspec6ons antl shall receive wntten approval on inspeciion card before
proceediing with successive phases of thejob. (6) The issuance of a permit or the approval of tlrewings and specificalions shall not be construed to be a pefmit for, nor an approval of, any viola[ion of the provisions
of ihe uilding cotles or any o[her ordinance, law, rule or regulatiort ~rc,~~ 49~7
B,griding Inspector
Chie
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APpLICATIo N
PropertyOwner: -J-(Jl (l 6e~~*WA-0
Property Address : lb -Lf0 '5 q+11 A Je
Contractor License No. : 178$ J
Company: (e,~-~~GQ~~bI-VV1(9)'
,
3D3
Pnone : 3~-qS,j 3 303
.C Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGRE ENT
I hereby certify that the sethack distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restridions of record; that all measurements shown, and allegations
made are accurete; that I have read and agree to abide by all conditions printetl on this
application, and that I assume full responsibi' for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe idge ordinan for work under this perznd.
(OWNER)(CONTRACTOR) SIGNED ,DATE 13 -59
Description: I&fA a~mc,-~
--7O
Construction Value : 3-7 yLr~ °C
Permit Fee :
Use Tax:
Total :
Use
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning :
Approval:
MNICW-=-t--,mm~
Approval :
Occupancy : Walls
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiretion Date :
Approval: Approval: Approval:
(1) This pertnit was issued in accoitlance with the pmvisions set forth in yopur applica6on and is suhject to the laws af the State of Coloratla antl to the 2oning
Regulations antl Builtling Cotle of lMieat Ridge, Colo2do or any other applicable oNinances of the City.
(2) This pertnit shall expire if (A) the work aufhorized is not commencetl within sirzty (60) tlays from issue tlate or (B) the huiltlin9 authonzetl is suspendetl or
abantlonetl for a perioG of 120 days.
(3) If Mis permit expires, a new pertnit may be acquired for a fee of one-half the amount nortnally requireQ provitletl no changes have been or will be made in the
original plans antl specifintions and any suspension or abantlonmen[ has not racceeCetl one (1) year. It changes are matle or if suspension or a6andonment
exceetls one (1) year. PoII fees shall be paitl for a new pertnil
(a) No work of any manner shall be done Mat will change the naN21 flow of waler nusing a d2inage problem.
(5) ConVactor shall notlfy the Builtling fnspector iwenty-four (24) hours in atlvance for all inspeMions and shall receive written approval on inspection prd before
proceetliing with successive phases of the job. .
(6) The issuance of a permd or the approval of drawings and specificatlons shall not be consWetl to be a pertnit for, nor an approval af, any violatlon of the pmvisions
. of the builtling cotles or any other ortlinance, law, rule or regulahoa .
Chief Buiiding Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address :
Contractor License No. :
Company:
BUSBOOM AGNES M H
10210 34TH AV
Date :4/19/95
Phone : 233-1388
Phone:
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 ayree to abide by all conditions printed on this
application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Description : KITCHEN
Total: $231.00
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
o'
(1) This permitwas issued in accordance with the provisions set foAh in yopur application and is subject to the laws of the State of Coloredo and to the Zoning
Regulations and Builtling Cotle of Wheat Ridge, Coloratlo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authonzed is suspended or
abantloned for a period of 120 tlays.
(3) If this permit expires, a new permit may be arquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans antl specifica6ons and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment
exceeds one (7) year, full fees shall be paid for a new permit.
(4) No work of any manner shall 6e done that will change the na[ural flow of water causing a dreinage problem.
(5) Contrector shall no[ify the Building Inspector twenry-four (24) hours in advance for all in ctions and shall receive itten approval on inspection wrd before
proceediin9 with successive phases of the 7ob.
(6) The issuance of a permit or the approval of drawinqs antl specifications shall not be co trued to be a permit for, o an proval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or re9ulation.
/ " (94a
iief~uilding Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECT AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
Building Permit Number : 95-775
Construction Value :
$6,000.00
Permit Fee :
$81.00
Plan Review Fee :
$0.00
Use Tax :
$150.00
AM
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-775
Date :4/19/95
Property Owner : BUSBOOM AGNES M H
Property Address : 10210 34TH AV
Contractor License No. :
Company :
Phone: 233-1388
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiTy 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 (U.B.C.) and all other applicable Wheat Ridge ordmances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : KITCHEN ADDITION
Construction Value :
$6,000.00
Permit Fee :
$$1.00
Plan Review Fee :
$0.00
Use Tax :
$150.00
Total:
$231.00
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
miwfflmwm m
(7) This permit was issued in accordance with the provisions set forth in yopur appliration and is subject to the laws of ihe State of Colorado and to the Zoning
Regulations antl Building Code of Wheat Rid9e, Coloratlo or any other applicable oMinances of the Ciiy.
(2) This permit shall expire if (A) the work au[horized is not commenced wi[hin sixty (60) tlays from issue date or (e) the building authorized is suspentled or
abantloned for a period of 120 days.
(3) If this permit expires, a new pertnit may be acquired for a fee oF one-half the amount normally required, providetl no changes have been or will be matle in the
original plans and specificalions and any suspension or abandonment has not ezceeded one (1) year. If changes are matle 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 6e done that wi0 change the natural Flow of water causing a drdina9e pmblem.
(5) Contractor shall notify the Building Inspector hventy-four (24) hours in advance for all inspecfions and shall receive written approval on inspection card before
proceetliing with successive phases of the job.
(6) The issuance of a permit or the approval of drewings antl specifcations shall not be construed to be a permit for, nor an approval of, any violalion of the provisions
of ihe building codes or any other orUinance, law, rule or regulation.
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
a
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVI510N - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
/-Property Owner : ~p.~c~r .,rr. /~i~ ~7• ~u~ ~~z-~c~ f c/
-7/PropertyAddress2lo _eecl. Oy✓[ Phone:
Contractor License No. : `~6 1
Company : Phone :
OWNER/CONTR.4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
-~Construction Value: ~ooo• o0 .
I hereby certify that the setback distances proposed by this permit application are accurate,
anG tlo not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of recortl: that all measurements shown, antl allegations
made are accurate: that I have read antl agree to abitle by all conditions printed on this
application, and that I assume tull responsibility for compiiance wdh the Wheat Ridge Building
Code (U.B.C.) and atl other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE ~
~ Description: (X/d Q"V/1 e-~['"'
l
BUILDING DEPARTMENT USE ONLY
T~Sir~`:~'~i ti~f§[ftS"9 aL.aY wmN x lo1 qf:~tnor!
Approval:
Zoning : Q - I
6IIL Imen~ 03 q tJ r3 C,
~ h,o1e4 ~c~
Approval :
FQ61Cy~'1N6?dc3'~E~n1118[►-tsp
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date :
Approval:
3 msmF-w-gi
Expiration Date :
Approval:
~ P[~nsRgquved
Permit Fee :
Use Tax :
Total :
Expiration Date :
Approval:
11 t'F2. 1~~0
(1) This pertnR was issuetl in accortlance wiN the provisions set (orth in yopur appliw0on and is subiect to the laws ot the State of Colotatlo and to the Zoning
Requlations antl BuilOing Code of Wheat Ridge, ColoreOO or any other applicable ortlinances of the City.
(2) This permR shall expire if (A) the work authonzed is not commencetl wlthin sizty (60) tlays trom issue tlate or (e) the building auNOtlzetl is suspended or
abanEOnetl for a penod of 720 tlays.
(3) If this pertnit ezpires, a new pertnit may be acquired kr a fee of onc hatl the amount nortnaly required, providetl no Uanges have been or will be maCe in the
onginal plans antl specificaGOns antl any suspension or abantlonment has not excee0ed one (1) year. If changes are matle or if suspension or abantlanment
exceeds one (1) year, PoII fees shall be paid for a new permit.
(4) Mo work of any manner shall be tlone tnat will change the natural fiow of water wusing a d'age pmblem.
(5) Cont2ctor shall notify the Building Inspector Rvenry-four (24) hours in atlvance for al ins ns antl shall receive wn n pproval on inspection carC before
pr iing with successive phases of the job.
(6) ~ suance of a pertnit or the approval of tlrawings antl specifications shall not be co st etl o be a pertnit (or, noS an ppr a, ny viola6on of the provisions
builtli cotles or y o[ r ortlinance, law, ruie or regulation.
!
f 64-11- 44
hief Building Inspector or Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTORMD MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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