HomeMy WebLinkAbout5930 W. 34th AvenueFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement
Date: Thursday, January 13, 2022 11:49:30 AM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
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PERMIT APPLICATION Water Heater Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Do Not use this form if the Water Heater is changing locations or if this is a
conversion to a Tankless Water Heater. Please use the General Permit
Application for a more comprehensive review.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 5930 W 34th Ave Wheat Ridge, CO 80212
Property Owner Name Ida Frink
Property Owner Phone 303-237-8122
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
permits@applewoodfixit.com
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Applewood PHE
Name
Contractor's License
18236
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-458-5988
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@applewoodfixit.com
Address
Retype Contractor
permits@applewoodfixit.com
Email Address
DESCRIPTION OF WORK
Number of gallons
40
Is the water heater
Gas
GAS or ELECTRIC?
If GAS, enter # of
34
BTUs. If electric, enter
n/a
Where is the water main floor
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 5027
value or cost of ALL
materials and labor)
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to 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.
Person Applying for Harrison Miller
Pe rm it
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City of Wheat Ridge no I L40
Residential Roofing PERMIT - 201702507
PERMIT NO: 201702507 ISSUED: 06/26/2017
JOB ADDRESS: 5930 W 34th AVE EXPIRES: 06/26/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING
*** CONTACTS ***
OWNER (303)237-8122 FRINK IDA MURIEL
SUB (303)804-0303 Tom Brown 070055 North West Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,474.62
FEES
Total Valuation 0.00
Use Tax 135.97
Permit Fee 156.75
** TOTAL ** 292,72
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required. to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€rms 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.
occu anc /T
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
'-x6 a
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
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 from the Fire District ano eiectrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201702507
PERMIT NO: 201702507 ISSUED: 06/26/2017
JOB ADDRESS: 5930 W 34th AVE EXPIRES: 06/26/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING
*** CONTACTS ***
OWNER (303)237-8122 FRINK IDA MURIEL
SUB (303)804-0303 Tom Brown 070055 North West Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,474.62
FEES
Total Valuation 0.00
Use Tax 135.97`
Permit Fee 156.75
** TOTAL ** 292.72
*** 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 A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&4F'ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201702507
PERMIT NO: 201702507 ISSUED: 06''26/2017
JOB ADDRESS: 5930 W 34th AVE EXPIRES: 06/26/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING
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 1 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
e
performd a d that all work to, e performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sign ure of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writingand
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy, of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
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. Pleaseeeemail requests to insptimerequestgei.wheatridge.co.us
between 7:30 and 8treWo#wA*t%*"1e inVk6on. Please put the address of the inspection in the subject line.
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
19.32
HOUSE / SHED 5/12 PITCH
Project Value (contract .628.7 74-, 62 -
value or cost of ALL
materials and labor)
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
submit this application
and to perform the work
described above.
Name of Applicant LEILA HAMMONS
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C
_Q RECOGNIZEO A9 A
2ols WINNER
.0.1. it1f 400"NG
North West
.�
Roofing
Since 1963
2425 S. Colorado Boulevard, Suite 280 1 Denver, CO 80222 1 (303) 8040303 1 Fax (888) 846-5545
3630 Sinton Road, Suite 100 1 Colorado Springs, CO 80907 ( (719) 632-6185 1 fax (888) 846-5545
BBB Rating: A+
Proposal sub d to
North West Roofing E limao
Date
Street }�
sLAo
„ {
City' Stat* q,
I -Zvranhce
lob Location/Community
Phone 30 �x _ � � (J
�j
insua �(`'•LIJi
Policy If
Email h �
Adj ster �
Claim
Scope of Work and Materials to be Provided: The scope of work and materials identified
below ill be completed by North West Roofing.
Tear Off Layers
❑ Install Decking (7/16 in. OSB) CHECK DECKING
Install 90 Ib or Ice & Water Shield in Valleys
Install 2 x4 in. Metal Drip Edge Color W ,1(AL— initials
' Install new Felt
Recover Roof with l ,
Year Manufacturer's Warrarift
,---
❑ Shingle Manufacturer G [ Color iG 1 itiais�
dosed Valleys - With ice and Water Shield Underlayment
❑ Open Valley - With Painted Metal
Ridges to be color coordinated shingles
Replace - Rubber Pipe Jacks
1;�Paint Roof Stacks To Match Shingle Color ALL
- Low Profile Vents %� Turbine Vents
)Z�Replace
,❑,(/North West Roofing 3 Year Labor Warranty
`� J Metal Step Flashing 0 Step Flashing Chimney
North West Roofing will Provide General Liability Insurance of at least $1,000,000.00
TTClean Up and Haul Off all Trash
IQ Protect and Clean Up Landscaping
CI� Clean around bushes and shrubs
lean Out Gutters
oil yard with magnetic roller
Permit Furnished by North West Roofing
t agree, by signing below, to ail the contract conditions, bath front & back of this agreement.
❑ By signing this agreement the homeowner authorizes North West
Roofing to represent the homeowner's best interest in pursuit of
roof replacement or repair due to storm damage. This contract does
not obligate the homeowner or North West Roofing until the claim is
approved by the Insurance Company and accepted by North West
Roofing. Upon Approval of the claim, North West Roofing will
complete specific work at the price agreeable to the Insurance
company and to North West Roofing. There is no additional cost to
the homeowner except for their deductible. The agreed upon price
will become the final contract price and North West Roofing will
receive all insurance proceeds and supplements for the work
completed by North West Roofing.
Initial/; �}
❑ The Approximate Costs of the Services $
. Os.
Shall Be The Agreed Upon Cost Between North West Roofing and
Your Insurance Cartier. Their RCV Cost Plus Supplements.
❑ NOTICE If the Property Owner Plans to use The Proceeds Of a
Property and Causality insurance Policy, Part 1 of Article 4 of Title
10, C.R.S., In accordance to Title 10 C.R.S., section 622-105, the
roofing contractor cannot pay waive rebate, promise to pay or
waive rebate or any part of insurance deductible applicable to the
insurance claim for payment for the work on the covered rope
15 e
❑ Deposit Amount $ 1 ` Date:
North West Roofing shall hold in trust any payment from the
property owner until materials are delivered or have performed a
majority of the roofing work on the property. 'May not Include any
additional taxes, base service fees and or supplements that pertain
to the claim.
NO CASH ACCEPTED
❑ Approximate Dates of service: 10 DAYS AFTER AGREEMENT
These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delays, or by any other
causes beyond the reasonable control of Contractor.
❑ SPECIAL INSTRUCTIONS
Date of Acceptance
(800) 333-1704
PUEBLO DENVER FORT COLLINS
(719) 633-7773 (303) 804-0303 1 fax (988) 846-5545 (970) 484-9430
A i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: V
Job Address: 3 130 q
Permit Number: _�)O/ 70 c95Q 7
❑ No one available for inspection: Time M/P
Re -Inspection required: Yes �No
When corrections have been made, call for re -inspection at303-234-5933
Date:-(O//--)F//7Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
e
Permit Number: f 0 :
❑ No one available for inspection: Time M/PM
Re -Inspection required: Yes i` No"3
When corrections have een made, call for re -inspection at 303-234-5933
Date:If(ispector:
®O NOT REMOVE THIS NOTICE
05%01/2015 06:40 #351 P,0031003
CAR bY 11:59 FM rGOOlve InsPoeflon tho followIng t=
0419512015 15:41 7202495121 JOSH -WARD Phi 1
�,U��I�IIIII II
,#
Building Division
75M W. 2e Ave., Wheat Ridge, CO 80033
• ,303-235-2855 * Fax: 303-237-8929
Inapecton
♦ F Fress
* �ddress: (if dftrent then property address)
yy
F A
US* Of sce �(descrjpfion):
Mk ro'olF f* ( A( rt a! ;. Yi E f d: UAIUA.
wn
Plan ROVIOW (due at &M of submMal)t
F a'
.. f � « �� f ^ M. a,. M :. d. + # 4 * # ! f • f Y M" x : ,. . x, ... #. x i x x. ... . x # M. :.» f # k "
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• R < «fin.+. •
Date: V11 City of
-A Ar�opl�dov' �'
F AV AW Wh6at
Buildina Division
7500 - W, 29 A ve., Wh R idg e , C O
Office: 303-235-2855 * Fax: 303-237-8929
Ins pectio n
,. *•«
•s• M
sting Address: (if different than property address)
Address:
Cit State, Zip:
Contractor:
a
Su b Co ntractors:
r t h s D te Tra s • Annrova
Use of S ace
••
Descripfi • s r #�
adde e # Plan Review (due at time of submitta�):
IMM01#1 M toW MAIN 1041 • r
un er this permit Plans subject to field s
ins
@INNERMIMM
• db j
1 IN # r #
Buildin Facsimile Permit Applicati s
City of Wheat Ridge Building Division :at
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 ` Fax: 303 - 235 -2857 Inspection Line: 303 - 234 -5933 t #: ��
Building Permit Application
Property Address( - 5q3 6 vUQ Yf - 3 y -, j A a Y2
Property Owner (please print): 1(t Gp Y 7Y , d= Phone: W X 37 a12 L
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
I
Contractor License #: ��� Phone: iO
Sub Contractors:
Electrical City License #: Plumbing City License #: Mechanical City License #:
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $_
:Description Of Work: (as calculated per the Building Valuation Data sheet)
rt L,n..+ v - Plan Review (due at time of submittal): $
Sq. Ft.lL.Ft added: Squares 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
underthis permit. Plans subject to field insp
CIRLCE ONE:: (OWNER) ( NTRACT Rj' or PERSONAL REPRESENTATIVE of (OW� N
PRINT NAME: ' N SIGNATURE: L/(� �L- !� -'f0 Date:
DEPARTMENT USE ONLY
ZONING COMMENTS
Zoning;
Reviewer
PUBUC WORKS COMMENTS
Reviewer.
BUILDING DEPARTMENT COMMENTS: OCCUPANCY,
Reviewer
FIRE DEPARTMENT?. ❑ approved w! comments 73 disapproved ❑ no review required Bldg Valuation: $
C)
❑ No one available for inspection: Time AM61A
Re- Inspection required: Yes No
INSPECTION RECORD OccupancvlTvpe
INSPECTION LINE: (303) 234 -5933
E7 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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Mechanical
Stemwall / (CEG) Concrete
Encased Ground
Roof
Reinforcing or Monolithic
Building Final
Weatherproof / French Drain
Fire Department
Sewer Service Lines
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & LandScaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* * 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. '
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
YOUR NO
HAS
ROUGHS
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
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
Parking & LandScaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* * 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. '
UGCE" 'd ANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PRO THIS CARD FROM'°HE WFA.THER '
+� CITY OF WHEAT RIDGE
r Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type z ,,& l-
Job Address
Perm Number
'e, .�/� a.'7` - .ta edlel"� 3��;¢ $� r T
4rr✓ A�`Z,T'Z5 . llr'`.z*✓Tsr✓ � a te- It ;;�yJrS �..+�.3/ °V7—
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FmtatiL, f Ff 5l• ONLY
r40 00or- City of Wheat Ridge
Residential Roofing PERMIT - 102238
PERMIT NO: 102238 ISSUED: 09/22/2010
JOB ADDRESS: 5930 W 34TH AVE EXPIRES: 09/22/2011
DESCRIPTION: Reroof 15 sqs with asphault shingles
* ** CONTACTS * **
owner 303/237 -8122 Ida Frank
sub 770/779 -1423 Marc Brogan
07 -0156 THD At -Home Services, Inc
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0467
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,350.00
FEES
Permit Fee 172.60
Total Valuation .00 -
Use Tax 132.30
** TOTAL ** 304.90
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Midroof inspection is not required on permits
purchased after 4/18/10. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
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
applic e Wh at Ridge grdinances, for work under this permit. Plans subject to field inspection.
8r — Iggeture of contractor /owner date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
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.
date
N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge Building Division
c 7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 *Fax: 303-235-2857
Inspection Line: 303- 234 -5933
�
Building P ermit Application
Property Address: k t� p
l �e�e t Z
Property Owner (please p
Mailing Address (ifdiferr
Address: -t*
City State, Zip
Contractor:
I
Sisb CpfltraGtisrs:
Electrical City License ##: Plumbing City License #: Mechanical City License #:
Company Company Company:
Exp. Date Exp. Date Exp, Date:
Approval: Approval. Approval:
Use of space (description): Construction Value: $_
N'Scrlptipn o,f Work. (as calculated per the Building Valuati n Data
Plan Review (due at time of submittal): $
I S ScevA Yz S /tsr-�/FFC.T sw it4 ,iL:�:-
Sq.. Ft lLFt added Squares 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: (IB.C) and all other applicable Wheat Ridge Ordinances,: for work'
under this permit. Plans subject to field inspection,
'GIRLGE ONE. (Q \ WNER) ONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) ( CONTRATOR)
PRiNTNAME tJVI,. S SIGNATURE I Irl— Date, 'ZZ"
fdress)
zrrevteay required , Bldg Valuation:$
City of Wheat Ridge
Residential Plumbing PERMIT - 080017
PERMIT NO: 080017 . . ISSUED: 01/07/2008
JOB ADDRESS: 5930 W 34TH AVE EXPIRES: 07/05/2008
DESCRIPTION: emergency sewer line repair inyard only CONTACTS . gc 303/696-9599 Steve Wakeham 01-9921 Pipeline Industries, Inc.
owner 303/489-6530 John Frink
PPI2CEL INFO
ZONE CODE: UA USE: UA
SUBDIVZSION: 0467 BLOCK/LOT#: 0/
FEE SUMMFaRY ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Permit Fee 108.30 mm
Total Valuation .00
Use Tax 54.00
TOTAL . 162.30
r
Comments:
subject to field inspection
I hereby certify that the setback distances proposed by this permit application are accurate, and do no[ 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
appl' le W eat Rid O i ces, for work under this permit. Plans subject to field inspection.
Signat of contractor/owner date 1. is permit was issued in accordance with the provisions set forth in your application and is aubject to the laws of the
. State of Colorado and to the Zoning Regulations and Hui3ding Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This pezmit shall expire 180 daysfrom the issue date. Requests £or an extension must bereceived prior to expiration date. An extension may be granted at the discretion of the Building 0£ficial. .
3. If this permit expires, a new permit may be acquired for a fee o£ one-half the amount normally required, provided no
changes have been or wi11 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) yeaz, fu11 fees shallbe paid for a new permit.
fl. 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) huurs in advance Eox 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 mnstrued to be a peimit for, nor
an approval of, any violation of the provisions of the building codes or any othbr ordinance, law, rule or regulation.
All plan review is svbject to ield inspections. n.r
Signature of Chief Buildi ial date INSPECTION REQUES LI :(303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE E BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESg DAY.
.
' . . . . . . . . . . . . .
I . . . . . . . . . . . . .
~ . ..e . . . . . .
o
C11y of Wheat $Idge
Building Permit Number.
Community Qevelopment;Department oate.
°~toRaoo C E/i.~M, EACL AL G~.IG'tUL 7:Y . . . .
. . ~.E UU.t:6M ~E&WA: A.S" 5 ION .
! Properiy Owner: Jcl~ I- r,'n H
I ProperryAddress:,5zi3U 4JgL(, Phone: L~F-~--GS3c7
Contractor License No.:
j ComPanY: Phone:
.
.
I OWNER/CONTRACTOR SIGNATURE OE UNDERSTANDING AND. AGREEMENT BIf1I(Iff]q D@jlf. U8IU8fl01] FIgU/B: $ Zl~
i . . . . . . . .
'
.
~ . . . .
. . . ' . .
1 hereby certirythat the setback distances proposedby this permit application are
-
.
( accurate and do. not violate applicable.ordinances, rules or regulations of the Gity of . V3~Ue:$ .
~ Wheat Ridge or covenants, easements or restrictions of record; that all measurements
.
i - shown, and allegations made are accurate; that I have read and agree to abide by all . PE11rilY FOe:$
.
~ conditions printed. on this.application and that I assumefull: responsibility for .
. . compiiancewiththeWheatRidgeBuildipgCode(I.B.C)andallotherapplicableWheat
P13riReV10WF80:$
I
,
Ridge Ordinances,.forwork un his permit. PI ~s sub' tto field inspection. USe T3}C:
:
I . (oWNER (CONiRACT SIGNE DATE ) ~'JG T0.t2I:$ -
I
I. d o~( B ~!n
(OWNER CONTRACTOft):P pATE
Iv S S-f~ A ,~/.C .
.
.
/
. .
y~ .
e
Use of Space (description):
Descriptionofwork:l/-»-t,rv~-eh~.y S-4?✓-~r `~~nP Y-rrv~
~
_
jI . Sq. Ft. added . . . . . . . . . \i Vw VY`!~~~ .
~
BUII,DINGDEPARTMENTUSEONLY SIC: Sq.Ft.:
-
ONINGCOMMENTS . . . - .
. -
-
I
Approvafr . . . . . .
. .
. .
.I
. . . .
: Zoning: . . . . . . . ' . . .
BUILDING COMMENTS: . . . .
. . . . . . .
: Approval:
. i
PUBUC WORKS COMMEMS .
, .
Approval:
I
.
IRE DEPARTMENT COMMENTS: .
.
;I
. .
. .
Approval:
` I
Occupancy: Walls Roof: Stories Residential Units
Electrical License Na Plumbing License No: Mechanical License No:
Company:` Company: Company:
: Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
+
(1) Thispermitwas issued in acwrdance with the provisions sef foKh in your application and is subjectto the laws of.the State of ~
k I
Colorado and to the ZoningRegu{alionsand Building Codes of Wheat Ridge, Colorado or any otherapplicable ordinances of
_
:
.
tha.City.
u,
(2) This..permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) }he building
;
authorized is suspended or abandoned for a~penod of 180~ tlays.
'(3) Ifthispermitexpires,anewpermitmaybeacquiredforafeeofonehalftheamountnormallyrequired,providednochanges :
"
`
havebeen orwill be made inthe.original plansand specitications and any suspension:orabandonment has noYezceeded one.'. .
(1) year. Ifchangeshavebeenorifsuspensionorabandonmentexceedsone(1)year,fullfeesshallbepaidforanewpermit.
'(4) No work of any manner shall be tlone that will change thenatural flow:of water causing a drainage problem.
:.(5) Contractor shall notify the Building Inspector twenty-four:(24) hours inadvance for.all mspectionsand shall receive written >
. approvai 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 6e construed fo be a permit for, nor an
~
. approvalof,-anyviolationofthe
provisionsofthebuildingcodesoranyotherordinance, law,ruleorregulation.All:planreview.-:
n
is subject to fieltl .inspecErons:.
I
0
~y~
Chief Building Official
. . . .
'42
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234-59331nspection line
(303) 235-2855 Office ` (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: k&v5714
Job Address/Permit Number: 5"730 3 5~r.~ avC-
C~gc~ <7
Dt~i~ ~JA Sfu.+dQ .1 .v~ .~t? G~.It,G~,/ B=~'r raR i.;..bs~oPcar'G.v ❑ No one available for inspection: Time lSo AM/PM
Re-Inspection required: es No
*When corrections have been made, call for re-inspection at 303-234-5933
Date: 14P/08 Inspector. ~G
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76433
BUILDING INSPECTION LINE -(303-234-5933) Date : 11/6/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: IDA FRINK
Property Address : 5930 W 34TH AVE
Contractor License No. : 18464
Phone : 287-8122
Company : B& F Heating & A/C Phone : 431 8914
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit (OWNER)(CONTRACTOR) SIGNED DATE
Construction Value :
$5,869.00
Permit Fee :
$162.90
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$162.90
Use:
Description : INSTALL 80,000 BTU FURNACE, INSTALL 2 TON A/C, COFFMAN ELECTRIC TO DO A/C
HOOKUP AND 200 AMP PANEL/ SERVICE CHANGE
U(
BUILDING DEPARTMENT USE ONLY
ffiR: inq Co r~eY~Y~~ SIC : Sq. Ft. :
Approval:
Zoning :
I~u dma~,o-o Approval :
ie oApproval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :17g75 Plumbing License No : Mechanical License No :
Company :Coffman Electric, Inc Company : Company :
Expiration Date : 2/28/2005
Approval : OK/KS Expiration Date : Expiration Date :
Approval : Approval :
(1) This pertnit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This pertnit shall ezpire if (A) the work authonzed is not commenced within siMy (60) days (rom issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new pertnit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the
original plans and specifications antl any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension orabandonment
exceeds one (i) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done ihat will change the natural flow of vrater causing a drainage problem.
(5) Contrador shall notifythe Building Inspectortwenty-four (24) houre in advance for all inspedions and shall receive wntten approval on inspection card before
proceediin 'th successive phases of ihe job.
(6) The•i ce f a i the approval of drawings and specifications shall not be construed to be a permit for, nor an appmval o$ any violation of the provisi s o he d' g des or any other ordinance, law, rule or regulation.
T
Chief Building In pector
Please sign Terms and Conditions on reverse side of page.
. . " ' " • ~-v~~~~.11 I ounwny reirTU[ IVUR1DEf :
BUILDING INSPECTION DIVISION - 235-2855 ' I
CITY OF WHE9T RIDGE Date : jL-~ 3
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 AppLICATio N
Property Owner : ,-z K
Property Address : J`'"9~j0 3 4~ M~-
Contractor License No.
Company
i ,g?4(A
B,1 r N
iw<'TD#()yll D
Phone : --~3Z~-J Y/P-Z
Phone : 503 113 1 (~`7 l q
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING
AGREEMENT
I hereby certity that the setback distances proposed by this pertnit appliwtion are accurate,
and do not violate appliwble ordinances, rules or regulations of the City of Wheat Ritlge or
covenants, easements or restrictians of record; that all measurements shown, and allegations
made are accurete; that 1 have read and ayree to abide by all conditions printed on this
application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicabie Whe"itlge ordinances, for work under this peRnit.
(OWNER)(CONTRACTOR)
Description :
Approval:
Zoning :
u T'_ :
Approval:
FiRp
Approval:
9/
Construction Value :
O 7
Permit Fee : f6~~ 7 q4~)
Use Tax : -16~-
Total : 62, Gl'6
-r-l- use :
G2~'S 5 u-n Q GQ-
Occupancy : Walls
Electrical License No : l78
Company:~~~~
r~
Expiration Date :
Approval:
BUILDING DEPARTMENT USE ONLY
Roof
Piumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This pemfil was issued in aaordanee wiN the provisions set forth in yapur appliwtion and is aubject to the laws ot the Slate ol Coloredo and to the Zoning
Regulations antl Building Code of Wheat Ridge, Cobratlo or any oUer applicable ortlinances of the Ciry.
(2) This pertnit shall expire if (A) the work aufhonzed is not commence0 within sixty (80) tlays hom issue tlate or (B) the building aNhorized is suspenACd or
abandoned for a penotl of 120 tlays.
'(3) If this permit expires, a new pertnit may be acquiretl for a fee of ono-hall the amount nomully requireE, provitleE no changes heve Deen or will Oe maEe in the
onginal plans anE specifications anE any auapension or abanCOnment has not exceetleC one (1) year. II Manges arc maEe or if suspension or abantlonment
exceeds one (1) yeaf. luli fees ahali be paitl lor a new, permit
(a) No work of any manner ehall be Cone Mat will Wanpe the naNral Ilow of water wusing a drainage proWem.
(5) ConVactor shall notity the 8uiltling Inspector twenty-lour (24) hours in aCvance for all inspections and shall reaive wfitlen approval on inspection prd befoie
Praeednn9 wdh suuessive phases of thep' b. (6) The issuance ot a pertnil or the aDProval o( drawinps arM spedfiq6ons shall not be mnsWeG to be a pertnit for, rwr an aDDroval oL any violation ol the pmviabns
o( the builtling codes or arry oMer ofdinatKe, law, mte M feyulaGOn.
SIC : Sq. Ft. :
Stories : Residential Units :
~
Chief Building Inspector
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76278
BUILDING INSPECTION LINE -(303-234-5933) Date : 9/26/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: IDA M. FRINK
Property Address : 5930 W 34TH AVE Phone : 237-8122
Contractor License No. :
Company : 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 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 pe mit.
(OWNER)(CONTR4CTOR)SIGNECl_,&'7)nDATE ~ G ~
Description : INSTALL 190 FT. VINYL FENCE, 6' H, IN REAR YARD.
Construction Value :
$4,627.00
Permit Fee :
$144.70
Plan Review Fee :
$0.00
Use Tax :
$92.54
Total:
$23724
Use:
~ i
BUILDING DEPARTMENT USE ONLY
Zo ~Comm'ent~ SIC : Sq. Ft. :
Approval : MR 6' FENCE CANNOT EXTEND IN FRONT OF FRONT WALL OF HOUSE.
Zoning : R-1C 9125103
P1ea5e Notr:
~o' ;~~,Yi)wents p~ner / epntractor is responsible for lec~'ina nroperty
9126103 ~ines and consWCting im~:ruvc;ner.s cc: r, ;:nv to'.fie
Approval DM
approded plan and req red iat 7 s•
PiSblae o< sQomme4ts.q~ The Cityis not responsible :un c.a ate mform :011
: submitted within the p:an set and any cer,str4ctwn
errors resulting from inaccwa:e informaiion.
Approval
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company :
Expiration Date :
Approval :
(i) This pertnit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of ihe State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicabie ordinances of the City.
(2) This pertnit shall ezpire if (A) the work authorized is not commenced within siMy (60) days from issue date or (B) the building authonzed is suspended or
. abandoned for a period of 120 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 orwill 6e made in the
onginal plans and specifcations and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or abandonment
exceeds one (i) 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) Coniractor shall notifythe Building Inspectortwenry-four (24) hours in advance for all inspedions antl shall receive writlen approval on inspection card before
proceediing with successive phases of ihe job.
(6) The is~i~ce of a permit orihe approval of drawings and speci(cations shall not be construed to be a permit for, nor an approval of, any violation of the
pr~a . on, of g codes or any other ordinance, law, rule or regulation. ~
Chief Building spector
Please sign Terms and Conditions on reverse side of page.
~
COMMIJNITY DEVELOPMENT DEPARTMENT Building Pemut Number:
Of WH:AT i
; P BUILDII~G INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
~y
COCORPO~
'!'~1 y~jPL1j1.fr`~~vyTiyO9 ~
Property Owmer.:TZ cL- (f'). F-r i hk
Property Address: ,5q3a w e Phone :3037-3 7- g/ ~y
Contracror License No.: J A1' 703-3;;-''- 33/oS
Company: G✓Ovl s ~ Phone:p3.~;(/~S =3~23
ON'NER/CONTRACTOR SIGNATUAE OF UNDERSTARDINC AND AGREEMEN7
Construction Value:$,q6;t,ti 3 f
Permit Fee:$
Plan Review Fee:$ -
Use Tax:$ ,
I Total:$0 I
DESCRIP'TION: y~~
d
~
BUILDING DEP MENT USE ONLY
STC: Sq.Ft.:
ZONING COMMENTS:
Approval: ,
Zoning: ~ Q~ ~O
BUILDING COMMENTS: v~
Approval:
VUBLIC WORKS COMMEMS: S
Approval: '
Occupancy: Walls: Roof: Stories Residenrial Uniu:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(7) This pemit was issued in accordanc<wiLh dhc provisions set fonL in your ayplication and'a subjttt to 1he laws of Ihe Sqte of Colondo and w the Zoning
- Regulations and Building Codcs of Whwn Ridge, Colorado or any other applicable ordinances of the Ciry.
Thisyermitshallenpirtif(A)theworkauthorized'unotcommrncedwithinsixty (60)daysfromissuedateor(B)thebuildingauthorizedismsprndedor
abandoned for a penod of 720 days.
(3) If this pennii expims, a neu pemit may bc acquired for a tee of on<-half Ne amount nomally requirtd provided no changes haee bttn or will be made
. in the original pWns and specificauons and any suspension or abandomm<nt has not exceeded one (1) year. It changu have bern or if suspension or
abandonmem ezceedc one (i) ycar, full kes shall be paid fm a new yermii
(4) Ko wori: oCany manncr shall M done that will chmg< Ihe na[unl ilow o( waltt cau5ing a dniwge problem.
(5) Contracmr shall nodfy the Building InspecWr%-rnry-four (24) hours in ad.antt for all inryections and shall rmeive wrinen appmvai on inspecuon wrd
. befort procceding with successivc phases of the job.
(6) The issuance of a pemit or the approval of dnwings and speci6cations shall not be conswed W be a pemit for, nor an approval af, any violauon of th<
prorision ihebuiWingcodaoranyotlierordinanee,law,ruleorrcy,ulauon.
Ch' f 1 uilding pector
Q~a -af
1 hereby certify that the setback distances proposed by this pemit application are accurate,
and do not violate applicable ordinances, rules or regula[ions of the City of Wheat Ridge or
covenanls, eazemenis or restrictions ofrecord; that all measuremenls shown, and allegations
made are accunce; that 1 have read and agree to abide by all conditions printed on this
application and that ] assume full responsibility for compliance wi[h the Wheat Ridge
Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under
'hic nertnit .
Sample Site Plan
Property Line ~ •
• • • -
Feet J • •
~ '
~
~
~
Garage or
Garport or
5hed
N tH
5cale: 1"=
yauare footage of
EXISTING and
'05ED 5tructuree
;ed on the property.
. o
~
~ HOUSE
I
I
~ ~ 5ide 5etback
~
~
1
SIDEWALK
u
~
c~
a~
c
0
LL
R
3
~
0
~
Side 5etback
~
~
I
T'
STREET
_
~o~
4
vvnLZr{ i r~ly.v~,
' Property Owner
Property Adtlress : 5930 W :
!tl55~
, SPhane'..237 8122 '
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
r APPLICATIo N
,
PropertyOwner: 0•
PropertyAddress:S °~3~ ~E C-L`Z phone: 7- 31- giZ,z
Contractor License No. : ) B~i u
Company : t,,,b-L RODFi td( Phone :'1l0 1
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setbaek distances proposed by this pertnR application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrietions of rewrd: that all measurements shown, and allegatians
made are accurate; that i have read and agree to abida bY ali condRions printed on this
application, and that I assume full responsibility for compliance wfth the Wheat Ridge Building
Code (U.B.C.) and all other appliwbte WheAjRidge ordinances, for work under this pertnR.
(OWNER)( ONTRACTOR) SIGNED&WKL~tO~✓'i1./`~ DATE
Construction Value :
~ ~rJOb-C>
Permit Fee :
Use Tax : i s. oc~
Taial :
Use:
Description:l2~,,~~E '-`aI hzw S~, ,I,~;- 4 3--~~
~
Approval :
Occupancy :
BUILDING DEPARTMENT USE ONLY
. SIC :
Sq. Ft. :
Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company:
Mechanical License No :
Company"
Expiration Date :
Approval :
Expiration Date :
Approval :
(1) This permrt was issued in acmrtlance with the pmvisians set forth in yopur appliration antl is subject to the taws of Me State of Cob2tlo and W the Zoning 'Regulations antl Builtling Cotle of VJheat Ritlge, Cab2do or arry other applirable ortlinances of the City. I
(2) This pertnR shall expire if (A) the work authonzed is not commencetl wiMin siuly (60) Eays from issua date or (B) the huiltling authorizetl is suspentleE or ~
abantloned tor a periotl of 120 days. (3) If ihis permit expires,-a new permit mey be acquired for alee of one-half the artrount noimaly require4 provitled no changes have Eeen or will be meEe in tlfe i
onginal plans anA specifiptlons and any suspension or abantlonment has na exceetletl one (t) yeac If changes are made or if suspensian or abantlonment
rxceeds one (1) year, WII fees shall be paid for a new permit
. (4) No vrork of any manner shall be Eone Nat will change Me naWral flow of water pusing a d2inage pmblem. - i
:(5) ConVactor shall notiy tAe Builtling Inspeaor Hrenly-faur (24) hours in atlvance kr all inspections and shall receive wri1[en approval on inspecdon caM belore °
proceetliing with successive phases of Me1'ob. ;
_(8) The iuvance of a pertnit or the approval of Arowings antl specifiptions shall not be construed lo be. a pertnit for, nor an approval of, any violation of the provisions
. of the builtling cotles or arry oNer ortlinance, law, mle ar regulation. . .
Chief Building Inspector
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COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: 4uwll
Job Address/Permit Number. .r93a 3vrrt
DY, ap
.48,A'k'ovL>
❑ No one available for inspection: Time io ; zc, AM/PM
Re-Inspection required: Yes No j
*When corrections have been made, call for re-inspection at 303 Y34-5933
Date: tjQfaB Inspector:
DO NOT REMOVETH/S NOTICE