HomeMy WebLinkAbout7275 W. 34th AvenueCITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: )Q ► ! �-
Job Address:.i.�
Permit Number:
f �a
i
❑ No one available for inspection: im AM/PM
Re -Inspection required: Yes/ No
When corrections have been made, si ule for re -inspection online at:
http://Www.ci.wheatridge.co.uslinspection
Date:-: p' Inspector
DO NOT REMOVE THIS NOTICE
Y
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201902041
PERMIT NO: 201902041 ISSUED: 09/26/2019
JOB ADDRESS: 7275 W 34th Ave EXPIRES: 09/25/2020
JOB DESCRIPTION: Replacing 7 windows in kitchen, family room and bedrooms. U -factor is 0.29
*** CONTACTS ***
OWNER (720)286-7865 LING JESSE R
SUB (303)371-3750 GRAYDON BEVIS 020762 PELLA WINDOWS & DOORS INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,996.05
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 146.92
** TOTAL ** 196.92
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications=
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180daysmade be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original penmt fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance 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.
Coy 9 Wheat Ridge
0922209 9G7 Gq
Replacing 7windows
CDB021B28 A M01 U NJ
e+ 275m34G Ave 96.
+RZRme NO: 201902041
f§r EM # R«I«S ap»T
mama 1969
qq CUE: 64640399
TOTAL 196=92
-----------——--�--
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, September 26, 2019 2:20 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories:
Dina
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
**REQUIRED** Attach
Credit Card Authorization
Form - **DO NOT
ATTACH RANDOM
DOCUMENTS**
7275 W 34th Ave. Wheatridge 80033
Heather Ling
770-286-7865
hmmann08@gmail.com
Field not completed.
CONTRACTOR INFORMATION
I
Contractor Business Pella Windows & Doors
Name
Contractor's License 020762
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-462-2694
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address 1-PSI@pellacolorado.com
Retype Contractor Email 1-PSI@pellacolorado.com
Address
DESCRIPTION OF WORK
Number of window 7 Windows
and/or doors being
replaced
Location of Kitchen, Family Room, bedrooms
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the 0.29
window(s)/door(s)? City
of Wheat Ridge requires
the a -value to be .32 or
better on windows..
Attach copy of Field not completed.
window/door cut sheets
showing sizes and a -value
Project Value (contract 6996.05
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
z
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 been Yes
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 Julie Wingo
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201701390
PERMIT NO: 201701390 ISSUED: 06/01/2017
JOB ADDRESS: 7275 W 34th AVE EXPIRES: 06/01/2018
JOB DESCRIPTION: Remove existing shingles and replace with 30 year laminate 23 squares
*** CONTACTS ***
OWNER (720)286-7865 LING JESSE R
SUB (720)922-3058 Gregory & Virginia Hanebuth 130203 Deluxe Roofing & Exteriors LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,911.00
FEES
Total Valuation 0.00
Use Tax 124.13
Permit Fee 140.90
** TOTAL ** 265.03
*** 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 manufacturericims 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 - 201701390
PERMIT NO: 201701390 ISSUED: 06/01/2017
JOB ADDRESS: 7275 W 34th AVE EXPIRES: 06/01/2018
JOB DESCRIPTION: Remove existing shingles and replace with 30 year laminate 23 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�e legal owner or have been authorized
by �egal owthisertIfuperrmed an� t at all wP k to be performed is disclosed in this document anc�ior its' accompanying approved plans and specifications.
Signature of OVVAIR orNTRACTOR (Circle one) Da?e
I . This permit was issued basec&on--the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or gran f 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 ainance or re ion of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
mat 1 c
�OhhmutgtTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 29P Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ¢ Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits( a�ci.wheatridae.co.us
FOR OFFICE USE ONLY
Date:
Plan Review Fee:
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be proons9d. —
Property Address: 7,�, ? S U-) A',� UJ/Wck� r l` c y t Acn 33
Property Owner (please print): H (r CA'_ Phone: 1'76 '2t 6 -7 �'6 5
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor: Oe 1 ck�
0
Phone:
L, 1�s L. L_ C_
Contractors City License #: /30203 Phone: '7 Z. 6 "1 Z � - 3G 5
or E-mail Address. A Pie )CC0` i' (`�-) c'1 M0
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITIONRESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION _ ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(For ALL projects, please provide a d2WIled description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
C°f�CiKs� _ y IS 4 ir.,I e
3 y V . 0-K61 VA k` -Q— ,
Sq. FtJLF `2- 3 Btu's
Amps
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ � 5 7G0c�
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING ARID AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal o e property to perform the described work and am also authorized by the legal owner of any
entity included on this application ist that enti on this application.
CIRCLE ONE: (OWNER)
I! RINH' NAME: lJ Y e
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
or (AUTHORIZED PRESS TATIVE) of (OWNER) (CONTRACTOR)
ASIGNATURE: �,L- DATE:64(ZI7
DEPARTMENT USE ONLY
OCCUPANCY CLASSFFICATIOM
TYPE OF CONSTRUCTION:
Fire Department ❑ Received ❑ Not Required
Water District LI Received ❑ Not Required
Sanitation District ❑ Received ® Not Required
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
i�CITY OF WHEAT GE L
_:�9�Building Inspecti Division'
(303) 234-5933 Ins z
(303) 235-2855 Office • (303) 7-892
INSPECTION NOTICE
Inspection Type: P
Job Address: 7 z
Permit Number: O/7i)1, qn
❑ No one available for inspection: Time'-:!) 5 C�Aw(pm
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: / �Inspector:
DO NOT REMOVE THIS NOTICE
e A 4' CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: m f
Job Address:
Permit Number:.
Pf' ea V� I-)
1 1
❑ No one available for inspection: Time �PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date:, �- " F Inspector:'/�
DO NOT REMOVE THIS NOTICE
e A 4' CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: m f
Job Address:
Permit Number:.
Pf' ea V� I-)
1 1
❑ No one available for inspection: Time �PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date:, �- " F Inspector:'/�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201601387
PERMIT NO: 201601387 ISSUED: 09/13/2016
JOB ADDRESS: 7275 W 34th AVE EXPIRES: 09/13/2017
JOB DESCRIPTION: Remove existing comp shingles, redeck new OSB 7/1611, install new Tampco
Heritage (dim comp), new edging 30 lb tav paper; 22 sq; hip style 4/12
pitch; one valley
*** CONTACTS ***
OWNER (720)495-4688 INGRAM CASSIE
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2405 ! Btu-ATHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 5,654.00
Total Valuation
FEES
0.00
Use Tax
Permit Fee
101.77
140.90
** TOTAL **
242.67
*** 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 manufacturera€T"s 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.
�z)te�4— 2z, sv
114SPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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
Monolithic Slab Reinforcement
Comments
Caissons
Water Service (Underground)
Concrete Encased Ground (CEG)
Footing/Stemwall P.E. Letter
Do Not Pour
Concrete Prior To AoDroval Of The Above Inspections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical (Underground)
Final Inspections
Date
Sewer Service (Underground)
Comments
Final Electrical
Water Service (Underground)
Plumbing (Below / In -slab)
Heating (Below / In -slab)
Final Mechanical
Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date Inspector Comments
Initials
Wall Sheathing
Roof Sheathing C !
Lath /Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed Without Approval Of Above Rough Inspections
Rough Framing
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
7Lei `!
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requeste
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.
Fire Inspection / Fire Protection Dist.
"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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: fb I D -- A f MD13 tp
Job Address: 01 7 2 k) N lb 14 ✓Z
Permit Number: a MI6 d J ZS 11
Iw. �r' Z - -f� V -f K')V 5 0
❑ 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: Inspect r'
DO NOT REMOVE THIS NOTICE
/-3
i�' i CITY OF WHEAT RIDGE
�� Building Inspection Division
(/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: tit i
Job Address: %a 7zZ W
Permit Number: an 1 b / 3t-2
❑ No one available for inspection: Time 3/ AM/ PM
Re -Inspection required: (es TNo
*When corrections have been made, call for re -inspection at 303-234-5933
Date: LInspec r:
DO NOT REMOVE THIS NOTICE
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 Comments
Foundation P,E, Letter
comments
Electrical
------------
Nough Inspections
Mn
VS / 7984 243.58
AUTH CODE: 428537
TOTAL 243.50
---------------------------------
Landscaping & Parking / Planning Dept. Inspections from these entities should be requested
one week in advance. For landscaping and parking
ROW & Drainage I Public Works Dept. inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project.
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certfficate,
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
by the Building Division.
"For Inspection Time Window Requests - Please email insr)timereauest@ci.wheatrio_qg-co—us by 8:00 AM, the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of occupancy Is Issue
Protect This Card From The Weather i
032ME=
Building Permit Application
Ir '!17 11111 111 1 111
Address: 2,ayyLL-
9�t —
.y.State, Zip:
U
P-ioWe, 3WI-33
Plumbing.
Mechanical:
WJ2. Cij� License #
Complete all information on BOTH sides of this form
FOR OFFICE USE ONLY
City of Date:
jj'�'Wh6atj?,
_j,dge
COMMUNITY DEVELOPME'NT PranlParrrrrrt #
Building & Inspection Services Division
7500 W 2e Ave., Wheat Ridge, CO`;80033 Plan Review
Office: 303-235-2855 * Fax: 3013-237-5929
Inspection Line: 303-234-5933
Email, emits ci. etrd e.c.0
Building er it Application
Please c6molate all ttlataliahta d areas an hath *Ides cif thist fmm. Inemrinleta eanlicatkins rnav not, r c .'
" •sw(please•
"0 f, z At ::. a s . a&
Mailing Address: (if different than property erlttr )
,address.
Crit State, i
ArchitectlEngineer E-mail: Phone;
Cont a for
Contractor E-mailAddress:
Sub Contractors:
rs:
Electrical: Plumbing: Mechanical:
W.R, City License # ir1l. t: City License # W.R. City License #
Other City Licensed Sub: Other Licensed Sub:
City License ## City License
Complete all information on BOTH sides of this form
COMMERCIAL 9 RESIDENTIAL
ik•
• � , x ,fir w � � �` x �` � � :
W III!
area rtt of materials to be used etc.
Ito
IV\\
A\
Sq. Ft.1LF Btu's Gallons
Amps Squares Other
« • •
i FV70
OWNER)C.ONTRAC:TOR SIGNATURE OF F>NDEF&S"TANDINCI AND AGREEMENT
I hereby certify that the setback distances parolxased by this permit application erre accurate and do not violate applicable ordinances, males or
regulations of the City of Wheat Ridge or covenants, casements or restrictions of'record; that all measurements shown and allegations made are
accurate; that I have react and agree to abide by all conditions printed on this; application and that l assume full responsibility for comppliance.
with applicable City of Wheat Ride codes and ordinances for work under zany permit issued basal on this application; that'I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and ani also .author i7ed by the legal owner of' any
entity included on this application to list that entity on this application..
°
or
w
Building Division
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDIN6 INSPECTION DIVISION PERMIT N0. M91#17707
237-6944 ExT. 255 P.O. Box 636 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAUD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS ~7 a
CONTRACTOR Fz-~`
ADDRESS 07Y ! J % v
CITY ZIPCODE dDVa"-
PHONE qc-~a- 57!~-s ~ LICENSE NO. 1-'L92
OWNER .
ADDRESS /c /'O L~,`"0 y' i' nT'`'i
PHONE P 3 3` LO 7 YS- ZIP CODE
CONTRACT PRICE $1 '3 0 1a0 U"" , -
DATE
L TVPE Ground❑
Woll❑
Proieetinp❑
Othsr
SorDFaee
2. MATERIAL
Total Squaro Feet
SIGNS
3
ILLUMINATION YesD No❑
T
pe
Eleef
Permit No
,
y
.
.
4 SET BACK FROM PROPERTY LINE N
(Spetifywhichiafront)
- S_ E
❑ ❑
_ W
❑ ❑
Zona_
Approved,Zone Inapaator
DisapOrwed
1. TYPE SolidO More Thon BO% OpenO
Leu TAOn 80% Opan
.
MATERIAL -
HeipM
FENCES
3 SET BACK FROM PROPERTY LINE N
_ S_ E
_ W
Zme_
ApprwW,Zons InsDeata
(Specify whieh is }ront)
❑
❑
❑
❑
Diaapproved
- 1
I
~y.
O
.
i
2
OTHER
'
3
.
DRAW SKETCH OR SHOW BELOW/THE FENCE,SIGN,OR OTHER STRUCTURE, GIVIIrG DISTANCES FROM PROPERTY LtNES.
(SETBACKS OR PROJECTIONS INClUDEO) .
~
SPECIFY NORTH
S7REET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, $TREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANf:E.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THISAPPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATEDWORK ONLY UPON VALIDATION BYTHE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUM WIRE UNDER SIZE 8 ILLEGAL
PLUMBING PERMIT
STATE LICENSE N0.
FLOOR BSM IST 2ND 3RD 41H
MECHANICAL PERMIT
N0. Fl)EL-CircbOne Gat ql Propone Cool Elee Solar
Np,
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATEF - BTU
NEW SERVICE AMPS
BA7H TUB
STEAM - 8TU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SU6-CIFCUITS
WATER HEATER
Refri eranf GrWp
UTILITY(RANGE,DISPOSER,ETC.)
AUTO. WASHER
Poundt CAar s
FIXTURES
DISH WASHER
AUTOMA7IC SPRINKIER SYSTEM
WIRING MOTORS d CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 8 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
ocknowledqe tnot this applica-
I hereb
PERMIT FEE
(J-Pl
y
fion ia correct and understand thot I
USE TAX
C/
li-
til ihi
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f
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s
un
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Connot sta.t th
DP
cation ia apProved. i snall comply witn
d t
d
TOTAL FEE
$
o on
o
the lowa of the State o1 Coloro
the ZoninQ Requlations and BuildinQ
Code of the City of wheat Ridqe. Any
violation of the abave terme will couse
APPROVED
DISAPPROVED
CHIEF BUILDINGy
~
lSPECTOR,City of Wheat Ridqe
immediate rovocofion of thls permit
-717u•'~~
Date Issued
i
AOOficanls SiOnamre
NOT V LID UNLESS RECEIPTED
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS