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HomeMy WebLinkAbout10765 W. 35th Avenue�- LfW& Po5r6b frof-W, U rz� 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 day 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 PERMIT: ADDRESS: 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 Landscape/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. 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: . f Job Address: /o �6 w ✓ ��� C Permit Number: a (o! ->h F3 5 Ce Ll No one available for inspection: Time /�` , r AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 3%03-234-5933 Date: , /! S Inspector: DO NOT REMOVE THIS NOTICE Al i CITY OF WHEAT RIDGE _:�P�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 0 6 - Al , of Job Address: 10-7&5— Ind 3 Permit Number: '�;) O 1-7 O S -5--& O ❑ No one available for inspection: Time = ! -7 AMAM Re -Inspection required: Yes 1 When corrections have been made, call for re -inspection at 303-234-5933 Date: i i I&)/-7 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201708560 PERMIT NO: 201708560 ISSUED: 10/24/2017 JOB ADDRESS: 10765 W 35th AVE EXPIRES: 10/24/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 30 sq Pitch = 4/12 *** CONTACTS *** OWNER (720)271-5568 STRAFFACE STEVEN SUB (303)425-7531 John Borfitz 019983 J & K Roofing 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: 10,768.00 FEES Total Valuation 0.00 Use Tax 226.13 Permit Fee 220.15 ** TOTAL ** 446.28 *** 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201708560 201708560 ISSUED: 10/24/2017 10765 W 35th AVE EXPIRES: 10/24/2018 Residential Re -roof to install OC asphalt shingles - 30 sq Pitch = 4/12 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 a]1 applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perpand that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OFE 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 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new, permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding Official and is not guaranteed. 4, No work of an 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��0�rmit l nstrued to be a permit for, or an approval of, any violation of any provision of any applicable code ore "4is 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. Ali PFOP-osais Subjec-It to approval by;TMr,,Pgt-rtiertt We agree to r-StAn J & K RoW&q Ann kPopay asVor `C -Pair thie Me malerig on Me PrOP&V ,:,ted on Me fryl aftne VV mmayme componyt aPPMNS i w0emtand and agme, & KRoofin, is fr cont -a.0 "r"/ �nsuranc"---- carder and rneat wh link In -1 s i 'C', -:e -eto be done, Upon agmenant bkween, acen pomace cams rdWAVY ;Mn 33 to UK: extant of 0) damages ano ni.ot o:st "fix thei-n- hn'-, finay i !v OW On Qt DIVOW 1 Wnwbnd Pvt m,,- COO P()( -'KE-,'- EVIENSE OWL Ek'�-;FD--) MY EADUCTELE Q an? agms! upon b9nnen Te Nswame CWdef and J, & K fl"'oofing�nc. I also agree.to pro0deal necessai-i., mentaii Cal to facilitaie the ,payrn.em fro;11 in-SUrailf3e camakaxwWage companp. 1 agrey mid �WSDIW am, Wt j K �ric- t"heright to fiia - a supp:en-tent ciairn to materou or k-a-bos- i�ncreases-, in corrsr-,', a -,y. :W tot vaekWe aA reasonabie t,,.-? the �n ts sw"Q in tA. conhaK ibis Contract shall bwome binding .ani v` uipc4n witterl noW 5Y vi. "Ue)Gn of th"e �tvork. Thii-;conti-act onsi.zutets and" oiTle; coiiateral or c*.,1.-.her,,,,Jse� s-Ia0 be i:);Ild"ing tuniess !n wrifing and Signed .dentanj W QuIre have day Aph: to rn5okd" i.- a tee. r n S' c' a' u sed , )y 1 i g in k e� i a i e I 5� ;D Ml P H ,.j rri�oan a � '.o� inado, h ai � sti-)�,Fn , i �,jl pq-,, t �-a- ,c - -- i - soon W n8sof or damaqe W mot do to M.:<...... ,<. f'aii.ure Or cra'.';ng of f"x'e ro'n-' (Jeck i.s pai.--i _Y , Thte Mlai-,rial vaumly 4 no-frurlemble udm.�-; invenj is guanweed M ne S; is ii -.i.{ be .r3-,: -t,in a Wasmawke accord";nq 5103000 or QQ"if-jf�}t.and wN buzRow-, rlva Chopp ovy. am! InVOTOW-1 rcof on�y, 1,aot� 'c', car�y my own hwy�ww Woln 70 nm�" W&WT n - iho -war"-.a.My ii- ii,'-ni.,,ed ,.j roof ieai. s nWq aWyNon b; I dovernenl of water damage to the in`erior :f the !-i,orrrs. J �ttti Po:),:r -, inc illakin� j & K Poofirva Wc is not responsdnlefa,� a!'r',,' aes hwa or Syrourdog mom as W� Wn A nmamurn cmdt cam! raquent oQ,"5J),"-X) is allowed when using pnweeds WeA an! camns" POW P.Pows ca!vot Oe :-;'sed to 'vvithihcGid as somt,,- too and COINKS MCA" T "J"'!e io vive"a awl evalls or shgwi"g, isaies,J6xK jRoc)fi'n.g ha!-elby -.trent is Withitni 3iO a ffina�-"C'e Wye of 341 per moth W U'' bkwynA ngme 1) pay aP expemns fucijeclion i;IAldirtg k 0 craoja MN hr A V-0 Wuy :no Check. C' 0 nowdr, SiWH WK by u to any pmnay nvehed Mini YMz UMH I & K ReAQ IMS dAVOW nulung malpHals W the sue ,rhes: Ynownyli a 1mQuo VQ sic yNT!" IAWL va YVW PPTVO� !I! shy eytnt thal Yett ChImW W IVANd ymw UMUW whkin 72 hour'z %Q 0 M WK in The inupsm ner nhhk 10 ImYnen Q s. Smtand &W Via y4ovilions but aas ou=ed WMy agreemem, ay i Dane Lovett ZO1'70�,`�O 0 From: no-reply@ci.wheatridge.co.us U' Sent: Monday, October 23, 2017 12:57 PM To: CommDev Permits (� Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: 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�ir residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION tel 'L Property Address 10765 W. 35th Ave Property Owner Name Steve Strafface Property Owner Phone 720-271-5568 Number (enter WITH dashes, eg 303-123-4567) 49 Property Owner Email Field not completed. 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 steve strafface home contract.pdf Contract CONTRACTOR INFORMATION Contractor Business J & K Roofing Name Contractor's License 019983 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-425-7531 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 13000 W. 43rd Dr., Golden Co 80403 (Primary address of your business) Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 30 the entire scope of work: Project Value (contract 10768 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 50 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 4&3/12 30 Owens Corning Duration Storm Asphalt House 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 51 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 Kathy Vendegna Email not displaying correctly? View it in your browser. 52 i-) CONTRACT I I J&K Roofing I BBB.r 13000 W. 43rd Drive •Golden, CO 80403 �ssa-2 %yam ago Phone: 303-425-7531 Fax: 303-425-1562 1' www.jkroofing.com Representative ke-z f2ezws-O, Contact qh V- �2.Ve-a Date �� 20_L7 Name rCf qC.2 Phone -74n _ I -5-S-67 email uiT Address _/ b%(�,� L� , ,, 4� ClA-,L- Pinnacol Assurance 303-361-4000 Workers Compensation Insurance Policy #4079290 LABOR AND MATERIAL SPECIFICATIONS TERMS AND CONDITIONS. PLEASE READ CAREFULLY: Recover roof with _ Q . L- ,02J= 1�0 -% -o r L�- Color of shingles ,-t [.,2a- t/ Manufacturer's Warranty Tear off 1 s Install Underlayment%StA t Double all Eavesd-aSP-4 (� Re -Flash Chimney and/or-Sky4gihts yl s New Valleys ADS Replace Ridge IAn 4- f.Ls, ue ]�Ventilation__�,c�e_�� Galvanized Fastenersn�'` XReplace a � \ - Plumbing Jacks Paint roof stacks to match Install Metal Edging Patio or Flat roof Year Warranty on labor J & K Roofing to furnish all material and labor J Permit: ---Included X NOT Included r1 Clean-up debris and haul off all trash from roof Roll yard with magnetic roller Gutters cleaned of roofing debris Decking Repairs$ per�pl� Hidden Layers (tear off) S A -IA-_ per layer A0 A UP, (Gamer) (Policy Number) y 77-0-7 (Gaim #) --(/�� (Adjustor) Mortoa� o.; AJA ^ - W —�ci { {Mortgage Loan Number) City U kaA 4- A�4 zip Cincinnati Specialty Underwriters 303-653-0023 General Liability Insurance Policy #CS00061742 Extra work -e Q L4040-LoA 2 1r, D i - , 5 - •� 1 14 4.1 'On t. s -7 3 F4 �SS dt1�S- The property owner is-)(- is not using proceeds from property and casualty Insurance policy. o -d _ Deductible if applicable $ Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the deductible. Estimated Start Date TOTAL ESTIMATE $ (JTc j O y_ D(,tkS��.ol� ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL J&K Representative Datel- —? Homeowner V Dat,XW7 Homeowner Expiration Date _ �A/*7� Date You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line ' (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type 1� Job Address f r) "76 ,; Lo 30'A, Permit Number OL(f S L r; c , € ,; 1� tf 'tl �CiK� t ft 1 �ytrl�PiFU 17t €airGt , J A `►l4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: cf� Job Address /Permit Number: _ 107K!E 10, 3 1�ta f El No one available for inspection: Time A EM Re- Inspection required: 'Yes No ( When corrections have been made, call for re- inspection at 303 - 234 -5933 m K Date: /t0-r Inspector: s: DO NOT REMOVE THIS NOTICE i " 1 City of Wheat Ridge r4000or Residential Roofing PERMIT - 091963 PERMIT NO: 091963 ISSUED:.: 09/03/2009 JOB ADDRESS:. 10765 W 35TH AVE `EXPIRES: .03/02/2010 DESCRIPTION: Reroof 25 sqs ***CONTACTS owner 303/423-9755 Barrett sub 720/234-4548 Trevor Nelson 09-0219 The Roof Works, LLC: `PARCEL INFO ZONE :CODE: UA 'USE: UA SUBDIVISION:.` 0640 'BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT :VALUATION: 6,202.00 FEES Permit Fee R_ 181.10 Total Valuation .00 ~~~'D'~ ' Use Tax ..111.64 2.,.:,.`•°`: 'TOTAL 292.74 c Conditions; 6 nail installation & mid roof inspection required. Board sheathing spaced more than-a 1/2 of an inch apart re'quires plywood overlay on entire roof. Ice and water shield required from.eave edge to 2':.inside :exterior walls." r Subject to field inspection. `r.'. I hereby certify; that the setback distances proposed by this permit application : are accurate, and do not violate applicable z, ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all r.,. t, 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 Wheat Ridge Ordinances, for work under this peTit. Plans subject to field inspection. n i cG Signatir~e contractor/owner ?ate w; 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 It a ` 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 v.: 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. y, 4. No. work of any manner shall be done that will change the natural flow of water causing adrainage 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 p Job1. 'I 6. The issuance of a permit or the approval of drawings and specifications s shall not be construed to be a permit for, nor an approval, violation of the provisions of the : building. codes or any other ordinance, law, rule or regulation. F Al l'. pla e s subject to field inspections. - T Signature Chi f.Building Official date INSPEC ON REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST: BE MADE BY 3PM: ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. K` City of heat Ridge Building Division °e 7500 W729 th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-235-2857 Inspection Line: 303-234-5933 OCORAO ~Building Permit Application Property Address: b.) V 3✓ ' ° Property Owner (please print): d ~0 (2~ Mailing Address: (If dilrlferent than property address) Address: City, State, Zip: Contractor. License T Phone: l 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: 8 7~ L Des ription of work'2 - / (as calculated per the Building Ietuaton Date sheet) .-y%5~ I / LY1~- GLV 3~F Plan Review (due at time ofsubmitai!): $ 0o Lt/( Q -""`tom Sq. Ft./L.Ftadded: 111 SquarescPN5 BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to fieitl Uon. CIRLCE ONE.. OWNER (CONTRACTOR) PERSONAL REPRE TATIVE of ((Ow ) (CgNTRATOR) PRINT NAME: Q SIGNATURE: 7 ,)fin sate: 3 DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer. PUBLIC WORKS COMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: Date: Plan Permit N I OM~5 FIRE DEPARTMENT:: 0 approved w/ Comments 0 disapproved 0 no review required DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST29thAVENUE BUILDING INSPECTION DiVISION PERMIT N0. Mp9¢#3588 234-5933 P.O. eoX638 CITY OF WHEAT RIDGE, COlO. THIS PERMIT VALID ONLY WHEN SIGNED BY TFiE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW. JOB ADDRESS OWNER CONTRACTOR ~Q ADDRESS I O~Ib!S W- 3~'l'~ H'iJ2- ADDRESS 0,9~ IS LU. c19,4- P lC. PHONE ZIPCODE CITY PHONE 1 nV~.fQ" ~ ~ C O ZIP CODE ~~A I C7~LICENSENO. ~d9.27 CONTRACT PRICnE $ 3 IDATE ~y AIJ "`I 1. TYPE Ground ❑ Woll❑ Proieetinp❑ Other S or D Foos . 2. MATERIAL Totol Squars Feat SIGNS 3. ILLUMINATION Yas❑ No❑ 7yps Eteet. Permit No. 4 SET BACK FROM PROPERTY LINE N_ S- E_ W Zone_ Approvad,Zone Inapeetor (SDecify whichiefront) ❑ ❑ ❑ ❑ DieapDroved 1. TYPE SolidE] More Than 80% Open❑ Leee Thon 80% Open FENCES MATERIAL Haiyht 3. SET BACK FROM PROPERTY LINE N_ S- E_ W Zone_ AppraW,Zono Impecta (Soecifv whieh ia front) ❑ ❑ ❑ ❑ DieaDDroved i. 1 _ _QTHER 2 ~ INSPECTION tICKET DTHERSTRUCTURE, GIWhG DIST 1R PROPERTV LINE JOB ` ADDRESS 1 UI w-3 S w IF? -91 DATE: BLDG. PERMIT# PERMITM BLDG. CONTR. 1(70 1~ SUBCONTRACTOH NT PROPERTY LINE DATE INSP. REQ. JG HOUSES,STREETS, AND PROP! TYPE OF INSP. ~ IVERAGE DISTANCE. INSPECTION MA E IING; ELECTRICAL; ME R THE INDICATED WORK ONLY UPO REMARKS THE DATE OF ISSUANCE IF WORK I PLUMBING PERpMI7T~(~ E IICENSE N0. 7p [)c~C, INSPECTION tiCKET Joa ADDRESS ~7(gi' w 36 DATE: BLDG. PERMITM y~ / PERMITk BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ..~`~r---- c TYPE OF INSP. INSPECTION MADE ~ REMARKS BSM IST 2ND 3RD v ASET W.R. FORM 619 WL W.R. FORM 619 B DISB . POWER SU8-CIFCUITS WA7ER HEA7ER Retri eranf Group UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER Pounds Chm e FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS d CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I hereby acknowledqe iFot this apDlica- tion ie eo.rect ond understand ihat I Cannof atarf this Drojbct until ihis appli- totion ia apDroved. I sholl comply with ihe lowe of Ihe Stafe o( Colorodo and to `he Zoninp Requloti0ns and Buildinq 'bde ofthe City of Wheot Ridpe. Any olation of ihe obove terms wiil cause mediafe. revocation of thls permil PERMIT FEE USE TAX TOTAL FEE ~ . $ CHIEF BUILDIN,B"INSPECTOR,Cityof Wheat Ridqe Date Issued jr - ? NOT VALID UNLESS RECEIPTED ~~G C/' CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS t. sl nmm~