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~