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HomeMy WebLinkAbout12225 W. 35th AvenueINSPECTION 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 ?� •�1 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 ?� •�1 307 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: -L61 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 2 Ir , r ,,i-,— 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 2 Ir , r ,,i-,— 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. A 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: a 437 FpS7)4 &V E Job Address: Permit Number: /2A -D ❑ No one available for inspection: Time 1'L4 -k,0 (AM"PM Re -Inspection required: Yes (No When corrections have been made, call fp0V-inspection at 303-234-5933 Date:12 I ( Inspector: Ic DO NOT REMOVE THIS NOTICE 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: Job Address: Permit Number: ❑ No one available for inspection: TimeA 5) Re-Inspection required: Yes �� When corrections have been made, call f ,e -inspection at 303-234-5933 Date: 1.121115 p N9�4� Inspector: lr c DO NOT REMOVE THIS NOTICE ,t. �v City of Wheat Ridge Residential Roofing PERMIT - 201709398 PERMIT NO: 201709398 ISSUED: 12/01/2017 JOB ADDRESS: 12225 W 35th AVE EXPIRES: 12/01/2018 JOB DESCRIPTION: Residential re -roof with GAF Timberline asphalt shingles. Pitch is 5/12 and 33 total number of squares. *** CONTACTS *** OWNER (303)697-7740 HAINES PATRICIA L SUB (303)816-1888 Derek Lindsay 022377 Infinity Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,652.65 FEES Total Valuation 0.00 Use Tax 265.71 PjAID Permit Fee 251.85 _ ** TOTAL ** 517.56 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201709398 PERMIT NO: 201709398 ISSUED: 12/01/2017 JOB ADDRESS: 12225 W 35th AVE EXPIRES: 12/01/2018 JOB DESCRIPTION: Residential re -roof with GAF Timberline asphalt shingles. Pitch is 5/12 and 33 total number of squares. 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be per d that all work to be perf"ormed 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 thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 changeof 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 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicade or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. 1_ ice. ` _ �+►' Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Friday, December 1, 2017 2:34 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED.° Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 12225 W. 35th Ave. Patricia Haines 303-697-7740 Field not completed. Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Haines Signed contract.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City'' of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or both? (check all that apply) Infinity Restoration 22,337 888-855-2331 18000 Groeschke rd permits@infinityroofer.com permits@infinityroofer.com 33 12652.65 0 _r - Pitched roof (2:12 pitch or greater) i) 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 Nikki Todd Email not displaying correctly? View it in your browser. What is the specific pitch 5/12 of the PITCHED roof? How many squares are 33 part of the PITCHED roof? Describe the roofing GAF Timberline materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional Armorshield detail here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application 3 INFINITY RESTORATION rtttit 2690 W. Main St Suite C L.ittletun, co 80120 Office (303) 8 t6-1888 Fax 001) X 16-1889 �33Br t'a�xxly IakTo txr(lWay'.iAvftCrc'a v imars' phmme :�"Um }¢Y'i APWX DAIC Of LtM: %I 7 -- EC(iatl [�..i�iht E,6, Lmn,zF,ee,-Rmuii (,rwittd moi'nr tktii of lunmacacovapwgy: 'rA-T--FAAL✓trt gttt°s Moke tt f httstxiaCr _.__........... _. _.... 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SH, (',.AQLK AND i"A)Nl t'���'LSt�`K".i�'dt?�Cii€�°t Lyra€;-�„�mY_iFyr�trr�t,�arkab�atxdtt,rEz�ct - iikNSum:.;�i�'»�31�:•:4tt+t�t°tl��t�NF � j/�-. ice! t€I9#s `fiiS l'E#E. ,I �E;F�E its lr� '!"t�lr"et.ii'v'1 VP1!s'(:k,€3"�!�,E�3-:�i'a�rt: EEti�k���G��i'1"t7Fd�.',�`�r`tiad'l�E_I'iiClt:i;�slA� �µ• �' _ _ + w Scanned by CamScanner " ' City of Wheat Ridge � Residential Plumbing PERMIT - 102261 PERMIT NO: 102261 ISSUED: 09/27/2010 JOB ADDRESS: 12225 W 35TH AVE EXPIRES: 09/27/2011 DESCRIPTION: Replace 50 gallon gas hot water heater * ** CONTACTS * ** owner 847/712 -7740 Patricia Haines sub 866/898 -0008 Mariana Kitchukova 08 -0021 Colorado Delta Mechanical Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0686 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 975.00 FEES Permit Fee 40.00 Total Va luation . 00 Re7 Use Tax 17.55 ✓� ** TOTAL ** 57.55 Conditions: Subject to field inspections. 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 appl iFabl'P Wheat Ride Ordinanges, fqr work under this permit. Plans subject to field inspection. SignaCure 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 he 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 o any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All p n ev is subject to field inspections. Signatu of ief Building Official date INSP CTION 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. i WHF.t r Dare: Clan #: Permit Property Address: Property Owner (plea Mailing Address: (if different than property address) Address: V U m City, State, Zip: contractor: LA,1, U Y C:IC,r J gy TOl IYL1 C, nI n I Co I l Contractor License #; 09 - CC) a I Phnna. Q Wn _ 1A 1 - Sub Contractors; Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Use of space (description): construction Value: $ Description of work; �v So (as calculated per Building valuation Date sheet) 'r, ritu tip ft `i�i� 1b+v w� Plan Review (da9 of time of submHtaQ: 6 Sq. Ft.lL.Ftadded; Squares BTU's4Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby Certify that the setback distances proposed by this permit applleadon are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, ea6ements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to ablde by all conditions printed on this applleadon and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheel Ridge Ordinances, for work under this permit. Plans subject to not action. ' CIRLCE ONE" (OWNER) CTO or PERSONAL RE CRESN ATIVEo (O N (GOyTR ))OR) PRINT NAME: a,GNATURt I,[-) ZONING COMMENT6: Zoning; Reviewer. PUBLIC WORKS COMMENTS: Revleweh BUILDING DEPARTMENT COMMENTS: Reviewer; FIRE DEPARTMENT;: O approved w/ comments d dlseppmvad ❑ no review required Bldg Valuation: OCCUPANCY:_ rib] City of Wheat Ridge Building Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855' Fax: 303 - 235 -2857 Inspection Line: 303 -234 -5933 DEPARTMENT USE ONLY 6 'd 19o5 'ON 3A31S WVE :6 0[0l 'Ll AIS Building Permit Application ♦ i CITY OF WHEAT RIDGE Building Inspection Division -5933 Inspection line 11 j o (303)234 (303) 235-2855 Office • (303) 237-8929 Far. % a V4 INSPECTION NOTICE Inspection Type: T Nr ~Gi aF Job Address: IV25 /les Permit Number: Jwpc) 2 .~-1 ~il~dZOrJ2/~ 11 M No one available for inspection: Time /f / AM! M Re-Inspection required: Yes When corrections have been made, call for re-inspection at 303-234-5933 Date:,-?- 5''- /U Inspector: ;A DO NOT REMOVE THIS NOTICE L 1 INSPECTION RECORD Occupancy/Type cy/Typ y INSPECTION LINE (303) 234 -5933 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. 25 5 lk AW z INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Plumbing (Underground) Reinforcing or Monolithic Weatherproof / French Drain" POIIR FI nnR Burn Sewer Service Lines Water Service Lines novv� FlAb DttN O GNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POIIR FI nnR Burn ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Frarsoing Insulation Drywall Screw ,. VrDepartment �s UVANGY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSIr h DnTC!`T T414Z !`ADn CDlIAA TLIC IAIC ATLICD nt 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. UVANGY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSIr h DnTC!`T T414Z !`ADn CDlIAA TLIC IAIC ATLICD ♦ s CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line „ (303) 235-2855 Office • (303) 237-8929 Fax u/ INSPECTION NOTICE Inspection Type: lg~]Al4e_ RQQf_- Job Address: / 2 _ 2 S G/e s i sS l4uc- Permit Number: /an 0 4 f~ I ❑ No one available for inspection: Time / ; 2 SJ A Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: 3 3 Ih Inspector: 9-✓' DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: >iu¢G kor~i= Job Address: /~2aS w 3Sr~/ ~y~ Permit Number: 1h~o2G f 1 ~.~.L y"?`.~'T~".ec~✓zia2Sc'`.rrri.,,.S-rvf,1 s z?f.,2 ❑ No one available for inspection: Time 11,5Z' M~ M Re-Inspection requiredC No *When corrections have been made, calf for re-inspection at 303-234-5933 Date: 4ZLLIo Inspector: f 2 DO NOT REMOVE THIS NOTICE ♦ 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: 04 "AL ovr Job Address: g p D ~ t, ,i Permit Number: # (~(C fr GfI t+✓ •'+~Ct ttib,,0h d'Fttflt, ❑ No one available for inspectio Time AMk Re-Inspection required: Yes No When corrections have been made, call f r re inspoction at $,03-234-5933 Date: 257- j ~ Inspector: r Sz ! Zr . DO NOT REMOVE THIS NOTICE 0 + t ,-.tea, r< ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Voth"fio fi ti y~~vk• Job Address: 1 ??3 Permit Number: FOQP-P,F• A g) CCri`R,t%-~e ❑ No one available for inspection: Time I l4 A FM Re-Inspection required: Yes No When corrections have been made, call for re-i.insp otion at 303-234-5933 Date:. Inspector: DO NOT REMOVE THIS NOTICE ♦ 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~ie> Job Address: S W 957`W Permit Number: 1ooo,94 ~wo~tZ~7 ° tt??z_ rtJ i~iCdd is Ufa Sfs r 4-- ~fc va2~C ❑ No one available for inspection: Time 2;S AM/t' Re-Inspection required: L'es. No When corrections have been made, call for re-Inspection at 303-234-5933 Date:- /0/3/2_ Inspector: dry DO NOT REMOVE THIS NOTICE Ailiance Reefing inc. Fax(720) 959-1199 ro Box 471569 1/15/2010 To: Wheatridge Re: Re-inspect fee Fax# 303-235-2857 Pages; I Charge my credit card on file for the re-inspection fee for permif #100026. $61.00 Roberta Grear CITY OF UHEAT RIDGE 01/15/10 10:23 AN edbb Roberta L Grear RECEIPT NO-CDBOO3759 AMOUNT DPSP Reroof 32 sqs with 3 61.60 160026 Reinspection Fee 61.00 PAYMENT RECEIVED AMOUNT VS 2879 61.00 Auth Code- 067955 TOTAL 61.00 TO/TO 39Vd ONI ONIA00N 33Nt1I73ti 66TT6980ZL LZ:60 OTOZ/5T/T0 oeW"E?J City of Wheat Ridge Building Division °m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Q Inspection Line: 303-234-5933 ~LORA9 9 Building Permit Application Date: Plan Permit / a.2.) s w. 35±-Ia- ,eve Property Owner (please print): Phone: DE'V- Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Contractor License v Phone: -7 2 (2 - 2-S 9 - /„Z CL 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_ $ O De-6010146-7, (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ h-,s-l~-4{ i- ~~ocw :3ayr s1ti~°ti-g/QS Sq. Ft./L.Ftadded: SquaresAtla 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 Cod 'I.B.C) a er applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE: (OWNER) (CONTRACTOR) r PERSONAL _ EN I of (OWN R) (CONTRATOR) PRINT NAME: SIGNATURE: Date: 7500 West 29th Avenue The City of Wheat Ridge, Colorado Whea6 Telephone 303/235-2846 Rluge DATE: January 14, 2002 OFFICIAL ADDRESS NOTIFICATION NOTIFICATION is hereby given that the following address has been assigned to the property/properties as indicated below: PROPERTY OWNER(S): Rvan Shacklett12225 W. 351~ Avenue, Wheat Ridee, C0 80033 OLD ADDRESS: 12225 W 35' Ave Wheat Ridae CO 80033 NEW ADDRE5S: Lot 1: 12225 W 35~ Avenue; Lot 2: 12285 W 35' Avenue SUBDIVISION: Shacklett's Subdivision LOT(s) 1& 2 BLOCK LEGAL DESCRIPTION: COMIvIENCING AT THE SOiJTHEAST CORNER OF THE NORTHWEST QUARTER (NW/4) OF THE NORTHEAST QUARTER (NE/4) OF SECTIpN 29, TOWNSHIP 3 SOUTH, RANGE 69 WEST OF'IBE 6T" PRINCIPAL MERIDIAN, CITY OF WHEAT RIDGE, COUNTY OF JEFFERSON, STATE OF COLORADO; THENCE S89°39'40"W 768.24 FEET; THENCE NO0°28'34"W 25.00 FEET TO T'fE POINT OF BEGINNING; TIIENCE S89°39'40"W 111.46 FEET; THENCE NO0°28'34"W 290.70 FEET; THENCE N89°39'40'B 111.46 FEET; TIMNCE S00°28'34"E 290.70 FEET TO THE POINT OF BEGINNING. SAID PARCEL CONTAINS 32,401 SQUARE FEET OR.74 ACRES MORE OR LESS. ATJTHOR7ZED BY: DATE: t/ I t Q-) DISTRIBUTION: 1. Property Owner 2. JefFerson County Assessor, ATTN: Data Control, 100 Jefferson County Pazkway, Golden, 80419 3. Jefferson County Mapping, ATTN: Addressing, 100 Jefferson County Parkway, Golden, 80419 4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, 80033 5. Xcel Energy, AT'"IN: Conespondence, 990 Bannock St., Denver, 80204 6. Qwest Communications, Attn: Shirley Campbell, 12121 Grant Street, Room 601, Thornton, CO 80241 7. Water District: Consolidated Mutual 8. Sanitation District: Westridee 9. Fire District: Wheat Ridee _ 10. Wheat Ridge Police Depariment 11. Wheat Ridge Planning Division 12. Wheat Ridge Building Division 13. Log File 14. Other: NOTE: Please notify all other parties concerned. 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