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
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" ' 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.
ADDRESS MAP UPDATED BY:
DATE:
°The Carnation City"
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