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Home My WebLink About11733 W. 33rd Avenue11-M U,3kA Avf1 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Typ e _ Inspections will not be performed unless this card is posted on the project site. "Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Det Nnt Pni lr rnnrrcfo Drinr Tn Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing — Rough Inspections Date ------ ------ Inspector Initials — — r ■-il, �L'%'Vc 11 CI.UVIW Comments Wall Sheathing Mid -Roof 2� Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical - Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof �{ Final Window/Doors Final Building 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. �- .---.---nVill LIIC rI1C L/15U0.a anu electncai low voltage by the Building Divisioonn Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather r 4 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: Time ' - "J AWPM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ` , r Inspector DO NOT REMOVE THIS NOTICE I I A City of Wheat Ridge f Residential Roofing PERMIT - 201705302 PERMIT NO: 201705302 ISSUED: 08/02/2017 JOB ADDRESS: 11733 W 33rd AVE EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy asphalt shingles - 31 sq (25 sq pitched / 6 sq flat) *** CONTACTS *** OWNER (303)912-9332 GREAVES MARK 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: 13,424.00 FEES Total Valuation 0.00 Use Tax Permit Fee 281.90 267.70 M ** TOTAL ** 549.60 � *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will he collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705302 PERMIT NO: 201705302 ISSUED: 08/02/2017 JOB ADDRESS: 11733 W 33rd AVE EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re—roof to install Malarkey Legacy asphalt shingles — 31 sq (25 sq pitched / 6 sq flat) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include alI entities named within this document as parties to the work to be performed and that all work to b��crfg�rmed is disclosed in this document and/or its' accompanying approved plans and specifications. e - 6_f Signature of OWNER of CONTRACTOR ircle one) Date 1. This permit was issued based on the infonfation provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services 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 applicable code or any ordinance or regulation of this jurisdiction. ,Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz ' 017O S3 Q ?L From: Sent: no- reply@ci.wheat ridge.co.us Monday, July 24, 2017 2:08 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application =h 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 11733 W. 33rd Ave Property Owner Name Mark Greaves Property Owner Phone 303-912-9332 Number Property Owner Email Field not completed. Address al I► Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Business J&K Roofing Name Contractor's License 019983 /` Number (for the City of `� L Wheat Ridge) Contractor Phone 303-425-7531 Number Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Malarkey Legacy Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 25 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 6 on the flat roof? TOTAL SQUARES 31 (pitched + flat) of all roofing material for this project 2 Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House - 5 & 2/12 Pitches 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 and to perform the work described above. Name of Applicant Kathy Vendegna Email not displaying correctly? View it in your browser. 3 CONTRACT J&K Roofing BgB, 13000 W. 43rd Drive • Golden, CO 80403 984-2 Phone: Phone: 303-425-7531 • Fax: 303-425-1562 www.jkroofing.com Representative lS✓e-t-�— Contact 6 e9 Date �" ? 20t7 Name IYILU k eliicz- uzi Phone email ��nn Address �3 �• 3cd �e- City b iu Zip Pinnacol Assurance 303-361-4000 Workers Compensation Insurance Policy #4079290 LABOR AND MATERIAL SPECIFICATIONS, TERMS, AND CONDITIONS. PLEASE READ CAREFULLY: Recover roof with V vUtt* Y -k CY4r-" Color of shingles �Cs21A rx:_ LCby4[l Manufacturer's Warranty (Tear off _, �_�(.t�kt✓ Install Underlayment_I_1�5 Double all Eaves CIO �l,� =7 S) Re -Flash Chimney and/or Skylights New Valleys �W 5 Replace Ridge 4 U.ta� ,lam Ventilation_ a \ Galvanized Fasteners 4 Replace_. Q Plumbing Jacks ( Paint roof stacks to match Install _JLL* t Metal Edging Ile_ r1 Patio or Flat roof / S hAe I Qn, TA- E57', Year Warranty on labor J & K Roofing to furnish all material and labor Permit: Included _�NOT Included Clean-up debris and haul off all trash from roof Roll yard with magnetic roller Gutters cleaned of roofing debris Decking Repairs $ per 5,A_!e� Hidden Layers (tear off) $__. per layer CaLA (C (Policy Number) 3 /aa l (Claim N) (Adjustor) (Mgrtgage Go.) (Mortgage Loan Number) Cincinnati Specialty Underwriters 303-653-0023 General Liability Insurance Policy #CS00061742 Extra work _oA_-A- - 7:4_5L -ujL The property owner is -K- is not, using proceeds from property and casualty insurance policy. Deductible if applicable $ ,,1:�-bro 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 ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL J& K Representative Date &9 7 1 7 Homeowner ,J-Date"fi/!'//Y Homeowner _ Date___ Expiration Date You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. ff 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 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: /--7 T Job Address: i � X 3 3 L.J 331714,, Permit Number: 3 o 2 ❑ No one available for inspection: Time �� ANtVPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 -- —4 -- Date: J , Inspector: DO NOT REMOVE THIS NOTICE Permit#:20121143 Issued: 12/11/2012 Stipulations: Kitchen Remodel and Counter Wiring per Code. This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may • occupied. All other licensing requirements for the City must be met. Site Address: 11733 W 33rd AVE Parcel No: 39-291-06-151 Owner: CORPUZ LILIA I / GREAVES MARK 11733 W 33RD AVE WHEAT RIDGE CO 80033-5303 Contractor: Hal Schafer 15795 HWY 119 BLACKHAWK CO 80422 -4 00 LO "ft 9, L I Q1 N 4 a City of SwAdmg & Inspeebw Services DWswn 7500 W. 29 Ave,, "t heat Ridge, GO 80033 Office, 303-235-2855 * Fax 303-237-8929 Irtspection Request Unw 303-234-5 pbn # i ftrmit Building Permit Application (Como** M, h*%Sh*d woft) Y-J -. At e- P"woft AAMr"* LCor v,4ci 0- 5 6 3 35 %UWM AdWow, (if different th," xwoperty &*Jress;) Address City, State, Zip: clontradw, CIO V%IN"VNCA " RRTML�. '4 ".. C+ V. Plumbing City License # 0'WNER/CONTRACTOR SK;NdVFURF OF UNDERSTANDING AND AGREEMENT t hcroby certify that Ow-w0rack disuinceN thiS fK"MIft ilj)PHC ifitwi are a%xun'oc, dv� not � iokoc'q n-Ai cable ordinance", rtdcs or rcguiations of the (7ity of Whew Ridg-V or CASCIIMUS Or ro"trictions of rcvvr( too all twasurv"tnts shomm and aHogittions Twade arc accunac, that I haw read and sa grw to abittv by ail cc)TIAlitions printed tea ffii ar.jifi wtion and that I assn w full fiv with applicabIc City ca Whc-at Ridge oxks and twdinances f4 wtwk under any jK, issued twit on Thk tat plicatim, that I arn the �egu� owner %w, havc 1wen auahorizvd tw, the lcvat w,4 tier of ffic prcmpviy to pAn-fimn thc ck-,, h work zind arts also authoriz.W Iw% the legal owncr of ant, entity includ'vd, on this to list that ottity on this applicatimi, CINCLEOU ftWAI'Xo WON79071W s OWNER) WON794CUM) If you have any questions, please fieel free to contact me, Thank you. Zeiler-Pennock, lnc,4 Z 12-120 11733 W 33rd Ave 8-2212,doe William J. Logan, P.E. Project Engineer IECC, &�'2005 NEC. v) Li W nwn,hm aom? et xs3u§ 20 Ov,qau " :, ,?01 Prini'M x I o 2 � 2" yy v) Li W nwn,hm aom? et xs3u§ 20 Ov,qau " :, ,?01 Prini'M x I o 2 � 2" Smoke Alarms shall be required in each sleeping room and outside each sleeping area per 2006 IRC, Section 313. required. snan cimply Tim 7000 LFF 2005 NEC. Water hammer arrestors are required at quick-closing valves R2903.5 ,�4A 11 KkF4 INSPECTION RECORD OGCUpancylTVpe INSPECTION LINE: (303) 234 -5933 R J 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. r INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB` 'FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS:. INITIALS J` ;. ;Footings /Caissons :Water Service Lines '.POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical _: (Underground) Plumbing (Underground) Heating (Underground) -11n Nnr: Gnna PI nnR [INTH ARnVF HAS BEEN SIGNED ♦ 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: ~er Job Address: _ (2733 U), 32ytrAr,~2, Permit Number: &0qQ ❑ No one available for inspection: Time A LM Re-Inspection required: iYes ) No When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division r' (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: PAP Job Address: 117'33 W, 33v ' ;4:,n Permit Number: 00 (071 ❑ No one available for inspection: Time {P7 A P "Re-Inspection required: des No When corrections have been made, call for re-inspection at 303-234-5933 J V(/\ k Date: Inspector: fi'r,f T,'_ pl~ r~L DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: / 1 Job Address: 1 1-7 37), U) .33 IO) XU Permit Number: ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No 'When corrections have been made, call r insfe lion at 303-234-5933 o 1~ Date:- G I Inspector: i- DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge .r- Residential Roofing PERMIT - 091379 ' PERMIT NO: 091379 ISSUED: 08/17/2009 JOB ADDRESS: 11733 W 33RD.AVE EXPIRES:. 02/13/2010 DESCRIPTION: Reroof 26.33 sqs :CONTACTS 'owner 303/912-9332 ' Mark Greaves sub: 303/287-2839 G.R. Brayton 01-8044 Roofco, Inc.. gw PARCEL INFO ZONE CODE: UA USE: `UA SUBDIVISION: 0691 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 12,277.50 FEES Permit Fee 290.30 Total Valuation .00 , r~vco-), x... Use Tax. 221.00 *.TOTAL 511.30 Conditions.: 6 nail installation & mid-roof inspection required. Board sheathing spaced more x;.than a 1 2.of an inch apart requires plywood overlay on entire roof:. Ice and water shield required from eave edge to 2' inside exterior walls. 3 Subject to field inspections. Thereby 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 (ap 'cable Wheat 'idge Ordinances, for work under. this permit. Plans subject to field inspection. t Signatu o con ractor/owner L- ate 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 maybe granted at the. discretion of the Building Official. ' 3. If this permit expires, a new. permit may be acquired for afee 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 be 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. y. 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 apermit or the.. approval of drawings and specifications shall not be construed to be a permit for, nor. an approval of, 'any. vioI do of the. provisions of the building codes or any :other ordinance, law, rule or regulation.. All, plan review is s je~tyt reld inspections. Signature of Chief Bu`i, mg frcial - .:date INSPECTION 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. 1^^. a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: Plan Permit #:q I , Building Permit Application Property Address: /733 yV 33rd &L Property Owner (please print): & 1 ( Phone: `:7e3 q C~ 3 Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: rco V'' P,1,C- Contractor License 0l9(j 7 7" Phone: '3 o3 g7 ~ P52 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): ~edt oll ~ Construction Value: $ 7 7 , Description of work:. --T0-K0 Y~ (as calculated per the Building aluation Data sheet) Ye Plan Review (due at time of submittal): $ Sq. Ft./L.Ftadded: Squares2(13 BTU's Gallons Amps OWNER/CONTRACTOR 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 field inspection. CIRLCE ONE:: OWNER) tCON711ACTOR) or PERSONAL REPRE TATIVI3 of OVOIf~~)~ NTRYTOR) PRINT NAME:~CL/fl SIGNATURE:_ G2 Date: Bldg Valuation: City of Wheat Ridge r, PERMIT NO: 4:091092; r; JOB ADDRESS: 11733 `W 33RD AVE DESCRIPTION:. Reroof 26.33 sqs with 30 yr FE t Fee r: 2901. Valuation ax 220: TAL * * 511.: c:; 11, I K, ,c a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: 63~1 Plan Permit Building Permit Application Property Address: p3s `4/ 41e Property Owner (please print): MC(/u C7)ymye S Phone: 3v3 / p/O~ C93-l') Mailing Address: (if different than property address) Address: / l, 4 City, state, zip: ~j~ P/%3 f ///IMP Pte) 33 Contractor: p( )t u ,lilfl C_ Contractor License 01 26 y q 30 Phone: Sub Contractors: Electrical City License Company: Exp. Date: Plumbing City License Company Exp. Date: Use of space (description : IL&r: vt ~~lD Description of work: i ge Sq. Ft./L.Ft added: Squarest " --3 BTU's Mechanical City License Company: Exp. Date: Construction Value: C ~-0 (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ 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 field inspection. CIRLCEONE:: (OWNER) I(ICONTRACTOR) or PERSONALREPRE TATIVE (OWpNEERR)) CONTRATOR) p PRINT NAME:,~")go ~FiAs', E 1 SIGNATURE:/t.lf~~- Date: / I'k, al DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. 237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED 8EL'JW. APPLdICATION FOR MISCELLANEOUS PERMIT JOBADDRESS ~ OWNER AQirv..~_1 CONTRACTOR o r'i~ n f~~~~•,~~, ~NC i~„'n-~DDRESS 3 W' 33'-`1 1'l e_ ADDRESS\ ~ ~ (7 eL J , d, V n . ,..rn ..Q .\'r^ CITY 1 eMAA-R-N ZIP CODE SS O2 -3 PHONE -7 -7 SK- 1 ~9 9 LICENSE NO. 5L sgy PERMIT FEE USE TAX TOTAL FEE 1. TVPE Ground❑ Woll❑ Proiecfinp❑ O1her SaDFoca 2. MATERIAL Total Squars faat SIGN$ 3. ILLUMINATION Yea❑ No❑ Type Eleef. Permit No. 4 SET BACK FROM PROPERTY LINE N _ S_ E _ W Zons_ ApDroved,ZOna Inspeefor (SDecify which ia fronf ) ❑ ❑ ❑ ❑ DisapDroved 1. TYPE Solid[3 More Than 80% OpenO lese Than 80% Open MATERIAI Heipht FENCES 3. SET BACK FROM PROPERTY LINE N _ S_ E _ W Zons_ Apprwsd,Zoro Impeotw (SOecifv whieh ietront) ❑ ❑ ❑ ❑ Disapproved I. OTHER 13. DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,GI INSPECTION TICKET (SETBACKS OR PROJECTpNS INClUDEO) JOB ADDRESS .11q / 3 3 C~j 3 3 , ( >~I ~ DATE: //`c;L6 BLDG. PERMITM1763 a PERMITA BLDG. CONTR. (`JA~~ SUBCONTRACTOR S7REET NAME DATE INSP. REQ. //-a 7 SHOW DISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES, STREETSj • ' DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DiSTANCE. TYPE OF INSP. APPLICATION FOR PLUMBING; ELECTRI( THISAPPLICATION WILL BECOMEA PERMITTO PERFORM THE INDICATED WOR PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUAN( ELECTRICAL PERMIT I PLUMBING PEF STATE LICENSE N0. I STATE LICENSE N0. ALUMINUM WIRE UNDERSIZE 81LLEGAL . FLOOR BSM IST Np, WATER UASET TEMPORARY METER WASH BOWL NEW SERVICE AMPS BATH TUB CHANGE SERVICE-AMPS SHOWER i LIGHTING APPROVED DISAPPROVED CHIEF BUILDII FIXTURES DISH WASHER I AUTOMATIC SPRINKIER SYSTEM WIRING MOTORS 9 CONTROLS FLOOR DRAIN EIEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER M(1TORS OVER I HP TOTAL FIXTURES J hereby ccknowledpa fhot this opplico- fion ie conect and understand that I connor a+arr tnie vrojecr unril tnis ovpli- Cation if opproved. I sholl comply with fhe lawa of ihe Stote of Colorodo and to tha 2oninp Requlations ond Buildinq Code of the Cify of Wheat Ridqe. Any violotion ofthe above ferme will couse immediate revocation ot this Oermit 4p01icaMs Si0nolur PHONE ZIP CODE CONTRACT PRICE $ Sl O n fl • i DATE INSPECTION REMARKS l C/, i W.R. FORM 619 V NOT $l30 6-0 1 1 JM3 ,City of Wheat Ridqe Date Issued [1 9 / CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS