HomeMy WebLinkAbout5401 W. 33rd Avenue�l'1 INSPECTION RECO RLOcupancyT��_e
INSPECTION REQUES'i' LINE: (303) 234-F53 J
Inspections will not be performed unless this card is posted oth ect site.
Call the inspection request line before 11:59 p.m. to receive an inspection the fol �� ess 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
R
-IVA1 aLWIWrW A W I MM•GIJ4.MEJIJJ&I&lMOWN%fl.AIMMI/4.IM MYi M:r.�A%TlTT7f:TT_T_rT
Underground/Slab Inspections
Date
Inspector Comments
Sheathing
Initials
Electrical
v
Sewer Service
Plumbing
r%- \1_t A______..___._ _ •
.. __. _ _ _
Rough Inspec ' nsI,,\
- ---- --
Date Inspector
!n' 'al
--- — —-rr....,•• ...a, ravvrr- ulaNaa.uv�w
Comments
Sheathing
Mid -Roof
v
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 _ ll �%
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planninc- blblic Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*Gnr Inu. a•..14...•e r.e....:a.. oil...,.,. i....... ..._ aL _a __.._� ___ _ _._ _ _
--a— r—•••••-- •�y+� �+ ��••� ua•a �.,,.y�� uroNca,uvi:a aic L,ulllp GSGU ifulli the rive ulstrict ano eiectricai low voltage
by the Building Division.
**For Inspection Time Window —Please email insptimefequesta_ci.WheatridgC.co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201701050
'ERMIT NO: 201701050 ISSUED: 05/31/2017
70B ADDRESS: 5401 W 33rd AVE EXPIRES: 05/31/2018
70B DESCRIPTION: Tear off & reroof w/Malarkey Vista in Midnight Black 12/12 pitch; 16
squares
*** CONTACTS ***
OWNER (303)238-5059 SULLIVAN DANIEL JOSEPH
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,694.00
FEES
Total Valuation 0.00
Use Tax 308.57
Permit Fee 283.55
** TOTAL ** 592.12
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. 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 roo2 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 manufactureriErms 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's 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.
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 91-4 —
Job Address: o x'
Permit Number: � d 70 1060
❑ No one available for inspection; Time. .'`_-%A PM
Re -inspection required: Yes No
When co
rrections have been made, call for re -inspections at 3013 2344--5933
Date: ��A/
DO NOT REMOVE THIS NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time r' d-1 A
Re -Inspection required: YesNo
*When corrections have been made, call for re -inspection at 303-234-5933
Date: � 2 Q Inspector: !�/ r -)t !lf t—
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division '
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M D S
Job Address: `T 4 4 1 �� 3 ��✓ F
Permit Number: /46 S d
o -r }\ -1piso ur0
�I-
►YPJk ik1 r, 0 !kN No 4- 64 &)A, (f l�, I�-owN
N
❑ No one available for inspection: Time AM/PM
Re -Inspection require : Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: �- - 2 6 7 Inspector:
DO NOT REMOV THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701050
J
PERMIT NO: 201701050 ISSUED: 05/31/2017
JOB ADDRESS: 5401 W 33rd AVE EXPIRES: 05/31/2018
JOB DESCRIPTION: Tear off & reroof w/Malarkey Vista in Midnight Black 12/12 pitch; 16
squares
*** CONTACTS ***
OWNER (303)238-5059 SULLIVAN DANIEL JOSEPH
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,694.00
FEES
Total Valuation 0.00
Use Tax 308.57
Permit Fee 283.55
** TOTAL ** 592.12
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€-s 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's 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 - 201701050
PERMIT NO: 201701050 ISSUED: 05/31/2017
JOB ADDRESS: 5401 W 33rd AVE EXPIRES: 05/31/2018
JOB DESCRIPTION: Tear off & reroof w/Malarkey Vista in Midnight Black 12/12 pitch; 16
squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
appl�ca le 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 erm�t. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to..��e performed. 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 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 original permit 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
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Sri 1+s
City cif
COMMUNITY D> VFLC)I'MEN"l
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Date:
Plan # 0y,'
("
Permit #
Property Address: SYLl W 3YA Ay -Q -
Property Owner (please print): 11/4,11�tA I 1 I yayl Phone: 30,3- Zig• 5os f
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractors City License #: U f-3 Phone: 7__>3
Sub Contractors:
Electrical: Plumbing: Mechanical:
City License #
City License #
City License #
Description of work:
_—RoA 0` ' ti ' `00, - "�v� ��' � Contract Value: f
`0 S`IG W94+ NI -w ?-/ 17, pI� $
Review Fee (due at time of submittal):
Squares I I � BTU's Gallons Amps Sq Ft.
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 l have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) t5cm�l
or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
t
PRINT NAME: "� SIGNATURE: DATE:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS -
Reviewer.
OCCUPANCY
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required I Bldg Valuation:
f
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:_ D
Job Address: V o ( k,j 13 Avi
Permit Number: 0 0 0/ 0 C)
U U
rPK fi 4 Ni1� ����� �v hY 6hj- �
Ng .�.
-� %P n -� o �� s e a _F' _1 )C o n
❑ No one available for inspection: Time S AM/PM
Re -Inspection required: Yes No
When corrections have been made r re -inspection at 303-234-5933
1
Date:'/-' _)Insp
r
is
DO NOT REMOVE THIS NOTICE
x
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M ! h
Job Address: 5LIO ( (A) �.3ep Avc
Permit Number: Zoe' o 10 50
❑ No one available for inspection: Time -77-- )Z A&pm)
Re -Inspection required: Yes No
When corrections have been ade, call for r ection at 303-234-5933
Date: /, 1� � r) Inspector:k&�� � / 'L _14
DO NOT REMOVE THIS NOTICE
V
► i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTI N NOTICE
Inspection Type:� E
Job Address: SZID w 3� !vim
Permit Number: 2017010f-0
❑ No one available for inspection:
Re -Inspection required: Ye No
*Whey
Date
Time l a al AM/PM
r City of Wheat Ridge
/ Residential Roofing PERMIT - 201701050
PERMIT NO: 201701050 ISSUED: 05/31/2017
JOB ADDRESS: 5401 W 33rd AVE EXPIRES: 05/31/2018
JOB DESCRIPTION: REVISION: Adding redeck to permit 16 squares
Tear off & reroof w/Malarkey Vista in Midnight Black 12/12 pitch; 16
squares
*** CONTACTS ***
OWNER (303)238-5059 SULLIVAN DANIEL JOSEPH
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,827.00
FEES
Total Valuation 0.00
Use Tax 353.37
Permit Fee 283.55
** TOTAL ** 636.92
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. 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&C-s 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's 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 - 201701050
PERMIT NO: 201701050 ISSUED: 05/31/2017
JOB ADDRESS: 5401 W 33rd AVE EXPIRES: 05/31/2018
JOB DESCRIPTION: REVISION: Adding redeck to permit 16 squares
Tear off & reroof w/Malarkey Vista in Midnight Black 12/12 pitch; 16
squares
I, b 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 legally authorized to include ali entities named within this document as parties to the work to be
performed and that all work to be performed 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 the permit application and accompanyingpplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. Thispermit 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.
1 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
Division.
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 HE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of'3
e 1 e ( Date:
comiiAU1<IiiY DEVELOPMENT plan
Building & Inspection Services Division Permit #
7500 W. 29th Ave., Wheat Ridge, CO 80033 �,o ( , o t 05E
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Property Address: 5001 W, &M, k 1 l
Property Owner (please print)'11, (V 1�-� �1 � � i+L'�1 � � � Phone:
Mailing Address: (if different than property address)
Address.-
City,
ddress:
City, State, Zip:
Contractor:
Contractors City License #: 01, '"�`'l
Sub Contractors:
Electrical:
City License #
Plumbing:
City License #
Squares BTU's
Gallons Amps Sq Ft.
Picone: 614 Z e �
Mechanical:
City License #
contract Value: l3,
Review Fee (due at time of submittal):
$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTAND- I G 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perforin the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLEO_ME: (OWNER),(CONTRACTOR�AUTEORIZEDREPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME:
ZONING COMMENTS:
Zoning:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
TUBE -
DEPARTM
ENT USE ONLY
PUBLIC WORKS COMMENTS: OCCUPANCY_
Reviewer:
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required I Bldg Valuation: $
A i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax \
INSPECTION NOTICE
Inspection Type: ko P
Job Address: o d
Permit Number: 2(70 /050
❑ No one available for inspection: Time Aypm
Re -Inspection required: Yes (J No)
\,L',
When corrections have been made, call -for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner:
Property Address
Contractor License No.
DANIEL SULLIVAN
5401 W EST 33RD AVENUE
17612 ti
Building Permit Number : 78039
Date : 11/15/2004
Phone : 3-238-5059
Company : Hi Teck Heating & Cooling Phone : 467-2699
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT $3 675 00
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applirable 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 b II conditiq~s printed on this application, and that I assume full responsibili for co' li nce with jf~e Wheat Ridge Buildin9
Code (U.B.C.) and all other applicable Whe Ridg or ances, fg/~~ork under this permit.
(OWNER)(CONTR4CTOR)
Description : REPLACE FURNJCE AND WATER HEATER
Valuation :
,
Permit Fee :
$126.50
Plan Review Fee :
$0.00
Use Tax :
$44.10
Total:
$170.60
Use :
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
~u..~1~9
Approval :
lica ~orl~C~om e t
Approval :
Occupancy: Walls
Electrical License No :
Company:
Expiration Date :
Approval :
Roof
Plumbing License No :
Company:
Expiration Date :
Apptoval:
Mechanical License No :
Company :
Expiration Date :
Approval;
(7) This permitwas issued in accordance with the provisions set torth in yopur apptication and is subject to ihe laws of ihe State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of ihe CiTy. (2) This permit shall expire if (A) the work authonzed is not commenced within sizry (60) days from issue date or (B) the building authorized is suspended or
abandoned for a penod of 120 days (3) If this permit expires, a new pertnif maybe acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the
original plans and specifications and any suspension or abandonment has not exceeded.one (7) year. If changes are made or if suspension or abandonment
exceeds one (1) year, fu0 fees shall be paid for a new pertnit (4) No work of any manner shall be done that will change the natural flow of water causing a drainage pmblem. (5) Coniractor shall notify the Building Inspedor hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
pmceediing with successive phases of the job. (6) The issuance of a pertnit or the approval of drdwings antl specifcations shall not be wnstrued to be a pertnit for, nor an appmval of, any violation of the provisions of the building co s or any othew, rule or regulatioa ~
Chief d g I ecto
Please sign Terms and Conditions on reverse side of page.
SIC : Sq. Ft. :
Stories : Residential Units :
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Numee. :
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date :l/' ~5 Uy
7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855)
PropertyOwner:
Al
Property Address :
5-yU/
33 L-r
Phone:3 -2- 31-:l'- SOS~
Contractor License No. : /76 ! Z
Company `~"~CJ~ q7t 4Phone : 3- `fZ Z, Z6`Gl
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :
36 7_-5_~25
I hereby certify that the setback distances proposed by this pertnit application are accurate, P@ffT11t FE2 :
and do not violate applicahle ortlinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurete: that I have read and agree to abide by all conditians printed on this Use Tax :
application, and that I assume full responsibility for complianee with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe CRidge or ' ces, forw under this permit. TOtal :
(OWNER)(CONTRACTOR) SIGNED DATE C f' ~S USE :
Description : lz~~~~~ / ~/~~2 • , J
-7- f~~~~OTE2-
BUILDING DEPARTMENT USE ONLY
Zofi ng:i-" m d~3 SIC : Sq. Ft. :
- - qPProval:
Zoning :
Bffll~dmg~ ommen st.
Approval: T
Eubl c4_. or cLL! m en _
~ Approval:
Occupancy : Waiis : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issuetl m aCCOrdanCe wM the provisions Set forth in yoDur appliCatlon antl is subjeCt to the law5 of the State of ColoraGO antl to Ihe Zomng
Regulations antl Builtling Cotle of Wheat Ritlge, Colo2CO or any oNer applirable ortlinanres of the Ciry. ~
(2) This permit shall expire it (A) the vrork auUOnzed is nat commencetl within sixry (60) tlays from issue tlate or (B) the builtlinq auNonzed is suspenOeC or
abantlonetl for a perioC of 120 tlays.
(3) If Nis permit expires, a new pertnit may be acquireC for a fee of onehalf the amount nortnally require4 proviCetl no changes have been or wili he maCe in the
onginal plans and spetifinGOns and any suspension orabantlanment has not excee0e0 one (7) year. I( changes are maCe or if susDension or aEantlanment
exceetls one (1) year, full fees shall be paitl Por a new pertnil
(4) No work of any manner shall 6e tlone fhat will change the natu2l flow ot water wusing a Crzinage pro6lem.
(5) Conirattof shall noG(y the Builtling' tnSpeCtor tWenty-kur (24) hours in a0vance for all inspeCtions and shall teceive wntten appmval on in5pectian rarE before
(6) The su~ane of a u e~mi or the a5e roval ~tl2win
Prt 7P ys antl specifirabons shall not be consWeE to be a permit tor, nor an approval of, any violation ol the provisions
at the builtling cotles or any oMer ortlinance, taw, mle or regulaeon.
Chief Building Inspector
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