HomeMy WebLinkAbout11601 Ridge RoadFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair
Date: Tuesday, February 15, 2022 3:15:34 PM
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PERMIT APPLICATION Sewer or Water Line Repair
This application is exclusively for SEWER OR WATER LINE REPAIR -IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 11601 RIDGE ROAD WHEATRIDGE CO
Property Owner Name DAVE GIBBS
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
720-357-4837
Rguruletriple.s@outlook.com
WHEATRIDGECC.Odf
CONTRACTOR INFORMATION
Contractor Business Triple S SANITARY SEWER SERVICES LLC
Name
Contractor's License 190357
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 7203053714
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email Rguruletriple.s@outlook.com
Address
Retype Contractor Rguruletriple.s@outlook.com
Email Address
0]:K16]CiIi1W0N]&TWO]S21
Is this a sewer line or
Sewer Line
water line repair?
Length of repair
65
Location of repair
FRONT YARD
(backyard, frontyard,
etc)
Provide additional
DOUBLE SWEEP CLEAN OUTS WILL BE ADDED
details including
installation of clean -
outs.
Project Value (contract
6300
value or cost of ALL
materials and labor)
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Rick Gurule
Pe rm it
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INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be perfortned unim this card is posted on the projnt site.
I Call the inspection request liiit before 11:59 p.m. to receive an inspection the, fbllow'ing business day
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
1"Wpukaul Comments
[iZ_no
Iniials
t
�fithc Slab Reinforcement
L,Caissons
nTr to i7'ic',ased Ground (CEG)
Footing/Steinwall P,E, t
Do Not Pour Concrete Prior To A roVa10f' a ve (plVectioni
Under roup Inspections Date
Inspector Comments
Initials
Electrical (Underground)
_Sr
(Underground)
Watef Service (Underground)
Plumbing (Below / In -slab)
Heating (Bel,ow / In -slab)
Do Not Cover -Slab Work Prior To A roeal Of The Abov
Rough Inspections Date
In r
Inspector Comments
'p
'a to
It6
Initials
n
Wall thing
Ji__f_Sh_eathing
Lath / Wall Tie
Rough Electric
Rough Plumbing
Rough Met t2anical
Qo Not Proceed Without Approval Of Above
Fm'i _111i
4nsuWton
i �y J�� Screw I Nail
Final Inspections Date Inspector
Initials
l Electrical
"irial Plumbing
...........
Mechanical
Roof
'"inal Building / Frame -- — ---
andscaping & Parking / Planning Dept.
ZOW & Drainage / Public Works Dept.
'ire Inspection /Fire Protection Dist.
Occupancy Is Not Permitted Until A Certcate of Occupancy Is Issued
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W.R. c y Lhcem a
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ity License # W.R. c#ty se #
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Other City Licensed dub.
City License #
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i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
In
Inspection Type: r+
Job Address: p �
Permit Number:
❑ No one_°available for inspection: Time AM /PM
Re- Inspection required: Yes No
"When corrections have been made, call for re- inspection at, 234 -5933
j Date: Inspector:
DO NOT REMOVE HIS NOTICE
♦ 41 CITY OF WHEAT RIDGE
� f Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
k "When corrections have been made, call for re inspection at 303
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r.
Residential Roofing PERMIT - 091644
PERMIT NO: 091644 ISSUED: 08/25/2009
JOB ADDRESS: 11601 RIDGE RD: EXPIRES: `02/21/2010
DESCRIPTION: Reroof 23 sqs
m
CONTACTS
owner 303/503 7451 Eileen Winseh
f sub
ff- 09-0273 Koehn Construction Inc.
PARCEL. INFO '
k, ZONE :CODE: UA.. -USE: UA
SUBDIVISION:. 0065 -BLOCK/LOT#: 0/
FEE SUMMARY - ESTIMATED PROJECT VALUATION: 4,600.00
01
FEES
Permit Fee' 144.70
Total Valuation .00
~Cya-1
Use Tax
80
82.
TOTAL 227.50
Conditions:
6 nail installation & mid-roof. inspection required. .Board ,.sheathing spaced more. -
,.thana 1/2 of an inch apart requires plywood overlay on entire roof. .Ice and
water shield required from eave'-edge to 21 inside exterior walls:
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 regulaki ns of the City of Wheat Ridge or covenants, easements or restrictions of record;. that all
measurements show, and al~~ega ions. made are accurate; that I have read and agree to abide by all conditions printed on this
3s: application and that I as me ull responsibility for. compliance with the Wheat Ridge Building Code (I.B.:C) and all other
applicable Wheat Ridge 0 inan es, for work under this permit. Plans subject to field inspection. -
S gntu of contractor/o 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.
It this permit expires, a new
` permit may be acquired fora fee of one-half the amount normally requited, 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 feesshall
be paid for anew 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 of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
y; AllplKre~. act to field in spections.
'Signature ing official date
_INSPECT T LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
,':REQUESTS MUST BE MADE BY3PM ANY BUSINESS: DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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City of
~ 0 Wh6at R4 ~ O o
Permit
COMMUNITY DEVELOPMENT
"j-'g
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
P?dPenyAiidr 11161 d- 4, a~
Property Owner (please print): k7/ Per) IAJI n.Se Phone:
Mailing Address: (if different than property address)
Address:
Q vow Kc
Contractor License
rvc-flon nn
Phone: clnq, Cqq'/°
St/1?irantractvi=
Company Name: License Expiration Date: Trade/Profession: Approval:
Use of space (description): P - Rocl~
UQr~pti4tbwoik
Construction Vahle, S 21600
Plan Review (due at time of submittal):;
Sq. Ft./L.Ftadded: Squares~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,
miss 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) (CON CTOR) or PERSONAL
PRINT NAME: ~ bS/-r' t2rZYta SIGNATI.
Bldg Valuation:
Credit Card Payment: Use credit card listed on file. Date:
Print name: Signature:
Z00/Z00 ln V99LL6££0£ XV3 £V:Z.T 600Z/59/90
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City of Wheat Ridge
1
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10Y3'. AUDR$S5:
DS$GRIP'TI.fJN:
Residential Electric PERMIT - 070192
070192 . ISSUED: 03/14/2007
11601RIDGE RD EXPIRES: 09/10/2007
125 Amp Service Change
. . Xxwr:~tb.'7p'1'Hl:3J ^ .
pwl2er 303/503-7451 E.L. Winsett 01-8644 Mercury Electric Co., Inc
....9c.~ .~3~03/296-7476 ~Michael Quigley
k~ PARC}37, INFO
ZQNB~CQDEi~. UA ~ USE: UA
~tlaoSVISTON: UA . BLOCK/IAT#: 0/ .
F"EE 'BLlK$KARY
. PermiC Fee ~
Tptal Valuation
t7ee TaX
TOTA`l, ~
ESTIMATED
PROJECT VALUATION: 1,200..00
FEfiS
58.34
.00
21.60
m
m
79.94
~I.hCieby cqXtlfy that Crie eetDack dietanceepropoeed by thie permSt applicaCion are accurate, and do not violate applipable
osdinanCe9,.iulea or.r atione of the City of Wheat Ridge or covenants, easemente or reeerictione of record; tt,at.all
measuremeatdl.eho all de are accurate; Chat I have read and agsee to abide by all con8itions printed on thic
a~plicatli Sull r pone1bi11ty for compl' nce ith the Wheat Ridge Huilding Code (I.H.C) and all otner
~lxc ncee; £o vro=k under thle e it. ane eubject Co field inapection.
~
.
iC 9.,COn d Y/oWI1ei . Ce
1...Thie i wa ieeue8 in ac dance with the provieione eet forth in your application and ie eubject to the lawe of the
'..5[d bf!~ lo do and to tZoning.Aegulatione end Building Codee of Nheat Rid9e, Cblorado or any other app7lcable
:p ~g e of the City.
3.'Th e -1t e 11180 daye from the ieeue date. Requeata for an exteneion muat be received priosto ezpiration
dy 7tn exten ' may be.granCed at the diecretion of the Building OfEicial. .
3.. Tf tAis permit expime, a new permit may be acquired for a fee of one-half the amount nornwlly requized, provSded no
changG{ ltbve been or will be mafle in the original plane and epecificatlone and any auepeneion or aGandonment has not
.exceadqd'-one (1) year. If changes have been or if euapeneion or abandonment exceede one (1) year, full fees ehall
:he paid Yor a new pexmit. {;'yTO wzkof any manner ehall bedone that will change the natural flow of water caueing a drainage problem.
5. GOntsdCEor ehall notify theBUilding Inepeceor twenty-four (24) houre in advance foz all inepectione azW ahall receive
.:written appsoval on inagection.card before proceeding with eucceeeive phasea of the job.
6.The i04uance of a pexmit or ehe approval of drawinge andepecificatione ehall not be conetrued to be a pesmiE for, nor
an appzoval of, any violatSOn of Che provieione of the building codea or any other ordinance, law, suleor regulation.
. All pian.review ie eubject to field inepectione. .
8lgnatu;e of'Chief Building Offical date
X"pK'$MN R$QIIi3TLINB: (303)234-5933 BUILDING OFFICE: (303)235-2855 ....:.REQUESTS.MUST HE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE.FOLLOWING HUSINESS DAY.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
pf WHEqTq BUILDING INSPECTION UNE -303-2345933 Date:
ti' g~ CITY OF WHEAT RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
owner:
Property Address:
ConVactor License No.
wn„~sr rr/~
Company: ~L4 t7'C~~~•~ t2 ,5c Tr'i c C o,lN c.
Phone: Ft, 3- S7 7515/
Phone: -;d 3 - 2 - 7 5i76
OWNERICONTRACTOR SIONATURE OF UNDERETANDINfi ANO AGREEMENT I Buildlna DevL ValuaNon Flgu►e: SLctll ev
I hereby certify that the setbeck diatances proposed by thia permft applieatbn are
accurate, and do not vblate applicable ordinances, rules or reguletions of the Cky of
Wheat Ridge or covenants, easemeMS a reslridbns of record; thet all measuraments
shown, and allegffibns made are aaurete; that I heve read erM agree to ebide by all
condRiona priMed on thia appiication and that I assume NII responsibilfly for eompliance
wlth the Wheat Ridge Building Code (I.B ) and all dher appUCade Wheat Ridpe
Ordinances, tor vrork under this pertAif. Pjgfis to fleld inspectbn.
(OW NER)(CONfRACTOf):
Use of Space (descriR
Description of woric:
sq. Ft. aaka
Value: $
Permit Fee:$
Plan Review Fee:$
TOtal:$
Expiration Date: Expiration Date: Expiration Date:
ApProval: ApProval: APProval:
(1) This permtt was isaued in eccordanee wlth the proviabns aet forth in your appHcatlon arM is subject to the laws M the State of
Colorado and W the Zorrinp RegWations and BuiWing Codes ot Wheat Ridpa, Cdoredo or arry dher applicable ordinencea of the
Ciry.
(2) This permit ahall expire N(A) the vrork author¢ed Is not commenced within sixly (90) deys from iseue daM or (B) the building
autnorized Is suspendad « abamionad r« a period o+ 180 deys.
(3) If this permit expires, a new permit mey be acquired fw e fae of wie4lalf the artauM normaly requked. ProviAetl rro changea have
been a wal Ge made In a,e original Wane ana specKications ana any auapenswn «abandonmetrt nas na exceeded a,e (7 )yeer. u
changes have been or if suspension w abandonment enceetls one (1) year, full fees shall be peld for a new permR.
(4) No wwk ot any manner shell be done trat wiH change the naturel ilow ot water causing a dreinnpe problem.
(5) Conlrectw shail notiry the Builduig Insp.~:tor Mrenty-f. vr (24) houre in advence fa atl inspections and ahall :xeiva v-rtitlm apprwal
on inspection card before proceedirg wtth succesaive phasea of the job.
(6) The issuance of a permit or the approval of drawirgs antl specificatiwis shall not be caistrued M be a permtt for, nor an approvel M,
any violation of Me provisima oT the building codes or any other wdinance, law, rule w regutation. All pian revkw is subJact to
Reld inspections.
Etectrical License No: Plumbing License No: Mechanical license No:
Company: Company: Company: