HomeMy WebLinkAbout11858 W. 36th 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: R lZ �-
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
r
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.
r
5 Plumbing Underground Ext.6
L
Water Underground
-
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
r
305 Insulation
306 Mid -Roof
-
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
I
PERMi I ADDRESS. r JOB Cvv�:
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
s
323 Miscellaneous
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 Finai Plumbing Residential
408 Final Plumbing CoMmerclai
s
409 Final Roof(_
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: Lj0 q ` T -f /1 6f a ®o r �
Job Address: I i ? L/ J (+ �
Permit Number: Zolz� %4
F1/19RM) 1)1-dLP
r
❑ No one available for inspection: Time �r &PIVI
Re -Inspection required: Yes N
When corrections have been made, call for re -inspection at 303-234-5933
Date: `7 Zzo 1,16 Inspector: Loc I 0Ve
DO NOT REMOVE THIS NOTICE
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: 2 d 0 n5___7 /
❑ No one available for inspection: Time . V 5 'AM/PM
Re -Inspection required: Yes-� No
When corrections have been made, call for re -inspection at 303-234-5933
Date:' i, `t % Inspector:"/
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201708574
PERMIT NO: 201708574 ISSUED: 10/24/2017
JOB ADDRESS: 11858 W 36th AVE EXPIRES: 10/24/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 30 sq Pitch = 6/12
(3rd party inspector required)
*** CONTACTS ***
OWNER (303)868-2210 THOMAS BRYAN W
SUB (303)921-1877 Steve Petersen
160087 Mountaintop Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,950.00
FEES
Total Valuation 0.00
Use Tax 229.95
Permit Fee 220.15
** TOTAL ** 450.10
*** 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
3 A
Residential Roofing PERMIT - 201708574
PERMIT NO: 201708574 ISSUED:
JOB ADDRESS: 11858 W 36th AVE EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles
(3rd party inspector required)
10/24/2017
10/24/2018
30 sq Pitch = 6/12
nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
uilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
I further attest that I rn uthorized to include all entities name d within this document as parties to the work to be
d that 11vofll
tper ormed disclosed in this document and/ its accompaqyinTroved plans and specifications.
Signature,oJ___-0NVNER or CONTRACTOR (Circle one) Date
1. 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 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 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 Chie-Muilding Official ID Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 23, 2017 8:20 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 , L
Property Address 14-E� 36th ave
Property Owner Name Bryan Thomas
Property Owner Phone 303-868-2210
Number (enter WITH
dashes, eg 303-123-4567)
I
14`1u, w
Property Owner Email
Address
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
mountaintopconstruction11 @gmail.com
Yes
bryan thomas 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)
Mountaintop Construction
160087
3039211877
Contractor Address 10182 Woodrose ct
(Primary address of your
business)
Contractor Email Address mountaintopconstruction11 @gmail.com
Retype Contractor Email mountaintopconstruction11 @gmail.com
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
30
10,950
No
r
Pitched roof (2:12 pitch or greater)
2
both? (check all that
apply)
What is the specific pitch 6/12
of the PITCHED roof?
How many squares are 30
part of the PITCHED
roof?
Describe the roofing Asphalt shingles
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional house
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
3
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.
Name of Applicant Steve Petersen
Email not displaying correctly? View it in your browser.
4
MOUNMKTOP
CONSTRUCTION
spa
Customer Name:
Street Address:
City, State, Zip:
Phone Number:
Email Address:
Insurance Co:
Claim Number:
Project Rep:
Rep Phone:
Rep Email:
C� 1La✓V�.�2 MOUNTAINTOP CONSTRUCTION
�' rh viZ 3845 Canyon Ranch Rd.
'v �G� �. Highlands Ranch
er'3 9J,- ;2 CO 80126
Spec
Roofing Type:
Roofing Style:
Color:
Ridge Material:
Valley Material:
Vents:
Plumbing Stacks:
Drip Edge:
Underlayment:
Ice Shield:
Tear Oft:
Pitch:
Chimney:
Skylights:
Solar Panels:
Tel: (303) 921-1877
Fax: (817) 927-6705
Job: --- -- --
nations
Notes
�C�rrr"-✓.=%� 7------- --- tel" -
Layers: —_ --
Stones:--_�.--
Construction Checklist
1 st Draft:
2nd Draft
Other:
Furnish building permit and complete building inspection. Gutters.
Protect landscaping. furniture and pool where applicable. Siding:
Remove trash and debris from roof. gutters and property. Painting:
.1 t-1 Use magnetic roller to locate hidden nails and debris. Windows:
Com- Conduct final roof and property inspection with customer. Interior:
Payment Schedule
Other Work
_—'�— ---
Contingency Agreement: This agreement does not obligate the customer unless full -scope roof replacement is
'Pro
by the customer's insurance company and is accepted by MT Construction.. ess specifically stated otherwise
bol -
V
Upon approval of the claim by the customers insurance company:w^�
• The customer asserts that MT Construction. shall serve as th general contractor for the scope of repairs above.
• MT Construction. will co,?pletqJlI prescribed repairs at price
v R will be due to MT Construction. upon completion.
T7customer e Co truction. to conduct the project in accordance with tht ms of this agreement.
MTRe Cusp'Date: /Z�'Date16%___— — - �7 — ��---
,, City of Wheat Ridge
" Residential Roofing PERMIT - 201708574
PERMIT NO: 201708574 ISSUED: 10/24/2017
JOB ADDRESS: 11858 W 36th AVE EXPIRES: 10/24/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 30 sq Pitch = 6/12
(3rd party inspector required)
*** CONTACTS ***
OWNER (303)868-2210 THOMAS BRYAN W
SUB (303)921-1877 Steve Petersen 160087 Mountaintop Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,950.00
FEES
Total Valuation 0.00
Use Tax 229.95
Permit. Fee 220.15
** TOTAL* 450.10
*** 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 - 201708574
PERMIT NO: 201708574 ISSUED: 10/24/2017
JOB ADDRESS: 11858 W 36th AVE EXPIRES: 10/24/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 30 sq Pitch = 6/12
(3rd party inspector required)
I by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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
pewthis ermrt. I further attest that I Fn-legall uthorized to include all entities named within this document as parties to the work to be
_ d that 1 tperformed closed in this document and/or itsl accompatyying approved plans and specifications.
Signature R 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 originalermit 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
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 Chie u lding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane LovettI
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 23, 2017 8:20 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 lad 36th ave 4%
Property Owner Name Bryan Thomas
Property Owner Phone 303-868-2210
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
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
mountaintopconstruction11 @gmail.com
Yes
bryan thomas 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)
Mountaintop Construction
160087
3039211877
Contractor Address 10182 Woodrose ct
(Primary address of your
business)
Contractor Email Address mountaintopconstruction11 @gmail.com
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
mountaintopconstruction11 @gmail.com
No
Pitched roof (2:12 pitch or greater)
2
both? (check all that
apply)
What is the specific pitch 6/12
of the PITCHED roof?
How many squares are 30
part of the PITCHED
roof?
Describe the roofing Asphalt shingles
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional house
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
3
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.
Name of Applicant Steve Petersen
Email not displaying correctly? View it in your browser.
MOUNMIKTOP
B! ', ;� MOUNTAINTOP CONSTRUCTION
Customer Name:
Street Address:
City, State, Zip:
Phone Number:
Email Address:
Insurance Co:
Claim Number:
Project Rep:
Rep Phone:
Rep Email:
r r 1i ✓1/t Gt MOUNTAINTOP CONSTRUCTION
rh viz 3845 Canyon Ranch Rd.
';� `G�iR Highlands Ranch
CO 80126
Specifications
Roofing Type: 4•••1•' ---
Roofing Style:
Color
Ridge Material:
Valley Material:
Vents:
Plumbing Stacks:
Drip Edge:
Underlayment:
ice Shield:
Tear Off:
Pitch:
Chimney
Skylights:
Solar Panels:
asf - _ - ---- -
.`x,21=1�k�_---
Vjr
Tel: (303) 921-1877
Fax: (817) 927-6705
Job: --
Notes
-C-rJ- Layers:
Stories:
-� -- 1st Draft:
— 2nd Draft
Other:
Construction Checklist
Furnish building permit and complete building inspection. Gutters
Protect landscaping. furniture and pool where applicable. Siding:
Remove trash and debris from roof, gutters and property. Painting:
Use magnetic roller to locate hidden nails and debris. Windows:
Conduct final roof and property inspection with customer. Interior:
Payment Schedule
Other Work
t -
Contingency Agreement: This agreement does not obligate the customer unless full -scope roof replacement is
pproved by the customer's insurance company and is accepted by MT Construction.. ess specifically stated otherwise.
b
ISG � ���
Upon approval of the claim by the customers insurance company: -„w
• The customer asserts that MT Construction. shall serve as th general contractor for the scope of repairs above.
• MT Construction. will co fel II prescribed repairs at price t
P��d�►Ress VwOe will be due to MT Construction. upon completion. '
The customer a e Co truction. to conduct the project in accordance with the t ms of this agreement.
Customer: MTRep: e-,--
Date: '
/6 Date:
--�--�--
l-7
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1"y./�d�
1'
Job Address:
❑ No one available for inspection: Time (' (`� - AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:`'
DO NOT REMOVE THIS NOTICE
u��NCCUV�� ryNC- s ✓asrr9� +ocsis
Job Address
Permit Number
U
❑ No one available for inspection: - -Time ( AOPM
Re- Inspection required: Yes /No j
"
When corrections have been made, call for re- inspection at 303- 2345933
E:
Date: r® ' Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
]�;1% Building Inspection Division
(303) 234 -5933 Inspection line
03) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: ,51,zAut ,.�f ✓G
Job Address:
Permit Number:
❑ No one available for inspection: Time /s AM /P:
Re- Inspection required: Yes low
"When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: �1,oA;Q1.or' Inspector: ,
-------- REMOVE-THIS NOTICE
CITY OF WHEAT RIDGE
�� Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address/Permit Number:
❑ No one available for inspection: Time P-'(()r
AM49M,)
Re-inspection required: 'Yes Co
* When corrections have been ma e d It , ca f or -inspectfon It 303-234-5933
Date: 1 7- 1 ,N96 7 Inspector:
fkp /I
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
I (303) 234-5933 Inspection line
- (303) 235-2855 Office. • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: K0o F
Job Address: A U
Permit Number:
S754L- '5~ ld)6CES fi? S~tlll R/i~ ~no~ ~
19k /&)<;-r9-LL S!-P-Ef-' 14-CaUA F f I-L/i-S
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
*When corrections have been made, call for re-i speotion at 303-234-5933
Dater LL ! Inspector:
DO NOT REMOVE THIS NOTICE
A 4' City of Wheat Ridge
Residential Roofing PERMIT - 091447
PERMIT NO: 091447 ISSUED: 08/19/2009
JOB ADDRESS.: 11658W 36TH AVE EXPIRES: 02/15/2010
DESCRIPTION:. Reroof 28.75sgs
CONTACTS'***
owner Mike Larusa
sub 303/422-2725 ".Gary Theriaque 02-1170 Bear Brothers Roofing
**.SPARCEL: INFO
ZONE CODE: UA USE: ;UA
SUBDIVISION:. 0690 .`BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED:. PROJECT. VALUATION: 9,500.00:
FEES
Permit Fee 235.70
Total Valuation - .00 < 100
Use Tax 171.00 d-~
*.TOTAL.**. 406.70
? Conditions: ;
6 nail installation mid-roof inspection -required.Boardsheathing spaced more
* thana 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..
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do. not violate applicable
4 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 Ihave 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 7
a I' ble Wheat Rid e~ r manes, for work under this permit. Plans subject to field inspection.
Signature of contractor/owner A ate
j 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
41'.ordinances of the city.
a', 2. This permit shall expire. 180 days from the issue date. Requests for an extension must be received prior to expiration
r ' 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
s' 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
s 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.
5. Contractor' shall notify the Building Inspector twenty-four (24) hours in advance forall inspections and shall receive
F written approval on inspection card before.. proceeding. with successive phases of the job.
w' 6. The. issuance of apermit or the approval of drawings and specifications shall not be construed to be apermit for, nor
an approval: of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.`
z All plan revi w i ject to field inspections.
x
Signature of uild
ing Official date
INSPECT Cps
REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235 2855
REQUEST :ST.. BE MADE BY 3PM-ANY BUSINESS DAY FOR INSPECTION. THE. FOLLOWING: BUSINESS DAY.'-
1
4 ` City of ~V Poll o
+ T
~lJ Date: ~1 gIICI ~-1.
Mlv{UNITYDEVELOPMEN~ Permit #:CC
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
Property Address: :~te+i,, Av-a- w)xc)C+,P- Q IC-17) 20033
Property Owner (please print): YYl (kP (_AY a CG Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractor License
Sub Contractors:
Use of space (description): o(~, 7"7 SG
Description o work;
1/ G04/F-) S` O 0
co Woo
-,)eA- PFt./L. Ft added: 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,
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) (CONTRACTOR)] or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME:
SIGNATURE:
Date:
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
FIRE DEPARTMENT:: EI approved wr comments ❑ disapproved ❑ no review required
Bldg Valuation:
OCCUPANCY:
Credit Card Payment: Use credit card listed on file. Date:
Print name: Signature:
City of Wheat Ridge
Residential Roofing PERMIT - 091273
z PERMIT NO: 091273 ISSUED: .08/13/200.9
JOB ADDRESS: 11858 W 36TH AVE EXPIRES: 02/09/2010
DESCRIPTION: tear off and replace. 28.75 sqs. Asphalt. shingles
***.CONTACTS
gc 303/422-2725 -.Gary.Theriaque 02-1170 Bear Brothers Roofing
PARCEL INFO
ZONE CODE : UA USE : :UA
SUBDIVISION: 0690 - BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Permit Fee. 199.30
Total valuation .00
Use Tax 144.00 j~L~~ttO(9gJ!
TOTAL 343.30 S ~;a`t)
Conditions:
6nail installation ,&.mid-roof inspection required. Board sheathing spaced more
than a'1/2of an inch apart 'requires plywood overlay on entire roof. ice and
water shield. required from eave edge to 21 inside exterior walls.'
r„ 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; thatall
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
e plicable Wheat Ridge r nances, for work under this e t.1 Plans subject to field inspection.
r
signature of. contractor/owner dike
y;^ 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
r .'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
r
' be paid for a new permit.
4. No. work of any manner shall be done that will change the natural flow of water causinga drainage problem.
5.. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
G.. 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
M% an approval of, any violation of the provisions of the building codes or any other ordinance, Maw, rule or regulation.
S ' All plan review is sub'ec t field inspections.
v,
' Signature of Chief B d4 Official date
INSPECTION RE EST.LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY.:3PM ANY BUSINESS DAY FOR INSPECTION. THE FOLLOWING. BUSINESS DAY..
r;
e A i W (0 1~ifi
Cy of
hea-t ldg4 Date: D
COMMUNITY DEVELOPMENT Perm Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Property Address:
Property Owner (plea
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: BPG r B -AL
i hcn
Contractor License#:unrrlln.tr m. 04n Phnnn• 2lt~J-'290-i(B(V\
Use of space (description): 1/ ~ f)2 Q IL
D`ey~sccr~ip~tion o(ff work-
I t llJ~. l~ VrICt"1 Construrtionvaillp. It R'ncl~
Plan Review (due of time of submittal): E
Sq. Ft./L. Ft added: Squares BTU's Gallons Amps
OWNEWCONTRACTOR SIGNATURE OF U
I hereby certify that the setback distances pr
rules or regulations of the City of Wheat Rid
allegations made are accurate; that I have n
responsibility for compliance with the Wheat
under this permit. Plans subject to files "
CIRLCE ONE:: (OWNER) t!CONTRACTOI
PRINT NAME:
ERSTANDING AND AGREEMENT
sed by this permit application are accurate, and do not violate applicable ordinances,
or covenants, easements or restrictions of record; that all measurements shown, and
and agree to abide by all conditions printed on this application and that I assume full
Ige Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
PERSONAL REPRES TIVE of( WNE) (CO TRATOR)
SIGNATURE: Date:
ZONING COMMENTS: DEPARTMENT USE ONLY
Zoning:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer
FIRE DEPARTMENT,: ❑ approved w/ comments ❑ disapproved ❑ no review required
Credit Card Payment: Use credit card listed on file. Date:
Print name: Signature:
OCCUPANCY:
Bldg Valuation:
Facsimile Building Permit Application
City of Wheat Ridge
_r-
Residential Fence PERMIT - 093449
PERMIT NO: 093449 ISSUED:- 10/19/2009
JOB ADDRESS:11858 W 36TH AVE -:EXPIRES: 04./17/2010
DESCRIPTION:.' Install 151 if of new 6' fenceand 2 gates.
CONTACTS
owner 303/423-7756 Larusso
sub 303./423-5441 01-8210 Golden Wheat Ridge Fence Co.
'PARCEL INFO
ZONE ;CODE: R-1A. USE: UA.
SUBDIVISION:;.. 0690. 'BLOCK/LOT#: 0/:
FEE SUMMARY ESTIMATED 'PROJECT :VALUATION: 3,300.00
FEES
Permit Fee 35.00
Total Valuation .00
Use Tax 59.40 :TOTAL 94.40
Conditions:
MR: Approved. Subject to field inspection. .
Note:: Owner/Contractor is responsible for 'locating proeprty lines, and
constructing improvements according to the approved plan and required
development standards. The `City is not responsible for inaccurate information
submitted within the plan set and any construction errors resulting from
inaccurate information.
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 a : ordinances, for work under this permit. Plans: subject to field inspection.
14,
23-a!7
Signature o~Wweer date
1 This permit was issued in accordance with the provisions set forthin your application and is subject to the laws of the
ordinances of the City.
2. This permit shall expires 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
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.
All pl n vi s subject to field inspections
Signatu of 01lef BmldmgOffmial ;date
INSPECTION REQUEST LINE: (30.3)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
(a
Date:
Plan #:U-1_c~)D
Permit M. D i6L~l l
Building Permit Application
Pro' 6 tyAddress
Property Owner (please print):: L~qR U ~~O Phone: ~{a3 _ 115
Mailing Address: (if different than property address)
Address:
City, State, Zip:
AT
Contractor: C70LDed1-l~~(1P0.{ G~Ct Fence
Contractor License Phone: Lla 3- 6g41
Stib Contractors:
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
Exp. Date:
Mechanical City License
Company:
Exp. Date:
- r~ _
Use of space (description): Z2 Ftft-)\f e. QLb `FCLV~Ce Construction Value: $ 3300, 00
DBScrlptjon of WOrks rkv, g~ Iv~S/~"E A-(~ j 5 I o f (as calculated per the Building Valuation Data sheet)
new 1 X x ` cCQ4 t= tP^C e Plan Review (due at time of submittal): $
I sake,s
Sq. Ft./L.Ft added: 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,
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) .(CONTRACTOR) or PERSONAL REP
PRINT NAME: FZAU , n n i n SIGNATURE:-
(CONTRATOR)
Date: / -;§F- 6
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
S
Bldg Valuation:
~wC Wv -
W
Ots,6
57
l3
Please Note:
Q r/contractor is responsible for locating property
11, cs n d cer 'tru tmp, iinprovementz according to the
n « p`nn -nd required development standards.
'f:,~ C._,, is .,,.E responsible for inaccurate information
r:::ted within the plan set and any construction
a-:ars resv;. Z fl-at.z i, seccrafe irfannation,
v .J - -
/1 ~ W
(I c ~D
"4' City of 'Wheat Ridge
Res. Miscellaneous PERMIT - 093120
PERMIT NO: 093120 ISSUED: 10/07/2009
JOB ADDRESS: 11858. -W 36THAVE EXPIRES: 04/05/2010
DESCRIPTION: Replace 14 sqs; of vinyl siding
***'CONTACTS
owner 303/523-7756 Larusso
sub 720/231-7174 John W. Mitchell 09-0363 Mitchell's.HOme Improvement
**.PARCEL INFO
ZONE CODE: UA ` USE: UA
SUBDIVISION:' 0690 (.BLOCK/LOT#: 0/
**FEE SUMMARY ESTIMATED'. PROJECT VALUATION: 9,086.00
FEES
Permit Fee ` 235.70 :f
Total Valuation .00
Use Tax 163.55 ( ~w,
**TOTAL 399.25
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 assn Y,' responsibility for compliance with the Wheat: Ridge Building Code '(I.B.C). and all other'.
applic le heat dge Or nc w under this permit. Plans subject to field inspection.
signature of contra for/ovmer : date
L, 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.„
? 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
be paid for a'. new permit.
L. Nowork of any manner shall be done that will change the natural flow of water causing a drainage problem.
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 jab.
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.
is subject to field inspections.
All. plan it
3ignatu ief Building Official date
ENSP CTION REQUEST LINE: (303)234-5933 BUILDING OFFICE:: (303)235-2855 2EQ STS MUST BE MADE BY ;3PM ANY BUSINESS )DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. i'
~oF W"t tTR City of Wheat Ridge Building Division Date:
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
°o~oRPOO Inspection Line: 303-234-5933
r
Permit
Property Adiiress> ~vr je1
PropertyOwner(pleaseprint): Phone Z,-- '/-'-2~*
Mailing Address: (if different than property address)
Address:
City, State, Zip: ('a ?-a /a7a
Contractor:
Building Permit Application
e/i ,
Contractor License Phone: l - 7/z '
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date:
Exp. Date:
Exp. Date:
Use of space (description): construction Value: $
D/pds6riiotion Of,Worki (as calculated per the Buildirm Valuation Data sheet)
xetkc"L°- S7"/ 7~/Y` Plan Review (due at time of submittal):
t GL 4 i Lr t~ T%
o23Z/`asl~".4PiUiwyl~Sluro/
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
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 sub' ction.
CIRLCE ONE:: (OWNER) CONTRACTO or PERSONAL REPRESENT TI Hof (OW ) TOR)
PRINT NAME: SIGNATURE: 41~ Date: 0~71~
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT NOM911117254
237-6944 EXT. 255 P.O. eox ssa CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONIY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. APPLI TfOpLFOR MISCELLANEOUS P~FZAM~r 6 ~
JOB ADDRESS ~ A~
OWNER
7 i f_)~ /i~~
DONTRACTOR 'l uL/~
~~~~~"✓f ~~UC~ ~~S
ADDRESS
ADDRESS ~ ~ • ~J
PHONE 7 ~a0 ZIP CODE Y443-
~.t
CITY ZIP CODE ~/2~
PHONE LICENSE NO.
CONTRACT P CE $ ~ ~ n p• De~')
DATE
1. TYPE C+round❑ Woll❑ Proieofin0❑ Other SaDFOes
2. MATERIAL Total Squan Feet
$IGN$
3. ILLUMINATION YeS❑ No❑ Type Eiee}. Parmif No.
4. SET BACK FROM PROPERTY LINE N._ S_ E_ W 2one_ Apprwsd, 2one Inspector
(SOecity which ie f ront ) ❑ ❑ ❑ DisavDrwed
i. TYPE Solid❑ More Thon 80% ODen[:] Len Thon 80% Opm
MATERIAL Hsipht
FENCES
3 SET BACN FROM PROPERTY LINE N_ 5_ E_ W Zone_ ApprwW,Zone Inspeeta
(Specify whieh ia front) ❑ ❑ ❑ ❑ DiaapDroved
L ! (7 17
li4 ~e~e
.
2'
OTHER
3.
DRAW SKETCH OFt SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GIVIh'v DISTANLES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED) ~
SPECIFY NORTM
STREET NAME .
SHOW DISTANCES fROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS' AND PROPERTY LINES; ON IRREGUTAR LATS, SNOW LEAST
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THISAPPLICATION WILL BECOMEA PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BYTHE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
. STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDERS12E B ILLEGAI
FLOOR
BSM
15T
2ND
3RD
4TH
N0.
F11EUCircbOna Gab 01I Propone CoW Elee Solor
N0.
WATER CtASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
'
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBA6E DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri eront Group
UTILITY (RANGE, DISPOSER, ETC.)
AUTO.WASHER
poundt Char s
FI%TURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOF2S d CONTROLS
FLAIXt DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
I Aereby acknowledge thot ihia applica-
lion i6 eorrECi and understand fhot I
eonnof sinrt tAis projxtt until ihis oDpli'
eotion it apOroved. I sholl comply with
fha lowe of Ihe Stote o( Colorado and fo
}hs ZoninQ Repulations and Buildinq
Code oftne Cify of Wheai Ridqe. Any
violation of the a ove terme will couse
immEdiate revoc iqm/of this peimit
PERMIT FEE
USE TAX
TOTAL FEE
CHIEF BUILDING
,City of Wheat Ridqe
Date Issued A- Z 3
NOT VALID UNLE55 RECEII
~F 3 63b
CALL 237-8944 EXT. 255
24 HOURS 1N ADVANCE
FORINSPECTIONS