HomeMy WebLinkAbout7255 W. 35th PlacePERMIT' Q % & % 7ADDRESS: 2Z 5� W 5,5/ /Y CODE: lf-k)f
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
q -
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
q -
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.
INSPECTION RECORD
Inspection online form: http://www.cl.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:.V&,l 9Z- �7 ADDRESS: ZS ��1�� �� JOB CODE:A�L
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
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 CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: LI C q - 1
Job Address: -7 a S'S w 3 _S -4-J P 1
Permit Number: _3 o 1'7 og 10 9 7
❑ No one available for inspection: Time I a - 0!R 6RPM
Re -Inspection required: Yes E
When corrections have been made, call for re -inspection at 303-234-5933
Date: //,7 / /Inspector: Tb
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
t
Residential Roofing PERMIT - 201709697
PERMIT NO: 201709697 ISSUED: 12/27/2017
JOB ADDRESS: 7255 W 35th PL EXPIRES: 12/27/2018
JOB DESCRIPTION: Residential reroof remove and install Owens Corning Asphalt Shingles with
24 squares. Pitch=4/12.
House and Detached Garage
*** CONTACTS ***
OWNER (303)403-4111 MUNIZ ROBBI L Z
SUB (720)583-1690 Matthew Dirr 130224 Cenco Building Svcs.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,200.00
FEES
Total Valuation 0.00
Use Tax 151.20
Permit Fee 172.60
** TOTAL ** 323.80
*** 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 - 201709697
PERMIT NO: 201709697 ISSUED: 12/27/2017
JOB ADDRESS: 7255 W 35th PL EXPIRES: 12/27/2018
JOB DESCRIPTION: Residential reroof remove and install Owens Corning Asphalt Shingles with
24 squares. Pitch=4/12.
House and Detached Garage
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le building codes, and all applicable municipal codes, policies and procedures, and that I am tle 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 all 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 'ts' accompanying approved plans and specifications.
Signature of OWNER or'�ICONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanyingplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4 No work of any manner shall be performed that shall results in a 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 hJ Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Lagenia Reimer
From: no- reply@c i.wheatridge.co.us
Sent: Wednesday, December 27, 2017 9:00 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application _
Categories: Gina
Residential Roofing Permit Application
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 7255 West 35th Place
Property Owner Name Robbi Muniz
Property Owner Phonv 303-403-4111
Number (enter WITH '' .,
dashes, eg 303-123-4567)
NO ^
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
c�
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 7255 West 35th Place
Property Owner Name Robbi Muniz
Property Owner Phonv 303-403-4111
Number (enter WITH '' .,
dashes, eg 303-123-4567)
NO ^
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
Field not completed.
Yes
Lynn MunizContract.pdf J
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Cenco Building Services
720-583-1690
6825 E. Tennessee Ave., Ste. 300 Denver, CO 80224
Contractor Email Address c.savage@cencobuildingservices.com
Retype Contractor Email c.savage@cencobuildingservices.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 24
the entire scope of work:
Project Value (con%d& 7200
value or cost of ALL. _
materials and labor)
Are you re -decking the No
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
PJ
both? (check all that
apply)
What is the specific pith 4/12
of the PITCHED roof?',
How many squares are 24
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof.
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
Owens Corning Asphalt Shinges
Asphalt
House and detached garage
................
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
t�,
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.
Name of Applicant Matthew Dirr
Email not displaying correctly? View it in your browser.
6795 E Tennessee Ave #426
Denver CO 80224
Phone: 720 5831690
Fax: 720 346 6313
www.cencobuildingservices.com
Residential & Commercial Building Services
CONTRACT
mill
cenco
Building Services
NameReferred
(�vb.b
by
�J..,-t, t'✓1 etmler-
Dates of service
J 2 J�- it -Es
V1 w vl J Z-
Street n
7? �J �f� P/
Home
roWk) ; . I V 0
Work
Cell
3()3- VO-Vll
City, State, Zip y�
InsurancecompanyCenco
representative
e/J �l
(��1 r�r�' f2, v 03
/�'I [ S
a r, V"� c rc
Cenco submits specifications and costs as follows
SHINGLES
Year R01 JL Brand (iWGnS Oyt+?trt( I)IUI %6=;M ❑3 -tab ❑Dimensional /Impact resistant ❑Tile
,J
Color pt S e r --y�k (-\ Remove -I 1 % Layers LJ
❑ Install decking p` t i v d_a- k S ne i e 54 "j ❑ Replace rotten decking at 3� < < rI le per SF
❑ Install ❑ 15# ❑ 30# Aynthetic base underlayment Other
install drip edge at all rakes .4e(nstall gutter apron at all eaves Color P\
❑ Replace plumbing pipe boots at all plumbing vents and vent jacks as needed Other
❑ Closed valley system Color ❑ Ice & water shield around chimney
❑ Install step flashing as needed ❑ Step flash chimney ❑ Counter flash chimney e-6ode items
a -Remove debris and haul off..ell�lagnetically sweep property ❑ Other
o,Ventilation # Turtle vents #Ft. ridge vent Other
SIDING
Brand o /a
Style
Size
Color
18
GUTTERS & DDOWNSPOUTS (ALL)
'ol)r / C I C `S"l A-1 w W1 Other Ft 6(4r r oeneW 4:��`"'
Lam) Si rL�
INTING
Cd frit' �k�C� 5d4 �. / ���w d�✓kir /tGr,
Additional terms and conditions on reverse are incorporated herein and are part of this agreement.
Cenco Building Services (Cenco) proposes to furnish all materials and labor as specified in the final insurance company scope of
repairs, for the sum paid by property owners insurance company, including "overhead" and "profit' paid by insurance company, plus any
supplements associated with the work performed by Cenco. Property owners are responsible only for the deductible and any extras
requested by property owner that are not paid from insurance proceeds. Cenco cannot pay, waive or rebate the insurance
deductible in part or in whole. The representation and repair agreement entered into on 17-11 y 20 0- between these
parties i mcorporat d herein by reference. Other provisions a I J w (iC pv4 �uof T �✓1ti / �h�w u•t_. v
T1s � .9 S.i tX-4x4
Total price of all work described above, excluding extras or supplements $
One third of payment due upon completion of each phase: (a) material drop, (b) completion of work, (c) release of final proceeds.
The contractor shall hold in trust any payment from the Submitted by contractor:—
property owner until the contractor has delivered roofing �I
materials to the jobsite or has performed a majority of the
roofing work on the property. Signature of property owner: 4& Date
Acceptance of contract: The specifications, conditions and costs Signature of property owner:
contained herein are satisfactory and hereby accepted. The
workmanship warranty begins upon completion and is void if
payment terms are not met.
Date
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: 3 0 & - / C1
Job Address: -735-S7 r,ty
Permit Number: '�;) IC f -7 D C? 9
❑ No one available for inspection: Time S-0 AM�PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:_1 s-- //1? Inspector: e -F -b
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
06/28/12 8-48 AN edbb
Darcy Tokraks
RECEIPT NO:C0087669
AMOUNT
RPISP Replace 40 call on ho
57.14
28120769
Persit Fee
4&90
Use Tax
1714
PAYMENT RECEIVED
AMOUNT
VS 2667
57.14
Auth Code:
056468
TOTAL
57. 14
0
# # #
�a
BUILMN
RevWwor
. # °.,
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w # #
, DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
11278
10/4/2000
Property Owner :
Property Address : 7255 35TH PL
Contractor License No. : 19402
Phone : 421-9471
Company : Aaark Heating & Air Conditioning Phone : 431 8015
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Description : REPLACE FURNACE
Construction Value :
$1,495.00
Permit Fee :
$54.00
Plan Review Fee :
$0.00
Use Tax :
$22.43
Total:
$76.43
Use :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanicai License No :
Company :
Expiration Date :
Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subjec[ to the laws of the State of Coloratlo antl to the Zoning
Regulations and Buildin9 Code of Wheat Ritlge, Colorado or any other applica6le ortlinances of ihe City.
(2) This permit shall expire if (A) the work authorized is not wmmenced within sixry (60) tlays M1om issue tlate or (B) the builtling authorizetl is suspended or
abantlOnetl for a peri0tl of 720 days (3) If this permit expires, a new permit may be acquired for a fee of one-half fhe amount normally requiretl, provitletl no changes have been or will be matle in the
original plans antl speciFlCations and any suspension or abandonment has not exceeded one (1) year. If chan9es are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permi[.
(4) No work of any manner shall be done thatwill change ihe nalural flow ofwater causing a drainage problem.
(5) Contractor shall no ~ ihe Building Inspector twenty-four (24) hours in atlvance for all inspedions antl shall receive written approval on inspection card before
pmceediingwith c ssivephas ofthejob. (6) The issuan p roval of tlrawings and specifications shall not be construed to be a pertnit for, nor an approval of, any violatidh of the provisions
of the buildin d or ordinance, law, rule or regula6on.
0
Chief Building Inspec or
Property Owner : ~1/t/v' G 1✓
Property Address
Contractor License No. : J Cf 1410 Z
Company
AWNER/CONTRACTOR SIGNATURE OP UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicabte ordinances, rules or regulations of:the,City of Wheat Ridge or
covenants, easements or [estnctions of recortl; thafall measurementsshown, and allegations
~made are accurete; that Phave read and agree,to abide by all:conditions pnnted on-this
application; antl that 1 assume full responsibility for compliance wdhpeWheatRidge!Building
Code (U.B.C.) and all otner applicable YVheat Ridge or ' ance erwork under tnispermit.
. . (OWNER)(CONTR4CTOR) SIGNED DATEA2
Description : ~pUf.~ ~v~Z/~~t
BUILDING DEPARTMENT USE ONLY
* .
Roof : Stories
Electrical License No : Plumbing License No :
Company: Company:
iration Date'.
roval:
i , Fi4'Mi;
(i)
This
Regi
(2)
This
abar
(3) ~
- IHhi
ongu
exce
Expiration Date :
Approval:
~~~~~mm
Phone :
Phone:
Permit,Fee :
:51'X6
Use Tax :
2j2~
Company :
Exoiration Date :
Approval:
was issuetl in acmrtlance with Ne provisions set torth~inyopur application and is subject lo the laws of Ne Slate of Coloiado and to;the~ZOmng
and Builtling Code of VJheat Ridge, Coloratlo or any,oNenapplicable orUinances of the City
shall exoire if (A) the work aufhonzed is not wmmencetl~wiNin sixty (60) days tromissue date or (B) the building authonzed is suspended or ~
(4) Noworkofany- fnannersha
(5) Contractor shall notify the B
proceetliing with successive
(6) The issuance of a permit or
of the building Codes or any
. . . . _
be acquired Por a tee otonahalf the amount normally required, pmvided no changes have been or wilLbe matle m
y suspension or abantlonment has nat exceetled ona (1) year. If changes ere made oraf suspensionocebentlonmenf'`
paid fora new pertnR q;.
at will change ihe naN21 fiow of water wusing a tlrainage problem. xtor lwenry-four (24) hours in advance for all inspec6ons and shall receive wnnen approval on inspection rartl bekre he jo6.
I of tlrawings antl specifica6ons shall not be consWetl to be a permit for, nor an approval of, any violatlon of the provisions -
ince, law, rule or regulation.
Chief Building Inspector For Mayor
THIS PERMiT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL• 234-5933 24 HOURS PRIOR TO INSPECTION
DEPAR7MENT OF COMMUNITY DEVELOPMENT
7500wEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M91Ih19972
234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAIID ONIY WHEN SiGNED BY THE CHIE.F BUiL01NG INSPECTOR ANC RECEIPTED BEIOW.
APP LICATION FOR MISCELLANEOUS PERMIT
JOB ADDRESS ~~7~J `JG/(~J c3J P/ OWNER
CONTRACTOR qODRESS
ADDRESpS !9/O 5hrr1'a✓a / PHONE ZIPCODE
CITY f~rva cla. ZIP CODE b'000-3 CONTRACT PRICE $1997
PHONE ~~77'3Y y~ LICENSE NO. 175"2 DATE -../o? -a77- 9 ~5/
TYPE Ground❑ Woll❑ ProieclinQ❑ 01her SorDFaoe
I
,
2. MATERIAL Total SQuan FaN
$IGNS
3, ILLUMINATION Yet❑ No❑ Type Elocf. Psrmit No.
4 SET BACK FROM PROPERTY LINE N_ 5- E_ W Zorn_ ApDrwed,Zone Incpoctor
(Speciiy which is front ) ❑ ❑ ❑ ❑ DisapOrwed
l TYPE SolidEl Mon Than BO% Open❑ Las Thon BO% Opon
MATERIAL HeipM
FENCES
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ ApprwW,Zorn Impecta
(SDeGify whith if }ront) ❑ ❑ ❑ ❑ Diaoporaved
~
7"ear oTF //a,arr~ u9iA/, .~-7a d
.
Z
OTHER
3
.
DRAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIV11rG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED) STREET NAME
z ~
J
Y
~ SPECIFV NORTH
8
vs
SHOW DISTANCE$ FROM THE MAIN BUILDING TaADJOININ6 HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LOTS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANL'E.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PEflMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE 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
ALUMINUMWIRE UNDERSIZE 8 ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
Fl1ELtCiNeOnsGa4dlRroparoCodEleeSolor
Np,
WATEFiCLOSET
FORCEO AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER BTU
NEW SERVICE AMPS
BATH TU8
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDiT10NING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP.
REFRIGERATION SYSTEM
POWER SU6-GFCUITS
WATER HEATER
Refri eronf fxoup
UTILITY(RAN6E,DISPOSER,ETC.)
AUTO. WASHER
Poundt Chor e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS d CONTROLS
F100R DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I NP
TOTAI FIXTURES
1 PERMIT FEE (r ~;0-pJ NOT VALID UNLESS RECEIPTED
Aereby ocknowledQe thot f~ie opp~ioa•
.
tion u oorreot ond undeistand that I
USE TAX
J
.9~6
toject until this oppli-
t stort thif
n
,
p
ean
o
oollon 11 approwd, I tholl eamply wilh
.
TOTAL FEE
$
Cr`j
lows of Iho Staf~ al Coloratlo ond 10
th
e
tM 2oninp Repulations and Buildinp
.OV
~
_
Cods of the City of Wheat RidQe. Any
vlolotion ol Ihe obove hrms willoauu
CHIEF BUILDIN
INSPECTOR~Cifyo
h~tlf Ridpi
immediote revocotion of fnis ermit
-
CALL2345833
~
t
24 HOURS IN ADVANCE
-
/
°~-a-7- 9 y
FOR INSPECTIONS
~
ate I55ued
!
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wES7 29tn AvENUE BUILDING INSPECTION DIVISION
237-6944 ExT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO.
PERMIT NO.M911f17047
THIS PERMIT VALID ONIY WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTED BELOW.
e- PLICATION FOR MISC
4f
ELLANEOUS P~F7RMIT
OWNER jy
10B ADDRESS
NTRACTOR
~7s
ADDRESS
:O
ADDRESS
s~
PHONE I- l 7' /J ZIP CODE 12=-
CITY 2;~IP CODE
PHONE LICENSE NO
CONTRACT PRICE lfi`3o S
DATE
.
TYPE Giound❑ Woll❑ Proieetinp❑ Othsr So, DFoaa
1
SIGNS
.
2. MATERIAL Totcl Squara Feat
Permit No
e Elaet
3
❑ N
❑ T
ILLUMINATION Y
yp
.
.
.
ee
o
4 SET BACK FROM PROPERTY I.INE N_ 5_ E_ W Zone_ Approved,2one Inspactor
(Specily which iafront) ❑ ❑ ❑ ❑ DisapDroved
1. TYPE SolidEJ More Than 80% ODanCl Lsst Than 80% Open
MATERIAL Hsipht
FENCES
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Appraed,Zono ln,peota
(Specify whieh ietront) ❑ ❑ ❑ ❑ DieaDProved
L
O
Z
OTHER
7
'
3
.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVih6 DISTANLES PROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDED)
i ~
J
Y
H
K
SPECIFY NORTH
~
N
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRRECaULAR LOTS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THISAPPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATEDWORK 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
ALUMINUMWIREUNDERSIZE81LlEGAL
FLOOR
8SM
IST
2ND
3RD
4TH
N0.
FIffL:CircJe0r+s60501IPropane EleeSolar
Np,
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH 80WL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TU8
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONINC-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri eront Woup
UTILITY(RANGE,DISPOSER,ETC)
AUTO. WASHER
Pounds Chor e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS B CONTROLS
FLJJOR DRAIN
EIEVATOR
516NS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
acknowledpe thot this opplica-
1 n
b
PERMIT FEE
ere
y
tion is eorrect ond understand thot I
ti
thi
li-
USE TAX
a~~ Q
l
s oPD
cannof atarf tAie project un
eation is opproved. I shall comply with
TOTAL FEE
$ 5-~ lQ
d t
o
fhe lawa of Ihe State o( Colorudo on
}hs Zoninp ReQulations and Buiidinp
Code ot the City of Wheat Ridpe. Any
violation ol the obove terme will cause
APP~ROVED
CNIEF BUILDIN
/
9 ✓1-(j:z:50-
~
INSPECTOR,Ci}y of Wheot Ridge
immEdiafe revocation of this permif
oare i55uPe
~OOIiCanl~ 8i0natun
VAIID UNLlESS RErC~E-I~PTED
Y'o`.S' lU
X 17- %-1 IN
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
>