HomeMy WebLinkAbout9750 W. 37th AvenuePERMIT: ADDRESS: JOB CODE:
INSPECTION 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
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'J.� -b G� U 37� rcyEyc
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
Li / rC4 1I1���
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
Roof
409 Final Roo
Li / rC4 1I1���
410 Final WindowiDoor
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.
The City of Wheat Ridge
Third Party Form Check List
Property Address V C_
Permit Number kol IC419__I
Permit Issued Date t I, y - I _*__
Owner Information
Property Owner Inforrnation C
Property Owner Address
Inspector Information
inspection Company r
ILL, bi
Inspector Name
Inspector Contact info.
if
Inspector Statement and Acknowledgement
I hearby acknowledge the roof I am inspecting is 6/112 or over. All roofs,
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
I nearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the aiiinimum requirements of the 2012 IRC and 2012
IBC as well as all City heat Ridge Policies and Procedure and Manufacturer's
recommend
Inspector:
......... Date:
'I hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third- y i sp 6ction mpany to perform my roof inspection
in lieu of the City of Whe -idge ildin g ' ision inspection.
57
Drapery owner/Agent e
Date:
This original document and permit card, as well as the roofing check list, must be Submitted tc
the Chief Building Official within seven 6ys of the final inspection
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
VVheat Ridge CO 80033
Draft Date: 7126/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Inspectilan
❑ N/A
❑ Pass ❑ Bail
[ N/A
❑ Pass ❑ Fail
Structural roof components)
f❑ N/A
Pass [] nail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass ❑ nail
Flashing for roof and walls
- Pass ❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
�N/A
❑ Pass ❑ Fail
Verify sheathing nail pattern ( See policy & Proceedures)
_ N/A
❑ Pass ❑ Fail
Crickets and saddles where needed
] N/A
Pass ❑ Fail
Verify B vent must have boot same as
❑ N/A
Pass ❑ Fail
gauge pipe
Verify vent caps
N/A
Pass ❑ Fan
Verify no flashings are damaged or rusted
f=] N/A
Pass ❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
XN/A
❑ Pass ❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
Pass ❑ Fail
Ice and water shield 2' in heated wall spaces
1-1 N/A
Pass ❑fail
Underlayments must follow 2012 IRC / 2012 IBC
N/A
Pass ❑ Fail
Verify roof slope for proper drainage
N/A
Pass ❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass ❑ Fail
Dripedge should extend down min 2" past roof deck
C] N/A
Pass ❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
N/A
I_] Pass ❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
KN/A
❑ Pass ❑ F3il
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
ly N/A
❑ Pass ❑ F3il
Above roof insulation R-25
❑ Pass ❑ F3il
Below roof residential R-38
JN/A
N/A
❑ Pass ❑ F3il
Below roof commercial R-32
NJDA
Pass ❑ F3il
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Mesal Roof Shinc�Ies Requirements
[ NSA
❑ Pass ❑ Feil
Metal roof shingles shall not be installed on slope less
N/A
❑ Pass ❑ Fan
3:12
Metal valley flashing shall be the same material as roof
`t N/A
❑ Pass ❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Rec uirements
( N/A
C] Gass ❑ Foil
Clay and concrete tile shall have a min. 2-112:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name: ?.Oa1.
Inspector signature:
late of Inspection:
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspe+.tion
❑ N/A ❑ Pass
[J Fail
X�N/A EJ Pass
[] Fail
Structural roof components
❑ N/A OJ Pass
/[
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A Pass
❑ Fail
Flashing for roof and walls
(L=J Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A ❑ Pass
[] Fail
Verify sheahing nail pattern ( See policy & Proceedures)
N/A ❑ Pass
❑ Fail
Crickets and saddles where needed
_] N/A Pass
[] Fail
Verify B vent must have boot same gauge as
N/A Pass
❑ Fail
pipe
Verify vent caps
❑ N/APass
❑ Fail
Verify no flashings are damaged or rusted
LJ N/A( Pass
/A El Pass
tN/A
❑ Fail
[] Fail
Step flashing shall be min. of 4x4 piece per shingle
Verify scuppers allow for proper drainage
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
[] N/A Pass
[] Fail
Verify roof slope for proper drainage
❑ N/A Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A Pass
[] Fail
Dripedge shall be mechanicaly fastened 12" OC
N/A CJ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
C N/A ❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
(. N/A ❑ Pass
❑ Fail
Above roof insulation R-25
N/A ❑ Pass
[] Fail
Below roof residential R-38
N/A ❑ Pass
❑ Fail
Below roof commercial R-32
[ N/A ❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof
;shingles
Requirements
N/A ❑ Pass
[_J Fail
Metal roof shingles shall not be installed on slope less
3:12
[_ N/A ❑ Pass
[] Fail
Metal valley flashing shall be the same material as roof
N/A ❑ Pass
6
[] Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
[ N/A ❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Company Name: 44r -
Inspector signature: t
Date ♦ Inspection:
at�t
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION yNOTICE
Inspection Type: 0
Job Address: % D 1✓✓ t ✓
Permit Number: oRG 17 d 72 Zq
❑ No one available for inspection: Time�-!AM/PM
Re -Inspection required:es o
When correc ions have been made, call for re -inspection at 303-234-5933
Date: gr % Inspector: nT
DO NOT REMOVE THIS NOTICE
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: 3o3 Z�"6
Job Address: V Vl/ "
Permit Number: 0-017a 7 % 7
❑ No one available for ins � �on: Time// /f C/ AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303--3a-s4-33
Date: j Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
�(303)
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I M 119 P-0bf-
Job Address: --,ni .4 4NUf-,
Permit Number: /LD 1'1 C):r�] 4
❑ No one available for inspection: Time A/PM
Re -Inspection required: Yes No
When corrections have been made, callf ;�,-Oc-
DO
ection at 303-234-5933
Date:l�`i 0 Inspector:
NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201707974
PERMIT NO: 201707974 ISSUED: 10/04/2017
JOB ADDRESS: 9750 W 37th AVE EXPIRES: 10/04/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 24 sq
Pitch = 4/12
*** CONTACTS ***
OWNER (303)883-3748
LANGE DONALD R
SUB (303)756-7663
Ty Correy
090134 Advanced
Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT*:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
16,000.00
FEES
Total Valuation
0.00
-
Use Tax
336.00
Permit Fee
299.40
** TOTAL **
635.40
s
*** 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.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201707974
PERMIT NO: 201707974 ISSUED:
JOB ADDRESS: 9750 W 37th AVE EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with
Pitch = 4/12
10/04/2017
10/04/2018
ROOF DECKING - 24 sq
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 tl7e 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 partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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.
g. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett l O 17 j � (4
From: no-reply@ci.wheatridge.co.us
Sent: Friday, September 29, 2017 2:26 PM
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 9750 W 37th ave
Property Owner Name donald lange
Property Owner Phone 303-883-3478
Number (enter WITH
dashes, eg 303-123-4567)
113 4
__z::_
0
C�
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed WR.JPG
Contract
CONTRACTOR INFORMATION
Contractor Business advanced exteriors
Name
Contractor's License 090134
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)
3037254502
2200 S VALLEY HIGHWAY
Contractor Email Address freddygreen@advancedexteriors.net
Retype Contractor Email freddygreen@advancedexteriors.net
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 24Z
the entire scope of work:
Project Value (contract 16000
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
Yes
Pitched roof (2:12 pitch or greater)
114
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 24
part of the PITCHED
roof?
Describe the roofing shingles
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional house/redeck
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
115
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 Freddy Green
Email not displaying correctly? View it in your browser.
116
Advanced Exteriors, Inc.
/7--
.:.
hopeffy Vis) CUOMM ftoposal Date 1
Coll, MOO ZIP seco"dwy MMM
In3aart fc8 stay C33en # e En -1 wears
Two ■
.�_ •
.: •- - Perimeter
h0all 15,t felt
X.
iY
# 3
•s • s —
a
Stonciald ridge High proffle ridge,
Instam ridge vent
.. Verls
_Jack flastrGs
E .. �.
Detach
reset
Remove cover
Detach • rewt sateUfte Remove
Clean • , r sw_p • • y
sProvkja building perma
•Manutacturei.,r"
Advanced Werkxs,• Labor
A(A da^ C
s) of SeMas. 4Poyment Teirns: C < P
(Advmaed f0erkm taste is rani responsible for any and caxuaW nuffance cafflees delay of dardal of an kriwar ar e&samn, ki who ar ars pari),
City
of Wheat Ridge
.
~
Residential Roofing PERMIT -
081177
PERMIT NO: 081177
ISSUED:
10/13/2008
JOB ADDRESS: 9750 W 37TH AVE
EXPIRES:
04/11/2009
DESCRIPTION: T/O reroof
with 3 tab shingles25 sqs
CONTACTS
owner 303/421-1411
Rosaly Lange
gc 303/988-8955
David Fay
01-8366
D & D Home Improvements
PARCEL INFO
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0620
BLOCK/LOT#:
0/
FEE SUMMARY
ESTIMATED
PROJECT VALUATION: 3,950.00
FEES
Permit Fee
126.50
Total Valuation
.00
~
Use Tax
71.10
b
TOTAL
197.60
Comments
Conditions:
6 nail installation & mid-roof inspection required. Board sheeting spaced more
then a 1/4 of an inch apart requires plywood overlay on entire roof
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
app cation and that I ssume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
ap lr able Wh at R' ge rdinances, for work under this permit. Plans subject to field inspection.
io-C3- 9
r,,,-P ~F ~~„rra ~r r/nwn r date
1. This permit was issKed 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.
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.
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 plan review is subj ec to field inspections. _
Signature of Chief S 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.
a City of Wheat Ridge Building Division
7500 W29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
Property Address: % 75-D Li 3 -7 tt A I-<
Date: tp • (,6.0 9/
Plan
Permit#:
Property Owner (please print): 9 bS 9i 42 j Phone:
Mailing Address: (if different than property address)
Address: j~'m
City, State, Zip:
Contractor D t +~rM C + wr/J /cI t t/vt 7 L5
Contractor License ~I - ~jlD(i Phone: D 3 - ~2 8~ $`r j T
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
'3q ~
Use of space (description): Construction Value: $ So
yD'~escription of work: (as calculated per the Building Valuation Data sheet)
i` ®o Plan Review (due at time of submittal): $
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 REPRE TATIVE of (OWNE) (CONTRATOR)
PRINT NAME: SIGNATURE: Date: 10 -13-4
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer:
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required
Correction Notice
Job Located at ! Z SU w 3 ,Z
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date
FORM WF16-22
mspecu
DO NOT REMOVE THIS TAG
11 -
Building.: Dept.
I"
BUILDING DEPARTMENT
r;
k' (303) 235-2855
CITY OF WHEAT RIDGE
Correction Notice
Job Located at D L&, 3 7 - Ot
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
l
iP 1>royn al ze' Q f Rya Cy x'16 6~ .Qcc'
9°7
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
I i
Date
Inspe or Building Dept.
DO NOT REMOVE THIS TAG
-FORM WR6-22 -
BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
Correction Notice
Job Located at '7 ZS C> 10-
have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-.
erning same:
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date G44
Inspector M uilding Dept.
DO NOT REMOVE THIS TAG
FORM WR6-22
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