HomeMy WebLinkAbout3610-3620 Pierce StreetA i CITY OF WHEAT RIDGE
Building Inspection Division+_
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 0' i t;.
Job Address: V k 1 i C L
�,
Permit Number: (��Q �.L; t ''
❑ No one available for inspection: Time W" AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
httpYAvww. ci. wheatridge.co. uslinspection
L:
Date: ;,� La'I- Inspector:
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: kA E - J�-
Job Address: c c
Permit Number: c) J 1 :1 C) �3u�
❑ No one available for inspection: Time' c AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:- 31 j 311 Inspecto . �.
DO NOT REMOVE THIS NOTICE
f
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JCa4
e
V
Sia c
1
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❑ No one available for inspection: Time' c AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:- 31 j 311 Inspecto . �.
DO NOT REMOVE THIS NOTICE
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o
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: 3.3 V- M � r-) -
Job Address: P I Pr C,
Permit Number: c.)9 3C)
❑ No one available for inspection: TimeAM/ M
Re -Inspection required: Yes No
When corrections have been made,,cafi-for re -inspection at 303-234-5933
t
Date: 1 S1 / Inspect
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201709306
PERMIT NO: 201709306 ISSUED: 11/28/2017
JOB ADDRESS: 3610 Pierce ST EXPIRES: 11/28/2018
JOB DESCRIPTION: Re -roof duplex with Timberline HD 30 year Dimensional Shingles; pitch is
4/12 and total number of squares is 43 2/3. Tearing off one layer on
duplex.
*** CONTACTS ***
OWNER 720-838-3456 CHRIS SCHEER
SUB (303)466-0161 Bernie Reitz 019543 Reitz Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,120.00
FEES
Total Valuation 0.00
Use Tax 275.52
Permit Fee 267.70
** TOTAL ** 543.22
*** 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 - 201709306
PERMIT NO: 201709306 ISSUED: 11/28/2017
JOB ADDRESS: 3610 Pierce ST EXPIRES: 11/28/2018
JOB DESCRIPTION: Re -roof duplex with Timberline HD 30 year Dimensional Shingles; pitch is
4/12 and total number of squares is 43 2/3. Tearing off one layer on
duplex.
I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications=
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permit. I further attest that I am legally authorized to include 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 its' acco panying approved plans and specifications.
l/ �a
Signature of OWNER or CONTRACTOR (Circle one) Date 7
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 off i f Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, November 28, 2017 11:24 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
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 Duplex
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
3610-20 Pierce St.
Chris Scheer
720-838-3456
Field not completed.
L e z
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 Signed proposal for 3610-20 Pierce St..pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Reitz Roofing, Inc.
Name
Contractor's License 019543
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-466-0161
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 11925 Quay St., Broomfield, CO 80020
(Primary address of your
business)
Contractor Email Address Reitzroofinginc@gmail.com
Retype Contractor Email Reitzroofinginc@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 432/3
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
both? (check all that
apply)
$13120.00
No
Pitched roof (2:12 pitch or greater)
6
What is the specific pitch
of the PITCHED roof?
How many squares are
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)
4/12
432/3
Timberline HD 30 Year Dimensional Shingles
Asphalt
Tearing off (1) layer duplex
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
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 Bernard J Reitz
Email not displaying correctly? View it in your browser.
Reitz Roofing, Inc.
11925 Quay St.
Broomfield, CO 80020
(303) 466-0161 Fam (303) 466-0811
Email.: ReiizrooB giuc@gO3,aU_Com
t
0 m
Reroof the entire houselbuoding with 30 yr DimensioRai shingles
Reroof the entire houselbuMg with
Underlay valleys with roll r00%Q c:r galvanized valley ter.
Seal or counter flash an waiisy flues and verxts_ Replace 1 112"
Clean up and haul off any debris
Furnish Permit Install raof to meet an City and IBC Building Codes.
Wan* roof ib : (5) years on all wortarranship-
Sttp* custOtzter With Gen waiver, proof Of insurance and manufacturer s warranty.
Tear off , laver(s) of roofma on the entire roof,
vents
3'_L_41, Pipe Jack Ffashings.
We Propose hereby to furnish material and labor -
complete in accordance with above s
moons for- the sum of.
TERMS AND CONDITIONS
pay� to (>A rrade as fcRovvs: Paid in M .Pon on o:
ara UP- Retz —1 d..
above. Reitz Roc, yv� Ra°� S that a3t
�Q peribim ft past of the at a U;; + oor wrffi icdrstry
raards. P�artrrarlce try Re3z Boating its as,d decays tE7✓�id
fio wnbod of Razz Roormg Rer¢ Roo€angs rz4t
bo#ore tite roo€ -s aPPfied- Reffz Rao ir>A s and -
Three � atter ge@�, fieY ir-
fOrarlyr
Pmnt tees or acry oMa casts that Reitz RnofbV br
Proposal Theiaderv9ried agrees #Iat jw&tewig be rabte rarthp
Rby hlsfi r � Charge e in the above spm, and ttret Reitz
�9 wig be baaa by s xh above tsars.
Reitz Fmofing G nal reable ar rr-=spo,Tzi i_ fa �,), iridd.�r mxYor raSoresegr a'�tr
brat can not be Fe-detearmled in advance pj iIz Roormg vu t be ❑arra
by sucfr in the � � F it is in wn&j - The prnpe ty awrrer is
to carry Fka, Ta=do ani odd amu:ay�4"
Defat ftof PW"ettt- Theme to pay at ft arnolmt of one
era on haff part (1-7f2%) per month forn the date &mcp any t VId Pin
O
"m3 uta wsss of ako agrees to paya±l oasts of co ,
at�meys fees aid irdermt in the a
�r� �' wort c at, are M r
nrtor One Fxorre tuff p {
per t - U29G )
rrtolxh ft eB wtfeGiiGrl costs AM the dM flil78i9T ffi
Both parties have read and understate this contract and
agree to the term and
Signature: � � J .,.�� r'
AuftnZed Signature:_
Date of acceptance:1 �f I.,,�t�� � ' ,
herein. -
Reft Roaring tnC.
Note: This ProPO-';d May be withdrawn by us if not
� accepted within —_30 _days-
r
Inspections will
not be pal:f unleas this caul is posted on the project site.
to r"Ve an inspection the following business day.
11111SP40W MOM fto ALL
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EM
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Datetttit Comments
Wan Sheathing
Roof Sheathing
Lath ail Tip
Rol Efectlic
Gas Piping
Do Not Proceed Without
rovl Of Above.
twn
Ehret inspections
Crate
lnedr
Initials
<
Final Electrical
3 �w
Final P1
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incla
i
4256
Final ieil� 1
Landscaping & Parking / Planning Dept
ROW Drainage Public works Dept.
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• e �. a Awl F—.T.—T17TITT.-T,r • a . e a s e e
Occupancy Is Not Permitted Untfl A Cerfificate of Occupancy Is Issued
Inspections will not be
following pertbmed unless this card is posted on the project site.
I the inspection request line before 11 -59 p.m. to receive an itispedion the
business day.
Inspector project
W
Foundation Inspections
r auV �mn ii
Stough Inspedions
Date "IsPeMor
Comments
Initials
Sheathing
Roof Sheathing
Lath / Wall Tier
Rough
Rte r
Rough Mechanical
Gad
vat Of Above
Ro
Inr,
Drywall Sasso i Nail
e
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:...
final Inspections
Date Inspector
Vil`Paiz.. v&,3o A"N'�`14';'p„ l'.E
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Final E
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Final Plumbing
FinalMechanical
!
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a�
w$P
AR
Roof
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261& "A
Final Building / Frame
Landscaping & Parking / Planning Dept.
ROW & Drainage Public Wotks Dept.
Ocoupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect # From
Inspections will not be performed unless this card is posted on the project site.
r 0
'pecti
11ailthe Minspection equest line before 11:59 pm. to receive an inspection the following business day.
I I'L:::; 111101 3111ILMMIN'Tty.11111 1111
-1 1311U=
Foundation Inspections I
Footing/Stemwall P.E. Letter
60-464�0-our Concrete Prior To
Electrical (Underground)
round)
Water Service (Underoround)
0.1
Rough Inspections
•
M-IMuDlg
M3
Wall Sheathing
Roof Sheathing
Lath / Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed Without A roval Of Above 1 16
Rough Framing
Rough
Aw",�
Insulation
1, D fh 0 17,
ywall Screw / Nail
Sc
API,"p P"uhf Ce
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Final Inspections
Date Inspector yg
Initials
Final Electrical
Final lumbing
PAYMENT RECEIVED
Final Mechanical
V's
06TH
Roof
1" 0 T �A
Final Building / Frame
Landscaping & Parking 1 Planning Dept.
Inspections from these entities should be request
one week In advance. For landscaping and parking
ROW & Drainage / Public Works Dept.
inspections call 303-235-2846, For ROW and drainage
inspections call 303-235-2861. For fire inspections
Fire Inspection / Fire Protection Dist.
contact the Fire Protection District for your project.
"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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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Building Permit Application
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Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11: 59 pm. to receive an inspection the following business day,
Inspector Must Sign ALL Spaces pertinent to this project
Inspector
Foundation Inspections
Comments
Initials
Monolithic SIabRke_�in_1brc&ement
_Foot!,ng/Stemwal[P.E, Letter
TI1L
.'Mtor
Comments
Initials
Plumbing (Below/ In -slab)
111 ISE
Inspector—
Rough Inspections Comments
Initials
ooWall Sheathing
Rf Sheathing
Lath /Wall Tie
Rough�lecldc
Rough Plumbing
Rough Mechanical
Rough Framing
Insulation
Drywall Screw / Nail
----------- - -- - --
Final Inspections
Inspector
Initials
---------
Final Electrical
r
Fin al Plumbing
Final Mechanical�
� � ��
Roof
Final Building / Frame
Landscaping & Parking Planning Dept.
ROW & Drainage / Public Works Dept.
inspections call 303-235-2861 . For fire inspections
Fire Inspection / Fire Protection Dist,
contact the Fire Protection District for your project.
**Note: AM items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
tf Occupancy is issued Approval
of the Final Building inspection does not constitute authorization of occupancy.
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UEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-475
Date : 3/7/95
N M
Property Owner :
Property Address:
Contractor License No. :
Company
3610-20 PIERCE ST
17747
Dick's Custom Roofing
Phone :
Phone : 989 6833
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certiy 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 a ree to abide by all conditions printed on this
appliwtion, and that I assume full respon ility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable W e t Ridge qPoinances, for work under this pertnit.
i
~
(OWNER)(CONTRACTOR) SIGNED DATE3-?-cl5
Description : REROOF
ConstructionValue:
$2,100.00
Permit Fee :
$54.00
Plan Review Fee :
$0.00
Use Tax :
$31.50
Total:
$85.50
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
s SWA''~~~ ~ msm swamwmif~l'~ ; m
(1) This pertnit was issued in axordance wiM ihe provisions set toM in yopur applica6on and is subject to the laws of the SWte ot Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances otthe Ciry.
(2) This pertnil shall ezpire it (A) the work authonzed is not Commenced within sixty (60) tlays hom is5ue date of (B) the builtling auUtofized i5 suspentletl or
abandoned for a periotl ot 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, providetl no changes have been or will be made in the
onginal plana antl apecifcations and any suspension or abandonment has not exceeEetl one (1) year. If changes are matle or if suspension or abantlonment
exceetls one (1) year, full fees shall be paitl tor a new permit.
(4) No woifc of any manner shall Oe Oone ihat will change the natural flow of water causing a tlrainage problem.
(5) ConVaclor ahall notiy the Building Inspector lwenry-four (24) hours in advance (or all inspections and shall receive writlen approval on inspec6on cartl before
proceetliing with successive phases of ihe job.
(6) The issuance oi a permit or the approval of drawings and speci(wtions shall not be consM1Ued to be a permit for, nor an approval of, any violation of the provisions
orlhe Duiltling cotles or any other oMinance, law, rule or regulation.
Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date : 3 - 7_1S
Property Owner : ~;n 4 (,O'T-"r-
Property Addres5 : 3(p ►O -3(OW 1 £?C ~
Contractor License No. : ("'7 ''Z L} "7
Company :0 f C IS~S COSTD v+1 I~'OCLFfr4rj
Phone:
Phone : q gcj _&g 31
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy that the setback distances proposed by this permit application are accurate,
and do not violate appliwble ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restnctions of record; that all measurements shown, and allegations
made are accurate; that 1 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 applicabl6rW`/ heat fifge ordinances, for work under this permit.
(OWNE NTRACTO )SIGNED4-~LLe LSF --DATE-3 , y,/
Descrip ionT£,q~pNr £'~iS71~[6 gwr TO D£'CK,.~M.S~"fYt L~S
Approval :
Zoning :
Approval:
Approval :
Occupancy : Walls
nltir DEPARTMENT USE ONLY
~ ~a_ cll~k
lo)
)v~(trJ
W
4 TLoeoxs,
Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
A a 37 ~~a animsel.. . .
(1) This permit was issuetl in accordance with the provisions set forth in yopur aODliwUOn antl is subject ro the laws of the State of Colo20o and ro the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permtt shall pacpire if (A) the work authonzetl is not commencetl within sixly (60) tlays from issue tlate or (B) the builtling authonzetl is suspentled or
a6andoned for a penotl of 120 tlaYs.
(3) I( Mis permit expires, a new permR may be acquired for a/ee of one-half the amount normally required, provided no changes have been or will be matle in the
onginal plans antl specifirations an0 any suspension or abantlonment has not exceetletl one (1) year. If changes are matle or if suspenslon or abanEOnment
exceetls one (1) year, full /eea shall be paitl far a new pertnit.
(4) ND work of any manner shall be done ihat will change the naWral flow of water causing a tlrainage problem.
(5) Contractor shall notify the Builtling Inspector hvenry-four (24) hours in advance for alt inspections an0 shall receive wntlen approval on inspection cartl Oefore
proceediing with successive phases of ihe job.
(6) The issuance of a parmtt or the approval of drawings antl specifcations shall not be construed to be a permit tor, nor an approval of, any violatlon of the provisions
of the building wtles or any other ortlinance, law, mle or regulalion.
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
Construction Value . a~l 04Q
Permit Fee :
~7J
Use Tax : Total JS n' $~6
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. MM92113866
237-e944 ExT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW.
,~oZD ?IGRGE APPUCATION FOR MI:
JOB ADDRESS
CONTRACTOR S~-•F
ADDAESS 5IO.'L0 P l C RC,E
cITV1NUEA i 2 IDvE ZIP CODE 8003-5
PHONE `tb / -
SIGNS
FENCES
OTHER
1. TYPE Ground ❑
LICENSE NO.
2. MATERIAL Total Squon FNt
3. ILLUMINATION Yea❑ No❑ Typs Elkl. Permil No._
4 SET BACK FROM PROPERTY LINE N__ S__ E_'
(Spsoify which is front ) ❑ ❑ 1:1
1. TYPE SolidO Mora TAOn 80% OOanO Leu
MATERIAL
3. SET BACK FROM PROPERTV LINE N__ 5_ E_ 1
(Spacify whieh it front) ❑ ❑ Fl
1-AoT wa'Cr=cL o i LEZ
2.
3. _
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRULTURE,G
(SETBACKS OR VROJECTqNS INCLUDED)
INSPECTION TICKET
JOB ~
ADDRES3
`jN Wa-
DATE: ~ -rO BLDG. PERMITN
_ PERMITM
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. ~ _(-D
STREET NAME
SHOW DISTANCES FROM TFIE M41N BUILDING TaA0J01NING HOUSES, STREETS,
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRIC
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WOP
PERMIT WILL ExP117E 60 DAYS FROM DATE OF ISSUANCE !F
TYPE OF INSP.
INSPECTION MADE V
REMARKS
l
W.R. FOFM 6.19 ~
ELECTRICAL PERMIT
STATE UCENSE N0.
PLUMBING PEkmi i MtGMANIGAL PERMIT
STATE UCENSE N0.
ALUMINUMWIREUNDERSIZE8ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FUELCirclsOm IPropwr E Solv
N0.
WATER LIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
FpT WATER - 8TU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SFIOWER
AIR CONDITIONING-8TU
LIGHTING
SINK
OTHEft
HEATING
GARBA6E DISP
REFRICaERATqN SYSTEM
POWER SUB-CIRCUITS
WATER HEA7ER
Ret.i erenf Group
UTIUTY(RANGE,DISPOSER,ETC.)
AUTO. WASHER
PowMt CMr •
FI%TURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FIfJOR DRAIN
ELEVATOR
SI6NS
URINAI.
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
I hsreby ocknowladqe that this applica-
fion ia eorrect and unde.stond fhaf 1
eonnot fra.r tnis projecr until rnis oppli-
eation ia aDproved. I shall comply with
fha lows of the Sfafe of Colorado and to
fhe Zoninq Requtations and Buildina
Code offhe Cify of Wheat Ridpe. Any
vi ion of the above terma will cause
imma 6o►e revocation of ihis Dermii.
A011leonle $ipnatun
PERMIT FEE
USE TAX
I TOTAL FEE I$ l__c, (Vl I
CHIEF BUILDING
OWNER
PHONE 1-4461 -11MO Z I P CODEFJ,dd,ZL
CONTRACT PRICE $ (SOD.O(n
,Cityaf Wfi6at Ridqe
Date Issued - Z,2 - %'z•
Other S w D Foce
NOT
UNLESS
a
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS