HomeMy WebLinkAbout4355 Pierce StreetI \
City of Date:
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M'11i::tle
COMUNITY DEVELOPMENT Plawpennit #
Building & Inspection Services Division Z 0 1 S OcN
7500 W. 2e Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Pleas* complete all highlighted woos on both sides of this form. incomplete aP01000011iMaY not It PrOce$$W-
Property Address: L, *3 0 0 7 -3
Property Owner (please print). L ta w o 0 -0 /V 00/k a r. a'� 4� IL'ephone.
Property Owner Email:
Malling Address: (if different than property address)
Address:
Ci!y, State, Zip:
ArchftgMnWjjM;
Arohitect/Engin eer E-mail: Phone.*
Contractor: N14WA0,105
Contractors City License* Phone-
contractor E-mail Address:
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # WR. City License # W R. City License#
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
iF X X MIF Y. • • #• � �...� #
amount of materials to be used, etc.)
.
Sq. FULF Btu's Gallons
Amps Square$ Other
CITY OF WHEAT RIDGE
uIlding Ins .
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Inspection •
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INSPECTION NOTICE
I nspection Type
J ob Address: « 2 � lef- ..
Per Number: , :,
CITY OF WHEAT RIDGE
Building Inspection Divisi
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IM'
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D. Inspe
Ins pectio n
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Complete t all information on BOTH sides of this farm
Property Add 15
Property Owner (please print): MeJ T3 o 0 Phone
Property Owner Email.,_,"
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Mailing Address: (it different then property address)
Address.
City, State, Zip:
Complete all information can BOTH sides of this for
Sq. FULF Stus Gallon
~
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80275 - (303-235-2855)
Building Permit Number : 11275
Date : 10/4/2000
Property Owner:
Property Address : 4355 PIERCE ST Phone : 422-4058
Contractor License No. : 17908
Company : Rock's Roofing Phone : 425 1083
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applieable ordinances, rules or regulations of the City of VJheat Ridge or
covenants, easements or restrictions of rewrd; that all measurements shown, and allegations
made are aeeurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibiliry for comPliance with the Wheat Ridge Building
Code (U.B.C.) and all other appliwble Wheat Ridge ordinanges, for work under this pertnit.
(OWNER)(CONTRACTOR) SIGNE~~ !:~z YA DATE 149 - Y' b
Use:
Description : RENTOVE 1 LAYER, INSTALLING 38 SQS. T-LOCKS
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval :
Construction Value :
$5,442.65
Permit Fee :
$125.25
Plan Review Fee :
$0.00
Use Tax :
$81.64
Total:
$206.89
Mechanical License No :
Company :
Expiration Date :
Approval :
(7) This pertnit was issuetl in acwrdance with
Regulations and Builtlin~ Cotle of Wheat R
(2) This permit shall expire if (A) the work auth
abantlonetl for a period of 120 tlays.
(3) If this permit racpires, a new permit may be
14) No work of any manner shall be done thet will ch
(5) Contrector sha11 notfi/ the Building Inspector twe
fOCeeOiing wiM suCcessive pha5es o~ the 1~ob.
(6) ssuance permit orthe approval W drawi
f es or any oMer ordinance, law,
)visions set forih in yopur appliwtlon antl is sub1~ect to the laws oi the State of Coloiado and M the Zoning
.010200 or any other appliceble orUlnances M the Ciry.
is not commenced within sixty (80) days from issue date or (e) the building authorized is suspendetl or
etl Tor a fee of one-half ihe amount normally required, provitled no changes have been or will Ee matle in the
;ion or abandonmenl has nol euceeded one (1) year. If changea are matle or if auspension or abandonmeM
new pertnit.
ange the nalural flow of water causinp a drainage problem,
nry-four (24) hours in advance for all inapections antl shall receive wntten approval on inspeclion card befae
ngs and specifiwUons shall not be constiuetl to be a pertnit for, nor an approval of, arry violation of the provisions
rule or regulation.
hief Buii ng Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 qPPLICATIo N
Property Owner. L-EON ~ ~ le-r"'
PropertyAddress: 4355
Contractor License No. : I Y1 Gf O$
Company : REjGK'S -RpUFi
OWNER/CONTRACTOR SIGNATURE ()F UNDERSTANDING AND
-T-NG .
Phone:3o3•'fa?- `105$
Phone :303 -135 - 1683
I heraby certiy that the setbaek distances proposed by this permit application arc aaurate,
and do not viola[e applieabie ordinances, rulea or rcgulations of the City of Wheat Ridge or
covanants, easements or restridions of roeord; that all measurements shown, and allegations
made are accurete; that I hava read antl agrce to abide by all eondkiona printed on this
application, and that I assume full responsibil'fij for carnPhanee wkh the Wheat Ridge Building
Code (U.B.C.) and atl other appl~kiN~eat RMge,~ainanQes f,rwork underthia permtt.
(OWNER)(CONTRACTOR) SIG~~~Zd&J~~~pp7E J 6 - j -OU
Construction Value : S, jv d .
Permit Fee :
Use Tax:
Total :
use:
Description &µ<
0
BUILDING DEPARTMENT USE ONLY
zonogivommm SIC : Sq. Ft. :
Approval:
Zoning :
BQIfA
Approval:
r-UDIPXJIODMM
Approval:
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiretion Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) ia permit waa iseueE in aaordanca wNh Ma pmvieions sN forth in yopur applkatlon antl ia suOeci ro me iewe a Me snte a caoraao ane ro me ian+np
egulaUons and BuiWlr~p Code o/ Whest Ridqs, Colorado or arry oMer applkzEb ortllnances W e Clry.
(2)
rnis pennit ahell expra H(A) the vroAc sutlrmzatl is not wmmenx0 withfn sixly (80) tlaya hom iaaue Cete p(B) the Ouiltlinp auMwizeE y suapenEeE a
abantloned for a period pf 720 days.
(7) If Mis partnit expires. a new pemMt mey be acqukaO lor a lea ol one.tiett the amount normalN required. ProrWed no ahanpea have been or wip pe mMe in aro
on9inal plana antl epeUfieaUOns end sny suspenebn w abarMOnmenl hae rqt sxmeaded one (t) yeer. If Manpes era me0e or M tuspenelon or sDanOOnmenl
exueEa one (1) yev, NO leea ehall be palU lor a naw pemdL
(4) No xrork of arry menner sMll De tlona that witl Uurqe Ma naNral Ibw of weter pusirq a Ereinage poblem.
(5) ContraMr shall noliy the Builtlin0 I~soe~ M~anN-fa+r (24) houn in e0varwe lor ell inapectlone aM snall 1eceWe wrillen epprovel on inspectiw~ nrd Oefora
pnteeEiing wiN aucceaaive phase! W yis1ob
(9) The isaw~e of a permM w Na approwl o/4ewinps eM epeelfintlona shall rqt be conabued to De a permtt for, nor an appwai ot, arry violatlon W Me qoWalone
M the bulltlinq wEq a arry other oNinanoe, law, mle a requlatlon.
Chief Building Inspector
DEPARTMENT OF COMMUNITY DEVELAPMENT
7500 wES7 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. ptp92113277
237-6944 ExT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALIO ONLY WHEN SIGNED 8Y THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
J APPUCATION FOR MISCELLANEOUS PERMIT
JOB ADDRESS T '.3 nI OWNER N GZ~. ~p~~
CONTRACTOR ADDRESS
ADDRESS n 1~D /2 °I- PHONE YD' ~ ZIP CODE ~*92 CITV L? ~ P"' 21P CODE 2_'2'~"" I -nNTRACT PRICE $ ~ On
PHONE y2 i~C2 r LICENSE NO. 'J` K~3
1. TYPE Ground❑
Woll❑
Proieefinp❑
Othsr SaDFaea
2. MATERIAL
Totai Sauors Feat
SIGNS
3. ILLUMINATION Yes❑ No❑
Typa
Elett. Parmif No.
4 SET BACK FROM PROPERTY LINE N
_
5_ E
_ W
Zons_ Approwd,2oeN Inspeefa
(Speeify which is fronl )
❑
❑
❑ ❑
Diwppowd
1. TYPE SolidO Mon Than BO% OpenD
Lon Th
i
?
MATERIAL
FENCES
.
3 SET BACK FROM PROPERTY LINE N
_
S_ E
_ W_
INSPECTION TICKET
(SPSCify whieh isfront)
❑
❑
❑
ovB
I. ADDRESS
OTHER 2'
3. -
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE, GIV DATE: C~~BLDG. PERMITfl 3~P77
(SETBACKS OR PROJECTIONS INCLUDED)
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, i
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
PERMITN
n '
BLDG. CONTR.~I~~'~~-a--r-
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. LLLA-iJ~ G~
INSPECTION MADE
REMARKS
APf'LICATION FOR PLUMBING; ELECTRIC.
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORW'R' FORM 619
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F
/ T
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PEF ~
STATE LICENSE NO.L
ALUMINUMWIREUNDERSIZE8ILLEGiAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
REl.'OIrCNUMwfw ww~~~dar
Np.
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWI
HOT WOTER - BTU
NEW SERVICE - AMPS
CHANGE SERVICE-AMPS
LIGHTING
BATH TUB
SHOWER
SINK
STEAM - BTU
AIR CONDITIONIN6-BTU
OTHER
HEATING
GARBAGE DISF
REFRIGERATION SYSTEM
POWER SUB-CIRCUITS
UTIUTY(RANGE,OISPOSER,E7C.)
FIXTURES
WATER HEATER
AUTO. WASHER
DISH WASHER
L
Rafri sranl GrW
PouMs CMr s
AUTOMATIC SPRINKIER SYSTEM
WIRING MOTOF25 9iCONTROLS
FLOOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS Ot /A
I hsreby acknowladQe thot this op0lic0-
tion it eorrect ond understand that I
Connot start this Drojecf until this oOPli-
cation ie opOrovatl. i shall comply wifh
fhs lawf oi the State of Colorado and to
the Zoninq RaQulations ond Buildinq
Code otthe City of Wheaf Ridpe. Any
viololion of the obovs ferma will cause
immediate revocotion of this permit.
y0liea • i ~
G'
PERMIT FEE
/ S ~
USE TAX
,p„ 's
TOTAL FEE
%S ~
CHIEF BUILDIWINSPECTOR,Cityof Wheat Ridqe
Date Issued~ Z~
i3-~ a
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS