HomeMy WebLinkAbout3375 Quay Streeti CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 2 0,3 set rr V/Mr7 ofL),11Z�
Job Address: 3.3? 5- 1100 ✓ �
Permit Number: ? U4 ` 612qq
❑ No one available for inspection: Time 9�, el'0 AM
Re -Inspection required: Yes '
When corrections have been made, call for re -inspection at 303-234-5933
Date: 11 Inspector: ^fes Lov-e
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802989
PERMIT NO: 201802989 ISSUED: 11/13/2018
JOB ADDRESS: 3375 Quay St EXPIRES: 11/13/2019
JOB DESCRIPTION: 5 foot sewer repair in front yard; install 2 way cleanouts
*** CONTACTS ***
OWNER (720)625-0833 ROBB JAMES
SUB (303)430-1911 Felipe Ramos 021881 Plumb Pros
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802989
PERMIT NO: 201802989 ISSUED: 11/13/2018
JOB ADDRESS: 3375 Quay St EXPIRES: 11/13/2019
JOB DESCRIPTION: 5 foot sewer repair in front yard; install 2 way cleanouts
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 leggally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be per for i�,d is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of dWNER 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 an 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 ranting ofInpoirtregu hall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable co o any ordilation 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.
City of Date:
Yj'OrWh6atl�(dge 131N
--;��COMMUNrry DEVELOPMENT Plan1permit #
Building & Inspecilion Services Division Z (ro Gk �q
7500 W. 29t" Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: DermitsOci wha;4trirjqP rn tj
Building Permit Application
Please complete all highlighted areas on both sides of this form. incomplete applications may not be processed.
Property Address: 33-75
Vol
Property Owner (please print): Phone: 22Q
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
—F,
Contractors City License #:
Phone:
Phone: b3 41L 0 _/_9
Z
Contractor E-mail Address: 091(,e, C34 PIU ki6 Pj1c)S , COMCCt
Sub Contractors:
Electrical:
W.R. C4 License#
Other City Licensed Sub:
City License #
Other City Licensed Sub:
City License #
Mechanical:
WR. City License #
Complete all information on BOTH sides of this form
Q COMMERCIAL e /RESIDENTIAL
Description of work: (Check all that apply)
NEW COMMERCIAL STRUCTURE C ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER {Describe) 5
(For ALL projects, please provide a detalleg description work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
5' f� I- -1e,)J -,�r (-�Pc: Ir / V -[J w -j � V& (-,/ eA-Acl S, '41 Of
fo- 1 2.cu e,,. ote-0,,joo 4-i5
Sq. FtJLF Btu's Gallons
Amps Squares Other
PiOjeCt Value: (Contract value or the cost of all materials and labor included in the en it project)
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 M responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application,
CIRCLE ONE., (OWNER) (CONTRACTOR)
ER! --NT NAME: 40uy
or AUTHORIZEDREPRESENTATnE. ofr(OWNER) (CONTRACTOR)
SIGNATURE:
DATE -
ZONING COMMMENTS.
Reviewer
BUILDING DEPARTMENI COMMENTS:
Reviewer
PUBLIC WORKS COMMENTS.
RCvieWer,
Fire Department 0 Received [I Not Required
water District 0 Received [] Not Required
$anitaficq Dstrict [] Received 0 Not Required
OCCLJPANCY CLASSIFICATION _
TYPE OF CONSTRUCTIM
SPRINKLERED,_____,_
OCCUPANT LOAD
❑ No one available for inspection: Time 2,'10 AM/ KM
Re-inspection required: Yes
(F'
When corrections have been made, call for re-inspection at 303-234-5933
Date: J/ Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 110822
PERMIT NO: 110822 ISSUED: 07/15/2011
JOB ADDRESS: 3375 QUAY ST EXPIRES: 07/14/2012
DESCRIPTION: Repair 30 if of sewer line in yard only with clean outs
* ** CONTACTS * **
owner 303/237 -3556 Mary Ontiugron
sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc.
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0551 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,350.00
FEES
Permit Fee 125.05
Total Valuation .00
Use Tax 78.30
** TOTAL ** 203.35
e
Conditions:
Subject to field inspections.
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 c junction with this permit. I further attest that I am legally authorized to include all
entities named within this docu t as parties to the work to be performed and that all work to be performed is disclosed in
this document ompanying approved plans and specifications.
Signature of -' OWNER or CON C (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 and procedures 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 wly applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field s ct
Signaturef Chiaf Building Offical Date
INSPEC ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS. DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
heat lZj,
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 ' Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
PropertyAdiress ++ � � �s C,y� -(��
Property Owner (please print): `� y 6A ZT1 I O a A) pho
Date:
Plan #
Permit #
e: 3- 713?
Mailing Address: (if different than property address)
Address: 4 i`2 C
City, State, Zip:
Cort_ractor: �i�E� / .yC - NIA
Contractors City License M Phone:
Suti_Contrac�tiis�
Electrical: Plumbing: Mechanical
City License # City License # City License #
Descrliptlonof work's'
3 PL sifr�lG(� h tWG RejO(7
° sew 2 r Contract V lue
$
l jt P y�7o l✓/ C 1 C'an Ot7ff
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLEONE: (OWNER) ( ONTRACT or (AUTHORIZED REPRESENTATIV R) (CONTRACTOR)
PRINT NAME: �1�0, / o SIGNATURE: DATE: l/
,
FIRE DEP�R
r�
G
I7 approved w/ cotnments' disapproved :,no feutew required I Bldg Valuation $
i E#
E JOB F_AMLI� DATE 01
INDUSTRIES INC. DATE JOB q
P.O. Box 370 • Watkins, CO 80137 07/15111
ESTIMATOR CALL ORIGIN
(303) 696 -9599 1 J. Wakeham
Fax(303)671-6B71 SERVICEMAN PO #
JOB INFORMATION BILLING INFORMATION
NAME Ontiveron, Mary NAME _
ADDRESS 3375 Quay St
ADDRESS
CITY Wheat Ridge
sL4
z.P 80033
CITY
STATE
ZIP
j
PHONE 303.237.3556
PHONE
DESCRIPTION OF SERVICES
ESTIMATE
Excavate and replace 4" sewer line. Approx 30' long and up to 7' deep.
$ 4,350.00
Includes: excavation, plumbers, laborers, pipe,
fittings, bedding, backfill, clean up and haul away.
0 WARRANTY Terms of Warranty:
APPROVAL X
SIGNATURE
COMMENTS:
THANK
t'
YOU
SUBTOTAL
$4,350.00
Jude is an around movement a s of nature
Sprinkle box shoring, utility conflicts.
TAX
THIS AMOUNT
$ 4,350.00
ITEMS NOT INCLUDED Landscape, grass, sod, trees, bushes, flowers, plants, fence
repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas,
etc. Not responsible for damage caused by unstable soil, cave-4n3 or any other complications.
TERMS:Job cancellation fees will apply, Invoices are payable- 112 down and balance upon
completion of work performed. Any invoice not paid when due, shall Incur interest at the rate
of 18% per annum. In the event that it becomes necessary to collect any unpaid balance
owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including
reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's
lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law.
X SIGNATURE
ACCEPTANCE
OF INVOICE X
SIGNATURE
0 VISA Cl M/C []AMEX
CARD # EXP
APPROVAL # _
0 CASH 0 CHECK
CHARGE A/R ACCOUNT
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (305-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number
Date
16171
8/26/2003
Property Owner: MARY ELLEN ONTIVEROS
Property Address : 3375 QUAY ST
Contractor License No. : 18057
Company : Modelco Electric, Inc.
Phone : 237-3556
Phone: 303-227-0326
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit applicalion are accurate, and
do not violate applicable ordinances, rules or regulations o( the City of W heat Ridge or
covenants, easements or restrictions of record; that all measu ents shown, and allegations
made are accurate; that I have read and agree to onditions printed on this
application, and that I assume full responsibility li ce with the Wheat Ridge Building
Code (U.B.C.) and all olher applicable Wheat ' r ance work under this permit.
(OW NER)(CONTRACTOR) SIGN
Description : 150 AMP SERVICE UPGRADE ONLY
Construction Value : $1,100.00
Permit Fee : $54.37
Plan Review Fee : $0.00
Use Tax : $13.20
Total: $67.57
Use:
Lo
BUILDING DEPARTMENT USE ONLY
Zoning Camments:; SIC : Sq. Ft. :
Approval:
Zoning :
Building.Comments:=
Approval:
Publie Works Commanfis: i
Approval:
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This pertnit was issued in accordance with the pmvisions set forth in yopur appiication and is subject to the laws of ihe State of Colorado and to the Zoning
Regulations and Building Code o! Wheat Ridge, Cobrado or any other applicable ordinances of lhe City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days fmm issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normatly required, provided no changes have been or will 6e made in the
original plans and specifcalions and any suspension or abandonment has not ezceetletl one (1) year. If changes are made or if suspension or abandonment
ezceeds one (7) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done ihat will change the naturel Flow of water causing a tlrainage problem.
(5) Coniraclor shall notify the Building Inspector hventy-fow (24) houre in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of ihe job.
(6) The iss ce of a p~~,eIII~~~rmit or the approval of tlrawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the
provi ' ns of th*b i Icotles or any other ordinance, law, rule or regulation.
~~y..,.. .
~
C ef Building , pector
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT IVISIO BUILDINGCIN~S~PO~T~I,OHEAT RIDGE 235-2855
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: /rr#e~-/~/s~-/
Property Address : 3~/ 7 Q~~i X
/
Contractor License No. :
- . ` Company :
Building Permit Number :
Date : -Z / -Z~i5
7
Phone~~'7/ _
Phone :.,I) 5-Z
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
I hereby ceAify that the setback distances proposed by this permit applieation are accurate.
nd do not violate applicable ordinances, rules or re9ulations of the City of Wheat Ridge or
i
PgfRlit FeB :
a
ons
wvenants, easements or restrictions of record: that all mea urements shown, and allegat
are accurate; that i have read and a4ree to bide b I conditions printed on this
d
Use Tax :
ma
e
applicalion, and that I assume full responsibility o ' nce wRh the Wheat Ridge Building
' nces, for woAc under this pertnit.
licable Wheat 9
r a
ll
th
d
$0.00 .
Total :
4
pp
o
e
a
Code (U.B.C.) an
6
Zl
DATdJ
(OWNER)(CONTRACTOR) SIGNED
Use :
~
Description ~ v` u~`
~
BUILDING DEPP~RTMENT USE ONLY
SIC : Sq. FL :
Approvai:
Zoning :
~fd~di~b~C~ Approval:
EaC7[~.WafR~~
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approvai : Approvai : Approval :
(7) 7his permd wxs luued in atmrEance with Ne 0rovisions set /oM In yopur appliration and is suEject ta ihe laws ol ihe Sute of Cobrado aM to the Zonitg
RegulaYOns an0 Builtliny Code of Whaat Ridye, CdonCo a any otner applipWe oNinances ol ihe CiN.
(2) This petmil stwll expire A(A) Ihe `no(k auUwnzed IS ~t ~m~^~'~ ~n sixly (60) Cay5lrom Issue Eale or (8) N8 builCitp auNorized is suspended a
aOaiMOned lu a period of 720 Oays.
o °e a A uspe^sbnla asandonment
(3) ' 9this ~1 plans e an ~d spedfiraU~a s a m/ susp~enson a abantlonmmtatws not norrnally~ le {~19Ye~. D~anqe are r
excee7s ore (1) year, fNl fees shall be Daid lor a new pertnit. (a) No wark of any manner shall be done Ihal will Uiange Ihe natural tlow of water rausing a d2inage problem. ~I on tns on wrd be(ore
(5) ConUactor shall notly ihe Buildin9 Inspector (weny-tour (2q hours in a0vance ror all inspections aM shall receive vrtitten approC~
proceeCiing with successive Phaxs of Ne Iob.
(b) The issuance of a petmit or the approvel o( tl2vrings aM spedGwtions shall not Oe mnsweE to be a pertnd tM, rwr an apprwal ol, em/ violation of the provisions
. ol Ne buildinq codes a any oNer ortlmante. Ww. nAe a requlaGan.
Building Inspector
For Mayor
THIS PERMIT VALID O ALL W234S933 24 HOURS PRIOIR TO~I SP'ECTION ECTOR AND MAYOR
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 8711
BUILDING INSPECTION LINE - 303-234-5933 Date : 4/2/99
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3375 QUAY ST
Contractor License No. : 18232
Phone: 237-3556
Company : Aaark Heating & A/C, Inc. 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
Codle (UB~C.and ) and a all otheapplcable Wheat tRidfor ge ordlnlancesNfor work underRMS permiding
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Replace water heater
Construction Value :
$450.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$6.75
Total:
$30.25
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
APproval:
Zoning :
. "101a; °
Approval:
_ _
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company :
Expiration Date :
Approval :
(i) This pertnit was issuetl in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Coiorado or any other appliwble ordinances of the City.
(2) This pertnM1 shall expire if (A) [he work authorized is not commenced within sxAy (60) tlays from issue date or (B) Ihe building authorized is suspended or
abandoned for a period of 120 days.
(3) o ginaceplans antl spec f catlon and any s speos on or abandonme tahas not exceeded one (1)Qyear~, If changes are matle oa f suspe si nilobabandonme t
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 9ow of water causing a tlrainage problem.
(5) Contractor shall no6fy lhe Building Inspeclor hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) Tohf„ ssuatl ^e of a Ps orianytothePord na'nce, lawingseaodregulatio~ions shall not be construetl to be a permit for, nor an approval of, any violation of Ihe provisions
Chief Building 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
PropertyOwner: d N
Property Address : 3~j U 4>1 S j Phone
Contractor License No. : !L Z3 Z~.
Company/7,~ Phone
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of recortl: that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
applicalion, and that 1 assume full responsibility for compliance W the Wheat Ridge Builtling
Code (U.B.C.) and all other appliwble 4Yneat~FidgeArdin wr work under inis permit.
(OWNER)(CONTRACTOR)
Description :
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
Approval :
Approval :
Occupancy:
Walls : Roof : Stories
Construction Value : ;Y;?
Permit Fee : 2_~ 3 .~fj-
Use Tax :
Total
Residential Units
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
00 ~ ogM[~eluiil~l~r+j .°q,l EPLnskR~i~ui1'~d~,`. ~RKU#A M1N~
(1) This permit was issued m accorGance wiN the Drovisions set tonh in yopur appiication and is su0ject to Ue iaws of the Stare ot Coloredo and to Me Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permlt shall expire if (A) Ihe work auNOnzetl is not commenced within sixry (60) days from issue tlate or (B) the building auUtonzed is suspended or
abandonetl for a penod of 120 tlays.
(3) If Ihis permit expires, a new permit may be acquired for a fee ol one-hall the amount normally required, provitled no changes have been or will be matle in the
onginal plans and specificatwns and any suspension or aEantlonment has not exceeded one (1) yeac If changes are matle or if suspension or abantlonment
exceetls one (1) year, /ull feea shall be pald for a new permlt.
(4) No work ot any manner shall be tlone that will change the naWrel flow of water causing a drainage problem.
(5) Coniractor shall notify the BuilOing Inspector IwenN-iour (24) hours in atlvance for ail mspections and shall receive written approval on inspeclion cartl before
proceetliing with successive phases of the job.
(6) The issuance of a permit or tne approval of tlrawings artd specifcalions shall not be constmetl to be a permit for, nor an approval of, any violation of ihe provisions
of the building cotles or any oNer ortlmance, law, rule or requlatioa 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