HomeMy WebLinkAbout4135 Quay StreetC:E�?)06S-232
�3s- INSP
% ECTION RECORD Occupanc_y_/T3TE
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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 t
"Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.Site.
In Y **
spector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Pier
Date Inspector
Initials
F
cased Ground (CEG)
P.E. Letter
Dnderground/Slab Inspections Date Inspector
Electrical Initials
Sewer Service
Plumbing
Do Not Cover Unde
Rough Inspections
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
C Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Comments
royal Of The Above
and or Below/In-Slab Work Prior To
Date Inspector
Initials
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
2
Date
Inspector
Initials
Comments
ns
I Of The Above Ins
Comments
Comments
Inspections from these entities should berer a sted
one week in advance. For landscaping and .king
inspections call 303-235-2846. For ROW i drainage
inspections call 303-235-2861. For fire )ections
contact the Fire Protection District for .sur- project.
NOTE; Al/ items must be completed and approved by Planning, Public Works, Fire and Building before a Ce
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 from the Fire District and electrical Certificate
by the Building Division. low voltage
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Prnta^* ''his Card From The Weather
,A 41 City of Wheat Ridge
Residential Roofing PERMIT - 201705732
PERMIT NO: 201705732 ISSUED: 08/09/2017
JOB ADDRESS: 4135 Quay ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 12 sq.
*** CONTACTS ***
OWNER (315)558-2714 THOMPSON LAURA
SUB (720)999-5797 Nicholas/Scott Seibold 160238 Bold Brothers Roofing Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,099.00
FEES
Total Valuation 0.00
Use Tax 128.08 _
Permit Fee 156.75 i
** TOTAL ** 284.83
*** COMMENTS ***
*** CONDITIONS ***
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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
. r -01 City of Wheat Ridge
Residential Roofing PERMIT - 201705732
PERMIT NO: 201705732 ISSUED: 08/09/2017
JOB ADDRESS: 4135 Quay ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt
shingles with 12 sq.
I, byy myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
app]icable 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
thispermit. 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 a ork to be edjeWsclosed 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.
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
app ' code or an�o��jy�nce rxe ulation 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
6Qi(74f'73a
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, August 2, 2017 10:36 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 Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4135 Quay St.
Laura Thompson
315 558-2714
writetolaurat@yahoo.com
c`�
Do you have a signed
Yes
contract to reroof this
property?
12
It will need to be
provided at the time of
No
permit pick-up.
Attached Copy of
Field not completed.
Contract
Field not completed.
CONTRACTOR INFORMATION
Contractor Business
Bold Brothers Roofing
Name
(pitched + flat) of all
Contractor's License
160238
Number (for the City of
Wheat Ridge)
Contractor Phone
7203941243
Number
Contractor Email Address
nick@ bold broth errsroofing. com
Retype Contractor Email
nick@boldbrothersroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing Owens Corning Duration Storm Shingles
Material
Select Type of Material: Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
12
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
/
12
(pitched + flat) of all
Pi
roofing material for this
project
Provide additional detail 4/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 6,099
value or cost of ALL
materials and labor)
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
submit this application
and to perform the work
described above.
Name of Applicant Nick Seibold
Email not displaying correctly? View it in your browser.
Proposal -Contract
720-999-5797
Fax 720-398-9215
Bold Brothers Roofing Co.
1244 S. Reed Street #b
Lakewood, CO 80232
" 19 f l'`- -r h 'ij Phone (3 4�) 5
Date 1 I Customer
t
-� t
Email t l !'''f' '�l'y , �. rv1 Phone ( )
Job Address 1a s VA `,� City_ .✓ Zip Code1 42 3
BOLD BROTHERS ROOFING CO. proposes to furnish materials and perform the labor shown or described below for the
completion of the following:
SCOPE OF WORK
Shingles
Remove __L_Layers of Existing Roof
Install New (Manufacture) W it "� 'co .
(Series/Style) ti ,'i+ /P N % eI
Color . w
Under Lament
Install New # ( 9 / is DR__ __Felt Paper
_ �Ittstal1 New 26 gauge Drop Metal Around Perimeter
Eve Site 4 G Rake Size"�-
Drip Edfe Color irh
Y t Ice and Water Shield on Eves
Ice and Water Shield in Valleys
Valleys Closed Over with #90 Rolled Roofing
Valleys Open with Painted Metal
Ventilation /Jacks and Collars
Install Ridge Vent Ft
Nj Install New Box Vents
/t/V Reuse Existing Vents
N� Replace Plumbing / Pipe Jack Collars
Replace Furnace Vent Rain Cap Storm Collar
_ Paint all Jacks and Stacks to Match Shingles
_ Sidewails Plashing_ Chimne
Skylight
}
Swamp Cooler
Contract Prices S 0
Low Slope
Modified Bitumen Rolled Roofing
,�'� EPDM
Additional Inclusions
C_ Permit Obtained by Bold Brothers Roofing
10 Year Workmanship Warranty
6 Nails per Shingle Storm Application
Beauty Course on Head Wall Flashing
Clean Out Gutters
Protect Landscaping
Sweep Yard with Magnetic Roller
Clean around Bushes and Shrubs
If new (7/16 O.S.B.) decking is required the customer will be charged
$ �:,3' Per sheet. - f2' f °t;. c e�o�d
Additional Provisions
.Ive-W —rq%
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION N—�OTIC
Inspection Type:
Job Address:
Permit Number: 5
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:' '; 1., e>>
DO NOT REMOVE THIS NOTICE
4
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: .� T b
Job Address: Ur S
Permit Number:
❑ No one available for inspection: Time / L AWFIM
Re -Inspection required: Yes -'�o,)
*When correctionp have een made, call for re -inspection at 303-234-5933
-7/
Date: Inspector: »
DO NOT REMOVE THIS NOTICE
1�' 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: � O
Job Address: L4 135 QQa 4
Permit Number: Oji d 1(o C-� I -") 3 1
❑ No one available for inspection: Time �1 AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspec r:o )
DO NOT REMOVE THIS NOTICE
�L
r1 ,-, I i_ r. 1- n -n 1
` INSPECTIION� RECORD
5� J INSPECTION REQUEST LINE: (303) 234-5933
Occupancy'Typt
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
)/ IL
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
sheathing p -V-
)/ IL
Mid -Roof
i f g
Lath /Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
,
Roof
bAYT
7
Final Window/Doors
Final Building
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 from the Fire Uistrict and electrical low voltage
by the Building Division.
"For Inspection Time Window Requests - Please email insptimerequest(%t ci wheatridcie co us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
� 13S }- I (Qo i "7
cz-
INSPECTION RECORD
i t �o1 J'f6 Y�Z INSPECTION REQUEST LINE_ (303) 234-5933
Inspections will not be performed unless this caro is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E.Letter I I I I
r1n Me -it Pniir (_nncrota Prinr Tn Onnrnval of The Ahove Insoections
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
fln fUnt rnuar I Inriarnrniinr1 nr Ralnw/ln_51ah Wnrk Prinr 1 in Annrnval UT 1 ne ADOve In51Jeullullb
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath / Wall Tie
Final Electrical
Rough Electric
Final Plumbing
Rough Plumbing/Gas Line
Final Mechanical
Rough Mechanical
Roof
Rough Framing
Final Window/Doors
Insulation
Final Building
Drywall Screw/ Nail
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.
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
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 from the rire ulsulct, arru CICGUIGdI Iuw vuiiayu
by the Building Division.
"For Inspection Time Window Requests - Please email ins ptimereguest(a-)ci.wheatridge.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect I his %, ` From The Weather
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: o F
Job Address: �'} 3 S l)G-�.t
Permit Number: (7) 0 ((11 <_�) ) 3
WaA
�(4 I_/USO�cJ
r' -J5 .--)e—CTi_ ,-'\ )5
❑ No one available for inspection: TimeAMAM
Re -Inspection required: S
No
*When corrections have been made, cg#-fQr re -inspection at 303-234-5933
Date: t � t3 t Inspect I" --
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: Alls
Job Address: 'S �� �"•
Permit Number: 070 / 1 7
❑ No one available for inspection: Time /i AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:►? - Inspector. I �—
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_A!��Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: H11]
Job Address: I-' ) Q UCL
Permit Number: a 0) (' 0 1 7 3 11,
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspect
DO NOT REMOVE THIS NOTICE
A 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: S h E / P) % D
Job Address: 4135 Qy a y S
Permit Number: ')_C; / h 0 1-7 j /
Shy n�te0vYLD
❑ No one available for inspection: Time �_d CAV/PM
Re -Inspection required', Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: I I" I ' 8- Inspecto /.
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanic PERMIT - 201601775
PERMIT NO: 201601775 ISSUED: 11/09/2016
JOB ADDRESS: 4135 Quay ST EXPIRES: 11/09/2017
JOB DESCRIPTION: Excel meter being moved; Running new gas line across basement
*** CONTACTS ***
OWNER (707)434-5626 HILL DARREN
SUB (720)296-7938 James E. Hegge Jr.
080145 C&H Heating and Cooling LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11100.00
FEES PAID
Total Valuation 0.00
Use Tax 19.80
Permit Fee 46.90
** TOTAL ** 66.70
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply with applicable codes and ordinances and is subject to field
inspections.
I, by m 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
thisp mit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perf6rr ed and that all wo k to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Si ature of OWNER or CONTRACTOR (Circle one) Date
Ir 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 p for 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 any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to Held inspection.
Wn
11 /b
Signature of Chie Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimeraci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
Wheat jAc
0'0_7MUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: t Vct
Plan/Permit #
lou I � 5
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner
Property Owner Email:
Ua_� 3 t
Mailing Address: (if different than property address)
Address: _')
City, State Zip:
Architect/Engineer
Architect/Engineer E-mail: Phone:
1491#
Contractor: E
Contractors City License #:����
Contractor E-mail Address: /�C /�� � 9 e V/� (61
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone: 7- w ice-
Phone:
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License # 0r'f9 (/
y_5_
Complete all information on BOTH sides of this form
❑ COMMERCIAL R'IZESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ 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
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of 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.)
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire 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 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.
CIRCLE ONE: (OWNER) _ TRACT or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: � 1 k "f 17, /T epi qe �2 SIGNATURE: DATE: l ,
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201601731
PERMIT NO: 201601731 ISSUED: 11/01/2016
JOB ADDRESS: 4135 Quay ST EXPIRES: 11/01/2017
JOB DESCRIPTION: Redecking and reroofing 14 sqs with Owens Corning Duration shingles.
*** CONTACTS ***
OWNER (720)227-3735 TINA HILL
SUB (720)999-5797 Nicholas/Scott Seibold 160238 Bold Brothers Roofing Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,400.00
FEES
Total Valuation 0.00
Use Tax 133.20
Permit Fee 172.60 (
�✓✓q� �
** TOTAL ** 305.80
*** COMMENTS ***
*** CONDITIONS ***
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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding Alh-inch exists. 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&-Vms 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's 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201601731
201601731
4135 Quay ST
ISSUED: 11/01/2016
EXPIRES: 11/01/2017
Redecking and reroofing 14 sqs with Owens Corning Duration shingles.
I, by my si Tnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable wilding 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 attesLWit I am le all a er to include all entities named within this document as parties to the work to be
performed and at to be per e s 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. Thrs 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. Isuance 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 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
JJ0
suance or grant g f a p it sl I not be construed to be a permit for, or an approval of, an violation of any provision of any
I c o an or tion 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.
ds
City of
Wheat -Midge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
FOR OFFICE USE ONLY I
Date:
P/an/Permit # ' / , 0 (�j 0 ( 7 --Z.12 l
Plan Review Fee:
Building Permit Application
" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
1_�S a
3
Property Owner (please print): �)4ko VT�nel\_ j W Phone: -4ZP -as 7 -373,5
Property Owner Email: i Wes k un k I�2 h j �--m c, i 1 , IoM
Mailing Address: (if different than property address)
Address:
City State, Zip:
Architect/Engineer E-mail:
Contractor:
e6 F O J
Contractors City License #: �11 ��f / v Phone: /du "3 "! y—) � 9 3
Contractor E-mail Address: I 0
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. 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
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ RCIAL ROOFING
❑ COMMERCIAL ADDITION J ��ESIQFNTIAL RO
F1RESDENTIAL 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
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of 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.)
Sq. Ft.ILF
Amps
VC ��e(VAOV67 CAI \ ),54jcci-5'
--Y705 W\ Y�Q-w De- ck►
Corn 1Y1� D�y�,�t-1�,,,� S �Y r►-Shr ^�
��1�--
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ you
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 1 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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHO REPRES VE) of (OWAER) (CONTRACTOR)
Electronic Signature (first and last name): DATE: I
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Residential Mechanic PERMIT - 070071
.114IT N6: 070071 . . . ISSUED:
3 ADbRF's3$r:9z35 QUAY ST EXPIRES:
gCglpTip$::~.Iiistall 70,000 BTU's furnace
iar 303
303
303
pe,
To
:COm
10: I h
OTE
mea
aP;
aPF
S35
a
3
4:
6:
91c
oi/z9/zoo7
07/28/2007
r,rw
-9825
-8914
-1516
N8t> * *
UA
Ie~ ~UA
""Y
Kristina Berick
J. Patrick Quinlan 01-8464 B& F Heating & A/C
01-7675 Coffman Electric, Inc
USE: UA
BLOCK/LOT#: OI
ESTIMATED PROJECT VALUATION: 21920.00
FEES
~ . ~ 108.30 -
..00 pa~aws~~ ~~T~~IC CYGR~SYCADE
~ 10830
_.._~e..x...,,~. _ Mimmum of 80% AFUE
~s m new wn.
Sgtboa TtwrnodO rsqjfs! (ExaePt for Hydronic Mest)
Gas Water Heaters - MNtlmum of .60 Energy Fador
E~~ y~ter HeeF~s - Minimum d.93 Energy Fsclor
Insulation raouiMID4ldi: a R-21 VValls • R-38 Ceftirps
• R-19 Ctawl 3pooss a R-19 BsswmsM w8118
~t thesetback dietancee propoeed by thie pemit application are acwrate, and do not violate applicable
~ re9ulatione of the City of wheat Ridge or covenanta, easemente or restrictione of rewrd; that all
and a]legatione made are accurate; that I have read and agree to abide by all conditlone printed on [hie
: I aeeume full reeponeibility foz compliance with the Wheat Rid9e Bullding Code (I.B.C) and all other
!ge Ordinancee, for wozk under thie permit. Plane subject to field inapection.
_s&%,\ 1/ 20I109
e aI .ontsactor wner date
pBifi}C~wae i9eued in accordance with the proviaione set forth in your application and ie subject to the lawa of the
pf Y7~lqradoand to the 2oning Regulations and Building Codee of Wheat Rid9e, Colorado or any other applicable
ait~ee of CTye City.
,pettniCsha31 expire 180 daya from the iseue date. Requeete for an extenaion muet be received prior [o expirat on
Ap ej[txlSaion may be granted a[ the diecretion of the Huildin9 Official.
iiy p"it'ezpiree, a new permit may be acquired for a fee of one-half the amount normally required, provided no has ~eB M'1e 1Aeen or will be made in the original plana and epecificationa and any euspeneion ear,~full feea ehall t
Mied..0~..(1) year. If changes have been or if suepeneion or abandonment exceeda one (1) y
iid toY 8 new permit.
Izk af.any manner ahall be done that will change the natural flow of water caueing a drainage problem.
reCtXYr'}ha1~l.notify the Building Inspector twenty-four (24) houre in advance for all inepectione and ehall receive
;eti app$oval. on inspection card before proceeding with aucceseive phaees of the job.
ieiguttice of.a perml r the approval of drawinge and epecificatione ehall not be conetrued to be ormre ulation
Solation the proviaione of the,building codes or any other ordinance, law, rvl 9
w9 ie eubie('.i~~~+eld Snepectiona.
Of
Itt6p$C'rr0N~ REQUBST LINE:
' RSQTIE917S MCTST~ SE MADE BY
~ . ,.,_.m,. ,_r;..^r . . .
(303)234-5933 BUILDING OEFICE: (303)235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Jan 29 07 10:50a Patty Schmidt
303-421-1298 p.2
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE -303-7M-6933
CITY OF WHEAT RIDGE
U ICn
7500 WEST 28TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235•2855)
A nnr rOI A
Yropeny Owner: fj % % 5'~inC•, i~i'ii
I'roperty Addnss: ~7//35 ~/-`y,uCi
Contnc[ot Licensc Nn.: /8 Ll (0 C! .
/
Company: ar. f= Ne0.-'7 i
SIGNANRE OF UNDERSTANDING AND AGREfMENT
Build'mg PeRnit Number:
Date: /-7q~j
/
Phone: 373L7 h 9_~0 /llZs
aX-zD*~(Xllio
Pnore: 30 3 413r 89lq
BuildinaDeatVa/uaUonFigure: $
I hereCy certify that the setback dishnces praposed by ihis permd appiica[ion are
accurate. and do not violate applica6le ordinances. rules or reyulations of the City of
Wheaf Ridge or covenaMS, easertronls or restrictions of recortl; Ihat all m¢a5uremenh
shovrn, and allegations made are accurate; Mat I hava reatl antl agree to ablde Gy all
condftions printed on this appiication and that I assume full respomi6iliry /or
compliance witA the Nfieat Ridge Building Coda (I.B.C) arW all oiher applicahb VYheat
Ridge Ordinances. for work under~permit Plans \ bjact to field inspadio
, -v ~C, i-o, ,Z:./_
M
Pemut Fee:$
Plan Review Fee:$
Total:$ 1411f_~U
Use of Space (description):
Descriptionofwork:%/75~~~ /JCj~CG+~ . ~-L1 hi~1
Sq. Ft. added
Expiration Date: Expiration Date: Expiration Date:
Approval: Approva I: Approval:
(1) TAispermitwesissuedinaccordancerrithMeprovisionssettorthinyourapplicationand"asubjedlotMlavusofthaSleteof
Colorado andto the Zoning Regulatiore and Building Codes ol Wheat Ridge, Coloiado orarry oMer epplicabla oNinancas of
the Ciry.
(2) Thispertnitshaliexpire 6 (A)theewrkaulhor¢edisrwtcoercnarieadwifhinsirzty(90)daysiromhsuedeteor(B)Mebuildhg
authorized'a suspended or a6antloned for a penod o(180 days.
(3) Ifthispermilexpires,anewpermitrteybeacQuired/orafeeofone-hatttheartwuMnormalyraquired,provideanochenpes
hava 6een or will ba rtede in the original plans and spacifiwtions and any suspenslon or abandonrtprR has not exceedetl ons
(1) year. If changos hava been or Rsuspension or abandonmerrt oxcaads ona (1) yea r, full fees shall Ee paW kr a rrew pormt.
(4) No erork o/ any rrenner shall be done Mat v.ill chanpe the netunl lbw ofwaRrceusirq e dreinape pradem.
(5) Cont2dor sAall rroEfy the Bullding Inspector Meny-four (24) Irours in advence lor ail impectionn aM sheN receiw writ[an
approval on inspectlon cartl bafore proceadinp wRh successive phasas of the Jo6.
(6) The issuance of a permil or the approval of drawings and spacifications shap nwt be mmtruad ta 6e a pemillor, nor an
approval of, any violetion of the provivons of the iwilding wdes or arry other ordinance, Uw, rule or rayubtion. All plan
!<VIeW 15 SubJCtl lo feld in5plClfons.
Chief Building Official
Electrical License No: Plumbing License No: Mechanical License No:
Company:/1~{' u/v E✓FC/~/G Company: Company:
l
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
9262
8/2/99
Property Owner :
Property Address : 4135 QUAY ST
Contractor License No. : 20200
Company : KMG ELEC.
Phone : 940-9825
Phone: 699-1973
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restridions 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 Ihat I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Smoke detectors and GFI's
Construction Value :
$800.00
Permit Fee :
$32.65
Plan Review Fee :
$0.00
Use Tax :
$12.00
Total:
$44.65
Use:
BUILDING DEPARTMENT USE ONLY
googswrA SIC : Sq. Ft. :
Approval:
Zoning :
Approval:
:a '.4• "
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 permit 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
Regula6ons and Buildin~ Code o! Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced wtthin sixry (60) days from issue da[e or (8) the building authorizetl is suspentled or
abandonetl for a perwd oF 120 tlays.
(3) If ihis permit expires, a new pertnR 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 are matle or if suspension or abantlonment
exceads one (1) year, full fees shall be paid for a new permit.
(4) No work o( any manner shall be tlone that will change the naNral flow ot water causing a drainage pro6lem.
(5) ConVactor shall nolify the Building Inspector twenry-tour (24) hours in atlvance for all inspections antl shall receive wntten approval on inspection cartl before
proceediing with successive phases of the job.
(e) The issuance of a permit or the approval of drawings antl specifcations shall not be construetl to be a permit for, nor an approval ot, any violation of the provisions
of the Iding cs or any other ordinance, law, rule or regulalion.
C'
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :~~~I99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 qPPLICATIo N
Property Owner : Chri S~i 'V- -ba"' ek'
Property Address I 135- QucLY Sk
Contractor License No.r'~ ~ O~~-OC)
Company :
Phone : 303
Phone : 363
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurete,
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 a4ree to abide by all wnditions printed on this
application, and that I assume full responsibility for eompliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable WhM Ridge ordiQances, for work under this pertnit.
(OWNER)(CONTRACTOR)
Description : -ixyx6j_~Q ~~z
G7,-ss. ,
9yo -9Y-25"
99-1`I
Construction Value : gtX). a
Permit Fee :
Use Tax:
Total :
Use:
BUILDING DEPARTMENT USE ONLY'
miism
Approval:
Zoning :
SIC : Sq. FL :
Approval:
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 : Approval : Approval :
(1) This permit was issuetl in accordance with the piovisians set forth in yopur appiiwtlon antl is su6ject to Ue laws of the State of CobraOO and to the Zoning
Regulations and Builtling Code of Wheat Ridge, Colo2tlo or any other applicable oNinances of the Ciry.
(2) This permit shall "pire if (A) the work authonzeE is not commenced within sizy (60) tlays from issue date or (B) the building authorizetl is suspende0 or
aCantloneE for a periotl of 120 Oays.
(3) If this pertnit ccpifes, e naw pertnM1 may be atquited for a fee Of one-hal( the amount noRnelly requirad, provitletl no Uanges have been or will he maCe in the
onginal plans and specifiwtlons and any suspension ar a6andonment has not exceeded ane (1) year. If chanqes are matle or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new pertniL
(6) No work ot any manner shall be done that will change the natural flow of water causing a droinage problem.
(5) Conirector shall notify the Builtling Inspeetor tweny-four (24) hours in advance For all inspections antl shall receive written approval on inspection piE Oefore
The ~ issu~ance of a uccessive phases af Ne7'ob.
(6) permtt or tlie aOPraval of drawings anE specifitations shall not be cansWed to he a pertnit for, nor an approval of, any violation ot the provisions
at the builtling codes or any oNer ordinance, law, rule or regulatlan.
Chief Building Inspector
DEPARTMENT 0F COMMUNITY DEVELOPMENT ~E citz
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. 5cj 9 2
237-8944 EXT. 255 P.O. eoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS
CONTRACTOR
ADDRESS
CITV W~rLL,:
APPU(:RTI^vN FOR
nafr i/ c,
6,✓
ZIP CODE
LICENSE NO.~
MISCELLANEOUS P MIT
- I OW N E R rfi, G .L~ CA' _
ADDRESS `7 305 ly-afr, Sil
I PHONE V.2 U ZIP CODE ac)vd~
OONTRAGT PRiCE $ . " 7 D ~
I. TYPE Ground ❑
Wall[
Other 5 p D Foae
12. MATERIAL Tofal Squan
SIGNS 3. ILLUMINATION YasD No❑ TyVe _ Eleet_Permit
4 SET BACK FROM PROPERTY LINE N_ S_ E_
(Spxify which is fronf ) ❑ ❑ ❑
1. 7YPE Solid0 Mo.e Than BO% OoenO Leu
FENCES 112. MATERIAI
3. SET BACK FROM PROPERTY LINE N_ S_
(Sosaifv whieh ie trontl ❑ ❑
OTHER 12
INSPECTION TICKET
jG
JOB ~j ~
ADDRESS ~t-v~-~
Q
c /r^I e r`~~
DATE: BLDG. PERMITN
I PERMITM
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE, ~
(SETBACKS OR PROJECTqNS INCLUDEA) BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. 4.
INSPECTION MADE Z~
REMARKS A~ ~11A,!_!
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREET
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
AF°OLiCATION F6R PLUMBING; ELECTF
THIS APPLICATION WILL BECOME A PERMfT TO PERFORM THE INDICATED W
f'ERR9i7 YlILI_ EkPIRE 60 DAYS fH0A9 Ds1TE OF ISSUANCE
W.R.FORM &19
~-.i-
)N.
ELECTRICAL PERMIT
STATE UCENSE N0. a y15'
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
S.f.JMd?dU7;\".qREUH.fDFRSIZE6ILL@:GAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FUELCiKJsOmGa{011 ENeSdor
Np.
TEMPORARY METER
EW SERVICE - AMPS
WATER CLASET
WASH BOWL
BATH TUB
FORCED AIR - BTU
HOT WATER - BTU
STEAM - BTU
HANGE SERVICE -AMPS
SHOWER
AIR CONDITIONING-BN
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISF
REFRIGERATpN SYSTEM
POWER SUB-dFCUITS
UTILITY(RANGE,DISPOSER,ETC.)
FIXTURES
WATER HEA7ER
AUTO. WASHER
DISH WASHER
Refri sraM Group
PouMs CAar s
AUTOMATIC SPRINKIER SYSTEM
WIRING MOTORS 9 CONTROLS
FLAOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
lica-
t thi
a
tn
PERMIT FEE
p0
s
o
I Mreby ocknowladpe
0
tion is eorreet and understond thot I
li-
USE TAX
eannot ffort tAis projecf until thia app
th
p
$ 2 5
~
-
eotion is aDDroved. I shall comDlY wi
TOTAL FEE
-
-
tha laws of Ihe State of Colorado ond to
tne Zoninq Requlations and 8uildinq
APPROVED
Code of tne City ot Wheot Ridpe. Any
DISAPPROVED
violation oi the above terma will couse
CHIEF BUILDING~
f SPECTOR, City of Wheat Ridqe
immsdiate revocation of thia Oermit.
asoaea. i. s.a o~
"I
Date Issued
NOT VAIID UNlESS RECEIPTED
U ~.S~rJ
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS