HomeMy WebLinkAbout4580 Quay StreetCity of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202101110
PERMIT NO: 202101110 ISSUED: 05/25/2021
JOB ADDRESS: 4580 Quay St EXPIRES: 05/25/2022
JOB DESCRIPTION: Replacement of Gas Water Heater in basement - 50 Gallons 40K BTU
*** CONTACTS ***
OWNER (303)550-9979 VENDENA ROXY JR
SUB (303)458-5988 JOSH WARD 018236 APPLEWOOD PLMB, HEAT, & ELEC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41629.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 97.21
** TOTAL ** 137.21
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202101110
202101110
ISSUED: 05/25/2021
4580 Quay St EXPIRES: 05/25/2022
Replacement of Gas Water Heater in basement - 50 Gallons 40K BTU
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�permrt. I further attest that I am leg ally authorized to include al entities 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' accompanying approved plans and specifications.
Signature of OWNER 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 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 requ�ired
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, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
05/25/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Water Heater Replacement Permit Application
Date: Tuesday, May 25, 20213:08:14 PM
Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 4580 Quay Street, Wheat Ridge, CO 80033
Property Owner Name Roxy Vendena
Property Owner Phone 303-550-9979
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Field not completed.
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Applewood P H & E
Name
Contractor's License 18236
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
Number of gallons
19I8191E,W- IS61-I:
permits@applewoodfixit.com
permits@applewoodfixit.com
1.9181
Is the water heater GAS
GAS or ELECTRIC?
If GAS, enter # of 40
BTUs. If electric, enter
n/a
Where is the water Basement
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 4629
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Tracey L Johnson
Permit
Email not displaying correctly? View it in your browser.
4� City of Wheat Ridge
Residential Roofing PERMIT - 201704014
PERMIT NO: 201704014 ISSUED: 07/14/2017
JOB ADDRESS: 4580 Quay ST EXPIRES: 07/14/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 30 sq.
*** CONTACTS ***
OWNER (303)550-9979 VENDENA ROXY JR
SUB (303)995-7909 John E. Hopper 090140 1st Choice Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,900.00
FEES
Total Valuation 0.00
Use Tax 186.90
Permit Fee 188.45
** TOTAL ** 375.35
*** 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 one half 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
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.
� 4 10( City of Wheat Ridge
Residential Roofing PERMIT - 201704014
PERMIT NO: 201704014 ISSUED: 07/14/2017
JOB ADDRESS: 4580 Quay ST EXPIRES: 07/14/2018
JOB DESCRIPTION: Residential Re—roof to install Tamko Heritage asphalt shingles with 30 sq.
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
this pthe leg ner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
ermit. I her attest that I am legally authorized to include alI entities named within this document as parties to the work to be
performed a dhat all work to be performed is disclosed in this document anal/or its'companying approved plans and specifications.
Signature OWNER or CONTRACTOR (Circle one) Dat
1. This permit was issued based on the information provided in the permit application and accompanyingplans 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
Officialandmay be subject to a fee equal to one-half of the original permit fee.
i
3. If this pe it 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, an violation of any provision of any
applicable col_any ordinance or this jurisdiction. Approval of work is subject to f any
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
96)6 y 6 / U
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 5, 2017 12:04 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
G .
r,
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
Z
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
C-"
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? W /,!, V A(\Jt, -
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
4580 Quay St
Roxy Vendena
303-550-9979
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
1st Choice Roofing
090140
303-995-7909
Contractor Email Address johnehopper@gmail.com
Retype Contractor Email johnehopper@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Tamko Heritage
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 23
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No J
Field not completed.
TOTAL SQUARES of all 23 V
roofing material for this
project
Provide additional detail House
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
(/L8900
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 John Hopper
Email not displaying correctly? View it in your browser.
3
Over
Choice RoofingPREFERRED
*oo0 F
ME CONTUCTOR
Roofs u�o`
itVeU ntlt YFxT �Pp 5 �x °P
Installed Inspector Name EfI&A NOVO
Inspector Number =,CLftrbTWd
Since 1998 VAmidw
Owner Da Email
street,K60 {aborta Work ifhona
city hm+i S" 1 11" "an* "W"
Preliminary scope (subiect to insurance approval). a 5 year Workmanship Warranty
Z' Tear Off o Roll Magnet Through Yard # ,
Recover Roof with C F ( utter Specs- Linear Feet „ �._..
-t
❑ Below 2:12'`Above 1;:12 ❑ Above 12:12 Gutter Size: 5" 5r color: — 41.ae
❑ Ventilation ❑ Box ❑ Ridge o Other Downspout Size: 2x3" x4" Color:
❑ Ice & Water Shield to local code
❑ Shingle/Color
❑ Hip and Ridge ❑ Standard o High Profile
• Decking ❑ OSB ❑ CDX ❑ Other
❑ Underlayment ❑ 15 Ib ❑ 30 lb ❑ Other
Metal Edge Color
❑ Valley
ePipe Flashings
❑ Closed ❑ Open
— ❑ 3/1 ❑Lead
❑ Nails ❑ Open Eaves
'Chimneys n Size _p. -TV Dish
❑ Solar Paneis,,e,"§Wamp cooler ❑ A/C unit
❑ Tempered Skylights ❑ Dome Skylights_
❑ Gutter Screen or Helmet Style
In
Terns: By signing this Agreement, the Customer retains the Company (1st Choice Roofing and Exteriors Inc.) as Ws General Contractor, and Exclusive Representative, to negotiate and
attempt to settle their Insurance claim In the manner the company deems most approporate. This agreement dons not obligate the Customer or Company in any way until Customer's
insurance company acknowledges damage, at which time customer will delivery to the company, within 3 business days, their deductible. Customer understands that the Interests of
the company are aligned with their own, and agrees to act In a cooperative and supportive manner in advocacy of the negotiations by tine Company, with their Insurance company,
and to provide copies of all correspondence, written and verbal, and to provide other various forms of support If requested by the Company. Once settled and accepted by the
Company, all proceeds are hereby assigned to the company. customer's signature below also signifies acceptance of all terms and conditions, on the frons and bade of this
Agreement. The Company, at it`s sole option, will perfom any or all work approved by the insurance Company In any workman like manner they deem most appropriate.
Customer's out of pocket expense not to exceed deductible, plus upgrades, or oaldonol non -Insurance related items. stom f I itials.�
Estimated Date of Roof C pletion-( n Estimated cost of Repairs` �� �r
isubjWtocos.•efduft-n**Y&*dWAnd"Ww-diemxmwee Nr)
❑ Customer Signature Receipt of Payments Received:
❑ Customer Signature
Choice Rep Signature
The Company shall hold In trust any payment received from you until delivery of roofing material to the site.
AS OF 6/6/IZ, ROOFING CONTRACTORS IN COLORADO ARE PROHIBITED FROM WAIVING, DISCOUNTING,
REBATING, OR IN ANY WAYREDUCING THEAMOUNT THE CUSTOMER IS REQUIRED TO PAY FOR THEIR
DEDUCTIBLE AND ANY VIOLATION IS PUNISHABLE AS A CLASS 2 MISDEMEANOR.
(303) 733 -ROOF 1235 York Street, Denver, CO 80206 (877) 977 -ROOF
INSPECTION RECORD OCCUpancY/TVDe
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
ROUGHS
Sheathing
Lath / Wall tie
Mld Roof ,.I--
Electrical. Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
PECTOR MUST SIGN ALL $.PACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS DATE _ INSPECTOR
INITIALS
.COMMENTS: -
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
_
Reinforcing or Monolithic -
-
Weatherproof / French Drain
!PLANNI!NG&
Sewer Service Lines.
Water Service Lines
INSPECTIONS FOR ZONING, FIRE A ND PUBLICE WORKS
'SHOULD BE CALLNE.WEEK PRIOR TO FINAL INSPECTIONS.
ruoK rvu �.urvcnt I t uNIIL H80VE NAS tSEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Undergrou
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BE SIGNED
FINALS
Electrical -
Plumbing
Mechanical
Roof ? J
Building Final
!PLANNI!NG&
Fire Department
R.O.W $ Drainage
INSPECTIONS FOR ZONING, FIRE A ND PUBLICE WORKS
'SHOULD BE CALLNE.WEEK PRIOR TO FINAL INSPECTIONS.
Parking $ Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED -AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A '
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
OF A C ERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY
vUUUVHn (, r IMUI I'LKMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CAVZn ,FPr)M TWP WFAruGO
♦ 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: /51N19_z A19d,1
Job Address: +580
Permit Number: b
r�
f .
No one available for inspection: Time d5 AM M
Re- Inspection required: Yes �'No
When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: 1 2 - U -o9 Inspector: 720
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 ION NOTICE
Inspection Type: J" C)
Job Address:] C1 ft~ ! r~z S l
Permit Number: Gi L~ cT
❑ No one available for inspection: Time AM/PM
t
Re-Inspection required: Yes No
*When corrections have been made, call for re-inspection at 303-2345933
Date: 4..G inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
r'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _,tipcal~cor=
Job Address `1590 ts?ux v s7-
Permit Number: e~7 ZJr n
AIAODO Mi !cG %/TsrrJ sr~f r4i2~ivi ,v F 7 -
~rrv• F`f~ ,~v~ ~~?rr~r2 rv sv~xT>sus~E,~ r~~.~
A,V
r
i
❑ No one available for inspection: Time t/ WS &PM
Re-Inspection required: s No
When corrections have been made, call for re-inspection at 303-234-5933
Date: ,'/~3v~tJ9 Inspector: moo.
DO NOT REMOVE THIS NOTICE
,r
City of Wheat Ridge
u
T....0~... TTTA,r7T AAA1 AC
PERMIT NO: 094196
6ISSUED:1
11/20/2009
SRI
JOB ADDRESS:' 4580 QUAY
ST
rEXPIRES:
05/19/2010
,
`
,
DESCRIPTION:Reroof 23
sqs
f„
CONTACTS
F
owner
Paul Trujillo
sub = 303/507-633.6
09-0315
Yesterday Construction, LLC.
,
PARCEL INFO
;
%
ZONE !CODE: UA
USE: '
UA
~r.
SUBDIVISION: 0295
.BLOCK/LOT#:
_0./:
r FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,000.00`.
FEES
a. Permit Fee 181.10
Q Total Valuation 00
s, Use Tax 126.00 ~t??-
**:TOTAL 307.10
Conditions:
6 nail installation mid-roof inspection required: Board sheathing spaced more
w~ than '.a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and,
water shield required from eave edge to 2' inside exterior` walls.
***Contractor/Property owner shall ,provide ladder(s) secured in place for
inpsections..`.
Subject to field inspection.
I hereby certify. that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
` applid le Whe dge Ordinances, for work under this permit. Plans subject to field inspection.
Sig traure of con ractor/owner date
f
of "'"E?Tq City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
cotoRi oo Inspection Line: 303-234-5933
Property Address: ~5 ~ p0A Y G-l`.
Property Owner (please print): but, eR Sr r- p,#.q ,-T TtzUJ zLL-zo Phone
Mailing Address: (if different than property address)
Address:
State, Zip:
Building Permit Application
Date:
Plan
Permit
Contractor: --Y9
Qvi c r,cV,,,o N LLC-
Contractor License Phone: 363 - $07 _ L 3 3
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval:
Approval:
Use of space (description): kF- IZo~. Construction Value: $ FOOD
Description of Work (as calculated per the Buildinq Valuation Data sheet)
7£4R OFF I L-IYER 6F ZooP^Kr qc .Z.r -r'A-
,?D ySRR 57~K Gt7 F AJ q-r "ertc ~ 71 D 6 vJ Plan Review (due at time of submittal: $
Sq. Ft./L.Ft added: Squares Z BTU's Gallons Amps
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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE.: (OWNER) (CONTRACTOR) or PERSONAL REPRE 7TATIVE of (OWNER) (CONTRATOR)
PRINT NAME: AZ32✓ ljS -P£TT' SIGNATURE: LEA Date:
~
QEPARTMENT OF PLANNING RND DEVELOPMENT Building Permit Number : 5354
~ BUILDING fN3FEGTION DIVISION - 235-2855
CITY OF WMEAT RIRGE Date : 6/27/97
7500 WEST 29TH AVENUE
WHEAT' RIDGE, CO 80215
Properly Owner :
Property Address : 4580 QUAY ST
Contractor License No. : 19548
' Campany : H 8 H Heatling
OWNEWCONTRAGTOR SIGNATURE OF UNDERSTANDING ANDAGREEMENT
permft aPPlication are accurete,..
s of the Crty M Wheat Ridga or
surements shown, and allegations
are
nditbns printed on this
..wkhtheWheat Ridge Building
aes; for work undar thts pertn8.
(OWNER)(CONTRAC70R)SIONED/~~~ DATE~/ '
Description : REPLACE 100,000 BTU FURNAGE (TRIPLE FEE)
Phone : 424-9451
Phone : 298 9889
ConsUuction Value ;
Permit Fee ;
Plan Review Fee :
Use Tax :
Total :
$226.50
$0.00
$34.80
$261.30
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
~~Mll~lr~
Approval :
Approval :
SIC : Sq. Ft. :
Occupancy : Walts : Roof : Stories : Residential Units :
Elactricat Lieense No : Plumbing License No :
Company : Company :
Expitation Date :
Approval :
(i) Ziti8PB11NtM1881B8U8d1ti0G
Reguls6ona arW 8 Ca
(2) e'Ibis bananed"~e~ oi(4Z
(3) If th(s. pem1R explrm; e rieW )
fs)
(8)
Expiration Date :
Approval :
0 m
Mechanical License No :
Company :
Expira6on Date :
Approval :
sbna set torth in yopur appHCation eiM ia eudeM b the lawa ofMe State ot Coloratlo arM 4otl+e ZoNnB rorado or eny oGrer applicable ordinances of 8m Ciry.
not commenced wXhin sbdy (80) tlays trom iasue tleta a(B) Me building authar¢etl Is suspandeCor
for a fee M one-haft the emouM normaly teqWred,.wovidetl no chenges heve Oeen w wi116e made in Nie
n or eba~onment has not excaedeC one (t) year. 1( cherreea ere made a H suspenalon w abendonmaM
wpmn k:
Me naNral flow of wafer mun~rq a drainege prohlem.
tur (24) hours in advance for all InspeWons and ahell receNe writtan spVmv+l on Inspectlon caN Defwe
s antl speefiutlons shell nM be consVUed Po be a permit for, nor an appmval M, aiyr vidation of the provisions
ile a repuletlon.
iiiding inspector
PERMFT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855 Date :
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: ~j A~ _u_f'~ _ Q•~', ~
ProPertY Address : - 'Al)~ Phone : j~
Contractor License No. j :
r~ 1 • , ~~_.,"i~(~~~-.,l
Company: Phone:
Y~`V~..~OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Vaiue : J~ j,C~~ -,~"1
I hereby ceAify lhal the setback distances proposed by this pertnit application are accurate, P8ffT11t F28 :S~/
and do not violale applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or reslrictions of record: thal all measurements shown, and allegalions Plan Review Fee :
made are acwrate; lhat I have read and agree to abide by all wnditions printed on this Use Tax : ~j ~I• FSL~
application, and that I assume full responsibility (or compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge Tinances, for work under this pertnit.
Total :~(o 3 6
(OWNER)(CONTRACTOR) SIGNED<i -DATE~
Description:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Z"oriin~'C`yafif~ s~l
Approval :
Zoning :
Bulidtng'Co en
Approval:
PUlii~c3_WbPK~~~
Approval :
I Occupancy : Walls : Roof : Srories : Residential Units :
Electrical License No : Plumbing License No : Mechanicai License No :
Company : Company : Company :
Expiretion Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
~ sPiar»~R~~1~1 ~ Q~is~R~~~ ■ Baa~sR~qmr.~n~
(1) This pertn~l was Issued in aaoNance vnih the prodsions sel lotlh in yopur appliratbn and Is subf'ecl to Ne laws ol Ne Stale ol Cob2tlo and lo Ne Zonirg
Regulaons and Building Cotle ol Nfieat Ridge. Colo2tlo a any ol0er apPlicaOle adloances o/ Ue Ciry.
(2) TTis pedrtnll shall ex0ire d(A) the woAc authonzeE is not commenceA wiUin sury (60) aays from issue date or (B) the CuilCing autharized i5 su5pen0ed or
ahandOneC lor a penoE ol 120 days.
(3) orig naplans and specifcation and any s swpensbn or abadonmeMalhas nol eWCeeOetl onle (1~yea~r. ~U+anges areamade o~ f suspen sionlobaba^Ea^me"t
exceeds one (7) year, lull fees shall be pai0 lor a new pertnil.
(4) No work of any manner shall De done thal will chanqe the naWral Ilow of waler tausing a drainage pm0lem.
(5) Contractor snan miiry the Buiiain9 Inspector twenry-lour (24) hours in aOVarice lor all inspectbns anE shall receive wnrien aODrovai on inspection wrE before
proceediing wiN successive pnases ofthe''oE.
(6) o the OuAdg ~mEes or ~ any tolhe~ord na cea aw~nr9usle ordregu atfilontions shall nat be tonsVUeE to De a pertnil lor, nor an approval ol, any violation ol the provisions
Chief Building Inspector For Mayor SIGNED
THE
ILD THIS PERMIT VALID ONLY
ALL W 345933 24 HOURS PRIO'R TO~IN PIE TIONPECTOR AND MAYOR