HomeMy WebLinkAbout4725 Quay StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: General Permit Application
Date: Thursday, November 11, 20213:38:12 PM
General Permit Application
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is the property Residential
Residential or
Commercial?
Property Address 4725 Quay St.
Property Owner Name Shannon Snow
Property Owner Phone 216-702-9661
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email shamasno85@gmail.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTACT INFORMATION
Submitting General Denver Egress Window
Contractor or Architect
Contractor's License 150231
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Email not displaying correctly? View it in your browser.
Contract Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address
Retype Contact Email
Address
720-626-4221
info@denveregresswindow.com
info@denveregresswindow.com
Check the appropriate Field not completed.
boxes if the following
work is involved in the
project.
Are there any No
ADDITIONAL Sub
Contractors associated
with this project?
DESCRIPTION OF WORK
Detailed Scope of
Work - Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
Square footage of
scope of work
Location of work
(backyard, on roof, etc)
Project Value (contract
value or cost of ALL
materials and labor)
install two egress window
X
basement wall
111818161
Upload Engineer letter Snow -2-4724 Quay St -Wheat R dae-SNTV\/2598-21813-
••
Upload Asbestos
Report if triggler level is
met per CDPHE
regulation.
Field not completed.
Upload Drawings 4725 Quay St ndf
Upload Additional Field not completed.
Drawings
Upload Additional Field not completed.
Drawings
Upload Additional Field not completed.
Drawings
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 stephen sennett
Permit
City of Wheat Ridge
E -Res. Boiler Replacement PERMIT - 202100008
PERMIT NO: 202100008 ISSUED: 01/04/2021
JOB ADDRESS: 4725 Quay St EXPIRES: 01/04/2022
JOB DESCRIPTION: Replace 120K BTU, 95% eff gas boiler in basement
*** CONTACTS ***
OWNER (216)702-9661 SNOW SHANNON & KURT MASE POHL
SUB (303)466-4209 ROSALIE COOPER 018111 COOPER HEATING & COOLING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61773.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 142.23
** TOTAL ** 182.23
*** 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. Boiler Replacement PERMIT - 202100008
202100008 ISSUED: 01/04/2021
4725 Quay St EXPIRES: 01/04/2022
Replace 120K BTU, 95% eff gas boiler in basement
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 all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' 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
applicable code or any ordinance or regulation 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.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Monday, January 4, 20212:20:13 PM
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - 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 residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 4725 Quay St.
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Shannon Snow and Kurt Masepohl
216-702-9661
shamasno85@yahoo.com
CONTRACTOR INFORMATION
Contractor Business Cooper Heating
Name
Contractor's License 018111
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-557-0434
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
kdaniels@coopergreenteam.com
Address
Retype Contractor
kdaniels@coopergreenteam.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Boiler
being installed?
Number of BTUs
120000
What is the efficiency
95
(%) of the unit?
Is the unit GAS or
gas
ELECTRIC?
Where is the furnace or
basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
6773
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 Kathi Daniels
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ` f ✓ -j 4--,,,j
Job Address:
Permit Number:
❑ No one available for inspection: Times `�::AM/ M
may..... __
Re -Inspection required: Ye&, NQ,
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge.co. us4nspection
Date:—/ -;;Z') - �`� Inspector: 1--L
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:^
Job Address: ir,-b,
Permit Number:'�'-
❑ No one available for inspection: Time �= e �� AM/PM
Re -Inspection required,—` -Yes No
When corrections have been made -schedule for re -inspection online at:
http://www.ci. wheatridge.co. uslinspection
Date:. e' - ' ^ Inspector: r'' �—
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: y?
❑ No one available for inspection:. -Time .?."< A MYQPM
Re -Inspection required: Yes, No
When corrections have been made, schedule for re -inspection online at:
h ttp J/www. ci. whea tridge. co. usrns pec tion
Date: f—���-'-a -� Inspector:
o
DO NOT REMOVE THIS NOTICE
*** CONTACTS ***
OWNER (720)933-1707 MAKSIMOV YURY
SUB (720)427-5332 ASENCION LOPEZ
180144 ALL CITY CONSTRUCTION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,200.00
FEES
Total Valuation 0.00
Use Tax 109.20
Permit Fee 140.90
** TOTAL ** 250.10
*** COMMENTS ***
*** CONDITIONS ***
ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH.
FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH &
OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must be dropped off to
the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with Building Division Policy
BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions,
whichever is more stringent.
MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an
approved mid -roof inspection, conducted when 25-750 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 25-750 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.
LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections.
COMMERCIAL ROOFS: In order to pass a final inspection of elastomeric or similar type roof
coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT -
202000084
PERMIT NO:
202000084
ISSUED:
01/10/2020
JOB ADDRESS:
4725 Quay St
EXPIRES:
01/09/2021
JOB DESCRIPTION:
Reroof with 18 squares of laminate
shingles, 4/12
pitch
*** CONTACTS ***
OWNER (720)933-1707 MAKSIMOV YURY
SUB (720)427-5332 ASENCION LOPEZ
180144 ALL CITY CONSTRUCTION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,200.00
FEES
Total Valuation 0.00
Use Tax 109.20
Permit Fee 140.90
** TOTAL ** 250.10
*** COMMENTS ***
*** CONDITIONS ***
ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH.
FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH &
OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must be dropped off to
the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with Building Division Policy
BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions,
whichever is more stringent.
MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an
approved mid -roof inspection, conducted when 25-750 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 25-750 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.
LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections.
COMMERCIAL ROOFS: 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.
a City of Wheat Ridge
Residential Roofing PERMIT - 202000084
PERMIT NO: 202000084 ISSUED: 01/10/2020
JOB ADDRESS: 4725 Quay St EXPIRES: 01/09/2021
JOB DESCRIPTION: Reroof with 18 squares of laminate shingles, 4/12 pitch
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 Por
am le ally authorized to include all entities named within this document as parties to the work to be
performed and that a or pe rmed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of ON TO e one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying Flans 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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief $uilc7' g 0-ffrcTa'F`1 Date
REQUESTS MUST BE MAD BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat f dgc
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29th 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
I FOR OFFICE USE ONLY I
Date: I/ 10, {
Plan/Permit # QOUOOOOL
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: LJ�' ! r v� ` �/ s�
Property Owner (please print): �✓ r a J'� �� L) Phone:
Property Owner Email:
Tenant Name (Commercial Projects Only)' s
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: Phone: / J
Contractor Name: 4) (o
City of Wheat Ridge License #: r;/0 I l Phone: 5 5 v� '��I'3
Contractor E-mail Address: ' t �� �3 A .� c-oon
For Plan Review Questions & Comments (please print): /
CONTACT NAME (please print): ro)��<' Phone: S��
CONTACT EMAIL(p/ease print): C ,"4 (,- 0 ^C, f7 )
Sub Contractors (Must provide Wheat Ridge License
Electrical: Plumbing:
W.R. City License # W.R. City License #
Other City Licensed Sub:
City License #
& Signed Subcontractor Authorization form):
Mechanical:
W.R. City License #
Other City Licensed Sub:
City License #
Complete all highlighted fields, if applicable.
❑ COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects, 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. FULF
BTUs
411
,7, AI
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
4�26-)-D
OWNERICONTRACTOR 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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLEONE: (OWNER) (CONT C R) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last
name): '- DATE:
Printed Name: `' A J 4", C
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
DEPARTMENT Of COMMUNITY DEVELOPMENT
7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M911116366
237-6944 Exr. 255 P.o. Box 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONI.Y WMEN SiGNED BY TME CHIEF BWLDING INSPECTOR AND RECEIP7ED BEL^W.
fAPPLICATION FOR MISCELLANEOUS PER~AIT
JOB ADDRESS Al/~1. OWNER n i .~OIIV ~n C'~'1N7- -
^►7c~`~
CONTRACTOR ~t~ ADORESS C't
ADDRESS I A35 )-Lj' S~ ~ A Ue PHONE ZIP CODE
CITY ECI Xa& ZIP CODE '30DO'`a CONTRACT P^RICE $
/1'll"~~.nhnn sin I4424N4 f]ATE I _~C-n_II
•n
Urvt t"
1. 7YPE Groune ❑
Woll❑
Proiectina❑
Otno
t
l S
uo
T
5 w 0 Fou
n FNt
2. MATERIAL
❑
q
o
a
rmit No
P
El
t
SIGNS
3. ILLUMINATION Yea❑ No
4 SET BACK FROM PROPERTY LINE N
TYDa
_
5_ E
❑
_ W
❑ ❑
.
oc
.
s
Zons_ Apprwad,ZOna Inspeetor
Drwad
Diso
(SOacify which is fronl )
❑
p
1. TYPE Solido More Thon 80% ODSn[D
MATERIAL
?
Less Than BO% Open
Heiyht
FENCES
.
3 SET BACK FROM PROPERTY LINE N
_
5_ E
_ W
❑ ❑
Zms_
ADCrwW,2orn ImOSetw
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Disa
(Speaify whicA ie tront)
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OTHER
2. a r
MiQi nT 2 ia~Pc`->
Lr1
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3
DRAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIViN3 DISTANCES FROM PROVtKi r unes.
(SETBACNS OR PROJECTIONS INCLUDED)
~
SPECIFV NORTH
STREET NAME
SHOW DISTANCES FROM THE MAIN BUIIDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRRECUTAR LOTS, SHOW LEAST
DiSTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WOFK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
oFannir wii i FXPIRE 180 DAVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
,
ELECTRICAL PERMIT
PLUMBWG PERMIT
MECHANICAL PERMIT
STATE UCENSE N0.
STATE LICENSE N0.
ALUMINUAA WIRE UNDER SRE 8 ILLEGAL
fL00R
BSM
I5T
2ND
3RD
4TH
N0.
Proparw Coal El~e Sola
~ ~ pl
~
WATER CLASET
B
ORCED A
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATM TUB
STEAM - BTU
AIR CONDITIONING-BN
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
OTHER
GARBAGE DISP
REFRIGERATION SYSTEM
MEATING
pOWER SUB-CIFCUITS
WATER HEA?ER
Refri arnnt GrouO
DISPOSER,ETC)
UTILITY(RANGE
AUTO. WASHER
Pounds Char a
,
AUTOMATIC SPRINKLER SYSTEM
FIXTURES
DISH WASHER
WIRING MOTOF25 d CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORN
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
1 Asreby acknowledQe that this applico-
tion it COnett ond understand MaT I
connot afart this Droject until this oppli-
oation is approved. I shall comply witt+
fhs lows of the Stafe o1 Colorado and to
tAe Zoninp Repulaiiona ond Buiidinp
Code of 1he City of Wl+eat Ridpe. Any
violafion o( the obove ferma wdl cause
im diate rev cafion ol t~is permi~
j. .
~e . eianaro,.
PERMIT FEE
USE TAX
TOTAL FEE
o-~ NOT VAUD UNLESS RECEIPTI
9.396
~
i
~ 9/
j~6
CHIEF BUILDING 17JSPECTOR,City of Wheat Ridqe
~ • ~iC-uf,v
Date Issued el- U°7- y,
131 J 7
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
~