HomeMy WebLinkAbout2660 Upham StreetINSPECTION RECORD
INSPECTION ONLINE FORMREQUEST EST � NE r
INSPECTION( 03) 234-5933 ction
Inspections will not be performed unless this card is posted on the project site.
"Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
=oundation 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
Inspector Comments
Date Initials
Electrical
Sewer Service
Plumbing
or Below/ln-Slab Prior To Approval Of The Above Inspections
Do Not Cover Under round
Date InspectorComments
u?, pections
Initials
Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Date Inspector Comments
Final Inspections
Initials
from these entities should be requested
Landscaping &Parking /Planning Dept.
Inspections
one week in advance. For landscaping and parking
ROW & Drainage / Public Works Dept.
inspections call 303-235-2846. For ROW and drainage
Floodplain Inspection (if applicable)
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
v
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 District and electrical low voltage
by the Building Division.
Occupancy Is Not Permittee This CardUntil A lficate of From The Weather occupancy Is Issued
Pro
A City of Wheat Ridge
Residential Roofing PERMIT - 201704548
PERMIT NO: 201704548 ISSUED: 07/20/2017
JOB ADDRESS: 2660 Upham ST EXPIRES: 07/20/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 28 sq.
*** CONTACTS ***
OWNER (303)514-1875 GRIFFIN JENNIFER MUTTON
SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUAT 3,.OQQ.00
FEES.P,
Total Valuation 0.00
Use Tax 273.00
Permit Fee 251.85
** TOTAL ** 524.85
*** 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.
A f City of Wheat Ridge
Residential Roofing PERMIT - 201704548
PERMIT NO: 201704548 ISSUED: 07/20/2017
JOB ADDRESS: 2660 Upham ST EXPIRES: 07/20/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 28 sq.
I, by R
signature, do hereby attestthat the worktobe perfoed shapplilebulding codesand all applicable municpal coespolicby thgal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alI 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 OWNI?k 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, po Flans
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 change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Ins ection Services Division in accordance with established policy of all required
inspections and shall not proceed or conc written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be const to be a permit for, or an approval of, an 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 Building Official — Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 12, 2017 10:00 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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
2660 UPHAM ST
JENNIFER GRIFFIN
303-514-1875
Field not completed.
t�
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
advanced exteriors
090134
303-725-4502
Contractor Email Address freddygreen@advancedexteriors.net
Retype Contractor Email freddygreen@advancedexteriors.net
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing shingles
Material
Select Type of Material: Asphalt
If "Other" is selected
Field not completed.
above, describe here:
/
How many squares of the
28 v
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 of all 28 V/
roofing material for this
project
Provide additional detail 4/12
here on the description of
FN
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contrac 13,000
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 freddy g
Email not displaying correctly? View it in your browser.
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Advanced Exteriors, Inc.
L pa dry Mmne
1 5geor V "'WO
.. Z.ca19 dddress .
Tea dt l (gjof&_k r{scf
Itns tdecking 1r15'tail declang
Irtstalt ice and water shie;d can
Install 15 * felt ❑ Install 30
Install premium synthet€c Fleck protecfion 1 r`9C
install starter course of shjingjes,entire perimeter
Install drip Pd9e perlrnefer f hl
6
r
Install range vent
install kde vents c? ! r,' r vents
install pipe jack ffcash€ngs nstall furnace caps
Paint jocks/stacks to match roosftig color
Detach and reset _
Install reinforcernent in valleys usi 9 cal -i �%t ° Remove and cover
rClosed vtxf tnsf l beauty c�:rse of ridgeshingles on heaciWalts
�per'i vYTfteys
Mace step f%sshi Detach and reset sateve ❑ Remove sateve
rag can r ewalfs, chimney and skylights Clean up & remove trash p with magnetic rosier
Install 6 nails per shingle ttarou taut f>etd a a Clean out utt
i2oc�fcrog Product F` vide budding permit
' Register
Roofing color o ? a � �, Manufacturer 1Narrtanty
fear uFcac#urer aNarrarai�r _ _Advanced�Qrjo!T�6��rKYear j%oafing Labor Warrcmfy
Advanced Exteriors, Inc, $2,000,000 Liability insurance
8'�$pecicl lnshuciklis/AdditiOnal+hork r s � � � cc
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ramons co frOnt and back of Mis
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CUSIO On
vancedExterlors,c•
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: (f ou ok-F Sc l
Job Address: 2_6 U P[ 1AM `JT'
Permit Number: 201 Ea4r
GGMM A� p.
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes ' No
When corrections have been made, call for re -in ,pection at 303-234-
Date: U C� 14 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION E
Inspection Type:
Job Address:
Permit Number:
Re -Inspection required: Yes 9
When corrections have been made, callforre-inspection at 303-234-5933
Date: �'� P 1'.? Inspector�// ' �
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: 1 �r
Job Address: (, 0
Permit Number: i u ?� `
!` I
❑ No one available for inspection: Time ) U 4& A/PM
Re -Inspection required:Yes No
When corrections have been , call f re -inspection at 303-234-5933
1
Date: f Inspector:
DO NOT REMOVE THIS NOTICE
�1, -7
i dzetOF'AtAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M r d / S t 4
Job Address: -2G G 6 l
Permit Number: -Do 17 0 5l s"y g
❑ No one available for inspection: Time = 4-7 AM&
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date:— 'I P" Inspector: 'T—b
DO NOT REMOVE THIS NOTICE
Inspections will not be made unless this card is
Call by 3:00 PM to receive inspection the fol
.�fafivQ �a lLiY'1
INSPECTOR MUST SIGN ALL SPACES PERT
FOUNDATION INSPECTIONS
DATE
COMMENTS:
Footings /Caissons
-
Mid -Roof
Stemwall / (CEG) Concrete
Encased Ground
ijA
gINITIALS
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
-
WaterServiceLines
I CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
ROUGHS
DO NOT
Sheathing
Lath./ Wall tie -
-
Mid -Roof
- _f�
ijA
Electrical Servi
Rough Electric
Rough Plumbing
Gas Piping
Roug Mechani
Framing
Insulation
Drywall Screw
ABOVE
INSPECTIONS TO BE SIGNED PRIOR TO PRO
FINALS
Electrical
Plumbing
Mechanical
-
Roof
Building Final
Fire Department
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
f (303) 234 -5933 Inspection line
( (303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
"Inspection Type:
Job Address:
Permit Number:
agl-1 —w 5�7
❑ No one available for inspection: Time IS0 A !PM
{ Re- Inspection required: Yes
i
*When corrections have been made, calf for inspection at 303 - 234 - 5933
Date: Inspector
i
E DO NOT REMOVE THIS NOTICE
C
i CITY OF WHEAT RIDGE
jj Building Inspection Division
i (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: X92 9.23
3� Pv FViovS �fi v F � `s r147 3�/
❑ No one available for inspection: Time iPM
Re- Inspection required: es No
*When corrections have been made, call for re- inspection at 303 -234 -5933
Date: inspecto
DO NOT REMOVE THIS NOTICE
'o CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 12r i
Job Address: >(>
Permit Number:
\ -/. /J�'.- ✓ifi+r��F. �G --�o fir(',✓ /7 => �cr1'��C
n.
2 i
❑ No one available for inspection: Time A A — M
Re- inspection required: es No
* When corrections have bee made, caii for re inspection at 303 - 234
p � Date: 6- Inspector
f DO NOT REMOVE THIS NOTICE
e 1 s CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234.5933 Inspection fine
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE`
Inspection Type: %6
Job Address:
Permit Number: 0y 5
❑ No one available for inspection: Time tly A l
Re- Inspection required: Yes No
"When corrections have been made, call for re- inspection at 303 -234 -5933
Date. - i - i/ ) Inspector
DO NOT REMOVE THIS NOTICE ry
♦ 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: kon
-Job Address-
permit Number: 0 i( Z DZ
R
No one available for inspection: Time 1'30 AM/
Re- Inspection required: Ees) No
"When corrections have been made, call for re -insp ctfo at 303 -234 -5933
Date: ra _ V A Inspector: �o
DO NOT REMOVE THIS NOTICE
i
♦ i CITY OF WHEAT RIDGE
�� Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
V
INSPECTION NOTICE
Inspection Type: ?��i
Job Address: C 60 G1M
Permit Number:
V c>
7
s
[A No one available for inspection: Time � AM P
Re- Inspection required: Yes No
' When corrections have been made, call 7 /11CD� V - inspection at 303 - 234 -5933
ctor:
Date: ! V Inspe
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INS NOTICE
Inspection Type: A ' cD - t e.oP
Job Address: 766() [ �C��'c4 l 5i
Permit Number: Jq ,)o7 f
[I No one available for inspection: Time lam'% M
Re- Inspection required: Yes '' N
When corrections have been made, call for re- inspectio at 303 - 2345933
Date: `NO Inspector: i r(�x
DO NOT REMOVE THIS NOTICE
e t o CITY OF WHEAT RIDGE
Building Inspection Division
o (303) 234 -5933 Inspection line
(303) 235 -2855 office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: 07,:27:� 3
i
i
3
❑ No one available for inspection: Time 4'/PM
Re- Inspection required: Yes ,No
When corrections have been made, calf for re Inspection at 303 - 234 - 5933
Date: SzZZ - 1 1 9 Inspector
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
r Bung Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Drat=
Job Address: o~ Ze , t,'All,or 5~_
Permit Number: e. 9a 9'®73
rrr~L£~
❑ 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: d~ia Inspector: ,p
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 092923
PERMIT NO: 092923 -.ISSUED: 10/01/2009
JOB ADDRESS: 2660. UPHAM ST EXPIRES: `03/30/2010
DESCRIPTION:, Reroof 34 sqs
* * *..-CONTACTS
owner 303/940-9720 Tim Cattau
sub 720/530-6331 Alfred Farias 09-0042 Citywide Roofing LLC
**.:PARCEL INFO
ZONE <CODE: UA USE: UA
SUBDIVISION:. 0593 'BLOCK/LOT#: 0/
**-FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,496.00
FEES
Permit Fee 199.30"°.
r,3
Total Valuation 00
Use Tax 134.93
**,..TOTAL
.`334.23
Conditions: -
6 nail installation & mid roof inspection required. Board sheathing spaced more
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.
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 ...(l.B.C).and all other
appllicca~ble WheatRidge Ordinances, for work under this permit. Plans subject to field inspection.
signature of cogtractor/owner 'date
This permit was issued in accordance with the provisions. set forth: in your application and is subject to the laws of the
state of Colorado and to the zoning Regulations and Building Codes of Wheat: Ridge, Colorado or any other applicable
ordinances of the city.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted: at the discretion of the Building Official.
If this permit expires, :a new permit 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 have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for anew permit-
No 'work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all. inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job:.
The issuance of a permit or the approval of 'drawings and. specifications shall not be construed to be a permit . for, nor an appro al' any violation of the provisions of the building codes or any. other ordinance, law, rule or regulation.
All a ew is subject to field inspections.
ignat of ief. Building official date
:NSP. CTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
tEQUESTS MUST.. BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.=
F ""a^> City of Wheat Ridge Building Division Date:
°m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan
°otoRPOO Inspection Line: 303-234-5933 Permit ? q I ~
Building Permit Application
Property Address_ 2660 Upham SL, Wheat Ridge, CO 80033
Property Owner (please print): Tim Cattau Phone: 303.940.9720
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Cgpfractor: City Wide Roofing
Contractor License Phone: 720-271-0811
Sub Contractors:
Electrical City Licerise Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ 7496
OB§CrlptlDll'Of Wtlrk'. Reroof due to hail damage (as calculated per the Building valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares 34 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 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 applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) QCati'r$dEA Mt) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: lacnn Purdy SIGNATURE: Jason Purdy Date: 10-1-2009
i/
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST29tnAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94#19780
234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE rHiEF BUiLDiNG WSPECTOR ANC RECEIP?EDBEL^W.
APPLICATION FOR MISCELLANEOUS PERMIT
JOBADDRESS JU r' 1-~~-~1-KL C'"J~ _ OWNER ~0.VC0."'I--I-"0.w
CONTRACTOR II"'"l :5h e, ~ 41'I A.ifA / ADDRESS a4 bLA-n N n,~-, C~ -
ADDRESS e?aZG)U IkLC 1041 Z-f . PHONE AZ3`r~JLI.5 ZIPCODE
CITY 1Li' ZIP CODE $0~ ~y CONTRACT PRICE $1 7aO ~
_7.33 -rl ';3 l9 i irFticF un DATE L-d-'~q
❑
Wali❑
Proiectmp❑
01hsr
SorDFete
1. TYPE Ground
Total S
u
on Feaf
2. MATERIAL
❑
❑
T
q
Permit No
ElKf
SIGNS
No
1 ILLUMINATION Yu
4. SET BACK FROM PROPERTY LINE N
(SOetify which ia froM )
YCa
_
❑
S_ E
❑
_ W
❑ ❑
.
Zone_
.
Apprwed, Zom Inspeetor
DisapprOVed
1. TYPE Solid[:] Mors Than 80% ODanD
Len Thon 80% Open
Heiphf
FENCES
MATERIAL
3 SET BACK FROM PROPERTY LINE N
(SPawty whieh i6 front)
_
❑
S_ E
❑
_ W
❑ ❑
Zms_
Appraei Inspecta
DisopDrovsd
i 0. a
a
h Q u Se
OTHER
2
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTMER STRUCTURE,GIVi1:3 DISTANCES FROM PROPERTY LINES.
(SETBACNS OR PROJECTIONS INCLUDED)
~
SPECIFV NORTN
STREET NAME
SNOW DISTANCES FROM THE MAIN BUILDING TaADJOINING MOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LOTS, SMOW LEAST
DISTANCE TO PROPERTY UNES,NOT MAXIMUM OR pVERAGE DISTANCE.
APPLICATION FOR PLUMBING, ELECTHICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL ExPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUAWIREUNDERSIZE8ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FUEL:CirclsQ»riaidlROpar ElaeSdor
WATER CLOSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SNOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTMER
HEATING
fiARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WA7ER HEATER
Retri eront Group
UTIUTY(RANGE,DISPOSER,ETC)
AUTO.WASHER
Pounds Chor e
FIXTURES
DISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS d CONTROLS
FLOO7 DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
lica-
thi
PERMIT FEE
s aDD
I Mreby ocknowledqe that
tion ie eonect and understond thoi I
li-
USE TAX
Gonnot ffart thie Oroltltt unfil this opp
aotion ii oDCroved. I snall comDlY with
TOTAL FEE
Me lowf of the Sinte of Colorado and to
}hs Zoninp Repulations ond Buildin9
OVE
Code of the City of Wneat Ridpe. Any
DISAPP
violotion ol the above terme will cause
CHIEF BUILD
immediate revocation of this permlf
t0
O lC~ 7
INSPECTOR,City of M-Eai Ridge
Dote Issued 14
i
•ooiicam. s~a~mu,.
VOT VAUD UNLESS RECEIPTED
CALL 234-5933
24 HOURS IN ADVANCE
FORINSPECTIONS