HomeMy WebLinkAbout2603-2607 Teller Street` City of Wheat Ridge
Residential Roofing PERMIT - 201700947
PERMIT NO: 201700947 ISSUED: 05/30/2017
JOB ADDRESS: 2603 Teller ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Replace roof with asphalt modified bitumen - 35 squares (2603-2607 Teller
Street - DUPLEX)
*** CONTACTS ***
OWNER DE SELM MARVIN L
SUB (303)988-1912 Julie Comstock 019468 L. F. Comstock, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE:
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: UA / Unassigned
0
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,140.00
FEES
Total Valuation 0.00
Use Tax 254.52
Permit Fee 283.55
** TOTAL **
538.07
*** 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 k/2-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&Crms 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.
N
1 CTION RECORD
INSPECTION ONLINE FORM: http-//www.ci.wheatridge.co-us/inspection
�C>�) I , ((C.,,- INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
kl�
Inspections will not be performed unless this card is posted on the project site.
**Penned nn insnection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Rough Inspections
Concrete Encased Ground (CEG)
Underground/Slab Inspections
Foundation / P.E. Letter
Initials
Do Not hour
c;oncreie
riw, l v -Ilip o.u, --• • ••-- • --- - -
1% F I IVB r-rr• - -- -
Rough Inspections
Inspector Comments
Underground/Slab Inspections
Date
Initials
Electrical
Sewer Service
Plumbing
Lath / Wall Tie
— _ _ -r.r rte_ w�.,..•., Ir�cr�nr+innc
Do Not Cover Under rouna or
tseliownn-oiaw
V.VI
1% F I IVB r-rr• - -- -
Rough Inspections
Date
Inspector
Initials
Comments
Wall 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
Inspections from these entities should be requested
Landscaping &Parking /Planning Dept.
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.
Floodplain Inspection (if applicable)
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
does not constitute authorization of occupancy.
of Occupancy is issued. Approval of the Final Building inspection
� ;. ,,,.+; oro rrimnlatM from the Fire District and electrical low voltage
"For low vonage pernoLa
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201700947
PERMIT NO: 201700947 ISSUED: 05/30/2017
JOB ADDRESS: 2603 Teller ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Replace roof with asphalt modified bitumen - 35 squares (2603-2607 Teller
Street - DUPLEX)
*** CONTACTS ***
OWNER DE SELM MARVIN L
SUB (303)988-1912 Julie Comstock 019468 L. F. Comstock, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,140.00
FEES
Total Valuation 0.00
Use Tax 254.52
Permit Fee 283.55
** TOTAL ** 538.07
*** 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 k/2 -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 manufacturera€TMs 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201700947
PERMIT NO: 201700947 ISSUED: 05/30/2017
JOB ADDRESS: 2603 Teller ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Replace roof with asphalt modified bitumen - 35 squares (2603-2607 Teller
Street - DUPLEX)
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 properly 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 le ally authorized to include all entities named within this document as parties to the work to be
performed and that.all work to be per armed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sign, ure 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 original permit fee.
1 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 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 pe all t,b construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or a��nce o r f 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.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
heatide
COMMUNITY DrVF-.t.oP,,,ME i
Building 8 Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date:
6'1:31411
Plan/Permit #�
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: 0 onn f vr'y-1 () a
Mailing Address: (if different than property address)
Address:
City, State, Zip: C7 D� ,a U (-o
ArchitectlEnaineer
ArchitectlEngineer E-mail:
Contractor: LF
Phone:
Phone
G _IC`f
Contractors City License #: 7 CrJ c'� Phone: 3 � -- V J
Contractor E-mail Address: k' nit C Q e -y-,
Stab Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License ##
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
S'30 v Mi
❑ COMMERCIAL [RESIDENTIAL
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.)
Lr] 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.)
1-�-r IV I �
Sq. Ft./LF 3s—Btu's
Amps
Squares
Gallons
Other
Project Value: (/Contract value or the cost of all materials and labor included in the entire project)
I ON NEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I 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, drat all measurements shown and allegations made are
accurate, that I have read and agree to abide by all conditions printed or, this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances fir "pork under any permit issued based on this application: that'l am the legal o%vner
or have been authorized by the legal owner of the property to perform the deseribed xvork and aur also authorized by the legal owner of an)
entity included on this application to list that entity on this application -
CIRCLE 0,NIE -
pplication.CIRCLEOr4'E: (Qit'i4ER) (O:*'TRACT ar (AUTHORIZED REPRES'E.N74TIIG) of (01K ER) (CQ: -'TRACTOR)
PRItiT NAME: t` 0 f ZC r SIGNATU /7
$"2 DATE:
ZONING COMMMENTS.
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Receiver! ❑ Not Required
Sanitation District ❑ Receiver! ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION
SPRINKLERED:
OCCUPANT LOAD`.
Building Division Valuation: $
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: M / 1)
Job Address: i166_) To l/ toL 6 f
Permit Number:((jl%c70"iy7
I- J
❑ No one available for ins ction: Time AM/PM
Re -Inspection required: e No
When correct' ns have been made, call for
Date: Inspector:
q
- 2 i CITY OF WHEAT RIDGE
%Vr Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
2z I-- Fr-.
INSPECTION NOTICE �F
Inspection Type:
Job Address: 7 --
Permit Number:
�No one available for inspection: Time' AM/PM
Re -inspection required: Yes No
*When corrections have been made, call for re-inspecdiont, t 303-234-5933
Dat . A Inspector:
DO NOT REMOVE THIS NOTICE
1 l��
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: m 1 o
Job Address: 2- Ly ` 1 /%,t 7
Permit Number: 0 / % b r, ':� 1-/
❑ No one available for inspection: Time d AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date
/-
Inspector: i
i
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occuaancygype
°'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.
�nD3
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
•�
_
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
SIGNED PRIOR TO PROCEEDING
Insulation
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
NO CONCRETE
nnR IINTII ARnVR HAS
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
•�
_
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE
Framing
SIGNED PRIOR TO PROCEEDING
Insulation
-
Drywall Screw
FINALS "
Electrical
Plumbing
Mechanical
Roof
�2
Building Final
Fire Department
-
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE 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 CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
F
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Tvpe- K In� oO r
Job Address: - 07 elP py 4,
Permit Number: _ ID 'z 4E
f(t�C'12 {'Ll 0 7�ai �LX� 7�XA2 (( J
❑ No one available for inspection: Time t { ' M
Re- Inspection required: Yes
When corrections have been made, call for re - ins ectlon at 303
Date: {('�) Inspector:
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
- r�
Residential Roofing PERMIT 102662
PERMIT NO: 102662 ISSUED: 11/30/2010
JOB ADDRESS: 2603 -07 Teller St EXPIRES: 11/30/2011
DESCRIPTION: Reroof 10 sqs with SA modifiedflat roof tie into 3 tab shing
* ** CONTACTS * **
owner 303/279 -4515 Marvin Deselm
sub 303/988 -1912 Larry F. Comstock 01 -9468 L. F. Comstock, Inc.
* *.PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0592
BLOCK /LOT##:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,900.00
FEES
Permit Fee 109.20
Total Valuation 00 u
Use Tax 70..20
** TOTAL ** 179.40
j
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally 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 /� its' accompanying approved plans and specifications.
ignature f OWNER or CONTRACTO (Circle one). Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field sp 'on.
Signatur o 'ef Building Offical Date
INSP_ TION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
il i�t
h e
II1' i,
t'tan #
Building 8- Inspection Services Division _-
7500 W. 29 Ave., Wheat Ridge, CO 80033 parn;I, it
Office: 303 -235 -2855 k Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Aiid ess: _2 O 3 - Z1, 0 7
Property Owner (please print): M RvI Ad � i SFi M Phone: 303 a 7q° 4 f Z
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Confieactas: L . G' Cesm s n �1 � i..s t - - --
contractors City License #: Phone: 3v3- gg -1 ill
SJ 0- racfiars;
Electrical: Plumbing: Mechanical:
City License # City License # City License #
C��c71 � it39a3'�FtrNt?C�{3
Contract Value:.
(2� 61tzj & 4 .4S, ( Ar+TiO $ -- 3-q OC
rN57 5R M°O I/71,66 - 7 le-.A✓70 3-7488
Review Fee (due at time of submittal):
Squares _ I v BTU's Gallons Amps Sq Ft. $
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby . certify that the setback distances proposed by this permit . application are accurate and do not violate applicable ordinances,
rules or regulations . of the City. of Wheat Ridge or covenants, easements or restrictions of record;. that all measurements shown and
allegations made
g 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 l 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: (OWN (CO TRACTOR) o (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: 42 -!Zyf rYlg; OG� SIGNATURE: - �/t DATE:
C / l DE:P.A''R`fft7lET+fY �rSCIY L / v,,.L / J ✓/
YONING GOTa1ME ` T � r / � m �x r ^^ ci✓.�i/„ it /y , v rev ��l s ✓a e`r'vv1 rUN y ✓
Za�uu9 � s � f4,y ✓� �r �, �G� r-x ^ a � ✓ (.� /�rl A . " a "'� �" �
.✓L � .,, l dy r ' /' ,+ . 1 r Y.a � s... /,,. �:/. r ,fir r n �i /r
L`g410�j?er� / y i>✓ rr ✓ � t^ � U a'�, ✓ ✓r I <� �k� ri r� � 1 %, ✓ � sr
✓ /l y ?l c✓ r ?✓ f� �✓ ��a�K�r `" r �� /y�Y � rs 3 :/,
/ l t .. . S CuJ ✓ Ce z �' � ✓ �,3 ' Tt7 �� a 'r ./ ar ,. a S � >.+r"` �' �N
- z BUItbINB DEPARTf1��NT/GO.MtJiE1NT.`S'r ./ 3 s ri` >pE/ , r�?�,�F, � �,✓lr s,/,.'�""'''�' �s �C / / y •';
� �2E�0W0F'� l f .? Fyr✓ vz� a � r s� ✓l s h � c/" /rl x! ✓y W���j,3 Er :, ,
A u / c ?� /L// ' %r ., 7✓ /' ✓' 9 r s /l !:. ay L fi ;, .`�.� -,f `^SC's i'.
a ? ✓ /r: >1` y z / r✓"✓ ✓ r ✓�� Via"' /„ .'i `--� .�� C /i r f „ n
: z/ �� � rar "F e i ✓ � ✓� / � turf ���'Y �Lf lrt""^» � ���� G : r -u z U
rY - s/'�r rr. /.✓u �j�� / �.. i 1 7y��- ^',a / �/1��4 �''
AU6L`I�WORKS CpMAREppTS / y` f '' ✓^''; -'�� � � / �^N ' � g' �,7 r'��
_ �2VdeW6T'Cr :✓t `�- / �r/ e <� ✓ /!a- �r � s ✓" w ? ?.
FYRE I)EPARTMEi+�T� }:7 approved W /COJr)nJ @ptS✓ l?31Sap aroYed 'C} ltA 7gYieW T�gShred Bldg Valuation:$
A r
-' ._.,.� ` ' `s.u.,w � _ _.,.:. _, 3 a � ✓�,v
DEPARTMENT Of GOMMUNITY DEVELOPMENT
7500WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94#19970
234-593° P.O. eOx638 CITY OF WHEAT RIDGE, C0L0.
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BUILDING INSPECTORANDRECEIPTEDBELOW.
APPLICATION FOR MISCELLANEOUS PERMIT
t OWNER ~G/o+V /✓z Szm`_
JOBADDRESS T
CONTRACTOR - ADDRESS zl~46 /A' ~ ~ ~ d4v c' -
ADDFESS "Z~7e-5 { '57 PHONE yvZU - G!U ~ ZIP CODE LIZL5
GTY GZIP CODE CONTRACT PRICE $ X ~~L01
PHONE ~/-3 3 -'fY6O2 ! LICENSE NO. ~ ? 7 7 d DATE 4~ I. TVPE Ground❑ Wall❑ Prolectmp❑ 01hsr SaDPoae
2.
MATERIAL
Tofel Squme FoN
SIGNS
3
ILLUMINATION Yes❑ No❑
T
pe
Eleef
Pamit No
.
y
.
.
4
SET BACK FROM PROPERTY IINE N
(Speeify wl+ich ia front)
_
❑
S_ E
❑
_ W
❑ ❑
Zont_
ADDrwed,ZOne Inapetlor
Disopprwed
I,
TYPE Solido More Thon BO% ODenO
Lou TAan 8
0% Open
?
MATERIAL
Heipht
FENCES
3.
SET BACK FROM PROPERTY LINE N
(Specify whichietront)
_
❑
5_ E
❑
_ W
❑ ❑
Zme_
ADDrweA,Zom InsDmcia
Diaapproved
~
s,.,4 3 - i
Z
l-,f 15 - G v~
~
:OTHER
'
3
Ga 4~0,~ G_ .a
.
~
P
DRAW SKETCH OFt SH B OW, THE ENCE,SIGN,OR THER STRUCTU , GIVIM1v DI5T4NCES FROM PROPERTV LINES.
(SETBALKS OR PROJELTqNS INCLUDED)
NOT VAIID
SPECIFY NORTN
STREET NAME
SHOW OISTANCES FROM THE MAIN BUIIDING T6ADJOINING HOUSES, STREETS, AND PROPERTY I.INES;ON IRREGULAR LATS,SHOW l
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; 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 OP ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDERSIZE B ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
NQ
FLEL:CircleQw CwidlPropaM EIeeSola
140.
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATM TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINN
OTHER
HEATING
GARBAGE DISP
REFRIGERATION S'ISTEM
POWER SUB-GFCUITS
WATER HEA7ER
Refri arant Group
UTILI7Y(RANGE,DISPOSER,ETC)
AUTO.WASHER
Fbunda CAar a
FIXTURES
DISH WASHER
AUTOMATIC SPRINNIEP SYSTEM
WIRING MOTORS 9 CONTROLS
FI.DOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I hsreby acknowledqe that Mis aPOlica-
fion u corroct aed underslanC thaf I
cannof stort this Droltlct unfil thia oppli-
cotion is aDproved. I snall comply wifn
fhe lowf ot Ihe Slafe of Colorado and to
fhe Zoninp Repulotions ond Bmldina
Code ofthe City of Wneai Ridpe. Any
vi0lation of the above terms will cause
immediote revocation ol fhis permit
~L- -
A olie mt 9io^^lur• ~
PERMIT FEE
USE TAX
TOTAL FEE
PROV
~
CHIEF BUILD
Date Issued-
INSPECTOR,City of
3 - e-ti
J -0-6
Ridqe
~
71(_1
CALL 234-5933
24 HOURS IN ADVANCE
FORINSPECTIONS