HomeMy WebLinkAbout2653 Teller StreetINSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the in-nentinn
Occupancy,'rype
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
Foundation Inspections
Date Inspector Comments
Initials
Pier
Date
Concrete Encased Ground (CEG)
Comments
Foundation / P.E. Letter
Do Not Pour
Concrete Prinr Tn Annrnunl Clf Tho AF,.,..n I.,�......a:....,.
Rough Inspections
Date
Inspector
- ..�. � ..1.. 1,.. ...... v■ ■ ■■� �uvvc IIID C�.NVI1,
Comments
Underground/Slab Inspections
Date
Comments
Mid -Roof
Initials
Electrical
Sewer Service
Plumbing
1'1... Alma �►_.___ � ■�r-_-------- -■
_ .�
.. �. _-_
- — - — -
Rough Inspections
Date
---- ------ ------
Inspector
Initials
- ..�. � ..1.. 1,.. ...... v■ ■ ■■� �uvvc IIID C�.NVI1,
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
j i :Z2 -
2 -
Final
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.
I11U111 ---- -�- ----•� •••-•• .�+..��� ��wr�,a,uvlw clic livull,llcicU 11U111 LIM me vls�nut ana elecincal low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
e City of Wheat Ridge _16-10
Residential Roofing PERMIT - 201705589
'ERMIT NO: 201705589 ISSUED: 08/07/2017
TOB ADDRESS: 2653 Teller ST EXPIRES: 08/07/2018
TOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 25 sq
k** CONTACTS ***
DWNER (303)478-8886
HARRIS ROBERT
CANAAN
SUB (303)756-7663
Ty Correy
090134 Advanced
Exteriors, Inc.
k** PARCEL INFO ***
7,ONE CODE:
UA / Unassigned USE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS,
COULEHAN GRANGE, WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
7,600.00
FEES
Total Valuation
0.00
Use Tax
159.60
Permit Fee
172.60
** TOTAL **
332.20
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTIC
t r
Inspection Type:
Job Address: e-1, L 3 7-C %%r,- S f
Permit Number: _L5W%l S 5-
J
❑ No one available for inspection: Timee--�I/PM
Re -Inspection required: Yes
When cojetions have been made, call for re -inspection at 303-234-5933
Date: I'� Inspertor fir
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 66 X31
Job Address: 5_3 P % P�
Permit Number: O / 7 O 5 _ �$
❑ No one available for inspecti n: Time
Re -Inspection required: Ye o
AM/PM
When corrections have been made, call for re -inspection at 303
Date: Id / 7 Inspector:
/
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201705589
PERMIT NO:
201705589
ISSUED:
08/07/2017
JOB ADDRESS:
2653 Teller ST
EXPIRES:
08/07/2018
JOB DESCRIPTION:
Residential Re -roof
to install
asphalt shingles -
25 sq
*** CONTACTS ***
OWNER (303)478-8886
HARRIS ROBERT
CANAAN
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 VALUATION:
7,600.00
FEES
Total Valuation
0.00
Use Tax
159.60
Permit Fee
172.60
Alm
** TOTAL **
332.20
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
..P1,�
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201705589
201705589 ISSUED: 08/07/2017
2653 Teller ST EXPIRES: 08/07/2018
Residential Re -roof to install asphalt shingles - 25 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all as
applicable building codes, and all applicable municipal codes, policies and procedures, an(
by the legal owner of the property and am authorized to obtain this permit and perform the
this,permrt. I further attest that I am legally authorized to include all entities named within
performed and that alk to be performed is disclosed in this document and/or its' actor
eying approved plans and specifications
am the legal owner or have been authorized
lescribed and approved in conjunction with
cument as parties to the work to be
ng ap oveddplans and specifications.
�f //
Signature of OWNER or CONTRACTOR (Circle one) Date `
1. This permit was issued base info ation 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 maybe 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 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, 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 ChiU%ilding Official o�q 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:
Monday, July 31, 2017 10:28 AM
S
To:
CommDev Permits
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
2653 Teller st
Robert harris
303-478-8886
Field not completed.
331,E
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Field not completed.
Contract
CONTRACTOR INFORMATION
Contractor Business
advanced exteriors
Name
Contractor's License
090134
Number (for the City of
Wheat Ridge)
Contractor Phone
303-725-4502
Number
Contractor Email Address
freddygreen@advanced exteriors. 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
25
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
25 j
(pitched + flat) of all
(/
2
roofing material for this
proj ect
Provide additional detail 4/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 7600
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.
3
Advanced Exteriors,
i'spea ming �, install dGCkhg
jr it and water 906b can
Install 16 # to E Install 30- #fait
3stg1011 orernium ,What c dec t protection
install st`eaner at statngles r�'fit t rr apt
dtl Grip � pada #�*r ttoshJntg goon -t
iristdf t-NnfoInmi ent in vol s using tt
CbGed wC06'A 0 opw) valleys
, plow sfera Il ashing cn7 SM -walls, cturnney and sk"yligNs
t1dall h nods per shin thrcp.,,Qho, t hold rarle a
$rs,idria cant r i
tvitarst(€actcare[ wtlrrcarat}t -j -
5t rr ridge 9�i�tiignfle ddgc
snsiali odge Vent
tnsl all t'urrlo venf5 El lnsigil vents.
instiall pipe itaCkIlt;ashings �✓€r stCadl ft�rseac� maps
Paint iccksitstr ks to Watch roofing color
E cxch and rpt
8 rnove carte cover
inStall Lataauiy caur&,-- of ridge shir los an headwolls
Detach and rEW &t:rlet;te reiemove sftltfi
Ltaarin tap & ern re tosh [ °` ,p %itr nognet c metier
CIr an out gLMerS 2ProAnde building permit
it
Rr,,*tcr IvIaanuf(actr(rer Warranty
0.c aprac rirr:s, frw, Five Year ? aoliirQ Labor VOasrraniv
AON,OnClad EXiedom Inc', $2,000,000 Lscabil'ity Insurance
sm r i • :� - s ;� •w
Do�LTibrC +3C1r7aplGafit', d in. accorcianQe vAh these specitscations Iter fh-- pi,, c�3-of-
� r Dollars%?a'r I n rRf O r(d} acv f5 ar f e 1i i Si® 2��5 Slt 1r C� P B EXt 1 Ns . f" C tT the ey ; iv v t tT1 tt C4 lf"Gf anr-f c Lttk r t C l tCrirt tt 'tui 5Lx7{A? 4S
r tsa for st �ir 1 e arrr ThLg �M- r r not ks�ra l i. 5^, 0-donrl& 0 caxr U tR Av fnsuvnve Mwer cppra
r_; r cairn txrd �C t� Lry C�try Lrta?5n o y C rxr act itis -er# r tc he 4Yuonce camr YA
tWOrre ft"cont crot r ..a r..nd Cm-tK air y =w 11 *01, W fro Lvx-K,e few rod; � h=roeled, llama (.€x' Vary f,on'00ft' Zoci ied
r to ; is rir�r irwdrxi to rrov Pwmeratrurn fi e ps s of ca Potty. #'::u 'err +s pour. t* from on
r Priv. Irten PjWrX# b caofacb Jaw GDrnDMY {rang_ cotatrca aj 'zaj not ' . ct°prat wdo— of r� culla fir• rsr rariy
s�h9tli: tG }-c"!e'tis tGt;Y .'iii fr7e a. c7im fear t7 r"r't ti tot r afmr„� vx�rit cxa C u::4e+d r rstr_al r,r+3pese', "
CRS, § _ _ f' .:The CZxt^txM Sr0.
CiC1rL &"8 ati..'�f. p't�f� '� �Gxi, �£di; u!?a� l.iJ':Xi� t'N'C � r $.. r{^V;7^:•--77r..'e� f't�rtc;?f"'S tJfe: Cl"`'V` Ji F4�Y�4'7 �iY'�`.�.atYyiiK�
( 0f -ed sa rnc(0tiy,€a€"r r) of VM on l r ; P
BY sirgr77,1,
low f agree to lett contract coed€#sans on frord caeca � of this agreement, canna have been Provid
r &sffceright #a cared In ti€rag and �r�[ .'i 1
ouow"Sjgr�wu IV
2200 S. Valley Hwy. 303-756-ROOF(7663)
11
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14280
BUILDING INSPECTION LINE - 303-234-5933 Date : 815/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: EUGENE BUTZEN
Property Address : 2653 TELLER ST Phone : 238-3237
Contractor License No. : 18083
Company : Sanders & Johnson Phone : 422 6606
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 fqr;Loliance wi h the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Rjd#e o ina~e or work under this permit.
(OWNER)(CONTR4CTOR) SIGNED~ v - DATE
Construction Value :
$3,350.00
Permit Fee :
$97.25
Plan Review Fee :
$0.00
Use Tax :
$40.20
Total:
$137.45
Use:
Description : ADD ON 2 1/2 TON A/C UNIT. WIRE SERVICE CHANGE & A/C.
m
Electrical License No : 18121 Plumbing License No : Mechanical License No :
Company :The Electri-Serve Corp. Company : Company :
Expiration Date : 3/29/02
Approval : OK/KS Expiration Date : Expiration Date :
Approval : Approval :
(1) This pertnit was issuetl in accortlance with ihe provisions set forth in yopur application and is subjecl to the laws of the SWte of Coloredo and to the Zoning
Regulations and Building Cotle of Wheat Ritlge, Colorado or any other applicable ortlinances ot the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixly (so) days trom issue date or (B) the 6uilding authorized is suspended or
abantloned for a period of 120 days (3) It [his permit expires, a new pertnit may be acquired for a fee of one-halt the amount normally required, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abantlonmen[ has nol exceeded one (1) year. If changes are made or if suspension or abantlonment
exceeds one (1) year, full fees shall be paitl For a new permit.
(4) No work of any manner shall be done thatwill change the natural ilow of water causing a drainage problem.
(5) Contreclor shall notiry ihe 8uilding Inspectortwenty-four (24) hours in atlvance for all inspec[ions and shall receive written approval on inspection wrd before
proceediing with s ccessive phases of the job.
(6) The issuance of ermit or the approval of drawings and specifications shall not be construetl to be a permit for, nor an approval of, any violation of Ihe
rovi io s of ~ildin~tleso other ordinance, law, rule or regulation. /
Chief Buiiding Inspe r
DEPARTMENT UF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :EU C* ENE 5U T Z W
PropertyAddress: Z65'3 TELL4t 50033 Phone: 23$-32 3-7
Contractor License No. go 6 3
Company : 57ANC6QS tJoaWS:a'4 ,~NC. Phone :V2 t. - b601o
OWNER/CONTRACTOR SIGNATURE OF UNDER5TANDING AND AGREEMENT
I hereby certify Ihat the selback distaneas proposed by thfs permit appllwtion are accurela.
and do not violate applicable ortlinances, rulee or regulations of the Cily of Wheat Ridge or
covenants. easementa or restnctions af record; that all measurements shown. and allegations
matle are accurete; that I hava reatl antl aqree to abide by all conditions printed on this
application, and that 1 assume full responsibilit or complianca with ihe Wheat Ridge Building
Coda N.B.C.) anA all other applfeable Wheat~dge9rdilanlifes, for work under thle pertnit.
(OWNER)(CONTRACTOR)
Description : ,OOQ oiJ
~
Approval :
Zoning :
Approval :
Approval :
Occupancy:
z ~2.7'tld A~C IiN! T~I7S~ -TNE"
Construction Value : y] 7j 5--b
Permit Fee :
Use Tax:
Total :
r*i-SMVt 7n w,,tE
BUILDING DEPARTMENT USE ONLY
Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing license No : Mechanical License No
Company :
Expiration Oate :
Approvai
_j PfAns RBqulredx"'. I
Company :
Expiration Date :
Approval :
_3 P18ihs RAqulred _J
Company :
Expiration Date :
Approval:
~J , Pigns Riqul
(11 This permit was issuetl in accordance wilh ihe Orovisions set fotlh in yopur appfiration and is suEjecl lo ihe laws of the State of Colo2tlo antl lo tha Zoning
Regulations anE Building CaCe of Wheat Ridge, Coloratlo or any olher apDliwble ortlinancee of lhe Ciry
(2) This permil shall expire 1f (A) Ihe work authonzetl I5 nol commenceC wM1hln fury (60) tlaye Irom issue date or (B) Ue buildin9 aulhonzeU Is suspenOed or
abaMOneO for a perrotl o1120 tlays.
(3) II this permlt expires, a new permit may be ecquired lor a lee ol one-hall the artwunt normally reQUired, pmvitletl no changes have Oeen or wtll be matle in the
origmal Olans and speuficalions antl any SueDeneion or abantlonment has not ezceeEeA one (1) yeac II Uangea are made or il susperoion or abandonmenl
exceeds one (1) year, lull lees shall be paid br a new permtl.
(4) No work o/ any manner shall be tlone that will change the natural flow of waler Wusing a drainage problem.
(5) Contracror shall nolily the Building Inspector M1venry-tour (24) houn m a0vance lor all inspections antl shall recerve writlen approval on inspec6on carE Oefore
proceetlling with successrve phases ol the job.
(6) The issuance ol a Oermit or Ihe apProval ot tlrawings antl specifications shall nol be constmetl to be a permil br. nor an approval ol, any viola6on of Ihe pwvisions
ol the Ouiltling coEes or any other ortlinance, law. rule or regulalion.
Chief Building Inspector
For Mayor
THIS PERMIT 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 INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
14318
8/12/02
Property Owner:
BUTZEN
Property Address :
2653 TELLER ST
Contractor License No. :
21027
Company : The Electri-Serve Corp.
Phone : 238-3237
Phone : 892-0027
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 thal I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wh_%at Ridge ordinances, for work under this,permit.
(OWNER)(CONTRACTOR)
Description : 150 A SERVICE CHANGE. CONNECT A/C
Construction Value :
$1,250.00
Permit Fee :
$47.90
Plan Review Fee :
$0.00
Use Tax :
$15.00
Total
$62.90
BUILDING DEPARTMENT USE ONLY
~,m,.. SIC: Sq.Ft.:
Approval:
Zoning :
99010000M,
Approval: BG
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval :
(1) This pertnit was issued in aaordance with ihe provisions set forth in yopur applicalion antl is subjed to the laws oFihe State of Coloredo and to [he Zoning
Regulations antl Building Code of Wheat Ritlge, Coloredo or any other applicable oMinances of the Ciry.
(2) This permit shall expire if (A) the work authorizetl is not commenced within sixty (60) days from issue date or (B) the building authorizetl is suspended or
abandoned for a period of 720 days.
(3) If this pertnit expires, a new permit may be acquired for a fee of one-halF the amount normally required, providetl no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abandonment
exceeds one (1) year, full fees shall be paitl Por a new permit.
(4) No work of any manner shall be tlone tha[ will change the natural flow of water causing a tlrainage problem.
(5) Contractor shall notiry the euilding Inspeclor hvenry-tour (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceetliing with successive phases of the job.
(6) The issuance of a-pertnit or the approval of drawings antl specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisions of the mldi g codes or any other ordinance, law, rule or regulation.
Chief Building In ector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
PropertyOwner: i~:.~TZev~ +
Property Address :'1-ros3 Phone : 9-e3$?- 3237
Contractor License No. :
Company : ~?jV.t - J?e-v~° co rtO Phone : 3a3 sq2,..p,pZ7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I haraby certity that the setback disUnces proposed by this pertnrt application are acwrete,
antl tlo not violate applinble ordinancea, rules or rogulations of the Ciry of Wheat Ridge or
covenanta. easemenq or rcsVictions of rocord: that all measuroments shown, antl allegations
made ere accunte: that I have road and agroe to abide by all conCitions printed on this
application, antl that I assume tull rosponsibilrt'y for comphan with the Wheat Ridge Building
Cotle (U.B.C.) and all other aDPlicabte eqt Ridge orf~ . for worK under this rrrrr.
(OWNER)(CONTRACTOR)SIGNED DATEg `3 v~-
Description : tSb A -',&-v,,Ge ~
ConsVuction Value : I aGC), L-)
Permit Fee :
Use Tax :
TOtal :
1!srtG .
BUILDING DEPARTMENT USE ONLY
Z~I~ It'~~~ff6filSt~J •
Approval :
Zoning :
Approval :
R~hl_f~VYO'[1At'~81t~t[~F►~"~
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :-~-(-~f-~lo~-~Plumbing License No : Mechanical License No :
Company : C-(ee_4r-( _&,~e CDrfo Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
F P~~R34ai~~ . M ;,~hsR3Z1yt~1r,.."1 was
the (1) RThi epul~a4 s arW 8 rp CoE~a olanWTSSt R pa ColonEO or a~~ pplieaae~orui enancas dbNe C ry s iaws W Me Stab W Cobratlo antl ro tla ionirq
(2) Tliis psrmrt shall axpn if (A) Ma wak authonzsO h not commance0 wMin siuly (80) Oays hom iasu* tlaq w(B) Ma Euiltlinq auVio~izatl is suapeMM a
aWntlonatl tor a peno0 of 120 tlays.
(3) If thia pertnit axqras, a new pemxt may Oa acpuiraE lor a fea o/ ontrMM ths amount rartnelry repuiraE. Omwded no Uanges naw Deen a wi4 Da rtaES m the
onqinel plan~ aM ~peeifiatlona ana am/ suspansion a aDaiMonmant nu not exeeeoee ons (1) ysar. If cMrpu aro mede a if tusPSnsion a abaiaonment
excaatla one (1) yeu. NII Mn snan De peitl ror a new permil. (I) No work ol any manner ahall Ee tlona ihat will charpa the naNral Ilox of watar musing a tlninage Oroblem.
(5) Contnqor snall notlly tthe BuilCinq Inspector nvenry•tour (24) houn In advanoe for all Inspwtions and snan roceive wntten approval on inspection mr0 Oefore
proceetliing wiN suxassiva Dhasee ol the job.
(6) The issuance of a pemut or Na approval of tlrawings an0 apecifiqtlons shall not be wnsWetl to De a pertnit for, nor an approval W. any violaCOn ol lhe provisions
of Ne DuilEing coCes eny oNer ortlinance. Ww. mie or regula6on.
~ . -..NA7f Chief Building In ector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF GOMMUNITY DEVELAPMENT ~/L~
7500WEST29thAVENUE BUILDWG INSPECTION DIVISION PERMIT NO.44l I~~~~
234-5933 P.O. soxs38 CI7Y OF WHEAT RIDGE, COLO.
THIS PERMIT VAL1D ONLY WHEN SIGNED BY THE CHIEF BUILDiNG MSPECTOR ANC RECEI7TED BELOW.
PHONE 73~- -7a 3 7 - ZIP CODE
CONTRACT PRICE $ `Oi-ty a' -
J
T
~ SPECIFY NORTH
~
~
us
STREET NAME
SHOW DISTANCES FROM THE M41N BUILDING TOADJOINING HOUSES,STREETS, ANO GROPERTV LINES;ON IRREGULAR I..OTS,SHOW LEAST
DISTANCE TO 7ROPERTY LINES, NOT MAXIMUM OR 4VERAGE 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.
PEAMIT WILL EXPIRE 180 DAYS rROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMIUUM WIRE UNDER SIZE B ILLEGAL
FLOOR
BSM
I5T
2ND
3RD
4TH
N0.
FlJEL:CirW Qr Gas 0iI Rropem Cod ElSe Sobr
Np
Wp7Eq ~~pSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
MOT M'ATER - BTU
NEW SERVICE - AMP$
BATH TUB
STEAM - BTU
CHAN6E SERVICE-AMPS
SHOWER
AIR CONDITIONING-BN
LIGHTING
$INK
OTNER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIFCUITS
WATER HEA7ER
Refri arom Group
UTIL17Y (RANGE, DISPOSER, ETC )
AUTO. WASHER
Paunds Cnorge
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLOpR DRCIN
ELEVATOR
$IGN$
URINGL
TRANSFORMERS 9 (7ECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER 1 HP
TOTAL FI%TURES
I hereDy ocknowlsdqe thof this opDIica'
tion u conect ond undorNand tAOf I
connol starr tnis vroiect unril tnis ovpli-
aotlen Is eoorovea. I Mall eomply wun
tM low, 01 Ihe 41a1e of Colorodo ond fo
ihe ZoninQ Rsqulotions and Buildinp
Code ofthe City of Wheat Ridpe. Any
violotion of tl+e obove hrm# will eauu
immediate revocotion of inle permit
yleanl~ i0na1 r ~
PERMIT FEE
USE TAX
TOTAL FEE a
CHIEF BUILDING INSPECTOR,CitYb} Whwf Ridpe
Date Issued ~ ~A 4,-> `Z--,Gz
NOT VALID UNlE55 REGEIPTED
CALL 2345933
24 HOURS IN ADVANCE
FOR INSPECTIONS
DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVINu DIST4NCE5 FROM PROP£RTV LINES.
(SETBACKS OR PROJECTpNS INCLUDED)