HomeMy WebLinkAbout2655-2665 Teller Streeti CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:)/' Sf
Permit Number: 70 y/0
❑ No one available for inspection: Timer / 5(AM)PM
Re -Inspection required: Yes (N�
When corrections have been made, call for re -inspection at 303 -234 -
Date: �`' %' /Q Inspector:-�--
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanic PERMIT - 201709410
PERMIT NO: 201709410 ISSUED: 12/04/2017
JOB ADDRESS: 2655 Teller ST EXPIRES: 12/04/2018
JOB DESCRIPTION: Residential mechanical permit for remove and installation of 80%efficient
80K BTUs furnace and 25 ton 15 SEER A/C unit.
*** CONTACTS ***
OWNER (720)788-5303 MESTAS DANIELLE J
SUB (303)340-3400 Stephen Jusseaume
120169 Doctor Fix -It
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,734.50
FEES
A/C Replacement 60.00
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 99.42
** TOTAL ** 199.42
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 workto be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature 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, po plans
and procedures.
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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable 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.
i�j City of
YYheatR
Comv muhltTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
iv 644
FOR OFFICE USE ONLY
Date: I , O L -f 1 (-7
Plan/Permit # Z/C, / 10
Plan Review Fee: j q- q
Building Permit Application
* * Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **�
Te
Property Address: J �7`�4!B�`� ��ia�.fyyil&o l pl��,e KG)
Property Owner (please print): D"et ( /\.e5+,,;Phone: 7,2&--71-; �3C�
Property Owner Email: 01z:ji4c2iL'rai 2m'_'u V ,lo:y
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer: AV
Architect/Engineer E-mail: NA Phone:_( NA
Contractor: �( t i X-i�`{J11/i�,'rtL, �itc�%n, Lltr�'L
Contractors City License #: I�C��G� Phone: 30_> 3 Ufa 3'7�G
Contractor E-mail Address: {ped� 4sSaC�
Sub 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
❑ COMMERCIAL d 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.)
❑ 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.) I j� d Ja , .
.,l fin. J %G �j�✓�C. 7U h/l'ca,tC cL nC�
Sq. FULF
Btu's
Gallons
Amps Squares Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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 ...'es or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measr..
accurate; that I have read and agree to abide by all conditions printed on this application and that l assume full responsibility for conipljdnce
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the Regal 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.
CIRCLE ONE: (OWNER) (CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name) %/ B ilk,Il DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
f' r.
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:
Job Address:
Permit Number: S
❑ No one available for inspection: Time /'--. 1 e- AM/PM
Re -Inspection required: Yes No
When corrections have been made,_call_forre-inspection at 303-234-5933
Date: �t;:%�A �f / % Inspector:?
DO NOT REMOVE THIS NOTICE
T 111
ffilffl=l
Sub Contractors:
c9mp—any Name; license* FAeind[mDW*L----T—ra&/PmfmiLon#-
BUILDING DEPARTMENT COMMENTS: OCCUPANCY
Reviewer
FIRE OEPARTMENT:: 0 approved wl tomments 0 disapproved 0 no ravlaw mqutrad
i
DEPARTMENT OF COMMUNITY DEVEIAPMENT
7500 wEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M911117021
237-8944 ExT. 255 P.O. eoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR ANO RECEIPTED BELOW.
JOB
r
nooaESS lS %~l-Af
CITY ZIP CODE ~
PHONE - LICENSE NO.,J
OWNER
PHONE 6-(LL
!:ONTFl1CT PRICE $
1. TVPE Ground❑ 1q70d,,fW0ll0
Proieetinp❑
01Mr
SaDFOee
2. MATERIAL
Tofal Squon Fnt
$IGNS
3. ILLUMINATION Vss❑ No❑ Typs
Elft1. Permit No.
4 SE7 BACK FROM PROPER7Y LINE N_ 5_ E
_ W
Zone_
Apprwsd, Zoro Inapectw
(SOecity whiM is front ) ❑ ❑
❑ ❑
DisaDDrovsd
I, TYPE Solid❑ Mon Than 80% ODSnO
Leu Thon BO% Open
FENCES
MATERIAL
HNaM
3. SET BACK FROM PROPERTY LINE N_ S_ E
_ W
2ons_
Approved,Zone Inspetta
(Soetifv whith itfront) ❑ ❑
❑ ❑
DisaDDrowd
I 1. ,41 z: ~
OTHER Z ~
3.
DRAW SKETCH OFt SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURI
(SETBACKS OR PROJECTIONS INCLUDED)
_ ~ L.t .1".-
INSPECTION TICKET
ZIP
:i
JOB
ADDRESS A~-
i
DATE: , -C2 ~ BLDG. PERMITN
PERMITN
BLDCa. CONTR.
SUBCONTRACTOR
STREET NAME
SMOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STRE! DATE INSP. REQ.
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANC
TYPE OF INSP. -
APPLICATION FOR PLUMBWG; ELEC' ;
THIS APPLICATION WILL BECOME A PERMfT TO PERFORM THE INDICATED INSPECTION MADE iION.
PERMIT WILL EXPIRE 60 DAYS FROM OA'fE OF ISSUAN(
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING REMARKS ~ I
STATE LICENSE N0.
ALU
MiNUM N1RE UNDER SIZE 8 ILIEGAL
FLOOR
BSM
. Ix Sola
Np.
WATER CLASET
TEMPORARY METER
WASH BOWL
NEW SERVICE AMPS
BATM TUB
W.R. FORM 619 ~
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
HEATING
GARBAGE DISF
POWER SUB-CIRCUITS
WATER HEATER
UTILITY(RANGE,OISPOSER,E7C)
AUTO. WASHER
Pourids Clwr e
FI%TURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOF25 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAI
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
acknowlsdae that tnis aoPlico-
reb
I A
PERMIT FEE
q- at~
y
e
fion is correct and understand ihoi I
li-
til thi
USE TAX
a~. y y
s opp
cannot storf fhis project un
cotion it aDVroved. I snoil comply with
TOTAL FEE
$ Cl
tha Iawa oi the Stote o} Colorodo and fo
the Zoninq Requlations ond Buildinq
AppROVED
i Rid
An
f Wh
D4SAPPR9~fE$"
y
pe.
eo
Code of the City o
violation ot the above terms will cause
CHIEF BUILDIN
SPECTOR,City of Wheot Rid9e
immediate revocotion of fhie permil
Datelssued4
W
Aftlmaou
NOT VALID UNLE1S/S REGEIPTEI
~ ycZVS Q
)a
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS