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HomeMy WebLinkAbout3290-3292 Teller Street71; 9�1 NSPEC ION RECORD Occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection r INSPECTION REQUEST LINE: (303) 234-5933 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.** n Inspector Must Sign ALL Spaces p rtin to t j Foundation Inspections Date Inspector Initials Co Pier Wall Sheathing Concrete Encased Ground (CEG) Foundation / P.E. Letter Mid -Roof Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 9 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 +�� 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 uistrict and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 3011ON SIH13/IOkV3bf ION 00 :ao}oadsul Z-1 ,L� ££6S-ti£Z-£0£ le uol}aadsupa ao{ ileo `apew uaaq aney suol;aaaaoo uayM. N. SPA :paainbaa uoi}oodsul-aa Wd/V�Jd quail :uoiloadsui aol alq-elieno quo ON r , gZL :aagwnN }ivaaad :ssaippd qof :adA1 uoi}oadsul 331ION N01103dSNI XeJ 6268 -LEE (EOE) • 0q140 55gz-5Ez (EOE) aull uolloadsul EE69-tiEZ (EOE) uoisinia uoiloodsul 6uippq !� 30dla lV3HM d0 A113 i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: T Job Address: Te Mer S Permit Number: Z01 �b , ❑ No one available for inspection: Time AWPM Re -Inspection required: Yes o When corrections have been made, ca for re -inspection at 303 -234 - Date: ,: Inspector: P�' DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703758 PERMIT NO: 201703758 ISSUED: 07/11/2017 JOB ADDRESS: 3290 Teller ST EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -Roof to install Owens Corning Duration Storm asphalt shingle with 36 sq. House and detached garage roof pitch is 4/12 -Duplex 3290-3292 Teller St .*** CONTACTS *** OWNER (303)319-6820 LOEBL MAURICE SUB (303)646-9110 Robert & Sarah Burgett 140105 Crown Royal Builders, 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: 10,800.00 FEES Total Valuation 0.00 Use Tax 226.80 =na.•. ., Permit Fee 220.15 ** TOTAL ** 446.95 M"�---------_-- :._. *** 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. 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 ermit. further attest that I am le ally uthorized to include all entities named within this document as parties to the work to be perfo ed nd that all work to be puforin is disclosed in this document and/or its' accompanying approved plans and specifications. L2 S' ature ofOWNER o ON CTOR (Circle one) Date I. This permit was issued ased on tN information provided in the permit application and accompanying plans and specifications and is subject to the complianc with thos documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 3s a er the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of exp' 'on. 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, anew 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 issuanc anting of a permit shall not a construed to be a permit for, or an approval of, any violation of any provision of any applicable cod n ordin egul ib 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. City of Wheat Ridge Residential Roofing PERMIT - 201703758 PERMIT NO: 201703758 ISSUED: 07/11/2017 JOB ADDRESS: 3290 Teller ST EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -Roof to install Owens Corning Duration Storm asphalt shingle with 36 sq. House and detached garage roof pitch is 4/12 -Duplex 3290-3292 Teller St 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 ermit. further attest that I am le ally uthorized to include all entities named within this document as parties to the work to be perfo ed nd that all work to be puforin is disclosed in this document and/or its' accompanying approved plans and specifications. L2 S' ature ofOWNER o ON CTOR (Circle one) Date I. This permit was issued ased on tN information provided in the permit application and accompanying plans and specifications and is subject to the complianc with thos documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 3s a er the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of exp' 'on. 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, anew 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 issuanc anting of a permit shall not a construed to be a permit for, or an approval of, any violation of any provision of any applicable cod n ordin egul ib 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. Dane Lovett -zf0/7 � 5 / _� From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 28, 2017 11:45 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 Duplex are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 3290 & 3292 Teller St Maurice Loebl 303-319-6820 Property Owner Email Field not completed. Address 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 Crown Royal Builders, Inc 140105 303-646-9110 Contractor Email Address rob.crbuilders@gmail.com Retype Contractor Email rob.crbuilders@gmail.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: No Owens Corning Duration Storm Asphalt Field not completed. How many squares of the C �/ material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? Field not completed. TOTAL SQUARES of all36 roofing material for this project Provide additional detail House & detached garage Roof pitch is 4:12 t� here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 10,800.00 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 Sarah Burgett Email not displaying correctly? View it in your browser. dt�cl I�' 4 oWN.Ro BZIIL .EBS, Inc. P.O. Box 1419 - Elizabeth, CO 80107 ©ffice:303-646.9110 Fax: 303-646-5N3 Representative _ _ YyL�� `tJ' AAW— —_U-1 Crown Royal Builders, Inc. agrees to furnish all materials and ,-r CONTRACT SACT Date . — 12, 20 -0f necessary for the work (specified below) on preinises located at; Name Mewrice ayA Lee 61 Phone ,) 3 - �;'l '%, ug 2.. 0 Address '-6L f1i ID — I/We the owner agree to pay upon substantial completion the sum of: SPECIPICATIONS FOR LABOR AND MATERIAL TERMS AND CONDI'T'IONS (please read carefully) I* Recover roof with Z Color of shingles 1F Manufacturers Warranty 343.Li ' Double all eaves _—_ � Te<zroff —. Install felt -fit:, -..UQ.�G ❑ Re-FlashChitmte and/or Sk lights New Valleysa , y�, e Ridge Galvanized Nails rt,w 1 14 Replace plutnbing jacks q Paint roof stacks to match & IrLVI r� Mewled in - - e- 2113 Vents' � +¢c�+.1QD f a �& ❑ Natio or flat roof 0 Year Ipitarantec on labor 12 Crown Royal Builders, Inc. to furnish nil material and labor 07 Permit furnished by Crown Royal Builders, Inc. Clean-up & haul off all trash front roof Roll yard with magnetic roller i Gutters cleaned of roofing (febris Q atra work 1).— zz'"121 '"121 Signatum Date All proposals subject to approval of inattagernent. INSURANCE ALLOWANCE AGREEMENT f/we agree to retain Crown Royal guilders, Inc. to replace and/or repair Woof with Eke material on the property aforementioned, contingent upon Crown Royal Builders, Inc, ob taining my insurance compauy's approval and payment to have said work done. It is understood and agreed that Crown Royal Builders, Inc. is to contact my Insurance carrier and meet with their representative in order to discuss the repair or replacement work to be dome on the property. Upon insure cc carrier's and Crown Royal Builders, Inc,'!; agreement to the extent of the damages and cost of fixing !Relit, Crown Royal Builders, Inc, may begin to work on said property. OMI3OWNER'S OUT-OF-POCK13T EXPENSE WILL NM' GXCFTyI? l iOMiit7WNIIR'S 1NSU RItNCI POLICY DBDUCTiALTi FO WORK AGRBHO UPC1N 13E'fWL'L'N 1'IiB INS NCE CARRIL'12 ANDCROWN ROYAL 13UILDEILS, INC. 1-Iomeowncr also agrom to provide all necessary de et'ZRf"i n a1 oi�R'for clatut (also providing alt pertinettk documentation to faclMate payment from Iasthance Carrier/ or Mortgage'"' Company.) Crown Royal guilders, Inc. reserves the right to file for supplemental clalm due to materioi or labor Increaseq due to a storm environment or if Itquranec measurements are proven to be incorrect. Owner agnus that the equity in this property L4 security for this'contraet. This Contract shall become bincling only upon written acceptance hereof by the Contractor or by an author axed Agent Of the contractor, or upon commumcoment of the work. This contract constitutes the entire understanding of the parties, and no other understandings, collateral or otherwise, shall be binding unle;is in writing and signed by both paelies. Labor warranty does not cover damage to roofs caused by lightning„ Calc (50 MPH), hurrteatte, tornado, hailstorm, Impact of foreign objects or other violent storilt or casualty, or damage to roofs due to settlement, distortion, failure or cracking of tate rnof dock, walls, or foundations. The contractor shalt revoke labor warranty If contract is not paid in full, The labor warranty is non•transferablo,'ncu material is npn•transferable unless otherwise stated by the manufacturer. All material is guaranteed to be as specified, All work Is to ba completed in a wor'rtnanlike manner accoreft to standard practices, Any alleralion or deviation from the above specificallons involving extra cost will be executed only upon written orders, and will become an extra charge over and above the P-0111ate. Labor and material warranty covers tool only. The property owner is to carry fire, tornado, and other mecemary insurance_ Crown Royal Builders, Inc. is not responsible for mold or mildew. The warranty is limited to roof leaks and replacement of tr6sing, shingles, but does not include kepair or reimbursement for water damage to the interior of the home. Crown Royal guilders, Inc. is not responsible for any damage to cmicrate or driveway. Upon substantial completion of the roof, final payment will be due. If not paid within 30 days a finance charge of 1.5% per month will be charged on account balances not paid in full.'rhe (delft agrees to pay all expenses of collection, Including reasonable attorney fors, and $50 for each returned check. This proposal may be withdrawn by us if not accepted withinng��qdays. Signature (&tsurancc o.) (Policy No,) (Cro oy guider lnc opresentative) (Clafm No.) (Mortgage Co.) (Mortgage Na) Signature Signature Date /T 'ZOVd OT89SCEOZL 7,5IrIXRnCI Wd lid=ZT LTOZ'li0'unp City of Wheat Ridge Residential Roofing PERMIT - 201703758 PERMIT NO: 201703758 ISSUED: 07/11/2017 JOB ADDRESS: 3290 Teller ST EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -Roof to install Owens Corning Duration Storm asphalt shingle with 36 sq. House and detached garage roof pitch is 4/12 -Duplex 3290-3292 Teller St .*** CONTACTS *** OWNER (303)319-6820 LOEBL MAURICE SUB (303)646-9110 Robert & Sarah Burgett 140105 Crown Royal Builders, 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: 10,800.00 FEES Total Valuation 0.00 Use Tax 226.80 =na.•. ., Permit Fee 220.15 ** TOTAL ** 446.95 M"�---------_-- :._. *** 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. 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 ermit. further attest that I am le ally uthorized to include all entities named within this document as parties to the work to be perfo ed nd that all work to be puforin is disclosed in this document and/or its' accompanying approved plans and specifications. L2 S' ature ofOWNER o ON CTOR (Circle one) Date I. This permit was issued ased on tN information provided in the permit application and accompanying plans and specifications and is subject to the complianc with thos documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 3s a er the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of exp' 'on. 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, anew 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 issuanc anting of a permit shall not a construed to be a permit for, or an approval of, any violation of any provision of any applicable cod n ordin egul ib 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. City of Wheat Ridge Residential Roofing PERMIT - 201703758 PERMIT NO: 201703758 ISSUED: 07/11/2017 JOB ADDRESS: 3290 Teller ST EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -Roof to install Owens Corning Duration Storm asphalt shingle with 36 sq. House and detached garage roof pitch is 4/12 -Duplex 3290-3292 Teller St 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 ermit. further attest that I am le ally uthorized to include all entities named within this document as parties to the work to be perfo ed nd that all work to be puforin is disclosed in this document and/or its' accompanying approved plans and specifications. L2 S' ature ofOWNER o ON CTOR (Circle one) Date I. This permit was issued ased on tN information provided in the permit application and accompanying plans and specifications and is subject to the complianc with thos documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 3s a er the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of exp' 'on. 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, anew 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 issuanc anting of a permit shall not a construed to be a permit for, or an approval of, any violation of any provision of any applicable cod n ordin egul ib 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. Dane Lovett -zf0/7 � 5 / _� From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 28, 2017 11:45 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 Duplex are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 3290 & 3292 Teller St Maurice Loebl 303-319-6820 Property Owner Email Field not completed. Address 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 Crown Royal Builders, Inc 140105 303-646-9110 Contractor Email Address rob.crbuilders@gmail.com Retype Contractor Email rob.crbuilders@gmail.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: No Owens Corning Duration Storm Asphalt Field not completed. How many squares of the C �/ material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? Field not completed. TOTAL SQUARES of all36 roofing material for this project Provide additional detail House & detached garage Roof pitch is 4:12 t� here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 10,800.00 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 Sarah Burgett Email not displaying correctly? View it in your browser. dt�cl I�' 4 oWN.Ro BZIIL .EBS, Inc. P.O. Box 1419 - Elizabeth, CO 80107 ©ffice:303-646.9110 Fax: 303-646-5N3 Representative _ _ YyL�� `tJ' AAW— —_U-1 Crown Royal Builders, Inc. agrees to furnish all materials and ,-r CONTRACT SACT Date . — 12, 20 -0f necessary for the work (specified below) on preinises located at; Name Mewrice ayA Lee 61 Phone ,) 3 - �;'l '%, ug 2.. 0 Address '-6L f1i ID — I/We the owner agree to pay upon substantial completion the sum of: SPECIPICATIONS FOR LABOR AND MATERIAL TERMS AND CONDI'T'IONS (please read carefully) I* Recover roof with Z Color of shingles 1F Manufacturers Warranty 343.Li ' Double all eaves _—_ � Te<zroff —. Install felt -fit:, -..UQ.�G ❑ Re-FlashChitmte and/or Sk lights New Valleysa , y�, e Ridge Galvanized Nails rt,w 1 14 Replace plutnbing jacks q Paint roof stacks to match & IrLVI r� Mewled in - - e- 2113 Vents' � +¢c�+.1QD f a �& ❑ Natio or flat roof 0 Year Ipitarantec on labor 12 Crown Royal Builders, Inc. to furnish nil material and labor 07 Permit furnished by Crown Royal Builders, Inc. Clean-up & haul off all trash front roof Roll yard with magnetic roller i Gutters cleaned of roofing (febris Q atra work 1).— zz'"121 '"121 Signatum Date All proposals subject to approval of inattagernent. INSURANCE ALLOWANCE AGREEMENT f/we agree to retain Crown Royal guilders, Inc. to replace and/or repair Woof with Eke material on the property aforementioned, contingent upon Crown Royal Builders, Inc, ob taining my insurance compauy's approval and payment to have said work done. It is understood and agreed that Crown Royal Builders, Inc. is to contact my Insurance carrier and meet with their representative in order to discuss the repair or replacement work to be dome on the property. Upon insure cc carrier's and Crown Royal Builders, Inc,'!; agreement to the extent of the damages and cost of fixing !Relit, Crown Royal Builders, Inc, may begin to work on said property. OMI3OWNER'S OUT-OF-POCK13T EXPENSE WILL NM' GXCFTyI? l iOMiit7WNIIR'S 1NSU RItNCI POLICY DBDUCTiALTi FO WORK AGRBHO UPC1N 13E'fWL'L'N 1'IiB INS NCE CARRIL'12 ANDCROWN ROYAL 13UILDEILS, INC. 1-Iomeowncr also agrom to provide all necessary de et'ZRf"i n a1 oi�R'for clatut (also providing alt pertinettk documentation to faclMate payment from Iasthance Carrier/ or Mortgage'"' Company.) Crown Royal guilders, Inc. reserves the right to file for supplemental clalm due to materioi or labor Increaseq due to a storm environment or if Itquranec measurements are proven to be incorrect. Owner agnus that the equity in this property L4 security for this'contraet. This Contract shall become bincling only upon written acceptance hereof by the Contractor or by an author axed Agent Of the contractor, or upon commumcoment of the work. This contract constitutes the entire understanding of the parties, and no other understandings, collateral or otherwise, shall be binding unle;is in writing and signed by both paelies. Labor warranty does not cover damage to roofs caused by lightning„ Calc (50 MPH), hurrteatte, tornado, hailstorm, Impact of foreign objects or other violent storilt or casualty, or damage to roofs due to settlement, distortion, failure or cracking of tate rnof dock, walls, or foundations. The contractor shalt revoke labor warranty If contract is not paid in full, The labor warranty is non•transferablo,'ncu material is npn•transferable unless otherwise stated by the manufacturer. All material is guaranteed to be as specified, All work Is to ba completed in a wor'rtnanlike manner accoreft to standard practices, Any alleralion or deviation from the above specificallons involving extra cost will be executed only upon written orders, and will become an extra charge over and above the P-0111ate. Labor and material warranty covers tool only. The property owner is to carry fire, tornado, and other mecemary insurance_ Crown Royal Builders, Inc. is not responsible for mold or mildew. The warranty is limited to roof leaks and replacement of tr6sing, shingles, but does not include kepair or reimbursement for water damage to the interior of the home. Crown Royal guilders, Inc. is not responsible for any damage to cmicrate or driveway. Upon substantial completion of the roof, final payment will be due. If not paid within 30 days a finance charge of 1.5% per month will be charged on account balances not paid in full.'rhe (delft agrees to pay all expenses of collection, Including reasonable attorney fors, and $50 for each returned check. This proposal may be withdrawn by us if not accepted withinng��qdays. Signature (&tsurancc o.) (Policy No,) (Cro oy guider lnc opresentative) (Clafm No.) (Mortgage Co.) (Mortgage Na) Signature Signature Date /T 'ZOVd OT89SCEOZL 7,5IrIXRnCI Wd lid=ZT LTOZ'li0'unp �.tlb'3'T6b3 ....... tl2�2' d% 2' b' i' i" TBU' 1' 1' i' 44 .... FAx .. 3 . 63' ..2.37..8.4.24 " 3'6'3 "se's£ "i+fa'p mvj . INSPECTION RECORD Occupancy/TVpe INSPECTION LIN (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. INSPECTOR MUST SIGN ALL SPACES PERTAINING Ti JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Perpit Fee 172.68 Stemwall / (CEG) Concrete Encased Ground Use Tax 138.78 Plumbing Reinforcing or Monolithic SIGNED PRIOR TO PRO CITY OF MEAT RIDGE 62/24/11 9:38 All odba Robin Fichy Weatherproof/ French Drain Mechanical VS 8294 Rough Plumbing Sewer Service Lines Auth Code: Gas Piping - WaterServiceLines Rough Mechanical . Building Final TOTAL rUUR NU CUNCKtJ t UIV I IL AISV Vc nna oc�n aurvcu CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) J Heating (Underground) - ROUGHS Sheathing mmvin 3311.38 FINALS 118169 Lath I Wall tie - Perpit Fee 172.68 Mid -Roof Use Tax 138.78 Plumbing Electrical Service SIGNED PRIOR TO PRO CITY OF MEAT RIDGE 62/24/11 9:38 All odba Robin Fichy Rough Electric Mechanical VS 8294 Rough Plumbing Roof Auth Code: Gas Piping 854247 Rough Mechanical . Building Final TOTAL ABOVE INSPECTIONS TO BE Framing ------ 1 Insulation Drywall S crew R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD . Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. - " 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 OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF O CCUPANCY ISISSUED. - PROTECT THIS CARD FROM THE WEATHER ncLUn no munooeocc bPSP ReTaof 38 sas with 1 mmvin 3311.38 FINALS 118169 Perpit Fee 172.68 Electrical Use Tax 138.78 Plumbing PAYMENT RECEIVED ANOUMT Mechanical VS 8294 311.39 Roof Auth Code: 854247 Building Final TOTAL 311.38 Fire Department -------- ----------- ----- -- — ------ R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD . Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. - " 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 OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF O CCUPANCY ISISSUED. - PROTECT THIS CARD FROM THE WEATHER r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type ✓i� Vii Job Address 3 ra -7,2 7gef� 5 Permit Number 110fd cr APP ❑ No one available for inspection: Time K Y ' AM10@D Re- Inspection required: Yes /No *When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: ?/ Inspecto e DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge _ Faxed Roof Permit PERMIT - 110169 PERMIT NO: 110169 ISSUED: 02/24/2011 JOB ADDRESS: 3290 -92 Teller St. EXPIRES: 02/24/2012 DESCRIPTION: Reroof 30 sqs with lifetime dimensional shingles * ** CONTACTS * ** owner 303/994 -3034 Jeffco Housing sub 303/295 -7769 Robert Tichy 01 -7911 Alpine Roofing Co., Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0801 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: ® 7,710.00 FEES Permit Fee 172.60 ?Ci��C1.� Total Valuation - .00 Use Tax 138.78 ** TOTAL ** 311.38 Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. 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 /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. S. 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 in ct' Signature !mo 3 Building Offical Date INSPECTION 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. I CAu R INSPECTION RECORD Occupancy /Type °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. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Electrical Stemw all / (CEG) Concrete Encased Ground Permit Fee 172.60 Reinforcing or Monolithic Use Tax 138.78 INSPECTIONS TO BE SIGNED PRIOR TO PRO GE OF edha Robin Tichr Rough Electric Weatherproof/ French Drain Rough Plumbing PAYMENT RECEIVED AMOUNT VS 0294 311.38 Ruth Code: Gas Piping Sewer Service Lines Rough Mechanical Roof ABOVE Water Service Lines Insulation Building Final CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing RECEIPT 110 :CDA005622 AMOUNT BPSP Re 30 sqs with I 311.38 110169 Lath / Wall tie Electrical Mid -Roof Permit Fee 172.60 Electrical Service Use Tax 138.78 INSPECTIONS TO BE SIGNED PRIOR TO PRO GE OF edha Robin Tichr Rough Electric Rough Plumbing PAYMENT RECEIVED AMOUNT VS 0294 311.38 Ruth Code: Gas Piping Rough Mechanical Roof ABOVE Framing Insulation Building Final Drywall Screw RECEIPT 110 :CDA005622 AMOUNT BPSP Re 30 sqs with I 311.38 110169 FINALS Electrical Permit Fee 172.60 Use Tax 138.78 Plumbing PAYMENT RECEIVED AMOUNT VS 0294 311.38 Ruth Code: Mechanical Roof 054247 TOTAL 311. Building Final Fire Department ----------------------------------------- R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.. "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 Feb 24 2011 10:12AM Alpine Roofing Co., Inc. 3032966803 P.1 No 4� r r City of a�'/� ` 'W h6a W ,J t pu�T pate: (J Co tMU DwnoFM Perm it #: `�i tPC� Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 -235 -2855 " Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 3290 -3292 TELLER Property Owner (please pdnt): JEFFCO HOUSING CORP Facsimile Building Permit Application Phone: 303 -99 -3034 Malling Address: (tf different than property address) Addres 7490 W 45TH AVE City, State, Zip: WHEAT RIDGE, CO 80033 l"-r611t?� OW Alpine Roofing Co., Inc. Contractor License #: 17911 Phone: 303 - 295 -7769 C i(�t G X orrioanv Il`ame• 2 License #• Expiration Date* TradelProfession: Approval: Use of s a_ceSdescrl tion): House - Pitched Roo f ��pp -- - 6,036.41 ifi A t> . __. Tear off the existing roofing, install new underlayment & Plan Review (due at time of submltteQ: E lifetime dimensional shingles, indutling misc sheet metal. Sq. F1.11-Ft added: S quares 30 BTU's Gallons Amps OWNERICONTRACTOR 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 1 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 underthis permit. Plans subjecttofield inspection. CIRLCEONE:: (OWNER) ONTRACTO or PERSONAL REPRESENTATIVE of (OWNER) (CONTR9TOR) PRINT NAME: Robert D. Tichy, President SIG t>��r'' r- Date: 2/23/11 Bldg Valuation: Credit Card Payment: Use credit card listed on file. Print name: Robin J. Tichy, Corp. Secretary Signature: —� 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 14118 7/2/02 Property Owner: JEFFERSON COUNTY HOUSING Property Address : 3290-92 TELLER ST Contractor License No. : 19373 Company : Jo-D Enterprises, Inc. Phone : Phone: 431 7848 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 r cord; that all measurements shown, and allegations made are accurate; that I have read d agr e to abide by all conditions printed on this application, and that I assume full res onsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicabl~ heat Ridge ordinances, tor work under this permit. (OWNER)(CONTRACTOR) Description : SIDING, FASCIA, GUTTERS ~G Construction Value : $7,660.00 Permit Fee : Plan Review Fee : $0.00 Use Tax : $0.00 Total: $0.00 BUILDING DEPARTMENT USE ONLY 90610MOWN..,.do SiC : Sq. Ft. : Approval : Zoning : Approval : 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 permit was issued in accortlance with the provisions set forth in yopur appliwtion and is subject to the laws of the Slate of Colorado antl to the Zoning Regulations antl Building Cotle of Wheat Ridge, Coloredo or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work authorized is not commenced within siMy (80) days trom issue date or (B) the building authorized is suspended or abandonetl for a periotl of 720 days. (3) IFthis permit expires, a new permit may be acquire0 for a fee of one-halF the amount normalty required, provitletl no changes have Deen or wiil be made in the original plans antl specifcations and any suspension or abandonment has not exceetled one (1) year. If changes are matle or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change ihe naturel Flow of water causing a drainage problem. (5) Contrador,shall notiry the Building InspeQOr twenry-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card before proceeQKng }vith spcce e phases of the job. (6) The`i~ua e tr~ror the approval ot drawings and sPecifcations shali not be wnstrued to be a permit for, nor an approval o(, any violation of the pro of t S b d' g ~ n other ordinance, law, rule or regulation. Chief Building Inspector oF wHE4r DEPARTMENT OF PLANNING AND DEVELOPMENT BuildingPermitNumbec , BUILDING INSPECTION LINE - 303-234-5933 Date: CTTY OF WHEAT RIDGE 7500 WEST 29TH AVENUE C~~ ORAO~ WHEAT RIDGE, CO 80215 -(3,y0H3-23p5-~2p85~5,~)'l~p 4~3'P~l 4~ d d O~fr 4 Property Owner: Property Address: 3 y 9U "g2- Phone : Con4actor License No.: / 93 7-3' OWIVER/CONYRACTOR SIGNATORE Phone: AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, md do no2viotau applicable ordinances, rules or regulations ofthe Ciry of WheazRidge or covenan[s, easements or mstrictions ofrecord; that all measurements showq md allcgations made aze accurate; that I have read md agree [o abide by all conditions prin[ed on this applica[ion md that I azsume full res ibility for compliance with the Wheat Ridee Buitding Code (U.B.C) md all other pplic fe Whea[ Ridge Ordinances, for work under this permit. (own*exxcorrrxAcroa):siGrim DaTEIZ-2~_7i Descriprion Constnxction Value:$ Permit Fee:$ Plan Review Fee:$ Use 'fax:$ Total:$ s! Sd I T-7 C BUILDING DEPARTMENT USE ONLY SIC: Sq.FC: ZONING COMMENTS: . Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS GOMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expirarion Date: Expiration Date: Approval: Approval: Approval: (1) This permit was issved in accordauce with the provisions set foxh in your applicafiov md is subject ro Ne laws of the State of Coiarado and ro Hie Zoning RegWa¢ons md Btilding Codes of Wheat Ridge, Colorado or any oNa appliwble ordinaaces of the Ciry. - (2) 'I7ils pecmit shail expue if (A) tIu work authorized is not commcnced witEin sixry (60) days Rom issue date or (B) Ne building auNonzed is suspended or abandoned for a period of 120 days. (3) If this pwmit exp'ues, a new pwmit may he acquired for a fee of oue-helf the amou¢t normally required, provideA m changes have been or will be maAe in Ne origival plavs and.specifica4ons md any susprnsion or a6andonmentbas not exceeded one (I ) year. If chan¢es have heen or if suspension or ahmidonmem exceeds one (I) yeaz, fvll fres shall b<peid for fl vew pertuit. (4) No work of any manner shall be done that will change the naNral flow of wamr causing a drainage problem. (5) ConRactorshallnotifytheBuildingI¢specrortwenty-four(24) hoivSinadvanceforall in5peceonsandsLaLLreceivewrittenappmvaloninspecrioncardbefore proceeding with successiva phases of thejob. (6) Ihe issuance of a pecmit or the approval of drawiugs md spec'dicatlons sha1L not be covswed ro be a pemit for, nor an appmval of, any violanon of the provisions of the building codes or any ofher ordinance, law, rule or [egulation. ~ Chief Building Inspector wt~ . . . . . . : , • w , . . . _ , DEPARTINEiNT OF PLANN{NG AND DEYELOPMENT Building Permit Number : 4595 ,~,,,,8#li1..DING INSPECTION DNt310N - 235-2855 CI'TY QF WHEAT RIDGE Date : 2/13/97 7500 WEST 29TH AVENUE WHEAT RtDGE, CO 80215 Property Owner ; Property Address : 3290 TELLER ST Phone Corrtractor License No. : 19373 Campany :.1o-D Enterpirses, Inc. Phone : 431 7848 AF (owriER)(cormz+croa> sIG Oescription : REP AND AGREEMENT mstruction Value : $630.00 Pemiit Fea : $27.50 Plan Review Fee : $0.00 Use Tajs : $0.00 Totel : $27.50 apProval: Zoning : Approval : Approvai : Oecupancy : Wails Electrical License Company : Expiration Date : Approval : (1) (2) (3) f~ (8) DEPAR'fMENT USE ONLY Roof : Stories Plumbing License No : Company: Expiration Date : Approval : 0 16 SIC : Sq. Ft. : Residential Mechanicaf License No : Company: Expiration Date : Approval : wuorerryomer w~xwwc.u~v~v..~ry. t commencs0 wMh slzM (80) tleYe hom ieaus deb of (B) tlro bu0dirq wMiorlieU la wspxMed or. t a fes of onahaM Me amuid nortrmiN niWlreE, N W~np~aredwkM ahaw bMn or wliq.be matle M tlre ir~an Oonment haa mt ezceedetlare (7)Y~. sMPmNon ur aESndonment =18l fldN Of W9Iq' C8Yf111p 8 dfB~flBQs pfOb~8f11• w(24) hours in edvance far eil InapseGOris and ahall receWa wrlQen approval.On Inspxlion card hefore uid apecMratlons shall not Ce cansruetl t to be e pertNt for, nor an apmval d,_am/ Ndetldi dfhs prwAdona w ropuktlon. . . . Chief Building tnspector ~ THIS PERNtlT VALID ONIY WHEN SKiNED BY THE CffFEF BUIL G INSPECTOR I4ND MAYOR CALL: 234-5933 24 HOURS PRIOR TO IN PECTION ~ T w 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 Property Owner. Property Address : Phone : Contractor License No. : Company :JV Phone : 1f a )i • OWNER/CONTR,4CTOR 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 r~spo.nsibility for compl' ce with the Wheal Ridge Building Code (U.B.C.) and all other applicaoie~heat Ridge ordi ancesqfor work under this permit. (OWNER)(CONTRACTOR) Description : TE Construction Value : 6, 3d Permit Fee : Plan Review Fee : Use Tax : Total : BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : sulrar Approval : Approval: Occupancy: Walls : Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval: FJ{~1:Q0!A1__l Plumbing License No : Company: Expiration Date : Approvai: n w~R~QQfi~ Mechanical License No : Company: Expiration Date : Approval: 0 R~qpi (1) This pertnit was issued in accorUance wiM the provisions set foM In yopur application and is subject to the laws of the State of Coloado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorodo or any other applicable ortlinances o/ the Ciry. (2) This pertnit shall expire il (A) the work authorized is not commenced within sirzty (80) days from issue date or (e) the building auNOrizetl is suspentletl or abantlonetl lor a period o1120 days. (3) If this pertnit expires, a new permit may be acquired for a fee of onrhalt the amount nortnalty required, provi0etl no changes have been or will be made in the original plans antl specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or il suspension ar abantlonmenl exceeds one (1) year, lull fees shall be Daitl for a new permit. 4) No work of any manner shall be done ihat will change the nalural ilow of water causing a tlrainage Oroblem. 5) Contractor shall noliy the Builtling Inspector hventy-four (24) hours in atlvance for all inspections and shall receive wntlen approval on inspection wrG betore proceediing with successive phases of the ~ob. (6) The issuance of a pertnit or the approval o~drewinqs and specifcaGons shall not be consirue0 to Oe a permit for, nor an appmval o( any violation ol the provisions of the 6uilding codes or any other ordinance, law, rule or regulation. 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 0F COMMUNITY DEVEIAPMENT 7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. MP92113255 237-6944 ExT. 255 P.O. Box ssa CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BUiIDING INSPECTOR AND RECEIPTED BELOW. APFL.IC ION FOR MISCELLANEOUS ER n , JOBADDRESS OWNER m CONTRACTOR f ADDRESS ^ n X I G D'3 P D ~ PHONE 3~r~ ZIP CODE [ l ~a ADDRESS 1•_ hOC7 CITY ZIP CODE rONTRAC7 PRICE $ LICENSE NO.~ - 1. TYPE GrounO❑ WOll P, r-~ ~ 2. MATERIAL SIGNS 3. ILLUMINATION YaS❑ No❑ TYPs INSPECTION TICKET SET BACK FROM PROPERTY LME N 4 S-- E - . f t ) ❑ ❑ [ `-1 JOB ron (SDeeify which is ADDRESS J rr"^- 1. TYPE SolidE] Mon Tlwn BO% Open❑ L MATERIAL ? FENCES . 3 SET BALK FROM PROPERTY LINE N _ S__ E _ /'d~ O s Z (Specity wnieA ia front) ❑ 0 E DATE: BLDG. PERMITM 3 LSC'I. OTHER 2 13. PERMITN BLDG. CONTR. \ ~--~0_0 DRAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTUfi SUBCONTRACTOR (SETBACKS OR PROJECTIONS INCLUDED) DATE INSP. REO. G I ~ STREET NAME SHOW DISTANCES FROM THE M41N BUILDING TOADJOINING HOUSES, STRE! DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE OISTANC INSPECTION MAD REMARKS CO/` TYPE OF INSP. W.R. FORM &19 Z V t1PPLICATION FdR PLUMBING; E~ECI . THE BUILDING THIS APPLICATION WILL BECOME A PERMi7 ~TO ~ THnATFEOFINDIICTED CEOF WORKrI5uN0 STA TED WITMMI THAT TIGE INSPECTION DIVISION. _ _ MECHANICAL PERMIT T PLU MBING PER MIT ELECTRICAL PERMI SE N0 STATE LICENS E NO. J7 . STATE UCEN BSM IST 2ND 3RD 4TH NQ FUEUCNcIeOnO GoiOU EleeSdar 77_':.1FAIFJL~*,3:~11NL9JFJC:RSIZE81LlEGAL FLOOR BTU FORCED AIR NO WATER ClASET = BTU HOT WATER TEMPORARY METER WASH BOWL _ STEAM BTU NEW SERVICE AMPS BATH TUB ~➢4C' Alit CONDITIONING -BTU CHANGE SERVICE-AMPS SHOWER OTHER LIGHTING SINK REFRIGERATION SYSTEM HEATING fiARBAGE DISP Refri sranl Group POWER SUB-CiRCUi75 WATER HEATER ~^d. C~ e UTIUTY (RANGE, DISPOSER, ETC.) AUTO. WASHER AUTOMATIC SPRINNLER SYSTEM FIXTURES DISH WASHER ELEVATOR WIRING MOTORS 8 CONTROLS FLDOR DRAIN SIGNS URINAI TRANSfORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIxTURES n ~ -9 Z _ -!/i] REMARKS 1 cl„ 1 hsreby acknowledqe that this applicn' tion is eorreet ond underatand ihai I eonnot sfart tAis projeGt until ihib aDCli- eofion is aDproved. I sholl comply with tAe lowa of the Stote of Colorado and to ths Zoninp RaQulatiom and Buildinq Code of the City of Wl+eot Ridqe. Any viololion of Me obove fermn will cause immediote revoeotion ot this permit G~ so~~ b 9i0natun PE 11T FEE USE TAX ~ 7a- TOTAL FEE 40ty~o ~5 a- DISAPPROVED ~CHIEF BUILDING SPE,heat Ridqe Date Issued 6-1E- 2°Z NOT ~1~ zK 3 Y'6'~ CAL1237-8944 EXT.255 24 HOURS IN ADVANCE FORINSPECTIONS DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT NO.M92//18252 237-8944 ExT. 255 P.O. BoX eae CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILUING INSPECTOR AND RECEIPTED BEIOW. q c APP ICATION FOR MISC JOB ADDRESS ELLANEOUS PERMIT F~CC~ ~~~"~1 ti a OWNER ~ ~ CONTRACTOR nNV I~~ La-~-7 ~F'{ 11 e ADDRESS 1445 IIIEW h ST 1 ADDRESS qDM W ZI.}p PHONE 3aI -L{ O(o'S ZIP CODE Q~ CITY~yY. ~w1n~1 D ZIP CODE [Y, PHONE y- L -3c) LICENSE NO. 3a !%ONTRACT PRICE $ (con 1. TYPE Ground❑ Wall❑ Proie,tinp❑ Other SorOFaee 2. MATERIAL Totol Squan Feat SIGNS 3. ILLUMINATION Ysa❑ No❑ Typs EIKt. Permif No. 4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ ApprweE, Zone Inapsator (Spseifywhichiafront) ❑ ❑ ❑ ❑ Disopprwed 1. TYPE SolidO More TAOn 80% ODenO Less Thon 80% Open MATERIAL HeiQht FENCES 3. SET BACK FROM PROPERTY LINE N_ 5_ E_ W iono_ ApprovW,Zone Inspaota (SOeeify whieh ie }ront) ❑ ❑ ❑ ❑ Diaapprovad I. C~L.) OTHER 2 3. DRAW SKETCH OR SNOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GNIh'v DISTANCES FROM PROPERTV LINES. (SETBACNS 017 PROJECTpNS INCLUDED) ~ SPECIFY NORTM STREET NAME SHOW DISTANCES FROM TME MAIN BUILDING TOAOJOINING MOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR WTS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR pVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON N4LIDATION BY THE BUILDING INSPELTION DIVISION. PERMIT WILI EXPIRE 60 DAYS FROM OATE OF ISSUANCE !F WORK IS NOT STARTED WITHW THAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE UCENSE N0. MECHANICAL PERMIT AW MINUMWIREUNDERSIZEBIIIEGAL FLOOR BSM IST 2N0 3R0 4TH N0. FUELC'nclaOnsGa{dlPropons EbeSolm N0. WATER CLASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR fANDIT10NINC-BN LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SVSTEM POWER SUB-CIFCUITS WATER HEATEF Refri aront Group UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER Pounds CMr e FI%TURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAI TRANSfORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIKTURES I nareby acknowledqe thot thia avPlica- PERMIT FEE tion it eorrect and undentane tnat I USE TAX roject uniil thia oppli- cannot sfart tAis p cotion ie aDVroved. I snoii comply with TOTAL FEE th t the State of Colorado ond fo l owe o s ths Zoninp ReQulations and Buildinp APPROVEC Code of the City ai Wheat Ridpe. Any DISAPPROVEC violation oi the above terms will couse CHIEF BUILDI immediate revocation of tnis permit. ~ ~ ~-a u s 893 ,Cityof Wheat Ridqe g ` " V s ot.~ Date Issued !o Applicanf. SiOnotm. CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS DEPARTMENT OF COMMUNITY DEVEIAPMENT 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. ME921/4891 237-6944 ExT. 255 P.O. sox 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILOING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS ADDRESS <-G- CITY ZIP CODE PHONE LICENSE NO.;~-~ OWNER PHONE E-S e~." CONTRACT PRI^,E $ ZIP COOE 1. TVPE Cround❑ Wall❑ Proiectinp❑ 01hlr SaDFate- 2. MATERIAL Total Sauan FNt SIGNS 3. ILLUMINATION Ysf❑ No❑ 7ype 4. SET BACK FROM PROPERTY LINE N_ 5__ E- W (soxifvwniahietront) ❑ ❑ ❑ INSPECTION TICKET i. TYPE SolidE] Mon TMn 80% OpsnO Lns 1 FENCES MATERIAL 3. SET BACK FROM PROPERTY LINE N_ 5_ E_ W (Specify whieh ie front) ❑ ❑ ❑ I. OTHER 13. PERMITM DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,Gf BLDG. CONTR. ~ d (SETBACHS OR PROJECTpNS INCLUDED) SUBCONTRACTOR DATE INSP. REQ. 6 ~ JOB n ADDRESS 3 a~ O kXN~r, " z DATE: BLDG. PERMITN g`0 TYPE OF INSP. INSPECTION ~ REMAHKS STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING T6ADJOINING HOUSES,STREETS, OISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTAN(:E. G _ (~'S J APPLICATION FOR PLUMBING; ELECTRIC THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WOP ~autT w1l I FxRIRF 60 DAYS FROM [N.TE OF ISSUANCE !F wvrtn in nvi a~~n~cu ni~nn inw, ewc ELECTRICAL PERMIT STATE LICENSE N0. t.LUMINLreA+MPtEU"JC.ERSIZEBILLEGAL PLUMBING PERMIT STATE LICENSE N0. FLOOR BSM IST 2ND 3RD 4TH MECHANICAL PERMIT NQ FUEI+CkdeOMGW011ROprna E Solor Np, WATER CLASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS CHANGE SERVICE-AMPS (,yC~ LIGHTING BATH TUB SHOWER SINK STEAM - BTU AIR CONDITIONING-8TU OTNER HEATING GARBAGE DISV REFRIGERATION SYSTEM POWER SUB-CIRCUI7S UTILITY(RANGE,DISPOSER,ETC.) FIXTURES WATER HEATER f+UTO. WASHER DISH WASHER Retri erant GouO Pounds CMr e AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS BiCONTROLS FLOOR DRAIN ELEVATOR 516N5 URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES I naroby ocknowiad9e tnot this applica- PERMIT FEE - O-e~ tion ia correct and underatond thot I USE TAX ~ cannof sfmt thie projecf until ihia aDpli' oation is apDroved. I sholl eomply witA TOTAL FEE $ G. ~Q fhe laws of the State of Colorado and lo ~ ths Zonina Repulationa and euildinq APPROVED Code of the City of WAeat Ridpe. Any DISAPPROVED vioiotion ot the abova terma will cause CHIEF BUILDING II SPECTOR,City of Wheot Ridqe immediote revocotion of thi+ permit. C~~,)Date Issued ° •y0lieanb ~IOnalun • W.R. FORM 6.19 n NOTVALID UNLESS ; / C_* q 61 c+1- X 6-io-9jI-?I G-/ 3/ CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS DEPARTMENT Of GOMMUNITY DEVELOPMENT 7500 WEST 29th AvENUE BUILDIN6 INSPECTION DIVISION PERMIT N0. MF'92#3253 237-6944 EXT. 255 P.O. eox 63e CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BWLDING INSPECTOR AND RECEIPTED BELOW. APPLICATIOFOR MISCELLANEOUS P/ER ,n / JOB ADDRESS OWNER ~/elSON• V! pOfJ N/i/TilO.Pi * CONTRACTOR L hLS~''_~ ADORESS~/n~~4.~~s{ /RIrg'U~p~ Efl~e 7 ADDRESS . , 3 PHONE ZIP~CODE CITY / n ZIP COOE CONTRACT PRICE $ --PHONE `~7^lpb= IICENSENO.~~ 1. TYPE GroundU Woll❑ proieolinp❑ Olher SwDFOCe 2. MATERIAI SIGNS 3. ILLUMINATION Yas❑ No❑ 7ype 4. SET BACN FROM PROPERTY LINE N_ S_ E _ W_ 2 (spxitywnieni,fra,t 1 ❑ ❑ ~ INSPECTION TICKET i. TYPE SolidO Mon Thon 80% Opan❑ Lut T JOB FENCES MATERIAL ADDRESS ~ 3. SET BACK FROM PROPERTY LINE N__ S_ E _ W, (Specify whieh ie tront) ❑ ❑ [:1 1. DATE: BLDCa. PERMITN ~'2. s3 OTHER 2 3. - PERMITM DRAW SK ETCH OR 5HOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE GI\ BLDG. CONTR 0-111t~ (SETB ACKS OR PROJECTIONS INCLUDED) , SUBCONTRACTOR DATE INSP. REQ._{y-I ~ STREET NAME SHOW OISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS,, DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DIST4NCE. TYPE OF INSP. f-. INSPECTION MADE_ REMARKS W.R. FORM &19 V APPi_ICATICEN FOR PLUMBING; ELECTRIC THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WOR FsF.f:hAR" WiIL EXPIRE Csn DAYS FROM DATE OF ISSUANCE !F WORK iS NOT STARTED WITHN TMAT TIYE_ ELECTRICAL PERMIT STATEUCENSENO. PLUMBING PERMIT STATELICENSENO.__179ay/ MECHANICAL PERMIT ALUPAi+d1PM VrcRElYNOEASiZEEILLEGAL FLOOR BSM IST 2ND 3RD 4TH NQ FUEUCicleOMGa{qlPropors E SWa NO. WATER CtASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TU C STEAM - BTU CHANGE SERVICE-AMPS SHOW R AIR CONDITIONING-8TU LIGHTING SINK AYCE'{S OTHER HEATING POWER SUB-CIFCUITS GARBAGE DISP WATER HEATER REFRIGERATION SYSTEM Refri arant Grou UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER Pounds CMr e FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 8 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I IiP TOTAL FIxTURES - _ . '.11 _ _ I + I hereby ocknowlsdqe that this applica- P&9MIT FEE tion ie eo.reet and unee.atond rnat I USE TAX oannof ffort this project until this appli- cation is approved. I shall comply witn TOTAL FEE fAa laws oi Ihe State of Colorado ond to fhe Zoninq Requlations ond Builtlinq PPROVE Code offhe City of Wheat RidQe. Any D [ violation of the obova terms will couse CHIEF BUILDI immediote revocation of this permit K ' 4volie o sipnaler~ Dafe Issued_ NOT VAIID UNlES! ~ uS7 $ ~S 9 a 6-~6-s a `-tz C.C - lgLvk INSPECTOR,Cit f Wheat Ridqe -i6-ra- CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AvENUE BUILDING INSPECTION DiVISION PERMIT N0. ME921i4892 237-6944ExT. 255 P.o. BOx ssa CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SiGNED 8Y THE CHIEF BUIIDING INSPECTOR AND RECEIPTED BEIOW. p / APPLICATION FOR MISCEUS P C' JOB ADDRESS OwNER / CONTRACTOR ADDRESS ~y 0` ZIP GODE ADDRESS L-~✓1/~PHONE w % CITY / ZIP CODECONTRACT PRICE $G~ t 1 q- L LICENSE NO Z~'- PHONE 6 1. TYPE GrOUnd❑ Woll❑ ProitctinOL. 2. MATERIAL SIGNS 3. ILLUMINATION Yss❑ No❑ TYDs 4. SET BACK FROM PROPERTY LINE N__ S^ E _ V I TYPE SolidO More Than BO% FENCES MATERIAL 3. SET BACK FROM PROPERTY LINE (SDecify whieh iefront) N_ 5_ E_ V ❑ ❑ ❑ OTHER IZ' 3. pRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,(SETBACKS OR PROJECTIONS INCLUDED) DATE: l~ BLDCa. CONTH.__~ SUBCONTRACTOR_ DATE INSP. REQ. yi,i _r- 1~z N BLDG. PERMITM FS 7 Z _ PERMITM q - (I TYPE OF INSP. INSPECTION MADE r ~ REMARKS /~.t~~' STREET NAME SHOW DISTANCES FROM THE MAIN BUIlDIN6 TOAOJOINING MOUSES, STREE DISTANCE TO PROPERTV LINES,NOT MA%IMUM OR AVERAGE DISTANCI W.R. FORM &19 ~ APPL9CATION FOR PLUMBING; EIECT roN. THIS APPUCATION WILL BECOME A PERMIT TO PERFORM THE INDICATED ..,,,~..noc cn nnvc canu ne'fF OF ISSl1ANCE !F WORK IS NOT STANTED W i:F: _ MECHANICAL PERMIT ELECTRICAL PERMIT PLUMBING PERMIT STATE LICENSE N0. STATE UCENSE N0. 00R BSM IST 2N0 3RD 4TH F1 N0. FUEL:CkcbOn~ GW 0~~ PropnM Elsc Sobr ALUORI?7!,,n~k 1+:9nE tiW17E3t SIZE 9 ILLEGAL . FORCED AIR ~ BTU NO ~ WATER CLASET - HOT WATER BTU TEMPORARY METER WASH BOWL STEAM BTU NEW SERVICE - AMPS BATH TUB AIR CONDITIONING-BTU CHANGE SERVICE-AMPS tD SHOWER OTHER LIGNTING SINK REFRI6ERATION SYSTEM HEATING GARBAGE D157 A7ER Retri eront GouD POWER SUB-CIFCUITS WA7ER HE Poundt CMr s UTILITY(RANGE,DISPOSER,ETC.) AUTO.WASHER AUTOMATIC SPRINKLER SYSTEM FIXTURES DISH WASHER ELEVATOR WIRING MOTORS d CONTROLS FLDOR DRAIN SIGNS URINAI TRANSFORMERS d RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES PERMIT FEE s, ~ nvi ,Ct~8660 1 hereby acknowledqe thot thia oppllca- t I d tn ~ a fion is eorrect and understan USE TAX eannot stort this prolecf until thia aPPii' n FEE ~ ootion is oOGroved. I snall comply wit 1 Colorado and to t St TOTAL ~ e o o tha lawf of Ihe tha Zoninp Repulations ond Buildinp APPROVED DISAPPROVED Code of the City oi Wneat Ridqe. Any lation oi the abova terms wiii cause i CHIEF BUILDING I PECTOR,City of Wheat Ridqe v o immediote ravowtion of thie Dermit CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE l a~ l,ta.n 6,~fl..-~l Date Issued ~ ~ Z FOR INSPECTIONS Othsr 5 w D Faeo Y INSPECTION TICKET JOB ADDRESS ~yoreem. sfo~aro..