HomeMy WebLinkAbout3740 Teller Street3�y��(lrSfi INSPECTION 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 inspection
Occupancy/Type
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
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
uo Not Pour t;oncrete Prior I o Ap roval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Ins
Rough Inspections Date Inspector Comments
Initials
Mid -Roof
Rough Electric *
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date Inspector
Initials
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Window/Doors
Final Building
Comments
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.
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
C
City of Wheat Ridge
Residential Roofing PERMIT - 201705953
PERMIT NO: 201705953 ISSUED: 08/11/2017
JOB ADDRESS: 3740 Teller ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark asphalt shingles - 18
sq
*** CONTACTS ***
OWNER LASZLO NAGY
SUB (303)466-7386 Bob Bellitt 018626 Arapahoe Roofing & SIM
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,191.00
FEES
Total Valuation 0.00
Use Tax 256.01
Permit Fee 251.85
** TOTAL ** 507.86
*** 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.
Page I of 2
Property Address
Permit Number
Permit Issued Date
Owner Infornmbon
Property Owner Iiq nformation
Property Owner Address
The City of Wheat Ridge
Third Party Form ChpQyL)
V VL
L
Inspector-InIff'"ormation
. ... ... ... ..
Inspection Company Gary Manlove
InspectorName '_J'BA
Inspector Contact info. nay_*MCG=
!U22.qi0t, Ufteme_nt and, A&hnow4edgeM2nt
I hemby acknowte� the foof I am inspecting is 61" 12 or over. All rools
that areunder 612 must be inspected by the City of Wheat Pudge Buiding Dept
IMBUE
Date:
1 hearbyacknowledgethMiamt ... owner of thequilding referenced above and I give
(,,,�pm my roof inspection
This orkyrkil document and permit card, as well as the Yoohog check list, must be, submitted tc
the Chief Building Official within seven days of the final inspection
Drop off in person
Permit cowter 2nd floor
7500 W 29th Ave
Draft Date 7!26/17
The City of wheat Ridge,"' The City of Wheat Ridge
ns ttion Checklist Notes Inspection Checklist Notes
'Pe I . ......... o ...........
MID -ROOF FINAL
17-1
C r
Clay and concrele We Shall have a min, 2-1, -212 al
quope
'Yme
Slopes 4 12 and under reire double underia ort
Company Name-; JBA C?,MSULTIN Company Name: JDA 004SUI
Inspector Inspector Signature
. . . . . . . . . . . . . . . ....
Date of TVIID-ROOF Inspection: Date of FINAL Inspec�tbon:,Z11
Structural roof components
Verffy that no mofe than 2 layers of sningtes exist
r
Flashing for roof and walls
It n&N "eaflung is installed verity, that it is Itsted in the
perreft 0etription (Valuation must be a4lusted
gal
r,
'ventV sheath4no na R tt i See Policy & Procedures)
Crm*ets and saddles v.-Itere ne-eded
Verify 6 vent Must have boat same gauge as ptpc-
Vevt.y vent cap$
Veffy no tlasi* -tgs we domaged of rusted
s hall -io
Step flashing �, , be min of 4Y4 p -ce per shingle
r j scuppers allow for proper drainage
fee and vt shield 2' in hea!ea wall. s
A
Underlayments must follow 2012 IRC; 2012 ISC
Ver r slope, for proper drainage
Dripedge shaP have, min of 2 oveftap
Onped should ex -tend dovm min 2" past roof decle,
Drge shall be rnechanicaly fastened 12- OC
'90 ILS roll roofing shall not be apphed to roof slopes
less than 2 12 slope, Exception, detached qarages»
pattes, carports, open on thrPe sides Mt h min slope of
1-12
fdifived Bitumen, EPOM, T mins slope 114.12 slope
Atyove roof insulation R-25
13eiow roof rem -ntial R --I&
Below roof riser sal R-32
D
Mo<ftfied Bitumen. EPOM, TPO min tq I ape =4'12 slope
must be Inst it in accordance io4alh the manufactuf ers
spectUcations- Must have manufactures letter of
warranty with the ad ss on the letter for final incud—
hietalroof shirr gie,5 shall not be installed on, slope less
7/
312
Metal vallej flashing shau oe the same rnatf,,,trtal as roof
r.
Metal valley flashing shall extenO a mto ofrom thef 8
centerline wfth a min of 3S4 " h Mfr splash dwerter
rib tuitt-in at Itia flovi line with sections overlapping a
a min. of 4'
Clay and concrele We Shall have a min, 2-1, -212 al
quope
'Yme
Slopes 4 12 and under reire double underia ort
Company Name-; JBA C?,MSULTIN Company Name: JDA 004SUI
Inspector Inspector Signature
. . . . . . . . . . . . . . . ....
Date of TVIID-ROOF Inspection: Date of FINAL Inspec�tbon:,Z11
► B City of Wheat Ridge
Residential Roofing PERMIT - 201705953
PERMIT NO: 201705953 ISSUED: 08/11/2017
JOB ADDRESS: 3740 Teller ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark asphalt shingles - 18
sq
****Revision add redecking 18sq*****
*** CONTACTS ***
OWNER LASZLO NAGY
SUB (303)466-7386 Bob Bellitt 018626 Arapahoe Roofing & S/M
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,191.00
FEES
Total Valuation 0.00
Use Tax 256.01
Permit Fee 251.85
** TOTAL ** 507.86
*** 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 techni�-a:
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.
1* r It 41 City of Wheat Ridge
®� Residential Roofing PERMIT - 201705953
PERMIT NO: 201705953 ISSUED: 08/11/2017
JOB ADDRESS: 3740 Teller ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark asphalt shingles - 18
sq
****Revision add redecking 18sq*****
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 ermrt. I further attest that I am le ally authorized to include alt entities named within this document as parties to the work �to be
performed and that all work to be perfo-r-m'ed is dy�closed in this document and/or its' accompanying approved plans and specifications.
pa
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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable�or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
W
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat idge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
FOR OFFICE USE ONLY
Date: //)//q
f
Add to Permit #_
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(aD_ci.wheatridge.co.us
�v
Building Permit Revision/Amendment Applicationj
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be l es 4
Property Address: �'� S-� lr�-�� t' �r e.C�7'_
Property Owner (please print): Z-=�L 7 Z(-) Z2czs Z Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip: zx4k'�
Contact Person: 2 r ✓c, ��%� Phone:
---
Contractor:
Contractors City License Phone: 'S�!</, 76 5'Z -
Contractor E-mail Address:
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour - 2 hour minimum).
Description of revised/amended work:
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include /all general and subcontracted wo0-
rkpto be performed related to revisions/amendments described above)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONES: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: ,1&r l�Uf�t/< SIGNATURE: �a'L ��i �� DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
e �► A 4� City of Wheat Ridge
Residential Roofing PERMIT - 201705953
PERMIT NO: 201705953 ISSUED: 08/11/2017
JOB ADDRESS: 3740 Teller ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark asphalt shingles - 18
sq
*** CONTACTS ***
OWNER LASZLO NAGY
SUB (303)466-7386 Bob Bellitt 018626 Arapahoe Roofing & S/M
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,191.00
FEES.,,
Total Valuation 0.00 rc�Q
Use Tax 256.01
Permit Fee 251.85
** TOTAL ** 507.86
*** 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.
® City of Wheat Ridge
Residential Roofing PERMIT - 201705953
t
PERMIT NO: 201705953 ISSUED: 08/11/2017
JOB ADDRESS: 3740 Teller ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark asphalt shingles - 18
sq
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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof 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
insp%t�ns,and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division. .
6. The is.,. j'omg o l s`i not be construed to be a permit for, or an approval of, an violation of any provision of any
applic' rd tion of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
V1w�V_J
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, August 7, 2017 1:51 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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
L
Property Address 3740 and 3750 Teller Street
Property Owner Name Laszlo Nagy
Property Owner Phone 303-425-9746
Number
Property Owner Email CAMI@ARAPAHOEROOFING.COM
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.
Attached Copy of Field not completed.
Contract
CONTRACTOR INFORMATION
Contractor Business Arapahoe Roofing and Sheet Metal, Inc.
Name
Contractor's License 018626
Number (for the City of
Wheat Ridge)
Contractor Phone 3034667386
Number
Contractor Email Address CAMI@ARAPAHOEROOFING.COM
Retype Contractor Email CAMI@ARAPAHOEROOFING.COM
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing certainteed landmark
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 18
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 18
(pitched + flat) of all
F)
roofing material for this
project
Provide additional detail HOUSE
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract D12191
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 Cami Bowker
Email not displaying correctly? View it in your browser.
3
ARAPAHOE
ROOFING & SHEET METAL, INC,
I
lSol South Arthur Avenue
Louisville, CO 80027
ElPh. (303) 466-7386 Fax (303) 466-7385
June 29, 2017 www. arapahoer,)ofing.com
Laszlo Nagy
3844 Union Court
Wheat Ridge, CO 80033
Project. 3740 - 50 Teller Street
Ffl-�-, i
Arapahoe Roofing and Sheet Metal, Inc. have examined the existing roof system for the above project and propose the following options
for your review and consideration:
tesN Roof gystem- $121'.91.00
ang roof system down to the original roof deck per local building codes
> Install 7/16'OSB board over the existing spaced sheeting on the roof areas that have shingles,
> Install Ice and watershield at all roof eaves.
> Install new base felt per local building codes.
> Install new 24 gauge pre -painted steel roof related flashings per local building codes.
> Install new roof vents per local building codes.
> Install a new Certainteed Landmark Pro asphalt shingle roof system per local building codes and manufacture
specifications-
� ' utter stela6� 16
att" a
t
Remove t e existing gutter system per local building codes,
> Install new 5" pre -painted steel seamless 0,G style gutters per local building codes.
> Install new 2" x 3" pre -painted downspouts per local building codes.
Qualifications and
➢ This Proposal does not include replacing any of the EPDM roof areas.
> Option# 1, Install new pre-fmished or galvanized parapet wall caps on the lower flat roof area. $900.00
> Option # 1 Touch up the repair patch where the splits are on each end of a patch on the flat roof area as shown=
$200.00
The (eflowing Items are included in this 2K2R211L
L Removal of all trash and debris created by our work.
2. All material required to do a complete job.
3. All labor to perform the work done by Arapahoe Roofing employees only. (No subcontractors),
4. All necessary building permits and inspections.
5. All necessary licenses, taxes and insurance.
6. Arapahoe Roofing two-year warranty on materials and workmanship.
T Manufacture warranty if one is provided.
8. Price based on a standard AIA 401 sub contract, or an agreed upon contract between owner, General contractor and Arapahoe Roofing
9. This Price is good for 30 days.
I wish to schedule the above work and cc t the hed tem condition Standard AIA -401 Sub Contract is not required for this project)
ACCEPTED: DATE- 1;7
Bruce Klatt: Estlmatin?)sales IV
E—mail: bruce(a)aravahoeroofln&&om (bk: 303472-5386 Ext 130)
August 20, 2
Rock's Roofing, Inc.
Attn: Mr. Matthew Rack
E:: 3740 Teller Street,'Wheat Ridge, CO
Dear Mr. Rock,
•
been installed according to Roofing Products International Inc.'s ( RPI) current
specifications for a fully adhered 60 mil EPDM systern,
0 # I .
Property Address: LAO-- -T:�L�\-tr S�Yftk
MaRing Address: (if different than property address)
Address:
EMU=
EMU=
FIRE DEPARTMENT:: M aWoved wi cmments C *Wproved 0 rto r" Mqu
Sub Contravtors
Electrical: Plumbing: Mechanical:
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16112
BUILDING INSPECTION LINE -(303-234-5933) Date : 8/26/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: LASZLO NAGY
Property Address : 3740 TELLER ST
Contractor License No. : 18384
Phone : 720-231-2992
Company : Nagy, Laszlo Phone : 425 9746
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the selback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or requlations of the Cily of W heat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree p abide by all c ditions printed on this
application, and that I assume full responsibil' for ai Pt the Wheat Ridge Building
Code (U.B.CJ and all other applicable Whe id rdr nder Ihis errtrtrt]]] it(OW NER)(CONTRACTOR) SIGNED DATE
Description : ENCLOSING DUMPSTER
Construction Value :
$150.00
Permit Fee :
$30.55
Plan Review Fee :
$0.00
Use Tax :
$1.80
Total:
$32.35
Use 12-'1 oD _
BUILDING DEPARTMENT USE ONLY
Zon[ng Commentas; SIC : Sq. Ft. :
Approval : CH OK PER CH. 8I26103
Please Note:
Zoning : C-1 ~ ~ kacWr is responsible for locltmo prope: ty
~4llding Comments" eP~~~~ ~~d°esin' ~
Approval: DM Provcments ac. o ~'ng to r=
} OK. 8126103 The City is not rcsponible for inacuate infornflyti,)7
submitted within t}ie plan
set and y~
Public.Works Co,mma~rt~n rcsultin Y cons~n,c~ion
B &om inaccurate information.
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company:
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval :
(1) This permil was issued in acwrdance with the provisions set forth in yopur applicalion and is subject to lhe laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall eapire if (A) the work authorized is not commenced within sixty (60) days from issue dale or (B) the building aulhorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permil may be acquired for a fee of one-half the amount normalty required, provitled na changes have been or will be made in lhe
original plans antl specifcalions and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
ezceeds one (1) year, full feas shall be paid for a new permit.
(4) No work of any manner shall ba done that will change ihe natural flow of water causing a dreina9e problem.
(5) Contraclor sl7all notiy the Building Inspector twenty-four (24) houB in advance for all inspections and shall receive wrilten approval on inspection card before
proceedii wi suc essi ephasesotthejob.
(6) The iss nce f~ the approval of drawings and specifcations shall not be consimed to be a pertnit for, nor an approval of, any violation of the
provi ihe il ~~ly other ordinance, law, rule or regulation.
b
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
of w~Eqr COb1MUN, ! DEVELOPMENT DEPARTMENT Building Permit Number:
A a BUILDING INSPECTION LINE - 303-234-5933 Date:
° CITY OF WHEAT RIDGE
V m 7500 WEST 29TH AVENUE
W HEAT RIDGE, CO 80215 -(303-235-2855)
~~coHno° gy,~
i`l~"PLyy'. 3 l.i`~ T;yy~~
i la~
Proper[y Owner: '4G"~
Property Address: 77W) ~-S- Phone
Coutractor License No.: / z yl~
Company: Phone:
OWNER/CON'TMCTOR SICNATURE OF UNDERSTAND1NC AND AGREENIENT
I hercby certify that [he se[back dis[ances proposed by this pertnit application are aceurate,
and do not violate applicable ordinances, rules or regulations of the City of N'heai Ridge or
covenants, easemen[s or restrictions ofremrd; that all measuremenis shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on [his
application and tha[ 1 assume full responsibiliry for compliance with the Wheat Ridge
6uilding Code (U.B.C) and all other applicable Wheat Ijidge Ordinances, for work under
this permit. J '
(ON'NER)(CONTRACTOR):SI "D DAT
(ON'NER)(CONTRACTOR):PRINTED ~~a-~ DATE~=(J 1
(
„
llESCRIPTION:
Construction Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total: $
AU(; 1 ~ L
1 2003
KS
BUILDINC DEPARTMENT USE ONLY
JJJ~~~G~ SIC: Sq.Ft.:
ZONING COMMENTS: ~ r
Approval: ~ i
Zoning: ~ `
l/
BUILDIN6 COMMENTS:
Approval:
PU6LIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stones: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(p This permit was issued in acmrdance with the provisions set foNi in your appiicrtion and is subjeci to the laws of Uie Staa o(Colondo and to tlie Zoning
Regulations and Building Codes of Wheat Ridgq Colorado or any oth<r applicahle ordinances of tlm Cit}.
(2) This pemiit shall enpire if(A) the work authorized is not commenced witLin sixty (60) days from issue date or (d) the building authonzed is suspended or
abandoned for a period of 120 days. '
(3) 1f this pemiil expires. a new pemtil may be acquircd for a fee of one-halfthe amount nomially required, provided no changes have been or wfll be made
in Lhe odginal plans and specifintions and any suspension or abandonmrnt has not exceeded one (I) yeac If dianges hare been or if suspension or
abandonment exceeds one (1) year, full ftts shall be paid for a new permil.
(3) No uork ofany mann<r shall be don<lhai will change Ne namnl Oow of water causing a dninage pmblem.
(5) Contractor shall otify the Ouilding Inspecmr twrnty-four (24) hours in adrance for all inspections and shall receive wrinen aOVroral on inspection card
beforepraadf s cressiveplusesofthejob.
(6) The issuance at pertn' ot the approval o( drawings and specifications shall not be construed lo be a permit for, nor an appmrat of, any riola[ion of Oie
provisions of u' c r an r ordinance, law, rule or rcgulation.
Chief Building I pector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 10693
BUILDING INSPECTION LINE - 303-234-5933 Date : 6/19/2000
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3740 B TELLER ST Phone : 4259746
Contrector License No. : 19535
Company : Armstrong Roofing & Waterproofing Phone : 227 0223
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurate,
and do not wolate applicable ordinances, rules or regutations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurete; that I have read and agree to abide by all condkions pnnted on this
application, and that i assume full responsibil'~ty for comphance with the Wheat Ridge Building
Code (U.B.CJ and all other applicable W"Ridpe-0manAesior work under this permit.
(OWNER)(CONTRACTOR)
Description : RE-ROOF INSTALL FULL'
Ud
Construction Value
Permit Fee
Plan Review Fee
Use Tax
Total
$1, 500.00
$54.00
$0.00
$22.50
$76.50
Use:
60 MIL JOHN MANVILLE SINGLE PLY ROOFING
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Occupancy : Walls
O'KAY
Roof : Stories
Residential Units :
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(t) This pertnk was issued In accordance with the provisions sel foAh In yopur application an0 is subject to the laws of the Stale of Coloratlo and lo the Zoning
Regulahons antl Building Code of Wheal Ridge, Coloretlo or any other epplicable oMinances ot the Ciry.
(2) This permit shall ezpire If (A) the work authonzetl is not commenced within sizry (80) tlays from issue dale or (B) the builtling authorizad is suspendetl or
abandonetl for a penod of 120 days.
(3) If this pertnit expires, a new pertnn may be acquired Tor a lee of one-half the amount normally require4 proviCed no changes have been or will be made in the
original plans and specificatlons and any suspension or abendonment has nol euceeded one (1) year. If changes are matle or if suspension or a6andonment
exceetls one (i) yeer, full fees shall be paitl for e new pertnit
(4) No vrork of any manner shall be done that wlll change the natural Bow of water causing a dreinage pmblem.
(5) Contrector shall nWiy the Builtling Inspector lwenty-four (24) hours in etlvance for all inspections and shall receive wntten epproval on inspection card betore
proceetliing wIN successive phases of Me1ob.
(8) The issuance of a pertnit or the approval W drewinga entl specifications shall nM be construed lo he a permit kr, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit NumCer :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Da,e •/~'j •Qd
7500 WEST 29TH AVENUE
WHEAT R1DGE, CO 80215 qppLICATto N
Property Owner : /~,~52(A /(rgG,
°roperty Address : 3 7410 ,p 7'~FG6e'f2 S-7',
Contractor License No. :
Company:
ObVNER/CONTRACTOR SIGNATURE OF
I hereby certify that the setback distances proposed by this pertnit applieation arc aeeunte,
antl do not violate applicaCle ordinances, rules ar regulatlons o( Ne City of Wheat Ritlge or
covenant5, eaSemEntS of reStllQionS of flCOrC; tMat all mqsurcments Shown, and i11eg7tion3
made are accurate: that I have reaC antl agrce to abide by all contlitions printeC on Nis
applieaBOn, and that I assume tull rcs0onsibiliry for complqnp wdh Ne Wheat Ridge Building
Coae (U.B.C.) anC all other applipble Whe Iat Ridge oMimna~, foyhvark untlerMis pertnd.
(OWNER)(CONTRACTOR)
Phone: 303-41Z5= 9 7q,&
Phone : 303,.2Z7-OZ273
ConsVUCtion value : '~j U °O
Permit Fee :
Use Tax :
Total :
use :
Description : J2e'Z69e*- eF~X r sfl~ h.,f ~T vp •~o~ Sy S-l~. ~1 t= X lr-li c ~9n
in,/-l (Qa M;z J~tiwr~ o.
- BUILDING DEPARTMENT USE ONLY
om ~mAW;l
Approval:
Zoning :
ui
Approval:
Approvai:
Occupancy : Walis
Electrical License No :
Company:
Expiretion Date :
Approval :
SIC : Sq. Ft. :
Roof : Siories : Residential Units :
Plumbing License No : Mechanical License No :
Company: Company:
Expiration Date : Expiretion Date :
Approval: APProval:
(1) TMn PWtit was uZwa m aCmCao wfCl tlr Powipr rl kM n YoWr aoosuYOn antl e wqKt ro IM iawa of IM Stats M Cdeqeo ab Oe Te :.pvp
Re9u1atiMs WC BYiseq CoOf af YMNt RippL COtraOD Or wrydMr app~CapM orCNaRe of 1M Clly.
(7) Thn pwmrt LyN eapM M(A) 0ie wpk nppryd n not mrtIRIONcy wpim mly (60) Oays hom iaaue WM pr (8) Ne OudOiny auNOnzsO n auapenEaG ar
aoanaanea ror a qnoa M 120 Eayi.
(3) a'^9ffmi Plane gxPm, aP aic ~an fix a M al orN.IWf Rr ama+M romWy nps~E. O~witlM ro Cuiqes naw Dean v wiY Oe n~ n Or
esc~eGa on~ Y S~~ oraE~IqermeM nas nat ~aweEW am (1) yOv. tl Uuiq~s ~n m~Ce or p
(a) No work M (1) ~Yw. NY iw shtll W Wiy far a nw imL _ ~~P~a+ a aCr~omwM
(5) oContraRar~ a KnotllyqNg
yaa■pa suobssav~
(s) T n. wan
of tlfe Oyilyuq Wtla w ery
N09011OIIt aM ahatl IeCMe Mlltltll
a00rwia en sup~pon oN ldon.
aanu not De mmwaa b a a OMnI for. nor m .pPOVM a..rry "waean af vu awiwn
Chief Building Inspeetor
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WESr29thAVENUE BUIIDING INSPECTION DIVISION PERMIT N0. ME94#5654
234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNEO BY THE rH;EF BUiLDiNG iNSPECTOR AND RELEIPTED BELQw.
APPLICATION FOR MISCELLANEOUS PERMIT
JOBADDRESS -.37140 /4- -rt--+An-L 1&1^ OWNER
CONTRACTOR NEZC7N,3a;2~#~n(J Fz,rz~-t ADDRESS -71 90 _W . 3B
ADDRESS 'Z~Ssf M^ZShr~
CITY IU(16C ZIP CODE fyOC~3
PHONE l1e7- Ifsfl I IICENSE NO. WS.Zk
-7 2
SI(
FEP
OT!
INSPECTION TICKET
JOB
ADDRESS
I'~lF>Ya
DATE: BLDG. PERMITM~6 Sv
PEflMITM
BLDG. CONTR. V"111^~~
D
SUBCONTRACTOR
DATE INSP. REO. c;)
TYPE OF INSP.~
INSPECTION MADE 7
REMARKS
TYPE OF INSPi zkz'z - (A" ~A
INSPECTION MADE-9Q /l
REMARKS ~C 7
L ~L
W.R.FORM &19
APPLICATION FOR PLUMBING; ELECTRIC_
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIHE 180 DAYSFROM THE DATE OF ISSUANCE IF WOHK IS NOT STARTED WITHIN THAT TIME.
- --S
2
E- w_ INSPECTION TICKET
❑
JOB
L•.. in ADDRESS ZqQ
E_ W_
~ a
DATE I' BLDG. P RMITN S
PERMITM
BLDG. CONTq
JCTURE, GIV
rv uNE SUBCONTRqCTOR
DATE INSP. REO.
TY LINE
W.R. FO/~~I `61
V -v~`~9 /Ii/I~
STREETS,
STANCE.
ELECTRICAL PERMIT
STATE LICENSE N0. -4.-Z~
PLUMBING PERMIT
STATE UCENSE NO
MECHANICAL PERMIT
AWMINUM WIRE UNDERSIZE B ILIEGAL
FLOOR
WATER CIASET
BSM
IST
2ND
3RD
4TH
NQ
FUEI:CirtlsOn~ Go{ql EbeSdw
FORCED AIR - BTU
TEMPORARY METER
WASH BOWI.
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-B7U
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION S'ISTEM
POWER SU9-CIFCUITS
WATER HEATER
Rafri eraM Gpup
UTILITY(RANGE,DiSPOSER,E7C)
AUTO. WASnER
Fbunds CMr s
FIXTURES
DISH WASMER
AUTOMATIC S%tINKIER SY$TEM
WIRING MOTORS 8 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMAmcS SCP~E ue~zs~: ;;2z m ,~rfYau+~ iv~r~ac` rre~s`
1 hsreby ocMnowledqe that tnie applico- PERMIT FEE
tion u eorrect ond understand tnat I USE TAX
eonnof Harf tAis projett until thia appli-
Cotion it apprOVeA. I shall tomply with TOTAL FEE
fhs lowa of the Stafe of Colorado and fo
the Zoninp Requlotlone ond BuildinQ AppROVED
Coee of tne City ot Wheot Ridpe Any DISAPPROVED
violation of tne above terme wiii cause CHIEF BUILDII
immediate revocation of this permit
r371
~71 "
~.W s azj~
,City of Wheat Ridqe
11c~.-(, ~ Date Issued
koolioanu ~on^tur. '
PHONE 423-,CZ02 2Ip CODE 80013
CONTRACT PRICE $ ~bmUg
DATE JANJA(Ly fk-.. 19 ct 3
NOT VAIID UNlESS RECEIPTED
)C,tt $476z
I-/Fi--2y
CALL 234-5933
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500WEST29thnvENUE BUILOING INSPECTION DIVISION PERMIT N0. M93#18946
234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
TNIS PERMIT VAUD ONLY WHEN SiGNED BY THE CMEF BWLDING INSPECTOR AND RECEIPTED BEIOW.
f
l
JOB ADDRESS ~ 1/1
!
CONTRACTOR l~c.&
CITY LAIO X ' CODE _
PHONE iccnico nin
OWNER
ADDRESS
PHONE
CONTRACT P ICE $
~
ZIP
I. TvPE Ground ❑
Woll❑
Pwieciinp❑
Otner
5 w D Faeo
SIGN
2. MATERIAL
Totol Sq
uan Fa~t
S
3. ILLUMINATION Y650 No❑
Type
Eltet. P~~mil No.
4. SET BACK FROM PROPERTY LINE N
(Speeify whicA ia front )
_
❑
S_ E
❑
_ W
❑ ❑
Zons_
Apprwed,2on~ Insp~dw
Disopprwsd
1. TYPE Solido More Thon 80% OOan❑
Limt Thon 80% Open
fE
CE
1 MATERIAL
H
i
h
N
S
3. SET BACK FROM PROPERTY LINE N
(Speclfy whieh ie }ront)
_
❑
S_ E
❑
_ W
❑ ❑
Q
e
t
Zma_
Approvod,Zons Impetfw
DisoOProvad
I.
~
1-
OTHER
p
z- d
~
17
1-~4
ff~ ~
~
°
3. I
D
ancwn un anUw etLVw, Int FENCE,SIGN,OR OTHER STRUCTURE, GI
(SETBACNS OR PROJELTqNS WCIUDED)
109
INSPECTION TICKET
JOB
ADDRESS
DATE: 14-30 BLDG. PERMITk/ ly(
PERMqITN
BLDG. CONTR. =-V -
STREET NAME
SNOW DISTANCES FROM THE MAIN BUIIDING TPADJOINING MOUSES, STREETS, A SUBCONTRACTOR
DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DI5T4NCE.
DATE INSP. REQ. I a-~
APPLICATION FOR PLUMBING; ELECTRIC) THIS AVPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK 7YPE OF INSP.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OP ISSUANCE ~
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERM INSPECTION MADE L L S '
57ATE LICENSE N0. REMARKS
ALUMINUM WIRE UNDERSIZE 8 ILlE6Al
FLOOR
BSM
I5T
2
WATER CIASET
TEMPORARY METER
WASH BOWL
NEW SERVICE - GMPS
BATH TUB
C ANGE SERVICE - AMPS
SHOWER
TING
IGH
SINK
W.R. FORM 6-19 ~
HEATING
GARBAGE DISP
POWER SUB-GRCUITS
WATER HEATER
UTILITY(RANGE,DISPO5ER,ETC)
AUTO.WASHER
FIXTURES
DISH WASHER
auitrNanc SPRINKLER SYSTEM
WIRING MOTOF25 6 CONTROLS
FI1JOFt DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
I hareby ocknowledqe thot this a0plico-
fion is correct and underatond thot I
tannof sfart tAis projbtt until fhie appli-
eation ie approved. I snoll comply with
tAe lawe ot the Slate of Colorodo ond to
the 2oninp Repulationa ond Buiidinp
Code ofthe City of Wheat Ridpe. Any
violation of the above ferme will cause
immediate revocation of thlq permil
~
♦ooficnnb sfun ror•
PERMIT FEE 6~-?
~
usE rax G-ci
TOTAL FEE $
APPROVED ~ ~2Z
~D
CHIEF BUILDI INSPECTOR,City of eat Ridqe
Date Issued b' S - ' 3
CALL2345933
24 HOURS IN ADVANCE
FOR INSPECTIONS
7500 WEST 291h AVENUE
234-5933 P.O. BOX 838
THiS PERMIT vAi in nNi v w,
JOB ADDRESS
ADDRESS -
CITY ~ /PHONE
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION PERMIT N0. MP93#3444
CITY OF WHEAT RIDGE, COLO.
SiGNED BY THE CHiEF BUILDING INSPECTOR ANC RECEIPTED BELOW.
--~r-~~LICATION FOR MISCELLANEOUS PERMI7
OWNER
ADDRESS
PHONE ZIP CODE
IP CODE 0~ CONTRACT PRICE
LICENSE NO. DATE ~
1. TVPE GrounC ❑
Wall❑
Proiettin
❑
Oth
2. MATERIAL
q
H
S a D Foee
SIGNS
3. ILLUMINATION Yee❑ No
❑
TYDS
Ta}e~ Squor~ FNt
4 SET BACK FROM PROPERTY LINE N
S
El~c}. P~rmif No.
(Spaeify whiM ia f ront )
E
❑ ❑
Nr
❑ n
Zon~_ ApprovW,Zon~ Inapecta
1. TYPE Solido Mon TAOn 80% OpanO
Less T
niseoereved
FENCES
MATERIAL
3. SET BACH FROM PROPERTY LINE N
s
~NSPECTION TICKET
_
E
_ w
(Speeify whieA ie }ronf)
❑ ❑
❑ JOB
1
ADDRES3 7 y O
OTHER
Z
3.
DRAW SKETCH pR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,Gi1
(SET84CKS OR PROJECTIONS INCLUDED)
DATE: v '1 V J11 ~
~BLDG. PERMITN a `FY v
PERMITq
BLDG. CONTR.
SUBCONTRqCTOR
DATE INSP. REO. V-/ V
STREET NAME
SMOW DI57ANCES FROM THE M41N BUILDING TPADJOINING NOUSES, STREETS~
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR pVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRIC
iHIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WOR
_ PERMIT WILL El(PIRE 180 DAYS FROM THE DATE OF ISSUANCI
ELECTRICAL PERMIT
PLUMBING PER
TYpE OF INSP.
J
INSPECTION MADE ~
REMARKS C..
J
W.R. FORM &19
yx~~ J
T
STATE LICEN
SE NO
ALUMINUAI VARE UNDEFSIZE 8 ILIEGAL FLOOR
BSM IST
2ND
3RD
4TM
NQ
FLEUCkrLpy Go~p~
EIOe Sdar
WATER CLASET
FpRCED AIR BTU
TEMPORARY METER WASH BOWL
NEW SERVICE - AMPS BATH TUB
F10T WATER BTU
CHANGE SERVICE-AMPS SHOWER
STEAM BTU
LIGHTING
AIR CONDITIONING-BTU
SINK
OTHER
HEATING GARBAGE DISP
POWER SU8-CIFCUITS WATER HEA7ER
REFRIGERATION SVSTEM
UTILITY(RANGE,DISPOSER,ETC) AUTO
WASHER
Re}ri sronf Grou
.
f1J(TURES DISH WASHER
Poundf CMr •
WIRING MOTOftS 9 CONTROLS FI
DOR DRAIN
AUTpMATIC SPRINKLER SYSTEM
.
$IGN$
EIEVATOR
URINAL
TRANSFORMERS 9 RECTFIERS SEWERS
ADDITION TO OLD WORK OTHER
MOTORS OVER I HP TOTAL FIXTURES
REMARKS
I Asreby ocknowledqe thot this avol?co-
tion is correcf ond undersfond thot I
oannof start tAi! DrOjecf until thia oppli-
Cation is opproved. I zhall romply wifh
fM lowe of the Stofe of Colorada and to
}hs Zoninq Repulationn ond Buildinp
Code offhe City of Wneat Ridpe. Any
violation ol tA,4 above terme will couse
immediate re/owho"f ihie peVmii
PERMIT FEE
NoT vaUD UNIESS REGEII
USE TAX
TOTAL FEE
APPROVE~ l"S ~ I,
~
A,
A$ l+~-
~
CHIEF BUILDIf~ INSPECTOR,City
Wheat Ridqe
CALL 2345933
24 HOURS IN ADVANCE
Date I55ued
FOR INSPECTIONS