HomeMy WebLinkAbout4650 Teller StreetPERMIT:
ADDRESS: "
INSPECTION RECORD
JOB CODE: % R F
Y//z
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections Date Inspector
102 Caissons /Piers Initials Comments
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections Date Inspector
201 Electrical / Cable/ Conduit Initials Comments
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation -
306_Mid-Roof _.:.
fef�ial / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
Date IInspector
Initials
t 1 I K_ 10v.
SEE OVER FOR ADDITIONAL INSPECTIONS
Comments
Inspector
Hugh Inspection (continued) Date Initials
16 Rough Mechanical Residential
17 Rough Mechanical Commercial
18 Boiler / Furnace
19 Hot water tank
20 Drywall screw and Nail
21 Moisture board / shower walls
22 Rough Grading
123 Miscellaneous
Inspector
=inalInspections Date Initials
102 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
_ f
409 Final Roof fh.
410 Final Window/Door
411 Landscape/Park/Planning
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire In p. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
comments
comments
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
Note: All items must be completed �and UedProApprovalPlanning,
Final Building InspectionFire
does not
Buildingbefore a Certificate of occupancy
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
e I�zv �:�--
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 42,02260 :TEGGfV
Permit Number: :57,
❑ No one available for inspectio • Time AM&
Re-Inspection required: YesNo
When corrections have been made, call for re- i s ection 3 -2 -5933
I f
Date: l I /;?,/ 1 i�" Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
" Residential Roofing PERMIT - 201708062
PERMIT NO: 201708062 ISSUED: 10/06/2017
JOB ADDRESS: 4650 Teller ST EXPIRES: 10/06/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 33 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)431-6073 REYNOLDS MICHAEL W
SUB (303)425-7531 John Borfitz 019983 J & K Roofing 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: 12,202.00
FEES
Total Valuation 0.00
Use Tax 256.24
Permit Fee 251.85
** TOTAL ** 508.09
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201708062
PERMIT NO: 201708062 ISSUED: 10/06/2017
JOB ADDRESS: 4650 Teller ST EXPIRES: 10/06/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 33 sq Pitch = 4/12
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
performe nd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
> C-� 1C3
Signature of O>15k or CONTRACTOR (Circle one) Date
1. This permit as 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 originalpermitfee.
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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable rrode.pr 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.
CONTRACT"
J&K Roofing
13000 W. 43rd Drive • Golden, CO 80403 SyaiiERS
BBB
Phone: 303-425-7531 •Fax: 303-425-1562
w1Nw jkroofing.com
Representative CHANCY GARNER Contact 720/878/5455 Date 8/21 2017
Name AMELIA REYNOLDS Phone 303-431-6073 Email
Address 4650 TELLER ST City WHEAT BADGE State CO Zip 80033
Pinnacol Assurance 303-361-4000 Preferred Contractors Insurance
Workers Compensation Insurance Policy #4079290 720-984-2471
General Liability Insurance Policy #PC72863-03
LABOR AND MATERIAL SPECIFICATIONS, TERMS,
AND CONDITIONS. PLEASE READ CAREFULLY:
® Recover roof with OC DURATIONS ��-L—
® Color of shingles
® Manufacturer's Warranty'L/T
® Tear off 1 LAYER
® Install Underlayment 15LB FELT + IWS 1516SF
® Double all Eaves AND RAKES PER HIGH WIND APP.
® Re -Flash Chimney and/or Skylights IWS AS BASE
® New Valleys IWS AS BASE
®Replace Ridge COLOR TO MATCH
Ventilation TURTLE VENTS =10
® Galvanized Fasteners 6 NAIL PER HIGH WIND APP.
®Replace ALL Plumbing Jacks
® Paint roof stacks to match SHINGLE COLOR r
® Install�l?-Metal Edging 2X2, 2X4 �. dxk
❑ Patio or Flat roof
® 5 Year Warranty on labor
® J & K Roofing to furnish all material and labor
® Permit: POSTED WHEN WORK STARTS
® Clean-up debris and haul off all trash from roof
® Roll yard with magnetic roller
® Gutters cleaned of roofing debris
® Decking Repair $1.67 per SF
n Hidden Layers (tear off) $ per layer
(Carrier) (Policy Number)
(Claim #) (Adjustor)
(Mortgage Co.)(Mortgage Loan Number)
® Extra work R_&R.,GVTTERS AND 6 X 5' EXTENTIONS
The property owner is EQ is not using procee s from
property and casualty insurance policy.
UPGRADE TO IR $SIGN OR -350
RB FOR 2 ROOFS $-200
Deductible if applicable $
Per Colorado State Law CRS 10-3-1115; 100% the
responsibility of the homeowner to pay this amount. J&
K Roofing will not reimburse or promise to reimburse
in whole or in part any amount of the deductible.
Estimated Start Date 4 WEEKS
TOTAL ESTIMATE $ 14486.31 +PERMIT OR INSURANCE
PROCEEDS
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT
APPROVAL
J & K Representative Date /.
Homeowner—��1c.,�.. tc+ld _Date 0570
Expiration Date
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
Dane Lovett
z 61170 � 06
From:
no-reply@ci.wheatridge.co.us
Sent:
Tuesday, October 3, 2017 4:51 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Follow up
Flag Status:
Completed
C
t7
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
f'r.
Property Address 4650 Teller St
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Amelia Reynolds
303-431-6073
101
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
REYNOLDS CONTRACT.pdf
CONTRACTOR INFORMATION
Contractor Business J & K Roofing
Name
Contractor's License 019983
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-425-7531
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 13000 W. 43rd Dr., Golden Co 80403
(Primary address of your
business)
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 33
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
12202
No
Pitched roof (2:12 pitch or greater)
102
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
33
Owens Corning Duration Storm
Asphalt
House
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
103
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Kathy Vendegna
Email not displaying correctly? View it in your browser.
104
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: NIi�AL OC)r'
Job Address: (d 50 T tU6 - ST_
Permit Number: 9_n � `j 0 �50(P'2_
O �/l VL �
C
❑ No one available for inspection: Time A -WPM
Re -Inspection required: Yes No
When corrections have been made, call f e-inspectiion at 303-234-5933
Date: � Inspector: 1
DO NOT REMOVE THIS NOTICE
FOR OFFICE USE ONLY
City of Datc dl
C>trr f: .err PlonlPennite
Buildings & Inspection Services Division
75902 W. 29th Ave., Wheat Ridge, CO 80033 Plan Review Faye:
Office: 3023-235-2855 * Fax: 393.237-8929
Inspection Line; 3023-234-5933
Building lermit Application
Blease complete, all highlighted areas on bona sides of this form. incomplete4PP1I s m y ta0 tai seed
Property Address:
Pro neer (please print): t' b l s Phone: i
Property Owner Email
Mailing Address: /f different than propertyaddress)
Contractors ity,l l en a #.Phone:
Contractor E-mail Address:
Saab Contract
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Stab: Other City Licensed Sub:
City License # City License ##
Complete all information on BOTH sides of this for
NEW COMMERCIAL
ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL
STRUCTURE STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION#O' REPLACEMENT
COMMERCIAL ACCESSORY
RESIDENTIAL ACCESSORY R .,
E (Garage, shed, deck, etc.)
MECHANICAL x r xx. x REPAIR s.. REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE
REPAIR
w ,.. • • REPLACEMENT
.:..s a
OTHER l-•
Sq. F 1StUIS Gallons
Amps Squares tither
Sent from my Wad
INSPECTION RECORD OccupancylTVpe
°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
vice
c
Stemwall I (CEG) Concrete
Encased Ground
Rough Plumbing
Roof t�
Gas Piping
Reinforcing or Monolithic
Rough Mechanical
ABOVE INSPECTIONS TO BE
Weatherproof / French Drain
Framing
R.O W & Drainage
Sewer Service Lines
Insulation '
Parking & Landscaping
-'
Water Service Lines
Drywall Screw
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
"�- CONCRETE SLAB FLOOR
'Electrical (Underground)
Plumbing (Underground)
I ' Heating .(underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
FINALS
Electrical
A c
vice
c
Rough Plumbing
Roof t�
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE
SIGNED PRIOR TO PROCEEDING
Framing
R.O W & Drainage
Insulation '
Parking & Landscaping
*'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A: :.
(CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION.:
OF ACERTIFICATE OF OCCUPANCY.. NOR PERMISSION FOR OCCUPANCY.
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical:..
Roof t�
Building Final.
•Fire Department
R.O W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
*'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A: :.
(CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION.:
OF ACERTIFICATE OF OCCUPANCY.. NOR PERMISSION FOR OCCUPANCY.
UCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax -
INSPECTION E ONCE
Inspection Type:i
Job Address: s(? te_v
Permit Number:
r,
❑ No one available for inspection: Time K Q/PM
Re-Inspection required: Yes
"When corrections have been made, call for re-inspection at 303-234-5933
Date: ~ Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Job Address:
Permit Number:
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
When corrections have been made, call for re- inspection at 303 -234 -5933
Date: 1 L);� ins
a
DO NOT REMOVE THIS NOTICE
094258'. ?ISSUED:( 11/30/2009
SS:; 4650 TELLER ST.` -EXPIRES: 05/29/2010
DN: i Reroof 25 sqs
DNTACTS
!BLOCK/LOT#: 0/
ESTIMATED PROJECT VALUATION: 11,311.00'.
FEES
272.10', yam,
. 00 a ' `a €
Dt~,3 s
203.60 c~t,
475.70
3-roof inspection required. Board sheathing spaced more
art requires plywood overlay on entire roof. Ice and
INSPE ON REQUEST LINE: (303)234-5933 BUILDING OFFICE: ' (303)235-2855
REQUE S MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
IF
F;
W HEgT
~oF ~q, City of Wheat Ridge Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
C~~ORA~~ Inspection Line: 303-234-5933
Property-Address. / 6 5-0 7-t~ ((ej, S1-
Property Owner (please print): ~ K L ~y o US Phone
Mailing Address: (if different than property address)
Address:
City, State,
Building Permit Application
Date:
Plan
Permit M -M / X-
Contractor: 61zP,,,!
Contractor License Q 2 - / 3 'f Phone: 7 Z~ - Z 6 9 G/ 9 l0
Sub, Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): J - Construction Value: $ /I, 11 y. Oo
Description of work: (as calculated per the Building Valuation Data sheet)
A. . A,~ ' 4, Plan Review (due at time of submittal): b
Sq. Ft./L.Ftadded: Squares 2.5'- BTU's Gallons Amps
[CIRLCE WNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
ereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
les or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
egations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
sponsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
der this permit. Plans subject to field inspection.
ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
INT NAME: SIGNATURE:
Date:
s
oF WHEqrA
City of Wheat Ridge
°ot oRaa° Residentail Plumbing PERMIT - 060057
PERMIT N0: 060057 ISSUED: 02/28/2006
JOB ADDRESS: 4650 TELLER ST EXPIRES: 08/28/2007
DESCRIPTION: hot water heater 50 gallon gas tall 12 year
CONTACTS
gc 866/293-3031 Paul Hendrixson 02-2394 Metro Mechanical
owner 303/431-6073 Michael Reynolds
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 500.00
FEES
Permit Fee 30.55
Total Valuation .00 ~q)
Use Tax 9.00
TOTAL 39.55 ~
Comments:
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 condiCions printed on ehis
application and that I assume full responsibility for compliance with [he Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permiL P1ans subject Co field inspection.
Signature of contractor/owner date
1. This pezmit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zonin9 Regulations and Huilding Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire if (A) the work authorized is no[ commenced within sixty (60) days from issue date or (H) the
building authorized is suspended or abandoned for a period of 180 days.
3. If Chis permit expires, a new permit may be acquired for a fee oE one-half the amount normally required, provided no
changes have been or wi11 be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (ll year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permi[.
a. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the auilding Inspector twenty-four (24) hours in advance for a11 inspections and shall receive
writ[en approval on inspection card before proceeding with successive phases of the job.
6. The issuanCe of a permit or the approval of drawings and specifications shall not be cons[rued to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any o[her ordinance, law, rule or re9ulation.
all plan review is subject to field inspections.
Signature of Chief 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.
COMYUNRY DEVELOPMENT DEPARTMENT Building Pertnit Numbar.
~ BUILD1140 INSPECTIONLINE•303-234-0933 Date:
CITY OF WHEAT RIDGE
7500 YVEST 29TH AVEPNE
. 1NHFAT RIDGE, CO 80053 - (303-235-28W
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What arwvernr#,msemeMsormstrictbnsofmmd;QhalallmsasuremeMs
. alwvn% a1bga4ana made aee acara0e; fhat I hare read and apree fo aD{de by alI
cplt~ilM~.:p~6W af Y1is apqkaSan and fiat 1 assume full resaonsiCiliy for
f0 fleld
Value:$ Soo
PertnitFee:$ 30'3S.
Plan Review Fee:$ o
Use Taac:$ q•ao
rotal_539. ss
' . use of Space (description):
Desaiption of work:
4-I0 (~w\ 6oSI~~1 1ay~
. Sq. P1. addtl
Exp'ualion Dffie: Expira6on Daie: Expiration Date:
qpppvei: ApProval: ApProval:
(t) TMa Fertniiwo IssveC in aomNaicevrrth the prov4vbns set fafi In yow appli;ation and is wbject to the laws of the SEaOa of
ColaradoandteUieZoMrgRepulstionsandBuddngCadesofWheatRidge,CdoradoorarryoiTerappliphleo[d'nancesM
tlrCiqt
(2) . TAis psmtit sha9 expba if (A) Ihe wak auNarizetl is m[ eommenced within scAy (91)) Aays 6om iasue deta or (B) tlhe buFlmng
aulhorired Is auspended or abandoned kr a petiod of 180 dapa.
(3) ifWapa+mltexpires,a~ permitmaybeaequiredforafaeofone-hallilheamouMnormaltyreqWad.piovidedlrocharges
hari9 6ean orw616e matle In Vc origfnal plans an0 speci9tafons and any sua;armion orabandommaithas not ezcaeded one
. (7)year. NchanpeahavabeenocifguSpenNonorabandonmentaxesedsane(1)yefr,Tullfeasshallbepaidfiranewpelmt.
(4) NO waR of amr mantler shell bE done Nial vnll change tAe nahuat flovt of water causinB a dratnapE prob:em.
(S)i: Conh+xFar shaN frotiy the BLdding Inspeebr twenlyhour 124) Nw:rs M atlvanee for all inspeclens and shalf receive wAten
appmvat on inspecUOn cad belore prooaedkq wNh wcoesWa phases of thejob.
(a)'Tha WwAnce of a p0ra or Bio approval of drawinpa arxi speafleations shall not be amstved to be a permi: hr, nor an
apprevalof,arryvida6onoftheprwkionsofM0lw99ngcodesorarryotherocdMence,lau,[uleorregtla6on.Allplanreviaw
b subJect to tfeld hupeetlons.
Eledricat License No: Plumbing Lieertse No: Mechanicat License No:
Company. Company. Company.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17792
BUILDING INSPECTION LINE -(303-234-5953) Date : 9/28/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: REYNOLDS
Property Address : 4650 TELLER ST
Phone : 431-6073
Contractor License No. : 18916
Company : Accent W indow Inc.
Phone : 295-1170
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : $7,850.00
I hereby certify that the setback distances proposed by this permit application are accurate, and
Permit Fee : $199.30
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
Plan Review Fee : $0.00
made are accurate; thal I have read and agree to abide by all conditions printed on this
Use Tax : $94.20
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge-Q dinances, fofdvoN nder this permit.
$293
50
ATE %~Ty-0
(OWNER)(CONTRACTOR) SIGNE
.
Total :
Use:
Description : NEW VINYL W I DOW (9) REPLACEMENTS
Zoni{~g CommenCs:
Approval:
Zoning :
Buflding Camrnents:::
Approval:
Fublic Wotks Commenti:'
BUILDING DEP"
rC~~
E ONLY
SIC : Sq. Ft. :
,
=ET EGRESS
Approval:
Occupancy: Walls
rtoof
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval :
Stories : Residential Units :
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) This permit was issued in accordance with the provisions set foRh in yopur application and is subject to lhe laws of ihe State of Colorado and to the Zoning
Regulations and Building Code ot Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within siaty (80) days from issue date or (B) the building authonzed is susDended or
abandoned for a period of 120 days.
(3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in lhe
original plans and specifications and any suspension or abandonment has nol exceedea one (1) year. If changes are made or if suspension or abandonment
exceetls one (1) year, full fees shail be paid for a new permil.
(4) No work of any manner shall be done lhat will change the natural flow of water causing a drainage problem.
(5) Confractor shall notiy the Building Inspeclor iwenry-four (24) hours in advance for all inspedions and sha0 receive writlen approval on inspeclion card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifcations shall not be consirued io be a permit tor, nor an approval of, any violation of the
provisions uildinairyolherordinance,law,mleorregulation.
h B ding Ap-eTor
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PL?u`INING AND DEVELOPMEr Y Building Permit Number: I7 T~? Z
wtiea ~t.~
;of r P BUILDi~i'GINSPECTION LINE - 303-234-5933 Date: ID""T
CITY OF WFIEAT RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-285~5)
C~lORPO~ P.¢~~iP''3TIO~/
~Y
~
Prope:ty Owner: Rty ^ o Id5
Phone:3o;-Y31-404D73
Property Address: yGSa
Con4actorLicenseNo.: /89/6
Company: A c ~ f n .41o 1., c, Phone:3o3-90/-0805
OW[JEILCONTRACTOR SIGtiATURE OF UNDERSTA,WING.4'YD AGREEME~Ei7T
I hereby ceriify Tnat the secback distances proposed by this permit application are accunte,
and do not violate applicable ordinances, mles or regulations of ffie Ciry of Wheat Ridge or
covrnaaa, easemenu or ms5ictions of record; Ihatall measuremrnts shown, and allegations
made are accurate; tha[ I have read and agrce to abidc by atl condiuons printed on Ihis
applicaROn and that I assume full responsibiliTy for compliance wi[h the Wheat Ridge
Building Code (U.B.C) and all other applicable V✓heat Ridge Ordinances, for work unda
[his pecmit.
(OWNER)(COhTRACCOA): SIGNED "F'~ C ~"DATE
DESCRIPTION:
n/~,, </y'/
Construction Value:$ 7850`
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
leL'o /A G~~ <w / S
5£t A -rrAc_id.c,Q Skc- I-s
-t-IL 9 Li "w.aows
4
BUII.DING DEPARTMENT USE ONZY
20N7PIG COMMENTS:
Approval:
Zoning:
SUILDING COMMENTS:
Approval:
PUBi.IC W0713(5 COMMENTS:
Approval:
Occupancy: Walls:
s
Electrical License No:
Company:
~ Uae2S
~oo~s
Sq.Ft
«
L 7r.
^r'
Roof: Stories: Residential Units:
Plumbing License No: Mechanical License No:
Company: Company:
Expiration Date: Expirarion Date: Expiration Date:
Approval Approval- Approval:
(I) This penni[waz issued in accordance witfi the provisions set focth in your applicabon and is n:bject to the laws of the Srate ofColondo and w ehe Zoning
Reyuiarioos ar:d Building Codcs of Wheat Ridge, Cdondo or any oNer applicable ordinancu of Lhe Ciry.
ihi> pe:mit sEall cxpire if (A) ehe work authorized is uoroommeneed wiNin sixry (60) days vom issue dam or (B) th<building authorized is suspmded or
abandoned for a period of 120 days.
(3) If Lhrs permit expires, a new p<cmit may be acquired for a&c ofonehalf the aznount nom:ally required, pmvided no c6anges have bcen or will be made
in Ric origina: plans and specificafions and any suspcosion ur abavdonmrnl haz not excceded one (1) ycar. If chwiges have been or if suspevsion or
abandonnent encecds one (1) year, fu71 kes shai] be paid for a new permit.
(4) No work of any manver shall be done lhat w+11 change the nanual flow of wat<r cau.ciog a d:ainage problem.
(5) Cono-acm: shall nofify the Buildir.y:nsp¢tor Rvenry-Cour (24) hours m advantt Por alI inyectlons anL snall recerve writtrn approval on inspectlov card
befo:epcatt.dingwithsucttssivephascsof[hejoS. iolaean oflhe
(6) Tnc issuance of a p<nnit or 1he approval of drawings avd specincafions shall not'oe mnscved w be a Pert:it .`or, nor an aPproval of, any v
provisions of tSe buil3ing codes ar any other ordinance, law, mIe or.egulation.
SIC:
Chief Buildm., Inspecto:
~ Production Cover Sheet - Central Region
Michael and Amelia Reynolds
Contrad Amount E7,850.00.
4650 Teller St
Contract Date Wednesday Se t~ember O8, P004__
Wheat Ritlge, CO 80033
.
Recision Date Salurday, September 11, 2004
PaymentType Financing
(303)431•6073
_
Work Phone For Michael (303) 808-9603
Change Order Nom
No Known Work Phone Number tor Amelia
Change Order Amount
Sales Rep Butts, Michael
Source Type _O(Hik,iR
Set By Butts, Michael
Source Description walk in chan. 9
ract ~CC
~
Send To Accounting Department ~Che~ ~ O^9inal Cont~
Job Cost Pay Sheets Change Orders I,
- -
Notes From les Department
l'o,~ ~~e-T~-- - - -
- - - -
- ~<t1 Lti' G~~~-- -
Production Department
OSIS Arrival Date _...--NOtes _ _
OSIS Approval Date _ Date Issued to Measure
Measure Date Notes
Permit Inf
Date Sent to Produ n
~ -
Production Date
Finance Approval Dal
HOA Approval Date _
Notes
Notes
Notes
Change Order Date ._._..Notes
~ - - - - ~
~1/~. \
Install Date Final Collecl Amounl ~ 'JL0~'~
Monday, September 13, 2004 3:56:24 P Central Region Michael and Amelia Reynolds
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JEFFERSON COUNTY uf ~ '~,It SCHEDULE #
ADDRESS
rn• 1 al ADDRESS
PROPERTY OWNER ~ A
I1~~ AS OF -..1 q?
STATE~- ZiP-~--PHONE#
CITY w~-
PHONE# AS OF~
TENANT NAME ,
TYPE OF PROPERTY: ~ J~~~
INSPECTIONS WILL NOT BE MADE UNLESS '
THIS CARD IS POSTED ON THE BUILDING SITE
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVEHUE 23MIi~~M~i5
_1fi:~
i303) 234•Sas3
INSPECTION RECORD
r03, 234-e,an
IOBADDRESS 4650 Teller Street
BUILDING PERMIT N0. M93f118836 DATE ISSUED 6/18/93 TYPE oCCUPANCY
OWNER M. Reynolds
CONTRACTOR Withrow Construction, 698 S. Jasmine Way Denver. CO 80224
SETBACKS FROM PRGPERTY LINES: NORTH SOUTH EAST West
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
I NSPECTION
DATE
I NSPECTOR
Foundations
Footin s
Caissons
Reinforcin orMonolithic
Weather rnofin
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Concrete Slab Floor:
Electrical Ground Work
Plumbin Ground Work
Heatin Ground Work
DO NOT POUR FLOOR UNTIL AOVE HAS BEEN SIGNED
Rou h Electrical
Rough Plumbing
„ ,
AirTest Gas Pi in
Rou h Heatin & Ventllation
(above must be sipned prior to framina insnectron) ,
Framin
7
Insulation
- 7'-r<
, 64~-
Dr wall nailin
-
Roofin
Refri eration
Electrical under round
Final
Electrical Fixtures
Plumbin Fixtures
Heatin & Ventilation
Landsca e & Parkin
R.O.W. R Draina e
Fire De artment
Job Com leted
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEA°PHER
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INSPECTION TICKET
JOB
ADDRESS
~ 3 I
DATE: BLD~PERMIT#lSb.3(
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. !F" -3
7YPE OF INSP.
INSPECTION MADE
REMARKS
~
~i
W.R. FORM 6-19
DEPARTMENT OF COMMUNITY DEVELOPMENT
n'' 10 '~;'3
7500 WEST29thAVENUE BUILDING INSPECTION DIVISION
PERMIT N0
3491
234-5933 P.O. BOX638 CITY OF WHE
AT RIDGE, COlO.
.
THIS PERMIT VALID ONLY WHEN SIGNED BY TNE CHIEF BUILDING MSPECTOR AND RELEtPTED BELOW.
APP CATION FOR MIS
~0
CELLANEOUS PERMI7
JOB ADDRESS
OWNER K
✓
LKS
CONTRACTOR ~ T~^
^ u i~t
ADDRESS ~ 6,50
f6
1
}
ADDRESS ' ~~9q'7~ w s~ah~o G~
pHONE
CITY O!/' I,Szj tn
ZIP CODE
enyfm-!
CONTRACT PRICE $
13
ZIP CODE
~7
q^~,
-
PHONE 97-3~ 71 AJl
/
_ LICENSE NO.
DATE
L TVPE GrounA J Woll❑
ProittlinQ❑ 01her
5 a D FoCe
2. MATERIAL
- . . -
S~~N~ - -
7Z
INSPECTION TICKET
W INSPEC
a
TION TICKET
JOB
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DRESS "/G SU TG I/ ~y
L... JOB
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ADDRESS `7 G~✓d
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FENCE
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DATE: BLDG. PERMIT# 3PH9
- DATE:
BLDG. PERMITM 43 3y~
OTHE
-
PERMITM
~
PERMITk
DRN BLDG. CONTR.
'URE,GI BLDG. CONTR.
(S
SUBCONTRACTOR
LiNE SUBCONTRACTOR
DATE INSP. REQ.
DATE INSP. REQ. 7
t~
iYPE OF INSP~1`
TYPE OF INSR pLv-)"'
INSPECTION MADE
INSPECTION MADE
~
•
REMARKS
FEMARKS _ ~
i
LINE
~
W.R. FOflM 619
- W.R. FORM E79
SHC 'REETS, ~
D ANCE.
~ CTRIC
ED WORK ONLY UPON VAUDATION BY THE BUILDING INSPECTION DIVISION.
➢ERMlT WItL EJ(PIRE 180 DAVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STApTED WITHIN THAT TIME.
ELEC7RICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE UCENSE N0. 8
MECHANICAL PERMIT
ALUMINUM WIRE UNDERSIZE B ILLEGAL
FLOOR
BSM
IST
2N0
iRD
4TH
N0.
FLE4CircNOM Go{dlPropw» EI Solp
P10.
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER _
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONINCa-BTU
LIGHTING
SINN
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Rafri araM Group
UTILITY(RANGE, DISPOSER, ETC )
AUTO. WASHER
Pounds CMr •
FIXTURES
DISH WASHER
AUTpMATIC SPRINKI.ER SYSTEM
WIRING MOTORS 9 CON7ROL5
FLDOR ORAIN
EIEVATOR
SIGNS
URINAI.
TRANSFORMERS 8 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTOR$ OVER I HP
TOTAL FIXTURES
1 Asreby ocMnowladqe that this applica-
PERMIT FEE
gs
NOT VALID UNLESS RECEIP
rion u eorrec+ and uneersrana inot i
USE TAX
~ C;?
eonnot ftart this projeci until thie aDDli-
tation if approved. I sholl romply with
TOTAL FEE
O ~C2
-7
the laws of the Stole ol Colorodo and to
Q
}hs Zoninp Repulotionn ond Buildinp
AppROVED
t Wn
t Rid
An
f th
Cit
C
d
DISAPPROVED
pe.
y
y o
ea
o
e o
e
violotion of the above terme wili cause
CHIEF BUILDIN NSPECTOR, City of Wheat Ridqe
immediate revocalion ot tn}~ permit
, „ i / 1
_
CALL 234-5933
cJ ~i 24 HOURS IN ADVANCE
~C R! Dafe 11 ssued ~~/`c 3 FOR INSPECTIONS
DEPARTMENT OF GOMMUNITY DEVEIOPMENT
7500 wEST29thAVENUE BUILDING IPJSPECTION DIVISION PERMIT N0. ME931i5298
234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CNIEF BUIIDING iNSPECTOR AND RECEIPTED OELOW.
UGATION FOR MISCELLANEOUS PERfAl7
JOB ADDRESS OWNER !%~/L~~
CONTRACTOR P6 °F ADDRESS 4~ SC~ ~
~ JC? PHONE ii~o 7 ~ ZIP CODE
ADDRESS
CITY --7 ~p ZIP CODE CONTRACT PRICE $ I e00,
PHONE / / ~ ~~1 63 LICENSE NO. DATE 21 L TVPE Ground❑ Woll❑ Proimtinp❑ Othsr SaOFOC~
2. MATERIAL Totol Squan FeN
SIGNS 3. ILLUMINATION Ys+❑ No❑ Typa ElW. Permit No.
4. SET BACK FROM PROPERTV LINE N_ S_ E_ W Zons_ Approved,ZOne lnp"etw
(SDeCi}y whiN is fiant) ❑ ❑ ❑ ❑ Dis00WOVW
_ _ 1-1 ' r Leu Th 7 Z }
FE INSPECTION TICKET
INSPECTION TICKET • E- W-
JOB
JOB ~ ~//~J~ ~ ❑ ADDRESS_
ADDRESS
Ol ~i
~9 Syj( ~ DATE: 7- aBLDG. PE MIT# Y-'
DATE: BLDG. PEFiMITB V~ tUCTURE,GIVI
PERMITM
PERMIT# tTV LiNE ~ ~
BLDG. CONTR.
BLDG. CONTR.
SUBCONTRACTOR
SUBCONTRACTOR
DATE INSP. REQ.--/-G
DATE INSP. REQ. /
7YPE OF INSP.
INSPECTION MADE
REMARKS O/l . Yr~~(/,
W.R. FORM E19
TYPE OF INSP.--(-. INSPECTION MADE /
R7Y LINE REMARKS (/"1
i, STREETS, AI
)15TANCE.
LECTRICE W R. FORM E19
CATED WORK
OFISSUANCE
i/ IBING PERM ~
? N0
ALUMINUAI WIRE UNOER SIZE 8 ILLEGAI
fL00R
BSM
I ST
2ND
3R0
4TN
N0.
FUE4Ckd*0nN Gai QI E Sdar
Np,
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH 80WL
NOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINN
OTHER
HEATING
fiARBAGE DISF
REFRIGERATqN SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Rafri eront Gou
UTILITY (RANGE, DISP05ER, ETC )
AUTO. WASHER
Poundf CMr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTOFtS 8 CONTROLS
FL.OOR DRAIN
ELEVATOR
516N5
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS kJ LA--e L-e"aac.,v'~L /V
I Mreby acknowledQe ihat this a0plica-
tion iE correct ond understane tnor I
tannot ftort thie Drojbtt unfil thia oDGli-
cotion is opproved. I shall comply with
iM lawf of the Stote o1 Colorodo and 10
ihe ZOninQ ReQulations ond Buildinp
Code Of the City of Wheai RidQe. Any
violotion of tne above terms wili couse
im e ote revocahon o( this permit
~Z~~,i~"~
- F-
\pDliconl~ Sianalon
PERMIT FEE
USE TAX
TOTAL FEE
CHIEF BUILDIN(`i/1NSPECTOR,City of Wheaf Ridge
5
Oate Issued
aSt~p -77
y3
CALL 234-5933
24 HOURS IN ADVANCE
FOR INSPECTIONS
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST29thAVENUE BUiLDING INSPECTION DIVISION
234-5933 P.O. eOxs3a CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CH1EF BNIDING INSPECTOR AND RECEIPTED BEIOW.
APPLICATION FOR MISCELLANEOUS PERMIT ~
JOBADDRESS
CONTRACTOR l~l+ T f-E (LG'(it I
ADDRESS ~1'~?~sS~L~ ~,G[_,1
`0 ZIP CODE
P e'u.~,i---~ ~ . /
CITY ~
PHONE 3~`iL5T LICENSE NO. LLe1~_
JOB )
ADDRESS ~I L S 0
I. TYPE GrounO ❑
Woll❑
Proiectina❑
OtMr S a D Feoe
2. MATERIAL
Tofal SQUOre FNt
SIGNS
3 ILWMMATION Yas❑ No❑
7yps
Elecf. Pvmit No.
4 SET BACK fROM PROPERTY LINE N
_
5_ E
_ W
Zorn_ ApprovW,Zone Inspettor
(Specify which ia front)
❑
❑
❑ ❑
DmaOpond
I. TYPE Solido Moro Than 90% OpsnO
Less Thon BO% Open
2, MATERIAL
HeiOhi
FENCES
3 SET BACN FROM PROPERTY LINE N
_
S_ E
_ W_
7""• enw•"""~
(Soecifv whieh ie 1ronU
❑
❑
❑ ❑
7 ~
i.
OTHER Z
13.
INSPECTION TICKET
DRAW SKETCH OR SHOW BEIOW,THE FENCE, SIGN, OR OTHER STRUCTURE,GIViM1'u DI
(SETBACKS OR PROJECTqNS INCLUDED)
STREET NAME
SNOW DISTANCES FROM THE M41N BUILDING TPADJOINING HOUSES, STREETS,AND PI
DISTANCE TO PROF'ERTY I.INES,NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; I
THIS APPLICATION WILI BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF W(
DATE:
BLDG. CONTR._
SUBCONTRACTOR
DATE INSP. REQ..
PERMIT N0. M93#18836
BLDG. PERMITM 1 P P 3'C
PERMITM
TYPE OF INSP. JD W
INSPECTION MADE - 27- / E"
i~
REMARKS
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT W R. FORM 6-19
~
STATE LILENSE NO.
ALUMINUAAWIREUNDERSIZE8ILLEGAI
FLOOR
BSM
IST
2N0
pp.
TEMPORARY METER
NEW SERVICE - AMPS
WATER CIASET
WASH 80WL
BATH TUB
FqT WATER - BTU
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATpN SYSTEM
POWER SUB-CIFCUI7S
UTILITY(RANGE,DISPO5ER,ETC)
FIXTURES
WATER HEATER
AUTO. WASHER
NSH WASHER
Retri sranf Group
Chorus
AUTOMATIL SPitINKI.ER SYSTEM
WIRING MOTORS 9 CONTROLS
FI.OOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I Aareby ncknowledqe thot ihis oODliCo"
tion ie torreCt and understand that I
tonnof ttort this project until this oppli-
cofion is opOroved. I shall comply wrth
tAe lowa oi the Stote of Colorado and fo
ihe Zoninq Requlations and Buildinq
Code offAe City oi Wheat Ridpe. Any
violation of the above terme will tause
immediote revocation of thls permit
n J I !I
PERMIT FEE
use rax
TOTAL FEE `J -3 ~ (f-CJ
CHIEF BUILDIr44~ INSPECTOR,City of Wheat Ridqe
Date Issued
OWNER v~v) i~V ~r) >
ADDRESS 750Z -
PHONE 602 ~ ZIP CODE
CONTRACT PRICE $
DATE
NOT VAL10 UNLE55 RECE
. i-A-
t0 -1 "1-< 3
1i, ~i 7`~ ?
CAIL 234-5933
24 HOURS IN ADVANCE
FORINSPECTIONS