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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 APPl.7C4T`.FQN :i s: ~ ft*9ey.sadtess: ~I bSS t9o<; cc y~c ca,t . . . CMV=T- \ 1 IP4C'Il-\\ 1~QfYl1l~a.\ t,,,hee~ tt~d.~e ~Co8a~a3 ~no~:3o3•4S6•5"1by Phone: ~ ..~rs'2, ( - i~o~ ~r ONIINVCUIiTW1CSOR SICNM1TURE OF UNDERSTIWDING AND ACREEMENT BuildinaDenLWfuationFigure: 1 pfvy wtit~C9DlCWadc tlislaiwss PtoPCSad hY tltis Gertnf[ appOCBtlOn aB ~ ana ac na ~nolNe aao~Ne ora~noes, rwes a reeuletions of me cny of 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 ~ p T O w O ~ 9 ~ m o~mga• 'mfso~ T Y y ~i a l os ~ 0°s . . . Y TT 4 o~ $I~I9' 3 ~ Io F 0 T ~ 0 9 D~x A ~ °n $ y ~ 6 : N ~k ~ ~ 0 c'- C n~ 1 ~ V ! c. e U ci,-N p ti ~r :E ~ O ,m R rn a P r: y ~ { a: T ~ T N $ u ~ Z p o O [ R~ S f mg n ~ T c ~ ~ E 9 ^ m v ~ a i 1[ m n • r~ i O ~ ~ ~ 2 m O 7-- b o a kI ll fl 0 ~ K R K a - - - ~ ~ t n 0~~ o n S QQQ $ u ~ 3 0. 3 O n > s °a C m ~{-m ~r ! 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A? ~ a ti F 9~ g Y 9 O g Y` Y o ~ = = 5 m ~ ti a~ o e o-` ~ o 5 T m a v ~ C = ~ a So3=~= w y 8 v ~ ~ a ~ o V Li r ° rl o I w U~ ~ ~ s a ~ ~ g N j .C ~ > - - ' ~ K . e- z P X m x ~ ° S Ll o < 2 ND N ~ ~ ~ r V Q Z F o ~F < 8 - - - - ' ' ~ X M ! $ Z' 0 W ~ _ N C~- n1 w m d 3 1, m C m m 0 T - 0 ~ - w U ~ 1 ~ ~ ~A T~ C Z 0 pm :E 2 N ~ F m 5 f O m n w a : w l w a i ~ z= g yr, n X ^ ~ ~ ~ o v $ w F k ~ m W m V ~ w 0 - ~ \ ~ a N v : , e = i o v~ ~ T o T _ J : z ~ N. 3 0 9 4 9 0 • d ; c : ~ m = 2 s 9 y n a w a~ omtiv 64.Sm g~ m m a m m P c o 0 ' m£ E o 3 0 a 5 T ti Z~+ b A y ~ ~ ~ F a G) o:: _ ~ z R y s ti P c~ O ' FT03 Ir ~ ^ a°I ~.S 8 ~ c s ~ a ~ `u 9 ~ O a ~ ~ u ~ O a ~ ~ a : i 3 ~ 4J S., S ~J y N y J( N T ~ ~ ~ C x 0 D X O X 0 T Z O 2 O ~ ~ 9r . R ~ ~ O ; s 4t, ~p 9 ~ ' K K S - ~ g P ~ ° o- ~ : ~ o ~ $ g ~ s~ 4 ➢ _ € e ~ ~ s s x x ; M ~ T T ~ \ ^ x \ ~ a ~ w 0 ~ P E < ~ f~ 3 'Jd a 3 C mn Y 9 y O ~ 'n ( 'Sy a ( VJ ~ O 0 - c v\ ~ R N r 2 ' D o R~ ~ ~ s_ - ~ H l d W T n ? O ~ ~ a % ~ - i i s ~ \ • < ~1~ ~ ` b ry 3 m r c m x m [ Z ~ 0 ~ O 3 S Q LA ~ D v0 O m * Z N -4 S 5 ~ O d C a° °s w 3 m U ~ . P ~ ~ O ~ o a c ~ > s O 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 ~ f; ~ C. 7- C~. f J 61,. ~a C 1 ~ r~.;~ M ~ ~ ti W H p `o t o y U p;m U) N ~ T t , 'S Eo a) ~ no0 ~ U m ~ U 3 :E ~ .-1 F o o -6 z ~ ~m ~on ~ ~ l o i v F+i n m odi ~ m ° ~ N U , a .0 W V W A n wmm S a C) o = ¢ m ° r o _ C ~ D ' W m m ° F+1 0 a Q 2 a n m O W c o ° ~ 3 m w e ma D W LL 3 v m c m " F °~b 0m°' t ~E~« ~ .c a . ' 0,.4 E c m n 2 r . m N a ~ o ~ E 0 « O U 0 mna m T A „ d c m -raE W U m°m~ b U ~ Co o~ ~v r ¢ Q O LL m V N Z r ~ LL ~ L L m r n33 3 ir ~ m W Z 'm 3 m p 2 0 a ¢ H Z U N ~ ~ V cn F d N F ~ m ID 11, N Z w 0 Q U w ¢ o ¢ w a ~ ~ co N 0 v w a .i N b O ~ cK w N a ¢ ~ a C9 z O J J 0 w x f Q O ; C m m a N ~ 0 c 0 n D 0 ~ 3m ~m V Q n' m N t 0 o ~ umi U ~m m~ ~ E ~ o m ~ a ~ m m 4 n ~ ~ U G ~ `o m c a m ~ t U -L.. Z U ~ E a a `_m ~ t c U N :<< trf , .i. ~ Y ` . . ~t.p. ~ 1 t ; r•i ^ a. ; ~ IL > ~ . ~ t_ 1' \ / 0 LL , 6 I J 3 y ~ rn ~ 5~ /E 8-~ S ;z ~ 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 D DRESS "/G SU TG I/ ~y L... JOB ' ADDRESS `7 G~✓d T,~ II~~ FENCE - _ w F I ~ v cr3 - h, » 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