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Home My WebLink About4655 Teller StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Wednesday, December 29, 202110:06: 10 AM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 4655 Teller ST Parker Fawcett (970) 222-5809 N/A Electronic Daymet Ddf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or Premier Excavation Services ifi[l7dill 6 digit number for the City of Wheat Ridge) Contractor Phone (303) 210-9745 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email trevor@premierex.net Address Retype Contractor trevor@premierex.net Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 10' Location of repair Front yard (backyard, frontyard, etc) Provide additional emergency sewer repair with clean out's in yard only. details including installation of clean- o uts. Project Value (contract 1200.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to 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. Person Applying for Trevor Weston Permit Email not displaying correctly? View it in your browser. m D INSPECTION RECORD INSPECTION REQUEST LINE: (303) r 111Nyccn0ns will not be performed unless this card is L Posted on the project site. Call the inspection request line before 11:59 p.m, to receive an inspection the oggu---nan�v�T;f Inspector Must Sign ALL Spaces pertinent to this project U111�JJ UAyTm Foundation Inspections Ins ector Date p Pier Initials Comments Concrete Encased Ground (CEG) Foundation/ P.E. Letter Do Not Pour Concrete Prior To Underground/Slab Inspections Date Inspector Electrical In Sewer Service-�— Plumbing Do Not Cover Unde Rough Inspections Wall Sheathing Mid -Roof Lath /Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building roval Of The Above Ins d or BeloW/In-Slab Work Prior To Date Inspector Initials Date Inspector Initials Comments roval Of The Above Inspections Comments 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 an of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization -or low voltage permits -Please be sure that rough inspections are completed from th h rizading before a Certificate horization of occupancy. the Building Division. e Fire District and electrical low voltage `For Inspection Time Window -Please email insptimerequest@ci.wheatridge.co.us b 8:00 A.M. th the property address in the subject line of the email. Time window is based on the ins ect �' the mornin of the insAectm� p or's route. Occupancy Is Not Permitted Until A Certificate of O Protect This Card From The Weather Occupancy Is Issued A , City of Wheat Ridge ." Residential Roofing PERMIT - 201700751 1 ISSUED: 05/19/2017 201700751 EXPIRES. 05/19/2018 MIT N0: duration shingles on 4655 Teller ST install Owens Corning es of house, patio ADDRESS: roof to deck, on low slop s DESCRIPTION: Remove existing 4/12 pitch of house; install modified roofing and garage - 28 squares * CONTACTS ***Inc. LEER (303)425-4668 HANKER ALBERT Bricia Ciel 100110 D & T Services, B (303)423-7316 David Redding/ *** USE: UA / Unassigned * PARCEL INFO 0 )NE CODE: / UA / Unassigned OCK/LOT#: BDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BL ESTIMATED PROJECT VALUATION: 9,000.00 FEE SUMMARY *** FEES 0.00 al Valuation 162.00 Tax 188.45 nit Fee 350.45 DOTAL ** COMMENTS *** ��} le installations require an approved midroof CONDITIONS *** 't prior to final is installed, p affective December 1, 2014, as shingle requires an approved inspection nspection, conducted whfnroof7sheathing (newnt of horroverlay)ring aced ,pproval. Installation o Y roof coverings and is require on the entitles°are requiof when pred to exceeding k/,. -inch exists. Asphalt shing prior to installation of AN per shingle. 3r board sheathing with ANY gap le. Ice and water Shield is fired. A ladder extending 3 feet above the roof eave be fastened to the roof deck with a minimum °fd6for lall roof inspections. Roof ventilation required. Eave and rake metal is required- provided and secured in place is required to be p inspection of required to comply with applicable codes and manufassuaefinal inspallation is req stringent. In order to p inspection and approval from the instructions, whichever is more string a letter of insp tYPe roof coverings, that ,the application of the roof at elastomeric or similar nic representative stating manufacturer's technical address has been applied in accordance with toebe onasitellat1at the on ttime lof fon inal (project add roof covering" 1required (roof material brand name) inspection. City of Wheat Ridge Residential Roofing PERMIT - 201700751 PERMIT NO: 201700751 ISSUED: 05/19/2017 JOB ADDRESS: 4655 Teller ST EXPIRES: 05/19/2018 JOB DESCRIPTION: Remove existing roof to deck, install Owens Corning duration shingles on 4/12 pitch of house; install modified roofing on low slopes of house, patio and garage - 28 squares *** CONTACTS *** OWNER (303)425-4668 HANNER ALBERT B SUB (303)423-7316 David Redding/Tricia Cieluch-R 100110 D & T Services, 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: 9,000.00 FEES Total Valuation 0.00 Use Tax 162.00 Permit Fee 188.45 * * TOTAL * * 350.45 C:%'j D) *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€rms 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's 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. s�' City of Wheat Ridge Residential Roofing PERMIT - 201700751 PERMIT NO: 201700751 ISSUED: 05/19/2017 JOB ADDRESS: 4655 Teller ST EXPIRES: 05/19/2018 JOB DESCRIPTION: Remove existing roof to deck, install Owens Corning duration shingles on 4/12 pitch of house; install modified roofing on low slopes of house, patio and garage - 28 squares I, by my signatore, 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, polices grid 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'perinit and perform the work described and approved in conjunction with this permit. I further attest that am leggggggally authori"zed tolinclude all entities named within this document as parties to the work to be performed and t a all work to, e per ed is d4i'sclosed in this document and/or its' accompanying approved plans and specifications. �1% - j' SiSi n tore of OWNER or CONTRACTOR (Circle Ode) Date l , This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This, permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting,of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any oOinance or r_egu ion o thi - jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE WE BY X1;59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time r est§ wilf0- keR`ee by.49"mail requests to insptimerequest@ei.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of �`� W heat --Midge MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits( a�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit# Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Phone: Property Owner Email: Ll II 0 r n r �. � C. ou L> ao Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/EIng! neer: Architect/Engineer E-mail: Contractor: Tve4 S&c ` r , eS ��_ Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: _,31 J - Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Yf ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FULF Amps -X1A4&117, t .�� (/i'1%� I Cc�C�t 11CA-e-IA13,4A �CSl,'YI.L Y1 e"� �'� a l,�v' �,C�LL/1� , (/I SCI Xa ✓1`✓lt�,�� / -Z Btu's Q Squares �D Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 9,000 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 1 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. 1, the applielt for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRA Electronic Sianature (first and last name): ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Lr I (AUTHORIZED REPJ2ES NTA DEPARTMENT USE ONLY (CONTRACTOR) DATE: 7 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ �v 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: I? () t Job Address: L4 7r /`,A- � T Permit Number: - 7 o 0 "7 S- I N-VPRU0-rP ❑ No one available for inspection: Time -4.1 , e.J, AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE 1* 6 4 i CITY OF WHEAT RIDGE V, Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M ) D Job Address: i 65S ) ''fes ii`< - Permit Number: 270 %-i 00 % ❑ No one available for inspection: Time '1 AMP f i Re -Inspection required: Yes �No� When corrections have been made, call for re aspection at 303303-2 Date: 1 / l `� Inspector: 6�L41 / DO NOT REMOVE THIS N ICE FoaM ia 414-02-5147 pUBLIC SERVICE COMPANY OF CpLORADO 31$13 40OR 5 r._ ~ ~ -AGrv - TOWN OP COUNTY \ FLOOR NPT. NO. CUSTOM . AME IPPINiI ' SPEQlY OWNER TENANT~ AGENT Q'- OTHER ~ - ~ G - WARNING - THE CONORION FOUNO, AS SHOWN BEIOW, IS NaT IN COMPLIANCE WI7H LUPflENTLY ACCEPTEO PflACTICES ANO PflOCE0URE5 ANO COULO CNEATE A HAZAflO. COHHECTIONS SHOULO BE MpDE QY W WAlIFlEO CONTRACTOP. CaNTACT YOUH LOCAL BUILUING OEPAATMENT FOR COOE ANO PEFMIT flEQUIREMENTS PflIOh TO PEI(FORMING flEPA1R WOFK. NAME AND TYPE OF APPLIANCE CONDITION TO BE CORRECTED: ~ FOR FURTHER INFORMATION, PHONE: .neeeo er ~ nMe I onrs ID IVSTO 1ER/OCCUP%N_^SIG NE TIME ~ +EIA ION$ IIF OF OCCUVANT TO ttV6MER I I I DEPARTMENT OF PLANNING AND DEVELOPMENT . , BUILDING INSPECTION LINE - 303-234-5933 7500 CITY OF WHEAT RIDGE WHEAT RIDGEWCO 80215A 0 15A( 03 235-2g55) Property Owner : Property Address : 4655 TELLER ST Contrector License No. : Company: 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 Ritlge or covenants, easements or restrictions of recortl; 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 the Wheat Ridge Builtling Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRqCTOR) SIGNED DATE Description : Bringing electric up to code by home owner Approval: Zoning : Wi~t:f~az~ucs~c~_ - .ss,u~:~~6 Approval : " W ~l~sr~,~s~.__. IF - ' Approval: Occupancy : Walls : Electrical License No : Company : Expiration Date : Approval : In Tni. Building Permit Number Date 9666 10/22/99 Phone : 425-4668 Phone: Construction Value Permit Fee Plan Review Fee Use Tax Use: Total BUILDING DEPARTMENT USE ONLY Roof Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval: $33.50 ywanons antl euilding C (2) This permit shall expire if (F abantloned for a periotl of 1 (3) If this permit expires, a new original plans and specifical exceetls one (i) year, tull Fe (4) No work of any manner sha (5) Contractor shall notiy the B proceetliing with successive (6) The iss of a perm~+ r or~ d~ a~94i~'~y -11c1 aunaing inspe~ de -u of Vvce wheat nn me Ridge, Coloreprovisionsdo or set any torth in other yopur appli applicablecation and is ordinances ot subj the ect to City. Ne laws of the State of Coloretlo antl to the Zoning 0 the tlays. work authorized is not commenced within sixty (60) days From issue date or (B) ihe builtlinq authorizetl is suspentletl or )ermit may be acquiretl for a fee oFOne-hal(the amount normally requiretl, provitled no changes have been or will be matle in the )ns and any suspension or ahandonment has not exceetletl one (7) year. If changes are matle or if suspension or abandonment s shall be paid for a new permit. be done that will change the natural flow of water causing a drainage problem. ilding Inspector N✓enty-four (24) hours in atlvance tor all inspedions antl shall receive written approval on inspectlon cartl before >hases of the job. ie approval of drewings antl specifications shall not be consiruetl to be a permit for, nor an approval oi, any violation of Me provisions ther ordinance, law, rule or regulation. SIC : Sq. Ft. : Stories : Residential Units : $400.00 $23.50 $0.00 $10.00 a / DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :jG/ z2)~'-Jc} 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPLICATIo N PropertyOwner: I_j(xm d ) nii 'e6" CCiY~ ~k1 Property Address : y(pGj6 ( ~~Ll~~ W- Phone :3~3-qZ~i " y6,(~-E Contractor License No. : Company : Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : Lf UO, Oo I hereby certify that the setback distances proposed by this pertnit appliwtion are accurete, PefR11t FeB : and do not violate applicable ordinances, rules or regulatlons of the Ciry of Wheat Ridge or covenants, easements or restrietions of reeord; that alt measurements shown, and allegations made are accurate; that I have read and agree to abide by aii condkions printed on this Use Tax : application, and that I assuma fuil responsibiliy for eamplnnce wRh the Wheat Ridge Building Code (U.B.C.) and all other applicabl eat Ridge ordinan for work under this pertnk. 42 ? (OWNER)(CONTR.4CTOR)SIGN0! il O i"tl':/"] DATE/() .1 TOt21 : USE: Description : ✓ BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: Zoning : toildt fl~ Approval: 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: (t) Ttiis permit was isaueE in accortlance vnth the pmvisiom set forth in yopur application and is aubject to the lawa af the State of Coloretlo anE W fhe Ianinp RegulaUOna anC Buildiny CoOe o/ Wheet Ridge, Cobmtlo or any oMer applicaWe ortlinances of tlre Ciry. (2) This pertntt shall ezpirc rt(A) the work auttronzetl is not mmmencetl wiMin sixty (80) tlays hom iasue Oate or (B) the DuilEing auNOnzetl is suspenOeE or abantloneE for a penoC W 120 tlays. (3) If this permit expires, a new, pertrtit may be acquireE for a(ee of one-half the amount nortnaly reQUimd, provitletl no changes have boen or will be made in Me onginal plans antl specifications enC eny Buepensi0n a aDendonmeM has not exceetlad One (1) yeer. N Uanpes ere matle or if Suspension w ebentlonmenl exceeds one (1) year, NII fees ahall be paid fir a new permit (O) No Yrork of eny manner sllall Ee tlOne ihat Wlil Chenge Me natural Ilow Of weter ceusing a tl2inage pfoblem. (5) Contractor ahall notily Ne Builtlinp Inspeeta tweny-lour (24) Murs in atlvance for all inspections aM shall receive xrtitten approval on inspection caM beNia pnceeCiing wiN suaeasive phaxa of tlie 1~ob. (6) Tha issuance of a pertntl or the approval of tl'awinga uM specificaliona shall not be construM ro De a pertnR lor, nw an approval W, arry violation W Me piovisions of the builtling cotlea or arry other orEinance, law, fule or repulation. Chief Building Inspector ~ m 0 n K c C EF . ~ Fp ~ ~ ~ `7ou n9ee PJros Ge~ Gonhacta 11 ~ue Paid 98 98 598.98 144.70 5144.~0 243 88 $243.68 icense # Phone 8119 303 28$~26t1 ' ~ ~ Unite. O~c"9pnnt`Y, Walis: Root: StoTiec: Sq FeeY: ' ~ a ~w~u~e~Lee~ ax~~ e ~M Wh 'eemi: dot W~suormsp'►ow~~ uM ~'s~bi~.#~Ik ~'14viaaM tMI6'w-PMMMY]* rM *wPeumWb for wPb~ wlu•tb WwtAldl, Eu9dbt Gaee NxGZ mdalNW "*iK1e r % a~a..za i x~s}wpw..nww~wesw~•.~••~••~•~•~• : 'AqcWH➢NwdDdWh[Z"edeafWWllUd~e.. i~. '11ir1~ti~Ma9~~CA):ibewxtw N~edWiedWFiprLpNl~.d~ra 3'. i~ihbq~4M~4ryMf5,t+4y'0~'~1~+ ~iWiPMwMd~MA~' axeeab eoe p) f~.11d 5p ~ 6t pdd M r. 1NowMee(uYf A~Ybi~N~t.M5 C~ntnepl't~M~~HMMM~1rM~^~ . ynew0o{wtlwc~~eOiYipdMuJob. . b7Ee4PUwi[app''Fq<,W~PPro~Yaf , . prbvbloj~~of~9?ddxdyWhw 17iwsdaX.October O4, 2005 o.Y~rwaKn.royo~r.yq~e.n.~..as,rlwm~wl....Km~.rcarr,av.wauw~ Cebr~door~ayalbm.p~e~bk.rAtiWesdl►eCMy. ' roodwi..wm.m.~w~a.Yxu..~.b(eo)a.rwmmwe.ao.le)u.b.fdw..~w+rllbwweWdar' : 4qahatl far ~ M af eao-WfMe ~aWaC ~wl~~'nWk4 P+~~b~ W~hs law►u~ M.*Qt~ ~M~N wq~pWUY.m~bnds~mealWeaeaeeMbwe(i)1~'.Vdu[raaroe~deorif~Ora~M~ . nnr peimie . . . . . . . . . . rlue~efhewleNOowofwWreWWi. a'Ywp M?pk. . . ; MeuY'Pour (2/) Yoan le Wvt~ce fi~.Y bjpestlau md dMlnmNe w~lpw WMM M MW/Mo 4~ M-, dnwlKe avtl ~P~~Ilou ~Wtl vol be eeuWM~lo ba pumll toe, var ~v appr^~JS( ul vWNbn eCmO erdNVa.Yx.rvlsorrKUWb~. . , . . . . . . . . . _ 3[i2(ID DATC .J ~ . . ~ . . . . pagE Caf 2 ~ . COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: ~ pF WHEqTq BUILDING INSPECTION LINE • 303-234-5933 Date: ~ CITY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) ~oC ORPO~ Lf PAY TI'd TIFI N Property Address: %~/r✓j~ T~~f~'E ST Phone: Contractor License No.: f/ q Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Bufldina Deat. Va/uation Figule: $ I hereby certiry. that the setback distances proposed by this permit application are accurate, and do not violate applicable ordlnances, rules or regulations of the City of ' ~/ajllC:$ Wheat RidBe or covenants, easements or restrictions of recorU; thatall measurements shown, and 911egatlons made are accurate; that I have read and agree to abide by all Permit Fee:$ conditlons printed on-thls applieatlon and Ciat I assume full responsibility for compliance with the Wheat Ridge Buildin9 Code (I.B.C) and all otherapplicable Wheat Plan Review Fee:$ Ridge Ordinances, for work undar his permit. Plans subject to fleld inspection, e T x: p .y~ ♦~~Q~ (OWNE (COWTRACTOR. SIGNED " / r ~ ~i' J DATE /L" L TOL0.1:~p (OWNFR)(CONTRACTOR):PRINTED ' DATE Use of Space (description): p fl~H~tl7l= ~l// fed/..Ye. . .7-ercYi. Descrl tfon of work: ~w .3l0A0-€0 ✓#~/J~"~`/NG ~"i~rs'%~!/ 3l8 e7S9~ .4.61'0 S~e~p'C i91lnc11414r0 - G.g/2,qG'~ Sq. Ft. added uxo~~a COMMENTS: F,pproval: Zoning: COMMENTS: Approval:, WORKS COMMENTS: Approval: BUII.DING DEPARTMENT USE ONLY SIC: DEPARTMENTCOMMENTS: Approval: Walis: Roof: Stories: . Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This pertnitwas tssued in accordance wfth the provisions setforth in your applicatlon and is subJectto the laws ofthe State of Coloredo and to the Zoning RegulaUons and Building Codes of Wheat Ridge, Coloredo orany other applicable ordinances of the City. (2) This permit shall, expire if (A) the work authorized Is not commenced within siMy (90) days finm issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) It this pertnit expires, a new permit may 6e acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the original plans and speciflcatlons and anysuspension or abandonment has notexceeded one (1) year. If changes have been or If suspension or abandonment exceeds one (1) year, tull fees shall be paid for a new permit (4) No work of any manner shall be dona that will change the naNral Bow of water causinga drainage problem. (5) Contrador shall noUfy the 8uiiding Inspector twenty-four (24) hours in advance for all inspections and shall recaive written approval on Inspectlon card bafore proceeding with successive phases ofthejob. - (6) The Issuance of a permit.or the approval of drawings and specificatfons shall not be consWed to be a p.ermit for, nor an approval of, anyvlolaNon of the provisions ofthe butlding codes or any other ordinance, law, rule orregulation. All plan revlew Is subject to fleld Inspections. Chief Buildina Official