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HomeMy WebLinkAbout4797 Teller StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work Date: Wednesday, May 25, 2022 10:18:22 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. 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. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4797 Teller St. Wheatridge, CO Property Owner Name Freddy Camacho Property Owner Phone 720-436-1585 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" electronic Oavment form. Odf CONTRACTOR INFORMATION Contractor Business R&D Electrical Services Inc. Name Contractor's License 140206 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-225-8502 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email rdelectricalserviceswww@outlook.com Address Retype Contractor rdelectricalserviceswww@outlook.com Email Address DESCRIPTION OF WORK Is this an electrical Upgrade service upgrade or change? Number of Amps 200 Location of work Kitchen rewire (garage, house, etc) Provide additional 5 can lights in living room and 1 in the hallway details, if needed. Project Value (contract 4800 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 Ricardo Venegas Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Residential Window/Door Replacement Date: Friday, May 20, 2022 9:29:18 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Residential Window/Door Replacement This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. 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. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 4797 Teller St Property Owner Name Edmund Arellano Property Owner Phone 720-217-3736 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email ed@snpp.biz Address Attach City of Wheat CC info. Cd Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Edmund Arellano - Home Owner Name Contractor's License 00000 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-217-3736 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email ed@snpp.biz Address Retype Contractor ed@snpp.biz Email Address DESCRIPTION OF WORK What is being replaced Windows, Doors Number of window 7 Windows and 1 front door and/or doors being replaced Location of Two bedroom, bathroom, kitchen, and living room window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of .30 the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .30 or better on windows.. Attach copy of windowRe on rt ndf window/door cut sheets showing sizes and u - value Attach any additional Field not completed. documentation Attach any additional Field not completed. documentation Project Value (contract 6000.00 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 Edmund Arellano Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair Date: Tuesday, May 3, 2022 1:12:07 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Sewer or Water Line Repair 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 4797 Teller St Wheat Ridge Property Owner Name Ed Arleno Property Owner Phone 720-217-6733 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email N/A Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" WRP 5-3-2022.Odf CONTRACTOR INFORMATION Contractor Business The Elite Pipe MD Name Contractor's License 120161 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-662-4381 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email david@elitepipemd.com Address Retype Contractor david@elitepipemd.com Email Address 01:K163ziIa1[*]0N]&TO(63S21 Is this a sewer line or sewer Line water line repair? Length of repair 5' Location of repair Front yard. (backyard, frontyard, etc) Provide additional Install dual sweep clean outs 3' deep details including installation of clean - outs. Project Value (contract 2950 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 David salvidrez Pe rm it Email not displaying correctly? View it in your browser. 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: , q Job Address: 479 7 Permit Number: .. Id r ID No one available for inspection: Time &/PM Re -Inspection required: Yes (N) When corrections have been made, call for re -inspection at 303-2_ 34=5833 Date: _ / F 5 (/� Inspector: k DO NOT REMOVE THIS NOT/CE 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: OF _ Job Address: 4117 ' e J1 - 5" Permit Number: ` a-roq T7 Ll 4 ❑ No one available for inspection: Time A( /PM Re -Inspection required: Yes lv + When corrections have been made, call for re -inspection at 303 -234 - Date: r l� '7 Inspector: � � `- DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: , q Job Address: 479 7 Permit Number: .. Id r ID No one available for inspection: Time &/PM Re -Inspection required: Yes (N) When corrections have been made, call for re -inspection at 303-2_ 34=5833 Date: _ / F 5 (/� Inspector: k DO NOT REMOVE THIS NOT/CE City of Wheat Ridge �j Residential Roofing PERMIT - 201704574 PERMIT NO: 201704574 ISSUED: 07/21/2017 JOB ADDRESS: 4797 Teller ST EXPIRES: 07/21/2018 JOB DESCRIPTION: Reroof with GAF Timberline asphalt shingles - 33 squares (DUPLEX) *** CONTACTS *** OWNER (303)421-2161 LOMBARDI VICTOR J SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,700.00 FEESCA Total Valuation 0.00 =� Use Tax 182.70 Permit Fee 188.45 ** TOTAL ** 371.15 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704574 PERMIT NO: 201704574 ISSUED: 07/21/2017 JOB ADDRESS: 4797 Teller ST EXPIRES: 07/21/2018 JOB DESCRIPTION: Reroof with GAF Timberline asphalt shingles - 33 squares (DUPLEX) I, by m 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 1 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 thisermtt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to e,peri1011rmeA is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The pen -nit 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 rmit shall not be onst �d be a permit for, or an approval of, an violation of any provision of any applicable code or any order anc or regulat� 's ' ction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett �7 From: no-reply@ci.wheatridge.co.us Sent: Thursday, July 6, 2017 2:38 PM To: Permits CommDev L Subject: Online Form Submittal: Residential Roofing Permit Application N 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 O 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 ) 7 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4-0 Property Owner Name Vic Lombardi Property Owner Phone 3037639114 l Number Property Owner Email jwiles@interstateroof.com Address $37r 1 F-,-; Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Interstate Roofing 019938 3037639114 Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberline Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 33 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 33 roofing material for this project Provide additional detail house, 4:12 pitch here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 8700 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Jeremy Wiles Email not displaying correctly? View it in your browser. 3 %�R�aglmksliaes 1 referraiistcam NTERSTATE -------- -- ROOFING Submitted To Date Email Phone Aft. Phone Street City State Zip Insurance Company Claim# Policy# _ Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc.: however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. Shingle Manufacturer Type Color Int. ❑ Tear off layers o1 composition shingles ❑ Tear off one layer of wood shingles ❑ Install Decking (7116" OSB) [] Install new felt El Install pre -painted eave metal to code - Color Brown Charcoal Tan Gray White int.__ ❑ Valley(s) will be closed ❑ Valleys will be open 31 Ridge(s) to be color coordinated ❑ Ridge(s) will be "High Profile Ridge" color -coordinated shingles EJ Install new pipejacks [] Replace Vents as needed ❑ Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) ❑ Install In, ft. of series ridge vent ❑ Install In. ft. of ice & water shield to code ❑ Install nails per shingle ❑ Clean out gutters ❑ 5 year vrorkmanship warranty Q Interstate Roofing, Inc. will provide general liability insurance coverage of $2.000,000, general aggregate Make a magnetic sweep of driveway and yard for removal of any nails ❑ Remove all debris resulting from above work ❑ Special Instructions The approximate costs of the services based on damages known at the time this contract is entered is $ Interstate Roofing, Inc., however. will perform the scope of work approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and Interstate Roofing, Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Roofing. Inc. that are approved by the insurance company for additional work or increases in costs become a part of this contract. Approximate Dates of Service: These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor Notice: It the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay. waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any subsequen' loss drafts or checks after today's date as indicated above. 1 (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: Date: Rep Initials: Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property. I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance Client Signature(s), . Representative Corporate Headquarters Colorado Springs Office Fort Collins Office Cheyenne Office Black Ins. Agency 1000 W 47th Ave. 2161 N. Academy Blvd P.970.482.7722 F.970.682.1018 !0101S Greeley Highway 9600 E Arapahoe Rd #205 Denver. CO 80211 Colorado Springs. CO 80909 Toil Free 877.898.8144 Cheyenne, WV 80211 Englewood, Cc 80112-3726 P 303.7663 9114 F_ 303.789.3790 P. 719.471.9752 F 719.597.444 .wa^.interstaleroof.corn P. 307.634.2553 (303) 397-7820 www.interstateroof.com info interstateroof.com t . INSPECTION RECORD o ccupancy /Type ®°INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. 41q 7 i' Plumbing g INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Roof - Stemwall / (CEG) Concrete Encased Ground Building Final Reinforcing or Monolithic Fire Department Weatherproof / French Drain R.O.W & Drainage - Sewer Service Lines Parking & Landscaping Water Service Lines - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) - - Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof. Electrical Service - Rough Electric Gas Framing Insulation Drywall Screw FINALS Electrical Plumbing - Mechanical - Roof Building Final Fire Department - R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC 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 A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 4 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: oo 7 _ Job Address. Permit Number: f 1 G 4 c I . ' ❑ No one available for inspection: Time AM/PM Re- Inspection required: Yes No When corrections have been made, cal for re- inspection at 303 - 234 -5933 f Date. 5' f i Inspector «� tF f IDO NOT REMOVE THIS NOTICE I W~"a p City of Wheatp,,.,dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29t" Ave., Wheat Ridge, CO 80033 Date: Plan # Permit # Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Address:; T- l 4~!A (e Property Owner (please print): 27-46 Mailing Address: (if different than property address) Address: City, State, Zip: Phone: 1 r I Con#ractor: Z'rj pj1t~ / Contractors City License O ` 0 o®/ Phone: 5 0 Sub (:ontractors~ Electrical: Plumbing: Mechanical: City License # City License # City License # Desertutlonzofworka ©.e Contract ValuE!7o~ cin Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE(OWNER) (CONTRACTOR) or (AUTHORIZED REP !;"NTATH E) of (OWNER) (CONTRACTOR) PRINT NAMF-b~' LiZ C SIGNA'~ E: DATE: 7 f ~ r / „u fc.1 ~ 0/" i~...v fir,-?. ✓ > r ,F~ ~ir',Y' . : RBViewe~ r r i^r ~ f f ~r rF ~fru, £ v r 3 ~ ~ r f fy l s / r~✓,y Zl y /z ~ j S r.r ~ ✓n ,rJ~w'~ :.x r .r L h BUILDING DEPART BNY60w1 ENTS / s f£' F £rx p°''7r~r~ ~~yrr~~/f ,r ,r r!~ Y r ReYlewer r c i~ r7 17 ~ x ~ £ 'r£ £ +~5£) I £ ~ J f, r r/. /£cf , r ra✓ i~ ~ ,vfrf r r ~ ~ S£- F r .F S u2 ✓r`i , .~(4 Tl '✓?-`s C`~n ~ ^:E'm ✓ 'y~5 ty3 r`' ~ PUBLIC WORKS COMMENTS r +b , ` ~'')i K £ ✓ ~ r'+ £ ~ £ ~ d'a- - ~ y/ `f OCCUPANCYa ✓ ~ f~8V12W0Pr / x r~/a r ~ b r s '~.fd' , ,f- s%£. ~-g-l a / .o- n.^nr " r z'~ £ r ~ ~ ' ~ ~ ire r FIRE O~PAR7MENT , ~ a~iproVed W/COp!( lent5 ❑ tl~ apQfOVed"Ll r~ti7evie~~t@~{lired' Bldg V31UatlOfl $ DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number Date 8531 2/19/99 Property Owner : Property Address : 4797 TELLER ST Contractor License No. : 17835 Company : Blue Sky Plumbing Phone : 421-2161 Phone: 421 2161 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurete, 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 the Wheat Ridge Building Code (U.B.C.) and all other appliwble Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Use: Description : Replace water heater BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: Zoning : Approval: Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company: Expiration Date : Approval: Construction Value : $475.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $7.13 Total: $30.63 Mechanical License No : Company: Expiration Date : Approval: (1) 7his permit was issued in accordance with the provisions set forth in yopur application antl is subject to the laws of the State ot Colorado and to ihe Zoning Regulations antl Builtling Code of Wheat Ridye, Colorado or any other applicable ordinances of ihe Ciry. (2) This pertnit shall expire if (A) the work authonzed is not commenced within sbcty (60) days from issue date or (e) the building authonzetl is suspendetl or abandonetl for a period ot 120 days. (3) If ihis permit expires, a new permit may be acquired !or a fee of one-half ihe amount nortnally required, provided no changes have been or will be matle in the original plans antl specifcations antl any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be tlone that will change the naNral flow of water causing a drainage proDlem. (5) Contrector shall nohry the Building Inspector Rventy-tour (24) hours in atlvance for all inspections antl shall receive written approval on inspection card before proceediing with successive phases o( the job. (6) The issuance of a permit or the approval ot drewings and specifications shall not be construed to be a pertnit for, nor an approval of, any violation of the provisions ot Ihe building or any other ordinance, law, mle or regulation. Chief Bwlding spector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : - " BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE - Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 ~ Property Owner: Property Address : Phone : Contractor License No. , . . Company ~ h~r Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANOING ANb AGREEMENT I hercby artify that the utback disWnxs proposed by Mis permil application arc accurale, and do not violate applicabk ordinances, niks or regulations of the City of YVheat Ridge ar covenants, easements or restridions of reeo;d; that all measurements shown, and allegations made are aecunte; that 1 have read and a9(ise to abide by all n i'ons printed on this appliwtion, and that I assume full respons il' or co lia wit he Wheat Ridge Building Code (U.B.C.) and ail olher appli~able VV~a Idge np r work under this permit. (OWNER)(CONTRACTOR) Description Approval: Zoning : 8of811RfiCbfPlRi~rtt3~ Approval: I Approval: Occupancy : ElecVical License No Company : Expiration Date : Approval: SIC : Sq. Ft : Wails : Roof : Stories : Residential Units : Plumbing License No :Mechanical License No : Company 7`~ompany : Expiration Date Expiration Date : Approval: Approval: (i) TTis pertnN was hsued In aaatlance wilh the pfovisions sd forlh In yopur apphcation a'W h subjea ro tlm laws W the Stale ol CobraAO an0 W the 2oniny RegulaGOns sna BuiWiny CoOe ol Wheat RIEqe, Cobntlo a any otner appicaNe oNiiunces of tne Ciry. (2) This pertN~ snail ezqre A(A) the work auNOiued is ral mmmenceA wiUin sury (60) Eays imm issue Wte w(B) Ma Eu00inp aWnrizetl b suspenEM a aDarMOneC for a pMod of 120 Eays. it Nis pemvt expires, a Mw pemut may be acquind la a tce o1 me-haM tne amount namaiy reCudad. povbed ro dwngee nave Deen u wip be maae in the onginal pians arW apeafiraGwu aM sny swpension or abaMOnment lus not eaceeded wie (1) year. 1/ Wnges are maEe M H wspensim u aDaMOnmanl exCeeCs One (1) year, tull Poes shall Ee p810 Ior a new pertnil. (4) No vrork ol arry manrwr shall De Eone Ihat will dunpe.llx naturei Ibw o/ water rauzing a tlniroqe probkm. . ol Ne CuiWUq mAes a any oMer ordinance, Ww, n+le or rc9uWtwn. 'y \ (5) COnV2Clof stull IIOGfy the Builtllny InsplMf lWenly-IOUf (24) AoufS In advanU /of all insplClioni enE shiq IGCeNe wt1llM 3pptOVil dl Wpldi0f10N OeMfe proceMnnq with suaessive phaxs al Me~pb. (6) TTa iasuance of a pertrvt or the aOMoval 0/ OrawinOS and speCifitallons tNll rol De ConsiniM l0 De a pemO laf. nd an aDProvaI of. arry vbWtlm ol NC proNsbns ConsWction Value : Z~ l. zl J Permit Fee : R ~ \ Z ~ i Use Tax : Total: $0.00 Use ' I BUILDINr, DEPARTMENT USE ONLY Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION