HomeMy WebLinkAbout2925 Sheridan BoulevardIt � 4 i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:.r�--�_
Job Address:
Permit Number: (
❑ No one available for inspection: Time/
Re -Inspection required: Yes No
When corrections have been made, schei
http://www.ci. wheatridge. co. ushnspection
Dater Ins
7
for re -inspection online at:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time ( LSE AWPM
Re -Inspection required: YesNoD
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci.wheatridge.co.us inspection
Date: 1-7:741 ' CJS Inspector: 1 -,J ----
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
Inspection Type:'+�>�G
Job Address: 7;z 1,-Z-)
Permit Number:
❑ No one available for
Re -Inspection requirec
0
When corrections have been made, call for re -inspection at 303-234-5933
f '' G'9
Date: � `z- ��- Inspector: ---- -
DO NOT REMOVE THIS NOTICE
i Clt 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:
Permit Number: ( E—'--
Ts��";mss
--
❑ N A ai� 6Winspecti }n: Time
Re -Inspection r q iirrecr Yes No p "`
*When corrections have been made, p to nspe t%n x;5933
Date r Inspp to
City of Wheat Ridge
Residential Mechanical PERMIT - 201901457
PERMIT NO: 201901457 ISSUED: 07/16/2019
JOB ADDRESS: 2925 Sheridan Blvd EXPIRES: 07/15/2020
JOB DESCRIPTION: Replacing 80K, 96% furnace, new 3 ton 16 seer A/C with new condenser and 40
gallon gas water heater, 40 BTUs.
*** CONTACTS ***
OWNER (303)330-9577 TILEY KLINT C
SUB (303)566-1090 BRENDON JUMP 160134 COLORADO DISCOUNT HEATING & CO
SUB (303)472-8514 VICTOR GONZALES 022017 ILLUMINATE ELECTRIC, INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,083.00
FEES
Total Valuation 0.00
Use Tax 211.74
Permit Fee 220.15
** TOTAL ** 431.89
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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
thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfo drand th "all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard
requirements, fees 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 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 is ce or grant' �apcerit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appanyr regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
r City of
W heat id
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 2925 Sheridan Blvd, Wheat Ridge, CO 80214
Property Owner (please print): Klint Tiley Phone: 303-330-9577
Property Owner Email: kctiley@gmail.com
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Engineer,
Architect/Engineer E-mail:
Contractor Name: Colorado Discount Heating & Cooling
City of Wheat Ridge License #: 160134
Phone:
Phone: 303-566-1090
Contractor E-mail Address:—info@calldenverhvac.com
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): _Brendon Jump Phone: 303-566-1090
CONTACT EMAIL(please print): info@calidenverhvac.com
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
i C)1 -
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields.
[--]COMMERCIAL ❑X RESIDENTIAL
Provide description of work: For ALL projects, 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.
Turn off water and gas supply to unit. Drain heater to floor drain. Remove old heater and connect new unit,
including new ball valve, gas valve and flex. 1l0 r 137-1/t
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
u
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CC
SiEnature (first and last name): _
Printed Name: Brendon Jul
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
IITHORIZED REPRESENTATIVE)
f/ :i .. S
`r,=; tl>I
of (OWNER) (CONTRACTOR)
DATE:
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
City of Wheat Ridge
Residential Mechanical PERMIT - 201901457
PERMIT NO: 201901457 ISSUED: 07/16/2019
JOB ADDRESS: 2925 Sheridan Blvd EXPIRES: 07/15/2020
JOB DESCRIPTION: Replacing 80K, 96% furnace, new 3 ton 16 seer A/C with new condenser and 40
gallon gas water heater, 40 BTUs.
*** CONTACTS ***
OWNER (303)330-9577 TILEY KLINT C
SUB (303)566-1090 BRENDON JUMP 160134 COLORADO DISCOUNT HEATING & CO
SUB (303)472-8514 VICTOR GONZALES 022017 ILLUMINATE ELECTRIC, INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,083.00
FEES
Total Valuation 0.00
Use Tax 211.74
Permit Fee 220.15
** TOTAL ** 431.89
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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
thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfo drand th "all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard
requirements, fees 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 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 is ce or grant' �apcerit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appanyr regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
r City of
W heat id
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 2925 Sheridan Blvd, Wheat Ridge, CO 80214
Property Owner (please print): Klint Tiley Phone: 303-330-9577
Property Owner Email: kctiley@gmail.com
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Engineer,
Architect/Engineer E-mail:
Contractor Name: Colorado Discount Heating & Cooling
City of Wheat Ridge License #: 160134
Phone:
Phone: 303-566-1090
Contractor E-mail Address:—info@calldenverhvac.com
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): _Brendon Jump Phone: 303-566-1090
CONTACT EMAIL(please print): info@calidenverhvac.com
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
i C)1 -
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields.
[--]COMMERCIAL ❑X RESIDENTIAL
Provide description of work: For ALL projects, 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.
Turn off water and gas supply to unit. Drain heater to floor drain. Remove old heater and connect new unit,
including new ball valve, gas valve and flex. 1l0 r 137-1/t
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
u
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CC
SiEnature (first and last name): _
Printed Name: Brendon Jul
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
IITHORIZED REPRESENTATIVE)
f/ :i .. S
`r,=; tl>I
of (OWNER) (CONTRACTOR)
DATE:
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
The City of Wheat Ridge
7500 W. 29th Avenue, Wheat Ridge, CO 80033
Third Party Form Check List
Property Address L9 Z S r3Lv0
Permit Number Zo ► -1 o to(e OSS
Permit Issued Date ip / Z� / Zp�-►
Owner Information
Property Owner Information A1%c,\eA '7cyrr
Property Owner Address Z!U-15 dtykJ
Inspector Information
Inspection Company CYewn �Icde
Inspector Name MQrtv-
Inspector Contact info. co G- g -12 Z Sq 4
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendation and p
Inspector: Date:��--
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third a ty inspection company to perform my roof inspection
in lieu of the City of Wheat�i din Division inspection.
Propery Owner/Agent: Date:
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
° fY
,
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge d� /U,\� G. 1\
Inspection Check List notes
Final Roof
t (�
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Flashing for roof and walls
E� Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
❑L] N/A
Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 44 piece per shingle
V N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
[4 Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A]
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
[] Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
N/A
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
/ N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
❑ N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
❑ N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
❑ N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
❑ N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
Company Name:
Inspector signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Mark Benjamin PE
PHI -D&E Inc. dba
Crown Jade (.corn)
Design and Engineering
PO 17, Ft. Collins CO 80522
970-472-2394
,�,PD O Oc
V4; • BEl�J�
3839 i
S'/ON AI.
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
D� �V51A,m �Q
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Flashing for roof and walls
Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
❑ N/A
Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
N/A
Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
❑ N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
❑ N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
❑ N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
❑ N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
Company Name:
Inspector signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Mark Benjamin PE
PHI -D&E Inc. dba
Crown Jade (.com)
Design and Engineering
PO 17, Ft. Collins CO 80522
970-472-2394
C
eEiv,,�
�� 2=
3830
t,
pe .e•ppa �
�. ..A
649 INSPECTION RECORD
INSPECTION ONLINE FORM: http-//www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occccupancy//T%yppe
/s..w/' v
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
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
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
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.
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
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
° City of Wheat Ridge
Residential Roofing PERMIT - 201704345
PERMIT NO: 201704345 ISSUED: 07/18/2017
JOB ADDRESS: 2925 Sheridan BLVD EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Duration asphalt shingles with
14 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attesthat I am legally authorized to i Jude all entities named within this document as parties to the work to be
performed and that all work to be perfo is disclose n this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOrcle 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, po icies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 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 017timit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordi or regula ' is jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
A r City of Wheat Ridge
Residential Roofing PERMIT - 201704345
PERMIT NO: 201704345 ISSUED: 07/18/2017
JOB ADDRESS: 2925 Sheridan BLVD EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
14 sq.
*** CONTACTS ***
OWNER (720)917-8469
SUB (303)981-1265
PERRI ALICIA LEE
Jon Lowrie
100243 Monarch
Construction & Roofing
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS,
OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
5,600.00
FEES
Total Valuation
0.00
Use Tax
117.60
Permit Fee
140.90
** TOTAL **
258.50
*** 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.
lop 1% of roofing contractors
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Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 10, 2017 10:54 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
I 1
Residential Roofing Permit Application
a°
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? I , C /c,
How many dwelling units Single Family Home L 1 ZI tAz`P• / U l b l f O-�—
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
2925 sheridan blvd
alicia perri
7209178469
Field not completed.
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
monarch construction
Contractor's License —2f
42 (C)Q) A -F_
Number (for the City of
Wheat Ridge)
Contractor Phone
3039811265
Number
Contractor Email Address
ascott@monarchroofs.com
Retype Contractor Email
ascott@monarchroofs.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
o/c duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
14
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
14
roofing material for this
project
Provide additional detail
house roof
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 5600
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 jon lowrie
Email not displaying correctly? View it in your browser.
3
City of Wheat Ridge
Residential Roofing PERMIT - 201702698
PERMIT NO: 201702698 ISSUED: 06/27/2017
JOB ADDRESS: 2925 Sheridan BLVD EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING - 12 sq.
*** CONTACTS ***
OWNER (720)917-8469 PERRI ALICIA LEE
SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,641.00
FEES
Total Valuation 0.00
Use Tax 118.46 -- -_
Permit Fee 140.90__. .
** TOTAL ** 259.36
*** 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 A% -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€'"s 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201702698
PERMIT NO: 201702698 ISSUED: 06/27/2017
JOB ADDRESS: 2925 Sheridan BLVD EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING - 12 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with
this permit. I further attest that I am leg�ally authorized to include all entities named within this document as parties to the work to be
per forme and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This, permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original pennit fee.
3. If this permit expires, a new pennit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4• No work of any manner shall be performed that shall results in a 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 gr nti f a permittiai�p b �n rued to be a pen -nit for or an approval of, any violation of any provision of any
applicable code or r egu�l risdiction. 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.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.
Dan Schultz DO (762 C
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 15, 2017 9:30 AM
To: Permits CommDev 7
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
'r
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
2925 Sheridan Blvd
Alicia Perri
720-917-8469
Field not completed.
a asI.3�,
Address
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Monarch Construction
Contractor's License
100243
Number (for the City of
Wheat Ridge)
Contractor Phone
3039811265
Number
Contractor Email Address
ascott(a)m ona rch roofs. corn
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
ascottCa)monarchroofs. corn
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes
roof?
Description of Roofing
owens corning duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
12
material selected above?
/
Does any portion of the
No V
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
2
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
12 t/
house pitch is 8/12
Project Value (contract 5641
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 alicia scott
Email not displaying correctly? View it in your browser.
3
Top I of roofinf, contractors
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sope Customs, will be respons,bfe to pay for any upgrades. dedocubit, non•recovefable deprecation or additional woit authorized by the customer tnat the.
Insurance company determines is not ",sited within the scope of coverage provided by your insurance policy.
Approximate f,,ate5 of service; i 'lid of jyr)q � - - - - , _'- tees. dsc, of service are subject to change due to i;nusual delays in transportation of mataiiais.
payment delays, oswa.c. approval. Wd.narywaamerdelays, or by any other causes beyond reasonable control OfMcinarM Monarch Mill provide communication to customer
to show tentative dates.
Notice: owDi , u-.-_.,.,.� _,.rpt^y 11 ._.: _ . , Val, .1""k 4 R Vat *Ot,
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Devon lart,s�l
!EDAVE
LOGAN
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: !�+ S S h �` A l3 I V4
Permit Number: 01y i G J i b
.te,: rr,
❑ No one available for inspection: Time ` s 'J` AK&PM
Re -Inspection required: 'Y66/ No
When corrections have been made, call for re -inspection at 303-234-5933
DateJ , / / - /-,7 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: �� �f Jc, �� Y
U
❑ No one available for inspection: Time�' � �iA�l/PM
Re -Inspection required: ,Yes No
When corrections have been mtade,e, call for re -inspection at 30_45933
Date:''f ? �/� Inspector:
DO NOT REMOVE THIS NOTICE
VIA
_we
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234.5933
Inspections will not be performed unless this card is posted co the project site.
Call the inspection request line before 11:59 p.nL to receive an inspection the following business daY-**
Inspector Must Sign ALL Spaces pertinent to this PrOJOct
Foundation Inspections Dee Inspector ConmenInitial
ts;
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not our Concrete Prior To roval Of The Above lnsRctions
Inspedor Comments
UnDatte derground/Slab Inspections Initials
Elecirical
Sewer Service
rZough Inspections
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Insulation
I I 'I a-, M. I &I T,7, VE n I
Final Inspections Date wwww"w%wo I
1-141ftim
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window / Doors
Final Building
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept. I I I
=ire Inspection I Fire Protection Dist.
0 2 / 0 it 2'@ 17 0 7 � ":rr C D B 14
0
eola,-e i wnd, S
19, A 0 ON T
I
iPSP 232,',
AN11 IFFIER011T NA- 2R
NlYKENT RECEIVED
A LIT
H COH: 03-3281
T EHL 1-14. IVS
-----------------------------------------
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.
VOTE A# items must be completed and approved by Planning, Public Works, Fire and Building before 8 Certificate
)f Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
'or low voltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage
F the Building Division.
'For Inspection Time Window Requests - Please email Insptimereguest0wheatridae.co.us _&o.us by 8:00 A.M. the day of the
spection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
10,
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Wh6at fk d
_j
CommuNiTy DEVELOPMENT
WE M...
0
#
11 FOR OFFICE USE ONLY
woo .Ill
PlenlPennit #
U0HW-MT,r=- -
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
"'roperty Address: 2925 N Sheridan Blvd - 80214
Property Owner (please prino: Alicia Perri Phone: 720-917-8469
operty Owner Email:
City, State, Zip:
ArchitectlEacilinmr:
ArchitectlEngineer E-mail:
Contractor: Matthew Seiler
Electrical:
W.R. City License
Plumbing:
XV.2. QJX Lice
Phone: 303-945 1519
Mechanical:
W.R. City License#
Complete all information on BOTH sides of this form
NEW COMMERCIAL
ROOFINGNEW RESIDENTIAL STRUCTURE 0 COMMERCIAL
�COMMERCIAL ADDITION RESIDENTIALROOFING
RESDIENTIAL ADDITION WINDOWREPLACEMENT
El COMMERCIAL •` _•- shed, deck, -
RESIDENTIAL OR .•- shed, deck,
SYSTEM/APPLIANCEMECHANICAL .. or
•SYSTEM/APPLIANCEREPAIR
ELECTRICALSYSTEM/APPLIANCE REPAIR
or
OTHER- •^
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposeduses,
square •-• .. 1. `: ! i •. • and • !i! -•new condition Aiancesizeand e -' l.:'. ant
amount of materials to be used, etc.)
We will be replacing like for like 4 bedroom, 2 living room, 2 kitchen, 1 dining room and 1 bathroom windows. Egress requirements will be
met and will have a u factor of .30 or better. There will be no size modifications.
l
i
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
16,63£3
t i' SIGNATURE OF I ! 1 AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
mgulations of the City of Wheat Ridge or covenan
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
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.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: Matthew Seiler SIGNATURE:!1
2/6/17
ZONING COMMMENTS,
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer
OCCUPANCY CLASSIFICATION;
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required Building Division Valuation:
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DEPARTMENT OF GOMMUNITY OEVELOPMENT
7500WEST29thAVENUE BUILDING INSPECTION DIVISION
234-5933 P.O. BOX638 CITV OF WHEAT RIDGE, COLO.
PERMIT NO.ME94#5866
TNtS PERMIT VALID ONLY WHEN SIGNE BY TiE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
' eaA PPLIC I OR MISCELLANEOUS PER 7 JOBADDRESS `J ~ OWNER U)~
CONTRACTOR E~. -l!,C. •I~Yi U ADDRESS /
ADDRESS/~ j~~~rQ/ t^ / " Off PHONE ~ l~/~- ~I~I~ ~ ~iP CODE'z4U:2
CITY -17(~:= '^ZIP CODE • -J CONTRACT PRICE $
PHONE LICENSE NO. DATE
1. TYPE Greund❑ Wall❑
2. MATERIAL
SIGNS 3. ILLUMINATION Yea❑ No❑ Type
4 SET BACK FROM PROPERTYLINE N_ 5_
. ($pxity whith ie front ) ❑ ❑
1. TYPE SolidEl Moro TAOn 80%
FENCES MATERIAL
3. SET BACK FROM PROPERTY LINE
(SDetifY which is }ront)
I.
OTHER 2
3.
other S a D Fece
_ W_ INSPECTION TICKET
~ I Joe
Loa 7na ADDRESS
S_ E_ W_
❑ ❑ 1
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVi!
(SETBACNS OR PROJECTIONS INCLUDED)
DATE: S BLDG. PERMITN o2 (6
2
PERMITX
BLDG. CONTH.
SUBCONTRACTOR
DATE INSP. REQ. Y
TYPE OF INSP. liu
~
INSPECTION MADE
REMARKS ~
W.R.FORM &19
STREET NAME
SNOW DISTANCES FROM THE M41N BUILDING TOADJOINING HOUSES, STREETS, Al
DISTANCE TO PROPERTY LINES,NOT M4XIMUM OR AVERAGE DISTANCE.
<
APPLICATION FOR PLUMBING; ELECTRICA.,,..",,.,,,,,,,,_,-,
THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILOING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WOHK IS NOT STAflTED WITHIN THAT TIMF
ELECTRICAL PERMIT
STATE LICENSE NO.~
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUMWIpEUNDEF51ZE81LLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FUEUC'rclsOnfGosdlROpdN EIwSdar
M0.
WATER CIASET
FORCED AIR BTU
TEMPORARY METER `
WASH BOWL
IqT WATER - BTU
NEW SERVICE ° AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTMER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SU9-CIFCUITS
WATER HEATER
qe}ri erant Wqup
UTILITY(RANGE,DISPOSER,ETC
AUTO. WASHER
PouMt CMr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKI.ER SYSTEM
WIRING MOTORS 9 CONTROLS
FIDOR DRAIN
ELEVATOR
SIGN$
URINAL
TRANSFORMERS 6 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I.y
1 hareby acknowledpe thot this oDOiica'
fion ia correct ond understand thaf I
Gonnof stort }hie projbct unlil thie appli-
t0lion it opproveE. I sholl comply wifh
the lawa oi the Slafe of Colorodo and to
fhs ZoninQ Repultltiona ond Buildinp
Code ofihe Cify of Wneot RidQe. Any
violofion of the obove terme wdl couse
immediate revocohon of thie permit
1
~oo ie~tr a~mu7TE~ 44-
PERMIT FEE 14 j-o--
USE TAX q C
TOTAL FEE 4
APPROVED %
DISAPPROVED - -
CHIEF BUILDINfYiIOSPECTOR,City of Wheat Ridqe
< 9 2
Dote Issued lS -
NOT VALID UNLE55
IUSJ
CALL 2345933
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF COMMUNITY DEVELAPMENT M 51
7500 WEST 291n AVENUE gUILDING INSPECTION DIVISION PERMIT N0. l 6 5 3 c
237-6944 ExT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
i nip rtnmi I vnLID ONLV WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
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JOB ADDRESS
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OWNER ~ cZ/ve-r. ~
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qDORES$ ~ U~~ ~v w~r•~'~ to'~
ADDHESS
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PHONE Z- ~ O
ZIP CODE
CITY r
ZIP CODE 33
CONTRACT PRICE $ ~3 j`i f
PHONE C~-
L
LICENSE NO I LI ;IyCJ 0
1. TYPE GrounA❑ Wail❑ P1141finp❑ Other SorDFOee
2. MATERIAL 7ofal SQUars Feet
SIGNS
3. ILLUMINATION Yea❑ No❑ Typs Eloef, Parmif No.
4 SET BACK FROM PROPERTY IINE N_ 5_ E_ W Zone_ Apprwad,ZOnetnspsator
(Spetity whieh is fronf) ❑ ❑ ❑ ❑ Disappraed
1. TYPE Solido More Thon BO% OpenO Leu Than 80% Open
MATERIAL Hei
M
FENCES
p
3. SET BACN FROM PRpPERTY LINE N_ S_ E_ W Zme_ ApprwW,Zone lnspseta
(Spscify whieA ia }ront) ❑ ❑ ❑ ❑ Diaapprowd
I. C. A. O ~ 2 P S'R~ L~ S
OTHER
Z ~
3. g em.ov° P-^+en~
oRnW 5KE7CH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GMHo dSTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDED)
STREET NAME
~
SPECIFY NORTM
SHOW DISTANCES FROM TF$ MAIN BUILDIN6 TPAWOININC HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DINSION.
PERMIT WILL E%PIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHlN TNAT TIfAE.
ELECTRICAL PERMIT
STATE LICENSE NO.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANiCAL PERMIT
AWM
INUMWIREUNDERSIZEBILLEGAL
FLOOR
BSM
IST
2ND
3R0
4TH
NQ
FUEUCirele0ne qlPeoporw EI~
P10_
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HpT WATER - BTU
NEW SERVICE AMPS
BATH TU8
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CANDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP.
REFRIGERATpN SYSTEM
POWER SUB-CIRCUITS
WATER MEATER
Refri erant Group
UTILITY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
pounds Chm e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
PERMIT FEE
NOT VAUD UNLESS RECEIPTED
I hereby ocknowledQe 1Fot fnis appiico-
tion is torrect ond undsratand thot I
USE TAX
connof start fhie projsct unlil ihie appli-
.
wtion is opproved. I sholl eomply wiro
TOTAL FEE
$
fhe lawa ot Ihe Slate of Colorodo ond to
C--
tns Zoninq Repulotions ond euildinq
AppROVED
DI$dPPRBVEB
Code of fhe Cify of Wheat Ridqe. Any
violation of the above terma willcauee
CHIEF BUILDING/1 SPECTOR,Cityof Wheat Ridqe
immediate ievoeotion of tnie p mit.
CALL 237-8944 EXT. 255
i
~
24 HOURS IN ADVANCE
FOR INSPECTIONS
Date ISSUed
~oo~ieanu ionet r•
~