HomeMy WebLinkAbout3243 Taft Court-3�-3 INSPECTIONRECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
r
—1w
77
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 Aanroval Of The Above Insnpctinnc
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Annroval Of The Ahnvp IncnPnfinnc
Rough Inspections
Date
Inspector
Initials
-r-
Comments
Wall Sheathing
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.
Mid -Roof
[i(
Fire Inspection / Fire Protection Dist.
Lath / W all Tie
Final Plumbing
Rough Electric
Final Mechanical
Roof
Rough Plumbing/Gas Line
Final Window/Doors
Rough Mechanical
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.
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
A
City of Wheat Ridge
Residential Roofing PF R_MIT - 201704998
PERMIT NO: 201704998 ISSUED: 07/28/2017
JOB ADDRESS: 3243 Taft CT EXPIRES: 07/28/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Northgate IR asphalt shingles
with 30 sq.
*** CONTACTS ***
OWNER (608)334-0797 GERARDI JASON A
SUB (303)984-7663 Judy Antener 070171 1-DERFUL ROOF & RESTORATION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT*: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,000.00
FEES
Total Valuation 0.00
Use Tax 378.00
Permit Fee 331.10
** TOTAL ** 709.10
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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.
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: �� 10 I:--
. Job Address: ' r . G"r
Permit Number: 2.0 7
❑ No one available for inspection: Time U = 3Q OPM
Re -Inspection required: Yes e
When corrections have been made, call for re -inspection at 3 3-234-5933
17/6[/7
"114 -
Date: 6 / 77 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704998
PERMIT NO: 201704998 ISSUED: 07/28/2017
JOB ADDRESS: 3243 Taft CT EXPIRES: 07/28/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Northgate IR asphalt shingles
with 30 sq.
*** CONTACTS ***
OWNER (608)334-0797 GERARDI JASON A
SUB (303)984-7663 Judy Antener 070171 1-DERFUL ROOF & RESTORATION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,000.00
FEES
Total Valuation 0.00
Use Tax 378.00
Permit Fee 331.10 PAIL
** TOTAL ** 709.10
L_ i
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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.
t City of Wheat Ridge
Residential Roofing PERMIT - 201704998
PERMIT N0: 201704998 ISSUED: 07/28/2017
JOB ADDRESS: 3243 Taft CT EXPIRES: 07/28/2018
JOB DESCRIPTION: Residential Re—roof to install CertainTeed Northgate IR asphalt shingles
with 30 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 this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perlo and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
i ature 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 changeof 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
Divis o .
6. Th su ce or grantin o permits ll not be construed to be a permit for, or an approval of, any violation of any provision of any
applic . e o y or i c r r ulation 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.
Dan Schultz
From:
no-reply@ci.wheatridge.co.us
Sent:
Thursday, July 20, 2017 1:10 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3243 Taft Ct
Jason Gerardi
608-334-0797
Field not completed.
$_20q- (0
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 Business
1-derful Roofing & Restoration
Name
Contractor's License
070171
Number (for the City of
Wheat Ridge)
Contractor Phone
303-498-47663
Number
Contractor Email Address
1derfulcolleen@gmail.com
Retype Contractor Email
1derfulcolleen@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
CertainTeed Northgate IR shingles
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
30
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
30 '✓
(pitched + flat) of all
roofing material for this
project
2
Provide additional detail Re -Roof House
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 18000.00
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 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 Colleen Jacobsen
Email not displaying correctly? View it in your browser.
3
9858 W. Girton Drive
Lakewood, CO 80227 Proposal Date: � -2 0(- 3l--
Lakewood,
303-984-ROOF(7663) T—
D E R F U L This proposal may be withdrawn by 1-Derful
Fax: 855-696-7776 Roofing &Restoration if not accepted within 30
ROOFING 6 RESTORATION days from the above date.
PROPOSAL FOR: _ cot — U Vf+. n
Name:�
Job Address
City. scare, zip: hT I a,o t
Phone: i OB 33y-0ggfF-----
Mailing Address:
(If Different)
Email Address:
Best way to contact:
jC Tear Off I is u,a r'
and eaves are open or closed.
Jrj Inspect Decking: Deteriorated existing decking
replaced at cost of $�j SO Per Sq. Ft. Homeowner
will be notified if any damaged wood is found during tear off.
�ry Install ice shield on eaves and in valley(s) /I
$ Install drip edge___ao�_Color
+ Install underlayment S, ..� Co
Kj Recover roof with M S tC 10101.
J9 7a ILLf e r rZfactuler warranty.
>� Shingle manufacturerfv►stp!'N� r,+fsrtltf�
color
. j(1 6 Nail every shingle
Install —/Cx�d �rp ridge style
SCJ install pipe jacks _I lead jacks _l swamp cooler
Step flash sidewalls .,step flash chimney XI step flash skylight
1j 1-Derful Roofing & Restoration will provide general liability insurance
of at least $2,000,000 and Workers Compensation of at least $500,000
't Clean up and haul of roofing debris X Clean out gutters
XJMagnetic sweep of surrounding area X Clean around landscaping
All required Permits furnished by 1-Derful Roofing & Restoration -
to be reimbursed by Insurance Company
1-Derful Roofing & Restoration five year warranty on labor
—� Current Ventilation Recommended
SUBMITTED BY: 1-DERFUL ROOFING & RESTORATION
1-Derful Rep: o S ,� H
Cell Phone: q 07Oi - 33/
Insurance Company:
Adjustor Information: A.
Policy Number:
Claim Number: O 5"5 O 11.0 9 -O
PO Gutters:
color
❑ Siding:
W Extra work_ TQ r)
Special instructions:
Outlet
1-derful Roofing and Restoration shall hold in trust any
payment received from you until 1-derful has delivered
roofing materials at the site or has performed a
majority of the roofing work on your property.
$ %%�3 • deductible to be collected
at time of material delivery.
$ /571,2 initial total claim amount
as of __T / 2.1 /20 1'T This
price is subject to supplements/adjustments.
Roof work to be completed within 21 days of final
Decline recommendation on ventilation insurance approval and mortgage endorsement"
Date of n
t-,Uioofing & Restoration Representative H eowner'signature
Property Owner is As not intending to make payment from the pro ce ds of a property and casualty insurance policy.
e AL.LOWMICE AG k1ENT If so, homeowner must read and sign below.
Me agree b retain 1-Derful ROMv a Restoration (contractor) to repalrrreplace the damaged or enure portion ol the property described on this contract conttingent upon the mtaractor obtaining my Mura we
compar Ys approval and payment to have said work completed. It Is agreed that the contractor is empowered to contact my insurance carder and to meet with their representable in order to negotiate Nle amount
of damage, the coat of tle repair OF replacement of the damage to the above property. Upon the Insurance carrier agreement with the contractor and the dawn payment being made the work vAA be sdiadrded
and may begin on a"ki first out basis.
C.h.nig shall blit minde t»ttabh to 14DaAut Roofing & ReMondlon.
in on event ow the Insurance carrier tape to negotiate in a fair and reasonable manner, the contractor shag not be hekt Mable and this agreement wR be void. The contractor will release the oampNre So to the
C.ommiaeioner of Intuance at the customer's request -
Insured out- of poolot supers, wt- not exceed the truured (purchaser) policy deductible for the work agreed upon between the insurance carrier snot the contreclorl sured also alp ees io provWo ail the necessary
documanta iai for the dalm (including documentation to facilitate payrnelt from Irwurance owner andlor mortgage hekfer} The contractor reserves the right to fie for supplemental claims due b material ar4Aor
Wo, incree as due to a giorm arniron ment or to Insurance ac@rrathr's mistakes, errors or ontissrone.
Vwe agree by signog above to all the contract condition on both the front and batt of this agreement
i CITY OF WHEAT RIDGE '� I
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: jA-1-
Job Address:
Permit Number:
❑ No one available for inspection: Time 1 tr
�
' AM/M
Re -Inspection required: Yes
When correctiofrs have been made, call for re -inspection at 303 -234 -
Date: f I Inspector:
DO NOT REMOVE THIS NOTICE
11 ti59 PM.
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W,R, City W.R. City License # WA. i 3ty Lic h
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DEPARTMENT OF COMMUNITY DEVELOPMENT MpgZ#~~ 3344
7500 wEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 ExT. 255 P.O. Box 63e CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS '~'l
CONTRACTOR
ADDRE$S_.~L
CITY AI t"1 i y' y% n):
PHONE 17 / _/-,M6S,V
~ OWNER ;L/'U / J //lU"i/
~ADDRESS- -~'k--~
t~7. PHONE 3 y~ ZIP CODE
IP CODE ~~%~1 S r%ONTRACT PRICE $ 4 0(7 ,
ICENSE NO. ~ 1.5-7/ n) n
TYPE Ground❑ Wall❑ Proieefin0❑ OMer SaDFace
1
.
2. MATERIAL Totai Squon FNt
SIGNS
a Eleet
Permit No
❑ T
ILLUMINATION Y
❑ N
3
.
yp
.
es
o
.
4 SET BACK FROM PROPERTV IINE N_ S_ E_ W Zons_ ADDrmed,Zone lnapeeta
(Speeify whicA is tront) ❑ ❑ ❑ ❑ DiaopWwed
1. TYPE Solido Mon TAOn 80% ODanD Lest Thon 80% Open
MATERIAL HNphf
?
FENCES
'
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W 2Me_ Approved,Zone Inspeeta
(Specify whieh is front) ❑ ❑ ❑ ❑ DitapDrovad
~
b~O /~I i/ /-~G~} -(rG-I/' ~ ~13
C /~J' SI '2J
•i .~yL'
OTHER
~
Gr/ Ll _51/
3
.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTNER STRUCTURE,GNINv DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDED) I Y
INSPECTION TICKET
JOB p
ADDRESS
r".r✓'%z 3 3
DATE: BLDG. PERMITM
PERMITM
BLDG. CONTR. (~',,A
STREET NAME
SFiOW 01STANCES FROM THE MAIN BUILDING TPAWOINING NOUSES,STREETS,AND f SUBCONTRACTOR
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. 2- ~&-d
APPLICATION FOR PLUMBING; EIECTRiCAL; M
THIS APPLICATION Wlll BECOME A PERMIT TO PERFORM THEINDICATED WORK ONL
PERMIT WILL EXPIRE 60 DAVS FROM DATE OF ISSUANCE !F WORK
DATE INSP. REQ. AF~ PAL
TYPE OF INSR
~ u
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT INSPECTION MADE /T7X?1q 7--
S7ATE UCENSE N0.
R
ALUMINUA WIRE UNDERSIZE 8 ILLEGAL
FLOOR
BSM
IST
EMARKS
2N0
WATER CLASET
WASH BOWL
TEMPORARY METER
NEW SERVICE AMPS
BATH TUB
ERVICE-AMPS
SHOWER
CHANGE S
LIGHTING
SINK
W.R. FORM 6-19
HEATING
GARBAGE DISF
~
POWER SUB-CIRCUITS
WATER HEATER
UTILITY(RANGE, DISPOSER,ETC.)
AUTO.WASHER
FIXTURES
DISH WASHER
WIRIN6 MOTORS 8 CONTROLS
FLOOR DRAM
SIGN$
URINAL
TRANSFORMERS 6 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
1 hareby acknowledqe thot this applica-
tion is correct ond understond that I
connot atort this project until this oppli-
eotion is apOroveA. I sholl comply with
fhs lows of Ihe Stote of Colorado and to
iha Zoninp Requlations ond Buildinq
Code of the City of Wheaf Ridpe. Any
violotion of the obove terms will couse
immediate revocation of thie permit.
z~~,
kOilieanb 9i0^^tur•
PERMIT FEE
USE TAX
TOTAL FEE
CHIEF BUI
/ NOT VA I UNLES$,ftF
V5
$ ~
,City of Wheat Ridge
Oate I55uPd~
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500 wESr 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M911k17512
237-6944 EXT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO.
TNIS PERMIT VALID ONI.Y WHEN SIGNED BY ?HE CNVEf BUILDiNG iNSPECTOR P.ND RECEIPTED BEL'JW.
_ APPLICATION FOR MISCELLANEOUS PERMIT
JOB ADDRESS OWNER
CONTRACTOR _A~~fI~~~'~ f/•( 6' Y S ADDRESS -
f/
ADDRESS 4^ PHONE ZIPCODE 426'
CI7Y ZIP CODE CONTRACT PRICE $ -
PHONE ;2 S ~ I ~ LICENSE NO.
1. TVPE Ground❑ WollU
2. MATERIAL a
SIGNS 3. ILLUMINATION Yn❑ No TYDa
4. SET BACK FROM PROPERTY LINE N__ S _
FENCES
DATE
ProitClinp
W
p1Mr S w D Foa
Tolal Squart FeN
Elod. Permit No.
2ons_ Apprwsd,ZOns Incpocta
L TYPE Solidf, Mon Thon 80% ODanO Lns Thon 80%
MATERIAL
3. SET BACK FROM PROPERTY LINE
(Soscitv wnien i} front)
I
OTHER 2
3.
HoipM
Zme_ ADOrwW,Zorn ImDeetor
DRAW SKETCH OR SHOW BELOW, TME FENCE,SIGN,OR OTHER STRUCTURE,GIVIf:o UISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJECTqNS INCIUDED)
~
SPECIFY NORTH
STREET NAME
$F JW DIS?ANCES FROM THE MAIN BUILDING TQADJOINING MOUSES, STREETS, AND PROPERTY lINES; ON IRREGUTAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VAUDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 780 DAYS fROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
PLUMBING PERMIT
MECHANICAL PERMIT
ELECTRICAL PERMIT
STATE LICENSE N0.
STATE LICENSE NO
BSM 15T 2ND 3RD 4TM
P
~N ElxSdar
CWO
N0. FUEL:
RN ~ dl
ALUMINUM VARE UNDFR SIZE 8 IILEGAL
FLOOR
B
A
T
~
WATER CLASET
BTU
HOT WATER _
TEMPORARY METER
WASH BOWL
_
STEAM 8TU
NEW ~ERVICE - AMPS
BATM TUB
AIR CONDITIONIN6-BN
CHANGE SERVICE - AMPS
SNOWER
OTHER
LIGHTING
SINK
REFRIGERATION 5'BTEM
HEATING
GARBAGE DISP
Refri eront Group
POWER SUB-CIFCUITS
WATER HEQTER
ppundf C~ar e
UTILITY(RANGE, DISPOSER, ETC )
AUTO. WASHER
R
AUTOMATIC SPRINKLER SYSTEM
FIXTURES
DISH WASHE
EIEVATOR
WIRING MOTOF25 9 CONTROLS_
FLOOR DRAIN
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK _
OTHER
I hereby acknowledQe thot this avOCa-
fion it tonect and understand thot I
GannOt start thie prOltltf until this oppii'
cotion if ap0raved. I shall comDlY wifh
the lawe of Ihe Stote of Colorado and to
tha Zoninp ReQulations ond BuildinQ
Code ofthe City of Wneai Ridqe. QnY
violalion ol the obove terme wdl cause
immediale revocotion of this Dermif
N_ S_ E- N'-
❑ ❑ ❑ ❑
PERMIT FEE
USE TAX
TOTAL FEE
CHIEF BU
a J EU
NSPECTOR,City of Wheat Ridqa
Date Issued /0- ~ cyI
NOT VALID UNCl~E55 faecurIu
J
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS