HomeMy WebLinkAbout3005 Vance StreetCity of Wheat Ridge
Resid. Windows/Doors PERMIT - 201701477
PERMIT NO: 201701477 ISSUED: 06/05/2017
JOB ADDRESS: 3005 Vance ST EXPIRES: 06/05/2018
JOB DESCRIPTION: Replace 2 windows like for like; Replace 1 front door like for like
*** CONTACTS ***
OWNER (720)355-7193 THOMPSON PAUL
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,450.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 30.45
** TOTAL ** 80.45
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
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City Of
]Wh6atR d ,e
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: � )
Plan/Pennit # i
I
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be
processed. ***
Property Address: 3005 l/� c_e S f " L.% L. cam. da kEi e10,
gDo
Property Owner (please print): Phone: 72f _ 3 55 ~ 7 lq 3
Property Owner Email: 2L i rn 201 y � �t ve , C6^--\
Mailing Address: (if different than property address)
Address:
City, State, Zip:
N.
ArchitectlEngineer E-mail:
Contractor:
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone:
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL P RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION B"WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPL,IANCE RE AIR or REPLACEMENT
OTHER (Describe) F � "K re o o f �`r o n ooT
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. FULF
Amps
7 rum+ C'oJfl—
do a.1 -� I. -Kc l i f
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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 1 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) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): ��/ ✓ DATE: 6
1E // 7
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201701085
PERMIT NO: 201701085 ISSUED: 05/31/2017
JOB ADDRESS: 3005 Vance ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Reroof 26 squares 4/12 layer 4 squares mod bitumen; install GAF
armourshield II class 4 shingles; ice and water shield
*** CONTACTS ***
OWNER (720)355-7193 THOMPSON PAUL
SUB (303)960-2783 Josh Lucero 110099 Expert Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,500.00
FEES
Total Valuation 0.00
Use Tax 157.50
Permit Fee 1.72.60
** TOTAL ** 330.10
*** 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) 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 manufacturer&elms 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 - 201701085
PERMIT N0: 201701085 ISSUED: 05/31/2017
JOB ADDRESS: 3005 Vance ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Reroof 26 squares 4/12 layer 4 squares mod bitumen; install GAF
armourshield II class 4 shingles; ice and water shield
I, by my sig��ature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t7�e 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 Ism leg ally authorized to include al
I entities named within this document as pames to the work to be
performed anal that�11 fork t� be, o;ne� � d�closed in this document apd/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR Wircle one) Date V
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 permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to geld inspection.
1
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 insptimerequestgei.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.
l bz-1
City of C -L/
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspectidn Line: 303-234-5933
Email: permits(ED-ci.wheatridge.co.us
j FOR OFFICE USE ONLY
Date: <5�3�
PIOWPermit #�
'V I OKS
Plan Review Fee:
Building Permit Application
ft--DC-)S-- �
C ,
(if different than property address)
. ... .... . . ft
Address: --?o 0 5—
City, State, Zip: tA)kp ca- Oc-tc4o.P - L-,oRc�3,3
M
Electrical:
W.R. City License #
Other City Licensed Sub:'
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
[X ESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
(❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition,�applian a size and of iicie c ,type and
amount of materials to be us d, etc.) ' 4 9O l ?/—�
o�I� //2
6AF Apivi
I c.,d DO ;
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ -'--7-��V . 00 -- -
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pen -nit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building pen -nit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) o (AUTHORIZ REPRESENTATIVE of (OWNER) (CONTRACTOR)
Electronic Sienature (fust and last name): DATE: -36-17
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201701085
PERMIT NO: 201701085 ISSUED: 05/31/2017
JOB ADDRESS: 3005 Vance ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Reroof 26 squares 4/12 layer 4 squares mod bitumen; install GAF
armourshield II class 4 shingles; ice and water shield
**REVISION** Redecking 20 squares 7/16 OSB; Added valuation: $1562.50
*** CONTACTS ***
OWNER (720)355-7193 THOMPSON PAUL
SUB (303)960-2783 Josh Lucero 110099 Expert Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,062.50
FEES
Total Valuation 0.00
Use Tax 190.31
Permit Fee 204.30
** TOTAL ** 394.61
*** 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/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&Oms 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 - 201701085
PERMIT NO: 201701085 ISSUED: 05/31/2017
JOB ADDRESS: 3005 Vance ST EXPIRES: 05/31/2018
JOB DESCRIPTION: Reroof 26 squares 4/12 layer 4 squares mod bitumen; install GAF
armourshield II class 4 shingles; ice and water shield
"REVISION' Redecking 20 squares 7/16 OSB; Added valuation: $1562.50
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 attes that I am le ally authorized to include all entities named within this document as pames to the work to be
performed 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 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 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
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable cod, y ordinance regul 'dn ' f this jurisdiction. Approval of work is subject to geld 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 insptimerequestgci.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.
Z"4
City of
1Wh6atRjge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a-)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Add to Permit #
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: _„S00
Owner
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Contact Person:
Contractor:
Contractors City License #:
Contractor E-mail Address:
i
Phone:
1
Phone: 77o -3Z9 —(oC)2
Phone:-77,0-32((,029
Please (Vote: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour - 2 hour minimum).
Description of revised/amended work:
Scat zo
d
/6
Sq. FULF Btu's Gallons
Amps Squares Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
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.
CIRCLE ONE: (OWNER)
PRINT NAME:
ZONING COMMMENTS.
Reviewer:
(CONTRACTOR) or (AUTHORIZED
BUILDING DEPARTMENT COMMENTS.
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received
Water District ❑ Received
Sanitation District ❑ Received
SIGNATURE:
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE: — / — I
OCCUPANCY CLASSIFICATION:
❑ Not Required
❑ Not Required
❑ Not Required Building Division Valuation: $
N S PT E C O R D °°cu an°e
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. 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)
Mid -Roof
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
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.
**For Inspection Time Window — Please email insptimereguest@Ci.wheatridge.co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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: F w +i
Job Address: -3 a Q Vf-\ N c c ?
Permit Number: -A r) I'7 U / y 7
It -30 U- V 4 JE -/b IL Q
C,-7 -4 -T US %Anrr?Q L.,'P()
❑ No one available for inspection: Time _uAM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
24
A CITY OF WHEAT RIDGE _
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Yy )D S //,C--
Job
7,C--Job Address: V 0 Y-1 e.,
_54 -
Permit Number: i3 8 5
❑ No one available for inspection: Time A PM
Re -Inspection required: Yes (Ni)
*When corrections have been made, call for re -inspection at 303-234-5933
t �7
Date:J / Inspectors.
DO NOT REMOVE THIS NOTICE
24
A CITY OF WHEAT RIDGE _
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Yy )D S //,C--
Job
7,C--Job Address: V 0 Y-1 e.,
_54 -
Permit Number: i3 8 5
❑ No one available for inspection: Time A PM
Re -Inspection required: Yes (Ni)
*When corrections have been made, call for re -inspection at 303-234-5933
t �7
Date:J / Inspectors.
DO NOT REMOVE THIS NOTICE
FOR OFFICE USE ONLY
City
Date:
of
�
Wh6at fqd Coml
CommuNiTy DEVFLOPMENT Plan/Permit #
Building & Inspection Services Division '2- a
7500 W. 29th Ave,, Wheat Ridge, CO 80033 Plan Review Fee.
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
AddyVA
Al
Propr<
I etyAddti
-20--
Address:
0:hltO�6�nalheer' -mat:
ME=
Electrical:
W.R. City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
NEW A STRUCTURE ELECTRICAL
y SERVICE UPGRADE
A D:.
NEW RESIDENTIAL STRUCTURE EICOMMERCIAL ROOFING
COMMERCIAL ADD..: Q RESIDENTIAL
RESDENTIAL ADDITION
Ile WINDOW REPLACEMENT
COMMERCIAL
k fly#4 STRUCTURE
RESIDENTIAL ACCESSORY •.rl.. shed, deck,
MECHANICAL SYSTEM/APPLIANCEREPAIR
pF lY. ! REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
Ti (F¢ia ;? €t3'' iAw
w
Sq. KILF Stu's Gallons
Ams Squares Iter
CITY OF WHEAT RIDGE
" Building Inspection Division
f~ (303) 234-5933 Inspection line
(303) 235-2855 Office (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
No one available for inspection: Time. 0-S6_ M
Re-Inspection required: Y s No
"When corrections have been made, call for re-inspection at 303-234-5933
Date: 44-c7~4b Inspector:
DO NOT REMOVE THIS NOTICE
Y4
'i
♦ i CITY OF WHEAT RIDGE
or Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office •7303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 4Z112do2t=
Job Address: 3,00 5' - 57
Permit Number: ,k90 9V Y
El No one available for inspection: Time �i?.' S AMIPM
Re- Inspection required: Yes
When corrections have been made, call ,, for
rr � re-inspection at 303 - 234 -5933
Date: _ Inspector
DO NOT REMOVE THIS NOTICE
ermic ree
otal valuation
se Tax
* TOTAL
Is
s'-
City of
Date:
Cr ..n~tMUNITY DEVE LDPME rr Penn;t#: jDOg fr¢
Building Division
7500 W. 2P Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Owner (please prinq: &6 15,00AIANJ Phone: 1-,W- 2~$^ 596
Malling Address: (if different than property addross)
Address:
City, State, Zip:
_ .'"W: NAT»/ll~?lA~ AN57ieac'Th9AJ Isle.
Contractor License O 9 n 2 38 Phone: / ,?77 -`763 - 2/cI 8~
CORlpany ante: License Expiration Date: Trade/Profession: Approval:
Use of as ace description): e- Ao-h~
fA r:i }y:flon Value,
Plan Review (due of time asubmttal): $Aly~
Sq. Ft./L.Ft added: SquaresZ,33BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setbsok distances proposed by this permit application are accurate, and do not Nolate 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 (1.9.0) and all other.applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) NTRAGTO or PERSONAL REPRESENTATIVE of WNER) (CONTRATOR)
PRINT NAME: rl SIGNATURE: 5L~ s-~y- Date: 11-6-140
Bldg Valuation: $
Credit Card Payment: Use credit card listed on file. Date:
Print name: m A Sc AA ~ Signature.
DEPARTNIENT OF COMMUNITY DEVELOPMENT
7500WES729thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M93#18913
234-5933 P.O. BOx638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAUD ONLY WHEN S16NED BY TNE CNIEF BUILDING INSPECTOR ANC RELEIPTED BELOW.
71- APPUCATION FORiMISCELLANEOUS PERMI7 n
JOBADDRESS OWNER ~ tq1/f,(Lr L '(,l'I/7 (ql~
CONTRACTOR l~C~_Lf , IiiYC CYi A~( ADDRESS
ADDRESS ~(6 z S PHONE 51 3'3 ZIp CODE
CITY _3LLk ZIP CO E&2-6,7 CONTRACT P ICE $
PHONE ?
? , ) LICENSE NO. ~ ~ - DATE
1. TYPE Ground❑ Woll❑ Proitttinp❑ Ofhar SorD Foa
2. MATERIAL Total SQuan Fee1
SIGNS 3. ILLUMINATION Ysa❑ No❑ 7ype ElW. Parmil No.
4 SET BACK FROM PROPERTY LINE N__ S_ E_ W Zone_ Approved,Zone inspsctor
(Spxify which ia fronl I ❑ ❑ ❑ ❑ Di7approved
1. TYPE SolidE] Mon Thon 80% Opan❑ Lesf Than 80% Opsn
fENCES 1' MATERIAL HeipM
b. SET BACK FROM PROPERTV LINE N_ S_ E_ W Zone_ ADMwrd,Zons Ingpeeta
(SPSCify_whitAis }ront) Q ❑ ❑ piaapprowd
g J
OIN
SPECTION TICKET
DRAW SKETCH OR SHOW BEIOW,THE FENCE, SIGN, OR OTHER STRUCTURE,Gf
(SET84CKS OR PROJECTIONS INCLUDED)
~
JOB V
ADDRESS O Oj I CC~'
,
I ~ J
DATE: ~ - BLDG. PERMITN (8 ~I 1-3
PERMITM
BLDG.
SUBCONTRACTOR
DATE INSP. REQ. O -
STREET N4ME
SMOW DISTANCE$ FROM TFE MAIN BUIIDING TUADJOINING HOUSES, STREETS, TYPE OF- INSP.
OISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. ~
INSPECTION MADE_ -
APPLICATION FOR PLUMBING; ELECTRIC
THIS APPLICATION WILL BECOME A PERMIT TO PERFORN THE INDICATED WOR REMARKS
PERMIT WILL ERPIRE 180 DAYS FROM THE DATE OF ISSUANC
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PER ~
STATE UCENSE N0.
ALUMINUM WIRE UNDERSIZE B ILI.EGAL
FLOOR
BSM
IST
WATER ClASET
W.R. FORM &19
TEMPORARY METER
WASH BOWL
NEW SERVICE - AMPS
BATH TUB
l
CHAN6E SERVICE-AMPS
SHOWEP
LIGHTING
SINK
HEATING
GARBAGE DISP
REFRIGERATpN SYSTEM
POWER SU9-CIFCUITS
WATER HEATER
Refr' ronl Grou
UTILITY(RANGE,DISPoSER,ETC)
AUTO. WASHER
ppu'y~ C"e
FIXTURES
DISH WASHER
AUTOMATIL SPRINKLER SYSTEM
WIRING MOTOf25 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAI.
TRANSFORMERS B REGTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
i hsreby acknowledQe that this opplica-
fion ia conect and undeisfond ihoi I
eonnor t+ort inis vroject unril +nis oooli-
wfion it opproved. I snall comply wifh
fM laws ot the State o! Colmodo and to
fhe Zoninp Repulatiom and Buildinp
Code ofthe City of Wheat Ridqe. Any
viololion of tne obove ferme will cause
immel revo fion of Tis permit
~
t . ~ A.~
PERMIT FEE
USE TAX
TOTAL FEE
APPROVED
8I$i9PP~E~f~
CHIEF BUILDI
L ,7'tf-~L
INSPECTOR,City
P -34.C~
Wheat Ridqe
Date Issued
c
- ~
RECEIyTED
7 ~
T '~-?3
~
CALL 234-5933
24 HOURS IN ADVANCE
FOR INSPECTIONS
aai. s'an