HomeMy WebLinkAbout3025 Vance Street'�30Z(�- '-;� 0 / -/1)4�� q(4?
INSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Mid -Roof
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
lu° I&
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough, Inspections
Date
Inspector
Initials
Comments
Sheathing
lu° I&
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
f
AA
Roof
Z�
Final Window/Doors
Final Building
!VOTE: 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
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,000.00
FEES
Total Valuation 0.00 `� <
Use Tax 336.00
Permit Fee 299.40
** TOTAL ** 635.40
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT -
201704648
PERMIT NO:
201704648
ISSUED:
07/24/2017
JOB ADDRESS:
3025 Vance ST
EXPIRES:
07/24/2018
JOB DESCRIPTION:
Residential Re -roof to install Malarkey
Legacy
IR Roofing System class 4
asphalt shingles with re -decking 29
(4sq flat)
reroofing house pitch 4/12 & 1/12,
Modified Bitumen will be installed on
the flat portion of the roof.
*** CONTACTS ***
OWNER (720)887-1265
BERGSTROM RENEE MARf_1_AEL
SUB (720)887-1265
Andrew Rock
060056 Rocky
Mountain Roof Doctors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,000.00
FEES
Total Valuation 0.00 `� <
Use Tax 336.00
Permit Fee 299.40
** TOTAL ** 635.40
*** 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.
�.4 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 4A r7c)F
Job Address: C9 5- A Q
Permit Number: 0170
❑ No one available for inspection e `1, u 1; /AM/,PM
Re -Inspection required: Yes No
When corrections ave been made, call for re-inspect"on at 303-234-5933
Date: Z� 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 N�O-�TIC
Inspection Type:
Job Address: So � _ ,,
V6�(( % F
Permit Number: 0 e/6`l1�_
Ie
❑ No one available for inspection: TimeQ ,r �_ 7 All/PM
Re -Inspection required`:" Yes' No
_I
When corrections have been made, call for re -inspection at 303-234-5933
Date: 0 1 Inspector:
� f
DO NOT REMOVE THIS NOTICE
� City of Wheat Ridge
Residential Roofing PERMIT - 201704648
PERMIT NO: 201704648 ISSUED: 07/24/2017
JOB ADDRESS: 3025 Vance ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy IR Roofing System class 4
asphalt shingles with re -decking 29 (4sq flat)
reroofing house pitch 4/12 & 1/12, Modified Bitumen will be installed on
the flat portion of the roof.
*** CONTACTS ***
OWNER (720)887-1265 BERGSTROM RENEE MARIE KEEL
SUB (720)887-1265 Andrew Rock 060056 Rocky Mountain Roof Doctors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,000.00
FEES'
Total Valuation 0.00
Use Tax 336.00
Permit Fee 299.40
** TOTAL ** 635.40
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201704648
PERMIT NO: 201704648 ISSUED: 07/24/2017
JOB ADDRESS: 3025 Vance ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy IR Roofing System class 4
asphalt shingles with re -decking 29 (4sq flat)
reroofing house pitch 4/12 & 1/12, Modified Bitumen will be installed on
the flat portion of the roof.
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
performed and tl all w ark to be`perfonned is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of O�ER 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, 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 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 border 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chie=lding Official _ —X7 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 13, 2017 2:00 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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? kw/o/ /1„ A
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
3025 Vance Street
Randy and Renee Bergstrom
970-471-9740
0
0
0
.ego. 3�31/1z
Property Owner Email rbergstrom@q.com
Address
35. V�)
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Rocky Mountain Roof Doctors
060056
7208871265
Contractor Email Address rockymountainroofdoctors@live.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
rockymountainroofdoctors@live.com
Yes
Malarkey Legacy IR Roofing System- Class 4
Asphalt
Field not completed.
How many squares of the 25
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 4
on the flat roof?
TOTAL SQUARES of all 29
roofing material for this
project
Provide additional detail We are re -roofing the house which has a 4:12 and 1:12 pitch.
here on the description of Modified Bitumen will be installed on the flat portion of the roof.
0)
work. (Is this for a house We are pretty sure we will have to put plywood decking over
or garage? What is the spaced decking.
roof pitch? Etc)
Project Value (contract 16000
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 Andrew J. Rock/ Kaylee Knosala
Email not displaying correctly? View it in your browser.
3
ROOF DOCTORS
11905 Quay St Broomfield, CO 80020
Phone: 720-887-1265 Fax: 303-4654222
www.rockymountainroofdoctors com
r
Renee and Randy Bergstrom
3025 Vance Street Date: 06/14/2017
Wheat Ridge, Colorado 80033
Phone: (970)471-9740 Claim # 0615709J6
E-mail: rber strom .com
Re -Roof House 2 Sheds Awnin Back Room and Rear Door Coverin as Per insurance adjustment dated 5-20-2017
• Remove the existing roofing system.
• Replace damaged decking (if any) at $1.75 per square foot. Initial
• Apply synthetic felt underlayment to roof surface.
• Install a new roofing system complete with new metal flashings on all pipes, edges, skylight, and vents.
• Install a 5" seamless gutter system complete with downspout.
• Remove and replace carpet in back room.
• Remove and replace batt insulation.
• Install lattice, and seal and paint as needed.
• Install ceiling paneling in back room.
*Not included line,nd-ggfrom the insurance adjustment ($222.96)
,�<� /a
1. 25 Year 3 -Tab- $} ,44.7, tnitiat�
Color:
Homeowner Upgrade-
• Class 4 Impact Rated Shingles (Malarkey Legacy) - Additional $960. Initial
• install cut fabricated metal fascia on entire home. Re -fasten vinyl soffit in three areas — Additional $2,850.
Initial]
Incurred Cost to Insurance Compare:
• As per building code requirements:
I. Install plywood over spaced decking. (24.42 * $175 -
2. Apply ice and water shield at all eaves. 10 square * 5 2= $1,650)
50) —
3. Install six roof vents and six soffit vents. (12 vents * $ 0 $ 00)
4. Install air flow baffle over insulation in back room. (307 sq ft * $1.2 = $368)
5. Install four post supports and caissons for rear awning- Additional $1500.
6. Drip edge at eaves and rakes (304 ft. x $1.95 = $592) (re: line 8- Wheat Ridge Policy)
• Additional costs (awning and fiberglass):
1. Fair market price additional for awning- $750
2. Fair market price additional for fiberglass- $450 _--
3. Permit (to be determined)
General Contractor Overhead and Profit -
1.
ft. x$2.42} -Additional $563.
1. 0 = , 6
2. P ofit-101-"$27,863 = $2,Z86_f
Life time warranty on workrnenshi
All work will comply with building code. Permit not included. (Payable by insurance when incurred)
All debris removed from site ('
After detaching and re -setting satellite, signal adjustment may be needed from your satellite company. (Not included.)
Insurance claims: The State of Colorado prohibits any roofing contractor from paying, waiving, rebating, or offering a promising to pay, waive, or
rebate all or part of any deductable that applies to an insurance claim.
T
JK/1 I
Hanover Insurance Company: 303-393-2300
We propose hereby to furnish material and labor- complete in accordance with the above specifications for the sum of: $ 33,435.00
$ Thirty three thousand tour hundred thirty five Dollars
Payment terms. 10% due upon acceptance, 500% due upon delivery of materials, and 40% due upon completion
Respectfully submitted: Amfy Rock
Any alteration or deviation from the above specifications may result in an extra charge over and above the estimate -
Acceptance of Proposal
The above
prices, specifications and conditions are herebyaccepted. You are authorized to do the work specified_ Payments will be made as
outlined above. If you decide that you want to cancel this contract, you have 72 hours from 1 date the contract is signed with a full refund of
deposit paid within 10 days. After the 72 hour period of the signed contract, deposit is non- fndable. Work to be completed within 120 days
of signed contract.
Date of Acceptance:—L Authorized Signature:
(}�
Ci d c G'- C-1
j j
7-2-17
� � 4 i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: —0)02,5�
Permit Number:
. 00f' 4H VICA,t
❑ No one available for inspection: Time obl �M pM
Re -Inspection required: Yes No
When corrections have been made, call f -re-inspection at 303-234-5933
Date: -b)1-1—lnspector:r
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: r
Job Address:��J
Permit Number: 2-0 1"1 Q -=}-U b
5..
❑ No one available for inspection: Time AM(P
Re -Inspection required: Yes i to
When corrections have been made, call f e -inspection at 303-234-5933
Date: ) (b ) Inspector: 4)C_9 --
DO NOT REMOVE THIS NOTICE
�t r, V4flN RCORD
`� LINE: (303) 234 -5933
OccupancvlTvpe
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR..
INITIALS
COMMENTS:
Footings /Caissons
Sheathing
Stemwall / (CEG) Concrete
Encased Ground
Lath / Wall tie
Reinforcing or Monolithic
I Mid -Roof -
Weatherproof / French Drain
Electrical Service
Sewer Service Lines
Rough Electric
Water Service Lines
Rough Plumbing
ruuR rvu uuNGRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Roof
Lath / Wall tie
Building Final
I Mid -Roof -
-
Electrical Service
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* * NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
I Framing I I
Insulation
TO BE
Drywall Screw I I I
FINALS
Electrical
Plumbing
Mechanical
2^
Roof
Building Final
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* * NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
UCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ 4' CITY OF WHEAT RIDGE
Building inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 ice • (303) 237 -8929 Fax
INSPECTION NOTICE
s ,
Inspection Type: PLIfO L P16 T" wa,�
Job Address: S )a l�C V1
Permit Number
1I
❑ No one available for inspection: Time 1LY
Re- Inspection required: Yesfc
* When corrections have been made re - pection at 303 - 234 - 5933
Date: '/ -/ Inspector: k =�
v V
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
.�
Residential Mechanic PERMIT - 102565
PERMIT NO: 102565 ISSUED: 11/12/20.10
JOB ADDRESS: 3025 VANCE ST EXPIRES: 11/12/2011
DESCRIPTION: Replace 50 gallon gas water heater
* ** CONTACTS * **
owner 303/233 -3772 Renee Bergstrom
sub 303/424 -1054 Michael Enright 01 -7953 AAA Service Plumbing
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0585
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION:
2,500.00
FEES
Permit Fee
40.00
Total Valuation
.00
Use Tax
45. 00
** TOTAL **
85.00
a0
Conditions:
Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors
are required to be installed in every sleeping room, in hallways outside of
sleeping rooms, and on every level of the structure. Carbon Monoxide detectors
are required to be installed within fifteen(15) feet outside the entrance to
each sleeping room.
Subject to field inspections.
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 the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat RidgelOrdi ances, for work under this permit. Plans subject to field inspection.
'Signature of contracto�:Jownbr date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan reviewis joa>ject to field inspections.
Signature of C e 'lding Official'- date
INS PECTI REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE. BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge Building Division
m 7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 235 -2857
°tor�aoo Inspection Line: 303 - 234 -5933
Building Permit Application
Property Address: ,112.5 V&J IW S+-
Property Owner (please print):
Contractor:
Contractor License #:
Sub Contractors':
Electrical City License #:
Company:
Phone:
Date:
Plan #:
Permit #:
Phone:< k3 'Z3
Plumbing City License #: Mechanical City License #:
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ '6001 00
Description of work: ) (as calculated per the Building Valuation Data sheet)
5o �j ®� JG✓�° hfo Plan Review (due at time of submittal): $
�S t /L. Ft added: O"" _ Squares C /// BTU Gallons IQ) Amps
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 the Wheat Ridge Building Code (I.B.C). and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OW ER)) (CONTRACTOR) or PERSONAL REPR NT TIVE of (OWNER) ( CONTRATOR)
PRINT NAME: 'Ja a(�.IY► SIGNATURE: Date: 11
Mailing Address: (if different than property address)
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16552
BUILDING INSPECTION LINE -(303-2345933) Date : 12/9/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: RANDY & RENEE BERGSTROM
Property Address : 3025 VANCE ST
Contractor License No. : 18916
Phone : 202-3970
Company : Accent W indow Inc. Phone : 295-1170
OW NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit applicalion are accurate, and
do not violate applicable ordinances, rules or regulations of the City of W heat Rid9e or
covenants, easements or restriclions of record; that all measurements shown, and allegations
made are accurate; thal I have read and agree to abide by all wnditions printed on this
appliration, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applirable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTR4CTOR)SIGNED )dMe%.-~ DATE/2-9'03
Construction Value :
$10,192.00
Permit Fee :
$253.90
Plan Review Fee :
$0.00
Use Tax :
$122.30
Total:
$376.20
Use :
Description : NEW VINYL WINDOW REPLACEMENTS (16 WINDOWS)
' !~,';ln<}<,i-;
BUILDING DEPARTMENT USE ONLY
.ng _ SIC : Sq. Ft. :
Gommenk4~
t~1ti
Approval :
Zoning :
Wmh rq
OK. 1218103.
Approval: DM
Puhltc;lNorks'Cot~'°m4
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur appliwlion and is subjeQ to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of W haat Ridga. Colorado or any other applicable ordinances of the City.
(2) This permit shall ezpire it (A) the work authorized is not commenced within si>iy (60) days from issue date or (B) the building authorizad is suspended or
abandoned for a penod of 120 days.
(3) If this pertnit expires, a naw permit may be acquired !or a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or it suspension or abandonment
exceeds one (1) year, full (ees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the naNral Flow of water causing a dreinage problem.
(5) Contraclor shall notify the Building Inspector lwenty-four (24) hours in advance for all inspeclions and shall receive wririen approval on inspection card before
proceediing with successive phases of the job.
(e) The iss aFe of a pertnit or the approval of drawings and specifcations shall nol be consWed to be a permit for, nor an approval of, any violation of the
n' ' 4s/Df th~I y~ codes or any other ordinance, law, rule or regulation.
Chief Building , pector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Building Pecmit Number:
oF w"E^' gUILDING INSPECTLON LINE - 303-234-5933 Date: /y- 8-03
>
~ ° CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-23j5-j2855)
COLORP00 . APP~a ~fl~.l~Oj~~
4{~
Property Owner: /Qa^ _i)~ f QeAea Beesvlmo~
PropertyAddress: 3oR5 ✓.n..« S*,
Phone : so;-.20~ -3990
Contractor License No.: / $ 4 /47
ComPanY: .QGGCnf' L✓~nc.LOWS Phone:303'9oI-08o5 (gob)
OWNER/CON'fRACTOR SIGiYATURE OF UNDERSTANDWG AND AGREEIIENT
Construction Value:$ /D/q.t°=
I hercby certify that the setback distances proposed by this pemvt applicatlon are accurate,
and do not violate applicable ordinances, rvles or reguladons of the City of VJheat Ridge or
covenants, easements orrestricfions ofrecord; tliat all measurements shown, and allegafions
made are accurate; that I have read and agree to abide by all conditions prin[ed on this
applicarion and tha[ I assume fuli tesponsibility for compliance with the Wheat Ridgc
Building Code (U.B.C) and all o[her applicable Wheat Ridge Ordinances, for work unda
this pexrnit.
(OWNER)(CONTRACTOR):SIGNEII e eA~_ ATb
Permit Fee:$
Plan Review Fee:$
Use Taac:$
TOtdl:$
DESCRIPTION: N4 4./ LJ`J"" ~ ~"`~°~s ancQ
S£E /aT'7'ReHGD SA ec.f3
~ /(p C.Jtn~ocJS ~
BUILDING DEPARTMENT USE ONLY
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS: (3(.4, ~ ) z1 8(03
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories:
Electrical License No: Plumbing License No:
Company: Company:
Uoe+2 . /2G~O~AG¢~[en
y~oo25
SIC: Sq.Ft.:
OF{., ~ C
vJ
/
Residenfial Units:
Mechanical License No
Company:
Expuafion Date: Expuarion Date: Expiration Date:
Approval: Approval: Approval:
(1) Tnis pemiit was issued in accordance with Ne provisioos set focN in youz applicaeon and is subject m We laws of the Stah of Colondo and to the Zoning
Regulafions avd Huilding Codes of Wheat Ridgq Colomdo or auy other applicable ordinances oCtLe City.
(2) This pemtit shall enpire if (A) Ne work authorized is not commenced witLin sixty (60) days from issue datc or (B) Ne building authonzed is susprnded or
abandoned for a period of 120 days.
(3) If this pemut exp'ses, a¢ew pamic may be acqu'ued for a fee of onchalf the amouvt vovmally required Provided no c6anges have 6een or will be made in
the ongivalplavs a¢d specifications and any suspeasiov ar abavdovmenthas not exceeded one (I) ytar. Ifchanges have been or ifsuryevsiou or abendonmml
exceeds one (1) yeaz, fvll fe<s shall be paid for a new permit
(4) No work of any manner sLall be doae that will chauge the naNtal flow of wahr causiag a Minage problem.
(5) ContracrorshalluotitytheBuildiagIaspecmrtwenty-four(24)hours inadvanceforallinspectio¢savdahallreceivewrittenapprovaloninspec4oncardbefax
proceeding with successive phases of Nejob.
(6) The inuance of a perutit or the appcoval of diawiags and speci5cafious sLall not be covatxved to be a persetit for, uor an approval of, any violation ot the
provisious of ehe uilding codes or avy other ordinance, law, iule or regulaRon.
i
Chief Building ector
Production Cover Sheet - Central Region
Randy and Renee Bergstrom
Contrect Amount $10,192.00
. 3025 Vance SL
Contract Date Mondav, November 10 2003
Wheat Ridge, CO 80033
Recision Date Thursdav November 13. 2003
(303) 2023970
Payment Type Financino
Work Phone For Randy (303) 308-5501
Change Order None
No Known Work Phone Number for Renee
Change Order Amount:
Sales Rep Thompson, Phil
Source Type Call-in
Sel By Thompson, Phil
Source Descriotion •cau VI-fPIPfl51I I!!1T
Send To Accounting Department Check
Job Cost
contract
4Original
Pay Sheets
jCC
-
Change ONers
Notes
From Sales Department
Production Department
OSIS Arrival Date _ ___NOtes
OSIS Approval Date Date Issued to Measure MeasureDate___ /Z'tNotes _
Permit Inf ~
Date Sent to Production P % Notes
?
ProductionDate Notes _~u~~~~ ~I~✓~ _
Finance Approval Dat Notes
HOA Approval Date Notes
Change Order Date Notes
,.,_-_I_-.__-
Install Date Final Collecl Amount ~ "t"' ~--~Xl Thursday, November 13, 2003 11:14:54 Central Region Randy and Renee Bergstrom
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AEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-619
Date : 3/28/95
Property Owner
Property Address
Contractor License No.
Company
LOOSE LOIS ELAINE
3025 VANCE ST
17152
Precise Plumbing
Phone: 232-8696
Phone: 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry 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
covenanls, easements or restrictions of record; that aIl measurements shown, and allegations
made are accurate; that I have read and ayree to abide by all wnditions printed on this
application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other appliwble Wheat Ridge ordinances, for.work under this permit.
(OWNER)(CONTRACTOR)
Description : REPLACE WATER HEATER
Construction Value :
$371.00
Permit Fee :
$15.00
Use Tax :
$0.00
Total:
$15.00
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiretion Date :
Approval : Approval : Approval :
(1) 7his permit was issuetl in accortlance with the provisions set foM in yopur applica6on antl is sub'ecl to the laws ot the State of Colorado antl to Ne Zoning
Regulations antl Builtling Catle of VJneat Ridge, Colorado or any other applicable oMinances We City.
(2) This permit shall expire it (A) the work authonzetl is not commenced within sixry (80) Eays from issue tlate or (B) the building authonzetl is suspended or
abandoned (or a period of 120 days.
(3) If this permit rzpires, a new pertnit may be acquired for a fee ot one-half the amount normally required, provided no changes have been or will be made in the
onginal plans and specifications and any suspension oi aDanCOnment has not exceetled ane (1) year. It changes are maAe ar if suspension or abantlonment
exceeds one (1) year, full fees shall be paid !a a new permtt.
(4) No woifc of any manner shall be Oone that wlll change the nalurel Ilow of water rausing a dreinage problem.
(5) Contrector shall notiy the Building Inspector twenty-tour (24) hours in atlvance for all inspections and shall receive written approval on inspection card before
proceenor e phases of ihe'ob.
(6) The isr ihe approval o~drewin95 anE specifiwtions shall not 6e consWed to be a permit tor, nor an approval of, any violation of ihe provisions
of ihe y other ordinanm, or regulation.
7
7
Chie uildin g Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
mm
DEPARTMENT OF PLANNING AND DEVELOPEMENT Application Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner.
3C? ,l 7
I/,F'~''c- •P
Phone : z3 2 -
PropeAyAddress:
Z_cnc- / s
nc75 E'
Contractor license No. : j7/ c,'L
CompanY : Phone
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify thal the setback distances proposed by lhis permit application are acwrale,
aod do not violate applicable ordinances, rules or regulations of the Cily of Wheat Ridge or
coveqants, easemenis or restrictions of record; that all measuremenls shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed oo lhis
aoolicalion, and that I assume full responsibility (or compliance wilh the Wheat Rid9e Building
Cotie (U.B.i:.) and all other applicable Wheat k)O~e oitlinences, ior work undzl L' pc:i-::.
(OWNER)(CONTRACTOR) SIGNED__e~
Descriplion
Construction Value : 77/
Permit Fee :
Use Tax :
I Total:
BUILDING DEPARTMENT USE ONLY
l#w=¢ kliwri ,
Approval:
Zoning :
Approval :
Qpb~i~ Y~IIorhKs;~~o~~
Approval :
Occupancy : Walls
Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company :
Company:
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval Approval : FF>P, o'fa~ ~
:'&J MaoSfeq= J oflays'~R, _ rteti~~ A
(1) This permit was issued in accatlance with the provisions set foM in yapur applicalion antl is subjecl lo the laws of the Slate M CobraEO end b the Zonin9
Regulations antl BuiWinp Cotle of Wheat RiOge. Cobratlo or any olher aOPlica6le ordinances of the Ciry.
(2) 7nis'permrt shall exDire 9 (A) ihe work authonreE is not commencM wiNin sixry (60) Oays irom issue tlale or (B) the buAAing aWla(izeE L5 wsPendetl a
abandoned for a pefioA o( 120 tlaYs.
(3) If Ihis permit expires, a new permrt may be acquire0 lor a fee of one-0alf the amount rarmally requireQ provitletl rw Uanges ha!re been or vdII be ^ade in the
ongmal pians antl speciGCations and any suspension or awn0onment has nd excee0e0 one (1) yeac If changes are made or R wspensim a abandonment
exceetls one (1) year, tull fees shall be paiE (or a new permii.
(a) No work of any manner shall be Cone Ihat will cnange tne nalural (low of waler wusing a drainage problem.
(S) Cunvaclrn shall noliry the Building Inspecbr lwenty-1our (?n) hours in a0vance (or all inspections and shall receive wntlen apprwal on inspection wrd before
pmceeNing with svccessive phases of the job
(6) The issvance oi a permit w ihe approval of Erawings and specl(calions shall nol be conswed lo be a permit for, nor an approval o( any viola6on of the Drovisions
of ine Dwldmg cotles or any other or0inance law. mle ur iegulaLOn.
Chief Budding Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALIL 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 Wes729thAVENUe BUILDING INSPECTION DIVISION PERMIT NO.M94#19288
234-5933 P.O. eoxs38 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHlEF BUILDING INSPECTOR AND RECEIPTED BEL'JW.
APPLICATION FOR MISCELLANEOUS PER I~~
JOB ADDRESS vANG OWNER `Z_
CONTRACTOR DN/OLO ~~LIJ~N C~ ADDRESS 3'~'2-5'
ADDRESS 51 PHONE ZIPCODE
CITY yX70L« ZQ ZIP CODE CONTRACT PRICE $ ~JZ7 _
PHONE ~y~ ~ 9 y~~ LICENSE NO. DATE
1. TVPE Ground❑
Wall❑
Proitctiny❑
2. MATERIAL
SIGNS
3. ILLUMINATION Yee❑ No❑
Typs
INSPECTION TICKET
4 SET BACK FROM PROPERTY LINE N
_
S_ E
_ W_
(SVSeify wnieh it frOnf )
❑
❑
❑ ❑
JOB
Z
~
1. TYPE Solid❑ Mo.e Than 80% OOan❑
Less Than 8
S
J O
ADDRESS
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MATERIAL
FENCES
.
3. SET BACK FROM PROPERTY LINE N
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S_ E
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Eg
(SDeufy wMieh ie front)
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❑
❑ ~
DATE: S-l Y
BLDG. PERMITR I9 Z g~
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(~S~)I L. V
12
PERMITM
OTHER
.
.
BLDG. CONTR.
ORAW SKETCH OR SHOW BELOW,TME FENCE, SIGN, OR OTHERSTRUCTURE,GIVi1:G C
(SETBACKS OR PROJECTi0N5 INCLUDED) SUBCONTRACTOR
DATE INSP. REQ. ~ -C'`5 4
G w+
TYPE OF INSP.
INSPECTION MADE .
REMARKS
W.R. FORM 619 ~
STREET NAME
SHOW DISTANCES FROM THE M41N BUILDING TOADJOINING HOUSES, STREETS, AND P
DISTANCE TO PROPERTY UNES, NOT MAXIMUM OR AVERAGE D15T4NCE.
~
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BYTHE BUILDING INSPECTION OIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUMWIREUNDERSIZEBILIEGAL
PLUMBING PERMIT
S7ATE UCENSE N0.
FLOOR BSM IST 2ND 3R0 4TH
MECHANICAL PERMIT
N0. FUELC'rtlsOrNGo{OIIPropoir ENeSobr
Np,
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE ° CMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONOITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION S'ISTEM
POWER SUB-CIFCUITS
WATER HEA7ER
Re1ri sranf Group
LITY (RANGE, DISPOSER, ETC )
AUTO. WASMER
FbuMt LMr s
TURES
2
DISH WASHER
AUTOMATIL SPRINKIER SYSTEM
WIRING MOTOftS 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINCL
TRANSFORMERS 8 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI7(TURES
I Mreby ncknowledqe thot tAis oppiico-
tion is eorrect and undersiond that I
cannof starf this projett until this appli-
cotion if opOroved. I sAall comply with
the laws of the State of Colorodo ond fo
fha ZoninQ Repulotions ond Buildinp
Code ofthe Lity of Wheat Ridpe. Any
violotion of the above terme wd1 cause
immediate revocahon ol tnla permit
PERMIT FEE
USE TAX
TOTAL FEE
CHIEF BUILDING
V'4 v
$ao.~( U
,Cityof Wheat Ridge
Date Issued
~ '4
NOT VALID UNLE55 RECEIMED
I(*_ 2.d AZ3
4
~~t*-6
CALL 234-5933
24 MOURS IN AOVANCE
FOR INSPECTIONS
bolieanu slo~^~w•
DEPARTMENT OF COMMUNITY DEVEIAPMENT
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. h1E93#5191
237-6944 EXT. 255 P.O. sox sae CITY OF WHEAT RIDGE, COLO.
TMIS PERMIT VALID ONLY WHEN SIfiNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTED BEL7W.
~^~p APPUCATION FOR MISCELLANEOUS PERMIT
JOBADDRESS ~1~~r S'~ I OWNER 1
'^onS&_
CONTRACTOR - (7C 1V ( 1Ff~ADDFESS 2c) A c 0-0 CF ADDRESS (n\1r.y. C'r(1~. ,~'t. I
PHONE - .~r^,~1(C ZIPCODE
GTY A C,1lS r~r ~ Zip CODE ~ONTRACT PRICE $ c~n~,. 0 0
PHONE yc,~" I Ia LICENSE NO. 2~%I C 1. TYPE Ground❑ Well❑ Proieclina❑ Othsr SaDFaes
2. MATERIAL
It
SIGNS
3. ILLUMINATIpN Yaa❑ No❑
TyDa
4 SET BACK FROM pRi`.PERTY LME N
_
s_ e
_ w_
INSPECTION TICKET
(SOkify which is front 1
❑
❑
❑ E
1. TYPE Solid❑ Mon Thon 80% ODSnO
Lest Than
JOB
ADDRESS ~ O Z S U 0-✓~~
fENCES
MATERIAL
3. SET BACK FROM PROPERTY LINE N
_
5_ E
_ W_
(Spscity whitA ia }ront)
❑
❑
❑ E
-
~q ~ 15j
1
1
DATE: r?` -S BLDG. PERMITA-~/'~/
OTHER
Z
_
PERMITM
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GNIHu
(SETBACKS OR PROJECTqNSINCIUDED)
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TUADJOINING NOUSES, STREETS, AND
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
BLDG. CONTR. ('i.V~ ~I ,
SUBCONTRACTOR
DATE INSP. REQ. c~-~
TYPE OF INSP.iY, ~ INSPECTION MADE 0/<
REMARKS
~
W.R. FORM &19
✓
APPLICATION FOR PLUMBING; ELECTRICAL;
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORN ONLY UPON VALIDATION BV THE BUII.DING INSPECTION DIVISION.
PERMIT WILL El(PIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHW THAT TIME
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
S7ATE LICENSE N0.
MECHANICAL PERMIT
ALUMIF7UMWIREUNDER5IZEBILLEGAL
FLOOR
BSM
IST
2N0
3R0
4TH
NQ
FUEL-CMCNOeeGo{qlPFOpdr EbeSdar
N0.
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONINCa-BTU
LIGHTIN6
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATpN SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri sront Cxoup
UTIUTY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
Pounds CMr e
FI%TURES
DISH WASMER
AUTOMATIC SPRINKLER SYSTEM
WIRIN6 MOTORS d CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
I hsreby aeknowladqe that this aD0lica-
fion is Correct ond undsrstond ihaf 1
eannof stort this projset until this appli-
cotion it apOroved. I sholl comply with
tAe lowf of fhe Stote ot Colorado ond to
the Zoninq Requlationn and Buildinq
Code of the Ciiy of Wheaf Ridpe. Any
violafion of the above terma will couse
immediate revocotion ot this Dermit.
1I (61n (3 c,ll'l, 'a1 _
PERMIT FEE
USE TAX
TOTAL FEE
AED
CHIEF BUILDI INSPECTOR,City
Date Issued
oG
$
Ridqe
NOT VALID UNIESS REGEIMED
~lieant~ li0na~ur•
02-4
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS
A /
-
INSPECTION TICKET 1
Joe
ADDRESS
r
DATE: ~ S BLDG. PERMITk i9s~y'
PERMITA
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE
REMARKS
w. 7 ~l rv
INSPECTION tICKET ~
T
JOB
ADDRESS ~ DATE: } BLDG.JPERMITB
PERMITR
,
BLDG. CONTR.'_
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. g ~INSPECTION MADE
REMARKS
W.R. FORM 679 j .
DEPARTMENT OF COMMUNITY DEVELAPMENT M93#18598
7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 ExT. 255 P.O. eOx sae CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUIlD1NG INSPECTOR AND RELEIPTED BEIOW.
3(nas APPLICATION FOR MISCELLANEOUS PERMIT
OWNER
JOB ADDRESS ~
CONTFACTOR bAM0 A) 2VNN✓//^L ADDRESS =~zS 5TADDRESS 3~,~~+ ~ 5. -/Q S/7~ r PHONE ZIP CODE
GTY ZIP CODE CONTRACT PRICE $ JOO
R
PHONE .7 V
~-LICENSE NO
. ~
TYPE Ground❑
1
Woll❑ ProietlinQ❑
01hsi
SaDFOes
SIGNS
.
2. MATERIAL
❑ N
❑
T
Totol Squan FeN
Permil No
Eleet
.
o
3. ILLUMINATION Yes
4. SET BACK FROM PROPERTY LINE N
(SDaeify which is front)
YDe
_ S_ E_ W
❑ ❑ ❑ ❑
.
Zons_
.
Apprwad,ZOnelnspseta
DisopDrovad
I, 7YPE Solid0 Mon Thon 80% OpsnO
2. MATERIAI
Leat Thon 8
0% Open
Heipht
FENCES
3 SET BACK FROM PROPER7Y LINE N
(Specify whkh ie tront)
_ S_ E_ W
❑ ❑ ❑ ❑
Zane_
ApDro+ad, Zone Inspeeta
Dieapproved
CCOS~ /n/
,
1741G- P4
n9
.
2
OTHER
3
.
DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE, GIVIhu D15T4NCES FROM PROPERN LINES.
(SETBACKS OR PROJECTqNS INCLUOED)
I p
_-i
~
SPEGFY NORTH
INSPECTION TICKET
(c
JOB
ADDRESS J Q~
STREET NAME
SNOW DISTANCES FROM THE MAIN BUILDIN6 TPADJOINING HOUSES, STREETS, AND F
DISTANCE TO PROPERTV lINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; ti
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THEINDICATED WORK ONC
PERMIT WILL E%PIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK
ELECTRICAL PERMIT
STATE LICENSE N0.
PIUMBING PERMIT
STATE LILENSE N0.
ALUIuiINUM WIRE UNDER SIZE 8 ILLEGAI
FLOOR
BSM
IST
2ND
140
WATER CLASET
TEMPORARY METER
WASH BOWL
NEW SERVICE - AMPS
BATH TU8
CHANGE SERVICE-AMPS
SHOWER
LIGHTIN6
SINK
HEATIN6
GARBAGE DISF
POWER SUB-pFCUITS
UTILITY(RANGE,DISPOSER,ETC.)
WATER HEATER
AUTO.WASHER
FIXTURES
DISH WASHER
WIRING MOTOf25 d CONTROLS
FLOOR DRAIN
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAI FIXTURES
I hereby ocknowledqe that this aDDlico-
tion ie wrrecf ond underntand fhat I
eonnof stort fhis project until thie aDDli'
cotion is apDroved. I sholl comply wiih
ihe lows of the Stote of Colorodo and 10
ths Zoninp Repulations and Buildina
Code of the City of Wheai Ridqe. Any
violofion of fhe abova terms will cause
immsdiote rsvocation of thia permit.
PERMIT FEE
USE TAX
G C
DATE: C BLDG. E M T8
PERMIT#
BLDG. CONTR. e
SUBCONTRACTOR
DATE INSP. REQ. I` (97
TYPE OF
INSPECTIf
REMARK:
W.R. FORM 618
1z
TOTAL FEE i! I$ g 6•i'/ d I
o / y96
CHIEF BUILDING
,City of Wheat Ridqe
Date Issued
401ieenb liOnaNn
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
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