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HomeMy WebLinkAbout4580 Reed Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �_->U" (-. Job Address: q ('30 Y-( e CA }. Permit Number: CA ❑ No one available for inspection: Time i`� AM/PM Re -Inspection required: Yes N� When corrections have been made, schedule for re -inspection online at: http://www.ci.wheatridge.co.us inspection Date: I I,1.u.t - Inspector:_ DO NOT REMOVE THIS NOTICE From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Monday, August 3, 2020 12:48:16 PM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Property Address 4580 Reed St. Property Owner Name Steve Milner Property Owner Phone 303-420-8454 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Field not completed. CONTRACTOR INFORMATION Contractor Business Dig Boss llc Name Contractor's License 20521 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-856-7476 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email FIELDMANAGEMENT@DIGBOSS.COM Address Retype Contractor FIELDMANAGEMENT@DIGBOSS.COM Email Address DESCRIPTION OF WORK Is this a sewer line or Sewer Line water line repair? Length of repair 66 Location of repair front yard (backyard, frontyard, etc) Provide additional We will be replacing the whole line & installing a set of clean outs details including installation of clean- o uts. Project Value (contract 6425 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. Yes I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Jessee Wakeham Permit Email not displaying correctly? View it in your browser. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Sewer Repair PERMIT - 202001473 202001473 ISSUED: 08/03/2020 4580 Reed St EXPIRES: 08/03/2021 Replace sewer line and install cleanouts - 66 sq ft total 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�permrt. I further attest that I am leg ally authorized to include al entities entities named within this document as parties 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 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 requ�ired 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, anviolation 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 Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 1* � � i City of Wheat Ridge �� Residential Sewer Repair PERMIT - 202001473 PERMIT NO: 202001473 ISSUED: 08/03/2020 JOB ADDRESS: 4580 Reed St EXPIRES: 08/03/2021 JOB DESCRIPTION: Replace sewer line and install cleanouts - 66 sq ft total *** CONTACTS *** OWNER (303)420-8454 MILNER STEPHEN V SUB (303) 856-7476 JACOB WAKEHAM 140058 DIG BOSS LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 91900.00 FEES Total Valuation 0.00 Use Tax 207.90 Permit Fee 204.30 ** TOTAL ** 412.20 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: to �Q" Job Address: 9---c -= a Sy - Permit Number: 3C,\C, 0 ❑ No one available for inspection: Time �ft AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http://www. cL wheatridge. co. uslinspection Date: \ ,\':; -,.y__�u Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 1a v n"A Job Address: t- `� �? ( � �/- -1, � r `-, 1 Permit Number: Gi U ( L j V\1 . A' ❑ No one available for inspection: Time AM/PM Re -Inspection required: /ies No When corrections have been rnade, schedule for re -inspection online at: http✓/www. cL wheatridge, co. uslinspection I Date: ,i! ' i Inspector: �7 DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Water Heater Replemnt PERMIT - 201902424 PERMIT NO: 201902424 ISSUED: 11/18/2019 JOB ADDRESS: 4580 Reed St EXPIRES: 11/17/2020 JOB DESCRIPTION: Replacing 50 gallon, 38k BTU gas water heater in basement. *** CONTACTS *** OWNER (303)619-7849 MILNER STEPHEN V SUB (719)227-0500 TRENT URBAN 090158 WIRENUT HOME SERVICES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,792.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 58.63 ** TOTAL ** 98.63 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with 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 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 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any apptckble code or a prdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Cifief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge 11/0/201Y 14:58 C88A 50 gallon, C0A021916 AMOUNT 8PSP 458O Reod St 98.63 APPL/PERMIT NO! 20190242q F'AYMENT RECEIVED AMOUNT PP / 5816 98'M AUTH CODE: 671OB965 /u/oL 98.63 ____________________ Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Monday, November 18, 2019 11:55 AM To: CommDev Permits Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application Categories: Dina Residential Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address (Leave blank if not known) Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 4580 Reed St Margaret Milner 303-619-7849 Field not completed. 20191118120259535.pdf CONTRACTOR INFORMATION I Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Wirenut Home Services 090158 719-227-0500 Contractor Email Address cromero@thewirenut.com Retype Contractor Email Address DESCRIPTION OF WORK Number of gallons Is the water heater GAS or ELECTRIC? If GAS, enter # of BTUs. If electric, enter n/a Where is the water heater located (for example, basement, crawlspace, etc)? cromero@thewirenut.com 50 GAS 38K basement Project Value (contract 2792 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit 2 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Chelsea Romero Permit Email not displaying correctly? View it in your browser. 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: � ®tel ro�_\ Job Address: S ?5_ ® �• �- . Permit Number: Q 1 -7- 0 C)9 j -5— 'F 'F - I� v 11� ❑ No one available for inspection: Time I a A Re -Inspection required Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: I a' I 'i�" Inspector. �� �,• .; t DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r 1 Job Address: 9 1 � f ro t Permit Number: � 0 i 0 0, 9% C7 av ❑ No one available for inspection: Time ( . AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE IS NOTICE CITY OF WHEAT RIDGE ]�;17Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:1 i �7 Job Address: U) N *V u Permit Number: a 1, I' C 9 4 P J) u ❑ No one available for inspection: Time AM/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 PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201700995 201700995 4580 Reed ST Reroof 28 squares ISSUED: 05/30/2017 EXPIRES: 05/30/2018 *** CONTACTS *** OWNER (303)619-7849 MILNER STEPHEN V SUB (303)484-9854 Dylan Lucas, Ryan Nichols 120088 Eco Roof and Solar *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 Use Tax 162.00 Permit Fee 188.45 ** TOTAL ** 350.45 *** 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 XI/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 manufacturera€ms 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&#39;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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201700995 201700995 4580 Reed ST Reroof 28 squares ISSUED: 05/30/2017 EXPIRES: 05/30/2018 I, by my siggnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable buildingaodes, and all applicable mt�� ippal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am tfioriz d to obtain this permit and perform the work described and approved in conjunction with this ppermit.,I further attest that I am legall�authorized to include all entities named within this document as parties to the work to be performed and that_all work to be perto�tined is disclosed in this document and/or its' cco anymg approved plans and specifications. Signaturc,.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 andprocedures 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 ordinanceregulation 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. ♦,uI ];Mci6ta� of eDate: �lid COMMUNITY DEVELOPMENT Permit #: Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property Address: 4SKi l2ee- d sfi L,/ ti. ,J 12-J cj e, Ccs Sz:03 3 Property Owner (please print): yVl G (-G n C e f U'VI i l h Q ✓' Phone: 3G�� !8I '7 �tC1 Mailing Address: (if different than property address) Address.SAM L City, State, Zip: Conthiclor: ( -c" Pum{- C"C) S&Ic c Contractor License #: 12 00 Phone: -303 y 4s 4 C1 is G `; ;Sub 3 ,Ontractors: Company Name: License #: Expiration Date: Trade/Profession: Approval: Use of space (description): (TCV l � Desct y7C��c.v * P,_,, -. 200,, ( Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares z4i BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that sit 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 Meld inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: Credit Card Payment: e U credit card listed on O - Print name: \�1✓IV,� n � � I ( C'A Signatur - City of Wheat Ridge Residential Electric PERMIT - 111406 PERMIT NO: 111406 ISSUED: 11/16/2011 JOB ADDRESS: 4580 REED ST EXPIRES: 11/15/2012 DESCRIPTION: Repair /replace service damage,new 150 AMP panel & meter * ** CONTACTS * ** owner 303/619 -7849 Margaret Milner gc 303/464 -1220 John T. Smith 01 -8601 Ultimate Electric ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0295 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,750.00 FEES Permit Fee 70.70 ` Total Valuation .00 Use Tax 31.50 ** TOTAL ** 102.20 Conditions: Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection. 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 that all work to be performed is disclosed in this doc t a its' a ompanying approved plans and specifications f/ Da t e / Signature of OWNER or � NT - CTOR ( rcle 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 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 field inspection. Signature of Chief Buildin 1 Date INSPECTION REQUES LINE:(303)234 -5933 BUILDING OFFICE: (303)235 -2855 BE MA REQUESTS MUST DE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W ea 1')'FV Lt..l7!'MINT - Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303- 237 -8929 Inspection Liner 303 - 234 -5933 Building Permit Application Property Address: %-1 C , -. )�) , C k� Property Owner (please print): ; Q • . , Mailing Address: (if different than property add; Address: City, State, Zip: 1 A Date: Plan # Permit # Phone: 'Sg / - 7 ,Contractor:: L\J : L �� i w t� ti C Contractors Citv Licensu #: Phone: V "v�Vdd��GY6l/�Ji Electrical^„ } Plumbing: Mechanical: City License # City License # City License # Description of wor p $ ontraaJu f�)l� iC >,e 9t Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ 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 l 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: (OWNE (CONTRACTOr (AUTHORIZED REPRESENTATIVE) of(OWNER) (CONTRACTOR) PRINT NAME: y t+ - SIGNATURE: DATE: �� 0 Bldg Valuation: :CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) t. DO NOT POUR FLOOR UNTI, A.OV, Hec RFC. C�r_ni 2n i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INECTION NOTICE r Inspection Type: UT r Vti i Job Address: L45 S- ~C t Z t Permit Number: CI ( 0i; L; El No one available for inspection: Time AM Re-Inspection required: Yes S h When corrections have been made, calf force-inspection at 303-2345933 Date: 5 Inspector:` DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE 10~ Building Inspection Division (303) 234-5933 Inspection line J (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ~F~iG~G1` Job Address: Permit Number: P '10A7 VF 7-0 99 /'V'15-Ed7-c0 G.CJ sa yd?l~F. r s~ f U %i ~ 7 ~'6 .~77Ft<`7~' GC+t! > b..JYT of.~, -a s a~~~~-ra-c~7` ❑ No one available for inspection: Time AMYPM Re-Inspection required: Y s No ' When 0=80 Eons have been made, call for re- inspection at 303-234-5933 1 r, Date: s°s/o Inspector: '.I DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax - INSPECTION NOTICE Inspection Type: Roo Job Address: ~fE~ SI Permit Number: 0 uo /A) 6 M! ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No *When corrections have been made, call for re-inspection at 303-234-5933 Date: 16 " C Inspector: DO NOT REMOVE THIS NOTICE a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: e; UI Uf Plan Permit Building Permit Application Pro perty Address: 12A,~;~ S/, po3 3 Property Owner (please print): 1J~G'~ yf7jy/Y~%~ Phone: 1nG~3^ ~t^ ~h'S Mailing Address: (if different than property address) Address: City, State, Zip: r Contractor: d~/f ~/G d~iN "o, T/ J Contractor License Phone: ;3 c~7,3 - 2- -(a1 Sub Contractors'. Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description):®G~ Construction Value: $ 6 y~°GI -0C- Description of :work: (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ftadded: Squares27,-I BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with 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:: (OWNER) (CONTRACTOR) l7 RESENTATI ~bf(OWNER) (CONTRATOR) PRINT NAME: erL )4!% SIGNATURE: Datev9~ DEPARTMENT OF COMMUNITY DEVELAPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M911/16604 237-8944 EXT. 255 P.o. BOX 838 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RELEIPTED BEIOW. APPLICA ION FOR MISCELLANEOUS PERMIT JOB ADDRESS ~,ry~L ~ OWNER CONTRACTOR C✓', r/l C ) ADDRESS q's p6 g ccC4 S"r - - ADDRES~S ,~-c~ I Cl:-rC. -t Si ` PHONE ~D 37- I6-3 7 ZIPCODE6L)C- CITY rl )-~Yl~!-~.-t~ ZIPCODE ~ONTRACTPRICE$ ~ q.SCI OU PHONE c~.31 0= 3 1- ~ LICENSE NO. 1. TYPE Ground❑ Woil❑ Proiaefinp❑ Othlr SaDFeee 2. MATERIAL Total Squan Foo1 SIGNS 3. ILIUMINATION Ya❑ No❑ Type Elkt. Pomif No. 4 SET BACK FROM PROPERTY LINE N 5_ E _ W lorn_ ApqoveE, Zpne Inapsetor (Spxifywhichiafront) ❑ ❑ ❑ ❑ DiaoODrovsd 1. TYPE Solido Mon TMn 80% OpsnO Lost TAOn 80°/a Open MATERIAL Hei ht FENCES Q 3. SET BACK FROM PROPERTY IINE N _ S_ E _ W Zme_ ApprwW,ZoM IntDetta (Specify which ia front) ❑ ❑ ❑ ❑ piaapprovad OTHER 13. DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GMhv' DISTANCES FROM PROPERTY LINES. (SETBACKS OR PFOJECTIONS INCIUDED) SPECIFV NORTH STREET NAME SHOW DISTANCES FROM THE MAIN BUIIDING TPADJOININ61i0USES,STREETS,AND PRpPERTY LINES;ON IRREGULAR IATS, SHOW LEAST DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT 7HIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORN ONLY UPON VALIDATION BV TME BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 60 DAVS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITH9J THAT TIfAE. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT ALUM INUMWIREUNDERSI2EBILlEGAL FLOOR BSM 15T 2ND 3RD 4TH NQ FUEI+C'aWOneCwFqlPropone ElxSolar t'10. WATER CLASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HpT WATER - BTU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTMER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIRCUITS WATER HEAIER Refri eront Group UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER pounds CAar e FIXTURES DISH WASHER AUTOMATIC SPRINKI.ER SYSTEM WIRING MOTOFtS 6 CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAI TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIxTURES ~ REMAR!(S I hareby ncknowledQe thot ihis aD0lico- fion ie Correct ond underatand thaf I eannof stort fhie project until ihie oOPli- cation it opproved. I sholl comply rith ths tows of the Sfate of Colorado ond fo ths Zoninp ReQulations and Buildinp Code otthe City of Wheat RidQe. Any violation of the above ferme will couse immediate revocotion of ,(his permit PERMIT FEE s. cR?/ USE TAX 3 U TOTAL FEE $ 6E Vo D APFSAP~RPR9~~iE0 CHIEF BUILDING I PECTOR,City of Wheat Ridqe Date Issued NOT VALID UNLESS RECEIPTED 0- 0,60 ,k v 1 z a~F CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS Oplieant~ 9i0nawr•