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'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
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❑ 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•