HomeMy WebLinkAbout4715 Reed StreetINSPECTION RECORD
%�
,,-5933
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMITS Vo o2
ADDRESS: S� JOB CODE:
.y
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
r
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
r
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
Rough Inspection (continued)
Date
Inspector
Initials
Comments _
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
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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:
Permit Number: o2bJ�Q r 7
❑ No one available for inspection: Time_,f)',_-2 S AM/PM
Re -Inspection required: Yes No 1
When corrections hav been made, call for re -inspection at 303-234-5933
Date: /( - %� Inspector:>/ c
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: _506 Mto
Job Address:
Permit Number: 1-40 11 66E)77
❑ No one available for inspection: Time t� AK/"PM)
Re -Inspection required: Yes(
When corrections have been made, call for re-ipape9tion at 303-234-5933
Date: Inspector: "t
fl
DO NOT REMOVE THIS NOTICE
A s City of Wheat Ridge
�t
Homeowner Roof PERMIT - 201708377
PERMIT NO: 201708377 ISSUED: 10/17/2017
JOB ADDRESS: 4715 Reed ST EXPIRES: 10/17/2018
JOB DESCRIPTION: Homeowner re -roof remove and install Owens Corning Asphalt Shingles with
18sq pitch=4/12
*** CONTACTS ***
OWNER (720)233-4391 AUMILLER CHARLES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,626.00
FEES
Total Valuation 0.00
Use Tax 97.15
Permit Fee 125.05
** TOTAL ** 222.20
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired .or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
6 nails per shingle is required. Ice dam membrane is required from eave edge to 2&439;
inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel
sheathing overlay on entire roof. Sheathing inspection is required prior to covering.
Contractor shall provide ladder for inspections. Scheduled inspections that cannot be
performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of
inspection or a re -inspection fee will be assessed. Subject to field inspection.
City of Wheat Ridge
Homeowner Roof PERMIT - 201708377
PERMIT NO: 201708377 ISSUED: 10/17/2017
JOB ADDRESS: 4715 Reed ST EXPIRES: 10/17/2018
JOB DESCRIPTION: Homeowner re—roof remove and install Owens Corning Asphalt Shingles with
18sq pitch=4/12
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
thisermit. I f er attest that I am leggally authorized to include all entities named within this document as parties to the work -to be
perforn 0 a at a ork be perfo disclosed in this document and/or its' accompanying approved plans and specifications.
e .{
jv-�7- zoo
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 an 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 oral] 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 ranting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable e any ordmgncg regu at o of this jurisdiction. Approval of work is subject to field inspection.
RAW — It
-6
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat Midge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(q_)_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 1()R-707
Plan/Permit #�� �'
Plan Review Fee: C,�_2_2,Zt/
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Propertv Owner
Property Owner Email: /� Q
Mailing Address: (if different than property address)
Address: Y%,S y— c GK
City, State, Zip:
Architect/Engineer:
,?26 -2 33--Y,3Y,/
Architect/Engineer E-mail: ",V, Phone:
Contractor: / k �Z, e" -, � �-_ 7
Contractors City License #:Phone:'w
Contractor E-mail Address: X/,,
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. FULF
Amps
Btu's Gallons
Squares Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
3 e-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of
Wheat I i e
COMMUNITY DEVELOPMENT
Official Certification of Property Owner for Trade Specific Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
I am the owner and live in the project property.
IK
I am the owner and do not live in the project property.
Property Owner(s):,/' --,6, (zG
L
Project Property:
0
Notarized signature of Applicant
TAMARA D ODEAN
State of Colorado } NOTARY PUBLIC
STATE OF COLORADO
County of To 2rSbtn } ss NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
The foregoing instrument was acknowledged by me this 17 day of DGS% -Lr , 201Z by
My Commission Expires q J 77 /20 Zd
Notary Public
-111RIECORID OccupancV/TVpe
INSPEC 1,104M
' LINE: (303) 234-5933
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.
Electrical
Plumbing
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Roof
Sternwall / (CEG) Concrete
Encased Ground
Building Final
Reinforcing or Monolithic
Fire Department
Weatherproof / French Drain
R.OW & Drainage
Sewer Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
Water Service Lines
**NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTtFicATEoF0ccuPAmcYistssuED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
---- � —.OF–A-, QER_T1F1,QATF_ OF- 0.qCUBA N-C-Y–NORPERA4]SSI.ON.-FC?R,(�C CUR,� N
POUR No CONCRETE UNTIL A13OVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
Do NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE
SIGNED PRIOR TO PROCEEDING
Framing
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.OW & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
**NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTtFicATEoF0ccuPAmcYistssuED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
---- � —.OF–A-, QER_T1F1,QATF_ OF- 0.qCUBA N-C-Y–NORPERA4]SSI.ON.-FC?R,(�C CUR,� N
�OCCUPANcy NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: Pap
Job Address: 117 f -'� Aoo1( S
Permit Number: �/'O/st
y �W- d
❑ No one available for inspection: Time / " AM M
Re- Inspection required: Yes �No
* When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: r-!( -, Inspector: ✓ J ., i
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
=!j Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: AV,y
Job Address: 4l7r� ,&,4) <�,
Permit Number: 01
il" o f"rj '- F
❑ No one available for inspection: Time i :l
Re- Inspection required: Yes L .'
When corrections have been made, call for re-inspection at 303 - 234 -5933
Date: ,T2. (? Inspector: !% ; 1
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r4000or Residential Roofing PERMIT - 091486
PERMIT NO: 091486: ISSUED: 08/20/2009
JOB ADDRESS::. 4715 REED ST EXPIRES.: 02/16/2010
DESCRIPTION: Reroof 30 sqs
CONTACTS
owner 720/233-4391 Chuck Annmiller
sub 303/907-6757 Chris Journey 09-0251 Colorado Roofing Repair
**'PARCEL INFO
ZONE CODE: UA 'USE: UA
SUBDIVISION:' 0009 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,310.00
FEES
Permit Fee 162.90
Total Valuation .00e, '
Use Tax 95.58
TOTAL 258.48
Conditions:'
6 nail installation mid-roof inspection required.. Board sheathing spaced more
than `a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2'inside exterior : walls.
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 S 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- ge Or irgn-c , for _w er this permit. Plans subject to field inspection.
:Signature of contra o '.date
1. This permit a eus in accordance with the provisions set forth in your application and is subject to the -laws of the
State of orado 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 anew 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 lbuilding codes or any other ordinance, law, rule or regulation.
All plan review is 'ect to field inspections.
Signature of Ch'- lding official 'date
2NSPHCT20 REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
:
REQUESTS ST BE MADE BY 3PM ANY BUSINESS DAY FOR ! INSPECTION THE 'FOLLOWING BUSINESS DAY.
oFW"E"Tq City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
U
Office: 303-235-2855 " Fax: 303-237-8929
°o<onnoo Inspection Line: 303-234-5933
Building Permit Application
Date: C,
Plan
Permit C,' q I l Kok'
Property Address:; Lf 7~5~ Re-&J S-~
Property Owner (please print): ur f~cL~, l/fir Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: C,G, rkr! d
Contractor License
r- ke,"A Y,
Phone:
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): -1 Construction Value: $ S600
D"escrjptlon of Work: (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L. Ft added: Squares 6 BTU's Gallons 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 1 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) or PERSONAL
PRINT NAME:
SIGNATURE:
Date:
of (OWNER) (CONTRATOR)
Bldg Valuation:
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13763
BUILDING INSPECTION LINE - 303-234-5933 Date 4/26/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: CHARLES & PEARL AUMILLER
Property Address : 4715 REED ST Phone : 638-2393
Contractor License No. :
Company: Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry that the setback distances proposed by this permit application are accurete, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; tha measurements shown, and allegations
made are accurate; that I have read and agree t de by all conditions rinted on this
application, and that I assume full responsibili r pli ce with t eat Ridge Building
Code (U.B.CJ and all other applicable e id rd' nces,~ r under this permit/.
(OWNER)(CONTRACTOR) SIGNEf DATE~.z-b U
Construction Value :
$1,000.00
Permit Fee :
$38.75
Plan Review Fee :
$0.00
Use Tax :
$20.00
Total
$58]5
ube
=
Description : ELECTRICAL SERVICE UPGRADE 200 AMP & FURNACE REPLACEMENT
BUILDING DEPARTMENT USE ONLY
,..:~b 1" SIC : Sq. Ft.
Approval :
Zoning :
~
Approval:
7
~ Approval ~~ry~~~~
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 accorUance with the provisions set torth in yopur application and is subject to the laws of the State of Coloratlo and to the Zoning
.
Regulations antl Builtling Cotle o! Wheat RiOge, Colorado or any other applicabie ortlinances oi ihe City
(2) This permit shall expire if (A) lhe work authorized Is not commenced within slxry (60) tlays from issue tlate or (B) the building authorized is suspentled or
abandonetl for a periotl of 120 days.
(3) If this permil expires, a new permit may be acquiretl for a tee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and speciFlCations and any suspension or abantlonment has not exceetled one (1) year. If changes are made or if suspension or abantlonment
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 naturel Flow of water causing a dreinage problem.
(5) Contractor shall notify the Builtling Inspecror nventy-four (24) hours in advance For all inspections and shall receive written approval on inspection card Oefore
pro di g with su ssive phases of the job.
(6) iss mit or the approval of drawings antl specifcations shall not be construetl to be a permit for, nor an approval o/. any violation of the
; ns h b Id' ,or any other ordinance. law, rule or regulation.
n' -
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Numbec
o` WryE'r BUILDING INSPECTION LINE - 303-234-5933 Date:
~ P
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE ~WHEAT RIDGE, CO 80215 - (303-235-2855)
~~PIJCATION
Property Owner. C- i y' e--- S 12 Z- ~i~ h7 / ~ 2 G q
Property Address: Phone : 307-
Contractor License No.:
Company: /I/67IfI Phone:
OWNER/CONTRACTOR SIGNATURE OF [7NDERSTANDING AND AGREEMENT
C
C
I liereby certify that the setback distances proposed by this pecmit application are accurate,
md do not violate applicable ordinances, rules or regulations of tlie City of Whea[ Ridge or
covenants, easements or restric[ions of record; that all measurements shown, and allegations
made are awurate; that I liave read and agree to abide by all conditions printed on Ihis
application and that [ usume full responsibiliry for compliance with the Wheat Ridoc
Building Code (U.B.C) md afl other applicable ~at e Ordinance for work under
this permit. ~
rF y z~~:
BUILDING DEPARTMENT USE ONLY
. SIC: S¢Ft.:
ZONING COMMENTS:
Approval:
Zoning
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
rnstcuction Value:e / c7 O D` J
Permit Fee:$
Plan Review Fee:$
Use lax:$
Total: $
Description: 'e.,2~~~~~~ ~~ytLsu~ ~ ~«~-C~~
echanical License No:
Electrical License No: Plumbing License No: 46company
Company: Company: :Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) Eais pennit wu issued in accordance with the pmvisions set fonlt in your applica[ioo md is sabject ro ihe Iaws of the State of ColoraAo anA m the Zoniny
RegLdations md Building Codes of Wheat Ridgq Colorado or auy other applicable ordinances of ihe City.
(2) This pennit shail expire if (A) the work authorized is not commenced witliin sixty (60) days from issne date or (B) the building authonzed is suspended or
abandoned for a pedad of 120 days.
(3) I£ this permit expires, a uew permi[ may be acquired for a fee of oue-lialf the amount nonnally reqnired, proviAed no changes have been or will be inaAe in
tlie original plans and specifications md any snspension or abandonment has not exceeded one (1) year. Ifchanees have Ueen or if suspension m', hnnAonmrni
exceeds one (1) year, fidi fees shall be paid for a new permit.
(4) No work of any manner shall be done fliat will change the na[ural flow of wahr cznsing a drainage problem.
(5) CoutractorshallnofifytheHnildivglnspecrortwenty-four(24)hovrsinadvanceforallinspectionsandshzllrecervewnttenapprovzloninspecnoncardbefore
proceeding witli snccessive phases of the job.
(6) The issnance of a permit or the appmval of drawings md specifications shall mt be wnshned to be a pennit foq mr an approval of, any violation of the
provisions of the building wdes or any oiher ordinauce, law, mle ar regulaRov.
Chief Building Inspectox