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Home My WebLink About4755 Reed StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application Date: Tuesday, November 9, 2021 1:52:56 PM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - 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 residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4755 Reed St, Wheat Ridge, CO 80033 Property Owner Name Chuck Richards Property Owner Phone 720-635-4362 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email ckr1014@msn.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Tipping Hat Name Contractor's License 160081 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-799-8010 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permit@tippinghat.com Address Retype Contractor permit@tippinghat.com Email Address DESCRIPTION OF WORK What type of unit is Boiler being installed? Number of BTUs 180000 What is the efficiency 80 (%) of the unit? Is the unit GAS or electric ELECTRIC? Where is the furnace or crawl space boiler located (for example, basement, crawlspace, etc)? Project Value (contract 10000 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. I certify that I have Yes 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 Erin Eastwood Permit Email not displaying correctly? View it in your browser. ® ` City of Wheat Ridge �J Resid. Windows/Doors PERMIT - 201705906 PERMIT NO: 201705906 ISSUED: 08/11/2017 JOB ADDRESS: 4755 Reed ST EXPIRES: 08/11/2018 JOB DESCRIPTION: replace 2 windows with vinyl softlite windows like for like, see specsheet. *** CONTACTS *** OWNER (303)420-2964 RICHARDS CHARLES K SUB (303)421-7100 Ted Roland 018516 K & H Windows & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,211.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 25.43 ** TOTAL ** 75.43 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, 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 ermit. I fu er attest that I am legally authorized to include all entities named within this document as parties to the work to be performed ancia�ll work to performed is disclosed in this document and/oj its9 accompanying approved plans and specifications. Signature of OWNFe or WTRACTOR (Circle one) Dat i 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, po Flans 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 Budding 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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applica code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official V Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. mm City of ? Wh6atf sd j�ge (C'AMM UNiTy DmLopmENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax. 303-237-8929 Inspection Request Line: 303-234-5933 Building Permit Application (Complete all highlighted areas) Property Address: rt6S .,geea-5f teJ Property Owner (please print): CVI,kcV Mailing Address: (if different than property address) Date: M 1 (/—� Plan # 7 Permit # 303-9do —0196y Address: City, State, Zip: Contractor: Contractors City License #: t)1'1251te Phone: - ?� - to 0-- /7 a If Electrical: Plumbing: Mechanical: City License # City License # City License # Description of work: (Fully describe work to be performed - Attach additional sheet if necessary) plo" rk fAY t ,,4o L,) -s L,-� I Contract Value of all work: Review Fee (due at time of submittal): Squares BTU's Gallons -Amps_ Sq Ft.=-_] $ OUrNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREENIENT I hereby certify that die setback distances proposed by this permit application areaccurate and do not idolateapplicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, casements or restrictions of record. that all measurements ibo%v 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 resp, onsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work- under any permit issued based an this application, that I am the legal oumer or have been authori7d by the too owner of the property to perform the described work and am also authorized by the 1, alowner ofiany entity included on this application to list that entity on this application. CIRCLE ONE. (01 N (CO3NTK4CT0,R) r (4u3'HORI.ZEDREPRF.SFATAI'.IVE� of (OWNER) (COATRAMR) RIXMAINE: NAME: silo -u) SIGNATURE I)ATE. DEPARTMENT USE ONLY BtALDING DEPARTMENT COMMENT$-. Reviewer OCCUPANCY: FIRE DEPARTMENT:: 0 approved W comments 0 disapproved 0 no review required I Bldg Valuation: $_ Measure_ Sheet`' T?—/O? -/? Job No.: Sales Rep.: 0 `t Contract date. _ Customer.Name, �€STJ..::.Y+.':�;s' �ea�.t+.Y�.�,;iGwe.3�F�;',1�,.C,as✓si$�"5'YeIIRf i�.;;d:; .-�$��frv�Y+a+a;,x��s!�'�: �,�#e' < �'.rt ia'.'Y�`«"as..uc TfFe _os 'a •G,cY':kdaa�r� ,Ladder f " �� i • fStory Steel casements Storm Rem4mol: In or Out !:-A� I. "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: A-) Job Address: Z/75E Q 5 Permit Number: ;)oI U`No one available for inspection: e / ? I AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inq n at 303-234-5933 Date: i Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge W 71 "`� Residential Roofing PERMIT - 201700783 PERMIT NO: 201700783 ISSUED: 05/23/2017 JOB ADDRESS: 4755 Reed ST EXPIRES: 05/23/2018 JOB DESCRIPTION: Tear off 24 squares of dimensional roofing shingles; reapply Malarkey Legacy dimensional shingles *** CONTACTS *** OWNER (303)420-2964 RICHARDS CHARLES K SUB (720)399-0355 William Hutchison 130071 Independence Roofing & Ext. In *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,200.00 FEES Total Valuation 0.00 Use Tax 129.60 Permit Fee 172.60] * * TOTAL * * 302.20 *** 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 k/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. City of Wheat Ridge Residential Roofing PERMIT - 201700783 PERMIT NO: 201700783 ISSUED: 05/23/2017 JOB ADDRESS: 4755 Reed ST EXPIRES: 05/23/2018 JOB DESCRIPTION: Tear off 24 squares of dimensional roofing shingles; reapply Malarkey Legacy dimensional shingles 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 t%e legal owner or have been authorized by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with m this permit. I further attest th t I e ally authorized to include alI entities named within this document as parties to the work to be perfrmed and that all wor is disclosed in this document and/or its' accompanying approved plans and specifications. Suture of OWNER or CONTRA�(Circle one) Date I . This permit was issued base m ormation 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 pen -nit 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 gr mg 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 ora ordinanc lati -o 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 insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of �W heat --Midge MUNITy 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: perm its(d)-ci.wheatridge.coms FOR OFFICE USE ONLY Date: f ok _ Plan/Permit # v Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: �� %5 J Peed St Property Owner (please print): chy d' � C'Lc J S Phone: 7JO 30, Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/E Ing i neer: Arch itect/E ng 1 neer E-mail: Contractor: —Ir, � e e, ce Acr '�9 Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # a Phone: Phone: 7dv ._ 2 i - U 3 5 5 - Ce rr)-4', GU 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 ❑ OMMERCIAL ROOFING F1 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.) Te�7� S�� S a� 146IG'-k4 Sq. FULF Amps Btu's Squares %5c;CY otf—mo-Tt,GlrM Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 7 J CSG OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR. ) Electronic Signature (first and last name): N' DATE: CK✓ ` ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Occupavc /_y Tie IN CTION RECORD :.� INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project dation Inspections Date Inspector Comments Initials to Encased Ground (CEG) tion / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections rground/Slab Inspections Date Inspector Comments Initials al Service 9 of Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspectio Inspections Date Inspector Ini 0ais Comments Bathing all Tie d lectric lumbing/Gas Line echanical raming rading n crew / Nail spections Date Inspector Initials Comments ping & Parking / Planning Dept. rainage / Public Works 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. in Inspection (if applicable) ction / Fire Protection Dist. trical ^nal Pl�.ambing Final Mechanical Roof na! Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low oltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window - Please email insptimerequest Cz Ci.wheatridge.co.uv by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather DE,PARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12304 BUILDING INSPECTION LINE - 303-234-5933 Date : 6/11/2001 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 4755 REED ST Contractor License No. : 18478 Phone: 420-2964 Company : ABC Roofing, tna Phone : 452 1876 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 fo ompliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe t Ri I ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNE DATE Construction Value : $2,050.00 Permit Fee : $$3.25 Plan Review Fee : $0.00 Use Tax : $30.75 Total: $114.00 Use: Description : TEAR OFF & INSTALL 30 LB FELT & 25 YR DEMS. SHINGLES mm BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : e... . Approval' ~ Zoning : Approval : 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 : (7) This permit was issuetl in accordance with the provisions set fotlh in yopur application and is subjed to the laws of the State of Cobrado antl to the Zoning Regula6ons and Building Cotle of Wheat Ritlge, Coloratlo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not wmmencetl within sixty (60) Oays from issue date or (B) Ihe builtling authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a Fee of one-half the amount normally requiretl, providetl no changes have been or will be made in ihe original plans and specifications and any suspension or abandonment has not exceetled one (p year. If changes are matle or if suspension or abandonment exceeds one ('I) year, full fees shall be paitl for a new permil (4) No work of any manner shall be done that will change the naWral Flow of water causing a draina9e problem. (5) Contrador shall notify the Building Inspector lwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issu of a permi r the approval of drawings antl speciflcations shall not be construetl to be a permit for, nor an appmval of, any violation of the provisions of th tli o y other ordinance, law, rule or regulation. ~ Chief Building I pector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) APPLIc Tto Property Owner: Prooerty Address: L!?5-~ Rtc~ v~, ?!-cr,e y~~a9~y Contrac:cr License No. : n Company: /l ~/t'RoJ'lflJ(.~S AkOF//L/6 -ZW Phore:_3C73 OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDWG AND AGREEMENT I hereby certify that !he sztback Cis:ances proooszC oy ihis oermi; aooliw[ion are accurate, anC Co no[ violate aoplicahle orCinances, vles cr regula[ions or !hz Clty or Wheat 4idge ar covenants, aasements or reslric;ions ot record; that all measuremencs shown, and allegations maCe ar= accurate; that I have reatl and ayree to abiCe by all contlitions printetl on this aoplication, and !hat I assume full responsibility tor compliance with the Wheal Ridge Building Code (U.B.C.) antl all other applicable Wheat Ri orCin ces, for work under this permit. (OWNER)(CONTR4CTOR) SIGNE DATE Construction Value : W.''~f` Permit Fee : U52 TaX : Total : US2 Description : O~~ L~~ST/tGL BUILDING DEPARTMENT USE ONLY 7. _ _ a SIC : Sq. Ft. : Approval Zoning : 6MER9~EMMEM Approval : I Approval : Occupancy : '.`%alls : Roor : Stories : Residential Units E!ectrical License No : Company : Expiration Date : Approval Plumbing License No : Company : Expiration Date : Aoproval: Mechanical License No : Company : Expiration Date : Aporoval (1) This pertnit was issued in accortlance wiN'he provisions set forth in yopur aopliwtion antl is su01w 'to Ne laws of the State ot Colora0o and to the Zoning Regulations and BuilCing CoGe of Wlieat Ridge, Calo2do or any oNer applicable orEinances oRhe City. (2) This permit snall expire if (A) Ne work auffionzetl is nof commencea within sixry (60) Cays from issue Gate or (B) the builtling authonzed is suspenEeC or abantloneG for a penOtl of 120 days. (7) It Ihis oertnit ex0ire5. a new permM1 may be acQUireE (or a lee of one-half :he amount normally recwrea, provitled no c5anges have been or will Ce made in the originat plans anC specifiwtions antl any suspension or abantlonment has not exceeCetl one (1) yeac If changes are matle ar i( suspension or abanCOnment exceeds One (1) year, full (ees shall be paid for a new pertnit. (4) No work of any manner shall 6e Gone that will change ;he natu2l tlow a( water causing a Grainage problem. (5) Contranor shail notify the Builtling Inspector Rvenry-four (24) hours in atlvance for all inspections anC snall receive wntten aoproval on inspection cartl before proceediing with successive phases of the job. (6) The issuance of a permit or Ne apDroval of d2wings and speaficatlons shali not be constrved to Ce a pertnit for, nor an approval of, any violation of the provisions o(!he builCing cotles or any other oNinance, law, mle or regulation. Chief Building Inspecror DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WES729thAVENUE BUILDING INSPECTION DIVISION hII~193k4260 234-5933 P.O. BOx 63e CITY OF WHEAT RIDGE, COLO. PERMIT N0. THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHiEF BUILDING INSPECTOR ANC RECEIPTED BELOW. APPLICATION FOR MISCELLANEOUS PERMIT JOB ADDRESS ~ 75 S IZZ7- OWNER ~ ( "K ~ CONTRACTOR ADDRESS -y 7 S~ ADDRESS R~G/S A_~]jfpJ /~'p PHONE S~-ZO 26 k CITY A/LI//410%q Z~PCODE ~Gr ZIP CODE CONTRACT P~RAICE $ PHONE 1I;26 `Sr'/ LICENSE NO. Jlg~ Z2 7 DATE _ fL7 Cj ~ I. TVPE Ground❑ Woll❑ Proiecfinpl 2. MATERIAL SIGNS 3. ILLUMINATION Ya❑ No❑ 7ype 4 SET BACN FROM PROPERTY LINE N__ 5_ E__ W_ I. TYPE whith Othsr 5 w D Foee INSPECTION TICKET J L JOB Lou 7hot ADDRESS ~ 7~ S(/~-~~SC More Than 80% FENCES I ? MATERIAL 3. SET BACH FROM PROPERTY LINE wnien ie front) OTHER IZ 3 N_- E_ yy_ ❑ ❑ ❑ E p /~05;~p DATE: BLDG. PERMITN uZGd PERMIT FEE USE TAX TOTAL FEE - ~ BLDG. CONTR. l'1~u-rd-Y-e~-~s ~ DRAW SKETCH Of7 SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,GIVih (SETB4CKS OR PROJECTIONS INCIUDED) SUBCONTRACTOR STREET NAME SHOW OIS7ANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, AN DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE. ~J z~3 DATEINSP.REQ._~ TYPE OF INSP. INSPECTION MADE ~ REMARK W.R. FORM &tg ~ APPLICATION FOR PLUMBING; ELECTRICAii-, , 1-.,,.,,, THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEO WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THA7 7iMF ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE LICENSE N0. 57ATE LICENSE N0. ALU MINUMWIREUNDER5iZE81LLEGAL FLOpR BSM IST 2N0 3RD 4TH NQ Fl1ELCimJaOn~Cw{ql ElxSda 140~ WATER QASET FORCED AIR - BTU TEMPORARY METER _ WASH 80WL FpT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - 8TU CHANGE SERVICE-AMPS SHOWER LIGHTING AIR CONDITIONING-8TU SINK OTMER HEATING GARBAGE DISP REFRIGERATION SVSTEM POWER SUB-CIFCUITS WATER HEATER Refri sronf Group UTIIITY (RANGE, DISPOSER, ETC ) AUTO. WASHER pound~ Chor a FIXTURES DISH WASHER AUTOM4TIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROLS FLppR DRAIN ELEVATOR SIGNS URINAL f ~ _ TRANSFORMERS 6 RECTFIERS SEWERS T ADDITION TO OlD WORK OTHER ~ ~ MOTORS OVER I HP TOTAL FIXTURESIIIII REMARKS _ OL~- I hsreby ocknowladpe ihat ihis op0lica- tion is eorrect and undersiand fnaf I oonnof sfart this project until tAie oppli- tOfion it opprovetl. I shall comply wifh Me laws 01 the Sfafe of Colorado and to }hs Zoninp Requlations ond Bwldinq Code offhe Cify o! Wheat Ridqe. Any violotion of tAe obove ferma wilicouse immediate Uvocotion ot fnie~rmil NOT VALID UNLESS REI ~ ✓J.[L - c- 9c PERMITN 0-~C-1+ 02 CHIEF BUII.DI4 INSPECTOR, Wheat Ridye Date Issued-_ _ `7-~~ - kyilieanb SioFarur• CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS