HomeMy WebLinkAbout4580 Saulsbury StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Residential Interior Remodel
Date: Tuesday, April 12, 2022 9:09:06 AM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
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.
PROPERTY INFORMATION
Property Address 4580 Saulsbury st
Property Owner Name Michael Gates
Property Owner Phone
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"
303 550-8685
rubiconl999@yahoo.com
APPLICANT INFORMATION
Applicant Name Keith Simmons
What is your role in the General Contractor
project?
Wheat Ridge 210105
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contact Phone Number 720276-2774
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address keith@highterrainconstruction.com
for Plan Review
Comments
Retype Contractor keith@highterrainconstruction.com
Email Address
DESCRIPTION OF WORK
Detailed Scope of
redesign and remodel kitchen with opening up a wall and
Work - In the space
installing a steel beam and a bump out into the garage to give
below (not as an
more room in kitchen have engineer plans and 2 bathrooms, bath
attachment), Provide a
one move toilet and adding a double vanity, leaving shower in
detailed description of
same place, second bath keep toilet where its at move tub and
work including
make room for a double sink vanity, taking out closets in
mechanical, electrical,
bedrooms, replace doors,and trim interior, painting finish wood
plumbing work
floors, tiling bathrooms, and kitchen floor and back splash have
also asbestos test
occurring,
adding/removing walls,
etc
I, the applicant,
I have entered a detailed scope of work.
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Location of Work
4580 Saulsbury st
Square Footage Area
1400
of Work Being
Performed
Asbestos Report
Michael Gates 4580 s saulsbury st asbestos test results ndf
Upload letter size
Field not completed.
documents here
scanned on 11'x17" or
larger
Project Value (contract 90,000 Valuation Okay
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.
Person Applying for Keith Simmons
Pe rm it
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.
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From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Solar PV Installation
Date: Wednesday, February 23, 2022 3:55:05 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Solar PV Installation
This application is exclusively for Solar PV Installations
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM 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 Yes
Solar PV Installation?
PROPERTY INFORMATION
Property Address 4570 Saulsbury Street
Property Owner Name Michael Cates
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
303-550-5685
Property Owner Email rubiconl999@yahoo.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Titan Solar Power CO
Name
Wheat Ridge 202247
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 602-618-5330
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email copermitting@titansolarpower.com
Address
Retype Contractor copermitting@titansolarpower.com
Email Address
DESCRIPTION OF WORK
Scope of Work
New 6.32 kW DC system and 225 amp panel upgrade
KW
6.32
# of Panels
16
Location of Panels
house roof
Structural required
Yes
Upload engineer letter
4570 Saulsbury calcs ndf
or pages on 8 1/2" x
11" only
Solar Installation Plan
4570 Saulsbury nlans.Ddf
Set on 11 "x17" only.
Project Value (contract
14000
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.
Person Applying for Jereme Silva
Pe rm it
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.
Email not displaying correctly? View it in your browser.
From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Residential Window/Door Replacement
Date: Monday, February 7, 2022 1:27:37 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Residential Window/Door Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 4580 Saulsbury Street
Property Owner Name Micheal Gates
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
303-550-8685
Property Owner Email rubiconl999@yahoo.com
Address
Attach City of Wheat wr Dermit 4580 cc. Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Window world
Name
Contractor's License
080085
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-574-9594
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
tengh@windowworldcolorado.com
Address
Retype Contractor
tengh@windowworldcolorado.com
Email Address
DESCRIPTION OF WORK
What is being replaced Windows, Doors
Number of window 5 w / 1 Patio Door and 3 Entry Doors
and/or doors being
replaced
Location of Living room and Porch
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of .30 or better
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of wr hermit 4580 order ndf
window/door cut sheets
showing sizes and u -
value
Attach any additional Field not completed.
documentation
Attach any additional Field not completed.
documentation
Project Value (contract 11679.00
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 Tasha Engh
Pe rm it
Email not displaying correctly? View it in your browser.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Date: Wednesday, October 27, 20218:57:57 AM
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 4580 Saulsbury Street
Property Owner Name Micheal Gates
Property Owner Phone 303-550-8685
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email rubicon1999@yahoo.com
Address
Attach City of Wheat aates cc Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Window world
Name
Contractor's License 080085
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 Tasha Engh
Permit
Email not displaying correctly? View it in your browser.
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)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
What is being replaced
Number of window
and/or doors being
replaced
Location of
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of
window/door cut sheets
showing sizes and u -
value
191819NITZ,IMlese !
tengh@windowworldcolorado.com
tengh@windowworldcolorado.com
NVA Morel,
9 windows
Bathrooms bedroom and garage
.27 or better
aates order. odf
Attach any additional Field not completed.
documentation
Attach any additional Field not completed.
documentation
Project Value (contract 6653.00
PERMIT: ADDRESS: JOB CODE:
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online fdrm before 8 am. 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
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
a7
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 I
306 Mid -Roof q
a7
al / 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
Z(?i7�Zr� q-
,) S �'-6��
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.
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: �30(11 M 1 0
Job Address: A�V) 6Ao S F�( ) 12 --1 T-,
Permit Number: 2:n_ nZ2tj
❑ No one available for inspectiio Time CGU AM/PM
p q (No
Re -Ins ection re uired: Yes
When corrections have been made, call for re-' pection at 303'-234-5933
Date:
Inspector: G'ir'o
v
DO NOT REMOVE THIS NOTICE
R ' , City of Wheat Ridge
M
Residential Roofing PERMIT - 201708219
PERMIT NO: 201708219 ISSUED: 10/11/2017
JOB ADDRESS: 4580 Saulsbury ST EXPIRES: 10/11/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 34 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)420-6540 DAVIS BETTY J
SUB (303)351-6478 Justin Anderson
170236 Anderson Builders, 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: 12,278.00
FEES
Total Valuation 0.00
Use Tax 257.84
Permit Fee 251.85
** TOTAL ** 509.69
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
► A , City of Wheat Ridge
Residential Roofing PERMIT - 201708219
PERMIT NO: 201708219 ISSUED: 10/11/2017
JOB ADDRESS: 4580 Saulsbury ST EXPIRES: 10/11/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 34 sq Pitch = 4/12
I by my signature do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�e 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 a that I am le uthorized to include all entities named within this document as partes to the work to be
performed and tha rk to be ormed is disclosed in this document and/or its' acrcompanying approved plans and specifications.
Signature o WNER or CONTRACTOR (Circle one) Date
1, This p it 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
f y�
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
r , �i
Dane Lovett ? c,��7/ V V� l
From: no -reply@ ci.wheatridge.co.us
Sent: Tuesday, October 10, 2017 3:31 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a
Yes
residential roof?
How many dwelling units
Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
4580 Saulsbury St
Property Owner Name
Betty Davis
Property Owner Phone
303-420-6540
Number (enter WITH
dashes, eg 303-123-4567)
81
N
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
20170925 201343.Ipq
CONTRACTOR INFORMATION
Contractor Business Anderson Builders LLC
Name
Contractor's License 170236
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-829-6276
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 6542 W Morraine PI Littleton CO 80128
(Primary address of your
business)
Contractor Email Address andersonbuildersllc@gmail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
andersonbuildersllc@gmail.com
34
12278.00
No
Pitched roof (2:12 pitch or greater)
82
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof.
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
34
GAF Timberline HD Shingles
Asphalt
House Only
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
83
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.
Name of Applicant Justin Anderson
Email not displaying correctly? View it in your browser.
84
AMVCKOUR dllutf Sulluu I I.l.vin
B U I L D E R S 6542 W. Morraine Pl . Littleton. CO. 80128
LLC Licensed & Insured
Repair Agreement
WSMAL7LBU�S17_NESS
Pro Owne
Date
Street Address
Ly 43 0 SjaQ is 'y 45 -1;611
Anderson Builders Rep.,
�
City, State, Zip
_ 9f e sof 10033
Insurance CLQMPcIny
Phone 5q
Cell
Claim Numb�e~r-
Scope of Work:
ear Off i layer(s) of comp. „layer of cedar
® Ins
Inspect Decking ❑ InstallDecking
Drip Edge, Color To
2 Install Ice & Water` v_�ds
JInstall 15# Felt ❑ 30# Felt A5ynthetic
Shingle Type
[Shingle Colorj?e
❑ Remove & Reinstall Satellite
❑Closed Valleys ❑ Hurricane Nail System
111 Install Rubber Pipe Jacks ❑ Install Broans
dinstall Turtle Vents Mnstall Furnace Caps
LSI Paint Pipe Jacks & Turtle Vents to Match
/Step Flash Sidewalls Step Flash Chimney
dSSweep Yard with Magnet
Q1 Clean Up & Remove Trash
O Clean Out Gutters
ions
Work to be completed according to the above specifications in the amount of:
I authorize Anderson Builders LLC to represent my best
interest in pursuit of damage replacement due to storm
damage. This contract does not obligate the
homeowner or Anderson Builders LLC until the claim is
approved by the insurance company & accepted by
Anderson Builders. 1 also authorize Anderson Builders
LLC to repair/replace my roof for the Replacement Cost
Value (RCV) provided by my insurance company.
Agreed upon price will become the final contract
price. The owner's out of packet expense will not
exceed their Insurance deductible less upgrades are
added. Initial:
$
Deductible amount: /,00a e c
_In
Anderson LLC Rep. Signature
Approximate Date of Service to Be
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: (70 SelwlS ka*'�--
Permit Number: :Dnj j
t, s
i
(> arm UAl
❑ No one available for inspection: Time M
Re -Inspection required:/' Yes ,/No
When corrections have been made, call for re -inspection at 303-234-5933
Dater- 0"/', /7 Inspector:
DO NOT REMOVE THIS NOTICE
IN
i CIf 6F' WHEAL RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: "3 a
Job Address: L -I S 8 0
Permit Number: 3 o 1-7 6 g '}
❑ No one available for inspection: Time a= OS AM &P
Re -Inspection required: Yes a
When corrections have been made, call for re -inspection at 303-234-5933
Date:—/ o !q !7 Inspector: ITb
DO NOT REMOVE THIS NOTICE
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13404
BUILDING INSPECTION LINE - 303-234-5933 Date : 2/5/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner:
Property Address : 4580 SAULSBURY ST Phone 303-940-1934
Contractor License No. : 21193
Company: R& R PLUS Phone: 303-433-7800
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 restridions of record; that all measurements shown, and allegations
made are accurete; 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 (U.B.C.) and all other applicable Wheat Ridge ordinan s, for work under this permit.
~i w~~ -
Construction Value :
$3,000.00
Permit Fee
$83 25
Plan Review Fee
$0.00
Use Tax :
$45.00
Total :
$128.25
(OWNER)(CONTRACTOR) SIGNED ~ DATE _Z/ 0?
Use:
Description : RE-ROOF
BUILDING DEPARTMENT USE ONLY
~J~_~~. SIC : Sq Ft
Approval :
Zoning :
~~"OW
Approval :
OR~.
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) This permit was issuetl in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloratlo and to the Zoning
.
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City
(2) This permit shall expire if (A) the work authorizetl is not commenced within sixty (60) tlays from issue tlate or (B) ihe building authorized is suspended or
abandoned for a period of 120 days.
(3) If ihls permlt expires, a new permit may be acquiretl for a fee of one-half the amount normalty required. pmvidetl no chanqes have heen or wui ne madn ~n -ne
onglnal plans antl speciHcatlons antl any suspension or abantlonment has not exceeded one n 1 vear n cnanqes are mane or d susoenain~ nr ena~M~~.r~~
exceetls one (1) year, full (ees shall be paltl for a new permit.
(4) No work of any manner shall be done lhat will change the natural flow of water causing a drainage problem
(5) Contrector shall notify lhe Builtling Inspector hvenry-four (24) hours in atlvance for all inspections and shall receive writlen approval on inspection cartl before
proceediin ith successive phases of the job.
(6) The issu oe f a p~ r~mit Jthe appmval of drawings and specifications shall not be conslmed to be a permit for, nor an approval of, any violation of the
provisi $ o h/~ ~ L odes or anY olher ordinance, law, mle or regulation.
Chief Building In ector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number.
~F WHEAT
.a BUILDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
~o aRAOO WHEAT RIDGE, CO 80215 -(303-235-2855)
~~~UCATION
Property Owner: I C °
Jc~ c. .v 3-3
Proper[y Address: Phone :%~t> 3(1
Conhactor License No.: ~ ~
4 1 +
Phone:
J3 -
OWNER/CONTRACTOR SIGNAT[JRE OF UNDERSTANDiNG AiYD AGREEMENT
I hereby certify [hatthe setback distances proposed by this permit application are accurate,
md do notviolate applicable ordinances, rules or regula[ions of the CiTy of WheatRidge or
covenants, eazements or mstrictions ofrecord; that all meuurements showq md allegations
made are accura[e; that I have read and agree to abide by all conditions printed on this
app(ication md tha[ I assume full responsibility for compliance wiUi the Wheat Ridge
Building Code (U.B.C) md all other applicable Wheat Ridge Ordinances, for work under
[his permit.
(O W NER)(CONIRACTOR):
Description:
Construction Value:$ ~ b o p
Permit Fee:$
Plan Review Fee:$
Use Tax:$
TOt31:$
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
20NING COMMENTS:
ApprovaC
Zoning:
BUILDING COMMENTS: '
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Elecirical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This pelmit was issued in accordance with the provisions set forth in your applicafion md is subject ro the laws of the Staro of Colorado and ro the Zoning
Regulations md Bwlding Codes of Wheat Ridge, Colocado or any otlier applicable ordinances of [he Ciry.
(2) 'Lhis permit sliall exp've S(A) the work authonzed is not commenced within sixty (60) days from issue dace or (B) tlie bnilding autliorized is suspended or
abandoued for a period of 120 days.
(3) Ifdils permit expiros, a new perz¢it may be acquired for a fee of one-half[he amotmt nonnzlly required, provided no chanyes have been or will be made in
Hte original plans md specifica[ions and any suspension or xbandomnent has nol esceeded one (I) year. II chan~es hzve heen or i l eirspenv~ni or nbni Wanmou
exceeds one (1) year, &II &es shall be paid for a new pennit.
(4) No work of any mawier shall be done that will change tlie namrel flow of water causing a drainzge problem.
(5) CovtractorshallnotifytlieBuildinglnspectortwenty-fonr(24)hoursinadvance forallinspectionsandshallreceivewri[renappmvaloninspectiuncardbeforc
pmceeding with successive phues of tlie job.
(6) The issna¢ce of a permi[ or tlie appmval of drawings md specifications shall not be cansvued to be a penni[ foq nor an appraval of, miy violation oF the
provisions of Uu building codes or any other ordinance, law, mle or regulation.
)~'o a
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
13042
11/1/01
Property Owner :
Property Address : 4580 SAULSBURY ST
Contractor License No. : 17152
Company : Precise Plumbing
Phone : 940-1934
Phone : 534 0881
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
wvenants, easements or restrictions of record; 4hat 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work underthis pertnit.
(OWNER)(CONTRACTOR)
TE
Description : REPLACE WATER HEATER, READY FOR INSPECTION
Construction Value :
$454.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
Total:
$23.50
U se :
BUILDING DEPARTMENT USE ONLY
- SIC : Sq. Ft. :
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 : 17152
Company : Precise Plumbing
Expiration Date : 9/13/02
Approval : OK/KS
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subjed to the laws of the State of Coloratlo and to the Zoning
Regulations antl Buildin9 Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This pefmit Shall eXplre i! (A) the work au[hOfizetl is not COmmencetl Wilhin Sixly (60) day5 from issue tlate or (B) the builtling authOnzetl is Suspentle0 or
abandoned for a period ot 120 days.
(3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normatry requireq pmvitletl no changes have been or will be matle in the
original plans antl specifcations antl any suspension or abandonmen[ has no[ exceedetl one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the naWrel Flow of water causing a drainage problem.
(5) Contractor shall notify the Buildmg Inspector Rvenry-four (24) hours in advance for all inspections and shall receive written approval on inspection cartl before
proceetliing with successive phases of the job.
(6) The'n lance of a p mit or the approval of drawings and specifications shall not be consirued to be a pertnit for, nor an approval ot, any violalion ot the
si 1gp( i mg codes or any other ordinance, law, nile or regulation.
Chief Buildin Inspector
OEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISfON - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner
Property Address
Contractor License No.
Jn~ /t'~`c e
5' ftCr si~ v/s 1~•:-7'
/ 7/ f-12
Phone : 9W- ~ f93y
r -3vj>
Phone : s'Yy-o 8-sr/
Company: P/'PGiS2- '/i^9' ~ c-
i OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
' I hemby certAy thai the aetbatlc tlistances Oropose0 q this pertmt appucatian ara acalnte.
arq tlo not violate acpUpbb oramances. ruba or reguuuons of the Cily ot Wheat Ridga or
covsnanu. easemenn or restnaions W racortl: Nat aU meuuremsnts sAOwn. sna albqwons
;maae aro aceunte: tlut 1 havs roaa an0 aWea W a0qa Oy all conditiona pnntaC on ttib
app4catlon. ana mat 1 assume fuu nspons"ity for compnanp wM the YMeat Ridqe 8u8dinQ
CoCe (U.B.C.) ana au oMer appiiabk Whaat Ridya oramancas, ror work unESr Mis psrtnR.
(OWNER)(CONTRACTOR) SIGNED pqTS
Descnption : r.V/ct u: ~...i1..o. Jr{RO"r i nfp,
BUILDING DEPARTMENT USE ONLY
COb'imiRt
Approval :
Zoning :
~ dtti'o~l
Approval :
Approval :
Occupancy : Walls
Roof : Stories : Residential Units :
ConsWc6on Value : y,-y!
Permft Fee : z i 5C'
UseTax:S~P,o--s ftL'O}
Tohdl : 23 :S-Q
Eiectncal License No : Plumbmg License No : MeChaniCal License No :
Company: Company: Company:
Expiretion Date :
Approval :
~ P![ria'K~qufred
~ "
Expirabon Date :
Approval:
I - ?(Ahs R@juirod." :1
Expiration Date :
Approval :
~ 17111REMuIAtl401
(t) TAU oartnrt waa uwea n aomraanca wim me aowans set hrm M yoau acWrauon am o suqact ro tM iawi W tM Stab W Cobaao ana m ow Zomp
ReqWauons ano BuiWrtg Coes of WTeat iWqa. Cotonoo w ury pnar aopKads oromanps W Me Ciry.
;2I TTis petmrt SnLI upue d UI tlfa warK auRqnxsG u not mmmsnOSp wipyn yury (60) Oays hom W IN N4 a(B) f7N OuilWnp ouVlonZac q fuf WIW W Of
a Wrbqte0 tOf a OerqO of 120 OaYS.
(a) u ws Oem+n asans. a naw, oamt m+y wamuuw rer a tN N av-hun tne srraunt nomuW raauueG. povwW no wrqes nm esm a wiY De rtuEe n IM
OrgNil Mone ana tDecAKJOOns an0 anY susMnawn a aC+nOOMrorn naf not OaoNOoO aw (1) Yer. II Clyrqq ua msas a dsufpensqn alYNOOIYMM
eaCOlOt ona 111 Y6Y. hJll tetl aNY Oe psq (q a 11lw pGMyL
tn Ho won, or am mannm s„n es eone wt wm aury. ma maturiM now a.atw nuainy a onwye aoerm
; 51 Convacwr snan rauM Me Buiaug insoeaor nvanry.iour 124) nouR m awanoe ror an mspacoons ana tnaa reearve wnnsn aoProvsl on msoecmn uru wla~
Of oceeaunq wiin suClessrve onases ol Ne pb.
(6) TTt i33uanC! ol a pertnM Or me iDOfOVii OI 0r]win9f an0 SDlORCiGOn3 Snill nOt D! ODnSINlO IO D! 7 plIIM fpr, fly an iOPmval W. iny v0s00n Of QI! plMYpM
of ine ounamq coaes w any omer oreinanQ, uw. me w reguuuon.
Chief BudOmg Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILO{NG INSPECTOR AND MAYOR
CALL: 2345933 24 HOURS PRIOR TO INSPECTION
+ . ' ;.jjL ~P .p...J . vt 'A:3 . . . . .
~°..DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11540
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 11/27/2000
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address :
Contractor License No. :
Company
4580 SAULSBURY ST
17941
Bel Air Plumbing & Heating
Phone : 452-7997
Phone : 428 4221
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setbadc distances proposed by this permk application are accurete,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrietions of record; that all measurements shown, and allegations
made are aaurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibilit for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Iidge ordinanos, Jor work untler this pertnit.
(OWNER)(CONTRACTOR) SIGNED DATE//•9/a
Description : REPLACE FURNACE
Construction Value :
$2,500.00
Permit Fee :
$83.25
Plan Review Fee :
$0.00
Use Tax :
$37.50
Total:
$120.75
Use
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval:
(1) This permk was issued in accordance with tha provisians set forth in yopur appliwGOn antl is subect M the laws of the Stata of Colo2tlo and M ihe Zoning
Regulations antl Builtling Cotle W Wheat Ridge, Coloretlo or any other applicable artlinances M the City.
(2) This pertntt shall expire if (A) the work authorizetl is not commencetl within sixy (60) days from issue date or (B) the Eviltlinp authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permrt may be acquired for a fee of one-half Me amourrt nortnaly requiretl, provided no changes have been w will be matle in the
original plans antl speciflcationa antl any suspension or abantlonment has not erzceedetl one (1) year. If changes are maEe or if suspension or abantlonment
exceeds one (7) year, full /ees shall be paitl for a new permi4
4 No work ot any manner shall Oe tlone Nal will change the natu2l fiow of water causing a Ereinage problem.
5 Contractor shall notiry the Builtling Inspector twenry-four (24) hours in atlvance for all inapections and shall receive wntten approval on inspectlon card before
proceedi with su ive phases oi Me
job.
(e) The' an of or the approval ot dravnngs and speci(i(cations shall not be consWetl to be a permit for, nor an epproval of, any violation of the provisions
"i anyoUteroMinanCe,lew,rulea'regulation.
Building
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)
_ A PP L1 C.A-r1o N
PropertyOwner:.-TO~~~ ~
Property Address : y~% ~ S~ f~G/~ y✓~J Phone d~ ✓ Ll~~ '"~~7)
Contrector License No. : j✓'J,~? L1
Company : 1~'p ~ _
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone :
Construction Value
I hereby certify that the setback distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easemants or restrictions of recortl; that all measurements shown, and allegations
made are accurate; that i have read and ayree to abide by all conditions printed on this
_ application, and that I assume full responsibihty kr compliance>vith the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinan y, fo *nork under this pertnit.
~ ~
(OWNER)(CONTRACTOR)SIGNED DATE / ,
4USe:
Description
Permit Fee :
Use Tax :
>5~1 D
Total :
BUILDING DEPARTMENT USE ONLY
Occupancy': Walls
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval :
(1) TTis permft was imued in axorCancp wiM the provisiong set Porth in yopur appllcatlon anC is su6ject to the iawg of the SUte o! Colo2Ea and to Na 2oning
Regula6ans anC BuilEing Catle dSNheat RiEge. CaloraAO or arry other applirable ortfinances ot the Ciry.
(2) This permit shall ezpire if (A) the wotlc auMotrseE ia not tommenceE wiNin siMy (80) Eays from issue Cate or (B) the builtling authorizetl is suspended or
a6anCOneE Mr a penod oI 120 days.
(3) It this pertnit ezpires, a new pemtit may pe xpuiretl fpr a tee of one~half Ne amount normally require0, proviEetl no ctianges have Oeen or will 6e matle in the
onginal plans antl epeaflptlons antl arty suspenawn or ahandonment has not exceaEeE ona (1) year. It Uanges a2 maEe or it suspensian or aEantlonment
exceeds one (1) year, NII fees shall be paid for a new pertnit.
(a) No work of a'ry mannx yhall be Cone tlhat will Uange the naturol tlow ot water pusing a 02inaga poblem. (5) Caftractor shall noMy the BuiWWq inspatta Nrenly.(our (24) houn in aWance Por all inspections aM shall receive wntten appmval on inspecM1On prd Oetore
eaeEling with eucceasive hyfes pf yy~/'pgb
(e)proo Me buetlingomtles ~~ym~ a~~. ~ nN1e otl spedflwtlons shall not Oe tonsWeO to Ee a pertnit for, nor an appmval o!, any violatlon of Ne pmviaians
. reguladon. .
Chief Building Inspector
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500WEST29thAVeNUE BUILDWG INSPECTION DIVISION PERMIT N0. h193#18931
234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONI.Y WHEN SIGNED BY THE CHiEF BUILDING INSPECTOR AND RECEtPTED BELOW.
APPUCATION FOR MISCELLANEOUS PERMIT
JOBADDRESS ~✓S5fl 51(nhn~_~. OWNER z',`^~•^'~ L-<,~J•</l~y-
CONTRACTOR `^J. i 9.'04 . ADDRESS vs9"
ADDRESS N! Sv 1- aLl~ PHONE
CITY _
PHONE `{z
CONTRACT PRICE $
DATE
S."
ZIP CODE E°`j?'
'
I.
TVPE Ground❑
Woll❑
Proiectiny❑
Othar
SorD Feu
2.
MATERIAL
Totol Squan FoN
SIGNS
3.
ILLUMINATION Vsa❑ No❑
7ype
ElKt. Pormif N0.
4. SET BACK FROM PROPERTY LINE N
(Spetity whith ia f ronf )
_
❑
5_ E
❑
_ W
❑ ❑
Zone_
Apprwad,2one lnapeeta
Diaapproved
1.
TYPE Solido Mon TAan 80% ODenO
Lest Thon 80% Open
MATERIAL
HeipM
FENCES
3.
SET BACN FROM PROPERTY LINE N
(SPeeify whieA Is tront)
_
❑
5_ E
❑
_ W
❑ ❑
Zone_
Appraod,Zom ImpeCta
psapproved
I.
OTHER
2
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIIrG DIST4NCES FROM PROPERTY LINES.
(SETBACNS OR PROJECTIONS INCLUCIED)
~
SPECIFY NORTH
0-
LRftlJT
ZIP CODE 51'✓33
LICENSE NO.
STREET NAME- S4ls6?•~~
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PROPERiY LINES;ON IRREGULAR LOTS, SFpW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMiT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED 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 THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE NO.
PLUMBING PERMIT
S7ATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDERSIZE 81LLEGAL
FLOOR
BSM
15T
2ND
3RD
4TH
NQ
FUEL: CirclsOn@ Ga{qlPropdM E Sdor
NO.
WATEH CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
IqT WATER - BTU
NEW SERVICE - CMPS
BATH TUB
STEAM - BTU
CHAN6E SERVICE-AMPS
SHOWER
AIR fANDIT10NING-BN
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri aronl Group
UTIUTY(RANGE,DISPO5ER,ETC)
AUTO. WASHER
pbundf CMr e
FIXTURES
DISH WASHER
AUTOMATIC SVRINKLER SYSTEM
WIRMG MOTOftS d CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
I hareby acknowledqe thot this aDDlico'
fion ie correcf and understand thot I
tannot sfart tAis projeCt until this appli-
cotion is apOroved. I shall com0ly wrtA
the lowa of the Sfate of Colorado and to
the ZOninQ Repulations ond BuildinQ
Code ofthe City of Wheat Ridqe. Any
violalion of the above ferme will couse
immediate revocotion of inis Dermit
L la=All)
PERMIT FEE
USE TAX
TOTAL FEE
$
APPROVED~ ~
-
; ~ ;ti
@~~#€$~
-i --!!(;.e._.,..:
CHIEF BUILDIP1Gi WSPECTOR,City of ~
W
~
heat
Ridqe
Date Issued
NOT VALID
CALL 234-5933
24 HOURS IN ADVANCE
FOR INSPECTIONS
rceo~. sio~^~~,•