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HomeMy WebLinkAbout4581 Saulsbury Streetj City of Wheat Ridge Residential Roofing PERMIT - 201706893 PERMIT NO: 201706893 ISSUED: 09/03/2017 JOB ADDRESS: 4581 Saulsbury ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm Driftwood asphalt shingles with decking 23 sq. Pitch = 5/12 *** CONTACTS *** OWNER (303)656-7608 LARNEY GAVIN SUB (303)656-5586 Scott Zick 150195 Zick Construction 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: 9,286.64 FEES Total Valuation 0.00 Use Tax 195.02 Permit Fee 204.30 ** TOTAL ** 399.32 *** 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) 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. * ► 4 41 City of Wheat Ridge Residential Roofing PERMIT - 201706893 PERMIT NO: 201706893 ISSUED: 09/03/2017 JOB ADDRESS: 4581 Saulsbury ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm Driftwood asphalt shingles with decking 23 sq. Pitch = 5/12 I, by in 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 perty and authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attes at I am 1 y authorized to include all entities named within this document as parties to the work to be performed and that all w to be pe is disc��ged in this document and/or its' accompanying approved plans and specifications. Signature of ONWER Ar C R (Circle one) Date I. This p��p- wl d based on e ' formation provided in the permit application and accompanying plans and specifications and is subje t mplice th o documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2, This. pl exire 365 y after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of iration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subjec a fee equal to one-half of the original ermit fee. 3. If this permit expires, ane permit may be required to be obtained. Issuance of anew permit shall be subject to the standard requirements, fees and rocedures 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 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 applic code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Zick Construction LLC ' 1001 E Bayaud Ave l #1503 Denver, CO W209 ZICK AGREEMENT TNTC_ AC:RFFN4FNT CTTRIFt"'i' Tn TNCTTR & CE MUP"A.NY APPROVAL NAME: N-1 �'1C I P cw �A i,mf AN j ADDRESS- y sg� BILLING ADDRESS: HOME PHONE: EXISTING ROOF INFORMATION Grade of Shingle: Color of Shingle: Ridge Type: Valley Material: Vents: U i Pine Jacks: -i Drip Edge: N 1-�o- Tear Off- �tiTR� Pitch: 1 �2 Felt: c%0 # of Layers: # of`Stories: 1 1 DATE: CITY/STATE/ZIP: Nd hWk %&po b Cp tml?� CITY/STATE/ZIP: CELL PHONE: NEW ROOF INFORMATION Grade of Shingle: {ak- C%j\ S toCm Style of Shingle: Q ` **Color of Shingle: Ridge Type: Valley Material: Q fA Felt: cel\ p fee/Watery Shield: .i Q Vents: N I A Pipe Jacks: - Drip Edge: Flashing: Additional info: Delivery Instructions: !1 —CIAL T Y AREAS AI D1T•IO AE NOTTES Cover Pool: Q (A-�{�r�eV a d� ��iMe Qti©oq Existing Gutter Damage: Existing Driveway Damage: WO Skylights: ND Leaks: !fit? Interior Damage: NO _ Emerizencv Repair: ted In addition Zick Construction will protect all landscapes where applicable. We will remove all trash from roof, gutters, and yard. We will also roll yard with a magnetic roller to pick up nails on your property. GENERAL CONTRACTOR: Homeowner acknowledges Zick Construction as a general contractor and as such will be entitled to 10% overhead and JU%n yrofat, as al lowed by insurance industry standards. NSURANCE/MORTGAGE CQA' MANY I IOT'E: I hereby authorize he insurance company and/or rnortgage company below -to make any checks payable jointly. TERMS: This agreement does not obli.ate the homeowner of Zick Construction in;aRy sway unless it is approved by the insurance company and accepted by Zick'Construction. By signing this agreement the hoi eowner authorizes Zick Constrwtion to pursue the homeowner's best interest for a roof replacement or repair at a "price agreeable" to the insurance company and Zick Construction with no additional costs to the homeowner except the deductible. When "price agreeable" is determined it shall become the final contract price of $ y 2'r. Co • Q"u and the homeowner authorizes Zick Construction to obtain labor and material in accordance with the "price agreeable" and the specifications set out herein and on the reverse side hereof to accomplish the replacement or repair. Any and a1.! monies received from the insurance company as a general contractor overhead and profit and/or cost increaser will be paid to Zick Construction in addition to contract price above. So,rte4•coca a� ACCEPTED 13Y INSURED ON- DATE: ACCEPTED BY INSURED ON- DATE: B—'"' INSURANCE CO: eyj,�8 O.L7 CLAIM #: yu Z$ 1Qn SQ6?A MORTGAGE CO: Vi jGV $a,N*, ACCT#: FIELD SUPERVISOR: A\- 16<1>j0!N\ OWNER: �`� Dan Schultz From: no-reply@c i.wheatridge.co.us Sent: Wednesday, August 30, 2017 4:38 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 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 NL Property Address 4581 Saulsbury st Property Owner Name Gavin Larney Property Owner Phone 303-656-7608 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address $ —3(�� TZ 33 c c Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Larney Signed Contract .pdf / Contract CONTRACTOR INFORMATION Contractor Business zick construction Ilc Name n Contractor's License 1510.1195 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 Address (Primary address of your business) 970-219-4911 1001 e bayaud ave Contractor Email Address scott@zickconstruction.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: scott@zickconstruction.com 23 vX Project Value (contract 9286.64 value or cost of ALL materials and labor) Are you re -decking the Yes roof? Does the scope of the No �/ project include a flat roof (less than 2:12 pitch)? 34 Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? 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? What is the roof pitch? Etc) 23 owens corning duration storm driftwood Asphalt main E se 5:12 pitch SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 35 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 scott zick Email not displaying correctly? View it in your browser. 36 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION N TIC Inspection Type: �� / 41,1fl- Job Address: L i tl I 5 U/ Permit Number: 'aO1 70 699 3 ❑ No one available for inspect' . e AM/PM Re -Inspection required: YesCN When corrections have been made, call for re -inspection at 303-234-5933 Date: -9/1 '-/// 7 Inspector: MT DO NOT REMOVE THIS NOTICE FOR OMCE USE ONLY City of R�'Wh6at -.4 COMMUMTY DEVELOPAIERN4ATg BuIldfing &!nspectlon Servkws Division 7500 W. 20 Ave, Wheat Ridge, CO SM33' wM !303-237-8929 Inspection Line: 303-234.,%,33 Building Permit ` Application ,, Address: City, State, Kip, ".I*leCti'1Ci: Piuurl8i?iitg: W.R. City Mi nae # W.R. City License # W.R. Cq License # Other City Uc.,enaed Sub-, Other City Lioansail Sulo. City Ucense # City Lioense # Complete all information on BOTH sides of this form 2015-09-14 18:04:34 (GMT) 13033021815 From: ScottZick II k'10C' "IAA.� A CRY of h6at A,e c vrLc)rmrNT r"m 'i w4tTv Dt Suflding & Inspeeffan SwWres 0i'vixibn 7500 W, 290'Ave., Wheat Ridge, CO 80033 Office: 303-235-2865 * r. Inspection Une* 303-234-5933 Building Permit A? P1166" omplialio'411 h1qhIWhtW ame Qn"both Contractor. Z tz- Q.- <-4z O'S MUS=�T �c� L-4� C 0 Sub'CoptWtow Electfical: pkj"�NAg W R. City Ucense# WA Cfb� License O"r City Licensed Sub: Other City Lice City Uwnse,# City License 0 0 G4 P1w Reviow Fee MNFE�' �- To� Building Dept Page 3 of a 2015-09-14 1&04:34 (GMT) 13033021815 From: Scolt Zick Mai �` b #t ! Y • M ! M Yp .:M1 N S dk «. . Sq. FLAY An"_ .„ ��. W ffi�� A; .• ROOFING ROOFING 0 ! rw r... ... A # ! l a • i by the lcpt owner of any C1Rr1.E0NF-- (OWIVEN) CT gr fALTHOPMED r " This certif icate verifies that the building construc and/or h use _.,dos -« of the building and/or premises under th above permit number and on property described below » does compl with t he Wheat Ridge Building d, #y and development sta of the zone d istrict in which it i l and may be occupied. . ,,» -: l icensing require for the Cit -t > ?zv::kws -� :©!; »,: ?! ? < <#< ■:< Owner: SNOWY RAN LLC 4581 SAULSBURY ST WHEAT !I # «■ CO 00 2■» -»t,:, Carl »:.k®. 4611 S CLARKSON ST ENGLEWO CO 801 For the Following « :a,a.: Residential Remodel .: : . t '�° « �° «!e<< „ ■! e° Property Owner Email: t �(' � 2 ,. Building Division Valuation: n t NO V-26-2014 8 O BROS INC 30329 49365 T P, P "The name trusted in .« « Their eligibility number is 0191, They are eligible for $tandard and Premium Warranties If the project Is completed to the specifications stated by Mule-Hide Products Co., Inc. for our SPOM, TPO, PVC s • C oating pro ducts. M i -7868 or myself at the corporate o ffice. ,nalll� tr C- IN 11 95 Prince Hall Dr. 609-36$-3111 w fax. 608-365.78$2 * www,mulehide.com PA Box 1057 Beloit WT $3511-5481 Solok WI W12-1,057 r . ; # M 2 0 6 5 7 3032 949365 TO:3032378929 P. r dd ,III �!�I ,d �Il� awlll� br t b •b ✓ +` �U 0 Total pages mt, including ver letter i , x r b b. s rr* . a b #r b r• bt : . ♦ • A 6 , r FOR OFFICE ) Building Permit Application Complete all information on BOTH sides of this form # ^ 0 0 0 0 A I I s a r `it y of W h eat ' Nic (.,()MM(JNj'ry DEVELOPMENT FOR OFFICE USE ONLY Building Permit Application MAP= r "Yv A MCI 4 AT FEW( Address: City, State, . ..... ... . 1� w 2�illi��l�illill 11 MAX. ON WE R WX FA RVA �t' I I I I I Sub Contractors: Electrical: Plumbing: Mechanical: WR. City License # WIR. City License # WIR. City License # Other City Licensed Sub: Other City Licensed Sub* City License # City License # Complete all information on BOTH sides of this form Mailing Address: (it different than property address) 12e�ove cav�.d ti�p(pc.� t ( u�fhdau7 � . ke uvt >q. FULF Btu's Amps Squares G allons Other Property Address: 04581 SAULSBURY ST Owne ame(s) WHEAT RIDGE CO 80033 ISNOWY RANGE LO Mailing Address: 01813 CLARK DR ERIE CO 80516 Neighborhood: 2405 - BARTHS, COULEHAN GRANGE, WHEAT RIDGE AREA PROPERTY DESCRIPITION Subdivision Name: 741800 - T_ELLER_MARQR M-M M- -711M�A!��s6daCeil �b PROPERTYINVENTORY Property Type RESID Year Built: 1955 Adjusted Year Built: 1955 Design: Ranch Improvement Number: E� - ----- - - ---------------- I ----- 1111mm-W.Mmmm - — ----------- I � � Is M-M M- -711M�A!��s6daCeil �b PROPERTYINVENTORY Property Type RESID Year Built: 1955 Adjusted Year Built: 1955 Design: Ranch Improvement Number: E� - ----- - - ---------------- I ----- 1111mm-W.Mmmm flymm's"ZOVIN I � � Is Im FU w T[C.?gsurer InfornI 1 111111 gliIIIIIIIIIIIIII I I Oil 4581 Saulsbu Str 6 ) DW llaag shall be tested on completion of rough piping g in taallaation by either water to 111' above the highest point of this section, or 5# air for 1 minutes. (Section 2305.5,06 IR" Outlet box used as the wale s upport of as ceiling-suspended paaddl fan sball be fistedfor this purpose. (Section 314.27, 21111 N E Arc- Fault Circuit l tenet t r protection equir d to of ct 15/211 ampere branch circuits supplying pourer to outlets installed in dwellin units. (Section 210.12, 21111 EC 9) Arc-Fautt Circuit-Interrupter protection required for 15/20 ampere re replacement r c taacles. (S ection 40 .4, 2011 NEC). ., �_ ' �' I c'n� , �` �- �.w t�atss Plan Al Permit Building Permit A p p lication (Complete Id hIghtlobted arvia*) (( t # ! I ..: d# avirwien # I M OO Electr Plumbing: City License # City Licens # OWNER/CONTRACTOR, SIGNATURE O W01,1 r w+ a t t t _ F EM i x a � Y Y #: a'n: w. ♦ ♦ is Ik r: .. fa • r .; . .: ;., ::'. / Ali < Review Foe t"dw of 6M of MYWIt0tl: ~ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 75707 BUILDING INSPECTION LINE -(303-234-5933) Date : 6/17/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) PropertyOwner: JIMKARL Phone : 422-2715 Property Address : 4581 SAULSBURY ST Contractor License No. : 21669 Company : Lord & Reynolds Elect. Svcs. /Servicewise OW NER/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 W heat Ridge or covenants, easements or resirictions of record; that all measurements shown, and alle9ations made are accurate: that I have read and agree to abide by all conditions printed on this application, and that I assume full re spon ''lity for , ompliance wilh the Wheat Ridge Building Code (U.B.C.) and all olher applicable W~ t Ridg ordinances, for work under thisrmi . - ' (OWNER)(CONTRACTOR) SIGNED DATE Phone : 466-4200 Construction Value : $2,900.00 Permit Fee : $108.30 Plan Review Fee : $0.00 Use Tax : $34.80 Total: $143.10 Use: Description : SERVICE Zoning Gomunents: Approval: Zoning : Huildlng`G~rmLnentg: Approval: Rqbtlc;llllorks ~om!nents; Approval : Occupancy : W alls : Electrical License No : 21669 Company :Lord & Reynolds Elect. Svcs. /Servicewise Expiration Date : 2128/2005 Approval : OKIKS BUILDING DEPARTMENT USE ONLY Roof : Plumbing License No : Company: Expiration Date : Approval : (~,0 (5353 SIC : Sq. Ft. : Stories : Residential Units : Mechanical License No : Company : Expiration Date : Approval : ) This permit was issued in accordance with the provisions set foRh in yopur appiication and is subject to the laws of the Slate of Colorado and lo the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permil shall expire If (A) the work authorized Is not commenced within sixry (60) days fmm issue date or (B) the building authorized is suspended or abandoned tor a period of 120 days. rovided no changes have been or will be made in ihe (3) If lhis permit expires, a new parmit may be acquired for a fee of one-half ihe amount normally required, p original plans and specifiwtions and any suspension or abandonment has not exceeded one (1) yeac If changes are matle or iF suspension or abandonment exceeds one (i) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done thal will change the nalural Flow of waler causing a drainage problem. (5) Contrector shall notiry lhe Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before pmceediing with successive phases of the lob. roval of, an violation of the (6) The is nce of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an app Y pro ^ on of th u' d g codes or any olher ordinance, law, rule or regulation. ~ Chief Building, spector COMMUNITY DEVELOPMENT DEPARTMENT Building Pemut Number: CE whES J v BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AV'ENUE WHEAT RIDGE, CO 80215 - (303-235-2855) °oc oa ao° 9 y ,y-.~sy. y~7~~ ~iPPy1s/ l i`l d ~layV Property Owner. ..J t iv~ Property Address: qj fsl Contrattor License No.: ~ N Company: L p OW:4ER/CONTMCTOR SICNATURE OF UKDERSTA V DISC ARD ACREEMENT 1 hereby cenify that the setback dismnces proposed by this permit application are aaurate, and do noi violatc applicable ordinancu, rulcs or regulations of the City o(P'heat Ridge or co. rnants, easemrnts orresmclions ofrecord; ihal all measuremenis showm, and allegation5 made are accuate; that I havc read and agrcc Io abidc by all conditions pnntcd on thls application and that I assumc full responsibiliry for compliance with the Wheat Ridgc BuilJing Code (U.B.C) and all other applicable Wh t Ridge Ordinances, for work under this pertnil. (OWNER)(CORTRACTOR).SIGRED ~ D.4TE //7 (ON'NGRHCOR'I"MCTOR): PRP2TED DATE DESCRIPTION: SMvl~[ &1PCVL Phoue: -~~13, Phone: Construction Value:$ a~j pv; Permit Fee:$ Plan Review Fee:S Use Tax:$ TOI3l:$ BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BVILDING COMMENTS: Approval: PUlLIG WONKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Unia: Elecaical License No: pZ 1 Plumbing License No: Mechanical License No: Company: ~Company: Company: Bxpiration Date: Expiration Date: Expiration Date: Approval: Approval: ApprovaL . (7) Thisycrtnit wu iuucd in accordance wiN the pm"isions set fonM1 in wur applicaion and is subje<t to the laws o(dhe $am ofColondo and m the Zuning Reguladons and Building Codes of NTot Ridge, Colondo or anq olher applioble ordimnccs of the Cirv. TTitpermilsha11u0irtif(A)theworkamhorizedisnoi comm<nccdwilhinsizry(b0)danfromissuadueor(0)thcbuildingouthonzcdissuspuidedor abandonM for a penod of 120 days. 1f Ihis pertnit expircs, a ncw pertnit may be acquired for a ftt of onchalf the amoum nonnally requircd, providcd no changa have been or will be madc in the origiml plans and specifications nM my surycnsion w abvdaunrnt hu nwt <zceeded one (1) year. If chuiges h»x bccn or if susycnsion or abandonmrnt enceeds anc (7) yw. (ull ka slull be paid fw a oew permit (i) Na ww* of anY manMr sM1all be done Uu1 will change the nnunl fbw of rvier nusing a Minage p~obkm. . . (5) Contraclor shdl notify the BuiWing Inspecmr Iweny-fow (?d) houn in advancs for ail inspecuons and shall raeh'e wnnen appmral on mspecUOn ord befort proceeding with successiv< pluxs of the job. (6) The issuance of a pcrmit or tAa apymval of drawings md syecificauoas shall not be construcd to be a pcnnil fw, nor m appm~al oL anY violauon o( the pmvizions of the buiWing <adcs or any otha ordimMe, 6w. ruk w rcgulaUOn. Building Inspector DEPARTMENT OF COMMUNITY DEVELOPMENT M91I/17009 7500 WEST 29th AVENUE BUILDWG INSPECTION DIVISION PERMIT N0. 237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIOGE, COLO. THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHIEF BWIDING INSPECTOR AND RECEIP7ED BELDW. eeo~ ~rnTinn~ cna nniccci i nuFniiS PFRMtT . ~ ~ t JOB ADDRESS CONTRACTOR ADDRESS CITY y* PHONE -5 SIGNS OWNEF 1 -1 abn_rJ " ADDRESS 44 yy ap~ PHONE ZIPCODE Bt !J~ CONTRACTPRICE$ ~2 LICENSE NO. DATE - 6~ ZIP CODE 1. TVPE GrounO❑ Woll❑ Proiectinp❑ O}har SwDPoce 2. MATERIAL Total SQuon Faat ❑ No❑ TYVe ION Y _ Eleet. P*rmit No. es 3 ILLUMINAT 4 SET BACK FROM PROPERTY LINE N_ 5_ E _ W 2ona_ Approvad, Zona Inspsctor !se•dw which is frontl ❑ ❑ ❑ Disapprwed I tYPE Solido More Than 80% Less Than 80% Open HoiQhf E_ W Zons_ ADDrwed,Zone Impseta ❑ ❑ i . DieaDOrovsd MATERIAL - FENCES 3. SET BACK FROM PROPERTY LINE N_ (SPaciiy which is }ront) ❑ I. ~ OTHER 2 3. DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURI ~NSPECTION TICKET (SETBACKS OR PROJEC?IONS INCLUDED) JOB ADDRESS DATE: -7~ BLDG. PERMITNCC9 ~7 PERMITM BLDG. CONTR. li'T!`4- iJ--~ SUBCONTRACTOR S7REET NAME DATE INSP. REQ. SHOW DISTANCES FROM TME MAIN BUILDING TQADJOINING HOUSES, STREI . DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANC TYPE OF WSP. APPLICATION FOR PLUMBING; ELECT 3 Z THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED' INSPECTION MADE PEHMIT WILL EXPIHE 180 DAVS FROM THE DATE OF ISSI J. ELECTRICAL PERMIT PLUMBING REMARKS STATE LICENSE N0. S7ATE LICENSE N0. K Sd ~ ALUMINUAI WIRE UNDER SIZE 8 ILLEGAL FLOOR BSM a I ~ WATER CI.OSET TEMPORARY METER WASH BOWL W.R. FORM &19 NEW SERVICE - AMPS BATH TUB CHANGE SERVICE - QMPS SHOWER LIGHTING SINK HEATING GARBAGE DISP POWER SUB-CIRCUITS WATER HEATER UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER nds Chor s DISH WASMER SPRINKLER SYSTEM AUTOMATIC FI%TURES WIRING MOTORS 9 LONTROLS FI.OOR DRAIN 7 EVATOR 516N5 URINAI TRANSFOFMERS 9 REGTFIERS _ SEWERS ADDiTION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES li - PERMIT FEE ca I hareby ocknowledqe tha1 this app flOn ii CmreGi ond understand ihat i USE TAX connot start tAis projtlct until Ihia aDDli- cotion ia oDGroved. I snall comply wirn TOTAL FEE fhe lowa of the Stote o1 Colorado and to ihe ZOninQ ReQulations onC Buildin0 APooOVED Code of the Cify of Wheai Ridqe. Any D1S++~4VE-9-- violation of tne above terma wiil cause CHIEF BUILDIN6 immediote rovocation of fhls Oermil I Dote Issued-- ~OVliconb SiOnalur• ,V-. " t~ 00 ,City of Wheat Ridqe WT VALID UNLESS RECEIPTED Q~_~-~ r~ y av o 6Y_2 6._"r~ CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS