Loading...
HomeMy WebLinkAbout4345 Vivian Streeti.. ` . City of Wheat Ridge Homeowner Roof PERMIT - 201709135 PERMIT NO: 201709135 ISSUED: 11/17/2017 JOB ADDRESS: 4345 Vivian ST EXPIRES: 11/17/2018 JOB DESCRIPTION: Homeowner reroof remove and install asphalt shingle class 4 with 19sq pitch=4/12 *** CONTACTS *** OWNER (720)298-9152 APLANALP CHAD A *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,883.00 FEES Total Valuation 0.00 Use Tax 102.54 Permit Fee 125.05 ** TOTAL ** 227.59 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2&#39; inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re -inspection fee will be assessed. Subject to field inspection. City of Wheat Ridge `r p Homeowner Roof PERMIT - 201709135 PERMIT NO: 201709135 ISSUED: 11/17/2017 JOB ADDRESS: 4345 Vivian ST EXPIRES: 11/17/2018 JOB DESCRIPTION: Homeowner reroof remove and install asphalt shingle class 4 with 19sq pitch=4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I amt a legal owner or have been authorized by ,rmed elegal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thiermitIfuherattest that I amlegally authorizedtoinclde alI entitiesnamed within this document as partiestote work toe perand that all work to be performed is disclosed in this document andlor its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 applicab, de 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. City of �W heatdge MUNITy DEVELOPMENT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: % _ _J/7 Plan/Permit #/� z- C� Plan Review Fee: -,) v �� Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: -5 vl 1/i'4tI S� IN "a y"J" Property Owner (please print): C P'� l% ,� �L ✓ r 1 C Phone: %U - Z ZE"- 2(sa_ Property Owner Email: a 12 ! Gt- o a ( 4 C y a- hoo r Cc m Mailing Address: (if different than property address) Address: 3 �f tj V/ V/ 4N City, State, Zip: CCt !� G��n e ( D I D Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION [RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) AP Vh a V �e C,, -J Sq. Ft./LF I I 06 Btu's Amps Gallons Squares (�&� Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: j� DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _ Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City 01 Wheat 14"!dgle COMMUNITY DEVELOPMENT Official Certification of Property Owner for Non -Trade Specific Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently own the project property. I attest I am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, have the contractors doing the work listed on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. V I am the owner and live in the project property. Property Owner(s): l__— � (4 ['0 Project Property: Project Type: (% Notarized signature of Applican/ State of Colorado j County of J e : r } ss The fore oing instrument was acknowledged by me this 1'7 day of DL.�(ht 20) 7 by TAMARA D ODEAN NOTARY PUBLIC NATE OF COLORADO NMARY ID 20164015481 �..:. �" "a1.�i�4fl� EXPIRES APRIL 22, 2020 0 My Commission Expires _�_1 a12J20Za Notary Public INSPECTION RECORD Inspection online for I Cancellations must be submitted vi teP:/n ww.ci- he ore exo.us/ins ection Inspections will not be performed unless this card is Posted on the project s tetion Request a inspection/beore MIDNIGHT (11:59 PM) to, receive an inspection the followin busi>fPERMIT• I �� r DR � � � �'' 9 Hess d ESS: L � JOB CODE: _ f Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector 201 Electrical / Cable/ Conduit Initials Comments 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan Date IInspector Initials 0K SEE OVER FOR ADDITIONAL INSPECTIONS Comments 'ERMIT L( �J D ) ?L I 1 JOB CODE: ADD I% / / ADDRESS:. : � ,� : � /��%�.' �� Inspector Comments Hugh Inspection (continued) Data Initials 6 Rough Mechanical Residential 17 Rough Mechanical Commercial 18 Boiler / Furnace 19 Hot water tank 20 Drywall screw and Nail 21 Moisture board / shower walls 22 Rough Grading Q3 Miscellaneous Inspector Comments Date Initials Final Inspections 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 /n I 409 Final Roof 4 1 81 Window/Door Inspections from these entities shall be requested 411 Landscape/Park/Planning* one week in advance. 412 Row/Drainage/Public Works** *For landscaping and parking inspections please 413 Flood plain Inspection** call 303-235-2846 please call 414 Fire Insp. / Fire Protection*** **For ROW and drainage inspections 303-235-2861 415 Public Works Final** ***For fire inspections please contact the Fire 416 Storm Water Mgmt.** Protection District for your project. 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building of the Final Building Inspection does not before a Certificate of Occupancy is issued. Approval constitute authorization of occupancy. by the Fire District and Low Voltage permits please be sure that rough in are completed For 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: a �� Job Address: 4-:2) ,4 V I r ey ST', Permit Number: 2-D1-209 1 _1E-5 ❑ No one available for inspection: Time 1 4 AM/& Re -Inspection required: YesNo When corrections have been made, call for re- i pection 91~3Q =234-5933 i Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: .4-5,45 v 15- Permit Number: 9-D 1-1 D 91 MOM 1W.1219, ❑ No one available for inspection: Time 2.�J AM PM Re -Inspection required: Yes No When corrections have been made, call pr e -inspection at 303-234-5933 Date: �� Z� I� Inspector: Udybql l�- DO NOT REMOVE THIS NOTICE i.. ` . City of Wheat Ridge Homeowner Roof PERMIT - 201709135 PERMIT NO: 201709135 ISSUED: 11/17/2017 JOB ADDRESS: 4345 Vivian ST EXPIRES: 11/17/2018 JOB DESCRIPTION: Homeowner reroof remove and install asphalt shingle class 4 with 19sq pitch=4/12 *** CONTACTS *** OWNER (720)298-9152 APLANALP CHAD A *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,883.00 FEES Total Valuation 0.00 Use Tax 102.54 Permit Fee 125.05 ** TOTAL ** 227.59 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2&#39; inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re -inspection fee will be assessed. Subject to field inspection. City of Wheat Ridge `r p Homeowner Roof PERMIT - 201709135 PERMIT NO: 201709135 ISSUED: 11/17/2017 JOB ADDRESS: 4345 Vivian ST EXPIRES: 11/17/2018 JOB DESCRIPTION: Homeowner reroof remove and install asphalt shingle class 4 with 19sq pitch=4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I amt a legal owner or have been authorized by ,rmed elegal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thiermitIfuherattest that I amlegally authorizedtoinclde alI entitiesnamed within this document as partiestote work toe perand that all work to be performed is disclosed in this document andlor its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 applicab, de 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. City of �W heatdge MUNITy DEVELOPMENT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: % _ _J/7 Plan/Permit #/� z- C� Plan Review Fee: -,) v �� Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: -5 vl 1/i'4tI S� IN "a y"J" Property Owner (please print): C P'� l% ,� �L ✓ r 1 C Phone: %U - Z ZE"- 2(sa_ Property Owner Email: a 12 ! Gt- o a ( 4 C y a- hoo r Cc m Mailing Address: (if different than property address) Address: 3 �f tj V/ V/ 4N City, State, Zip: CCt !� G��n e ( D I D Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION [RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) AP Vh a V �e C,, -J Sq. Ft./LF I I 06 Btu's Amps Gallons Squares (�&� Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: j� DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _ Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City 01 Wheat 14"!dgle COMMUNITY DEVELOPMENT Official Certification of Property Owner for Non -Trade Specific Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently own the project property. I attest I am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, have the contractors doing the work listed on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. V I am the owner and live in the project property. Property Owner(s): l__— � (4 ['0 Project Property: Project Type: (% Notarized signature of Applican/ State of Colorado j County of J e : r } ss The fore oing instrument was acknowledged by me this 1'7 day of DL.�(ht 20) 7 by TAMARA D ODEAN NOTARY PUBLIC NATE OF COLORADO NMARY ID 20164015481 �..:. �" "a1.�i�4fl� EXPIRES APRIL 22, 2020 0 My Commission Expires _�_1 a12J20Za Notary Public INSPECTION R ECORD Occupancv/T INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. eo : i 111`I � 11 •) -L I n INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons - Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic , „ Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing Insulation Drywall Screw PRIOR TO PROCEEDING FINALS Electrical Plumbing - Mechanical Roof , „ Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING. DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦1 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Twe 1 Job Address 1 1 V5 id, sP ®44/ r Permit Number o� l V t K A1,.'.....,.... ...: L.L. L. f -.. P.V ... A RAAnfiA sa 7! /r 11 IaNc�.wl . rte.' a"" DO NOT REMOVE THIS NOTICE n:No one availahle for insnactinn- Time A `fit AfA/PM e: Inspecto DO NOT REMOVE THIS NOTICE City of Wheat Ridge � Residential Roofing PERMIT 102651 PERMIT NO: 102651 ISSUED: 11/29/2010 JOB ADDRESS: 4345 VIVIAN ST EXPIRES: 11/29/2011 DESCRIPTION: Reroof 18 sqs with 30 yr arch.shingles * ** CONTACTS * ** owner 720/298 -9152 Chad Aplanalp sub 303/507 -4423 Don Dramm 09 -0266 Concept Roofing LLC ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0111 BLOCK /LOT##: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,626.00 FEES Permit Fee 125.05 Total Valuation .00 Use Tax 83.27 ** TOTAL ** 208.32 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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 the legal wner of the property and am authorized to obtain this permit and perform the work described and approved 1 onl unctio th this permit. I further attest that I am legally authorized to include all entities named within this doc t as part' to the work to be performed and that all work to be performed is disclosed in this document and /or it panvy'ng ap ed plana and specifications. G�L�� // - 7 .1 Signature of OW or TRACTOR (Circle one) Date 1. This permjY/was issued bhe information provided in the permit application and accompanying plans and spedifi tions 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 mamer shall be performed that shall results in a change of the natural flow of water .. without prior... and specific approval. S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field ipspQdtpon. Building Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. (Ay tai a Wheat 1 ic i r , 3 Plan # Building 8, Inspection Services Division e�ermir # 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303- 235 -2855 � Fax` 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property ddess YS U r'vrk h -o Property Owner (please print): bn q - n_ _ Phone: Mailing Address: (if different than property address) 1 Address: City, State, Zip; Contractors City License #: Phone: 0 3 - �D $Rb=Contractdrs: Electrical Plumbing: Mechanical: City License # City License # City License #, e ( l: Contract Value: Review Fee (due at time of submittal): S quares O BTU's Gallons Amps Sq Ft. $ O WNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations . of the City of Wheat Ridge or covenants, easements or restrictions of record;. that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner . or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. - CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: �, �� 0—/,l, SIGNATURE: DATE: O ZOYJING COMFAEN7S �` ✓ i a ✓ s ����RT�C`18T���J� 0��� , r^ y -� � -" � ✓ ,,;� ��o��" .: �a ,. Zo�m9 .✓' .✓ 3t , a � „r- � , j�," ✓e 1 ✓ f�' �✓ �� ..,e: r 1 'Yr�. s.�s �'� s� �`^✓ � : Revre�+er ^xe � l✓ ' �x ` r c r D �GOr^ v r r .. <. - u.� ✓ r ' � ✓ y✓ "s',e ✓ � rdF' /✓ l-sw' '"� :^, �,, i' .,.�' �`Yti'2��� 't"S^., . � S ^.' �e E 1' ' �UILDII�GDEPAR "(Iy ✓ � ✓// y s r : ,^^l r ,� � ✓j �r�!��� ,� + i ✓ RC�I6wer.2� a � ✓, a i ✓ i ✓i2 � tf �� � �✓ T✓ /9ar < t iry o r f � ✓ < ✓ s ✓ C � !r x � ✓" w3 ✓�uC ° �G %/✓ ✓ e �9��� ✓� D���ai� efs t; - � t 1 a � � .! � it y � ". Jx �, nf.rv� /7`,.$': I "ys'E /c•'�v/ r✓ S'Ji v X ✓^ r _ J a'a K � / / w� j y o r Sl�cv�m �;✓'✓ � )f�y� c i ;� „ � 7y r > r`'/ S '' � i �,rl f z 4 w y�� ✓C^Y'�"�i `-1 `✓'Sm wF�,f�& ✓ 1� � r S .% - PUBL3C�]QRICS CON(M�T1SS ✓i '/ `,, ' � r ° ✓ " r n "'" ✓' F /JL`C4IP�NCX •* , ' s FlRE t3�PARTfv7EN7, L7 approved av1 comments d3 d�Sapproved Ck-j3o reu,eW ragii)�d, Bldg valuation: $ � 7500 WEST 29TH AVENUE P.O. BOX 638 WHEAT RIDGE. CO 80034-0638 (303) 234-5900 City Admin. Fax # 234-5924 June 25, 1993 Police Dept. Fax # 235-2949 TO WHOM IT MAY CONCERN: The City of GWheat GRidge An electrical inspection was made on June 23, 1993 at 4345 Vivian Street. The electrical was found to meet the code in ef£ect at the time the permit was issued. The electricity has been turned on and is operating properly. The roof was inspected on the same date, and did pass inspection. ~ John W. Eckert (nCA Building inspector 4 -1-7 ~3 & iy~7 INSPECTION TICKET 123 S INSPECTION TICKET JOB 5 - ADDRESS 4✓ 6~1 DATE: BLDG. PERMIT# DATE: 6 `q BLDG. ERM k &7z. PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ.~ TYPE OF INSP. INSPECTION MADE REMARKS--N^1'-~°-(- -T. INSPECTION TICKET JOB ) p~ ADDRESS JOB ADDRESS y3li.5' vikl-Ll PERMIT# BLDG. SUBCONTRACTOR DATE INSP. REQ. & 1 7-3 q3 TYPE OF INSP. R ~ 72c~1y INSPECTION MADE REMARKS ~GL~'S~ 1(GkM'b afi~Ci W.R. FORM 6-19 b. ''t ~ /23 b INSPECTION TICKET JOB ADDRESS ( ~ q ~ " DATE: G o BLDG. PERMIT# jt.6 7j,a` 77 DATE: BLDG. PERMIT# PERMIT# ~ BLDG. CONTR. ' ~ 4`° ~ SUBCONTRACTOR - DATE INSP. REQ.G---~-TYPE OF INSP~-""~ ~ l% INSPECTION MADE REMARKS AdkC/'^- W.R. FORM 6-18 PERMIT# BLDG. CONTR. SUBCONTRACTOR G i CC-M. DATE INSP. REQ. 6 ~ TYPE OF INSP. - " • INSPECTION MADE REMARKS G S ~ C,3 O G/ & 61< ga- cA < W.R. FORM E19 ~ DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M91#17605 237-6944 EXT. 255 P.O. eox 638 CITV OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONIY WHEN SiGNED BY THE CHIEF BUILOING INSPECTOR AND RECEIPTEDBELOW. JOB ADDRESS 41-3 yS Sf CONTRACTOR L Z %r~_' or ADDRESS CITY ZIPCODE rYLYJZ z -i7~~ PHONE .22' LICENSE NO. ZZy 71 OWNER ADDRESS ~ PHONE y 2 S CONTRACT PRICE $ DATE TYPE Ground❑ 1 Woll❑ Proiecfinq❑ Othar SaDFece . MATERIAL 2 Tolol Squ art Fee1 $IGN$ . ILLUMINATION Yes❑ No❑ 3 Typa ElW Permit No . 4. SET BACK FROM PROPERTY lME N (SOscily wAicA ia f roni ) _ ❑ S_ E ❑ _ W ❑ ❑ . Zoro_ . AODrwb,Zrne inspoetor DisapprOVSd 1. TYPE Solido Mors TAan 80% OOan❑ MATERIAL Less Thon BO% Open HeiQM FENCES 3. SET BACN FROM PROPERTY LINE N (SOecify whieA 4 tront) _ ❑ S_ E ❑ _ W ❑ ❑ 2ane_ ApprwW,Zons ImDaetw DiaaDProved - %o . I o? rPa . S . z OTHER 3 . DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE,GIVINu DIST4NCES FROM PROPERTV LINES. (SETBACNS OR PROJECTIONS INCLUOED) ~ SPECIFY NORTH STREET NP.ME SHOW OISTANCES FROM THE MAIN BUIIDING TPAOJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR tATS,SNOW LEAST DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANt;E. 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 ISSl1ANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT SiATE LICENSE N0. MECHANICAL. PERMIT ALUMINUMWIREUNDERS12E81LLEGAI FLOOR BSM IST 2ND 3RD 4TH N0. FUELCirtJ9Qw5of011Propana ENeSolq Np. WATER CIASET FORCEO AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINN OTHER HEATING GARBAGE DISP REFRI6ERATION SYSTEM POWER SUB-CIFCUITS WATER HEA7ER Re1ri aranl Goup UTILI7Y(RANGE,DISPOSER,ETC) AUTO. WASHER Pounds Char e FIXTURES DISH Wt15HER AUTOMATIC SPRINNLER SYSTEM WIRING MOTORS 9 CONTROlS FLOOH DRAIN ELEVATOR SIGNS URINAL TRANSFO(iMERS d RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES I Mreby ccknowledqe that this 00711c0- ,n ii Conect ond underatand thot I inof start this Droltlct until this oppli- i0n is ap0raved. I shall romply wiM lows ot tne Stafe of Colorodo and to Zoninq Requlations ond Buiidina of ihe City of Wneoi Ridpe. Any 'ion of the obove terma wili couse liate revocation o( tnie permif PERMIT FEE 0 ZIP CODE B-.0 I USE TAX I S s I I TOTAL FEE 1$ ~j ~ ~ APPROVED DISAPPROVED ti CHIEF BUILDING I SPECTOR,City of Wheat qeCi.: ~ / Date Issued U r~ 9' netun VALID UNLESS RELEIPTED /2k` 'f 'V 76 / CA11237-8944 EXT.255 24 HOURS IN ADVANCE FORINSPECTIONS