HomeMy WebLinkAbout3050 Upham Courti CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ko P
Job Address: 0
Permit Number:
❑ No one available for inspection: Time AM/I�I I
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
r
Date: Inspector:
DO NOT REMOVE THIS NOTICE
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer' s technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201701909
PERMIT NO:
201701909 ISSUED:
06/12/2017
JOB ADDRESS:
3050 Upham CT EXPIRES:
06/12/2018
JOB DESCRIPTION:
Residential reroof: Tear off existing and install
Owens Corning Duration
29 squares
*** CONTACTS ***
OWNER (303)725-3306 ANDERSON BARBARA J
SUB (303)955-5348 Michelle Wilkendorf/Bryan Stil 170250 Elevation
Restoration 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: 32,000.00
FEES
Total Valuation
0.00
Use Tax
252.00
Permit Fee
236.00
** TOTAL **
488.00
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer' s technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
,-. ; _ CSC' c oel�'11 I C�
�7 INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancype
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Mid -Roof
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric'
Final Plumbing
Rough Plumbing/Gas Line
Final Mechanical
Rough Mechanical
Roof
Rough Framing
Final Building
Rough Grading
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.
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
`For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
For notification of your assigned inspection time window please email in_,,11I net egucst(,yrc i,\tiheatri e co_us by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: A -112
Job Address: 3 v t 0 urL �4ri- C�
Permit Number: 2Q z o I VU f
❑ No one available for inspection: Time AIS /PM
Re -Inspection required: Yes N
When corrections have been made, call for re -inspection at 303-234-5933
Date: /7 Inspector:
k14.
DO NOT REMOVE THIS NOTICE
a 4 City of Wheat Ridge
Residential Roofing PERMIT - 201701909
PERMIT NO: 201701909 ISSUED: 06/12/2017
JOB ADDRESS: 3050 Upham CT EXPIRES: 06/12/2018
JOB DESCRIPTION: Residential reroof: Tear off existing and install Owens Corning Duration
29 squares
*** CONTACTS ***
OWNER (303)725-3306 ANDERSON BARBARA J
SUB (303)955-5348 Michelle Wilkendorf/Bryan Stil 170250 Elevation Restoration 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: 12,000.00
FEES
Total Valuation 0.00
Use Tax 252.00
Permit Fee 236.00
** TOTAL ** 488.00
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufactureraE"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201701909
PERMIT NO: 201701909 ISSUED: 06/12/2017
JOB ADDRESS: 3050 Upham CT EXPIRES: 06/12/2018
JOB DESCRIPTION: Residential reroof: Tear off existing and install Owens Corning Duration
29 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable ui(ding codes, and all applic ble municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal ower of the property and a authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt, I, fur, her attest that I am legg lly authorized to include ali entities named within this document as parties to the work to be
per an that all work to be perfo ed is isclosed in this document �and/or its' accompanying approved plans and specifications. Chi' / ,;� —. / 'moi'
Signature of OWNERY or CONTRACTOR (Circle one) Date '
I . This permit was issued based on the information provided in the permit application and accompanyingplans 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.
5. 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 subj,tield inspection.
0
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PH ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick
From: no-reply@ci.wheat ridge.co.us
Sent: Thursday, June 8, 2017 7:48 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Antoinette
Residential Roofing Permit Application
f `t
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. 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. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
3050 Upham Ct
Barbara Anderson
303 -1 Z -5 J 'Z,—,ip
barbara@barbaraandersonmusic.com
Yes
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Elevation Restoration LLC
170250
612-655-3056
Contractor Email Address bryan@elevationrestoration.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
How many squares of
material?
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Yes
Im
Owens Corning Duration
29
Tear off and Reroof
Project Value (contract 12,000.00
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.
061
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
submit this application
and to perform the work
described above.
Name of Applicant Bryan Shiltz
Email not displaying correctly? View it in your browser.
Date:
as
ELEVATION RESTORATION
GENERAL CONTRACTOR
2093 Montane Drive East
Golden, CO 80401
(ZY 303955.5348
BBB♦ EVSURAIVCEPROCEEDSAGREEAMAT ♦ ♦ `'
E.R Project #..
Property Owner #I Property Owner #2
3050 44eAArn 66 50.3, 7;g, 3'50(
Street I Cell Phone
&hga &J-" , Co 50023
City, State, Zip Home Phone
58/ _
Date of Loss Type of Loss Policy #
Work Phone
.a• ffla NAIMAN
SUBJECT TO: This Insurance Proceeds Agreement is contingent upon insurance carrier approval and will be NULL and VOID if an agreement
between Elevation Restoration and the Property Owner(s) insurance carrier cannot be reached. However, Elevation Restoration will invest it's time and ex-
pertise in assisting the homeowner with their insurance claim. This process will determine the cost of the work to be performed including all scope of work,
supplements, and any additional overhead and profit including the final claim amount. The homeowner's out of pocket expenses will not exceed the
deductible amount unless Property Owner(s) contracts with Elevation Restoration for additional work over and above the insurance claim. This agreement
does not obligate the Property Owner(s) or Elevation Restoration unless repairs are approved for payment by the Property Owner's insurance carrier. Upon
signature of this agreement Property Owner(s) gives Elevation Restoration express permission to work directly with their insurance carrier if applicable.
Items to be completed by Elevation Restoration:
Items NOT to be completed by Elevation Restoration:
114
L
itcCs eaae,s
/Vl9z�
kPE*IXSURANCE
PROCEEDS PLUS SUPPLEMENTS PLUS OVERHEAD AND PROFIT
Insurance proceeds shall consist of entire dollar amount on the final insurance paperwork that includes all supplements requested
by Elevation Restoration including any overhead and profit, less any items not completed by Elevation Restoration.
Upon signature of this agreement it is not only reasonable and/or likely, but certain, that the property owner has hired Elevation
Restoration to perform repairs per the insurance scope, entitling Elevation Restoration to the Contractor's Overhead and Profit.
RETAIL AND/OR OPTIONS PRICE
Authorized Client Signaure:
Elevation Restoration Signature: Date: ,5
Elevation Restoration shall hold in trust any payment eceived from you un levation Restoration has delivered roofing materials at the site or
has performed a majority of the roofing wor on your property.
Page 1 of 2
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Complete all Information to BOTH sides 3 a': form
i=W COMMERCIAL STRUCTURE Q ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE OMMERCIAL
ROOFING
ROOFINGCOMMERCIAL ADDITION ESIDFNTIAL
RESDENTtAL ADDITION #
COMMERCIAL ACCESSORY STRUCTURE
(Garage, e. deck,
PLUMBINGRESIDENTIAL ACCESSORY STRUCTURE (G&We, Shod, deck ft.)
MECHANICAL SYSTEWAPPLIANCE REPAIR or REPLACEMENT
M i
LIANCE REPAIR or r#
CMENT
ELECTRICAL SYSTEMIAPPLIANCE
REPAIR REPLACEMENT
OTHER (Describel
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INSPECTION TICKET
JOB
ADDRESS
/zl'~3
DATE: 7' ~ BLDG. PERMITS J V7~1
PERMIT#
BLDG.CONT~~.
SUBCONTRACTOR
DATE INSP. REQ. l `
TYPE OF INSR ~ . u~.
INSPECTION MADE ~
REMARKS
G
W.R. FOFM G79
l
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. N093aa=
234-5933 P.O. Boxssa CITY OF WHEAT RIDGE, COLO. ME93#5307
THIS PERMIT VALID ONLY WNEN SiGNED BY THE CMEF BUILDING MSPECTOR AND RELEIPTED BELOW.
~1 APPLICATION FOR MISCELLANEOUS PERMIT-PON~ R
JOBADDRESS ~'OJL/ urAI~'Y1'1. OWNER
CONTRACTOR •MK Sn n t'~-'G7L - 1A)G ADDRESS 3c) ~~Q Ul°hA rn C~
ADDRESS I00 0 LPHONE d~~ 6C91y~U"1 ZIPCODE
CITY P 'A ZIP CODE R~ CONTRACT PRICE $ !~5(OCS~
PHONE °2 ~ LICENSE NO. `f 3 y DATE
I. TvPE GrounE ❑ Woll❑ Proiectinp❑ O}hsr 5 or D Face
2. MATERIAL Total Squon FN1
TSIGNS 3. ILLUMINATION Yqa❑ No❑ TYVe .3
INSPECTION TICKET
JOB
ADDRESS
DATE: f4~BLDG. PERMITB
PERMITM
BLDG.CONTR
SUBCONTRACTOR
DATE INSP. REQ. /
TYPE OF INSP.
INSPECTION
- W.R. FORM 6-19
- E_ ?
] ❑ INSPECTION TICKET
~n[J L.i doe 30 sz~
~
ADDRESS
E_ /
J ❑
DATE: 7
BLDG. PERMITA ')30'7
PERMIT#
STRUCTURf BLDG. CONTR. Y J""
PER7V LiNE SUBCONTRACTOR
DATE INSP. REQ. 7
TYPE OF INSP. ^C~ INSPECTION MADE
REMARKS C,P>?i_ F~"G'•- c~
iPERTY Llf
G~
iES,STRE! W.R. FORM 6-19
E DISTANt
ELECT
IDICATED N.
TE OP ISSl1ANCE IF WORK IS NUI J I Hni tu wi i nin i
ELECTRICAL PERMIT
STATE LICENSE N0. Q3 ~
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDERSIZE B ILIEGAL
p~p
TEMPORARY METER
FLOOR
WATER CLASET
WASH 80WL
BSM
IST
2N0
3RD
4TH
NQ
FUEI;CirtNOnO Ga{dlPtopone EI Sda
FORLED AIR - BTU
HOT WATER - 8TU
NEW SERVICE ° AMPS
BATH TUB
STEAM - BTU
y
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-8TU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATqN SYSTEM
POWER SUB-GFCUITS
UTILITY (RANGE, DISPoSER, ETC )
FI%TURES
WATER HEATER
AUTO. WASHER
DISH WASHER
Rafri aronl Cxoup
PouMs Clwr •
AUTOMATIC SPRINKLER SVSTEM
WIRING MOTORS 9 CONTROLS
FLDOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFiERS
SEWERS
ADDITION TO OLD WORK
OTMER
MOTORS OVER I HP
TOTAL FI%TURES
n., _
I hareby ucknowladqe thot this oDOlico"
tion n correct and understond ihat I
eonnot ftart thif projsct until this oppli-
tation it opproved. I shall comply wifh
tM lows of the Stote oi Colorado and 10
the Zoninp ReQulations ond Buiidinp
COde ofihe City of Wheat Ridqe. Any
violalion ol the above ferme will couse
immediate revocatlon of tnls Dermii
i
PERMIT FEE U
USE TAX
TOTAL FEE $ Q J'- (C)
APPROVED
DISAPPROVED -
CHIEF BUILDIN NSPECTOR,City of Wheat Ridqe
Date Issued 7- / 2
NOT VAIID UNLE55 GEIPTi
-
Cle~ lC~s'l
CALL 234-5833
24 HOURS IN ADVANCE
FOR INSPECTIONS
~y lieanb 9ipmNn
C;EPAn7triEidT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
- - IPTEDBEL^W
JOB ADDRESS
CONTRACTOR
ADDRESS _
~
CITY
PHONE _
SIGNS
FENCES
VALID ONIY
SiGNED BY TNE CNIEF BUILDING MSPECTOR ANC RECE -
~0oFw_Arinni rna nnicrc'i i ntiFrniS PERMIT
ZIP CODE ~ ~vLn v~ i
LICENSE NO. &-4276
OWNER -
ADDRESS _
PHONE ~
CuNTRACT
DATE _
CODE
I. TVPE Ground❑
Woll❑
Proiectinp❑
I '
Othsr SorDFOCe r
2. MATERIAL
❑ N
❑
T
Ds
ION TICKET
o
3. ILLUMINATION Yes
Y
INSPECT
SET BACK FROM PROPERTY LINE N
4
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- N'-
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❑
❑ 0
(SOeci}y which ie front)
U
JOB
1. TYPE Solid❑ Moro Tnan 80% Open❑
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ADDRESS
2. MATERIAL
-
SET BACN FROM PROPERTY LINE N
3
_
S_ E
_ W
'j J
.
❑
❑ ❑
>
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E
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DATE:
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OTHER 2
3.
PERMITM
t/.~~~~ -~C
BLDG. CONTR.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVik3 DIS'
(SET8ACK5 OR PROJECTiONS INCLUDED) SUBCONTRACTOR
REAR PROPERTV LINE
r DATE INSP. REQ.
TYPE OF INSP.
INSPECTION
STREET N4ME
$HOW OISTANCES FROM THE MAIN BUIIDING T6ADJOINING HOUSES, STREETS,ANO PROP
DISTANCE TO PROPERTV UNES, NOT MA%IMUM OR INERAGE. DISTANCF..
W.R.FORM 619
APPLICATION FOR PLUMBING; ELECTRICAL; ME.....-........~ r~nrvu i
THIS AVPLICNTION VVILL BECOME A PEHMIT TO FERFORM THE INDICATEDWORK ONLV UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
o..~T~~~!~ i FvoiaF inn naVS FROM 7HE DATE OF ISSUANCF IF WORK IS NOT STARTEDWITHIN THAT TIME.
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.
PLU
MBING
PER
MIT
MECHANICAL PERMIT
ELECTRICAL PERMIT
STATE LICENSE N0
STATE UCENS
E NO
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N0
FUEL;CircJaOmGWdI EIleSdar
LEGAL
8 1
f~00R
BSM
IST
2ND
3RD
4TH
.
ALUM
L
INUMWIRE UNDER 512E
BTU
AIR
FORCED
~
WATER CLOSET
=
HOT WATER BTU
TEMPORARY METER
WASH BOWL
STEAM BTU
-
NEW SERVICE - CMPS
BATH 7UB
AIR fANDIT10NING-BTU
CHANGE SERVICE-AMPS
SHOWER
OTHER
LIGHTING
SINK
REFRIGERATION SYSTEM
HEATING
GARBAGE DISP
R
Refri e.oM fwap
POWER SUB-CIFCUITS
WGTER HEAIE
pounds Cnar a
UTILITY(RANGE,DISPOSER,ETC) _
AUTO.WASHER
qUTOMATICSPRINKLERSYSTEM
FIXTURES
DISH WASNER
ELEVATOR
WIRING MOTCRS 9 CONTROLS
FLIXSt DRAIN
SIGNS
URIN/1L
TRANSFOF7MERS 9 RECTFIERS
SEWERS _
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
n
i_ \_1_ h
__WyN--Cs J(J--~. ~J aC~.~ fan ~ ~
pEMARKS
NOT„VAUD UNLESS RECEIPTED
1 hereby acknowledpe thal this appli[a-
tion ia tonecl and undersfand thaf I
tonnot ftort thie Drolbct unlil this opph-
cotion ie opProved. I sholl comply witn
iM lawf of the S1ote of Colo.ado and 10
the Zoninq Requlntiona ond Bwldinq
Code ofthe City of Wheat Ridpe. Any
violalion of ihe obove telme will cause
immediote revocahon ot lnis permlt
~pp- em. a~an,•
PERMIT FFE
USE TAX ~
TOTAL FEE ~ $
CHIEF BUILDWCr~fiSPECTOR,Cityof Wheaf Ridge
Ucte Issued
PERMiT N0. MP93I13474
-b G 71
Vl-~_o d
CALL 237-8944 EXT. 255
24 NOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500 WEST 291h AVENUE BUILDING INSPECTION DIVISION PERMIT NO
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. MP92#3337
?HI$ PERMIT VALID ONLY WMEN SIGNED BY THE CHIEF BUII.DING INSPECTOR AND RECEIPTEDBELOW.
APPLICATION FOR MISCELLANEOUS PERMIT
Jos nooRess t)c (.l~ham /-'.I owNea nncl C- i n e
CONTRACTOR k2c~ C ADDRESS U~(In
ADDRESS S PHONE oc 7 2 ':~W' f ZIP CODE ~
CITY ~-L-fll.>E~ ZIP CODE ~)~U I CONTRACT PRJICE $ 37S"c'
PHONE LICENSE NO. /46 DATE 2
I. TVPE Ground❑
Wall❑
ProieclinQ❑
Ofhsr
SorDFOte
SIGNS
2. MATERIAL
3 ILLUMINATION Yp❑ N
❑
7
Totol Squon F"t
o
ype
Elfiet. P
ermil No.
4 SET BACK FROM PROPERTYLINE N
_
S_ E
_ W
Zone
_ Apprwb,2one lnapector
(Spetify whitA ia front)
❑
❑
❑ ❑
Disappraad
I. TYPE Solido More Thon BO% OpenO
Lost Thon 80% Opm
FENCES
MATERIAL
H
i
s
pM
S. SET BACK FROM PFOPERTY LINE N
_
5_ E
_ W
Zono
_ ApDiqyd,2ong Inspetia
(Specity wl+ieh ie fronf )
❑
❑
❑ ❑
DIeaODroveE
OTHER
2,
'
no Qo
- 1 - 3.
INSPECTION TICKET . )THER STRUCTURE, GIVINu DIST
JOB R PROPERTY UNE
ADDRESS _ D j Zf ~C
i y
DATE: /a J~L/ BLDG. PERMITB f2~2_-
PERMITM
BLDG. CONTR. ~"`-r✓'
SUBCONTRACTOR NT PROPERTY LINE
DATE INSP. REQ..
TYPE OF INSP. -i (_-tL-o
INSPECTION MADE
REMARKS
VG HOUSES,STREETS,AND PROF
4VERAGE DISTANCE.
31NG; ELECTRICAL; MI
4 THE INDICATED WORK ONLY UP
I THE DATE OF ISSUANCE IF WORM
PLUMBING PERMIT
'E LICENSE N0. . q~
71
INSPECTION TICKET
JOB
ADDitESS_
✓
DATE: 1 BLDG. PERMITM
PERMITk
/ a Q
BLDG. CONTR ~ ' LL"~
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. _
INSPECTION MADE ( Z~ 7 Z
REMARKS
n
~
BSM
IST
2ND
3R1
IASET
riVL
I
R
FORM &/9
.
.
18
W.R. FORM 619
~
= DISP
IEATER
UTILI7Y(RANGE,DISPOSEH,ticl
nuiV. wASHER
Poundt CMr •
fIX?URES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOFtS 9 CONTROLS
FIDOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
6
I Mreby ocknowledpe that rnis appiica- PERMIT FEE
tion n correct and understand that I USE TAX
Gannof ffort ihie projtlct unfil thib oDGli-
cation it approved. I snoll comply witn TOTAL FEE
the lowe of the S1o1e ot Colorado ond to
the Zoninp ReQulations ond Buildinp AP~
Code ofiha Cify o! Wheaf Ridqe. Any
violation of tne above terme wiii cause CHIEF BUILDII
immediate revocation of tnis Oermit ~
e - NOT VAIID UNLESS RECEIi
43 ~ j..
ll l7 .~i
WSPECTOR,Gfyof Wheat Ridqe
~
1
-
~OOlieanU ion t r•
Date Issued
T
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FOR IN3PECTIONS