HomeMy WebLinkAbout4430 Yarrow StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Date: Wednesday, October 27, 20214:52:32 PM
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 4430 Yarrow St, Wheat Ridge CO, 80033
Property Owner Name Charlotte Saracino
Property Owner Phone 303-431-6166
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"
permitting@premierservicegrp.com
CONTRACTOR INFORMATION
Contractor Business NW Extreme installers Inc
Name
Contractor's License 210044
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):
E:1101.id83E:Yil
permitting@premierservicegrp.com
permitting@premierservicegrp.com
NVA Morel,
5
2 bay windows and 3 Bed room
What is the u -value of 0.28
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
SARACINO M20 Sheet.odf
Attach any additional Field not completed.
documentation
Attach any additional Field not completed.
documentation
Project Value (contract 3848.00
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 Samantha Odle
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201701045
PERMIT NO: 201701045 ISSUED: 05/31/2017
JOB ADDRESS: 4430 Yarrow ST EXPIRES: 05/31/2018 1
JOB DESCRIPTION: Reroof of dwelling and garage with Malarkey highlander shingles 27 squares
total, storm door and garage door
*** CONTACTS ***
OWNER (303)431-6166 SARACINO CHARLOTTE MARIA
SUB (719)493-2901 Scott Bisland Frank Damico Bri 170230 Green E Construction
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,240.00
FEES
Total Valuation 0.00
Use Tax 215.04
Permit Fee 220.15
** TOTAL ** 435.19
* * * 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. EEave 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€-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.
WOO
,f) 10 -�--
INSPECTION RECORD
NSPECTION REQUEST LINE- (303) 234-5933
Occupant; /Tyge
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 CommentsInitials
Pier
Inspector Comments
Initials
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Sewer Service
Do Not Pour
Concrete Prior I o A proval UT I ne Hpove arts ULAWIR.),
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Inspections from these entities should be requested
one week in advance. For landscaping and parking
Sewer Service
Plumbing
Do Not Cover Under round or Below/In-Slab Work Prior To Approval of The Anove Inspections
Inspector Comments
Rough Inspections Date Initials
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Dn,wall Screw / Nail
Final Inspections
Date
Inspector
CommentsInitials
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
ROW &Drainage/ Public Works Dept.
inspections call 303-235-2846. For ROW and drainage
Floodplain Inspection (if applicable)
inspections call 303-235-2861. For fire inspections
for
Fire Inspection / Fire Protection Dist.
contact the Fire Protection District your project.
Final Electrical
Final Plumbing
Final Mechanical
Roof
f
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 — i --lease ue sine L, IaL I UUy1 Iby the Building Division.
"For Inspection Time Window — Please email insptimerequeStCCI.WheatrlClge.CO.US �>�:00 A.M. the morni�►� of the
inspection with the property address in the subject line of the email. Time window is based on the inspectLr's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
/,i
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: C)
Job Address: 4 1 "3 0 k' kx-0
w
Permit Number: 0 S
7 7-U S." CSU
❑ No one available for inspection: Time��''y��' AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:6
Inspector;: -
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M
Job Address: ST
Permit Number: I `�
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: %� ' r' S I Inspector: LIIN�
DO NOT REMOVE THIS NOTICE
MEDUMM=
Credit Card Payment: Use credit card listed on fifle. ' Dpte,
Print name: Signature:
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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 : 12287
Date : 6/7/2001
Property Owner :
Property Address : 4430 YARROW ST
Contractor License No. : 18057
Company : Modelco Electric, Inc.
Phone: 431-6166
Phone : 227-0364
OWNERlCONTRACTOR 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 acwrate; that I have read and a9re i e b conditions printed on this
application, and that I assume full responsib 'for o iance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wh Ri e dja¢nces, for work under this permit.
(OWNER)(CONTRACTOR)
Description : A/C HOO
Construction Value :
$200.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$3.00
Total:
$267
Use
b
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
914_k APProval ~Wl.
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : 18057
Company : Modelco Electric, Inc.
Expiration Date : 2/28/2003
Approval : OK/KS
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloredo and to the Zoning
Regulations and Building Code of Wheal Ridge, Cobratlo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commencetl within sixty (60) days from issue date or (B) the building auNOrizetl is suspentled or
abandoned tor a period of 120 days.
(3) If this permit expires, a new permd may be acquiretl for a fee of one-half Ihe amount normally requiretl, provitletl no changes have been orwill be matle in lhe
original plans antl speciFlCations and any suspension or abandonment has not exceeded one (1) year. If changes are matle or iF suspension or abantlonment
exceeds one (1) year, full fees shall be paitl For a new permi5.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notiy the Builtling Inspector hvenly-four (24) hours in advance for all inspeclions antl shall receive wririen approval on inspection cartl before
proceetliing with successive phases of the job.
(6) The issuance o! a permit or the approval of drawings antl specifcations shall not be constmed to be a permit for, nor an approval o(, any violation ot the provisions
of ihe building 001011r any otheyeJdinance, law, rule or regulation.
Chief
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT R1DGE, CO 80215 - (303-235-2855)
Building Permit Number :
Date :
Property Owner:
Property Address' 30 ~AmGcil ji'-
Contracbr Licens2 No.
Company :
OWNER/CONTRACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT
Inereby certi"ry that the setback distances proposed by this permit application are accurate,
and do not violate applicahle ordinances, rules cr regulati s of the City of Wheat Ridge or
covenants, easements or restrictions of recortl; that all rtf su ments shown, and alleqations
made are accura[e; that I have read and agree bide onditions printed on this
application, and that I assume full responsibf r c ce with the Wheat Ritlge Building
Code (U.B.C.) and all other applicable Wh t; g ces, for work under this perm~it7.
(OWNER)(CONTRACTOR) SIGNED DATE ~ / 'C~
Phone :6~
~ Phone : ~d~Z2 ~ Q?J Z~
Constructicn Value:
Permit Fee :
Use Tax :
Total :
Usa :
Description : ~ /
BUILDING DEPARTMENT USE ONLY
m SIC : Sq. Ft. :
Approval :
Zoning :
lli~rml' m
Approval :
Approval :
Occupancy : '.':alls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Aporoval :
(t) This permit was issued in accortlance with the provisions set forih in yopur applica6on anC is sublect to the laws ot the State o! Colo2do antl to the Zoning
Regulalions and Buiidin9 Code of Wheat Ridge, Colo24o or any oNer applicable ortlinances o( the City.
(2) This pertnit shall expire if (A) the work authonze0 is not commencetl within sixty (60) tlays fmm issue Cate or (B) the builtling authanzed is suspenEeC or
abandoned for a penod of 120 Cays.
(3) I( [his pertnit expire5, a new Oefmit may be atQuired fof a fee of one-M1alf the amount normally requireQ provitletl no Cnanges have been or will Oe made in the
original plans antl specifications and any suspension or abandonment has not exceedetl one (7) year. It changes are made or iF suspension or abanaonment
exteetls one (1) year, PoII fees shall be paid for a new permit.
(a) N. work of any manner shall be tlone lhat will change the naW21 tlow o( water causing a drainage problem.
(5) ConVactor shall noUty the Building Inspector twenry-four (24) hours in advance Por all inspections and snall receive wntten apPmval on inspection rard before
proceetliing with successive phases of the job.
(6) The issuance of a pertnit or the approval of Crawings anE specifcatlons shall not be wnstruetl to he a permit for, nor an approval of, any violation of the provisions
of the builtling co0es or any oNer ortlinance, law, Me or regulatlon.
Chief Building inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12281
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 6/6/2001
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Praperty Owner :
Property Address : 4430 YARROW ST Phone : 431-6166
Contractor License No. : 18111
Company : Cooper Heating & Cooling Phone : 466 4209
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiTy that the setback distances proposed by lhis 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 accurete; that I have read and ayree 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 under this permit.
(OWNER)(CONTRACTOR)
Description : 80000 BTU FURNACE & 2 TON A/C
Construction Value :
$3,000.00
Permit Fee :
$83.25
Plan Review Fee :
$0.00
Use Tax :
$45.00
Total:
$12825
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
, wmmmm
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 : 18111
Company : Cooper Heating &
Cooling
Expiration Date : 2/13/2002
Approval : OK/KS
(1) This permit was issued in accordance with the provisions set torth in yopur application and is subject to lhe laws of ihe State of Colorado and to the Zoning
Regulations and Builtling Cotle of Wheat Rid9e, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commencetl within sixly (60) tlays from issue date or (B) the building authorizetl is suspenAetl or
abandoned for a period of 120 days.
(3) If thi5 permit expires, a new permit may 6e acquired !or a fee of one-half the amount normally required, provitled no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceetletl one (i) year. IF changes are matle or if suspension or abantlonment
exceetls one (1) year, PoII fees shall 6e paid far a new permit.
(4) No work oF any manner shall be tlone that will change Ne natural Flow of water causin9 a tlrainage problem.
(5) Conireclor shall noUy the Building Inspector hvenry-four (24) hours in advance for all inspedions and shall receive written approval on inspec[ion card before
proceediing with successive phases of the ob.
(6) The issuan a permit o e approval o~~drewings antl specifcalions shall not be construed to be a permit for, nor an appioval ot, any violation of the provisions
of the g ther ordinance, law, rule or regWation.
Chief Building
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)
Property Owner: Char1o fic Sc)~dC~ ir) o
Property Address :L-14 30 ya f jrc wZ-~
Contractor Lcanse No. ; 1 3I( I
Phone: ~1',~I'(r, I (o~
Company : C~ PI' ~ ac i Cbo~ ~ n ~
Phone: 46b4209
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby cer;ify that the setback distances preposed by this oertnit appiication ;re accuret=,
anC Co not violate applicable ortlinances, rules or regWations or the C:ty cr 'iVheac RiCge or
covenants. easements or restnctions of record: that all measurements snown, antl allegations
matle are accura[e: that I have read anG agree to abitle by all conCitions codn;etl on this
-pciicabcn, and [nac I assume ru11 ;esponsibility icr cempliancz with !heWheat RiCge 8uilcing
Code (U.B.C.) antl all other applicable Wheat RiCge ortlinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED f DATE (0 J OI
Description: 6b1 00a 6T-U '~~cnaCP.
a+~-" A 1 c"
Building Permit Number :
Date : b 15fb {
e
,3ot~
e
f33 . LS
[71jse
x
L~5 00
l ;jy
12 g , L5
use:
BUILDING DEPARTMENT USE ONLY
4__QMEMM
Approval :
Zoning :
8r7tfii~iammmm
Approval :
~IIb P r~
Approval :
Occupancy : Walls
SIC : Sq. Ft. :
Roor : Siories : Residen[ial Units :
Electrical License No :
Company ;
Expira6on Date :
Approval :
Plumbing License No :
Company :
Mechanical License Ne
Company :
Expiration Date :
Approval :
Expiration Date :
Approval :
(1) Thi5 pertnit wai i55ue4 in aCCArCanCe with the provi5i1n5 5et forVi in yo0uf appliUtlon antl is SVOje[: to the IawS ol the Syfe ol ColoraEO an0 to the ZOning
Regulauons ana Bwltling CoOe of Wheat Riage, C01o2tlo or any oNer 2pplica0le ortlinances of the Ciry. the (Z) DanCOnetl loraa peniotl of(20 aays ~ auNOnzeG is no[ commenced withm sia2y (60) Cays trom igsue tlate or (8) Ne Ouiltling authorizeC is susFenEetl or
(3) If Ihis pefmit expire5, a new permil may De aCpuireC (or a fee o( one-nalf the amour.t normally reQUireE, provitled no clanyes nave heen or wili be ma0e in the
original plans antl specifir,a(ions antl any suspension or abantlonment has not exceedCtl one (1) year. If changes are maae or i( suspension or aDantlonment
ezceetls one (1) year. lull lees shall Ce paid for a new pertnit.
(a) No work of any manner shall Oe Gone Nat will change the naWral Aow ot water causing a tlrainaqe pmClem.
(5) ConVactor shall notl(y the BuilGing InspeCtor twenry-four (24) hoursin aCVance (ot all inspections aM snall rtteive wtltten approval on inspettion carE before
pmceetliing with successive Ohases of the job.
(6) The issuance ot a pertnit or the approval ot tlrzwings antl specfwtions snall not 6e consWea to Oe a pertnit tor, nor an approval o( any violafion ol the provisions
ol the builtling coEes or any oNer ortlinance, law, mle or regulation.
Chief Building Inspector
n,.,:.
ARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 10736
DEP ECTION
LINE BUILDINGCINTM OF WHEAT RI GE -234-5933 Date : 6/23/2000
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 4430 YARROW ST Phone : 431-6166
Contractor License No. : 20702
Company : B& R ROOFING, INC. Phone : 670-0257
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that tha setback distances proposed by this pertnk application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restridiona of record; that all measurements ahown, and allegations
made are accurete; that I have read and agree to abide by all candNions printed on this
application, and thai I assume full responsibility for compiiance with the Wheat Ridge Building
Code (U.B.C.) and ali other applicable Fiid ordinancea, for woAc under this pertnk.
r DATE Ls z4 s)
(OWNER)(CONTRACTOR) SIGNE
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax :
Total
$111.25
$0.00
$72.95
$184.19
Use:
SHIELD TO LOWER DECK. 30# FELT TO
Description : TEAR FROOIF. GRAND SEQUOIA SHNGLES
SLOPED
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Occupancy : Walis
Electrical License No :
Company :
Expiration Date :
Approval :
Roof :
Plumbing License No :
Company :
Expiration Date :
Approval:
Stories : Residential Units :
Mechanical License No :
Company :
Expiration Date :
ApprovaF:
(1) This parmit was issued in aaordance with Me provisions set 1oM in yoPur appliwtlon and is subjec[ ta the laws of the State of ColoreCO and m Ue Zoning
Repulations and Builtling Code W Wheat Ridge, Cobrado or airy other applicable orUinances M the Cily.
(2) This pemiil ahall expire H(A) the work authonzed is not commenced withm sUQY (60) tlays imm issue tlele or (B) the buildinq authorized Is suapentled or
abandoned Mr a penod of 120 days. for
nonal
cha (3) If this permit erzqres, a qew permit may be. ~n~sreon or abaMonmen eh a nol exueeded one (Yw a If charges re m~etle oeif suspe~nsi nioabsndonment
written approvai on inspecUon caN before
s( an epproval of, any violation of the pmvisions
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 AppL1CATIo N
Praperty Owner: 0#40121-11' SAgAu"o
Property Address : L+y 3 0 %1vVx00w S T phone : y3f~ 6/66
Contractor License No. : z p9~ p-z
Company : S120,op,146L, ZWIC- Phone :303 670- O1f'7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed Oy this pertnit application are aceurate,
and do not violate applicable ordinances, rules or regulations ot the Ciry of Wheat Ritlge or
covenants, easemen[s or resMCtions ot record; that all measurements shown, anE allegations .
made are accurate; that I have read and agree to abide by all conditions pnntetl on this
application, and that I assume full responsibiliry for compliance wRh the Wheat Ridge Building
CoCe (U.B.C.) antl all other applicable Wh Ritl e ortlinan/ce/s, forwork underthis pertnit.
(OWNER)(CONTR4CT0R) SIGNE dra~~{- C/u.Gt DA7E z Pu-7
ConsWction Value : I)rA63+3
Permit Fee :
Use Tax :
Total :
use:
Description: -`te4f_ o!`F L-XjC'fj"Ce R,'jj7z To )be?cK
W+tt~`^LS'NI~Q.Q T L~~v $loP~' 0L'~K ~ Jvl~ ~iLi o~ Sl'JiyEO 2d~ `:ItEfj .LJ1S=A~'
62 ua S~c~2„c.D~q S'k(KC.Wt "Vo tuT,a.ilp j u.sF •
BUILDING DEPARTMENT USE ONLY
om . ,~m-ftl SIC : Sq. Ft. :
Aaproval:
Zoning :
u
Approval: '
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) Thb pertrtit was iuuea in actartlanee wIM the ppvyipny xt /crth fn yopur apaicapon anE ia 3u0ject to the laws of the Shte a( Colo2tlo anC to the :.omiq
Regulafiaro antl Builtlirg CoOe of VMeN RiCqe, Cobratlo or a`ry otlyr ap0linble oryinances of the Ciry.
(2) This permit ahall exPirc N(A) the work auMOnzeC is na mmmeriteC withm SISty (80) Eays hom iuue Eate or (B) the Euiltling autnonzeC ia suaperWea or
abanEOnetl /or a penop pf 120 Cays.
(3) If 9is 0 it expircs. a Mw pertnit miy Ep acpuireE fp a lee ol pie{ylf the amount noimaly repuiRd. ptpvitleC no Uanges have Deen or will De mWe in the
ari inal lans anC epe~ryntiom an0 any tuspansion or abantlonmeM haa not ezceeEed one (1) yeac If changes are ma0e or if suaPenewn or a WMOnmeM
exceeds one (1) year. Nn feas yhait pe paiy kr a rron• pmnR
No work of any manner shall be Cone t~at will Uwtpe the neW21 Ilav oi watef ausing a 02inage piDbkm.
(5) Controctor shall rwtiry the BuilCing Inapattw twenry-/our (24) Mpurs in aEvaxe tor all inspectiona an0 shall ieceive written apPmval on inspecLOn vid Cebre
proCeeCiin with suCpssive
(6) TMe issuan ot a permM or me approvaj o~er~~winys uW speofinaona anall rrot De mnstrued m ea a permit kr, nor an aovroval of, any vroiaaan o/ the proviaans
of the builaing mEes p arry otner qyinante. Iovu, Nb or roqulatlon. -
Chief Building Inspector
DEPARTMENT OF COMMUNITY DEVEIAPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION
237-e944 Exr. 255 P.O. BOx eae CITY OF WHEAT RIDGE, C0L0.
TMiS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RELEIPTED BEL~JW.
HrrLwNiivN rurt MISGELLANEOUS PERMIT
C
JOBADDRESS
-
av- S
OWNER C
CONTRACTOR
y~
4G~ G
I ADDRESS
0'7
~
ADDRESS /
/;s ~n x /
2 c~ 1- -
PHONE '3 I- e'/ e~' ~ ZIP CODE
~J
CITY_
ZIP CODE
~
%ONTRACT PRICE $ y 'JS
PHONE LI
• 2:S~
LICENSF Nfl J S~yG
I. TYPE GrounE❑
Woll❑
P1641fin00
OMV
SaDFaee
SIGNS
2. MATERIAL
3. ILIUMINATION Yss❑ No❑
7yps
Tofal Squan Fwt
Eleet. Psrmit No.
4. SET BACK FROM PROPERTY LINE N
(Spxif whiehis frwit)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
Apprwad, Zone Inepeeta
Ditopproved
1. TYPE Solid❑ More TAOn 80% OpanO
Logs Than 80% Open
? ' MATERIAL
Hei
ht
FENCES
3. SET BACK FROM PROPERTY LINE N
(Specify whieh ittront)
_
❑
S_ E
❑
_ W
❑ ❑
p
Zons_
ApPrpved,ZOne IntDeetor
DisapDrovad
I.
OTHER
Z
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,516N,OR OTHER STRUCTUNE,GIVihu DISTANCES FROM PFtOPERTV I.INES.
(SET84GKS OR PROJECTqNS INCLUDED)
SPECIFY NORTM
STREET NAME
SHOW DISTANCES FROM THE M41N BUILDING TPADJOINING MOUSES, STREETS, ANO PROPERTY LINES; ON IRREGULAR IATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING, ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WIIL BECOME A PERMIT TO PERFORM THE INDICATED WORK dJLY UPON WILIDATION BV THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHlN THAT TI&E
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0. `9 f 3 vr~
MECHANICAL PERMIT
ALUMINUAI WIRE UNDERSIZE B ILIEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
NQ
FUELCicNOns GoFdi PYOpay EI Sola
P10.
WATER CLASET
FORCEO AIR - BTU
TEMPORARY METER
WASH BOWL
FpT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SMOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
MEATING
GARBAGE DISF
REFRI6ERATION SVSTEM
POWER SUB-CIFCUITS
WATER HEC.TER
L
Refri sronl fxoup
UTILITY(RANGE,DISPOSER,E7C.)
AUTO.wASHER
pounds CMr e
FIXTURES
DISM WASHER
AUTOMATIC SPRINKIER SYSTEM
WIRING MOTORS 9 CONTROLS
FLDOR ORAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAI FIXTURES
PERMIT N0. MM
MP92113232
~
REMARKS Y~'~~°OY ~O/' . ~l s~+.. '~i"o•~
I harcby acknowledQe ihot thia oDDlica-
tion ia conecf and undersfand thof I
connot start this project until thia appli-
cotion ie opprove0. I sholl comply wifh
fhe laws of the State oT Colorodo and to
the Zoninq Repulotions ond 8uiltlinp
Code offhe Cify of Wheai RidQe. Any
violotion ol the obovs ferma will couse
immediate revowtion of fhu per it.
PERMIT FEE ~ -
USE TAX ~,f S
TOTAL FEE ~ $
I7 VAIID UNLESS RECEI
F.°rsE uJ/7y
-t ~-i a-
77 7q V7 S`
AOdlieenlv8ibea
CHIEF BUILDINY INSPECTOR, City of Wheai Ridqe
Date Issued-7 Z
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS