HomeMy WebLinkAbout3782 Simms StreetCity of Wheat Ridge
s
Residential Roofing PERMIT - 201702673
PERMIT NO: 201702673 ISSUED: 06/27/2017
JOB ADDRESS: 3782 Simms ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Northgate Impact Resistant
asphalt shingles with 28 sq.
*** CONTACTS ***
OWNER (303)423-0280 AUSTIN HARVEY C & LUISA
SUB (303)296-8551 Production 019898 AVI, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,451.00
FEES
Total Valuation 0.00
Use Tax 156.47
Permit Fee 172.60
Misc. Fee 25.00
** TOTAL ** 354.07
*** 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.
,r City of Wheat Ridge
Residential Roofing PERMIT - 201702673
PERMIT NO: 201702673 ISSUED: 06/27/2017
JOB ADDRESS: 3782 Simms ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Northgate Impact Resistant
asphalt shingles with 28 sq.
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 t e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further est that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that work to be peprformed is disclosed in this document and/or its' accompanying approved plans and specifications.
'/
Signature of OWNER or CONTRACTOR (Circle one) Date i
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 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 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 an 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
insptions and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Diviecsion.
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 inspection.
Signature of Chief Building Official "� Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT :F6Z�&ADDRESS:_37/�� JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 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
RFF OVER FnR AnnITIONAI IN.qPFrTION.q
PERMIT: .X � � 70;2,63DDRESS: �J�2 %if'l�/C . � JOB CODE: A0A2F
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
11
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Am Vo
Job Address: 7S )til MS Jr
Permit Number:Cj17O2 &;? )
❑ No one available for inspection: Time AM%W
Re -Inspection required: Yes
"When corrections have been made, call for re -ins ecT
n at 303-234-5933
Date: (��� Inspector: I 4
- DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
/ Residential Roofing PERMIT - 201702673
PERMIT NO: 201702673 ISSUED: 06/27/2017
JOB ADDRESS: 3782 Simms ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Northgate Impact Resistant
asphalt shingles with 28 sq.
*** CONTACTS ***
OWNER (303)423-0280 AUSTIN HARVEY C & LUISA r
SUB (303)296-8551 Production 019898 AVI, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,451.00
FEES
Total Valuation 0.00
Use Tax 156.47
Permit Fee 172.60
** TOTAL ** 329.07
*** 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�-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€'"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 - 201702673
PERMIT NO: 201702673 ISSUED: 06/27/2017
JOB ADDRESS: 3782 Simms ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Northgate Impact Resistant
asphalt shingles with 28 sq.
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
by the egal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this it. i further attest that I am legally authorized to include al[ entities named within this document as parties to the work to be
perf id that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
na ureV OWNER or CONTRACTOR (Circle one) Date
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 pen -nits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or granting o a permits be nst ed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any e ul i sdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM 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.
Dan Schultz DOl *? 0
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 15, 2017 10:35 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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. 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 3-5 business days, 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. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3782 Simms St
Property Owner Name Louisa Austin
Property Owner Phone 303-423-0280
Number
Property Owner Email na
1�
ff
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Avi Inc
Contractor's License 9898
Number (for the City of
Wheat Ridge)
Contractor Phone 303-296-8551
Number
Contractor Email Address production(a)aviroofing.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email prod uction(a.aviroofina.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing tear off 1 layer replace roofing with certaintee northgate it
Material
Select Type of Material: Other (specify below)
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 28
material selected above?
Does any portion of the No ►/
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
z
TOTAL SQUARES of all 28
roofing material for this
project
Provide additional detail 1
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 7451
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 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 Cara Meyer
Email not displaying correctly? View it in your browser.
3
PROPOSAL AND AGREEMENT
"® PHONE: 303-296-8551 E-mail: office@aviroofing.com
®
www.aviroofing.comAVIR00FINGz FAX: 303-296-8557
Name: Louisa Austin CELL # 0 Home Phone: 303-423-0280 Email: 0.00
Billing Address: 3782 Simms St Wheat Rid CO 80033
Job Address: 3782 Simms St Wheat Rid CO 80033
AVI Roofing, Inc. ("Contractor') agrees, subject to the Additional Terms and Conditions on the reverse side of this Proposal & Agreement, to furnish all materials, labor and equipment necessary for the work
specified below located at the address stated above:
DESCRIPTION OF WORK TO BE PERFORMED AND MATERIALS TO BE SUPPLIED:
Shingle Manufacturer and Field Squares 28.00 sqs CERTAINTEE Northgate IR COLOR Silver Birch
Ridge Type 6 bundles SHADOW RIDGE 12"
fWarranty SURE START PLUS 4 STAR 50 YEAR
Manu acturers
1
rolls
AVI Workmanship Warranty
5
years
Tear off existing roof layers and haul away
1
layers
Install base felt
3
rolls Rhino
Remove and replace plumbing flashings
2
each
Install all new roof vents
8
each DURAFLO WP 50
Install valley material 2 rolls 90LB
Install Ice Guard on Eaves 4 rolls YES
Install valley material on Valleys
1
rolls
YES
Install 2%4 eave flashing
290
feet
Almond
Install headwall metal
24
each
US 3 PIECE' Almond
CHIMNEYS 1 each KIT Almond
Permit furnished by AVI
SPECIAL INSTRUCTIONS:
1 The Home Owner has a 3 day right of recision to cancel this contract within 72 hours of the date signed on this contract.
2 The approximate work start date is The job should take at total of days. --
3 The price on this contract does not include Lead Mitigation.
4 Decking will be inspected after the roof is torn off and if material is deterioated AVI will remove and replace it with your approval at an
cost of $65.00 per sheet to remove and replace a 4x8 sheet. $35.00 per sheet to layover existing decking.
CONTRACT PRICING:
RE -ROOF PRICE: $
OPTIONAL: GUTTERS: $
TOTAL CONTRACT PRICE: F
PERMIT COST TO BE BILLED TO THE INSURANCE AS AN EXTRA.
Payments to be made as follows: SO% is due upon delivery of materials. The balance is due upon completion of work.
All money collected prior to the job starting will be held in a separate account until the job is at least 50% complete.
if payment is made by credit card a 5% service charge will apply.
Replacement of deteriorated decking, fascia boards, roof jacks, ventilators, flashing or other materials, unless otherwise stated in this Proposal & Agreement are not included and will be charged as an extra on a time and material
basis. Owner is responsible for removal of all outdoor furniture, awnings, or other outdoor fixtures prior to the start of the Work. Owner to prime and paint any replaced wood and/or metal. The contractor shall not be required to
perform work relating to asbestos or polychlorinated biphenyl (PCB). Owner will be responsible for the additional cost of removal or cost to render harmless this material in the event that such material is discovered. This Proposal &
Agreement will expire in ten (10) days from date unless accepted in writing within that time by Owner, or unless the expiration date is extended in writing by the contractor and this Proposal & Agreement is thereafter accepted by
Owner before the extended expiation date. Also, after 10 days from the date below, Contractor reserves the right to revise its price in accordance with costs in effect at that time. All proposals are subject to approval of Contractor s
Management.
The above prices, specifications and conditions are satisfactory and are hereby accepted. AVI Roofing, Inc. is authorized to do the work as specified.
ACCEPTANCE OF PROPOSAL:
- This agreement made this day Of
Customer Signature
20
By signing this agreer%i Ot I have read and understand the Additional Terms and Conditions are part of this Proposal & Agreement.
Don Delisa
Salesmen Signature
/ Uate
T' 7 /
Dat;
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: /0 1
Job Address: -> 7 YZ
Permit Number: 2 ul7U 2 (7 3
❑ No one available for inspection: Time ' AM/l?'M
Re -Inspection required: Yes N,�
When corrections have been made, call for re -inspection at 303-234-5933
Date: % Z / Inspector: fti k
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: Pep
Job Address: 7.92 51, 07fW r, F
Permit Number: e~) I ? ltt1
r'r
t t~
J /
❑ No one available for inspection: Time f`
Re-Inspection required: Yes , Flo
"When corrections have been made, call for re-hspection at 303-234-5933
Date: 76.2(, • w Inspector: tar?~irr,J
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
]~9~(303) (303) 234-5933 Inspection line
. 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: A0-11 Job Address: ~;7iya rtt 2,,
Permit Number: 0,?' 73 84
l r
~)fp_ fief(
j j ~ Lu C(~~r gi(i' f%{~ 7~(fLh ~1J /n
J
❑ No one available for inspection: Time f-?/O AJN PM
Re-Inspection required: Yes No
action at 303-234-5933
[ When corrections have been made, call for re-h7y"
Date: i-i6-6 Inspector: /
e
DO NOT REMOVE THIS NOTICE
' A City of Wheat Ridge
f Residential Roofing PERMIT - 093346
PERMIT NO: 093346 ISSUED: 10/14/2009
J013 ADDRESS: 3782 'S IMMS ST. ' EXPIRES: 04/12/2010
DESCRIPTION: Reroof 29 sqs
***:CONTACTS
owner 303/423-0280 Harvey Austin
sub 303/287-2839 G.R. Brayton 01-.8044 Roofco, Inc`.
PARCEL INFO
ZONE CODE: UA `USE: UA
SUBDIVISION: 0680 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 12,695.00
FEES
Permit Fee .290.30
Total Valuation .00
Use'. Tax 228.51~~C a
* * TOTAL * * ...,.518.81
Conditions:`
6 nail installation mid roof inspection required. Board sheathing spaced more
than ..a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside' exterior walls..'
***Contractor/Property owner shall provide 'ladder(s) secured in place for
inpsections.'
Subject to field inspection.`
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 Iassume full responsibility for compliance with the Wheat Ridge Building Code ,(I.B.C) and all other `
a llc~~~AAa~ble Whea edge Or inances
sig aEure o c~ -for work under this permit. Plans subject to field inspection.
ctor/owner
1. This permit was issued in accordance with the provisions set forth, in your application and is subject to the laws of the
state of Colorado and to the Zoning Regulations and Building Codes Of WheatRidge, Colorado or any other applicable
ordinances of the City.:
? This permit shall expire: 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
i. If this permit expires, -a new permit may be acquired for a fee of`one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment' has not
exceeded one '.(1) year. If changes have been or if suspension or :abandonment `exceeds one (1) year;full fees shall
be.. paid for anew -permit.
k. No work of any manner shall be done that will change the. natural flow of water causing a drainage problem.
BUSINESS DAY.:..
~oF""Et'RO City of Wheat Ridge Building Division
m 7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
°o<onnoo inspection Line: 303-234-5933
Property Address:
Property Owner (plea
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: V-0
Contractor License
Sub-Contractors;
Electrical City License #
Company:
Exp. Date:
Phone:
Plumbing City License
Company
Date:
Plan
Permit#:
Mechanical City License
Company:
Exp. Date:
Exp. Date:
Use of space (description): Construction value: $ 1 1to C(
Description of world ,l (as calculated per the auildina Valuation ata
V~(/UJVe, l ovw-, (fvo c mn;n Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares -W BTU's Gallons Amps
OWNERICONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REP
PRINT NAME:114m&,'1 V ` Sli SIGNATURE:
Date:
Building Permit Application
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WES729thAVENUE BUILDWG INSPECTION DIVISION PERMIT N0.
234-5933 P.O. eOX638 CITY OF WHEAT RIDGE, COLO. MP94#4009
THIS PERMIT VALID ONLV WHEN SIGNEO BY THE CHiEF BUILDING INSPECTOR AND RECEIPTED BELOW.
, APPLICATION FOR MISCELLANEOUS PERMIT
JOB ADDRESS .2 C~ m c nC f OWNER r yL <
+`t~ v4
CONTRACTOR ~~~,y~~~V~C~ Lxr-j ~~C~~ ADDRESS
ADDRESS !--PHONE al~ 2 c3 ZIP CODE
CITY 14 ZIPCODE
--G-~ CONTRACT PRICE $ C~G
PHONE l~ ~~i U' S fG/ LICENSE NO. DATE ~i
1. TYPE Ground ❑
Woll❑
Proietlinp❑
011nr
. S or D FoN
2. MATERIAL
Totol Squan FNt
SIGNS
3. ILLUMINATION Yea❑ No❑
Type
Eloe}. Pormit No.
4. SET BACK FROM PROPERTV LINE N
(Spatify wnith is frpni)
❑
S_ E
❑
_ W
❑ ❑
Zons_
Approwd,ZOns Inspoeta
Disapprwed
1. TYPE Solido Mora Thon BO% ODenO
Less TAOn BO% Open
F
MATERIAL
H
i
h
ENCES
3. SET BACK FROM PROPERTY LINE N
(SDecify whicA is tronf)
_
❑
S_ E
❑
_ W
❑ ❑
Q
e
t
imq_
AppraW,Zono Impootw
DiaaOGrond
I.
OTHER
Z
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVItiu DISTANCES FROM PRpPERTY LINES.
(SETBACKS OR PROJECTpNS INCLUDED)
FRONT
~
SPECIFY NORTH
STFEET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LATS, SHOW I
OISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAfiE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPEC?ION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT ~
STATE LICENSE N0.
PLUM8ING PERMIT
STATE LICENSE N0. J y~'y
MECHANICAL PERMIT
ALUMINUMWIREUNDERSIZE8ILLEGAL
~
FLOOR
WATER CLASE7
BSM
IST
2ND
3RD
4TH
N0.
FUEI:CirWOn~Go*dlPropor» EI Solq
FORCED AIR - BTU
TEMPORARY METER _
WASH 80WL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
41R C
ONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFFI6ERATION SYSTEM
POWER SUB-CIFCUITS
UTILI7Y(RANGE,DISPOSER,E7C.)
WATER HEGTER
AUTO. WASHER
Refri e~onl Grpup
Pound~ Clwr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS 8 CONTROLS
FLOOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
70TAL FI%TURES
REMARKS L' ` IJ~
J
I hereby acknowledqe thot ihis opplico-
PERMIT FEE
G i/
NOT VALID UNLE55 RECEIPTED
fion ia correci and understand thoi I
USE TAX
cannot .ta,t ,h;,,,o;ect until ,h„ aooli-
tofion is approveO. I shall [amply wifh
TOTAL FEE
$
~
fAe lowe oi the Stafe of Colorodo and fo
1M Zoninq Requlations and Buddinq
pROVED
c
Code of the Llty o/ Wheai Ridpe. Any
DISA
~
~ L
fv(i~S
violotion ot the obove terme wili cause
CHIEF BUILDIl~
INSPECTOR,City of
eat Ridqe
immediole revocafion of }hie permil
,
.
CALL2345933
24 HOURS IN ADVANCE
Date Issued-__
r
FOR INSPECTIONS
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M91Ik17251
237-6944 ExT. 255 P.O. BoX 63e CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY TNE CHIEF BUILDING INSPECTOR AND RECEIP7ED BELOW.
p /7` APICATfON FOR MISCELLANEOUS P RMI7 /
JOB ADDRESS J"OWNER ~Y AGGPT/.~!
CONTRACTOR W , /q L ADDRESS 27fz C1~/rnA
ADDRESS PHONE A13-112J~0. ZIPCODE~~33
CITY ~ / ZIPCOOF rPo'933 CONTRACT~P~R/IC_E/$ ~f~•W
PHONE '¢Zj ~~Z~ LICENSE NO. DATE _
1. TYPE Ground ❑
Wall❑
Proiectina❑
01har
S a D Pou
2. MATERIAL
Tolal Spuan Fea1
SIGNS
3. ILLUMINATION Yaa❑ No❑
7ype
Elect. Permit No.
4. SET BACK FROM PROPERTY LWE N
(SpstifY which ia front)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
Apprwed,ZOne Incpeetor
Difapprwed
1. TYPE Solido Mora Than 80% ODSnD
Lest TAOn BO% Open
MATERIAL
Heipht
FENCES
3. SET BACN FROM PROPERTY LINE N
(Sped}y which is }ront)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
ApprwW,2one InsDotta
Diao00rovod
i. o7LI ti Jri
~
,r•.fS4e! i
PfidF -.554
rG
oI,FD
H
O
2
T
ER
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVi1:3 DIST4NCES FROM PitOPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
J ~
}
r
zy~
'k SPECIFY NORTH
~
fN
STREET NAME
SHOW DISTANCES FROM THE MAIN BUIIDING TQADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR IATS, SHOW LEAST
DISTANCE TO PROPERTY L.INES,NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; EIECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY l1PON VAI.IDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTEO WITHIN 7HAT TIME.
ELECTRICAL PERMIT
STATE LICENSE NO.
PLUMBING PERMIT
STATE UCENSE NO
MECHANICAL PERMIT
ALUMINUAI WIRE UNDER SIZE B ILLEGAL
FLOOR
BSM
I ST
2N0
3RD
4TH
N0.
FUELCirUSQM GW dl Propons E Solq
N0.
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-8TU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIRCUITS
WATER HEATER
Refri eront Group
UTILI7Y(RANGE,DISPOSER,E7C) '
AUTO. WASMER
ppundf Char e
FIXTURES
DISH WASHER
AUTOMA7IC SPRINKIER SYSTEM
WIRING MOTOFtS 9 CONTROLS
F100R DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RELTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
I Asroby ocknowledqe thot this ap0lica-
fion if Correct and understand thot I
tannof stort this projbtt until this o0
cotion is approved. I shall comply with
fhs lowf of Ihe 51ote o( Colorado ond fo
fhe 2oninp Requlationn ond Bulltlinp
Code of fhe City of Wneoi Ridpe. Any
violotion of tne above terme will cause
immediate revocohon of tnis permit
C / /I(:2 \ O/O
PERMIT FEE
USE TAX
TOTAL FEE $
APPROVED
BIvAPPR9~iE~
CHIEF BUILDiNG,#I PE OR,Cit f ~'ea~ idqe
~ ~Y3~' .
Date Issued ~2z g✓
VALID UNLESS RECEIP
l,`
r =7
TPN-3-k-ti- A--:Z,lf
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
Gean1. 3191aro10