HomeMy WebLinkAbout3928 Simms Streeti 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: 3 a 1Z
Permit Number: 0 1 7 Z a !
° � r
-to J le le
`soap p
LlNo one available for inspection: Time = !D AM M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1-4 l3 -7 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: /10)1)
Job Address: �792� �) M lh S ST
Permit Number: �p�! U z 31 2
❑ No one available for inspection: Time SC7 /PM
Re -Inspection required: Yes -No`
When corrections have been made, call for re -inspection at 303-234-
Date:- 6 Z W7 Inspector: 6A 1
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: I�
Job Address:
Permit Number: o 1 -1 0
P% 1j"7P2M+ (,Ginll
C
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call fo -'' s ection at 303-234-5933
Date a Inspecto`
®O NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702312
PERMIT NO: 201702312 ISSUED: 06/21/2017
JOB ADDRESS: 3928 Simms ST EXPIRES: 06/21/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Grand Sequoia Slate asphalt shingles
with - 46 sq.
*** CONTACTS ***
OWNER (303)881-7602 LUBINSKI, PHIL
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,500.00
FEES
Total Valuation 0.00
Use Tax 493.50
Permit Fee 426.20
** TOTAL ** 919.70
*** 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.
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 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 attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
n ./ / I ,
Signature' -of OWNER orCTOR (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 original permit fee.
3. If this permit expires, anew permit may be required to be obtained. Issuance of a new pen -nit 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.
6. The issuance or granting of a permit shall not be construed to be24or, or an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction k is s 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.
City of Wheat Ridge
Residential Roofing PERMIT -
201702312
PERMIT NO:
201702312
ISSUED:
06/21/2017
JOB ADDRESS:
3928 Simms ST
EXPIRES:
06/21/2018
JOB DESCRIPTION:
Residential Re -roof to install GAF
Grand Sequoia
Slate asphalt shingles
with - 46 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 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 attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
n ./ / I ,
Signature' -of OWNER orCTOR (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 original permit fee.
3. If this permit expires, anew permit may be required to be obtained. Issuance of a new pen -nit 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.
6. The issuance or granting of a permit shall not be construed to be24or, or an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction k is s 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.
Antoinette Kulick C:X ( -2 G C�_) 3 ( a
From: no-reply@ci.wheatri dge.co.us
Sent: Monday, June 12, 2017 4:07 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. 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.
PROPERTY INFORMATION
Property Address 3928 Simms St. Wheat Ridge Co. 80033
Property Owner Name Phil Lubinski
Property Owner Phone 303-881-7602
Number
Property Owner Email popelubinski@gmail.com
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
AGR inc
Contractor's License
150237
Number (for the City of
Wheat Ridge)
Contractor Phone
612-226-2267
Number
Contractor Email Address
Skylarmunzing@agr-mw.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
skylarmunzing@agr-mw.com
Address
DESCRIPTION OF WORK
Is this application for a
Yes
new permit for a
residential roof?
Are you re-decking the
No
roof`?
Description of Roofing
GAF Grand Sequoia, Slate color
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
46
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?
TOTAL SQUARES of all
46
roofing material for this
project
z
Provide additional detail
here on the description of
Gin,. `1J 1111J 1V1 U 110UJl.
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
residential re -roof due to hail damage. 7/12 pitch
$23,500
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Ryan Scheeler
Email not displaying correctly? View it in your browser.
C
COS 10
'A
ROOFING AND CONSTRUCTION - _ �/_ \
Contract Submitted To !`�� '�.aS�--. E-mail � t"
Date �'�� _win Phone � °Ut�� �' Work Phone
Street
''� �Y • S.<t�n-� city J c State_ Zip
We propose to furnish all materials and labor completed in accordance with the specifications below for the sum of
insurance claims. With your approval, AGR Inc. will perform the repairs or replacements specified by your insurance company for
insurance approved proceeds only, with no additional costs to you except for your deductible and any upgrades or additional work
authorized by you that are not part of your insurance claim. Supplemental claims billed by AGR Inc, on behalf of the homeowner,
and are approved by your insurance company for additional work or increases in costs, in addition to this contract, are a part
of this contract as if contained herein.
Dollars ($moi-�
r i
Shingle Manufacturer Style Styles Color ��"`-" _ _ _1NT
EI ear off layers of E5 Asphalt shingles ❑ Wood shingles
O Decking is currently to code 0 Install New Decking 7/16" OSB _ .
❑ install felt (0 15 # ❑ 30#) MIP -grade to Synthetic Underlayment
❑ Reuse Edge Metal B'lre_place with pre -painted Edge Metal
❑ Install new pipe jacks Color INT
❑ Valiey(s) (❑ Closed -cut [3 Open, W -Valley Color 1
❑ Ridge(s) to be color -coordinated M'1"f graded Ridge
0 Reuse vents ffReplace Vents
❑ Reuse existing flashing ekeplace step flashing
g
EMemove all debris resulting from above work
M,Mlake a magnetic sweep of driveway and yard for removal of any nails
C] AGR Inc. will provide general liability insurance of at least $1,000,000_
ETRoof Load Material if possible, if unable then Material Delivered to
m$ecial instructions 1
C fit4��l i-.mak'_ i,v �-.,� -. .- -11 U::> ;.`f��- �C�•�- �x,,��'� :�":.� -}
Insurance Company Claim # Policy #
I (We) hereby authorize & instruct the insurance company and all lien holders to include the name of AGR Inc. as Co -Payee on any subsequent loss
drafts or checks after today's date as indicated below.
I (We) also authorize any legal representative and or agent of AGR Inc. to obtain information necessary to complete any funding process relative to
claim number as referred above
I (We) further authorize AGR Inc. to pick up in person any loss drafts or checks on both my (our) behalf and behalf of AGR Inc.
Date of Acceptances Homeowner's Signature(s) ( v
Representative
L: 4.
1300 Carr SC Lakewood, CO 80214
Phone�303-237-2632
www.,igrroofingandconsLruction.com
(stucco or siding may be a deterrent)
0 Precut Starter on Eaves
fl'Precut Starter on Eves and Rakes
El Install Ice and Water Shield to code
1 Opgraded Underlayment Package
0 Cosmetic Course over Apron Flashing
-1 '1- (Mandatory 2-' course, All Penetrations)
4 b-rnstall 6 Nails per Shingle
❑ Install 4 Nails per Shingle
❑ 2 year AGR Workmanship Warranty
,
lyear AGR Workmanship Warranty
Gi Clean out utters
0 Extended Manufacturers Warranty
g
EMemove all debris resulting from above work
M,Mlake a magnetic sweep of driveway and yard for removal of any nails
C] AGR Inc. will provide general liability insurance of at least $1,000,000_
ETRoof Load Material if possible, if unable then Material Delivered to
m$ecial instructions 1
C fit4��l i-.mak'_ i,v �-.,� -. .- -11 U::> ;.`f��- �C�•�- �x,,��'� :�":.� -}
Insurance Company Claim # Policy #
I (We) hereby authorize & instruct the insurance company and all lien holders to include the name of AGR Inc. as Co -Payee on any subsequent loss
drafts or checks after today's date as indicated below.
I (We) also authorize any legal representative and or agent of AGR Inc. to obtain information necessary to complete any funding process relative to
claim number as referred above
I (We) further authorize AGR Inc. to pick up in person any loss drafts or checks on both my (our) behalf and behalf of AGR Inc.
Date of Acceptances Homeowner's Signature(s) ( v
Representative
L: 4.
1300 Carr SC Lakewood, CO 80214
Phone�303-237-2632
www.,igrroofingandconsLruction.com
INSPECTION RECORD
'VANSPECTION LINE: (303) 234-5933
i
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.
i
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS . JOB
M
F PECTOR
OUNDAT' IN SP LS
INITIALS
Io
COMMENTS:
MFOUNDAT':O WDATEIN
FootingsIC SS
Stemwall / (CEG) Concrete
Encased Ground
Insulation
Reinforcing or Monolithic
Weatherproof French Drain
Sewer service .
FINALS
�Lines
Water Servic Lines
CONCRETE SLAB FLOOR
rUUR NO UONCRETE UNTIL ABOVE HAS BEENISIG
Heating (Underground)
.D
D
ROUGHS
Sheathing
E� Lath I Wall tie
Mid-Roof
Electrical Service
Rough Electric
11, Rough Plumbing
as Piping
Rough Mechanical
ABOJ INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDIN
11%J I r UN I IL k.;ERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
G
Insulation
Diywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R-O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Harking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND VUBLIC WORKS BEFORE A
CERTIFICATE OFOCCUPANCyISISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
n� A ( """CATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
C%^^l IM A lkl-- M---
11%J I r UN I IL k.;ERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
4' CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax.
INSPECTION NOTICE
r,
Inspection Type: Krn~
Job Address/Permit Number: Hw!44 rx ~'11
r,
r
F
E
I
i
~ i7t?f!'~ ?IY1 t Y~°,t;A9 f>F'b~ 11/1 rf;M
~i
i
rill Yil1 f?Fr ,di ors lrPs 3.i
62
_ j
r
❑ No one available for inspection: Time /PM
Re-Inspection required: Yes /
When corrections have been made, call for re-inspection at 303-234-5933
Date: '65Y inspector: tPr~,LLx: Ijacr.r.
r, DO NOT REMOVE THIS NOTICE
t
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Far
INSPECTI N N TICE
/E I(
Inspection Type: f r 7 i I`
6 -1 cd L)
Job Address:
Permit Number: t" -7 a a I
v e 1, cf i a $l-^
r:
is -
x
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspecti n at 303-234-5933
Date: !a Inspector:
DO NOT REMOVE THIS NOTICE
A 41
City of Wheat Ridge
.
Residential Roofing PERMIT - 092319
r4000or PERMIT NO: 092319. ISSUED. 09/11/2009
JOB ADDRESS:. 3928 SIMMS ST EXPIRES: 03/10/2010
DESCRIPTION: Reroof 48.66 sqs
CONTACTS:***
owner - `Allison
sub 612/623-4245 Mike McAlpin 09-0178 Direct Exteriors
PARCEL INFO
ZONE CODE: UA USE: -UA
SUBDIVISION: 0125 BLOCK/LOT#: -0/
:FEE SUMMARY ESTIMATED PROJECT VALUATION: 8,673.00.
FEES
Permit Fee... <217.50
Total Valuation .00
Use Tax156.11 11 qE -
TOTAL .373.61 ~
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 eaveedge to 2'..inside exterior walls:.:
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 and allegations made are accurate; that I have mead. and agree to abide by all conditions printed on this
applica a that assum ful ponsibility, for compliance with the Wheat Ridge. Building Code :(I.B.C) and all other
appl' le ea ge i es o work under this
y'pe mJit. Plans subject to field inspection.
A-.
" Sign ure con ra o at
dance with the. provisions set forth in your. application and is subject to the laws of the
1. This permit was issued in a/'~
State of Colorado and to th nin
g Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City..
2. ' 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.
3. 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 a new permit.
4. No work. of any manner. shall be done that will change the natural :flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval f any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.:
ic. ..All pla reyhew is subject to field inspections
Signat o ief Building Official 'date
9: INS CTION REQUEST LINE: (303)234-5933 'BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
s
s
s
v W Building Permit Application
Date:
Plan
Permit
Property<Address: 3 (Z 5, m, m y6:E-
Property Owner (please print): 41 ( 5pyl Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: ' wr, ~ fe~v✓S
Contractor License M Phone: (,3-23-55P511<6
Sub Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Ft . zoo"1- Construction Value: $ 8 -7::~2
DpCSCrlptlon Of,,work: (as calculated per the Buildinq Valuation Data sheet)
I- Yt'C011-~ I f /e LP lc GP (,{f1 %S • rp ~j J Qt.S Plan Review (due at time of submittal): $
0 r~uJzv CD✓vti n 3oyr w rN~ fe V~~ +C) (-a)e
Sq. Ft./L.Ft added: Squares '6- &(,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:: }((OOWNER) ',~(C•-ONTRACTOR) or PERSONAL REF
PRINT NAME: V ~n~1U SIGNATURE:
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
(OWNER) (CONTRATOR)
Date: J f/ B
Bldg Valuation: $ 1
7500 WEST 29tn AvENUE DEPARTMENT OF COMMUNITY DEVELAPMENT
237-6941 EXT. 255 P.O. eox 638 BUILDING INSPECTION DIVISION
_ CITY OF WHEAT RIDGE, COLO.
PERMIT VAUD ONiv wucu n~.~..
JOB ADDRESS 3 2_ _5' • A~ICATION FOR MI:
r
CONTRAC70R . 4,„ - t . ADDRESS a~T
CITY~i~+~ic t 1 ZIP COOE ~~3 3
PHONE )-C - 3-40
LICENSE NO. b~ a
I. TYPE 6rnun~ I~I r-~
AND
OWNER
PERMIT N0.
NIE91i14666
ADDRESS '-~-sPHONE
ZIP CODE
CONTRACT PqICE S=•, E f. F1 C, ,
2. MATERIAL
SIGNS
~
rroi@etmpU
plher. S p D FOGe
3 ILLUMINATION rif❑ No❑
Type
Total Squon FNf
4 SET BqCK FRpM PROPERTY IINE N
ElKf. Permif N0.
(Speeif whieh if tront)
S__ g
❑ ~
W
~ a
ZOM~--- A~a'ed,2aro Inspeeta
I. TYPE
More Thon BO% OpsnO
MATERIAL SolidO
~
LOIt Thon 80% OW
FENCE$
3. SET BACK FROM pRppERTY LINE N
He~t
(Speei}y whkA is tront)
_ 5
~
❑ E
~ ❑
W
ZO^*-- A
VMOwd,Zone lmpocta
~
asovMOwd
OTHER Z
3.
DRAW SKETCH OR $Flpyy gELpW~ TME FEt~E,SICN, OR OTHER STRUCTURE, GMµi qg7q~ES FROM pRppERTy LI~S.
(SETBACKS OR PROJECTpNS INCUIOED)
~
SPECIFY NpRTN
STREET N4ME
SNOW DISTANCES FROM TNE MAIN BUILDING TQADJOINING HpUSES, STREETS, AND PROPERTY LINES; ON IRREGULAp l,pTS, SYIOW LEW
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATIdV FOR PLUMBING; ELECTRICAL; MECF►qWICpL pERM1T
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON N4Upp7pN BY THE gUILq►G INgpECTION pMMN.
PERMIT WILI EXPIRE 60 DAYS FRqN DATE OF ISSUANCE IF WOitN IS NOT STARTED WnMN THAT TWE
ELECTRICAL PERMIT ' PLUMBING PERMIT
STATE LICENSE N0.1o a MECHANICAL PERMIT
ca~ STATE UCENSE N0.
WIRING
~ T -F:
I Mrsby oeFnowledqs thot fh;s oppnou_
PERMIT FEE
tion u torrect ane understond tAOt 1
USE TAX
connof sfarf this projeCf untit thia oppii-
eofion it oDDroved. t ahall Comply with
TOTAL FEE
the lowf of tha Stote of Colorado ond to
fhe 2oninq Reputations ontl Buildinp
APPROVEC
Code ot tne city of Whaat Ridpo. Any
DISAPPROVEC
violotion of tne above terms win oousa
CHIEF BUILDI
immediots revocation of this parmit.
c'.2P
.OG
City of Wheat Ridqe
6 /%'3
2
CALL 237-6944 EXT. 255
/ 24 HOURS IN ADVANCE
~nueae~~ t~~ ~ DO1B ISSUed -2 l FOR INSPECTIONS
~MIW~
ME9i ~ yG66
~ INSPECTION TICKET
Joe
ADDRESS
i-kF9l
DATE: BLDG. PERMIT# y,64~6
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. 9
TYPE OF INSP. ~/1 • ~C-V4-«INSPECTION MADE V, - L -c /
REMARKS ~J cf
W.R. FORM G19
INSPECTION TICKET
~
JOB
ADDRESS
f~66.6
DATE: ~ °-BLDG. PERMIT#
PERMIT#
BLDG. CONTR. ~
SUBCONTRACTOR
DATE INSP. REQ.~1e. ~
C~ ' TYPE OF INSP.
/
INSPECTION MADE
) REMARKS Y6' - ' Q
W.R_ FORM f41A
INSPECTION TICKET
INSPECTION TICKET
JOB ~y
ADDRESS
(N( E rr
DATE: BLDG. PERMIT# PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. • ,ZG
( TYPE OF INSP.
INSPECTION MADE
REMARKS 1~! ~7
W.R. FORM 619 ~
d
doe ~j9~8 ~-wwNa ~
ADDRESS
ry1 71
DATE: BLDG. PERMITM(6y"
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
6 ~-j
~ i
DATE INSP. REQ.
TYPE OF INSP. 7~-
INSPECTION MADE
REMARKS
~
W.R. FORM &19
7500 WEST zgtn AVENUE DEPARTMENT OF
297-8944 EXT. 255 P.O. BOX 638 BUILDING
PERMIT VALIO ONLV WHEN SIGNED BY THE CHIEF pT'Y^OF
COMMUNITY DEVELAPMENT
INSPECTION DIVISION PERMIT N0.
WHEAT RIDGE, COLO. M91#16400
JOB ADDRESS -39.Z& Si ''+rrUUAI ION FOR MIS
CONTRACTOR Do~Q j,~ ~Jv7y
ADDRESS 7 ~G yC Oc~ t p~-
CITY. ~ Iare-- ZIPCODE ~
PHONE
LICENSE N0. I'Y B8
1. TYPE Ground ❑
OWNER A//iS p y~
ADDRESS
PHONE
)NTRACT PRICE $ ,L4 ZIP CODE
b-~-o_, bPAr h, 2 K
aoo';~Iij 90 0r
2. MATERIAL W°II❑ Proitelin0❑ Ofher
SIGNS 5 a D Feoe
3. ILLUMINATION Ya❑ No Tofal Squon F~ef
4 SET BqCK FROM PROPERTY LINE ❑N TYDs EIKt , psrmit No.
3'~_ E Zon~-_ A
(Spacify whic~ ii fronf) 0 ~ Q W
❑ ~Ma'aA,2ona Inspeetor
Mor~ D~wvD~oved
TYPE SolidO
Thon 80% ODenO L~~t Thon 80° 0
FENCES ~"~ATERIAL~/o wn
3. SET BACK FROM ppppERTY LINE
(Specify whieh it fronfl
OTHER
a.
HeipM
Z0^$- APDrowd,Zons Intpetfa
DRAW SKETCH pR gHOW BELOW,THE FENCE, SIGN, OR 07HER STRUCTURE,GIVIpG DISTANCES FROM ppppER7y LINES.
(SETBACKS OR PROJECTpNS INCIUDED)
~
SPECIFY NORTH
STREET N4ME
SHOW DISTANCES FROM THE MAIN BUILDING TUAp,l01NING MpUSES, STREE?5, AND PROPERIY LINES; ON IRREGULAR LOTS, SMOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING, ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEO WpRN ONLY UPqJ 'ALIDATION BV THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXflRE 60 DAVS FROM pA'fE OF ISSUANCE !F Wpf7K IS NOT STARTED WITHW THAT TIME.
ELECTRICAL PERMIT PlUM81NG PERMIT
STaTE ucENSE No. MECHANICAL PERMIT
I STATE LICENSE NO.
BOWL
8
1 hareby aeknowledpe ihot thia aDOliw-
tion ia correet and undentand tn
t 1
PERMIT FEE
~Q~ Q~
~OT VALID UNIESS RECEIPTf
E
o
cannof ifort this projecf unfil this oppli-
USE TAX
~
j08. Q0
p•~89
/"t~~-y~
ootion is approvee. I sholl oomply witA
the la
t Ih
TOTAL FEE
~
~
$
C
6-Cl
wa o
e Stote of Colmodo ond to
6• 00
rn
.
the 2oninp Raqulations and Buildinq
Code of fhe Cify of Wheat Ridqa. Any
AppR~yED
' f"
vi oi o t i o n o t roe a bova terms will cause
immediale revocotion of ihif permii.
CHIEF BUILDING I
SPECTOR,City of Wheaf Ridqe
3:,?,?
~jy~~
CALL 237-8944 EXT. 255
~ 24 HOURS IN ADVANCE
~oobeann 9o~am D0}E ISSUEd FOR INSPECTIONS
~V~
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m
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INSPECTION TICKET ~
JOB
ADDRESS ~9a8 jl~1y-r''n JtA'Le-v
DATE: BLDG. PERMIT#
PERMIT# Ay/ '1E'1&0
BLDG. CONTR.
SUBCONTRACTOR DATE INSP. REQ. / - S6 -9/
TYPE OF INSP. ~U-Qf /~'"B~
~6a9LA
INSPECTIO7MADE REMARKS t,~ INSPECTION TICKET
ADDRESS
DATE: "l- I BLDG.PERMITA 0b
PERMITM
BLDG. CONTR. Lu't7,
SUBCONTRACTOR
INSPECTION REQUESTED ~'UPL
For ~4µ-+ ~m
31 _
INSPECTION MADE
REMARKS a/q
al~
17,
~
W.R. FORM!-1•
INSPECTION TICKET
✓ ~
ADDRE55 317 k - lns
DATE:~L~--BLDG. PERMI~
PEIITM"9l"/h_-V00
BLDG. CONTR.
9
SUBCONTRACTOR_
INSPECTION REDU
For Z t
INSPECTION MADE
R E MA R KS _4.lL=
~
6
~ INSPECTION TICKET 6
JOB Q
ADDRESS 39OWU
DATE: BLDG. PERM TM
PERMIT# M9/ */64/00
BLDG. CONTR.
~F..~.~ .
SUBCONTRACT R "4
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE
REMARKS ~
W.R.FORM &19