HomeMy WebLinkAbout3390 Ward Road201706IZ 7
33x0 varr INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) 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 Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
CITY O WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
'\ INSPECTION NOTICE
Inspection type:
Job Address: 7 7,9'�� 13 fl
Permit Numbe�. `i
❑ No one available for inspectio imeUt2 1." AM/PM
Re -Inspection required: Yes � N , \
When corrections have been made, call for re -in ' e ion ofX33-2L4-
9:
Date: l Inspector:
"41 i 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: �//o j
Job Address: 3� d U L -f- L d r c�
Permit Number: ? 4;70
4Ul
❑ No one available for inspection: Time U SAM
i
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: // (,P7 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: 114
Job Address:
Permit Number: v/ 7`,
C'
❑ No one available for inspection: Time
—__ AM/PM
Re -Inspection required: Yes No
"When corrections have been made, call for re -inspection at 303303-233
Date: �V t/
/17 Inspector:
DO NOT f3EMOVE TH/S NOT/CE
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: J
Job Address: 3190
Permit Number: z al 71) 7
❑ 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:_ U ( 107 Inspector: `ll_
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
T^
d
Residential Roofing PERMIT - 201706127
PERMIT NO: 201706127 ISSUED: 08/15/2017
JOB ADDRESS: 3390 Ward RD EXPIRES: 08/15/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey highlander asphalt shingles - 21 sq
*** CONTACTS ***
OWNER (720)398-4643 PARKISON MICHAEL E
SUB (303)425-7531 John Borfitz 019983 J & K Roofing 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: 12,506.00
FEES
Total Valuation 0.00
Use Tax 262.63
Permit Fee 251.85
** TOTAL ** 514.48
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. 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 manufacturer 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 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201706127
PERMIT NO: 201706127 ISSUED: 08/15/2017
JOB ADDRESS: 3390 Ward RD EXPIRES: 08/15/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey highlander asphalt shingles - 21 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 al
entities named within this document as partes to the work to be
perfg;ngd and that all work to
b performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTX (Circle one) Date l t,
1. This permit was issued based on the Vfformation 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 andmay 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 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 be a permit for, or an approval of, an 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 of3llhVMY �fficiaP"""""'�'1 Date
REQUESTS MUST BE MADE BY 11:59PM ANY B NESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
REQUESTS MUST BE MADE BY 11:59PH :
Dan Schultz
2c7 7o6 [ Z /
From:
no-reply@ci.wheatridge.co.us
Sent:
Friday, August 11, 2017 5:07 PM
To:
CommDev Permits
�L
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Follow up
Flag Status:
Completed
Categories:
Dane
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 and due to the volume of requests, time to process
varies and is subject to change. 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.
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 3390 Ward Rd
Property Owner Name Mike Parkison
29
Property Owner Phone 720-398-4643
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Parkison Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business J & K Roofing
Name
DL
Contractor's License 019983
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 Address
(Primary address of your
business)
303-425-7531
13000 W. 43rd Dr., Golden Co 80403
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
kathyv@jkroofing.com
30
Are you re -decking the
roof?
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No
No
Yes
21
Malarkey Highlander
Asphalt
House - Pitch 4/12
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
31
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.
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.
Name of Applicant Kathy Vendegna
Email not displaying correctly? View it in your browser.
32
CONTRACT
BBB. J&K Roofing
13000 W. 43rd Drive • Golden, CO 80403 '
Phone: 303-425-7531 t984- 0
Fax: 303-425-1562°D` -�0
www.jkroofing.com
Representative
Contact��0� S �
Namey'- 3-� __ Date :3-3 1H Z
s ��<2 20� ar'c;Phone 7220-35A�yf�?
Address
�3i0 LGc t email
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS TERMS
AND CONDITIONS, PLEASE READ CAREFULLY:
Recover roof with-�lst&_
. Color of shingles `r
rn 6f �1
Manufacturer's Warranty /
Tear off Orth
JLC Install Underlayment /
Double all Eaves
c .i2
W -Re -Flash Chimney and/or/Skylights One- "'I'
lt
V -New Valleys __Ci.Q3 Qd
09 -Replace Ridgeliti�l_q;���
Ventilation
(L Galvanized Fasteners le %
*,Replace_ 4-w C, ~�
Paint rod'f stacks to match Plumbing Jacks
$-Install._3-m w ^ Metal Edging_ L�q ��s
V -Patio or Flat roof_ %y_t0ox ciwl
Is---F&4--Year Warranty on labor oil 9
114 J & K Roofing to furnish all material and labor
Permit:.Uoncluded NOT Included
Clean-up debris and haul off all trash from roof
P Roll yard with magnetic roller
Vf-Gutters cleaned of roofing debris
_1 Decking Repairs $49Ct-�ers�
Hidden Layers (tear off) $---I
__ per layer
fG�er
(Po6ay Nurtiberr
IC(a1�1 #I --_—
(Mortaage Coj (Mortgage Loan
city lJl� I 3x'
D r ti� aL.J cl f� Zip $00
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
Policy #CS00061742
D Extra work
The property owner is K is not` using proceeds from
property and casualty insurance policy.
� 15 r.e
$ 3aS
R!/Glt W i
me
Deductible if applicable $ Z %
Per Colorado State Law CRS § 6-22-105 which states; io0%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible.
Estimated Start Date
TOTAL ESTIMATE $ �MENT
ALL PROPOSALS ARE SUIKIECT TO MANAPRpVgL
J&K Representative
Homeowner
Homeowner 4ate
Date__
Expiration Date
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this con you Plan to
written notice from your insurance carrier that your claim has been denied in whole or in art. However, J & K Roofing within 72 use the
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing entitled es. after
merits o9
to retain y
practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: poo
Job Address: 33q(, h rtt ) r ,
Permit Number: fl (P 3(11tf
n - LN
❑ No one available for inspection: Time AKV M
Re-Inspection required: Yes No
*When corrections have been made, call for re-inspection at 303-234-5933
(
` Date: 0, 5 Inspector:
DO NOT REMOVE THIS NOTICE
♦ A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2,855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r~ftl tl
Job Address: `7 70 0 L0e,,,,f eA
Permit Number: Uhf ;C114(
O
❑ No one available for inspection: Time I A 4PM
J
Re-Inspection required: Yes No
When corrections have been made, call for re-insptlection at tl 103-234-5933
Date: ! L Inspector:, /r 1 r "ter
DO NOT REMOVE THIS NOTICE
' , City of Wheat Ridge
Residential Roofing PERMIT - 093414
PERMIT NO: 093414 SISSUED:` 10/16/2009
JOB ADDRESS:: 3390 WARD RD `EXPIRES: 04/14/2010
DESCRIPTION:` Remove and replace 20 ;sqs. of asphalt` shingles
CONTACTS
gc 303/76270089 Heyward C. Oliver 01-9720 Five Sons Roofing
'PARCEL INFO
ZONE (CODE: UA USE: UA
SUBDIVISION: 0695. BLOCK/LOT#: 0./
FEE SUMMARY ESTIMATED 'PROJECT. VALUATION: 7,600.00
FEES
Permit Fee 199.30
Total Valuation .00
Use Tax 136. s0 i C-a g.
TOTAL 336
Conditions:
6 nail installation & mid roof inspection required. Boardsheathing spaced more
than es 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.r
Subject to field inspection.
I hereby certifythat 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.
Signature of contractor/owner date
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 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 changesr have been or if suspension or abandonment 'exceeds one (1) year, full feesshall
be paid for anew permit.
4. No :work of any manner shall be done that will change the natural flow of water causing a drainage problem.
S 'C~ntra rt or 'hall nnrifv.'}bp pnfl Ai- rn anent ? t..o~rd e~~.r ival 1- 1- -i ..e..-4--- -a -1-11
('40,10R)P'Vo City of Wh eat Ridge Building Division Date: /0 1& 7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan Inspection Line: 303-234-5933 tr
Permit
Building Permit Application
ProjertyAddresss ?~~lC~ t~fgL~ yL~ Ir e+rJC- Coto
Property Owner (please print): Phone: .3c Mailing Address: (if different than property address)
Address:
City, State,
Contractor: I v L SG, S
Contractor License
Sub Contractors
Electrical City License
Company:
C) C) c- <r.i 3
Phone:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ G O 0- _7 c,
DC$C[IptlOn Of"1NOrk's 'i✓,qe?- Z - C-A-t (as calculated per the Bu/ldfdg Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares ?--J BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building,.Code-(I:B:C}•and II other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection,.--- '
CIRLCE ONE:: (OWNER) (CONTRAQTOR) or PERSONAL REF
PRINT NAME: / C_4Y C~,,~j °irc 1,r c: SIGNATURE:
(CONTRATOR)
Date: 16-16"o
6tir Bldg Valuation: $ 1
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15204
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 3/6/03
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: MIKE PARKINSON
Property Address : 3390 WARD RD
Contractor License No. : 20737
Company : AIR CURRENTS INC. Phone : 720-937-7158
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete, antl
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of re ; that all measurements shown, and allegations
made are accurate; that I have read and gree fo abide by all condi[ions printed on this
application, and that I assume full res o' co liance with the OVheat Ridge Building
Code (U.B.C.) and all other applicable t inances, for woJcunder this pe il
?
(OWNER)(CONTRACTOR) SIGNED DATE G'J
Description : INSTALL 150,000 BTU FURNACE
BUILDING DEPARTMENT USE ONLY
Zoning Comments: SIC : Sq. Ft. :
Approval :
Zoning :
Building Comments:
Approval : OK/M LC
Public Works Comments:
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Phone: 303-910-4205
Construction Value :
$1,835.00
Permit Fee :
$86.13
Plan Review Fee :
$0.00
Use Tax :
$22.02
Total:
$108.15
Use :
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval :
Expiration Date :
Approval:
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 ihe State of Cobrado and to the Zoning
Regulations and Building Code of W heat Ridge, Colorado or any other applicable ortlinances of ihe City
.
(2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) ihe building authorized is suspendetl or
abandonetl (or a period of 120 tlays.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, pmvided no changes have been or will be matle in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) yeac If changes are made 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) Coniractor shall noti(y the Building Inspector twenty-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card be(ore
proceediing with successive phases of the job,
(6) The issuance of ermit or Ihe approval of drawings antl specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisionof b Idin od r any other ordinance, law, rule or regulation.
~ piYq s
Chief Bui ding Inspe r
a-
COMMUNITY DEVELOPMENT DEPARTMENT
of w"E4T,p BUII,DING INSPECTION LINE - 303-234-5933
~ $ CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (3~03-235-2~85F5,j)'y5j
COG ORA00 ?P~,~,~L.P~d dON
Building Pecmit Number:
Date:
Property Owner: ~'~'I ~~c ~~c•~' I c! vl
Property Address: c-''-A c
Con4actor License No.: 0,'-l"3 7
~
-
_ ~ i~~
Phone: f G
Phone: , i'C -1 -C ~'/o c/
OWNER/CONTRACTOR SIGNAT[1RE OF UNDERSTANDWG AND AGREEMENT
I hereby certify that the setback distanccs proposed by this pemilt applicaROn aze accumu,
md do not violate applicable ordinances, niles or rogulations of the City of Wheat Ridge or
covenants, eescmenis orrestrictions ofrecord; thatall measuroments shown, md allegations
made aze accurate; that I have read md etD bbide by all condifions printed on this
application and that I assume fult resp nsrbili 'for compliance wrth the V✓hea[ Ridge
Building Code (U.B.C) md all other a h ab~WheiCRidge Ordmances, for work undcr
this pemut. ~
Construction Value:$ ~
Permit Fee:$
Plan Review Fee:$
Use Ta7c:$
Total:$
DESCRIPTION:,'~{~J~C'~
BUII.DING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING GOMMENTS: Approval:
Zoning:
BUILOING COMMENTS: AppSOV3I:
PUBLIC WORKS COMMENTS: Aj7pIOV31:
Occupancy: Walls: Roof: Stories: Residential Uniu:
Electrical License No: Plumbing License Na Mechanical License No:
Company: Company: Company:
Expiration Date: Expirarion Date: Expiration Date:
Approval: Approval: Approval:
(1) 1Tis pe}mit was issued in aecottlance with [he provisions set forth in youz application and is suhject to the laws of the State of Colondo md to the ZAnin6
R<gutations endBUilding Codes of Wheac Ridge, Colondo or sny other applicable ordinances of the City. bwld'w authorized is suspended or
(2) Tlus peanit shall ezpia if (A) the vrork authorized is aot commmced within sizty (60) days from issue dak or (B) ~e 6
abandnned for a period of 120 daye.
(3) If thiy permy{ expirey, a new permit mey be acquired for a fre of o¢e-half the amovut naemally rtquued provided no changa have bern or will be mede m
theorigivalplav%sndspeci5cationsandanysuspensiouorabandonmenthas¢otexceededone(I)year.Ifchaageshavebeenorifsuspensionorabandonmevt
exceeds o¢e (1) year, fiill fees shell b<paid for a new peemit
(4) No work of any enenner shall be done thai will change the natual flow of water causiug a drainage problem
(5) ContracmrsLillnotifyt6eBuildinglnspatortwmty-four(24)houesiuadvanceforallinspectionsandshallxceivewriehnappmvalouinspec¢oncardbefore
proceeding with successive phesa af thejob.
(6) 1'he issuance of a pumit or the approval of diawings md speci5catioas shaLL ao[ be construed to be a pemtit for, aor en =pproval of, aay violarton of the
provisions of the building codes or any other ordinance, law, rule or rcgulaaoa
Chief Building Inspector
7500 WEST 29tri AVENUE
237-6944 EX7. 255 P.O. BOX 638
ONLY WHEN
L`ER:.h' i McNT 0F COMMUNI I Y DEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
BY THE
EF BUILDING
ANC RECEIaTED BEL^W.
PERMIT NO MP92#3390
JOB ADDRESS 3390 d Ivrv ruH MI.
CONTRACTOR .P~
ADDRESS ~U I g (1 ) 224v'L r O
CITY ~~__l?QT^ ZIP CODE c~1a_
PHONE LICENSENO. ~Oa7h
I. TVPE Ground ❑
Woll~
2. MATERIAL
SIGNS 3 ILIUMINATION Ya❑ NoU T e
4 SET BACH FROM pROPERTY LINE N Yo
o
(Speci/y which ia lronf ) n
I. TYPE SolidO MoreThonBO%
FENCES - MATERIAL _
3. SET BACK FROM pROPERTY LINE
(Specity whioh ie fron})
v I.
OTHER 2
OWNER ZatK~c~, C(t4IQYI()
ADDRESS 339~0_ GC,~rd
PHONE 'y~/ '/03/ Zip CODE&-V~-3
CUNTRACT PqICE $ 73 Q
DqTE /G. q2
Proiectinp❑ Other S or D Fote
Tofol Squars Fesf
_ ElK}. Ppmif No.
E-'N Zone_. A
~ O DDroveE.Zonalnspscfor
DisapprweE
Lnt Than 80% Op.n
N SE- W
a ❑ ❑ ❑
R80C'r / N2_-----'-`
Zone_ ADpraM,Zone Impeciw
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN__OR OTHER STRUCTURE,GI
- - INSPECTION TICKET
INSPECTION TICKET
JOB
ADDRESS J ~O C(~pY,~ 0
DATE: I - / ~I
BLDG. PERMIT#
'PERrr uNe _ JoB ~
ADDRESS.~
PERMITk
BLDG. CONTR.1~~ )aERTV LINE
i
DATE:1~ / BLDG. PERMIT#~
PERMITA _
BLDG. CONTR.
SUBCONTRACTOR /7' ~~~'~rrsRZJ'
DEPARTMENT 0F COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M92#18331
237-6944 EXT. 255 P.O. eoX 63e CITY OF WHEAT RIDGE, COLO.
TNIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILOING INSPECTOR AND RECEIPTED BELOW.
APPLI~TI N FOR MISCELLANEOUS P~MIT (
3 A « OWNER NG C'_ Y~- S~21 •
JOB ADDRESS , n 1 ~r~
GY~'ci ' ~Y1 C> artT !A: ti Q/1
CONTRACTOR Cl 5`i ADDRESS
ADDRES5 PHONE -1;2~ ZIP CODE
'~'~jUZZ. 1s - r'ONTRACT PRICE $
CITY ZIP CODE
PH
ONE
A ❑
G
Woll❑
Proilefin0❑
Other
S Or 0 Faa
rOUn
1. TYPE
2. MATERIAL
Totol Squme FoH
SIGNS
3. ILLUMINATION Yaf❑ No❑
TYDe
Elwt. Per
mif No.
SET BACK FROM PROPERTY LINE N
4
_
S__ E
_ W
Zons_
ADMmed, Zo^e I^$actor
.
❑
rovW
Di
(SDecifywhichisfront)
❑
❑
❑
aapD
1. TYPE Solid❑ Mo.e Than 80% ODSnO
Lest Thon BO% Open
MATERIAL
HeiQht
FENCES
3 SET BACN FROM PROPER7Y LINE N
_
S_ E
_ W
Zaie_
Approved,Zone Inspecta
❑
rovad
Diso
(Spacify whieh ie froM)
❑
❑
❑
pp
OTHER
2'
~ _ _
y - _ - - -
3.
-
u
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUGiur+t,Urv
(SETBACKS OR PROJECTIONS INClA1DEA)
INSPEGTIUN IIl:1[tl
Joe ~k
ADDRESS
DATE: BLDG. PERMITM
PERMITN
BLDG.
SUBCONTRACTOR
STREET NAME
DATE INSP. REQ.
SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES,STREETS,! rp
DISTANCE TO PROPERTY LMES, NOT MA%IMUM OR AVERAGE DISTANCE. iYPE OF INSR ..v . -
G~
APPLICATION FOR PLUMBING; ELECTRICI INSPECTION MADE
THIS APPLICATION WILL BECOME A PERMiT TO PERFORM THE INDICA7ED WORY
PERMIT WILL E%PIRE 60 DAYS FROM DATE OF ISSUANCE !F I
ELECTRICAL PERMIT
PLU
MBING
PER
ICENSE N0
STATE LICENS
E N0.
.
STATE L
_
4oi
AI.UMINUM WIRE UNDERSIZE 8 ILI.EGAL
FLOOR
BSM
IST
NO
WATER CLASET
TEMPORARY METER
WASH BOWL
W.R. FORM 5-19 /
/
NEW SERVICE - AMPS
BATH TUB
CHANGE SERVICE-AMPS
SMOWER
LIGHTING
SINK
HEATING
GARBAGE DISF
POWER SUB-CIFCUITS
WATER HEATER
^O1 ~
~ ~
UTILITY(RANGE, DISPOSER,ETC.)
AUTO. WASHER
R
~~p~ Spp~KLER SYSTEM
FIXTURES
DISH WASHE
ELEVATOR
WIRING MOTOF25 9 CONTROlS
FLDOR DRAIN
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
I Asreby acknowladqe thot this applico-
tion is correct and undersfond that 1
eonnof stort this projecf until this appli-
oation is aDOroved. I shall comply with
fhs lows o( the Stote of Colorado ond to
the Zoninp Requlalions and Buildinq
Code ofthe Ciry of Wheat Ridqe. Any
violotion of ihe above terme will cause
immediare revocotion of this permit.
PERMIT FEE c-- Y cs'J-
USE TAX ~ D,
TOTAL FEE $ 70> . 8 a
CHIEF BUILD# INSPECTOR,City of Wheat Ridqe
Date Issu d~4
NOT VALID UN4ESS RECEI
~ ~y (C4Ggd
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS