HomeMy WebLinkAbout3400 Ward RoadCity ®f Wheat Ridge
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Residential Roofing PERMIT - 201706551
PERMIT NO: 201706551 ISSUED: 08/24/2017
JOB ADDRESS: 3400 Ward RD EXPIRES: 08/24/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 25 sq
*** CONTACTS ***
OWNER (303)233-7554 SPANO CHRISTOPHER JOSEPH
SUB (720)626-5866 Francisco Miery Teran 130035 USA Roof Restoration LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA ! Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00
FEES
Total Valuation 0.00
Use Tax 210.00
Permit Fee 204.30
** TOTAL ** 414.30
*** 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.
201706 5551
3�00 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/Tyne
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 Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initi I
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
L �- a
Final Window/Doors
;
Final Building
'f
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
' r Citi' of Wheat Ridge
Residential Roofing PERMIT -201706551
PERMIT NO: 201706551 ISSUED: 08/24/2017
JOB ADDRESS: 3400 Ward RD EXPIRES: 08/24/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 25 sq
*** CONTACTS ***
OWNER (303)233-7554 SPANO CHRISTOPHER JOSEPH
SUB (720)626-5866 Francisco Miery Teran 130035 USA Roof Restoration LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00
FEES
Total Valuation 0.00
Use Tax 210.00
Permit Fee 204.30
** TOTAL ** 414.30
*** 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.
„ �. A � City of Wheat Ridge
j9r Residential Roofing PERMIT - 201706551
PERMIT NO: 201706551 ISSUED: 08/24/2017
JOB ADDRESS: 3400 Ward RD EXPIRES: 08/24/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 25 sq
I, by my signature, do hereby attest that
thew
to be performed shall comply with all accompanying approved plans and specifications,
applicable build�•erg 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 alT entities named within this document as parties to the work to be
performed and that all worXto be perf"o„rmed is disclosed in this document and/or its' accompapying approved pians and specifications.
�5.
Signature of OWNER' -dr CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit 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. Thispermit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
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,zode;or any ordinance or regulati n of this jurisdiction. 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.
Dane Lovett W/ 70GSS�l
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, August 22, 2017 9:34 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
G
d
Residential Roofing Permit Application
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 3400 Ward Road
Property Owner Name Chris Spano
Property Owner Phone 303-233-7554
Number (enter WITH
dashes, eg 303-123-4567)
181
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
Q�
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 3400 Ward Road
Property Owner Name Chris Spano
Property Owner Phone 303-233-7554
Number (enter WITH
dashes, eg 303-123-4567)
181
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
HPSCAN 0822153129.pdf
CONTRACTOR INFORMATION
Contractor Business
USA Roof Restoration Ilc
Name
n
Contractor's License
130035
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)
720-449-4129
11765 W 33rd Place Wheat Ridge, CO 80033
Contractor Email Address David@usarnr.com
Retype Contractor Email David@usarnr.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 25
the entire scope of work:
Project Value (contract 10000
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
182
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
Yes
25
Timberline hd
Asphalt
5/12 pitch house with built in garage
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
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
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
183
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 David Mier Y Teran
Email not displaying correctly? View it in your browser.
184
USA Roof Restoration LLC
dba USA Roof & Restorations
11765 W. 33rd Place, Wheat Ridge, CO 80033
Phone & Fax (720) 449-4129
info@usarnr.com
Property Owner:
Date:
cl
L,? 2Q
Property Address:
Insurance Carrier & Claim #
Oa
►G
City, State, Zip:
Project Manager:
PM'S Phone #:
(
Main Phone:
Pro'ect Manage ' Email:
'
cG�
Email:
Supervisor:
David Mier y Teran (720) 449-4129 Ext 701
Work to be completed as follows:
it Furnished, Jurisdiction JJk&Tlr(
A-ITear off #layers of composition layers of
cedar
❑ Install Decking d..AC)
stall Drip Edge, Color
stall Ice & Water Shield 4EkW"e-s
.Wtfistall Synthetic Underlayment
❑ Shingle Manufacturer_ 41F
❑ Shingle Type. T!M b4.—/ iwt 140
❑ Shingle Color
❑ Ridge Cap
❑ Manufacturer's Warranty LA aM m d
Special Instructions/ Additional Work:
�leys e&I .
❑ Remove Satellite Reinstall Satellite
❑ Install Pipe Jacks Furnace Caps
❑ Install Turtle Vents, Color X11146.*. -
int Pipe Jacks & Turtle Vents to Match
�p Flash Sidewalls, Color%x}Llc,
..5/ Step Flash Chimney
-Tarp and cover property and yard, as needed
.4 -Clean & Remove Trash
Sweep Yard with Magnet
,W—All work to be completed per applicable building codes
USA Roof Restoration LLC 10 Year Labor Warranty
,J,'JSA Roof Restoration LLC Liability Insurance
IWfm,/I���� MIIIIIIIIIIIIIIIII
Work to be completed according to the above specifications in the amount of: $ I C'/r ?S'�'Z ,$f **
USA Roof Restoration LLC shall hold in trust any payment received from you until USA Roof Restoration LLC has delivered
roofing materials to the site or has performed a majority of the roofing work on your property.
**In addition to the above amounts, any and all supplements billed on behalf of USA Roof Restoration LLC, and approved
by the Insurance Carrier, will become part of the contract and will be paid to USA Roof Restoration LLC in addition to
contract amount stated above. Code requirements: all work will be done according to applicable building codes. All work
completed as required by applicable building codes will be billed to Insurance Carrier. Any cost associated with building
code requirements not covered by the Insurance Carrier will be the responsibility of a property owner.
Property Owner Initials: Date: l USARNR Initials: I Date:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
INSPECTION NOTICE
AA -L /.-D
❑ No one available for inspection: Time
Re -Inspection required: Yes` No
When corrections have been made, call for re -in.
Date: J Inspector: ���
AM/PM
303-234-5933
i CITY OF WHEAT RIDGE
��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
INSPECTION NOTICE
R.0 /1-r
❑ No one available for inspection: Time '_._f'-' °" AM/PM
Re -Inspection required: Yes j No
When corrections have been made, call for re-inspeiptibn at 303-234-5933
Date: > i/ ` / Inspector: ,.,_' ,
/V.
DO NOT REMOVE MIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
'r (303) 234-5933 Inspection line
r (303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
Of
Job Address:(() P.r7ar r r.
Permit Number: 9 7 E
Pnn
afl~ii!r r F~n7~ f~DnlF' F-!t. 7r~^~
❑ No one available for inspection: Time D:50 AM M
lorl~
Re-Inspection required: Yes No
"When corrections have been made, call for r -inspection at,a903,234-5983
Date: /r=ff?, i 7 Inspector: PM, 'Ai~
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD occupancyrr e
INSPECTION LINE: (303) 234-5933 I' 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.
F
Y
I~
r.
n<:
~A.
g
uy
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR -
INITIALS
COMMENTS:
Footings/Caissons
Stemwall/(CEG)Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines -
YOUR NO I.ONCRETE UNTIL ABOVE HAS GEEN DIGNEU
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
nil NnT PnnR FI nnP I INTII AROvF HAR RFFN $II:NFD
ROUGHS
Sheathing
Lath / Wall tie
Mid Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation'
Drywall Screw
FINALS '
Electrical
Plumbing
Mechanical
Roof
Buifding Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & 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. PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION..
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: "A, t 1)
Job Address: 59(16 14JI D
Permit Number: 'Z~z i
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call fgr r -Inspection at 303-234-5933
l
Date: - L° Inspector: r~l
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
►J Residential Roofing PERMIT - 092783
PERMIT NO: 092783 ISSUED: 09/28/2009
JOB 'ADDRESS: 3400 WARD RD : EXPIRES: 03/27/2010
DESCRIPTION:. Reroof and redeck 26.sgs
***..CONTACTS
owner 303/233-7554 Spano
sub 303/670-3048 Terry Harper 01-8383 Harper Services
**.PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION:` 0695. .'BLOCK/LOT#: 0/
**FEE SUMMARY ESTIMATED: PROJECT. VALUATION: 8,000.00
FEES
Permit Fee 199.30
Total Valuation . 00
Use Tax 144.00
TOTAL 343.30
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.
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 I assume full responsibility. for compliance with the Wheat Ridge Building. Code.(I.B.C) and all other
applicable Wheat 'dge Ordinances, for work under this permit. Plans subject to field inspection.
Signatur of tontrac /oxmer aQ/(req/~
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 changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid fora 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 of, any violation of the provisions of. the.. building codes or any other ordinance, law, rule or regulation.
-All plan review is uSj ecE [o ela-'inspections
n
Signature of uildingOfficial date
INSPECT N? REQUEST LINE: (303)234-5933 BUILDING. OFFICE: (303)235-2855
REQUEST MUST BE MADE BY J3PM ANY.. BUSINESS DAY FOR INSPECTION THE FOLLOWING.BUSINESS DAY.
v m
City of Wheat Ridge Building Division Date:
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Ran
Inspection Line: 303-234-5933 9
Permit d,
Building Permit Application
Property Address: 3yfoo
CJ" /Zcl
Property Owner (please print):
A a ,t
Phone: 323 3 • 7.y^g c/
Mailing Address: (if different than
property address)
Address:
City, State, Zip:
Contractor:
5 `
Contractor License
Phone: 30-5 fv 7o 3 o y g Y90/1-201,3
Sub Contractors:
Electrical City License
Company:
Plumbing City
Company
License Mechanical City License
Company:
Exp. Date:
Approval:
Exp. Date:
Approval:
Exp. Date:
Approval
Use of space (description): f2~ / e -S Aed- Construction Value: 8000°0
Description of_worki (as calculated per the Building Valuation Data sheet)
-
Plan Review (due at time of submittat): $
Sq. Ft./L.Ft added: Squares
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 all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWN.-ER,)) /(CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) o
PRINT NAME: Pktl -,2~,, an SIGNATURE: ~v_t/A1 Date:
Utt'Att 1 MtTIT USE ONLY , "
Bldg Valuation: $ 1
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
Date
9587
10/5/99
Property Owner :
Property Address :
Contractor License No. :
Company
3400 WARD RD
17986
The Gas Connection
Phone: 233-7554
Phone: 466 4206
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 restridions of record; that all measurements shown, and allegations
made are accurate; 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 : Installation of gas logs
Construction Value :
$400.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$6.00
Total:
$29.50
Use:
BUILDING DEPARTMENT USE ONLY
M W ,E . SIC Sq. Ft.
4'
Approval ~
Zoning :
Approval:
Approval
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This permit was issuetl in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado antl to the Zoning
Regula[ions and Building Cotle oF Wheat Ridge, Coloretlo or any o[her applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commencetl within sixry (60) days hom issue date or (B) ihe building authorized is suspended or
abantlonetl for a periotl of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee ot one-half the amount normally required, provided no changes have been or will be made in the
original plans antl specifcetions and any suspension or abandonment has not exceeded one (1) year. If changes are made or it suspension or abandonment
exceeds one (i) year, full tees shall be paid for a new pertnit.
(4) No work of any manner shall be tlone that will change the natural tlow of water causing a drainage pmblem.
(5) Contrac[or shall nohfy the Builtling Inspector hventy-four (24) hours in atlvance for all inspeclions and shall receive written approval on inspection card before
proceetliing with successive phases of the job.
(6) The issuance of a permit or the approval of drewings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9587
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 10/5/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3400 WARD RD
Contractor License No. : 17986
Phone : 233-7554
Company : The Gas Connection Phone : 466 4206
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Installation of gas logs
Construction Value :
$400.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$6.00
Total:
$29.50
Use:
BUILDING DEPARTMENT USE ONLY
x.. MSIC : Sq. Ft. :
Approval :
Zoning :
. pllotll"""
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:
(7) This permit was issued in accordance with the provisions set forth in yopur application and is sub~ecl to the laws of the State of Coloredo and [o the Zoning
Re9ulations and Builtling Code of VJheat Ritlge, Cobratlo or any other applicable ortlinances ot~e City.
(2) This pertnit shall expire if (A) the work authorized is not commenced within sixly (60) days from issue tlate or (B) the building authorized is suspentled or
abantloned for a penotl of 120 days.
(3) ❑ this permit expires, a new permit may be acquired for a fee of one-half the amount normally required provitletl no changes have been or will be made in the
onginal plans and speciFications and any suspension or abandonment has not exceeded one (i) year. If changes are matle or if suspension or abantlonment
exceeds one (1) year, full fees shall be paitl for a new permit.
(4) No work of any manner shall be done that will change the naNral flow of water causing a drainage problem.
(5) Contractor shall notiy the Building Inspector hvenry-four (24) hours in advance Por all inspeMions and shall receive written approval on inspection card beFOre
proceediing with successive phases of the job.
(6) The issu e f a pe. _ rmito the approval of Arawings and specifcalions shall not be construe0 to be a pertnit for, nor an approval of, any violation of the provisions
of t m cmqg{~m]/ other ordinance, law, rule or regulalion.
Chief Building In ector
vEPARI MENI' OF PLANNING ANU l)L=V[LOI'MF_N T 131.1ildiny Pennit Nunilber :
BUILDING INSPECTION UIVISION - 235-2E355
CITY OF WHEAT RIUGE Uate :
7500 WEST 29TH AVENUE
WHEAT RIUGE, CO 80215
Property Owner : Cl,,L~ S ~;"patNJ
Property Address : 3 y UU l.U 0-f'd Jed ~ LIV k1-0J ' eLj 6- Phone :~z 3
Contractor License No. : 17986
Company The Gas Connection
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the salback dislances proposed by lhis permil applicaUon are acwrale.
and do not vfolke applicable ordinances, mlae ar regWalions of the Cily of Wheat Ridge or
covenanls, easementa or reslridione of record: lhat all rneasurements shown, and allegations
mada are aceurata; that I Nave read and ayree to abide by all conditions prinled on Uhis
applicallon. and Uiat I aswme full tesponsibility lor complianco wilh tlia Wheal Ridge Building
Code (U.B.C.) atd all other epplicable W ieat Ridga oidinancr.s, for work under this pennit.
(OWNER)(CONTRl~CTOR) SIGNED DA7[ I~'_W9
Description: ~ nS4,- I1 4A bh o V Olqs (oq S
BUILDING DEPARlMENT USE ONLY .
~
Approval' •
Zonfng : .
~
Approval :
~Qq11~:VY3RSL~LQQfiiillflit~:f
Approval
Occupancy : Walls : , Roof : Slories : Residential Units :
Pfione : 466-4206
Construction Vaiue : LIUp, 0-0
Permit Fee :
Use Tax:
Tolal :
Electrical Liceiise No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date :
Approval:
9 ~ ~ PJ~hs; .
(t) Thie perrM was 13sue7 in accordance with Ihe Orovrsions sel brth in yopur application mnd a subjecl lo Ihe laws of the Stale o/ Colorado and to Ihe Zoning
Regulatidat ao0 Bvilding Code of Wheal Ridge, Cobrado or any olher applicable ordinances of lhe Cily,
(1) Thie Oermd shall expire d(A) pie work autIwrizeA is not comrnenced wilbin sixly (60) days hcrn issue dale or (f1) Ihe buildinq aulhorizetl is sucpendea of
abaneoneC irn a penotl ol 120 days.
II Ihii OeriM expirel. a new Oettnit may bB atquired !or a IcA of one-hnll Ihe artsovnl normnlly iequiwd, provided no dhanges have been or will be made in Ihe
original plane untl epecifitalioro end any suspan+ion or nbandonmenl hns nol exceeded one 11) year. If changes are ma0a or il suspension or abandonmenl
exceeds w+e (7) year, lull leo 5hall be paid for a new prumil.
(a) No woik H any manner shall be tlone thal will Uiange Ihe natmal now o1 waler wusing a Orainage problem.
(5) Conlraclor sball noUly Ihe Building Inspeclor hvenry-lour (24) hows in atlvance br all inspecuons and shatl receive wrillen a0p(oval on inspeaion cnrtl belae
proceetliing rIDh euccessive phases of Ihe lob.
(G) The issvaIrl of n Oermil or Oro appwval of drawings antl specifiwtions slian nol be consvuco to he a pernnl for, nor an appmval ol. any violallon of the erovisicns
of ihe Ouildny cpdee or any olher ortlinance, law, rule or repulation
Chief Buiiding Inspector
For Mayor
THIS PERMIT VALID ONLY WNEN SIGNEU BY THE CfIIEF BUILDING INSPECTOR AND MAYOR
CALL: 294-5933 24 FIOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M91Ik17614
237-6944 Ex7. 255 P.O. BOx 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CMEF BUILDING MSPECTOR AND RECEIPTED BELOW.
APP ICATION FOR MISC
JOBADDRESS -5 IO~'/ ✓~/Pi~'Pr~ I2~
ELLANEOUS PER IT ~
OWNER ~-~Y~S O~in(~
CONTRACTOR n
_ T YI YrI BI, v p l, a. C(J ~?'i f Co
YJ
ADDRESS _5 `_'Ed G 'vtiAAY P,I f~ t
~
ADDRESS
~~I
I~ L~✓v 7~y ✓P
PHONE
q
~
CITY . ZIP CODE O0 1)
PHONE LICENSE NO.
ZIP CODE
CONTRACT PRICE
DATE La t
1. TVPE Ground ❑ Woll❑ Proitetiny❑ OfMr S a D Faee
2. MATERIAL Total Squan Feet
SIGNS
3. ILLUMINATION Ya❑ No❑ 7ype EIKf. Pvmif No.
4. SET BACK FROM PROPERTY UNE N_ S_ E_ W Zon*_ ApDroved,Zone Inapectw
(Speeify whieh is fronl ) ❑ ❑ ❑ ❑ DiaaDDrwed
1. TYPE Solid0 Mors TAOn 80% ODSn❑ Laot Than BO% Open
MATERIAL Hoi
hf
FENCES
p
3. SET BACK FROM PRpPERTV LINE N_ S_ E_ W Zono_ ApprwW,Zons lnspoeta
(SPecrty whieh is tronf) ❑ ❑ ❑ ❑ Oisapprowd
I. ~'b " I ~ 'Vl r
~l
16
OTHER
,
,
2 ' ; %I,~ i . ~ :
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER
(SETBACKS OR PROJECTpNS INCLUDED)
2
INSPECTION TICKET ~
JOB 3 u ao ~J c~
ADDRESS
5~/ ' NORTH
DATE: Id' BLDG. PERMITM 17 61y
PERMITN
BLDG. CONTR. O-~"-~✓~--+^'`~"'~
STREET N4ME
SHOW DISTANCES FROM THE MAIN BUII.DING TQADJOINING HOUS
DISTANCE TO PROPERTY lINE5,N0T MAXIMUM OR AVERAGE
SUBCONTRACTOR
DATE INSP. REQ. /Ot-U
.EAST
APPLICATION FOR PLUMBING;
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE IN TYPE OF INSP N OIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE OAG
I ELECTRICAL PERMIT
STATE LICENSE N0.
pLi- INSPECTION MADE
MIT
STATE UCEN REMARKS r~~- ~ z l S
ALUMINUM WIRE UNDER SIZE 8 ILLEGAI
FLOOR
n m EI Sdm
NO
.
/~~G('^
WATER CIASET ` xl
TEMPORARY METER
WASH BOWL
NEW SERVICE - AMPS
BATH TUB
CMANGE SERVICE-AMPS
SHOWER W
FORMB
19
R
~
LIGHTING
.
.
-
v
SINK
HEATING
GARBAGE DISP
POWER SU9-CIFCUITS
WATER HEATER
UTILI7Y(RANGE,OISPOSER,ETC.)
AUTO.WASHER
FIXTURES
DISH WASHER
_.STEM
WIRING MOTORS 9 CONTROLS
FI,DOR DRAIN
ELEVATOR
$IGN$
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I hareby acknowladQe ihat fnia aOPlico-
fion u torrecf and undeiatond ihof I
connor starr tnis pioject unril tnis ovvli-
eotion if oODroved. I shall comply with
ths lows oi the State ot Colorodo and to
the Zoninp Repulotionn ond BuildinQ
Code of tAe City of Wl+ear Ridqe. Any
violation ol the obove terma wili couse
immediote revocafion of rols permir
PERMIT FEE </z-, m
USE TAX c/, cLd
TOTAL FEE
/'5_2 I
CHIEF BUILDING II SPECTOR,Cify of Wheat
° ~+w L 1/111M I Date
hVCfenM. slvnnw,.
/0 ~ -~J/
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 7386
- BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 7/2/98
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 3400 Ward Road Phone : 2337554
Contractor License No. : 18210
Company : GOLDEN-WHEAT RIDGE FENCE CO Phone : 423-5441
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit appliwtion 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under lhis permit.
(OWNER)(CONTRACTOR)
Description : Fence 6' Cedar to 4' cedar
Construction Value :
$850.00
Permit Fee :
$30.25
Plan Review Fee :
$0.00
Use Tax :
$12.75
Total:
$43.00
Use:
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(7) 7his permit was issuetl in accortlance with the provisions set forth in yopur application and is sub~ect to the laws oi the State of Coloredo and lo the Zoning
Regulations and Buildin~ Code of Wheat Ritlge, Colorado or any other applicable orUinances of the Ciry.
(2) This permi[ shall ezpire if (A) the work authorizetl is not commenced within sixty (80) days from issue da[e or (B) the builtling authonzetl is suspended or
abandoned for a period of 720 days.
(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 antl spetifications and any suspension or abanEOnment has not excee0etl one (1) year. If changes are matle or it suspension or abantlonment
exceeds one (1) year, (ull fees shall be paid tor a new permit.
(4) No work of any manner shall be done thal will change the natural flow of water causing a dreinage problem.
(5) ConUactor shall notl(y the Building Inspector twenry-four (24) hours in advance /or all inspections and shall receive written approval on inspeclion wrtl before
proceetliing with successive phases of theI'ob.
(6) The issuance of a permit or the approval of tlrawings and specifications shall not be consVUed to be a permit tor, nor an approval of, any violation of the provisions
of the buildin9 codes or any other orAinance, law, rule or regulation.
J L
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
JEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855 Date :
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: Cbt`t('a ~-G"lCJ C(y
Property Address :~~j u-YAY Phone : Z3~'~75~¢
~
Contractor License No. : 1 QiZ1C:5
Company : TfYKc? ~G Phone : ~2y' ~ ~ I
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN7 Construction Value
I hereby certify that the setback distances proposed by Nis permil application are accurate,
and do not violate applicable ordinances, rules or regulations ot the City of Wheat Ridge or
covenants, easements or restrictions of record: lhat all measuremenls shown, and allegaUOns
made are accurate; that I have read and ayree lo abide by all conditions printed on this
appliwtion, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable eat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNEOIA \ a~ 2- o c ATEl~ ZS U52 :
Description : -ii (P ~ J&N' '~U y ~ CF'jG✓'
BUILDING DEPARTMENT USE ONLY
~~M
Approval: ~
Zoning :
~~~msmm
Approval:
P_aB1m'b~~
Approval:
Permit Fee :
-30'S5
Use Tax :
IZ•-75
Total :
$0.00
SIC :
A .
RECEIVED
JUN 2 51998
I Occupancy : Wails : Roof : Stories : Re~fd . I Units : y
\V
Eiectrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This permil was IssuM in aaorCana vnN IM Drovisions sM foM in YoWr appliratbn and IS subjeq lo the laws ol the Slale ol Cob2GO anA to the Zoninq
Regulatlons arW BufWing Code o11M~eat Ridge. Cobrado or any oNer appiicaGie adirences of the Ciry.
(7) 71ue pertnt snall expire A(A) the work auNOmad la rwl cw^me^ce0 wdh'^ °'xty (60) Oays hom Issue Eate or (8) the builCuq aulharize0 u suspen0ed u
aEanEOned fa a peAOO o/120 Cays.
11 this pertM expira, a new pertnM1 maY be acquireC fa a fee W uK-haH the amounl normalry requireE. provi0ed rw chanqes have been u wlll he rtude m the
original plans anA speafitatlons antl em/ wspension or abanCOnmenl hws not exceedeE one (t) year. If Uianqes are maCe a A suspension a aEanEw+ment
eaceeds wne (1) Year. NII lees shalt be paid Iw a new cem+it.
(4) No work ol arry manner ahali be done Nat will change Ihe natural flow of water nusirg a dainage problem.
(5) CanVacta shall no6y the Buildinq InsceUw lwenry-lour (20) houn in atlvance Iw all mspecUau aM shail receive writlen aDOroval on inspection arC Defae
proceeAiirp wnn successive phaxa ol Ne p6
(e) 7Te issuance o1 a pemul w tha appoveTo/Erowin9e anE sped&aUOns shall nol be mnsWed to Oe a pertrvl la, na an apprwal o( afry vidation ol the provisbns
. d the bwldirg mEes a any other artlinance. Ww, ruk or re9uWGon.
uef Buiidin nspector For Mayor
THIS PERMIT VALID CONLY ALL W 345933 24 HOURS PRIOR TO~IN PIE TiION ECTOR AND MAYOR
Si Wne h-I
+
i
~
0
~
v
m
0
~
v
~
ro
3
+
• - ~ Survey No. 18,068
Offica AM 6.2488
l
Robinson Surveying Company
- REGISTERED ENGINEERS RND SURVEYORS
CONSTRUCTION, IAT Q IMPROVEMfiN'f SIIRVSYS. SUBD[VISION, SBWEA AND WAi1A DYSIGN
110 West 13th Avenue
Denver 4, Colorado
Vacant
CQtTI f IfATI CH
This is to certify that on this 27th day of August, 1959, I made a survey of 4 Ward
Road, Lot 4, Block Ig, AFPLEWOm VILLAGE. County of Jeffersm, State of Colcrado and
found the one sto iy Brick Nouse with garage and basement to be located entirTly
within the boundary lines of the above described property as shoNn on this plat.
The location and dimensions of ali buiidinqs, improvements. easements or rlights
of way in evidencs or known to ne and encroachments by or on the premises are
accurately shown. This plat is not to be used for locating fence lines or other
permanent improvements.
~ i
Reg i stered Lanfl S irveyor
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-1322
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :6/30/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : HARRISON DENISE HARVEY
Propetiy Address : 3395 WARD RD
Contractor License No. : 18351
Company : Dina & Son Electric
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 covenanis,
easements or restnctions of record; that all measurements shown, and alle9ations made are
accurate; that I have read and agree to abide by all condRions printed on this application, and that
I assume full responsibilily for compliance with the Wheat Ridge ~ilding Code (U.B.C.) and all
other applicable Wheat Ridge ordinances, for work under this p i it.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : SERVICE UPGRADE
BUILDING DEPARTMENT USE ONLY
,
. .s,..~
Approval:
Zoning :
y~{y
Gk::.
' fY4~Y
o..>.?..:..?..:.u. :Y.:.. .n.?. >.R.:k>: R.::
Approval :
00"""~,>~'~'~M
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Phone : 274-4366
Phone: 4250852
Construction Value :
$800.00
Permit Fee :
$45.00
Plan Review Fee :
$0.00
Use Tax :
$12.00
Total:
$57.00
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval :
Expiration Date :
Approval:
Expiration Date :
Approval:
(1) This permk was issued in accordance wilh ihe provisions set (orth in yopur application and is subject ta the Faws o( ihe Slate o( Cobredo and to ihe Zoning
Regulations and Building Cade of Wfieat Ridge, Colo2do or any other applicable ordinances of the CMy.
(2) This permil shall expire if (A) the work authonzed is not commenced vrilhin siMy (60) days from issue date or (B) the building aulhor¢ed is suspended or
abandoned for a periad of 120 days.
(3) If this permil expires, a new permil may be acquired far a fee of one-half the amount normally required, pravided na changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not ezceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, (ull fees shall be paid for a new permil.
(4) No work of any manner shall be done ihat will change ihe naturel 9ow of water causing a drainage problem.
(5) Coniraclor shall notiFj ihe Building Inspedar twenty-four (24) hours in advance for all inspections and shall receive writlen approval on inspection card before
proceediing wilh successive phases of ihe'ob.
(6) The issuance o(a permil ar the appmval attdrawings and specifcations shall not be constmed to be a permR for, nor an appmval of, any violation ofthe
provs(ns of the building codes or any ther ordinance, law, rule or regulation.
,M
,
q ~Ci,/~
IL .L ~ K~ lt
Ch(, Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
`~~~1
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
Property Owner :.2jc-~~ t L~ n~ p/} s Y, µ F LiZ e~'
Property Address : ~S' 3 9-`> (,(-'i4d-uJ~?~ phone: ~L7y-(J
Contractor License No. : 98~ ~ /
l
Company t-se-._ !L C[~ cTV` i c Phone : G/ ~j =C5
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :
I hereby ceAi(y that the setback distances praposed by this permit application are accurete, Pe~rtllt F88 : ~ Cft~
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or Cft~
covenants, easements or restnctions of record: that all measurements shown. and allegations
matle are accurate: that t have reatl and agree to abide by all condRions printed on this USB TaX : .
application, and that 1 assume full responsibiliry for compliance withIhe Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridgef~dmances~, f Jiork under this per d.
(OWNER)(CONTRACTOR) SIGNED DATE Total: ~ 7,C'~~
Description : S Fr /~V i L~~ u F o-A P4ii3iii-
BUILDING DEPARTMENT USE ONLY
i ,
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company :7);,~ iZ(~ Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(t) This permil was issued in accortlance with the provisions set (orth in yopur application and is subjecl to the laws of the State of Coloratlo antl to ihe Zoning
Regulations antl 8uiltling Cotle o( Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire R(A) ihe work autlionietl is not commencetlwRhin sixry (60) Uays from i55ue Uale or (B) the builtling authonxed is suspendetl or
abantlonetl for a perioA of 120 days.
(3) i( this permit expires, a new permit may Ee acquiretl for a fee of one-half the amount normalty requireQ provitletl no changes have been or wiil De matle in the
onginal plans antl specifiwtions antl any suspension or abantlonmeM has not exceetletl one (1) year. If changes are matle or it suspension or abantlonment
exceetls one (1) year, tull fees shall be paid Wr a new permit.
(4) Nb woB oF any manner shall be tlone that will change the natural flow of water causing a drainage proElem.
(5) Contractor shall notiy ihe BuilAing InSpeMOr tweny-four (24) hours in advance for all inspections and shall receive written approval on inspection carA before
proceediing with successive phases of the job.
(6) The issuance of a permit or ihe approval of tlrawings antl specifcations shall not be construetl to be a permit for, nor an approval of, any violation of the provisians
of ihe builtling cotles or any other ortlinance. law, rule or regulation.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0.
234-5933 p.o.eoxs3a CITY OF WHEAT RIDGE,COLO. M93#18848
THIS PERMIT VALID ONLV WHEN SiGNED BY THE CHIEf BUILDING INSPECTOR AND RELEIPTED BELOW.
JOB ADDRESS
PHONE
ZIP CODE
LICENSE NO.
OWNER I/~
ADDRESS ~+3
PHONE a5,Q
CONTRA~CT/p~RICE/,
DATE L7[~{3/'Z
1. TVPE GrounC U Woll❑ Proisclin0 Oth#r S or p Fate
2. MATERIAL
Tofal Spuore Faat
3 ILLUMINATION Yea❑ No❑ Typs EIKf. permit No.
4. SET BACK FROM PROPERTY LME N_ S_ E_ W Zoro_ Approvad,Zon* Inspedor
1. TYPE SolidU More Thon BO%
FENCES MATERIAL _
3, SET BACK PROM PROPERTY LINE N_ ;
Lest Thon 80% Open_
eipM
w 7,..,.
ZIP CODE03
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0.
234-5933 P.O. eoxs38 CITY OF WHEAT RIDGE, COLO. M93418848
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHiEF BUILDING INSPECTOR ANC RECEIPTED BEl'JW.
JOB ADDRESS
CITIGV,L~Y,(_._A ZIP CODE
OWNER .
ADDRESS
PHONE L
CONTRACT PRICE,$ i5, ADQ OC'
ZIP CODEOQ,L1?,R
PHONE i!:k~
'S'Ul2Y~Z _ LICENSE NO
. ~b(rLQ~
I
DATE
~
1. TvPE Ground❑
Wo11❑
Proieclinp
01her
SaDFoc1
SIGNS
2. MATERIAL
Total Square FaN
3 ILLUMINATION Yea❑ No❑
Typs
Elee}. Pormif No.
4. SET BACK FROM PROPERTY UNE N
(Speeify which ia fronf )
_ S_ E
❑ ❑
_ W
❑ ❑
Zone_
Apprwed,ZOm Insp~ctor
DisapprOVed
i. TYPE Solido More Than 80% Opsn❑
Ltes Thon 80% Open
FENCE
? MATERIAL
H
i
S
3. SET BACK FROM PROPEFtTY LINE N
(Spaeify whieA is tronf)
_ S_ E
❑ ❑
_ W
❑ ❑
phf
e
Zme_
Approwd,Zone Impecta
paapproved
I. ~
OTHER
2
3.
onciCn vrc anOw ocww, InC I'tNGt,51GN,OR OTHERSTRUCTURE,GMRu" DISTANCESFROMPROPERT/LINES.
(SETBACKS OR PROJECTIONS INCWDED)
~
SPECIFY NORTH
STREET N4ME
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS,AND PRpPERTY LINES; ON IRREGULAR LATS, SIIOW 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 WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
SiATE UCENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDERSIZE 8 ILLEGAL
NO,
FLOOR
WATER CLASET
BSM
IST
2ND
3RD
4TH
NQ
FUELaCitkOm Co{ql E Sply
FORCED AIR - BTU
TEMPORARY METER
WASH 80WL
HOT WqTER - BTU
NEW SERVICE ° AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-LIFCUITS
UTILI7Y(RANGE,DISPOSER,ETC)
WATER HEATER
AUTO.WASHER
Refri sront Group
PpunAs tlar e
FIXTURES
DISH WASNER
AUTOMATIC SPRINNLER $VSTEM
WIRING MOTORS d CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
I Mmby ocknowledqe thot thia avviico-
PERMIT FEE
8 a~/
NOT VALID UNLESS RELEIPTED
~y
}i
'Szo
on is Correcf and understond thof I
USE TAX
*
a rj
L~
connor .rarf tnis v,ojecr untu rnis ovvli-
-
wtion is avProved. I snan compry witn
TOTAL FEE
fhe lowf of the Slafe of Colorado ond fo
ihe Zoninq Requlationa and Builainq
APPROVED
Code of the City ot Wheoi Ridpe. Any
@ISAPR90OE-D
violotion ot tne abovs terme wiu couse
CHIEF BUILDIN SPECTOR,Cityof Wheaf Ridqe
immediote revocofion of tnis permit
~
CALL 234-5933
24 HOURS IN ADVANCE
D018 ISSUBd
FOR INSPECTIONS
~ IicanU 9i0natur•
/~l C S a !t c{5 -)6
Pt
Iz-l
INSPECTION TICKET
JOB ~S V " prl~
ADDRESS
DATE: ~-BLDG. PERMITB
PERMITA Q
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. C11► lu I
INSPECTION MADE
REMARKS
W.R. FORM 619 ~
7500 WEST 29tn AVENUE DEPARTMENT OF COMMUNITY DEVELAPMENT
237-8944 ExT. 255 P.O. Box 638 BUILOING INSPECTION DIVISION PERMIT N0.
CITY OF WHEAT RIDGE, COLO. ME92I14976
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILOING INSPECTOR AND RECEIPTED BELOW.
FLJC}tTION FOR MISiELLANEOU ERM T
JOB ADDRESS a.~ZL~V_ ~y
I`nurownrn.,'L'~.~Od 9 J~" `Z,A OWNER .l.iw.~ Gl~//'
ADDRESS O PHONE 21P CODE
CITY ~
ZIP CODE E ~~4ZZ CONTRACT PqICE $
PHONE ' LICENSE NO.
1. TYPE GrounO ❑ Woll❑ Proitcliey❑ 01Mr S a D Faeo
2. MATERIAL
SIGNS Tofel Sqmn Fesf
3. ILLUMINATION Yas❑ No❑ 7yps Eleef. permit No.
4. SET BACN FROM PROPERTY LINE N_ S_ E_ W Zone_ Approvad, Zpna Inspeotor
(SDetitv whioh is from 1 n n n n
1. TYPE SolidU More TAan 80% Opsn[3 Lns Thon 80% Open
FENCES MATERIAL Heiphf
3. SET BACN FROM PROPEft7Y LINE N S_ E_ W ione_ ppproved,Zone Impsetw
(Specify whieh ia front) ❑ ❑ ❑ Dieopvroved
1. "
OTHER 2
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTU
(SETBACKS OR PROJECTqNS INCLUDEO)
SHOW DISTANCES FROM TliE MAIN BUILDING TQADJOINING HOUSES,STF
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTAPERMIT FEE
i
APPLiCATlON FOR PLUfv9BING; ELE INSPECTION MADE !-3 2-~'f Z
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATE / VISION.
PERMIT WILL E%PIRE 69 DAYS FROIA DA'fE OF ISSUAI REMARKR /l]~C
ELECTRICAL PERMIT
STATE LICENSE NO ~4
PLUM8IN
STATE UCENSE NO
R~_il~?AIf~E6aAWIf7EL~NUEl7SIZEBILLEGAL
FLOOR
BSM' EleeSd
WATER CLASET
a
TEMPORARY METER
WASH BOWI
W.R. FORM 6-19
NEW SERVICE AMPS
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
~
HEATING
POWER SUB-pFCUITS
UTILITY(RANGE,DISPpSER,ETC.)
FI%TURES
GARBAGE DISP
WATER HEATER
AUTO. WASHER
DISH WASHER
Refr' ronf-Group
pipunft Gqrge
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 8 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 8 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
I hsreby acknowladqe that fhis applico-
fion is eorrecf and underatond thaf I
eannof storf fhis projeet until this oppli-
cation it approved. I aholl comply wifA
fha laws of the State of Colorodo and to
fhe 2oninq Repulations ond Buildinp
Code ofthe Cify ot Wheat Ridqe. Any
viotafion of ihe abovs ferma will cause
imyadiNe revpcation ot this permit
USE TAX
TOTAL FEE $
CHIEF BUILDING
INSPECTION 71CKET
3
JOB
ADDRESS _-33 ! c w 0.,9 e~k
iyG 5 Z
DATE: G - I BLDG. PERMITM u7 76
PERMITX
BLDG. CONTR. IA
bv
SUBCONTRACTOR
DATE INSP. REQ. rn TYPE OF INSP.,/`r-
, CiTy of WkAat Ridqe
Dote Issued 6` 'L_
NOT VALID UNLESS RECEIPTED
7^02
1~4 7q~U
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
STREET N4ME
. Le
1... 1
INSPECTION TICKET
INSPECTION TICKET JOB ~C 1 rfp1
ADDRESS ~~-J ~ ~ 1QRl X JOB
ADDRESS 3~1 SW
DATE: . 'Y ZBLDG. PERMIT# 3 2 3 S
--c-.~~-~ PERMITM
BLDG. CONTR
SUBCONTRACTOR
vu .
DATE INSP. REQ.
TYPE OF INSP. ~F1~"~"^^^
INSPECTION MADE~ ~
A ~
REMARKS ~f
W.R. FORM &19
~
(
) kv
DATE:
BLDG. PE
RMITA~
PERMIT#
BLDG. CONTR. f~I
SUBCONTRACTOR
DATE INSP. REQ.~
~
'
TYPE OF INSP
I
.
U
~
INSPECTION MADE
d
REMARKS !/lC- .
~
Ib
INSPECTION TICKET
JoB 33~s ~c1~ d ADDFESS
DATE: 1 BLDG. PE M TN
PERMIT# (fiP
BLDG. CONTR.~ O Q ~ P~ (3.A "
r U
SUBCONTRACTOR
DATE INSP. REQ.~PI
TYPE OF INSP.
INSPECTION MADE - ~
REMARKS \ \ \ •
. D~ ~~~fifQ~l `~m0 (l10
W.R. ORM 61
iCYN~N
`N ~C
✓
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDIN6 INSPECTION DIVISION PERMIT N0. MP921I3235
237-6944 ExT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONI.Y WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTED BELOW.
APP ICAT N FO MISCELLANEOUS PERMIT
JOBADDRESS ~ - ~ OWNER 795
CONTRACTOR ~ ADDRESS
ADDRESS ~ PHONE ~ 32 ZIP CODE
CITY ZIP CODE %ONTRACT PRICE $
PHONE o2 L 3- ZOO7 LICENSE N0.1LJffL'--=-
1. TYPE ~~or..... .17 ' Wall❑ Proieetinp❑ Otn; . • D feee
2. MATERIAL Tofal Sqwro rwt -
SIGNS 3. ILLUMINATION Ya❑ No❑ TYDa Elwf, Psrmit No.
4 SET BACK FROM PROPERTY LINE N_ 5^ E^ W ~ Zone_ Apprwad,2om Ins(»otor
L TYPE SolidD Mon Thon 80% Opsn[.J Lou Than 80% Open
MATERIAL HeiQht
FENCES 3. SET BACK FROM PROPERTV LINE N_ 5_ E_ W Zons_ Apprwed,Zons InSpOeta
(Specity whieh ie tront) ❑ ❑ ❑ ❑ DisaPOroved
I.
OTHER Z'
3. ~
DRAW SKETCH OR SHOW BEIOW,THEFENCE,SI6N,OR OTHER STRUCTURE,GINhG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDEA)
~
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM THE M41N BUIIDING TQADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR lATS, SHOW LEAST
OISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIOATION BV THE BUILDING INSPECTION DIVISION
PERM!T WILL E%PIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STAR?F_n WITHlN,THAT TINIE.
ELECTRIuAL "rcRNiIT
PLU
MBING
PER
MIT
~
HANICAL PERMII
ATE UCENSE N0
STATE LICENS
E N0.
.
ST
.
I5T
2ND
3R0
4TH
NQ
Fl1ELChcleOnO GaF 0116 Else Sdor
EGAL
NDER SIZE 8 ILI
FLOOR
BSM
ALUM
.
INUM WIRE U
J
FORCED AIR - BTU
NO
~
WATER CIASET
HOT WATER - BTU
TEMPORARY METER
WASH BOWL
Z~
STEAM _ BTU
NEW SERVICE - AMPS
BATH TUB
AIR CONDITIONING-BTU
CHANGE SERVICE-AMPS
SHOWER
OTMER
LIGHTING
SINK
REFRIGERATION SYSTEM
HEATING
GARBAGE DISF
Retri eranf Group
POWER SUB-CIFCUI7S
WATER HEA7ER
J
poundt CMr e
UTILITY (RAN6E, DISPOSER, ETC)
AUTO. WASHER
AUTOMATIL SPRINKIER SYSTEM
FIXTURES
DISH WASHER
EIEVATOR
WIRING MOTOftS 9 CONTROLS
FLDOR DRAIN
SIGNS
URINAL
TRANSFORMERS 6 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
~
REMARKS
I hsreby acknowiedqe thot this apDlica-
fion is eoirect and understond thof I
eannot ita.t tnis projetf until this apPli-
cation if apDroved. I shall comply with
1he lowe of the Stote of Colorado and 1a
ihs Zoninq Repulationa ond Buildinp
Code of the City of Wl+eaf Ridpe. Any
violotion of fhe above ferms will cause
immediate revocotion of thie p rmit
•POlieanl~ 9i0~a~~~•
PERMIT FEE 0'0
uSE 7Ax
TOTAL FEE o,
CHIEF BUILDI~INSPECTOR,City of Wheat Ridye
Date Issued
NOT, pVALID UNLE55 Kectiria
C'k~~ a7a~
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS
7500 WES7 29tn AvENUE DEPARTMENT
BUILDING NSPECTION D V SI NPMENT pERM1T N0. M~2#
237-6944 ExT. 255 P.o. eox 63e CITY OF WHEAT RIDGE, COLO.
TNIS PFRMIT VAi m ONI V WNEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTED BELO`N.
JOB ADDRESS
CONTRACTOR
ADDRESpS 2.~,
CITY /JP/17~L
PHONE L "(J
ZIP CODE ~J2
LICENSE NO. 16014
LLANEOUS PERMI~ , n ~
OWNER N1
ADDRESS
PHONE ZIP CODE
CONTRACT PRICE $ ~l 3~n~ v
1. TYPE Caround❑
Woll❑
Proietliny❑
01hsr
SaDFoes
2. MATERIAL
Totol Squme FaN
SIGNS
3. ILLUMINATION Yes❑ No❑
TYDe
Eleet. Permit No.
4 SET BACK FROM PROPERTY LINE N
_ 5_ E
_
W
Zons_
Apprwad,ZOnelnspeeta
(Spacify which is tront )
❑ ❑
❑
❑
DisapDrwed
1. TYPE Solid❑ More Thon 80% OpsnO
Lest Thon 80% Opm
MATERIAL
2
Hdpht
FENCES
.
3 SET BACK FROM PROPERTV LINE N
_ 5_ E
_
W
Zone_
Approwd,Zone Impata
(SOecify whieh ia front)
❑ ❑
❑
❑
daapproved$
~
L lA ~
.I~CCJ
~
OTHER
Z
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHERSTRUCTURE,
(SETBACKS OR PROJECTIONS INCLUDED)
INSPECTION TICKET
~
JOB ~ p
ADDRESS ~ 3 9 S W c~ ICr(
DATE: 1 ~ BLDG. PERMITM S 1 Z 3
PERMIT#
BLDG. CONTR. I L""k
STREET NAME
SHOW DISTANCES FROM THE M41N BUILDING T6ADJOINtNG HOUSES, STREET
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE
APPLICATIOPI FOR PLUMBING; ELECTF
THIS APPIICATION WILL BECOME A PERMIT TO VERFORM THE INDICATED W
,G^E'Ff}A1T WILI EXPIRE 60 DAYS FROM Q4TE OF ISSUANCE
ELECTRICAL PERMIT PLUMBING P
STATE LICENSE N0. STATE LICENSE N0.
pr ; ia4lc,U9,S 4t'IRE i.IFlLER SiZE 6 ILLEGAL _ F100R BSM I S
TEMPORARY METEH WASH BOWL
NEW SERVICE - AMPS BATH TUB
rueurc ccwvicc - AMPS SHOWER
DISH
WIRING
RS 6
OLDY
R I HI
URINAL
li
-
PERMIT FEE
Ca
1 hereby aeknowledqe thot ihis aOD
fion u correct ond understond fhaf I
USE TAX
cannof ftart this project unfil this appli-
cotion ie aDOroved. I aholl comply with
TOTAL FEE
fAS lows of fhe Sfate o1 Colorado ond to
the Zoninp ReQulations ond euildinq
ApPROVED
DISAPPROVED
Gode of the CitY of Wheot Ridpe. Any
_
viololion of the abovs terme will cause
CHIEF BUILDING
immediate revocotion af this qle~mit
SUBCONTRACTOR
DATE INSP. REQ. 4=::I-*
TYPE OF INSP. ~
D G~/S~/9'') )N
INSPECTION MADE _
REMARKS
W.R. FORM 619
$ S{ l, fo D
~
NOT VALID UNLE55 RECEIPTED
~
.2P,L* 4Y04? Ck- 1946
t~S-o6~i2
,City of Wheat Ridqe
Date Issued 5- 6 CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FOFINSPECTIONS