HomeMy WebLinkAbout3381 Vivian Drivei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: `T 04— F%r) y1
Job Address: _s�/ t/`'�-<'r� fir,
Permit Number: 201 701(4 �) %
Ir G dC4
Ll No one available for inspection: Time / jj� AWPM
t<i i +,.
Re -Inspection required: Yes
When corrections have been made, call for
re-inspection at 303-234-5933
Date: 10/2) 2 .x 11 U Inspector: d.�p°ne L&yet
DO NOT REMOVE THIS NOTICE
City of
W heatidge
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit EX-tens-im Rectuest Form
Permits 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 ofno more than 180 days may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Plast complete this force in its enthety and submit to the: Building Division at
permits(&ci.wheatridge.co.us or fax to 303-237-8929.
Party requesting permit extension:
Permit # 0(D -q-03- Property Address: ?jfE ( \J-1 v 1 r, n`
Phone #_3 -23'3-311 Email Address:'a4t nC Ccryt
Reason for extension request:
Number of days requested:
34p
Printed Name. signature:.17ate;
For offtcc ttse only
This request has been:
-Approved by:
❑ Denied Extend until:i/131/1
l
Date:
www.d.%-heatddge.co.us
I'* � 4 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: 4 o9 f' 0&-\ � �,V
Job Address: V ► L/ � C, Y-1 1- 0 .
Permit Number: Ct-,7:7-
lvd , .Ppirl ti ed
❑ No one available for inspection: Time 110,1615- �I�PM
Re -Inspection required: (5)
No
When corrections have been made, call for re -inspection at 303-234-5933
Date: a I Inspectors
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:D
Job Address: 33
Permit Number: oZ 6 / 7p I sl F
Oe
❑ No one available for inspection: Time 1) 1 7 AM/PM
b -Inspection required:( No F( J14A
rf*When corrections have been made, call for re -inspection at 303-234-5933
Date: -/3,/,29/ 7 Inspector: 1,3(11
DO NOT REMOVE THIS NOTICE
A
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701487
201701487 ISSUED: 06/05/2017
3381 Vivian DR EXPIRES: 06/05/2018
Remove and replace entire roofing on house; replacing with GAF Timberline
HD - 30 squares
*** CONTACTS ***
OWNER (303)238-3115 KOZLOWSKI ALFRED J
SUB (720)248-7374 Scott Jeffrey
120089 Mile High 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: 7,710.00
FEES
Total Valuation 0.00
Use Tax 161.91
Permit Fee 172.60
** TOTAL ** 334.51
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201701487
PERMIT NO: 201701487 ISSUED: 06/05/2017
JOB ADDRESS: 3381 Vivian DR EXPIRES: 06/05/2018
JOB DESCRIPTION: Remove and replace entire roofing on house; replacing with GAF Timberline
HD - 30 squares
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
�ermil, I further attest that I am le -ally authorized to include all entities named within this document as parties to the work to be
perfed,aad"fit all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sign ure of OWNER or CONTRACTOR (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, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
ff
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting o�f a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordi npce,or reg > oft 's�j isdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ei.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 Midge
MUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cb_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # G/ IU'
Plan Review Fee:
Building Permit Application
I Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: Z13
Property Owner (please print): �� d b2 ��r� J Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: N'1\9 u'\(Av V OA_�Vln �(\j
Phone:
Contractors City License #: 12 Q ( R.c-i Phone: 720 - _309 - 1
Contractor E-mail Address: i
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL [3 RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.) y OW �� (d0f �? v7 1 t e Coc)'��
S�-
Sq. Ft./LF Btu's Gallons
Amps
Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ ___-IP-A—A!, --- -
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) o UTHORIZ£ REPRESENTATIVE) of (OWNER) (FONTRACTOR)
Electronic Signature (first and last name): DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
") ( 0 eco
Building Division Valuation: $
A �e City of Wheat Ridge
Residential Roofing PERMIT - 201701697
PERMIT NO: 201701697 ISSUED: 06/07/2017
JOB ADDRESS: 3381 Vivian DR EXPIRES: 06/07/2018
JOB DESCRIPTION: Remove and replace roofing system on house; house will be roofed with GAF
Timberline HD; 30 squares
*** CONTACTS ***
OWNER (303)238-3115 KOZLOWSKI ALFRED J
SUB (720)248-7374 Scott Jeffrey 120089 Mile High 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: 7,000.00
FEES
Total Valuation 0.00
Use Tax 147.00
Permit Fee 156.75
** TOTAL ** 303.75
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. 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&Oms 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201701697
201701697
3381 Vivian DR
Remove and replace roofing system on
Timberline HD; 30 squares
ISSUED: 06/07/2017
EXPIRES: 06/07/2018
house; house will be roofed with GAF
I, byo my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
appl�ca le 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 le al authorized to include all entities named within this document as parties to the work to be
per
and that all work to b rmed is disclosed in this document and/or its' accompanying approved plans and specifications.
f —�
`Signature`oo OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees andprocedures 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, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
e
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 insptimerequestgci.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
W heatidge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # D, () ())
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): ��� �Cc`�21�.i�S �L� Phone:
9
Property Owner Email: ��d",,\VC�-A (zpC r 'rClx�
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor:
Phone:
Contractors City License #: 2L -Q Phone:
Contractor E-mail Address: I
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ,f RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION "RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
uc>N\� \r,sz Ccx c-\ v -o
Sq. Ft./LF Btu's
Amps
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$__ _1, _ c . .- -- -
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (A RIZE)D-REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): �•��'DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
FOR OFFICE USE 0 NL V
City of tea ."
,?P�Wh6at d le
C0MMUNtTYDEVEL0PTE9.'-j'g
Building & Inspection Services Division
7500 W. 2e Ave.., Wheat Ridge, CO 80033 Plan Review
Office: 303-235.2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
---
Building Permit AppliCation
Plane COMPlate all htghtigh%d areas on both sides of this to"". the olet0 "PlIcations may not be, processed.
Property Add e:
ropy Owner (please print). � � �°r Phone:
Mailing Address: (if different than property address)
Address.
City, State,'' i
ArchitecVEnginoer E-mail: Phone:
Contractors license #: Phone:
Contractor d a ' ,'_r' � le C Ida w,
Sub Contractors:
Electrical; Plumbing: Mechanical:
W.R. City License # W-t . City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub;
City License # City License
Complete all information on BOTH sides of this form
DNEW COMMERCIAL ELECTRICAL ,M
NEW RESIDENTIAL STRUCTURE #COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROFING
• A ADDITION WINDOW s ♦ A SIF
....
COMMERCIAL
...k ACCESSORYSTRUCTURE
RESIDENTIAL
(Garage, shed, deck, etc.)
ACCESSORY STRUCTURE
w * ,, shed,deck,
MECHANICAL
A A IIMXIMA REPAIR
1 YM AU REPLACEMENT
► 16 A
PLUMBING SYSTEM/APPLIANCE nit M A• or • •' k
CMENT
E ELECTRICAL SYSTEM/APPLIANCE
•MXA REPAIR
n r AYYr REPLACEMENT
X1 Pk
« ;
Sq. FULF Stu's Gallons
Amps A a ° Squares Other
HEA City of Wheat Ridge Building Division
7500 W 29 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax 303-235-2857
Inspection Line: 303-234-5933
. --
• I- I • F:r-J731#TF-'T#T11=
Property Address: '33 1 v,
Property Owner (please print):
J/ V 24DW&Ki
Date.
Plan #:
Permit #.
Address, 0101
City, State, LIP-I&ILL
Plumbing City License #: Mechanical City License #:
Company Company:
e ` , s CITY OF WHEAT RIDGE
Building Inspection Division
�( (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �;Iz-1 c '�
Job Address: = l ✓ ,`_a U; lJ
Permit Number: �UC' 4 7!1
rc, ✓cz.c�
,
❑ No one available for inspection: Time i ;! 5 AM /PM
Re- Inspection required: Yes No
When corrections have been made, calf for re- inspection at 303 -234 -5933
Date: '/ / - ;Y> Inspector: 1 6
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
►J Residential Plumbing PERMIT - 100974
PERMIT NO: 100974 ISSUED: 04/19/2010
JOB ADDRESS: 3381. VIVIAN. DR' EXPIRES: 10/16/2010
DESCRIPTION:. Replace 60 if of sewer line from ..house to tap
***CONTACTS
owner 303/238-3115 Alfred Kozlowski
sub 303/595-3000 James Blissett 06-0051 Drain 11011 Rooter
**PARCEL 'INFO
ZONE CODE: UA USE: UA
SUBDIVISION: 0696 BLOCK/LOT#: 0./
FEE 'SUMMARY 'ESTIMATED PROJECT VALUATION: 3,500.00
FEES
Permit Fee 126.50
Total Valuation .00 MOM
Use Tax `63 . 00
**-TOTAL. :.189.50..
Conditions:'
Subject to field inspections.
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..
applicableWhen ge rdinances for work under this permit. Plans subject tofield inspection.
J
Signature of contrac /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 changes. have been or if suspension or abandonment exceeds one (1) year, fullfees 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 'of, any violation of the provisions of the 'building codes or any other ordinance, law,. rule or regulation.
All. plan vi is subject to field inspections
Signatur of ief Building Official date
INSP TION REQUEST LINE: (303)234-.5933 -BUILDING OFFICE:: (303)235-2855
REQUESTS :MUST BE :MADE BY 3PM ANY.BUSINESS '`--DAY FOR INSPECTION THE FOLLOWING' BUSINESS DAY.
b i e
- 1I City of
W heat Midge Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit # G Cl(l~-
_7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
Property A dtess ~0 I/) , 1/' t M blk-
Property Owner (please print)` YL--z /~~,y/6,ws rone:
Mailing Address: (if different than property address)
Address:
City, State, Zi
contractor:
Contractors
License
Phone: 7- .7 0 C) Electrical: Plumbing: Mechanical:
City License # City License # City License #
Des~rlptloin.°of work/~;°'
h A- V~ O L S Contract Value:
$ 3, S77 n
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps .SSq-Ft:
$
21
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 applicable City of Wheat Ridge codes and ordinances for work under anY Permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLEONE:. (OWNER) (CONTRACTOR) or ((AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: 1~/~C(/~- /t, / V V Pte'/SIGNATURE: r' DATE:'~~ /CI
✓ ~i✓ ft ie r N p y y yc ja r <s e rh✓ss✓~ G'
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y? ✓ry`„-`, .,0`:~3,i~a ~'U2l'F,>`ti,>'~i~°~.~~fh 'r~r ~f $~F^`"~y ".rr,.'yria,c.-"u=" ~~s~^~~~~/ 3~ F~~ ~ rxz.
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Ci'ty of Wheat Ridge
Residential;Roofing PERMIT - 071220
PERFIIT Ndr 0U220 . . ISSUED: 11/07/2007 .
J09ADURESS:..3381 VIVIAN DR . . EXPIRES: 05/05/2008 -
DE$CRIPTr4I3i.T/0.2.LAYERS, REPLACE 39.7 S4.HERITAGE 30 YEAR . .
•+~x CONTAC3'S' rwx
6C 363J425-7531 Carol Dykhouse 01-9983 J&' K Roofing Inc. QWNER 303j23.8-3118 AL KOSLOWSKI . •r'PAR~EL ZPFO"r•
zOw,. CC1D8: . . UA . . USB: UA . .
SVBDTVISI0I3E 0696 BLOCK/LOT#: Q/
FE'E $Ui'AfARY ESTIMATED PROJECT VALUATION: 7,026..90
FEES • . Permit B'ee:. . 199.30 . .
Total vaiuation .00
II8e'.. Tax . 126.48 . tw''TO'tAL . ' 325.78 "
ALL :SSIIy'(;L,E$ MUST. BE 6 NAILED . . . . .
jp RNY I]$CK2NG ZS REPLACED,. AN IF7SPECTION IS REQUIRED BEFORE PAPSRING '
MI33 ANL1 k'IM ROOF INSPECTIONS REQUIRED Z&8raby cqYtily Gdatthe setback diatancee proposed bythis permit application are accu{ate, aRdBo xtot violate applicable
or9inat.qea,~ rulee Orregtilatione ofthe CS[y of viheat Rid9e or covenanta, eaeemente oc ;¢etrictianu of.necoxd;. that.all
meLguYRmeAEe.ekawA~~and alke9atione made are accurace;. that I have read and agree to ab1de by ali~con¢£Cione priated on thie
appllcapitln aild thGt I aeaume fu1L re6ponsibility for compliance with the Wheat Rid9e euilfling CoCe (I'.B.C) and allother
appj,:ldabl8 97Yteat g1dge Ordinances.,[or work undeY this permit. Plane aubject Co field Snspect>on. SSgx1ACUT0 0£ cOntzactor/owner. . . date .
I, ',iRtla patfia.tlwab 3a9ved in BCCOrdance witrithe provSeione set forth in your applicatioii and iA eubj0c[ [o the laas'of the
~Stake of CqkOr8doand to the 2onin9 Regulatione and Building Codee of Wheat [tid9e, Colorado or any other applicable
Ozdinaf,6e6 Of theCity. '
2. Thia peYmntehalT explre 1BOdaysfrom the ieeue date. Requeate for an exteneion mueC be receiveC prior Co espiration
date. M eMte4mion may be gtanted at the discretion of the Buildin9 Official. , . 3. . 3[ Lhie pemit CxPires, a newpermit may be acquired for a fee of one-half the amount. normally req4ired, psovidefl no
chynyeg h3vg tCep or will be.made in theoriginal plane and apecificatione and any stiapeneioE~or aleandonment dae.not
..'exo6edsd6rie (1) year. If chan9ee have been or ifeuspeneion or abandonment exceede one (1).year,full feee ahall
be yuksd faaa stew pasmit. 4.. Na'..woYk otany 1manner etiall be done that will change the natural flow of water caueing a dralnageproblem.
5. ..LO11tsaCtozaha11notify theBUi3ding Inepector twenty-four (24) houre in advance fot all inapectioaa and ehall receive
vritten approval'An in9pection card befote proceeding with eucceeeive phaeea of Che job. .
5. Tho yggiwaC:k'of.aparmit or the appzovaY of drawinge and apeCiflcatione ehall not bg:conetrubd to tie a pemit for, nor
an.&pproval oL[.any violation of the provieione of[he building codea or any other ordinance~,-.law,.rule or regulation.
'All plaia revimw ie aubjacCtofield i pectione. . gignaCUSS of L7iiei. Building OfHcial !date pNgp'~~Zpg'-gb"OtT89TLIDT~t ( 03)234-5933 BUILDING OFFICE: (303)235-2855RgQU$STS MCfST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION TFiS FOLLOWING BUSINESS'DAY.
. : ~ . .
~
z u~. y, . . . . .
!
City of Wheat Ridge
~
a.
Residential Roofing PERMIT
p~;'~RT(I"1 N6. .471220 ISSUED:
~,~'jZbR$SO:..3381 VIVIAN DR EXPIRES:
~,.+°'CR~PTi&=.'T/p 2~LAYERS, REPLACE 39.7 SQ.HERITAGE 30 YEAR
-071220
11/07/2007
OS/OS/2008
3.531 Carol Dykhouse 01-9983 S& K Roofing Inc.
3115 AL KOSLOWSKI
UA USE: UA
059e aLOCx/LOT#: o/
ESTIMATED PROJECT VALUATION: 7,026.9U
FEES
199.30
aCion .00 126.48
325.78
RJST'-HE 6 NAILED
;SS..!REPLACED, AN INSPECTION IS REQUIRED BEFORE PAPERING
P,C?OF INSPECTIONS REQUIRED
hit tt}e aetback distances proposed by this permit application are accurate, and do not violate applicable
OYsegiilations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
aAdallegaCione ade are accurate; that I have read and agree to abide by all conditions printed on this
xlt F aeBUme ful r spons ility for compliance with the Wheat Ridge Building Code U.B.C) and all other
Q Ordinajnc= ork under this permit. Plpns subject co Eield inspection.
7
Cwds Seitud iR 3ccordance with the provisions seG Eorth in your application and is subject to the laws of the
o14iadoand to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
of the City.
4'..BhA{11. Cxpire 180 days from the issue date. Requests for an exCension mus[ be received prior to expiration
B%GmFi►lOTimaY be granted at the discretion of the Building Official. rovided no
y~'m*l~ exp}see, a new petmit may be acquired for a fee of one-half the amount normally required, p
4e ISBEn oiw111 be made in the original plans and speci:ications and any suspension or abEvalnfees shallot
Me (f) yegY. If changes have been or if suspension or abandonment exceeds one (1) year,
X':4 iwW peimit.
..8ny manner ehall be done Chat will change the natural flow of water causing a drainage problem.
'~.BY10.I} [Wtify the Building Inspector twenty four (29) hours in advance for all inepections and ehall reCeive
viMAla?[inepection card before proceeding with successive phases of the job.
jCCofa~permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
~i!pf, anyr violation/~~ovisions of the buildin4 codes or any other ordinance, law, rule or regula[ion.
'rviea ieeubiect to Pections .
~ Vend
~ f.BUilding Of ial date
SQSJBST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
T -$E`MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
P-ov-- r~y-
oF ";"E"TR . City of Wheat Ridge Building Division 1' /9 pate:
~ m 7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 P/an
o Inspection Line: 303-234-5933 •
~(ORP~ 6~-~~ j Pprmit#: . Building Permit Application
Property Owner (please print): o Phone: 303
Mailing Address: (if different than property address)
Address: ~4-rk e
City, State, Zip: ~o';~, ,-,~z :d14k. ('O S<'3-, S
Contractor License ~C~c~ 3 Phone:
amwmmmm
Electrical City License
Plumbing City License Mechanical City License
Company:
Company
Company:
Exp. Date:
Exp. Date:
Exp. Date:
Approval:
Approval:
Approval:
Use of s ace de
scr
iption):
6Z~~
Construction Value: $ ~~~c °°t o
~
~
(as calcWated per the Building Valuation Data sheet)
Q
Plan Review (due at time ofsubmittalf: $
39
Q~~
Sq. Ft./L.Ft added:
Squares
BTU's
Gallons Amps
TAMKO' Elite Giass-Sear AR PRODUCT DATA
T9R664AB ASP6W 861N666S ~
Manufactured in Frederick, MD
TAMKOO ELITE GLASS-SEALOAR self-sealing
3-tab shingles are made with TAMKO fiberglass mat
coated on both sides with a thick layer of weathering-grade
asphalt and surtaced with ceramic granules.
~ For application to roof decks with inclines of not less than 2 inches per foot. For slopes
between 2 inches and 4 inches per foot, refer to wrapper instructions.
• 25-year limited warranty, 3-year FULL 3TART, limited transferability, winds up to 60 MPH.
• Super+or fire resistance compared to organic shingles.
• 10-year Algae-Relief (AR) limited warranty that provides for cleaning of discoloration
caused by certain algae growth that may occur in areas with high humidity.
T
I Listed by UL for.
Class A Fire Rating
Wind Resistance
( ASTM D 3462
Fed. Spec.: Exceeds 5S-S-001534,
Class A, Type i
Tested in compliance with:
UL 790lASTM D 3018, Type I; ASTM E 108, Class A
UL 997/ASTM D 3161, Type I, Class F(110 mph)
UL 2390/ASTM D 6381, Class H(150 mph)
ASTM D 7758, Class H(150 mph)
TAS 700-95 Wind and Wind Driven Rain
Miami Dade County Florida NOA 05-0311.03,
Expiration Date 04/11/2007
~ Colors:
• White
• Weathered Wood
• Rustic Cedar
• Grey Blend
• Tweed Blend
• Slatetone Grey
• Rustic Fledwood
• Pastel Green
• Pastel Brown
• Pastel Red
• Empire Green Blend
• Tile Red Blend
Antique Slate
• Rustic Black
Shingle size
Exposure
Shingles per square
Bundles per square
'All values stated as nominal
12-1 /4" X 36"
5-1/8"
78
3
CAUTION: The National Institute for Occupational Safety and Health (NIOSH) has con-
cluded that fumes of heated asphalt arA a potential occupational carcinogen.
Do not heat or bum this product.
Far Iniortretbn ragaMing e capy oi TAMKO's limitetl werteny, coMed yaur bcel TAMKO representetlve, vlsil ua mYne et
7'AM KA
I
~t~~.or .11 usat
~
- Central District
220 West 4th St., Joplin, MO
64801
800-641-4691
SmLOIWV• pR~~UC"
Northeast Distrid
4500 Tamko Dr., Frederick, MD
21701
800368-2055
Souiheast Districf
2300 35th St., Tuscaloosa, AL
35401
800-228•2656
TAMKO Logo, Rooler Logo, EIGe Olese-Seal'°
SoUthweSt DiStfiCt
7910 S. Centr3l Exp., Da118S, TX
75216
800-443•1834
entl TAMKO` ere regleroretl tratlemeMS of
TAMKp, qodnp proaucte, tr,a
Weslem District
5300 East 43rd Ave., Denver, CO
80216
800-530-8868
r _ COMMUNITY DEVELOPMENT DEPARTMENT
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
14997
1 /7/03
Property Owner:
AL KOZLOWSKI
Property Address :
3381 VIVIAN DR
Contractor License No. :
20646
Company :
Watson Electrical 8 Mechanical Corp
SIC
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the selback distances proposed by this pertnit application are accurale, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; fhat all measurements shown, and allegations
made are accurate; that 1 have read and agree to abide by all wnditlons 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 orcJiQances, for work under this pertnit.
(OWNER)(CONTRACTOR)SIGNE7(iCw,2~4,~ DATE
Description : REPLACE BOILER
Construction Value :
$4,931.00
Permit Fee :
$111.25
Plan Review Fee :
$0.00
Use Tax :
$59.17
Total:
$170.42
Use:
BUILDING DEPARTMENT USE ONLY
Approval:
Occupancy : Walls
Roof
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Phone: 303-238-3115
Phone: 303-989-4737
Sq. Ft. :
Stories : Residential Units :
Mechanical License No :
Company:
Expiration Date :
Approval :
(1) This permit was issueA in accordance with the provisions set fotlh in yopur application and is subject to the laws of the State of Coloratlo antl to lhe Zoning
Regulations and Building Code of Wtreat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixly (60) days from issue date or (B) the building aulhorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired !or a fee of one-half the amount normally required, provitled no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall ba paid for a new permit .
(4) No work of any manner shall ba done that will change the natural fiow of water causing a dreinage problem.
(5) Contractor shall notify the Building Inspector lwenTy-four (24) hours in advance for all inspections and shall receive written approval on insDection wrd be(ore
proceediing with successive phases of tha job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to ba a permit for, nor an epproval of, any violation o( the
provisions of t building codes or any other ordinance, law, rule or regulation.
ChiefBUidin I s
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 AppLICATIo N
Property Owner: A L KO Z LDws~ I
Property Address : 3:301 V/ lf /,q,1V-pF- Phone :3D3 -Z3$-3llS
Contrector License No. :
Company: Et.EC77ZtCltc_ 9 lKeCyA,ulGhL P one:3D3-q$q -4737
OWNER/CONTR.qCTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distanees proposed by this pertnit applieation are aceurete,
and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or
covenants, easements or restrictions of record: that all measurements shown, and allegations
made are accure[e: that I have read and agree to abide by all conditions printetl on Nis
application, and that I assume full responsibiliry for compliance with the Wheat Ridge BuilCing
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this pertnit.
(OWNER)(CONTRACTOR)SIGNED_ lJ~t~_- pqTE_n2
~I_'7
Description : P-EPLkCg T3D jLe_;l
Construction Value : L/.c~ ~ o0
Permit Fee :
Use Tax:
Total :
VJC.
BUILDING DEPARTMENT USE ONLY
° - - ~ SIC : Sq. Ft. :
~ Approval:
Zoning :
tsuiiain
Approval: • '
Approval:
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No : 5 33 L plumbing License No : Mechanical License No :
Company: WAT66,v EGec77eiCk1- a CompanY:
mtc/rn.v1cn4- GoKP. Company:wh730ti 6L&-'e7K)cAC.
h1Eck)qn110ML- cD2P.
Expiration Date : 5-3 1-b3 Expiration Date : Expiration Date :
Approval: Approval:
Approval:
(1) Thls peimit was isaunE in accorEance with tlhe provisions sN forth in yopur apDlimtion and is mOject ro the .onmq
Regulations aM Builtling CaOe M Wheg( RiOge. Cobratlo er arry plher applin0le ortlinances of ine Ciry. Iaws of the State at CobraEO anE ro Ne
(2) DantloneC jp a,l e~ O'(AZa awp~ authonzea is not mmmenceE wi(Nn sizry (BO) tlays hom issue tlate or (B) Ne builtling authonzetl is suspenEeC ar
(3) onqina a aaanE ss,pecifipyens a~nd aY Daua~uircd !or a(ee of one-half Me amount nortnally requiietl, proviEeE no Uanqas have Eeen or will De matle in Ne
exceeES one (7) year, tull feea $hall v a~~~nt haz not exceeEed one (7) year. I( chanqea aro matle or if suspension ar awnEOnment
paitl tor a new permit
(I) No vrork ef any manner shall De Eene Nat will Uiarpe the naNral flow ot water causing a C2inage pro0lam.
(5) Contmctor
ng ~witn si eethe ai rouPtixs ofPM o7p °rry.bur (24) hours in atlvanta for all inspecUOns and stwll receive writlen approval on inspection tartl Ce/pre
(fi) T~e issuance Of a pertnit er the apDMal W Emvings anE speciRCations yhall not pe construeE to Oe a pertnit for, nor an approval o( any violation of the provieions
of Me huiltlinq mEey or arry ofher oMinance. law. nile w regulatlan. -
Chief Building Inspector
SEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-768
Date :4/18/95
Property Owner
Property Address
Contractor License No.
Company
KOZLOWSKI ALFRED J
3381 VIVIAN DR
17152
Precise Plumbing
Phone: 238-3115
Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permi( 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
Cotle (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Description : WATER HEATER
Construction Value :
$437.00
Permit Fee :
$15.00
Use Tax :
$0.00
Total:
$15.00
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This permit was issuetl in accortlance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations anC Builtling Code of Wheat Ridpe, Coloretla or any other applicable oMinances of the Ciry.
(2) This permit shall expire it (A) the work authorized is not commenced withm si>1y (60) days from issue date or (B) the building authonzeU is susDended or
abantlone0 for a period of 120 days.
(3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amoun[ normally required, provitletl no changes have Deen or will be made in the
original plans and specifca6ons and any suspension or abandonment has not exceeded one (1) year. It changes are made or if suspension or abandonment
exceetls one (1) year, full fees shall be paid tor a new permit.
(4) No work ot any manner shall be tlone that will change the naturel Bow of water causing a dreinage Droblem.
(5) Contractor shall notify ihe Building InspeQOr hventy-four (24) hours in advance for all inspections antl shall receive wntten approval on inspeMion wrd beFOre
proceediing with 5ucce55ive phases of theob.
nit or the approval o~tlrawings and specifcations shall not he construed to be a permit for, nor an approval of, any violation of the provisions
(6) The issuance pert '
of the buildirOdes q any other ordinance,Jaw, rule or regulahon.
Chief Ouilding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
zm
DEPARTMENT OF PLANNING AND DEVELOPEMENT Application Number `
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
PropertyOwner:?~'/ 2 /c-c,Phone: ?%/5^
Property Address i 7 ,sf/
Contractor License No. : L21 S z
Company Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify thal the setback dis[ances proposed by this permit applicatioo are accurale.
and do not violate applicable ordinances, rules or regulations of the CHy of Wheat Ridge or
wveqants, easements or restrictions of record; thal all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed oo this
application, and that I assume full responsibility for compliance wilh the Wheat Ridge Building
Code (U.B.C.) antl ali other applicabic Vlhea[ iCge ordman.^es, fer wodc umAer this pertnit.
(OWNER)(CONTRACTOR)SIGNED pATE
Construction Value : 9~ ~
Permit Fee :
US@ T8X : 5 yA.~ SI Oidl :
Description c Y, z/'"- /Q" Z/~' .
BUILDING DEPARTMENT USE ONLY
Qni W6 MW
Approval:
Zoning :
1900~~.~?~.. . . . eiA-~
Approval :
Approval :
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No : Piumbing License No : Mechanical License No :
Company:
Expiration Date :
Approvai:
Ij J,P„larisjRe9uli'~M
Company :
Expiration Date :
Approvai :
J yPlaps?Re~tPj~e~~
Company :
Expiration Date :
Approval :
A ~
(1) This permrt was issued in accortlance wilh the proviswns set foM in yppur applica(ipn an0 is subjecl to ihe 18w5 d IM SUIe of CobraEO anO l0 the Zoning
Regulations antl BuilGiny CoOe IX Wheal RiEge, Coloratlo or any oNer appliw0le oNinances of the City.
(2) 7his permit shall expire i1(A) the work authonzeC Is not commenced within sixty (60) Eays Irom issue Aate a(B) the buiWiny authwizeC is wspMMed a
aDandone0 ia a penotl of 120 tlays.
(3) if this permit expires, a riew permit may De acquire0 for a lee of one-haH the amounl nortnally required, provi0e0 no changes have been a will be matle in the
original plans antl specifrcaUOns and any suspension or abantlonment has wt exceeded one (1) year. II changes are made a A suspensbn a abandonmenl
exceetls one (1) year, full (ees Shall bE DaiO br a new permit.
(d) No work ol any manner shall Ee tlone that will change the natural tlow of water rausing a Erainage problem.
(5) Coniiapor shall notiry the euiltling Inspeclor twentyfour (74) hours in aEvance !or a0 mspeclions and shall receive written approval on inspedion caM be(ore
pmceedung with successive phases of the job.
(6) The issuance o( a p¢rmit or the apPmval of Arawings antl speciGCations shall nol be conslruetl to Ee a permit br, rqr an approval o[ any vblation of the proWSions
u' the tmJding cotles or any other ordinanre. law, mle or ~egulalion
Chief Building lnspector
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 M91/117456
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-e944 Exr. 255 P.O. BoX 63e CITY OF WHEAT RIDGE, COLO.
TNIS PERMIT VALID ONLY WHEN SIGNED BY TIiE CHIEF BUIIDING INSPECTOR AND RECEIPTED BEL'JW.
APPLICATION FOR MISC
ELlANE0U5 PERMIT
JOB ADDRESS
`
OWNER -
CONTRACTOR ~-~J 7:'r
ADDRESS
ADDRESS
>
PHONE ZIP CC
CITY ~ ZIP CODE ~
CONTRACT PRICE $
PHONE ~ LICENSE NO
f Z G~
DATE &
.
1. TYPE Ground❑ Woll❑ Proiectiny❑ OtMr SaOFaee
2. MATERIAL Tofal SQuan FNf
SIGNS
3. ILLUMINATION Yea❑ No❑ 7ype Eteet. Parmif No.
4. SET BACK FROM PROPERTY LINE N_ S_ E- W Zons_ Approved, Zone Inapeetor
(Spaeify which ia fionf ) ❑ ❑ ❑ ❑ Diaapproved
1. 7YPE Solid[:] Mon Thon BO% OpanD Leat Thon 80% Open
MATERIAL Heipht
FENCES
3 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zme_ ApprwW,Zoro Intpeeta
(Spacify whieh is froM) ❑ ❑ ❑ ❑ DisaDVrowd
i
2
OTHER
3. ~
DRAW SKETCN OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STIICTURE,GIVihG DISTANEES FROM PROPERTY LINES.
(SETBACNS OR PROJECTqNS INCIUDED)
~
SPECFV NORTH
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDIN6 TOADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SMOW LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PEflMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIHE 180 DAYS fHOM THE DATE OF ISSUANCE IF WONK IS NOT STAHTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE NO.
ALUMIMAI WIRE UNDERSIZE 8 ILLEGAL
PI.UMBING PERMIT
STATE LICENSE N0.
FLOOR BSM 15T 2ND 3R0 4TH
MECHANICAL PERMIT
N0. FUE4CircMQr Gaf dl Rapwr E Sdm
Np,
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
FpT WATER - BTU
NEW SERVICE ° AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTMER
NEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
UTILITY (RANGE, DISPOSER, ETC )
WA7ER HEATER
AUTO. WASHER
Retri sront Grou
PouMt Chor s
FIXTURES
OISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS d CONTR0L5
FIDOR DRAIN
EIEVATOR
SI6NS
URINAI
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
PERMIT FEE
e thot this appiico-
ocknowiee
b
I M
q
re
y
fion is correct and understond that I
USE TAX
connot start this Drojecf until this appli-
wtion is apDroved. I snall complY +ith
TOTAL FEE
fhs lawf o1 the S1ote of Colorodo and 10
ths Zoninp RaQulotions ond Buildinp
APPROVE
An
t Rid
a
f Wl+
DeAPPReYe
y
p
.
ea
Code of fhe City o
violation ol tne obove terma will cause
CHIEF BUILD
immediate revocation ol this permit
I
3 NO,j-~VA~110_ yNLESS RECEIPTED
a~.~.1U
6s.ao
J.f6-31 --~2~
,Cityof Wheaf Ridqe
~
' Date IssuPd
~~efieaM.9i~ • -J ~
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS