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HomeMy WebLinkAbout3391 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: y (:)C) f-' , wk ) , Job Address: 3 3R V , Vico b t2 . Permit Number: o -1Ft9 e y o� iv or i do,, ij o-,4 '7 9 Z ❑ No one available for inspection: Time J 61/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: s 1 Z -9I I Es inspector: T_ DO NOT REMOVE THIS NOTICE e CITY OF WHEAT RIDGE c 1�9�Building Inspection Division (303) 234-5933 Inspection line 1(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `! O 9 Job Address: 39 1 W ti uO Permit Number: 571�0 ❑ No one available for inspection: Time /A/PM Re -Inspection required: es D No When corrections have been made, call for re -inspection at 303-234-5933 Date: Ad - 3/) Inspector: DO NOT REMOVE THIS NOTICE i. CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE „�� Inspection Type: LA 0`1 F Job Address: 3 3 "1 1 V i V ion a:5r2 Permit Number: / _:�- O _,� liQ/ b ”rS P-( 2,.� �Z. l:d2< I ❑ No one available for inspection: Time) r-.-,; / 7 5QM/PM Re -Inspection required: Ye-; No When corrections have been made, call for re inspection at 303-234- Date:3 ,Q8 18 Inspector<!�-)n.,�7 DO NOT REMOVE THIS NOTICE �- CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office @ (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: //Z1 TD Job Address: ' y f a Permit Number: ��I'! © "K r+b- ❑ No one available for inspectio Time 1= l AM/PM Re -Inspection required: Yes o When correctionshave been made, call for re -inspection at 303-234-5933 Date: xi z Inspector: DO NOT REMOVE THIS NOTICE �- CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office @ (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: //Z1 TD Job Address: ' y f a Permit Number: ��I'! © "K r+b- ❑ No one available for inspectio Time 1= l AM/PM Re -Inspection required: Yes o When correctionshave been made, call for re -inspection at 303-234-5933 Date: xi z Inspector: DO NOT REMOVE THIS NOTICE A 41 City of Wheat Ridge Residential Roofing PERMIT - 201703898 PERMIT NO: 201703898 ISSUED: 07/13/2017 JOB ADDRESS: 3391 Vivian DR EXPIRES: 07/13/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Shasta White asphalt shingles - 26 sq *** CONTACTS *** OWNER (303)238-8696 HILLENBURG DELLA JEAN SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,502.95 FEES Total Valuation 0.00 Use Tax 220.56 PAID Permit Fee 220.15 ** TOTAL ** 440.71 *** 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 one half 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 installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. . .� City of Wheat Ridge Residential Roofing PERMIT - 201703898 PERMIT NO: 201703898 ISSUED: 07/13/2017 JOB ADDRESS: 3391 Vivian DR EXPIRES: 07/13/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Shasta White asphalt shingles - 26 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be erfo e disclosed in this document and/or its' accompanying approved plans and specifications. 7lt7Lzol Signatu f OWNER or TACTOR ircle on Date I. This permit was issued base ormation 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, po Flans and procedures. 2. This permit shall expire 365 days after the date Of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of 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 applic de or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. N Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Friday, June 30, 2017 3:12 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3391 Vivian Dr Della & Dj Hillenburg 303-238-8696 Field not completed. � q qu," -2 [ cZ Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Bear Brothers Roofing LLC Contractor's License 021170 Number (for the City of Wheat Ridge) Contractor Phone 303-422-2725 Number Contractor Email Address ap@bearbrothersroofing.com Retype Contractor Email ap@bearbrothersroofing.com Address DESCRIPTION OF WORK Are you re -decking the No / roof? Description of Roofing OC Duration Shasta White Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 26 material selected above? Does any portion of the No / property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 26 roofing material for this / project Provide additional detail House here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract10502.95 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Justin Smith Email not displaying correctly? View it in your browser. 3 7245 GILPIN, WAV #280 DENVER, CO 80229 PHONE: 303-422-2725 FAX: 303-274-2151 Sumtv & L a0flOy In vrance Coverage Pmvidel By, ISU Irmurance 'Smice, of coluado, Inc:, %11 IIA -1111 Tear Off: l Layer 13 2 Layer ❑ Other Underlayment: L) 15# 7330# I/L-31 Synthetic Shingle Type: CY C-11 , Shingle Color: . - H/O.- Roof Vent Type: Box--�Cl Ridge —Power— Turbine Plumbing Stacks. 3n1 V— Lead Other Ice & Water Shield Per Code Valley; M Rolled Roofing 0 W Pan Hip & Ridge: "astandard 71 Enhanced Metal Edge: 'M To Match Existing Roof Decking: I '.-CDX 11 OSB 71 Other Nails: Open Eaves: ❑ yes No Attic lnspection,/ves 71 No Vailing Paltert; to 4feet or Exceed Manufactirrer Speeffiratiarls 'NON NAILABLE SURFACE CLAUSE: Please note that any defective roof deck/plywood found during fear off of the existing roof covering mmst be replaced per state building code. Most insurance carriers do not cover this cost as part of your claim. Customer will be responsible for this cost at 550 per sheet which includes labor and materials, Customer Initial _Z117 1111` I= Additional Work & Special 'Remove trash from roof, gutters and yard Protect landscaping, where applicable DELIVERY INSTRUCIION8.- Roof Load 71 Ground Drop MOther Owens Corning Preferred Protection Hoofing System Limited Warranty C) Yes 73 No $ a 1"ITMIRM E 11711 Insurance Claim Amount -pplenient Amount Homeowner Upgrade Amount 1�flal Cost (tax included) Terms: This agreement is contingent upon insurance company approval and agreed price. This agreement does not oblipate the customer or BEAR BROTHERS ROOFING in any way unless it is roved by customer's insurance and accepted by BEAR BROTHERS ROOFING, Customer's si nature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. BEAR BROTHERS POFING will seek approval from insurance company for aii necessary supplements outside of the original scope of work. Customer's 'out of pocket' expense is not to exceed deductible and any upgrades. &y.ment 0 completion of each trade. BEAR BROTHERS ROOFING will provide a two year workmanship warranty upon final payment. The Specifications, Agreement Terms, and Payment Breakdown as outlined on the face and back of this Contract are satisfactory and are hereby accepted. You are authorized !9.perform the work as specified. Al —4 17 Custom 'Y Signature Date Date 41 CITY OF WHEAT RIDGE I��« Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: PF ( Job Address: 13-11yi vi ew Permit Number: '2-016 0 /(0 2 3 ❑ No one available for inspection: Time I - '7 /AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 { Date: ° i -_ C-1 � '? a7_ Inspector: � DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201601623 PERMIT NO: 201601623 ISSUED: 10/14/2016 JOB ADDRESS: 3391 Vivian DR EXPIRES: 10/14/2017 JOB DESCRIPTION: Replaced a 10 BTU Boiler *** CONTACTS *** OWNER (303)238-8696 HILLENBURG DELLA JEAN GC (303)722-7587 Xcel Energy 020005 Public Service Co. of CO Appli *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,700.00 FEES Boiler Replacement 40.00 Total Valuation 0.00 Use Tax 102.60 ** TOTAL ** 142.60 *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyin% approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature 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 and procedures 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 andspecific 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. J - 2 e -, "i 's 10 ) y ) / � Signature of Chief Buil341Fg 6�cial~� Date I REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. `l441 '� Whcat dge MUNuy DEVELOPMENr Building & Inspection Services Division 7500 W. 2V' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY Date: ! t I - f J Pfan/Permit # Plan Review Fee: Building Permit Application Please complete all'hfght ghted areas onI- sides of this form. Incomplete applications may not be processed. Property Address: 5 3CI1/1 Property Owner (pleas( Property Qwner Email: r 4 Id Ill I I Eh baa Mailing Address: (if different than property address) Address: City, State, Zi Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor:: _P13. Co 0s, '� QJ617�1 Phone: 303- 238 -84 6 A c c,,I nt ti1 �0 i 12 ro Contractors City 4( nse #: c;2yD©S­ Phone: S03- 2 3 -7- Contractor Contractor E-mail Address V VV h�-n ry a hUt,�S as xce i en e,r� ea ,� S �. _ub. Contractorsr Elecbtcal: 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 Description . of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTUREH ELECTRICAL SERVICE UPGRADE El 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 gdeta j&Aescription of work to beerforme� including current use of areas, proposed uses, square footage, existing ndition and proposed ne,�nditlor `appliance size and efficiency, type and amount of materials to -,b wised,, etc.) -k6 r I � _ n 14 1"100"o 001 0 O"o Z—T—J Z D ;1 E f Sq. FtJLF Amps Btu's 100,000 Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) I S�-,-7DI.oa OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 1 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. R UNE: (OWNER). (CONTRACTOR) or (AUTHORIZED RL?,RRESENT,,+TAE) of (OWNER)' (CONTRACTOR) NAME: BATE: I A /i DEPARTME/K USE ONLY ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS- Reviewer PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Eire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received 11 Not Required OCCUPANCY CLASSIFICATION: Building Division Valuation: S INSPECTION RECORD OccupancvlTvpe _ INSPECTION LINE: (303) 234-5933 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. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS - Footings/Caissons Stemwall /(CEG). Concrete Encased Ground Reinforcing or c Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO N OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED " 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 Y Drywall Screw FINALS Electrical 'Plumbing. Mechanical Roof - ~1 Budding Final Fire Department ROW & 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: , Job Address /Permit Number: Sir' tj, rf ❑ No one - available for inspection: Time iQ r AM/ M Re required: 'Yes No When corrections have been made, call for re- inspection at 303 - 234 - 5933 � A 0 � Date: 17, 11 Inspector: DO NOT REMOVE THIS NOTICE 1 �►�4' CITY OF WHEAT RIDGE �_� Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ` (303) 235 =2857 Fax INSPECTION NOTICE Inspection Type: e, E)) Job Address /Permit Number: X3 1. I ,`V00 VI111r i s ❑ No one available for inspection: Time $ AM M Re- Inspection required: 'Yes r UNo s When corrections have been made, call f r re- inspection at 303 - 234 -5933 , Date: �Y f'%'g Inspector: tf DO NOT REMOVE THIS NOTICE IV 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: 'L r Job Address /Permit Number: r '301 & 1 ig E i ❑ No one available for inspection: Time <1 o?f' AM Re- Inspection required: Yes �o When corrections have been made, call for re- inspection at 303 - 234 -5933 - Date: - Inspector: ,�, t� 21 DO NOT REMOVE THIS NOTICE 1A 41 City of Wheat Ridge .rr ►J Residential Roofing PERMIT - 091455 PERMIT NO: 091455 ISSUED: 08/19/2009 JOB ADDRESS: 3391 VIVIAN DR `EXPIRES: 02/15/2010 DESCRIPTION: Reroof '.29 sqs CONTACTS :owner 303/238-8696 'Hilenberg. sub 303/422-2725 :GaryTheriaque 02-1170 Bear Brothers Roofing * PARCEL INFO ZONE :CODE: UA USE: UA SUBDIVISION:. 0696 BLOCK/LOT#:. 0./ FEE SUMMARY ESTIMATED PROJECT. VALUATION: 7,300.00 FEES Permit Fee 199.30 Total Valuation ppUse Tax 131.40E23 **.TOTAL 330.70 Conditions: rf 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 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 r" 'application and that I assumefull responsibility for compliance with the Wheat Ridge Building Code (I.B.C). and all other r ap licable Wheat Ri a Ordinances, for work under this permit. Plans subject to field inspection. y~ Signatur of contractor/ er date ' 1. This permit was issued in accordance with the provisions set forth in your application and is subject to thelaws of the State. of Colorado . and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable r: 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 kc: date. An extension may be granted at the discretion. of the Building Official. e' 3. If this. permit expires, a new permit may be acquired for a fee of one-half the amount normally. required, provided no S changes have been 'or will be made in the original plans and specifications and any suspension or abandonment has not r; exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall r, be paid. for a new permit. 50 4. No work of any manner shall be done that will change the natural flow of water causinga 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 subject to field inspections. Signature of ilding Official date 2NSPECTIO R UEST LINE: i(303)234-5933 'BUILDING OFFICE: (303)235-2855 . REQUESTS MUSTBEMADE , BY '.3PM'ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 3 a ~oF"t"~T~o City of Wheat Ridge Building Division m 7500 W. 29th AVE., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 - o Inspection Line: 303-234-5933 OCORP~ ~ Building Permit Application Date: 0 Plan A Permit eq (*6_5 Property Address: 2 1 t f Property Owner (please print): Phone: .363 z3IF-94 9h Mailing Address: (if different than property address) Address: 5f? rv N City, State, Zip: ~J ltd ~L] (fG e rR V?-b 3 "5 Contractor: Q eA /L Fj S iZIL, yy~ ROB Contractor License Phone: ~p z C 2Z Z7Z~ Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: . Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ `73 0 0' Description of work` (as calculated per the Building Valuation Data sheet) -qfA A- O'C' A to d I (17.521(1 2~ ~ Plan Review (due at time of submittal): $ 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. C)RLCE ONE:: (OWNER) ; l(CONTRACTOR) or PERSONAL REPRf..E,SENTATIVE of OWNER) (CONTRATOR) PRINTNAME: 2-~( \lnr[Zt}'~-©_,k)0' SIGNATURE:..) Date: 09 J Bldg Valuation: $ 750o wEST 29tn AvENUE DEPARTMENT OF GOMMUNITY DEVELOPMEN7 237-6944 Exr. 255 P.O. eox 63e BUILDING INSPECTION DIVISION THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHIEF BIUILOfONG iNSPEC OR Dp RE~OP~DeELOW PERMIT N0. M91~/17541 Jos qDDRESS APPL TION FOR MISCELLANEOUS P RM17 1 `Q - coNraa,croa OWNER ~5,XZ,4LL~ I-l / c1. a~ SC7~Cn ADDRESS ADDRESS Zaclit ( V( V/Ayv CITY -I.4-k PHONE ~ ~C~ PHONE ZIP CODE CONTRACT PRICE $ ( GJ0?0 ZIP CODE 81:30'3;S LICENSE NO. ' I. TYPE Ground ❑ DATE 2. MATERIAL Woll❑ Proiecrin0❑ Ofher $IGN$ 3. ILLUMINATION S a D Faee~_ Yef❑ No❑ TYPS Tolol Squar, Fe~t 4 SET BACK FROM PROPER7Y LINE N ElKf. Parmi} No. I (Spxi/y whitA ia /ronf ) ~ S E-- W 2oM_ A ~ ~ ❑ pprwod,Zon, lnspector . TYPE SolidO Mon TAOn 80° DisoDGrwed FENCES MATERIAL ~O ~P~^~ LOu TACn 80% Open 3. SET BACK FROM PROPERTY LINE N HeiQht (Specity whicA 3 E-_ W it froni) ~ ~ ~ ❑ Z0^~--- qpD~owd,Zons Inspecfw I. ~ Disopproved OTHER I2 3 C DRAW SKETCH OR SHOW BELOW,THEINC~UDED) FENCE, SIGN, OR OT (SETBACK$ OR PROJECTIONS HERSTRUCTURE,GIViNG p1574NCESFRQM PROPERTY LINES. PLUMBIN STATE LICENSE NC PERMITM STREET NAME~ SHOW DISTANCES FROM THE M41N BUILDING T6ADJOINING HOUSES, ST DISTANCE TO PROPERTY LINES, NOT M4XIMUM OR AVERAGE DISTI APPLICATION FOR PLUMBING; ELEi THIS APpLICATION WILL BECOME A PERMIT i0 PERFORM iHE INDICATI - PERMIT WIL~ EgPIqE 180 pAyS FROM THE DATE OF' ELECTRICAL PERMI7 STATE UCENSE N0. ALUMINUM wRE UNDER SIZE B I TEMPpRARY ME7ER NEW SERVICE AMPS CH4NGE SERVICE - AMPS- LIGHTING HEATING FOWER SU6-CIFCUITS - UTILI7Y (RANGE, DISPOSER, ETC ) FIXTURES WIRING MOTORS 9 CONTROLS SIGNS TRANSFORMERS 9 RECTFIERS ADDI71pN 70 OLD WORK MOTORS OVER I HP REMARI(S_. I hereby ocknowledpe thot fhis opplico- ion is eorrocf ond undeistond thot I :annof ifarf thie projbct unfil fhis oppli- olion if opproveC. I shall comply wifh he lowe of fhe S1ate of Colorado ond ro 7s Zoninq Requlahona ond Bwidinq ode offhe Ciiy o! Wheaf Ridqe. Any olofion of fhe above ferms wiil cause imediate revocation of tnh permil WASH ii INSPECTION TICKET JOB n ADDRESS _5L3%/ DATE: /o -a V , 4~~ ~BLDG. PERMIT# 173'v/ fH BLOG. CONTR. Z ~jC SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. SION. ~ INSPECTION Mnnc ____T_ REMARKS _ Cj Ir i ~ ~q E W.R.FORM &1g ~ FLppR [ URINAL SEWERS PERMIT FEE USE TAX TOTAL FEE CHIEF BUILDING Date Issued /Q ~ ~ N07 ID UNLESS RECEIPTEO , ~ $ _ 3 Cify of Wheat Ridqe C) -ry CALL 237-8944 EXT. 255 24 HOURS IN qDVANCE FORINSPECTIONS