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FOR OFFICE USE ONLY
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Building Permit Application
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Address:
City, State, Zip
Complete all information on BOTH sides of this form
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16897
BUILDING INSPECTION LINE -(SOS-284S98S) Date : 4/6/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
PropertyOwner: WENDELL, WAYNE
Property Address : 3430 VIVIAN CT Phone : 232-6355
Contractor License No. : 18516
Company : K& H CONSTRUCTION CO. Phone : 421-7100
OW NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby ceAify 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 reslrictions of record; that all measurements shown, and allegations
made are accurate; that I have re~ and agree lo abide by all conditions printed on this
applicatlon, and that I assume full~re onsi ility for compliance with the W heal Ridge Building
Code (U.B.CJ and all other applicdbl he dg ~inances, for work under this p md.
(OWNER)(CONTRACTOR) SIGNE ~.DATE
Description : 3 SQ. STELL SIDING
ZWn~'a
Approval :
Zoning :
Approval :
PJ ,WWxdlzo
Approval :
Occupancy: Walls
Electrical License No :
Company:
Expiration Date :
Approval :
Construction Value :
$3,912.00
Permit Fee :
$126.50
Plan Review Fee :
$0.00
Use Tax :
$46.94
Total:
$173.44
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Plumbing License No : Mechanical License No :
Company: Company:
Expiration Date : Expiration Date :
Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur appliwtion and is subject to the laws ot the Stale of Coloredo and to the Zoning
Regulations and Buildin8 Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This pertnit shall expire if (A) the work authonzeC is not commanced within sixty (60) days from issue date or (B) the building autMrized is suspended or
abandoned for a periotl of 120 days.
(3) If this pertnit axpires, a new pertnit may be acquired for a fee ot one-half the amount normally raquired, providetl no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
ezceeds ona (1) year, full tees shall be paid for a new permit.
(4) No work of any manner shall be done ihat will change the natural flow of water causin9 a drainage problem.
(5) Coniraclor shall notify the Building InspeQOr MrenTy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
procaediing with successive phases of the job.
(6) The issuance of a pertnit or tFre approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violaUon of the
provisions of the buqilding /codes oro her ordinance, law, iule or regulation.
oe f I~Ilheat Ki~gP
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Numter : ECTION
DIVISION BUILDINGCIN~S~pOF WHEAT RIDGE- 235-2855L1b a6 ( ~
7500 WEST 29TH AVENUE ~t Da,e :3-~S"
WHEAT RIDGE, CO 80215 AppLICATIo N - J
Prooerty0wner: W-QncL-e1,L)
Property Address : 3(-I3O Vk V i C.U1 C f- Phone : a 3a - l06SS
Contractor License No. : I g p I Lp
Company : K4.H UJ \ n`~nl.l~ 4- t''~"7~i'~YI C1 Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
onstruction VAlue :
1 hereby rertify that the setbaek distanees prOposed by this pertn@ application arc accunte,
antl tlo not violate appliw0le ordinances. rules or regulations of Me City of Wheat RiOge or Permit Fee :~j~`( l~ EC
covenants. easements or resMCtions ot 2eortl: that all measurements snawn, and allegations
matle are acwrate; that I have reatl antl agree to abide bY all COnCNOns OrintlE on tlti3 Use Tax :
applicahon, and that I assume full responsibility for comp6anoe wdh Ne YMeat Ridge 8uilding
CoCe (U.B.C.) anC all aMer appliable Wheat Ridge ortlinances, tar wo untler this pertn@.
(OWNER)(CONTRACTOR) SIGNED pA~~ TOtal :
Use:
Deseription : 3&cb S+'e'e` J r~un~-
BUILDING DEPARTMENT USE ONLY
Zonmg, m, I SIC: Sq.Ft.:
Approval :
Zoning :
w
Approval: • '
Approval:
Occupancy : Wails : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiretion Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approvat:
Mechanical License No :
Company :
Expiretion Date :
Approval:
(i) TAO PenM was wYetl nvft Ih PowEns aa faM n Yow aooYetim ritl s at4~C b M hws e! IM Sbta ol Cebraoe ana m tM '
(2) Tltis O~~i! a~sM ~ap~n d A 9N vwrk CdefaOD Qay atl~ ~bM aEnr~ af T! CM. •~q
( 1 auCqr¢ea e na ea+elena wmnn fotty (eo) E+Y~ nom uaw a~e a(B) me Duiltlinq aumarrsaa is susPMaea a
awndonea br a canoa of 120 Orya.
tto^Cthll w ~ a Cm'tp~ypq an~ ~ a~nC far a M a on4~aM tlO anant ^on^~ly AmrW. oAV1a~E ro a~rqes nNe eean a wiu ee ma4 n eM
e.uaas one (t) rw. fur ba rw ~#~on a abwxlorwwn hu nol aoe~AaC aw (t 1 Year. tt wnyea an mbs or if awpamen v aermru~wnt
(sj NCaem~a~r uiYi mnisnn,,My tlsW b` aane air wi wrq. ar tiuuV now ar vnnr owinq
'~tinY wan ws~+rVe p~iun R41 nan n aMnn kr a N nawmms w anau nmv~ w~rMOn ppw+l on mpx~on uiu 4tlaM
(6) anwriw af a O~t a IM ~7pav~f ~qiwn➢+atl fpqllotlau ahtl nal0e mnW W b 0m 2 p~mM br, nor an appoval af, a+Y xdaeon M Oie P~s
buta°q Wpa v anp oNV pprynu. Wr. Nft a npNMn.
Chief Building Inspector
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500wEST 29tn AVENUE BUILDING INSPECTION DIVIStON PERMIT NOVIIIIIIIII'll"I"-
237-6944 EXT. 255 P.O. eoX 638 CITY OF WHEAT RIDGE, COLO. /91 G`t 1~S<~o13
THIS PERMIT VAUD ONLY WHEN SiGNED BY THE CHiEf BUILDING iNSPECTOR AND RECEIPTED BELOW.
'?C/~~ ✓ APPUCATION FOR MISCELLANEOUS PERMIT /
JOBADDRESS0/ l OWNER W/q~Nq_.
CONTRACTOR 'YYI /4 P_/0S 14~C- ADDRESS
ADDRESS 4-1`F✓rlAlQ-- PHONE
ZIP CODE
qTY W h~✓a-'~~ ZIp CODE !31~CJ J 3 CONTRACT PRICE $ a OO'U
PHONE 'f-1-S 075 3 LICENSENO. ?3V DATE
L TYPE GrounC ❑
Woll❑
Proieclina❑
01blr
5 a D Feee
2. MATERIAL
Tolal Squere Feel
SIGNS
J. ILLUMINATION Yes❑ No❑
Type
Eleef. Permit No.
4 SET BACK FROM PROPERTY LINE N
(Spscily which ie front )
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
Apprwad,ZOn~ Inapeeta
Disopprwed
1. TYPE Solid[:] More TAOn 80% Opan❑
Lest Thon BO% Open
? MATERIAL
Hei
ht
FENCES
1 SET BACK FROM PROPERTY LINE N
(Specify whieh it }ront)
_
❑
5_ E
❑
_ W
❑ ❑
p
Zme_
Apprwed,Zorn Inepaeta
Disapprowd
I.
OTHER
2
3.
D17AW SKETCH pR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVihu DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDED)
~
SPECIFY NORTM
STREET NAME
SHOW OISTANCES FROM THE MAIN BUILDING TPAOJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LATS,SHOW LEAST
DISTANCE TO PROPERTY IINES,NOT MAxIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIi WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS N0T STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
S7ATE UCENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREVNDERSIZEBILIEGAL
FLOOR
BSM
IST
2ND
3RD
4TM
N0.
FUEL:CircieOneCwydlPropone ENeSdor
M0.
WATER LlASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATEtt - 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-CIFCUITS
WATER HEl+TER
Reiri aranf Group
UTIUTY(RANGE,DISPOSER,ETC)
AUTO. WASMER
poundt Chor e
FI7(TURES
DISH WASHER
AUTOMATIC S7RINKLER SYSTEM
WIRING MOTORS 6 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKSduic> mfsUe- )-YI e f f'-p- fYJ~
PERMIT FEE
0-.?I
I nereby ocknowledqa tnot this apolica-
tion is correct ond understan0 tnot I
USE TAX
cannot simt this project until this aOPli-
cotion is avDrovea. I snoll comply witn
TOTAL FEE
ihe lawa of the Stnfe of Colofado and 10
the ZoninQ Redulationa ond Bwldinq
AppROVED
Code of ihe Cily of Wheai Ridqe. Any
1116APRR6ME$~
violation ot thn above rerme wincause
CHIEF BUILDING-1
SPECTOR,Ci}yof Wheat Ridpe
immediote revocotion of inis Oermil
~
%
/
L
.
Date Issued
f
,
aoorconf. sio,am,.
~
NOT ALiD. YNLE55 RECEIPTED
3i 5a.~
J/.~ 9 5 s<7
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
7500 WEST 29th AVENUE
237-6944 EXT. 255 P.O. BOX 638
PERMIT VALID ONLY WHEN
JOB ADDRESS
CONTRACTOR
ADDRESS _
CITY
PHONE _
SIGNS
DEPARTMENT OF GOMMUNITY DEVELOPMENT
BUILDWG INSPECTION DIVISION PERMIT N0. M914k17294
CITY OF WHEAT RIDGE, COLO.
BY THE CHIEF BUiLDING INSPECTOR AND RECEIPTED BEL7W.
~ .
3`' A A='t KL#Z-- OWNER -Im
> ADDRESS
~
PHONE ~ e ZIP CODE 903
ZIP CODE CONTRACT PRICE $
LICENSE NO. DATE .1",7-!z 1---
I. TYPE Ground ❑ Woil❑ Proieotinp❑ 01Mr S a D Faoe
. Tofal Squon F"t
2 MATERIAL
3. ILIUMINAT10N Yas❑ No❑ TYDe EIKt. Ptfmil No.
Zona_ ApprwM, Zm~ inspatoi
4. SET BACK FROM PROPERTY LINE N_ 5- E- W~ DisapWwad
(Sn.iWwAith iefrOnl) ❑ ❑ ❑
I. TYPE Solido Mon Than 90%
MATERIAL -
FENCES 3 SET BACK FROM PROPERTY LINE N_-
(Soecifv which is front) ❑
I
OTHER Z
n.
Loss Thon 80% Op§n
E_ W Zpie _ Apprwod,Zone ImDOeta
❑ ❑ DiaaDOroved
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GINNG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED) REGR PROPERTY UNE
Z J
A. O e~j ~k~G~~ ~ SPECIFY NORTH
~
STREET NAM~--- ~
~DS AINLENTO PROPERTHY LINESBNOTD'MAX MUMJOR OINIA E~EEDISTANl;E.5, AN0 PROPERTY LINES;ON IRREGULAR tATS,SHOW LEAST
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTEO WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
TEMPORARY METER
NEW SERVICE F
CHANGE SERVICE - R
LIGHTWG ,Cv, . 4.
WIRING MOTOF2S 6 LONTROLS
TRANSFORMERS d RECTFIERS
ADDITION TO OLD WORN
unrnaC OVFR I HP
I hareby acknowledqe that this aDGlico-
tion u correci and undersland thot I
connOf starl fhls projett unlil this oDDli-
cotion is oDGroved. I shall comply with
ihs lowa oi the Stote of Colorodo and 10
ihe Zoninq Requlations ond Buildina
Code ofthe City of Wneat RidQe. QnY
violation ol the above terma will cause
immediate revocali~q~o this Oermit
~
nGeanf i nerv~.
PLUMBING PERMIT MECHANICAL PERMIT
S7ATE UCENSE N0.
WATER CLASET ORGEU Ain
WASH BOWL HO WATER - BTU
_ T. . . . . . ANul _ NTII
DISH WASHER
FLOOR DRAIN
URINAL
SEWERS
pTNER
TOTAL FI%TU
PERMIT FEE USE TAX
TOTAL FEE $ ~I JL~ 1`
APPROV
GHIEF BUILDI INSPECTOR,City of Wheat Ridge
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
Date Issued FOR INSPECTIONS
> -r3
O NOT VALID UNLE55 ReG[[riet
INSPECTION TICKET ~
JOB 5 Q
ADDRESS J LiLDATE: _l BLDG. PERMITM / 7~
/w-F e?i
PERMITM q&,pff
BLDCa. CONTR. (rO
SUBCONTRACTOR
DATE INSP. REQ. f1)
TYPE OF INSP.-,~- N-C
3.~3 c
INSPECTION MADE
REMARKS ~
W.R. FORM &19
INSPECTION TICKET
JOB
ADDRESS
DATE:_~~_ C2"-~I gLDG. PERMITk
BLDG.
PERMIT#
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. /G 1 " foeL ` 3 o
INSPECTION MADE
REMARKS
✓nG~~ Q~___
W.R. FORM &19
j 1
b
INSPECTION TICKET
!23
JOB 7/ ~
3
ADDRESS 3 u J G u
DATE: BLDG. PERMIT# 17~7 7y
PERMITM
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSR
INSPECTION MADE
REMARKS . ---D 0 -6 -3 S
W.R. FORM &19
/
G 1
INSPECTION TICKET
JOB
n n~
ADDRESS ~ ' VI/I~
D
DATE: ~ ~ ~ -7 BLDG. PERMITN 7zc
PERMITN
BLDG. CONTR. / !Or / I L (JI,UYN`
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP. ( d• on
INSPECTION MADE Col~
REMARKS-jAU.lL1VI(?,
W.R. FORM 619
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Phone 303/767•2120
CERTIFICATION
• Sf~l Pi n
This is to certify to Elmer Horner that on
this30tli day of Januar,y, 1979, ? made a
survey af Lot 41, Block 4, APPLEWOOp VILLAGE,
County of Jefferson, State of Colorado, and
marked prooerty co ers as shown on this plat.
egist_red P.E. & L.S. ~
Febru ry 6, 1979
S3,
'J` . ~ Rcta~n~n9 Wa//
V I VI AN cnuoarJ+ss
~34 rr
' CAVRT Fencc cntr.
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titi- ~n 15,5'
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57.81' ~
ROBINSON SURVEYING AND ENGINEERING COMPANY
iSubdivisionPlanningentlSurveying SUY'VeV ''nl'~7q-on-qo
CIVIL, STRUCTURAL AND SANITARY ENGWEERING
2950 Soulh Fox Sireet
Englewood, Colorado 80110
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