HomeMy WebLinkAbout3475 Vivian CourtPERMIT: ADDRESS: 3- (�'� i V i on C�' JOB COD
E-7YE
INSPECTION RECORD '-1112-
Inspection
11'z
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
(Foundation Inspections I Date I Inspector I
Initials
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
(Underground / Slab InspectionsI Date I Inspector I
Initials
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Comments
Comments
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
SEE OVER FOR ADDITIONAL INSPECTIONS
Itough Inspection (continued) Date Inspector CommentsInitials
416 Rough Mechanical Residential
417 Rough Mechanical Commercial
418 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
-
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
411 Landscape/Park/Planning
412 Row/Drainage/Public Works
413 Flood plain Inspection
otection
414 Fire Insp. / Fi!Final
415 Public Works
416 Storm Watert.
417 Zoning Final Inspection
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
0- c) 0 3' 1 o0
<--) rt V"-/ 'f-- /,I
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
4
INSPECTION, NOTICE
Inspection Type: ls[
Job Address: 3���� Ui v
Permit Number: 01`26S i or -S
❑ No one available for inspection: Time
Re -Inspection required: Yes X90
When corrections have been made, call for re-insp cHon at 303-234-5933
Date: l - Inspector: r
DO NOT REMOVE THIS NOTICE
a
i CITY OF WHEAT RIDGE FT
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOT CE
Inspection Type:
Job Address: G/� t U ► UA
Permit Number: .202-26 V62
❑ No one available for inspection: Time 06,i!� (�wPM
Re -Inspection required: Yl�, No
When corrections have been made, call for re -inspection at 303-234-5933
Date: t 77Inspector:
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: 1-� &L-
Job Address: -"�
Permit Number: —1 Q 'h l D
MEN
a
❑ No one available for inspection: Time AM/&M
Re -Inspection required: Yes No
When corrections have been made, call iorle-inspection at 303-234-5933
f
Date: —1 nspector:
DO NOT REMOVE THIS NOTICE
4 City of Wheat Ridge
Residential Roofing PERMIT - 201708103
f
PERMIT NO: 201708103 ISSUED: 10/09/2017
JOB ADDRESS: 3475 Vivian CT EXPIRES: 10/09/2018
JOB DESCRIPTION: Residential re -roof to install GAF asphalt shingles with ROOF DECKING - 30
SQ Pitch = 4/12
*** CONTACTS ***
OWNER (303)250-5204 DAVIDSON MARC E
SUB (303)816-1888 Derek Lindsay 022377 Infinity Restoration
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,309.79
FEES
Total Valuation 0.00
Use Tax 279.51
Permit Fee 267.70
** TOTAL ** 547.21
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201708103
PERMIT NO: 201708103 ISSUED: 10/09/2017
JOB ADDRESS: 3475 Vivian CT EXPIRES: 10/09/2018
JOB DESCRIPTION: Residential re -roof to install GAF asphalt shingles with ROOF DECKING - 30
SQ Pitch = 4/12
I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perrf-orrmmedd and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
to - t 2- 1"i
Signature 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 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 Off-cial 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
a licable code or any ordinance or regulation of this jurisdiction. 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.
Dane Lovett
1-oI'7osla-S
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, October 5, 2017 9:23 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 J
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 J
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 r
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. y -
C
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
3475 Vivian Ct �b_
Marc Jacobson
Property Owner Phone 303-250-5204
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Marc Davidson Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Infinity Restoration
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 888-855-2331
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 2690 W Main St, Suite C, Littleton CO 80033
(Primary address of your
business)
Contractor Email Address
permits@infinityroofer.com
Retype Contractor Email
permits@infinityroofer.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
30
the entire scope of work:
Project Value (contract
13,309.79
value or cost of ALL
/
materials and labor)
Are you re -decking the
No
roof?
/
((2:12
Is the permit for a flat
Pitched roof pitch or greater)
roof, pitched roof, or
10
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
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? Etc)
4/12
30
GAF, Timberline HD
Asphalt
re -roof the house
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
11
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 Sandra Flores
Email not displaying correctly? View it in your browser.
12
10/02/2017 14:04 563-388-0804 FEDEX OFFICE 0262 PAGE 01
INFINITY R .E S TOP, AT I O N
M4i;4pq
2690 W. Main ST Suite C Littleton, CO 80120
Office (303) 816-1888 Fax (303) 816-1889
Contract For Repairs As Authorized By Insurance
Property Owner/Authorized representative:
.Property Address: s t1 LxL+2�`" City: State:P.� Zi sG j
p=
Property Owner's Telephone Numbers 3C.3113 .��"� � S��f y Mobile:
Approx Date of Loss:
Damages Result of wind and/Or-r other (specify if other):
Insurance Company: r Policy No: _ Claim No:
Agent's Name and Number: EY].Q+j1LtiplD
�� 4'
Adj Info:
2 , ioc? (.. Ips 39
I/We hereby retain Jnfinity Restoration, as our roofing Contractor, for the purpose of documenting tha damage to our property in tl+e
capacity of Contractor and Not Adjuster. Ifow insurance company approves the claim and authorizes repairs then. I/We hereby assign to
Infinity Restoration, any and all proceeds of mylour insurance bentfits to secure payment of its services provided under this cluntract mad I
direct my insurance compaixy to include Infinity Restoration on any and all drafts, checks, Or outer instruments issued in payment of my
claim for the work they have performed. Purthennore, UWe authorize xray insurance carrierladjuster to forward any estimaie8 or scopes of
work directly to my contractor.
VWC authorize Infinity Restoration to proceed with all repairs ba accord2rtc8 with all scopes and parameters authorized by the insurance
company, as per insurance adjustment, as soon as the insurance company approves the claim. Ilu'e agree that Infinity Restoration complete
sue$ repairs at use additional or better materials than autltorixed by our insurance company and we agree to pay this additional amount as
reflected in our written approval of upgrades to the material or labor, if any.
The cost of the repairs shall be equal to the amount of the replacement co8t value authorized and paid by the insu=cc company, plus the
insurance deductible paid by the ,Homeowner directly to Inrinity, and increased Or decreased by any Supplen'Aents authorized by the
insurance company and/or upgrades or downgrades authorized by the ,Homeowner (this includes all overhead and profit paid). First
payment is due upon delivery of materials aad commencornent of work_
IlWe agree that any information that is received from the it Ourance company will be delivered immediately to Infinity Restoratiou and that
arty paYmeots received from the insurance company shall be endorscd and delivered to Irtf"irAity Restoration,
If this contract is cancelled More than tbree days from the date of this Agreement and a full roofreplacement is secured and ready to roof,
then Uwe agree to pay Intiruty-Restoration a contract cancellation and administrative fee amount equal to Is% of this contract,
Infinity Restoration and it Authorized Representatives are NOT Public Insurance Adjusters,
YOU, TITS BUYER, MAY CANCEL THIS TRANSACTION AT ANY TI.ME PRIOR TO MIDNIGHT OF THE TRIitD
BUSINESS DAY AFTER THE DATE OF TRIS TRANSACTION. SEE ATTACHED NOTICF OF CANCELLATION.
THUS CONTRACT IS VOID IF THE INSURANCE COMPANY DENIES FULL ROOF COVERAGE
Print Name: spate: A Print Name:
Date;
signature= Signature-
Representative-, Phone: '3 c:> ,3 � • 9'2_-4. 'bj��'
10/10/2017
Infinity Roofing & Siding Mail - Fwd: 3475 Vivian Ct
Permit pick-up (fig copy of contract) : Tuesday, October 10, between the hours of 11:00 am - 1:00
pm
Location: Wheat Ridge City Hall, 7500 W. 29th Avenue, 2nd Floor
Required items for pick-up:
• Bring in a Copy of signed roofing contract — We will be keeping the coay.
do not bring your original
• Fee for permit: $547.21
• Photo ID
Please do not email or fax required information — You must bring a copy of required items. Building is unable to make
copies.
NOTES:
Permit card must be picked up and posted on site before work begins.
• Credit cards (Visa and Mastercard) are accepted up to $2500.
You may PRINT a credit card authorization form and bring it with you in person when you come to pick up
your permit. Do not submit this form via email or fax.
Checks are required for any amounts exceeding $2500.
• The person who picks up this permit must be authorized in our system to pull permits. If you are unsure or
to add someone, bring an authorization letter on company letterhead and signed by the owner.
All dumpsters associated with building permits must be located on private property (not in the street).
Dane Lovett
Permit Technician
7500 W. 29th Avenue
Wheat Ridge, Colorado 80033
Office Phone: 303-235-2853
Fax: 303-237-8929
www.ci.wheatridge.co.us
LAN of
i� .
l'orkiv "r't
CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named
above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this
communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message,
and delete the original message from your computer, and any network to which your computer is connected. Thank you.
https://mail.google.com/mail/u/l /?ui=2&ik=daaa5d6608&jsver=khUFNOKniXg.en.&view=pt&search=inbox&th=15fO6be39cfO22fO&siml=l 5f06be39cfO2... 2/3
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:
Job Address: v
Permit Number: ' UI 'l`n L o3
❑ No one available for inspection: Time ��, ) tM/ M
Re -Inspection required: Yes No
When corrections have been made, call fob e -inspection at3 -234-5933
Date: Inspector: CG—
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:
Job Address:rJ
Permit Number: 1Q 1] Q 5 j Q ZJ
❑ No one available for inspection: Time ��JZJ AM PM
Re -Inspection required: (3)
No
When corrections have been made, call fo e -inspection at 303-234-5933
Date:li `� Inspector: Cc
DO NOT REMOVE THIS NOTICE
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: Alld
Job Address/Permit Number: 7 7 1 /% 5
❑ No one available for inspection: Time AMEMf
Re-inspection required: 'Yes to j
*When corrections have been made, call for r -j . nspe� ion at 303-234-5933
Date: 9 f Inspector:
DO NOT REMOVE THIS NOTICE
1* 4' ' City of Wheat Ridge
/ Residential Roofing PERMIT - 092015
PERMIT NO: 092015 ISSUED: 09/04/2009
JOB ADDRESS: 3475.VIVIAN CT EXPIRES:. 03/03/2010
DESCRIPTION: Overlay 27 sqs.
CONTACTS*** -
owner 303/250-5204 Marc Davidson
PARCEL INFO
ZONE CODE: UA - USE: UA
SUBDIVISION: -0695 BLOCK/LOT#: 0/
**FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,375.00
..FEES
Permit Fee 426.50...
Total Valuation ,00 Use Tax ..60.75 L`~DIIc~ J
**.TOTAL 187.25 ','=on^,•~'~+
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.
3ubject.to.field inspection.
Ihereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinancesAIca ' iI es or regula 'on of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
meas s and al egati ys made are accurate; that I have read and agree to abide by all conditions printed on this
appand that a s me f '1 responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
appWh t Ri ge inane for work under this permit. Plans subject. to field inspection.
Sigf contr cto' /o !
This per mit 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.
....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.
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 for anew permit. _
No work of any manner shall be done that will change the natural flow of water causing 'a drainage problem.
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..
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, a violation of the provisions of the, building codes or any other ordinance, law, rule or regulation.>
All plan revi object to field inspections.
11,
ignature o hi Building official' date
NSPECT ON REQUEST LINE: .(303)234-5933 BUILDING OFFICE: (303)235-2855
EQUESTS MUST BE MADE BY.`.3PM.ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
~OF WttEgTR,O City of Wheat Ridge Building Division Date:
7500 W. 29th Ave., Wheat Ridge, CO '80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
o Inspection Line: 303-234-5933 11 IC~
°totxAO Permit Cf I l
Building Permit Application
Property Address: 3N~ j IVL+t3 wtluate-tq CU '660'2~3
Property Owner (please print): VAT1 P-C bft-~t DScA Phone: z9D ° Jr; 2oq
Mailing Address: (if different than property address)
Address: :'615 V i U t A7 3
City, State, Zip: W ttLA-T Vu Moe , Co ZW33
Contractor:
Contractor License M Phone:
Sub Contractors:-
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
DeS "Al On of VVOrk~- (as calculated per the Building Valuation Data sheet)
. V i'~ JJAJ Ct_ 14 tji Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: n(? Squares 277 BTU's Gallons Amps
OWNERICONTRACTOR 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. S#K&,C ect to field inspection. ~
CIRLCE ONE:: (CONTRACTOR)`~or PERSONAL REP S'NTATt o (O NER) (CONTRATOR)
PRINT NAME: V/,Vt4guti/ SIGNATURE: Date: r,
Bldg Valuation:
DEPARTMENT OF COMMUNITY DEVELAPMENT M91#17144
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 EXT. 255 P.o. eox sae CITY OF WHEAT RIDGE, C0L0. moooo`m
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
`
+ APP~YTION FOR MISCELLANEOUS P RTn }-Jl,.. ADDRESS i OWNER ~~N~J t"APP.i'~S~
CONTRACTOR ~ ADDRESS~~ZI V1 ✓IAA'1 Gf-•
ADDRE W• ' PHONE ZIP CODE O03s
CITY = ZIP CODE ONTRACT PRICE $ 3Fi40to $W'
PHONE
1. 7YPE GrounA ❑
LICENSE NO.
Wo11❑ Proiaoliny❑ Othsr 5 or D Foeit
12. MATERIAL - Tofal Square Faet
SIGNS 3. ILIUMINATION Yea❑ No❑ Typs Elftt. Permit No.
4. SET BALK FROM PROPERTY LINE N_ 5_ E_ W Zom_ ADDrwed, 2ona Inspeela
1. TYPE SolidU More Tlwn 80% ODSnU Less Than 80% Open
FENCES MATEP,IAL HNph}
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ AD7rowd,Zoro InsDecta
(Specify whieh ie tront) ❑ ❑ ❑ ❑ DisopDrovsd
OTHER IZ
a.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIV1Nu DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTpNS INCLUDED)
INSPECTION TICKET
JOB ADDRESS '~A-A ~ \1 I~) IP, N Q_T STREET NAME
g rM`4 I,
DATE: BIDG. PERMITB
PERMITM
BLDG.CONTR. ~ 1~rA OIIC~lCC~11lU
J
SHOW DISTANCES FROM THE M41N BUILDING TPADJOINING MOUSES, STREETS, AN SUBCONTRACTOR
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. ~
DATE INSP. REQ. -
APPLICATION FOR PLUMBING; ELECTRICAL;
THIS APPUCATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORN f TYPE OF INSP. 0' i ~
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WOq
ELECTRICAL PERMIT
STATE UCENSE N0.
PLUMBING PERMI INSPECTION MADE 4,3--21(?r~ I
STATE LICENSE N0.
AWMI
NUM WIRE UNDER SIZE 8 ILLEGAI
FLOOR
BSM
IST
REMARKS
21
N0.
WATER CLASET
TEMPORARY METER
WASH BOWL
NEW SERVICE AMPS
BATH TUB
VICE-AMPS
HOWER
CHANGE SER
S
LIGHTING
SINK
~
W.R. FORM 6-19
HEATING
GARBAGE DISF
POWER SUB-CIFCUITS
WATER HEATER
UTILITY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
FIXTURES
DISH WASHER
WIRING MOTORS 8 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI7(TURES
e thot this applica-
acknowlsd
I h
b
PERMIT FEE
y.. ~
T VALID UNIESS RECEIPTED
.~F cf ~ 1(
q
are
y
tion is correct ond underatond fhoT I
li-
til thi
o
f
t
i
USE TAX
a
un
•annof atort
e projsc
h
OC
otion ia ovproved. I shall comply witn
TOTAL FEE
$
tha lows of the Srote of Colorodo and to
ths ZoninQ ReQulationa and Buildinp
^ '
Code otthe City of Wheat Ridpe. Any
violation of the obove terme win couse
DI -
CHIEF BUILDING INSPECTOR,City o Wheot Ridqe
immediote revocation of thie permit
CALL 237-8944 EXT. 255
'
24 HOURS IN ADVANCE
FOR INSPECTIONS
Dote Issued ~'z
P liean 9i0nelan