HomeMy WebLinkAbout3651 Vivian CourtZol %o 3 163
USf V, -Wan Gfi, INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/T�e
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** 7
Inspections will not be performed unless this card is posted on the project site.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
InsInt alsor Comments
Pier
Concrete Encased Ground (CEG)
Mid -Roof
=oundation / P.E. Letter
Lath / Wall Tie
Do Not Pour
Concrete Prior To Approval of Tha Ahnva Inanni-finnc
Jnderground/Slab Inspections Date Inspector Comments
Initials
lectrical - -
ewer Service
lumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Annroval Of The Ahnvp Incnprtlnnc
Rough Inspections
Date Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
I
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Landscaping & Parking / Planning Dept.
Date
Inspector
Initials
Comments
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
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.
ror iow voltage permits — riease De sure that rough inspections are completed from the Fire District and electrical low voltage
)y the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
t i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Q o
Job Address: T �%' �' iv) C
Permit Number:
❑ No one available for inspection: Time � I :� 1,6MIPM
Re -Inspection required: Yes /fro
When corrections have been made, call for re -inspection at 303-234-5933
Date: I FGP7 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ' ` 6 r
Job Address:
Permit Number: Z, � 1 03 i 6 3
5
❑ No one available for inspection: Time /�9i6PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
t
l --T Inspecto
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: e tj F
Job Address: 7S to St 1i 0i ti CI
Permit Number: C=) bi`,7 C --'S/ e. 3
Nom} t API f B 0 ,
1�- D r V P s G u 7 v P If 0 A -t
1 a 1 C= N 940M t NT i a N-
r -�
r
s�+ s
114
❑ No one available for inspection: Time AM/PM
Re -Inspection required: e No r P /( 6 P L t
When corrections have been made, call for re -inspection at 303-234-5933
Date: 4� ` i Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703163
PERMIT NO: 201703163 ISSUED: 07/03/2017
JOB ADDRESS: 3651 Vivian CT EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install Stone Coated Steel Decra Shake shingles - 29
sq.
*** CONTACTS ***
OWNER (720)938-3786 CALLEJO MICHELLE
SUB (303)552-4467. John Hess 150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,224.00
FEES
Total Valuation 0.00
Use Tax 172.70
Permit Fee 188.45
** TOTAL ** 361.15
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201703163
PERMIT NO: 201703163 ISSUED: 07/03/2017
JOB ADDRESS: 3651 Vivian CT EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install Stone Coated Steel Decra Shake shingles - 29
sq.
t, 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
performed and that III work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Slgnature of OWNER or C,d(14TRACTOR (Circle one) Date
I . This permit was issued based bn 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 and specific approval.
5. The permit ho der shall notify the Building and Inspection Services Division in accordance with established policy of all re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection �ervices
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.
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@ci.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.
Dane Lovett "Zor/, o�'i 0
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 16, 2017 2:05 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up V
Flag Status: Flagged S
Categories: Danny
�rn
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
V�
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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 _ 5TVivian Ct.
Property Owner Name Michelle Callejo ,
Property Owner Phone
Number
Property Owner Email
Address
720-938-3786
Field not completed.
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Urban Exteriors LLC
150142
303-552-4467
Contractor Email Address jennifer@urbanexteriorsllc.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email jennifer@urbanexteriorsllc.com
Address
DESCRIPTION OF WORK
Are you re -decking the No�
roof?
Description of Roofing Decra Shake
Material
Select Type of Material: Other (specify below)
If "Other" is selected Stone coated steel Decra
above, describe here:
How many squares of the 29
material selected above?
Does any portion of the No
property include a flat
roof?
2
If yes, how many squares
on the flat roof?
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
Field not completed.
29
House and garage 5/12
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 Jennifer Hess
3
/_>^--.X\
Urban Exteriors
Urban Exteriors, LLC
3440 Youngfietd Street, Suite 179
Wheat Ridge, CO 80033
303.552.4467
www.urbanexteriorst1c.co
Owner's Name: - Insurance Company:
BBB. C 1
COLORADO ROOFING ASSOCIA110N
Address: Phone #:
----- -5 - v "c1�_Luv t ------ ---._ - — -- — ---- -------------
City: State: ^ zipClaim #:
Phone #: -Project '
Mobile #: Phone #: 10
Email: Date: r
IAVE, the Owner(s) of the premises described above authorize Urban Exteriors. Ilc. hereinafter referred to as -Contractor', to furnish all materials
and labor necessary to roof and/or improve these premises in a good. workmanlike and substantial manner according to the following terms.
specifications and provisions: -1 i n r, F I— I i t -. A �
T-,tCV. t
IINSUR.ANCF: THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE PLUS AINV UPGRADLS CHOSEN OR ANY NON
COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE--NTRACT BALANCE IS PAID BY YOUR
INSURANCE COMPANY PER FINAL LOSS INVOICE. THIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY
TO IT SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE
INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE SCOPE OF NVORK %PILL BE DEFINED Bl' THE
INSURANCE COMPANY LOSS SHEET AND ALL REVISIONS THEREOF. AN)' ADDITIONALNI''ORK MtIST BE SUBJECTTO A
CHANGE ORDER AND/OR CONTRACT SIGNED BYTHE PARTIES.
b. Description of any areas that will NOT be worked on:
This list of specifications may be continued on subsequent pages (see page number below).
c. Payment: Contractor proposes to perform the above work. (subject to any additions and/or deductions pursuant to authorized change orders), for the
Total Sum of S 7_S - 3`�j r�7 Down Payment S
d. Commencement and Completion of \York: Substantial commencement of work shall mean either the physical delivery of materials onto the
premises or the performance of ,y labor sha11,1tg subject to any permissible delays as per provision (5) on the reverse side.
Shingle Mfg, Type & Color:aa ct Labor Warranty: 5 yrs, transferrable - provided upon payment in full
e. Acceptance: The contract is itprot4 acce`prte�. I we-) 5nbersta a are no oral agreements or understandings between the parties of this
agreement. The written terms. provisions, plans (if any) and specifications in this contract is the entire agreement between the parties. Changes in this
agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges.
Additional Provisions of This Contract Are On The Reverse Side And May Be Continued on Subsequent Pages. A copy of the labor warranty is available upon
request. Urban Exteriors shall hold in trust any payment received from you until Company has delivered roofing materials at the site or has performed a
majority of the roofing work on your property.
lou, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See
attached Notice of Cancellation form an explanation of this right. ,
ALL CHECKS INIUST BE \IckDE PAI
Signature
URBAN EXTERIOR LL .
d c
dme
1 hereby grant Urban Exteriors
permission to speak with my insurance
company for the purpose of resolving this
claim.
Urban Exteriors has permission to
discuss my claim with my mortgage
comnanv. if annlicable.
of
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
P.M
Property Address: 365 1
V
2
�1, �z r �,C �t,
Property Owner (please print)
q`
Phone: 30�
Address.
HHEEM
im
contractor Lal D
LL-9 11 P'T k I C—
maln��
MEM
111MM=
e-w4 bo
City License # 0 / 1 2 1 �rS' 5
bi R,'nAA,1 Contract V lee" 0
Review Fee (due at time of submittal):
BTU's Ms 00 Gallons _ Amps _ Scl Ft, - L-i
CIRCLE ONE : (OWNS
(CONTRAACTC?l�} fLr (AUTHORIZED
kRINT NAINIE:
Zoning,
Reviewer
ffrow
ATIVE) of (0�'NER) (CONTRACTOR)
DATE: Z V,
FIRE DEPARTMENT:: 0 approved w/ comments Odisapproved O no review required Bldg Valuation:
INSPECTION RECORD Occupancy/Type
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.
Ui(l �� y
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
CONCRETE SLAB FLOOR
YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof -
y, Electrical Service
Rough Electric –
Rough Plumbing,
Gas.Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
°.
e
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY
� PROTECT THIS CARD FROM THE WEATHER
FINALS. --
al
COMMENTS.
g
ical
Stemwall /(CEG)Concrete
Encased Ground
S ,
Final
$**NO
artment
Weatherproof / French Drain
Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE GALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
LandSCaping
: ALL ITEMS MUST BE COMPLETED.. AND APPROVED BY PLANNING AND. ZONING, BUILDING AND PUBLIC WORKS BEFOREA
CERTIFICATE OF OCCUPANCY -IS ISSUED. `FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY. NOR PERMISSION FOR OCCUPANCY.
FOUNDATION INSPECTIONS DATE
INSPECTOR
INITIALS
COMMENTS.
Footings /Caissons
Stemwall /(CEG)Concrete
Encased Ground
-
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lin es
IS ISSUED
...........
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234 -5933 Inspection line
_(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 1 , -,- *- i-
Job Address: 3-Si 1/i
Permit Number: z, 17,-:
No one available for inspection: Time AMA OM _
Re- Inspection required: Yes No -
When corrections have been made, call for re- inspection at 303 -234 -5933
Date: S/ /P /® Inspecto
DO NOT REMOVE THIS NOTICE
h
City of Wheat Ridge
Residential Roofing PERMIT - 101708
PERMIT NO: c 101708:. ISSUED: 07/08/2010
'.JOB ADDRESS:. 3651 VIVIAN CT; EXPIRES: 01/04/2011
DESCRIPTION: T /o: Install 27 sqs of metro -shake 2. roof sys (granu.metal)
** CONTACTS * **
:owner 303/421-5972 Wetz
gc 303/274 -0670 Sam: Jones 02 -0939 Sam Jones Roofing
Y ** PARCEL INFO **
a,ZONE CODE: UA USE: UA
SUBDIVISION: ". 0683 BLOCK /LOT #: 0/
FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 19,745.0.0
FEES
Permit Fee 417.70
Total Valuation .00
Use :Tax 355.41
* *:TOTAL ** 773.11..
C
zConditions:
,6 nails per shingle is required. Ice dam membrane is required from save edge to
2' inside exterior walls. Board sheathina` with anv can greater -than 1/2 ":'
C't f
Y
.., heat Date:
--
'COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 -235 - 2855 " Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Am diessd - - 36 -q V, y,'a G l J
Property Owner (please print): 4/eI7 Phone: 303"
Mailing Address: (if different than property address)
Address:
City, State, Zip:
OWN** S c t Jow�S
Contractors City License #: Q2 - 093 1 ' Phone: 303 - ,2 -p670
Stlb "contractors:;
Electrical: Plumbing: Mechanical:
City License # City License # City License #
�ESJCI71�t7D110# YIYA l'k
C 2 / /4 �� 1/ Cont Ct 7fS Valuer
1ws ��tl Me7ro 51,a�c z Roo S�e57��L $
SS. yv t .. � 4a of � Review Fee (due at time of submittal):
Squares 2T BTU's Gallons Amps Sq Ft. $
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.
CIRCLE ONE: cc (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) - of (OWNER) (CONTRACTOR) [�
PRINT NAME: 5-- � 9"""� SIGNATURE:. DATE: ? / - 3 -
y' a ,, � rrr� � r i ri ,� r r y✓ v '. �
zota�arrntadnr'nTrc,,, h _� 1...�N ,. r�.,r, ,,.,_ ✓ ✓'r.�',��� _.,., .., r ;,..4r .. �r,.,�., ,� ..,..�,
Bldg Valuation;$
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M911i17322
237-8944 EXT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLV WHEN SWNED BY THE CHIEF BUiLDING INSPECTOR AND RECEIPTEDBELOW.
JOB ADDRESS ' 1 OWNER r ~ °F""-
i ~
CONTRACTOR ~ Q CU !7 ADDRESS ~ W
ADDRESS PHONE - ZIP
CITY Z ~ 'a'( ZIP CODE _S~ Zj CCONTRACT PRICE $ S L~C~O .~pounnic '2~Z i vonico nin nnT❑ 41~1 / y/
r_ _
, - _
L TYPE GreunE ❑
Woll❑
Proieclinp❑
Oth*r
S or D Fate
MATERIAL
2
Tofal Squ
on FaN
SIGNS
.
3
ILLUMINATION Yn❑ No❑
Typa
Elat
Pnmif No
.
4. SET BACK FROM PROPERTY LINE N
(SDStify whith ia fronl)
_
❑
S- E
❑
_ W
❑ ❑
.
Zons_
.
Apprwad,20ne Inspeetor
DisaDprOVed
1. TYPE Solid❑ Mora TAOn 80% OpsnO
Ltes Thon BO% Open
MATERIAL
MeipM
FENCES
3. SET BACK FROM PROPERTY LINE N
(SPecify whieh ie tront)
_
❑
5_ E
❑
_ W
❑ ❑
Zons_
ApDrwed,Zono Inspeetw
DisoODroved
1
.
Pi
2
' -
-
OTHER
t
! ~
~
3
~
~
.
t
~
DRAW SKETCH OF2 SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIV1tiu DISTA62fS FROM PROVERTY LINES.
(SETBACNS OR PROJECTIONS INCIUDED)
SPECIFY NORTH
STREET NAME
$HOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS,AND PRpPERTY LINES;ON IRREGULAR LATS, SNOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR pVERAGE 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.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUM WIRE UNDER512E B ILLEGAL
PLUMBING PERMIT
STATE LICENSE N0.
FLOOR BSM IST 2ND 3RD 4TH
MECHANICAL PERMIT
NO. Fl1EL+CirclsOrn Cwi011Propons E Sola
Np,
WATER CIASET
FORCED AIR - BTU
TEMPoRARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE ° AMPS
BATH TUB
STEAM - 8TU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING -8N
LIGHTING
SINK
OTMER
MEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-GFCUI?S
WATER HE/+TER
Refri arant Graup
UTILITY (RANGE, DISPOSER, ETC)
AUTO. WASHER
Pounds Char a
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOFtS 6 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORN
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
~
I MreAy ncknowledqe thot this oD0lica-
tion u Conett ond understand tnof I
connoi starf this Drojbtt until this oOCli-
eation ie oDCraved. I shall comply wifh
the lowf oi the Slote oi Colorado ond to
the Zoninp Repulatione ond Bmldinq
Lode of the City ot Wheat RidQe. Any
violation of the above terme wdl couee
immediote revocafion oi tnis permit
PERMIT FEE $ I • "
USE TAX
TOTAL FEE
NOT VALID UNlE55 REGEIPTE~
t:tv
~..k tt6. ; 9
~ ~ l
. UOlicanb~di w•
CHIEF BUILDItyP/INSPECTOR,Cityof Wheai Ridqe
Oote Issued
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDWG INSPECTION DIVISION PERMIT N0. M91#17515
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RID6E, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR QNC RECEIPTED BELOW.
APPLICATION FOR MISC
JOBADDRESS l-/=
ELLANEOUS PERM T
OWNER ~~r~ ~c/1/aGJtJ
CONTRACTOR ✓1a -X E-~.a I ~e~i✓~~9
ADDRESS
ADDRESS v-'i'
PHONE
4lG % %/--.'f
ZIP CODE r1211%
CITY 14✓'uci.._Y ,j, ZIP CODE S~17<%-,'-
PHONE t%Z-2 LICENSENO.
-
CONTRACT PRICE $ ~SG PaC'
DATE /~17ztLf
L TVPE Ground❑ Woll❑ Proiecfinp❑ Ofner SaDFOu
2. MATERIAL Tolal Sqmre Fed
SIGNS
3. ILLUMINATION Yp❑ No❑ 7y0e Elecf. Pvmit No.
4. SET BACK FROM PROPERTY UNE N_ S_ E_ W Zone_ Approvod,2one lnapeotor
(Spseify which if fronl ) ❑ ❑ ❑ ❑ Disapproved
1. TYPE Solido More 7hon BO% ODanO Len Thon 80% Open
MATERIAL _ Hoipht
FENCES
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zme_ Apprwed,Zorn tmDeeta
(Spetify whieh is tront) ❑ ❑ ❑ ❑ psopDroved
I. c~o a o✓ . ~r'''-fcafi
OTH
R
2
E
a.
DRAW SKETCH Oft SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVII:o DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
FRf1fJT PRf1PFRTV
STREET NAME
~
SPECIFY NORTM
SHOW DISIANCES FROM THE MAIN BUILDING TtrADJOINING MOUSES, STREETS, AND PROPERTV LINES;ON IRREGULAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANIE.
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 WILI EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE IICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDER SIZE 8 ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FUEUCircleQw GW dl Ropane EI Solw
N0.
WATER CLASET
FORCED 41R - 8TU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINN
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIFCUITS
WATER HEGTER
Refri eronf Group
UTILITV(RANGE,DISPOSER,ETC)
AUTO. WASMER
pounEs CMr e
FI%TURES
DISH WASHER
AUIOMATIC SPRINKLER SYSTEM
WIRING MOTOftS 8 CONTROLS
F1.L10R DRAIN
ELEVATOR
SIGNS
URINQL
TRANSFORMERS 9 RECTFiERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
i hareby acknowledpe thot this applico-
fion it correci and understand thot I
eannot atart this Drojett until this oppii-
Cation is approved. I shall comply wifh
the lawf of the Stote o1 Colorado ond to
the Zomnp Repulations ond Bwldinp
Code ofthe City of Wneat RidQe. Any
violation ol the a6ove terme will couse
immediate revocotion of tnis permil
~oolicanl~ 9'pnarw~
PERMIT FEE ~y/ NOT VALID UNLE55 RECEIMED
USE TAX
TOTAL FEE
APPROVED
DISAPPROVED ` CHIEF BUILDING SPECTOR,Cifyof Wheat Ridge
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
Dafe ISSUed FOR INSPECTIONS