HomeMy WebLinkAbout5320 W. 40th AvenueDEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, C0L0.
THIS PERMIT VALID ONLY WHEN SIGNEO BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW.
?~1 APP,I~ICATION FOR MISC
5`3°~'Q W" AV~- •
ELLANEOUS PERMIT
OWNER RO SE:._ IL J C'C S
10B ADDRESS
S Q ~ V m a ~7~ ~T
L
NTRACTOR
ADDRESS 53,20 W y~JT " A'U~. ,
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ADDRESS n7~qh (.v Yy"_ A ?3 11F- •
PHONE Vd " 35,2 / ZIPCODE
CITY l)„~t P Y~5- R t S~LY c ZIP CODE SO03.3
ya3- 1600 LICENSEN9
CONTRACT PRICE $ ~o
DATE la' (I
PHONE
,
TYPE Ground❑ Woll❑ Proiectinp❑ Othsr SorDFaee
1
SIGNS
.
2. MATERIAL Total Squaro Feet
A Elaet
Permit No
❑ 7
ILLUMINATION Y
❑ N
3
-
yp
.
.
ea
o
.
4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ ADDroved,ZOne Inspeefor
(SDatify which ia }ronl ) ❑ ❑ ❑ ❑ DisoDDrwed
L TYPE Solid❑ Mon Thon BO% OpenO Uu Thon BO% Open
MATERIAL HNOh1
.
FENCES
3 SET BACN FROM PROPERTY LINE N_ S_ E_ W Zone_ Apprwed,Zone Inspecta
(SPecify wFieA ie tront) ❑ ❑ ❑ ❑ DiaaPOroved
F Ug lo2 G~.s L.oG ` UGL -.~11'~
i
,
2 pT~)~S~aoO Aa~CO~'~
OTHER
3
.
DRAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIViNu DISTANCES FftOM PROPERTV LINES.
(SETBACNS OR PROJECTIONS INCIUDED)
W INSPECTION TICKET IXSR"ECT~~,
~T
z T
JOB
~ ADDRESS S13 -2d
w
a
0
DATE: BLDG. PERMIT# BLDG. PERMIT# ~
PERMIT# PERMITN
BLDG. CONTR. ~✓~`~3 3. CONTR. LES ~
SHOW OISTANCES FROM TFd ~ONTRACTOR
DISTANCE TO PROPERTI . SUBCONTRACTOR
APPLI
THIS APPUCATION WILL B'.
PERMIT
DATE INSP. REQ. /~-/°Z
TYPE OF INSP.
ELECTRICAL PE p
STATE LICENSE N0. INSPECTION MADE
JMINUM WIRE UNDERSRE B REMARKS
TEMPORARY METER
NEW SERVICE . - AMP
CHANGE SERVICE-AMP',
LIGHTING
HEATING W.R. FORM 619
POWER SU9-GFCUITS
UTILITY (RANGE, DISPOS
FIXTURES
WIRING MOTORS d CONT.
SIGNS
TRANSFORMERS B RECTFIERS
SEWEF
ADDITION TO OLD WORK
OTHEF
MOTORS OVERJHP
TOTAI
1 hereby acknowledqe that this applica-
fi0n is Correct and understand ihat I
cannof stmt Mis projetf until ihis oOPli-
cotion ie apProved. I sholl comply with
the lowa of the Stata of Colorodo and to
the Zoninp ReQulafiona and Buildinp
Code of the City of Wl+eot RidQe. Any
violofion of the obove terma will cause
immediate revocotion of tnis permit
E INSP. REQ.
E OF INSP. ~ a
DECTION MADE -
AARKS
~2`/
FORM 619 . /
V
PERMIT FEE NOT VALID UNIESS RECEIP
~
USE TAX O'j
TOTAL FEE $a,~• (q~
~
APPROVED
DISAPPROVED
CHIEF BUILDING SPECTOR,City of Wheat Ridqe
lv,,,,,~ Date Issued
COplleanle Sipnalv~
2 / Z-(54j
CALL 237-8944 EXT. 255
24 HOUR5 IN AOVANCE
FORINSPECTIONS