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Home My WebLink About5517 W 26th Avenuei CITY OF WHEAT RIDGE r Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: bloq- [Zoo -t' Job Address: 55 1-2 L-/ -2 64 % Xve, Permit Number: ? GSI % 6 % dila l l oo -C IJNo one available for inspection: Time -)- A K /PMS Re -Inspection required: Yes nNo When corrections have been made, call for re -inspection at 303-234-5933 Date: Ll A 1 i Inspector:. aix Ld yr DO NOT REMOVE THIS NOTICE r City of Wheat Ridge Residential Roofing PERMIT - 201706796 PERMIT NO: 201706796 ISSUED: 08/31/2017 JOB ADDRESS: 5517 W 26th AVE EXPIRES: 08/31/2018 JOB DESCRIPTION: Residential Re -roof to install Dimensional asphalt shingles and TPO/EPDM Rolled shingles with 36.8sq(18.3pitched and 18.8fsq flat) 3.8sq 3/12 pitch with rolled roofing, 14.5sq 4/.12-13.12 pitch with dimensional shingles *** CONTACTS *** OWNER (303)319-1234 SCHROEDER DAVID L SUB (303)239-6633 Robert Pachmayer 170045 Beyond Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,713.25 FEES Total Valuation 0.00 Use Tax 203.98 Permit Fee 204.30 ** TOTAL ** 408.28 - - -"-- *** 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) 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge r Residential Roofing PERMIT - 201706796 PERMIT NO: 201706796 ISSUED: 08/31/2017 JOB ADDRESS: 5517 W 26th AVE EXPIRES: 08/31/2018 JOB DESCRIPTION: Residential Re -roof to install Dimensional asphalt shingles and TPO/EPDM Rolled shingles with 36.8sq(18.3pitched and 18.8fsq flat) 3.8sq 3/12 pitch with rolled roofing, 14.5sq 4/12-13.12 pitch with dimensional shingles I by my signature, do hereby attest applicable building codes, and all a by the legal owner of the property this_permit. I further attest_thit4-am performed and that all4ork to be p I the work to be performed shall comply with all accompanying approved plans and specifications, icable municipal codes, policies and procedures, and that I am the legal owner or have been authorized am authorized to obtain this permit and perform the work described and approved in conjunction with ;ally authorized to include all entities named within this document as parties to the work to be s disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Cirdi one) Date I. This permit was issued baseshn 1hesnfbTmation provided in thepermit 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 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 issuanceqo.r ng of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable coorduculation of his jurisdiction. Approval of work is subject to field inspection. Wu►+rte- o Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11.59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Tuesday, August 29, 2017 4:16 PM To: CommDev Permits 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 residential roof? How many dwelling units are on the property? PROPERTY INFORMATIO Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Yes Single Family Home N— I W I& / h, 5517 W. 26th Ave., Wheat Ridge, CO 80214 Dave Schroeder 303-319-1234 Field not completed. 137 �tnSo��1 X17 Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes 170076 CONTRACTS.pdf CONTRACTOR INFORMATION Contractor Business Beyond Roof i �g, LLC Name ` I Contractor's License 170045 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-239-6633 3535 S. Platte River Dr., Suite G2 Sheridan, CO 80110 Contractor Email Address info@beyondroofing.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: info@beyond roof ing.com 36.8 / Project Value (contract 9713.25 value or cost of ALL materials and labor) (3� Are you re -decking the roof? Does the scope of the Yes project include a flat roof (less than 2:12 pitch)? 138 How many squares are part of the flat roof? Describe the roofing material for the flat roof: Type of material for the flat roof: Does the scope of the project include a pitched roof (2:12 or greater pitch)? 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? What is the roof pitch? Etc) 18.5 SQ 3 SQ 1/12 Rolled roofing & 15.5 SQ of TPO/EPDM TPO/EPDM, Rolled Yes Z 18.3 SQ 3.8 SQ 3/12 w/ Rolled roofing & 14.5 SQ Dimensional shingles, 4/12 - 13/12 pitch Asphalt House and garages; replacement of a shingles and rolled roofing on garage on NW corner of property; Re -coat flat roofs, approx 15.5 SQ SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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. Yes Yes 139 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. 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 David Brostrom Email not displaying correctly? View it in your browser. 140 ROOFING HOMEOWNER 19c vC �<Ch!'O,Qle2/ STREET <r / -2 t,/ d1 -4A XiyP CITY VXe4, .a STATEGiV _ ZIP 0d -I / HOME# WORK# CELL#FAX# EMAILr,/Sr%isccc��aVP 6t.rnrwif.�•c�rn HOMEOWNER AGREEMENT INSURANCE CO. &IC,, iG,n CLAIM NO. (�1Q G X90/ 9 ? ADJUSTER gR, PHONE 9 " OY2 9 EMAIL SPECIFICATIONS — ROOF MANUFACTURER 7 STYLE COLOR A") gl f% C:N41' IVTEAR OFF NO. LAYERS --,' c/REPLA DECKING 4 ICE & WATER SHIELD /, -,FELT iiDRIP EDGE LF VENTS -3 o rc `Je -1 4V 09 COLOR (e- MOTHER r-> SPECIFICATIONS — OTHER GUTTERS LF 13 9 —,IV, 0WS # �,ir�,SIBFRtf� SQUARES DN SPOUTS STYLE STYLE COLOR COLOR COLOR The cost of the labor and materials for the /work contemplated in this Agreement, based on damage known at the time this Agreement is entered into, is estimated to be $ ii,a %S Beyond Roofing LLC ("Beyond Roofing") may subsequently obtain a revised or updated coverage amount and scope of work (the "Supplement") from Homeowner's insurance company. Any such Supplement shall, when added to the original work and amount contemplated herein, become the final price and scope of work of this Agreement (the "Work"). Payment Schedule: 1,150% or Full ACV due prior to material delivery. Remainder due upon substantial completion. o Other BR Initial This Agreement does not obligate the Homeowner or Beyond Roofing in any way unless and until payment for the Work is approved by the Homeowner's insurance company and approved and accepted by Beyond Roofing. If accepted by Beyond Roofing, the Work shall be provided with no additional cost to the Homeowner except for the deductible and agreed upon amounts related to additional work not covered by the Homeowner's insurance. Colorado SB38 and CRS 18.13.119.5 prohibit Beyond Roofing from paying, waiving or rebating the Homeowner's insurance deductible. Beyond Roofing will effort to begin the Work within fifteen (15) business days after the receipt of Homeowners initial payment and complete the Work within ninety (90) days of beginning. Subject to applicable terms and conditions, Homeowner has the right to rescind this Agreement and obtain a full refund of any deposit within 72 hours after entering into this Agreement. If Homeowner plans to use the proceeds of a property and casualty insurance policy to pay for the Work, Homeowner may rescind this contract within 72 hours after receiving written notice from the property and casualty insurer that Homeowner's claim has been denied in whole or in part. Beyond Roofing shall hold in trust any payment received from Homeowner until the earlier to occur of (i) Beyond Roofing delivering materials at the site or (ii) Beyond Roofing performing a majority of the Work for the Homeowner. Homeowner has read and agrees to this Agreement, including all terms and conditions on both the front and back of this Agreement. Homeowner/Date Homeowner/ ate Beyond Roofing/Date 3535 S. Platte River Drive Suite G2 - Englewood, CO 80110 Phone: 303.239.6633 e Fax: 720.508.4186 e www.beyondroofing.com 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: 3 D 6 /", I Job Address: 5-17 W r} 6 Permit Number: .3U /7 d ( 7 ❑ No one available for inspection: Time/"/ AM/PM Re -Inspection required: Yes No *When corrections have been made, ca®r re -inspection at 303-234-5933 Date: 0/ 7 Inspector: /)77-9 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 INSPEC TION NOTICE Inspection Type: 19 Job Address: Q �23 17 d� Permit Number: a01706726, ❑ No one available for insp : Time AM/PM Re -Inspection required: es No When corrections have been made, call for re -in -5933 Date: Inspector: DO NOT REMOVE THIS NOTICE of DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 9248 7/29/99 Property Owner : Property Address : 5517 W 26th Ave. Contractor License No. : 17174 Company : Bell Plumbing & Heating Phone: 303-238-8218 Phone : 757-5661 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 ayree to abide by all conditions printed on this application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : Water heater replacement - 40 gallon, 40,000 btu Construction Value : $447.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $6.71 Total: $30.21 Use: BUILDING DEPARTMENT USE ONLY NE - SIC : Sq. Ft. : Approval: Zoning : ~ IN Approval: Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company: Expiration Date : Approval : Mechanical License No : Company: Expiration Date : Approval: (1) This permit was issued in accortlance with the provisions set (orth in yopur application and is subject to ihe laws of the State of Coloratlo and to the Zoning Regulations antl Butldin~ CoOe oF Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authonzetl is not commencetl within sixty (60) days irom issue date or (B) the builtling authorized is suspentletl or abandoned !or a periotl of 120 days. (3) If this permit expires, a new permR may he acquiretl for a(ee of one-half the amoun[ normally required, provided no changes have been orwill 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 abantlonment exceetls one (1) year, full fees shall be paid (or a new permit (4) No work of any manner shall be done that will change ihe nalurel flow of water causing a tlrainage problem. (5) Coniractor shall notiry the 8uilding Inspector lwenry-four (24) hours in atlvance tor all inspections and shall receive written approval on inspection card beFOre proceetliing with successive phases of the job. (e) The issua of a~ p~prTit or the approval of tlrewings antl specifications shall not be construetl to be a permit for, nor an approval of, any violation oF the pmvisions ot Me b~ di~fg iG~&g~qr any other ortlinance, law, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Application Number : BUILDING IPlSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: ROSE MC NEES Phone: 303/238-8218 Property Address 5517 W. 26th AVENUE Contractor License No. : 17174 Gompany: gELL PLUMBING & HEATING Phone: 303/757-5661 OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback tlistances proposetl by this permrt application are accurate, and do not violate applicable ordinances, rules or regulations ot the City of Wheat Ridge or coveqants, easements or restnctions of record: that all measurements shown, and allegations made are accurete; that 1 have read antl agree ro abide by all contlitions printed on this application, and that I assume full responsi6iliry for compliance with the Wheat Ritlge Builtling Code (U.B.C.) and all otherappliwble Whept Ridge ordinan s. r work under this permit. (OWNER)(CONTRACTOR) SIGNED I • DATE]! Description WATER HEATER REPLACEMENT 40 GALLON BTU BUILDING DEPARTMENT USE ONLY ~1.~iRlen~6:' Approva! : Zoning : Approvaf : Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Aoproval : Aoproval : Approval : J JWCMW(ted..,,.~~ _ Pians Required J - (t) This pertnit was iswetl in accortlance with the pmwsions set foM in yoDur application antl is subject to the laws of the SWte of Coloratlo and to the Zoning RegulaGOns antl BidWng Code of Wheat Riage, Coioratlo or any other applicable ortlinances of the Ciry. (2) This permit shall exp" d(A) the work authonzetl is not commencetl wrthin sizry (60) Oays (mm issue date or (B) the Euiltlinq authonzetl is suspentled ot abandonetl for a permC M 120 days. (3) If this permit exqnes, a new pertnrt may be acquiretl far a fee of one-half tne amount normairy required, provided no changes have been or will be made in Ue onginal plans an0 specifica4ons and any suspenson or abantlonment has not eaceedetl one (1) year. If Uanges are made ar if suspension or abandonment exceeAS one (1) year. full fees snall be paitl for a new permit. (C) No work of any marner shall be tlone that wiil change the naw2i flow of water causing a drainage problem. (5) Contraclor shall noEy the Building Inspector lwenry-four (24) nocrs in atlvance for all inspections antl shall receive wntten appmval on inspecFon wrd before proceeCiin9 with suar~sslve phases of the 7ob. (B) The issuance of apermit or the approval of tlrawings and speciErations shall nol be construed to be a permit for, nor an approval ot, any viola6on o/ the provisions of the builtling co0es or any oMer ordmancelaw. ruie or re9ulaian. Chief Building trxspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION Construction Value : 447. 00 Permit Fee : ~ • 5-D use Tax : 7 J Total : 3 D W.O. #197806 DEPARTMENT OF GOMMUNITY DEVELOPMENT MP94#4047 7500WE5729thAVENUE BUILOING INSPECTION DIVISION PERMIT N0. 234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNEO BY THE CNIEF BUILDtNG INSPECTOR AND RELEIPTEDBEI.OW. JOB ADDRESS CONTRACTOR ADDRESS 'v lt>/ CITY A ~4 ^ ZIP CODE PHONE 7 S 7 {4 l LICENSE NO. / 11 2X I. TYPE GrounE ELLANEOUS PERMIT / OWNER ~C ADDRESS (14-,7 PHONE ('2 ?2 ZIP CODE ~O -~lll CONTRACT PRICE $ DATE 42 Wall❑ Proiettinp❑ 2. MATERIAL O SIGNS 3. ILLUMINATION Yu❑ No TYDe 4 SET BACK FROM PROPERTY I.INE etifv which E ❑ piMr S or D Faa Tolal SQuart FH1 Elect. Pnmit No. Zona_ ApDrwed,2one Inspaafor L TYPE Solidr-i Mon Thon 80% ODen❑ Lnt TAan BO% Open MATERIAL Noipht FENCES 3 SET BACK FROM PROPERTV LINE N_ S_ E_ W Zaie- ADDrwW,Zons InsDeeta (Soecify which ia }ront) ❑ _ ❑ ❑ ❑ aeo00roved OTHER I` b. DRAW SKETCH OR SHOW BELOW,THE FENCE,516N,OR OTHER STRUCTURE,GIVIhG DISTANCES FROM PROPERTV LINES. (SETBACKS OR PROJECTqNS INCLUDED) ~ SPECIFV NORTH $TREET NAME SMOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, ANO PROPERTY LINES; ON IRREGULAR lATS, SNOW LEAST DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE 01ST4NCE. ApPIICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE Bl11LDING INSPECTION DIVISION. ooonnilwu i FxPIRF 190 OAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ~ . MECHANICAL PERMiT T PLU MBING PER MIT ELECTRICAL PERMI ATE LICENSE N0 SiA7E LICENS E N0. ST . FLOOR BSM IST 2ND 3RD 4TH N0. EI $olm Fl1EUCirtlaO~eGo3plPrupaN ALUMI NUMWIREUNDERSIZE81LlEGAL T FORCED AIR - BTU WATER CIASE HOT WATER - BTU TEMPORARY METER WASH BOWL _ STEAM BTU NEW SERVICE - AMPS BATH TUB CONDITIONtNG-BTU AIR CHANGE SERVICE - QMPS SHOWER OTHER LIGHTING SINK P REFRIGERATION SYSTEM HEATING GARBAGE DIS HEATER Reiri s~on1 Cxoup POWER SUB-CiFCUITS WATER pound~ CM~ e UTILITY (RANGE, DISPO5ER, ETC ) AUTO. WASHER AUTOM1171C SPRINNLER SYSTEM FIXTURES DISH WASHER ELEVATOR WIRING MOTOftS 9 CONTROIS FLOOH DRAIN SIGNS URINAI. TRANSF017MERS 9 RECTFIERS _ SEWERS ADDITION TO OLD H'ORK OTHER MOTORS OVER I HP TOTAL FIxTURES ,--s REMARKS ~ ~ NO7 VAUD UNLESS RECEIPTED PERMIT FEE ~ I heroby ocknowledpe thot tnis avDI'ca' d rnat I f~ (P TAX ` tion is torroct ond underaron USE tonnot start this proltltt unfil thia oDDIi' b cotion it aDCroved. I snall compiy witn TOTAL FEE t~ fAa laws of the Slofe ol Colorado and to ildin B PPROV p u the Zoninp Repulntions and DI PPROVED Code ot tne City o1 Wheat RidQe. Any CHIEF BUILDI : INSPECTOR,City of Wh t Rid9e violotion of tne obove rorme win co se CALL 234-5933 immediate revocofion of fnls ve ~ 24 HOURS IN ADVANCE FOR INSPECTIONS Oate Issued ~00 entIF 9i0nalu.. DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94#19706 234-5933 P.O. BoX638 CITY OF WHEAT RIOGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUiLDING INSPECTOR AND RECEIP7ED BELOW. APPLICATION FOR MISCELLANEOUS PERMI ~ 9 w 02 /OWNER e ~ JOB ADDRESS ~ CONTRACTOR ADDRESS STI ~J i/~ yoL~o ADDRES - ~ PHONE oZ ~~~B.Z I.S ZIP CODE CITY ZIP CODE --222- CONTRACT PRIC $ v~ ~ U PHONE 4 LICENSE NO. L DATE ~ 1. TYPE Ground ❑ Woll❑ Proieclinp❑ 01her S or D Faa 2. MATERIAL Tofal Spuon F»t SIGNS 3. ILLUMINATION Yss❑ No❑ Type EIK}. Parmit No. 4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zona_ ApprovM,ione Inspector (SpxifY which ie fronl ) ❑ ❑ ❑ ❑ Disoppoved 1. TYPE Solid❑ More Thon BO% ODen❑ Less Than BO% Open FENCES MATERIAL HeipM 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W 2me_ AppraW,Zom Inspeeta (Spetrty whith is }ront) ❑ ❑ ❑ ❑ DiaaOPrOVed c I. O 2 b. DRAW SKETCH OR SHOW BEIOW,THE FENCE, SIGN, OR OTHER STRUCTURE,GIVIh'o DISTANCES FROM PROPERTY LINES. (SETBACNS OR PROJECTqNS INCLUDED) i + J T F K SPECIFV NORTN ~ N STREET NAME SNOW OISTANCES FROM THE M41N BUILDING TOADJOINING MOUSES, STREETS, ANO PROPERTY LINES;ON IRREGULAF LATS, SNOW LcecT DISTANCE TO PROPERTY LINES, NOT MCXIMUM OR pVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEDWORK ONLY UPON VALIOATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAVS 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 ALUMINUAIWIREUNDERSIZE8ILLEGAL FLOOR BSM IST 2ND 3RD 4TH N0. FUEUCirtlsOrrGa{qlROpa» EIGeSdar Np. WATER CIASET FORCED AIR - 8TU TEMPoRARY METER WASH BOWL MOT WATEH - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATqN SYSTEM POWER SUB-CIFCUITS WATER HEATER Refri erant Grou UTILITY (RANGE, DISPO5ER, ETC ) AUTO. WASHER Pa+nds CMr s FI%TURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS d CONTROLS FLDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES I hsreAy ocknowledQe thot this opplico- fion u eorreci ond understond ihof I tonnot ffart this Droltlct until this appli- cation it approved. I sholl comply wifh fM lowa ot the S1ate of Colorado and 10 }ha Zoninq Requlafions and Buiidinp Code of tl+e City of Wheai Ridpe. Any violotion of tne above terma will couse immtdiote revocati0n of this Dermil ~oo~eam. ona~ PERMIT FEE ~ j .O-~ USE TAX , (Le) TOTAL FEE $ e-g tJ APPROVED ~L. DISAPPROVED CHIEF BUILDING IN PECTOR,Gfy of Wheat Ridge Date Issued qI NOT VALID UNLESS T.40_ CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS