HomeMy WebLinkAbout7165-7195 W 30th Avenue1* � � i City of Wheat Ridge
�� Residential Sewer Repair PERMIT - 202100518
PERMIT NO: 202100518 ISSUED: 03/17/2021
JOB ADDRESS: 7165 W 30th Ave EXPIRES: 03/17/2022
JOB DESCRIPTION: Sewer line repair - 35 ft long in front yard
*** CONTACTS ***
OWNER (303)274-8767 ADD I S ON EMMA E
SUB (303)313-3333 MICHAEL ENRIGHT 017953 AAA SERVICE PLUMBING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 51250.00
FEES
Total Valuation 0.00
Use Tax 110.25
Permit Fee 140.90
** TOTAL ** 251.15
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202100518
202100518 ISSUED: 03/17/2021
7165 W 30th Ave EXPIRES: 03/17/2022
Sewer line repair - 35 ft long in front yard
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 permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of 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 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 holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
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, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/17/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Wednesday, March 17, 20213:13:01 PM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 7165 West 30th Ave
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Emma Addison
1918x3PPL1I-Y&Yl
Property Owner Email Field not completed.
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business AAA Service Plumbing Heating and Electric
Name
Contractor's License 017953
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-313-3333
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
elm@aaatoday.com
Address
Retype Contractor
elm@aaatoday.com
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
35 feet
Location of repair
Front yard
(backyard, frontyard,
etc)
Provide additional
Dig up and replace 35 feet of sewer from house to sidewalk
details Including
installing clean outs
installation of clean-
o uts.
Project Value (contract
2850
value or cost of ALL
materials and labor)
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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.
Person Applying for Brenda Sallee
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201702413
PERMIT NO: 201702413 ISSUED: 06/22/2017
JOB ADDRESS: 7165 W 30th AVE EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential reroof: Install 21 squares asphalt shingles130 MPH lifetime
5/12
I, by my signature, do hereby attest that the work to be er
formed shall comply with all accompanying approved plans and specifications,
applica le 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 ermit. 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 all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWJER 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 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 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, 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 11:59PH 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201702413
PERMIT NO: 201702413 ISSUED: 06/22/2017
JOB ADDRESS: 7165 W 30th AVE EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential reroof: Install 21 squares asphalt shingles130 MPH lifetime
5/12
*** CONTACTS ***
OWNER (303)807-2902 ADDISON EMMA E
SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,800.00
FEES
Total Valuation 0.00
Use Tax 142.80
Permit Fee 156.75'
** TOTAL ** 299.55
*** 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 A/2 -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 manufacturera€""s 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's 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.
Antoinette Kulick
From: no -reply@ ci.wheatridge.co.us
Sent: Tuesday, June 13, 2017 12:44 PM
To: Permits CommDev
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. 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
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
7165 W 30th ave
emma addison
303-807-2902
Field not completed.
�1
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
advanced exteriors
090134
303-725-4502
Contractor Email Address freddygreen@advancedexteriors.net
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
freddygreen@advancedexteriors.net
No
asphalt
Asphalt
Field not completed.
How many squares of the 21
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
IR.7
Field not completed.
z
TOTAL SQUARES of all 21
roofing material for this
project
Provide additional detail 130mph, lifetime, 5/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 6800
value or cost of ALL
materials and labor)
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 freddy g
Email not displaying correctly? View it in your browser.
gil
/ A
ADVANCED
WERIOR
S
6
Advanced Exteriors, Inc. BBB
Y_
Property Owneqs) Customer
Proposal Date
7_7
Property Address
W6
Primary Phone
City, state zip
Secondary Phone
Insu�,nrC,ompony Claim #
Email Address
L 4
Tearoffi "qs)ofcomposition &_Iayeqs)of
F71 Inspect decking install decking
nInstall ice and water shield on e;til CO'Je_re
E] Install 15 # felt [] Install 30 #felt
Install premium synthetic deck protection i, e_z
Install starter course of shingles -entire perimeter
Install drip edge perimeter flashing - color ij 4t
Install reinforcement in valleys using
Closed valleys 0 Open valleys
Replace step flashing on sidewalls, chimney and skylights
Install 6 nails per shingle t roughout field area
Roofing product
Roofing color
Manufacturer Warranty
Special instructions/Additional Work
R'i r1_11t I 11
Standard ridge [S High profile ridge
Install ridge vent
Install turtle vents FA Install e_ vent , s -
Install pipe jack flashings 0 Install furnace caps
Point jocks/stacks to match roofing color
Detach and reset
Remove and cover o, cvQ_1"
Install beauty course of ridge shingle headwalls;
Detach and reset satellite ❑ Remove satellite
Clean up & remove trash Sweep with magnetic roller
Clean out gutters] Provide building permit
Register e,'&- - U Manufacturer Warranty
Advanced E eflors, Inc, Five Year Roofing Labor Warranty
Advanced Exteriors, Inc. $2,000,000 Liability Insurance
Approximate Date(s) of Service: Payment Terms:
L
[Advanced Exteriors, Inc. Is not responsibleMir any pro)ierty and casualty insurance carrier's delay or denial of an insurance claim, in whole or in part).
Work completed in accordance with these specifications for the price of: $
The property owners) (-Customer-) authorizes Advariced Exteriors, Inc. (-Company") to work with their insurance carrier to obtain the full scope of
repairs necessary for restoration of storm damage. This 'Agreement" is not binding upon Customer or Company until the insurance carrier approves
Customer's claim and this amount Is accepted by Company, Upon acceptance by Company, the amount approved by the insurance carrier will
become the final contract price and Company will receive the Insurance proceeds for work I has completed. The Company will complete specified
work for no additional cost to Customer beyond the agreed claim amount except for the insurance deductible.
Customer Is I isnot rJ Intending to make payment from the proceeds of a property and casualty insurance policy If Customer's payment is from an
Insurance c aim, then pursuant to Cokxado law Company (roofing contractor) "shall not advertise or promise to pay, waive, or rebate all or part of any
Insurance deductible applicable to the claim for payment for roofing work on the covered residential property" C.R.S. § 6-22-105, The Company shall
hold in trust any payment received from Customer, until Company has delivered the roofing materials to Customers property or when Company has
performed a mcoitly of the roofing work on Customers property.
By signing below I (We) agree to all contract conditions on front and back of this agreement, and have been provided
notice of the rigqht to cancel both in writing and orally:
Customer Signature(s)
t_k\
Acceptance Date
Company Project Manager Signature
2200 S. Valley Hwy. ':• 303-756-ROOF(7663) Office
Denver, CO 80222 303-756-3756 Fay,4
INSPECTION RECORD
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 day
PERMIT: �� ADDRESS: J° : JOB CODE}
Foundation Inspections
Date
Inspector
Initials
Comments
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 Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
MOO
TA
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
MOO
TA
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMITXI1 0M 13ADDRESS: 1JOB CODE:
Lkz-
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 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
'
411 Landscape/Park/Planning*
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.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
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.
CITY OF WHEAT RIDGE 1
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time ' A q QPM
Re -Inspection required: Yes No
"When corrections have been made, call for re -inspection at 303-234-5833
Date: Li ,i '/ Inspector: _ rrj-A �
DO NOT REMOVE THIS NOTICE
c:
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: P t _
Job Address:
Permit Number:
Te r-, n r4 f, t f^ �
�) d ire m a -f /) d
❑ No one available for inspection: Time ` AM/PM
Re -Inspection required: es No
When corrections have been a e, call for re -inspection at 303303-2
Date: S - 1 7 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: AITZ
Job Address: 7/&,6 it) a
Permit Number: 'DUI %O 2
❑ No one available for inspection: Time i �, AM/PM
Re -Inspection required: Ye Nol�
a
When corrections have been made, call for re -inspection at 303-234-5933
Date: f'I Inspector: �O/i%(;trW`F'
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702413
PERMIT NO: 201702413 ISSUED: 06/22/2017
JOB ADDRESS: 7165 W 30th AVE EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential reroof: Install 21 squares asphalt shingles130 MPH lifetime
5/12
**REVISION**Adding redecking; added valuation: $1,640.63
*** CONTACTS ***
OWNER (303)807-2902 ADDISON EMMA E
SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,440.63
FEES
Total Valuation 0.00
Use Tax 177.25
Permit Fee 188.45
** TOTAL ** 365.70
*** 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 k/2 -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 manufacturera€rMs 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's 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 - 201702413
PERMIT NO: 201702413 ISSUED: 06/22/2017
JOB ADDRESS: 7165 W 30th AVE EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential reroof: Install 21 squares asplialt shingles130 MPH lifetime
5/12
**REVISION**Adding redecking; added valuation: $1,640.63
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tie legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this pen -nit and perforin the work described and approved in conjunction with
thisermit. 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 all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I, 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 originalermit 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 issuance or granting o� it shall notibe construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any or n rdgulatiod f3��l �y diction. Approval of work is subject to field inspection.
y.
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.
City of
Wheatl,
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits d)ci.wheatridge.co.us
FOR OFFICE USE ONLY I
Date:
Add to Permit #� Nq II l l 3
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: _71b5 LAI. -5) f A Am/g'/C
Property Owner (please print): ewi m Aj j t*�� Phone: X03-8� - Z4oc
Property Owner Email:
Mailing Address: (if different than property address)
Address:��, 2 -
City, State, Zip:
Submitting Company:
Contact Person: 'FCCct�_ � ryr2(n Phone: 3o 3 -72S-'45c> Z
Contractor: Jc.Ate� E, -4-e6 f, ('S
Contractors City License #: ocio 13 �d Phone: �b3 TSS -R,(,-5
Contractor E-mail Address:
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
r6eLv-
Sq. Ft./LF Btu's Gallons
Amps Squares Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
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: (OWNER) (C NTRACT R) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRIl\'T NAME: 5""t' 4--� SIGNATURE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received
Water District ❑ Received
Sanitation District ❑ Received
DEPARTMENT USE ONLY
DATE: T z l i
OCCUPANCY CLASSIFICATION:
❑ Not Required
❑ Not Required
0 Not Required Building Division Valuation: $
INSPECTION RECORD
OccupancV/Type
'VANSPECTION 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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION. INSPECTIONS DATE
INSPECTOR -.
INITIALS
COMMENTS:
Footings /Caissons
Mechanical
Stemwall / (CEG) Concrete
Encased Ground
Roof
Reinforcing or Monolithic
Fire Department
Weatherproof / French Drain
R.O.W &Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Sewer Service lines
_" "NOTE:.. ALL. ITEMS- MU_ST�ES.DMPLETED =AND AP/alaC -f.un RV P,- n:unnn\r_ -nun - - - - " -" -
Z-0N�N_6 B(ifL - BIN6 A'NB BEFOR =-
- - " CERT IFICATE OFOB@UPANO•Y - FINAL INSPEC'rONBYITHE BUILDING 61VISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
Water Service Lines
POUR
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
y
RVuuNS --
Sheathing
Lath / Wall tie
Mid -Roof 65, p —
Electrical Service
Rough Electric
Rough Plumbing
R Gas Piping
�: Rough Mechanical
j CRl1VF IIJCRCnTn
Framinl
Insulatii
Drywall
s
u `
r,
u
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
ABOVE
I
crew
- FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W &Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
_" "NOTE:.. ALL. ITEMS- MU_ST�ES.DMPLETED =AND AP/alaC -f.un RV P,- n:unnn\r_ -nun - - - - " -" -
Z-0N�N_6 B(ifL - BIN6 A'NB BEFOR =-
- - " CERT IFICATE OFOB@UPANO•Y - FINAL INSPEC'rONBYITHE BUILDING 61VISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
'` ♦ 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: _8XX_
Job Address: 716S ".,7 3or;w 416
Permit Number: 14D333
l7 ! o
1
i
w
❑ No one available for inspection: Time Y %93 AM/E�
Re- Inspection required: Yes (6)
* When corrections have been made, caff for re- inspection at 303 - 234 -5933
Date: o? f S /Lo Inspector
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: BI-7'
Job Address: 7/4.5' ?d77y
Permit Number:
c~CC?c.9/'.:-~'-ro r.,+ ~J.~Fs&Sf~.s,~~f 6.~°f rz+ s~i'..~r✓ iry~G~T,
T / f 11.~2l1 3~ 3 °d- 35 - 1 S,sew
❑ No one available for inspection: Time AM/f?
Re-Inspection required: es No .
When corrections have been made, call for re-inspection at 303-234-5933
Date: f Inspector: 1
DO NOT REMOVE THIS NOTICE
♦ 16 4 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: t~z -5A
Job Address: -W AS (,L~
Permit Number: CE, 7~77<1
El No one available for inspection: Time r) AM'" PM
Re-Inspection required: Yes ~J
When corrections have been made, call for-re-inspection at 303-234-5933
r~
Date: Inspector:
_ 1 t
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: I~ A\j-z :
Job Address: -7/ i> S t ) ao t_
Permit Number: (C? 2"7
E
I
i
~ a
❑ No one available for inspection: Time._l,!CC? A /PMT er.
Re-Inspection required: Yes
When corrections have been made, call for re-Inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
Jr (303) 234-5933 Inspection line
r(303) 235-2855 Office (303) 237-8929 Fax
INSPEF,,TION NOTICE
Inspection Type: 11
Job Address: 20
Permit Number: oc, -7
❑ No one available for inspection: Time o/•)7 AM%i?M
Re-Inspection required: es No
When corrections have been made, call for re-inspection at 303-234-5933
Date: l e1 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 093775
PERMIT NO: 093775 ISSUED: 11/02/2009
JOB'ADDRESS: . 7165. W 30TH AVE`EXPIRES: 05/01/2010
DESCRIPTION: T/0: Install 18 sqs. of. GAF 30yr
***CONTACTS
owner 303/274-8767 Emma Addison
gc 218/724-5584 Marlin Nelson 09-0216 Empire Roofing LLC
PARCEL INFO
ZONE `CODE: UA USE: UA
SUBDIVISION: 0580 BLOCK/LOT#: 0/
**FEE SUMMARY ESTIMATED PROJECT VALUATION: .'5,000.00
FEES
Permit Fee 144.70
Total Valuation ,00
Use Tax 90.00 r 2 d`
TOTAL ...234.70.. d,bcc?~~,e
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 eaveedge to 2'. inside exterior walls..
***Contractor/Property owner shall provide ladder(s) secured in place for
inpsections.
Subject to field inspection.
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..
applicabl Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Q-Z-oi
Signat re of contractor/owner :date
This permit 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 r
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, an41P,j ola ion of the provisions of the building codes or any :other. ordinance, law,S rule or regulation.
All plan review is o field inspections.
ignature of Chief it gOfficial 'date
:NSPECTION RiQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
:EQUESTS MUST BE MADE BY 3PM. ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
a City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat
Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
Property Address: W L504-~
Property Owner (please print):~rj
Mailing Address: (if different than property address)
Address:
City, State, Zip:
~DYI Phone:
Ltr-hle 7
Contractor:
Contractor License o d.21& Y Phone: U23
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
Exp. Date:
Date:
Plan
Permit
Mechanical City License
Company:
Exp. Date:
Use of space (description): jZVJ X-1, u
De c~ription of work:
Sq. Ft./L.Ft added: Squares f BTU's
Construction Value: $ '-.6,0W _
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
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. Plans subject to field inspection.
CIRLCE ONE:: (O ER CONTRACTO r PERSONAL REPRE TATIVE of (OWN NTRATOR)
PRINT NAME: (JkJAIn SIGNATURE , ~ Date:
PUBLIC WORKS COMMENTS.
Reviewer.
Bldg Valuation:
11
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
00
,or /(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Xgg rZ ~~wg~~~ . #7-P .
Job Address: ?11~ .5 99 zzJ, Zzf~
Permit Number: Pte; IpI 0
is
❑ No one available for inspection: Time , 3S AM/PM
Re-Inspection required: Yefs yf~.a~_ T
i„ "When corrections have been made, call for re-inspection at 303-234-5933
' Date: Inspecto ss?
DO NOT REMOVE THIS NOTICE
Re
PERMIT NO: " 090190
'ISSUED: .03/09/2009
CONTACTS
aner 303/274-87G7 E
lb 866/898-0008 N
AVE EXPIRES: 0.9/05/2009
t water heater replacement
mma Addison
ariana Kitchukova: 08-.0021 Colorado Delta Mechanical Inc.
'-EL INFO
JDE:
UA
-.USE:
UA
[SION.:
0580
BLOCK/LOT#:
0/:
**FEE SUMMARY ESTIMATED. PROJECT VALUATION: 800.00.
FEES
Permit Fee 42.46
Total Valuation .00
Use Tax 14.34
**TOTAL 56.80.
onditions:
ustrcomply w
ubject to fi,
hereby certify?
or reguiatio
i
1zWL k(I U10101
nature of contractor/own r
distances proposed by this permit. application: are accurate, and do not violate. applicable
f the City of wheat Ridge or covenants, easements or restrictions of record,. that all
s lmade'are accurate; that I have read and agree to abide by all conditions printed on this
responsibility for compliance with the Wheat Ridge Building Code B.C) and all other
for work under this permit. Plans subject to field inspection.
date
dance with the-provisions. set forth in your application and is subject to the laws of the
ning Regulations and Building Codes of WheatRidge, Colorado or any. other applicable
ys from the issue date. Requests for an extension must be received'. prior to expiration
ted.:at the discretion of the Building official.
emit may be acquired for a fee of one-half the amount normally required, provided no
de in the original plans and specifications and any suspension or abandonment has not
ges have been or if suspension or abandonment exceeds one (1) year, full feesshall
lone that will change the natural flow of water causing a drainage problem.
lding Inspector twenty-four (24) hours in advance for all inspections and shall receive
=d. before proceeding with successive phases of the job,`
approval of drawings and. specifications shall not be construed to be a permit for, nor
f the provisions of the building codes or any other ordinance, law, rule or regulation
,Pia „,ano.r;,:;,a
p~~~
kC~WH~TR~O
~~toa7+oo
Building Permit Application
j,
Date: 0 MCI
Plan
Permit
~?roperty,Atltlress_ 145 W 361*- IAVC
Property Owner (p/ease print): EAAM4 W 5 orl Phone: 303.2-111 • VII
Mailing Address: (if different than property address)
Address:
City, State, zip:W Wtai ~~►~~I r~ gAp~3
C4htract4:
Contractor License M oz Phone:2 0 92-5 2V)9
b- Contractors'
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: `-Approval: Approval
Use of space (description): 6e Yl construction Value: $ 0(~
~SGr~tl011f,'F"YYO'r,~~( (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's -3tZ Gallons 10 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. Plans subject to field Inspection.
CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONALRE
OK! SENTATIVE of OWNER) CONTRATO
PRINT NAMEJr c.U TO V, *A. SIGNATURE: A Date: S' Z' Og
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
I DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12957
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Date
10/16/01
Property Owner :
Property Address : 7165-95 W 30TH AVE
Contractor License No. : 17833
Phone: 235-0270
Company : B& D Fence Contractors Phone : 286 0267
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 accurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full respons' lity for c pl'ance with the Wheat Ridge Building
Code (LLB.C.) and all other applicable W at idg r' ances, for work under this per it.
(OWNER)(CONTRACTOR) SIGNED ~ DATE e 7 I U~
Description : 218' OF 1X4X6' CEDAR; 60' OF 1X4X4' CEDAR
Construction Value :
$3,500.00
Permit Fee :
$97.25
Plan Review Fee :
$0.00
Use Tax :
$52.50
Total:
$149.75
Use :
=
BUILDING DEPARTMENT USE ONLY
.~U-0.0SIC : Sq. Ft. :
Approval : MLC COMPLIES W/ FENCE REGS
p1C8S0 r10tl:
Zoning R-2 ert
pprtractor is responsible for locating proP 7
00100"W"W l;np and consWcting improvements according to '
Approval: DM OK. 10/15/01 approved plan and required development standards.
The City is not responsible for inaccurate informafion
W0~000-ftsubmi:t;;d within the plan set and any construction
Approval resulting from inacwratc inCrr"`''°Y
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 issuetl in accordance with the provisions set forth in yopur application antl is subjecl to the laws oF the State of Coloratlo and lo the Zoning
Regulations and euilding Code ot VJheat Ridge, Colorado or any other appliwble ordinances of the City.
(2) This permit shall expire if (A) Ihe work authorizetl is not commenced within sixty (60) days from issue date or (B) Ihe huilding authorized is suspentletl or
abantlonetl for a period of 720 tlays. -
(3) If this permit expires, a new permif may 6e acquiretl 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 abantlonmenl has not exceetletl one (1) year. If changes are matle or if suspension or abantlonment
exceeds one (t) year, Full fees shall be paid for a new permit.
(4) No work of any manner shall be tlone Ihat will change the natural Flow of water causing a tlrainage problem.
(5) Contrector shall notiry the Building Inspecror lwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card betore
proceetliing with successive phases of the job.
(6) The 7,,ncfe of a pe it or the approval of drawings and speciFications shall not be construed to be a permit for, nor an approval of, any violation of the _Vn
pro oing codes or any other ortlinance, law, rule or regulation. Chief Buildin nspector
I7EPARTMENT OF PLANNING AND DEVELOPMENT Building PemiitNumbez:
oF W"E4j BUILDING INSPECTION LINE - 303-234-5933 Date:
< o CITY OF WHEAT RIT)GE
7500 WEST 29Tfi AVENUE
WHEAT RIDGE, CO 80215 - (3,y0H3-23p5-2p8p5V~,/ p~~
~OL ORPO~ f;{P4Li IGPiTp d O4
Properiy Owner: r(~ V~ 7)
Phone~: JC~Jc"~
pxoperty Address: 7/(~ - 71 CS L:/. i<; i~ ✓ E
Contactor License No.: 3 S'- ~
I , . , ~ . 11. . Phone: _
OWCIER/CONTRACTORSIGNANREOFUM7ERSTAtmINGANDAGREEMEN'l' ' - .
ELn~,' e: ~ ~ ~
I hcreby certify that thc set6ack distances ptoposed by ihis pctmit applicalioa aze eccutatc, aad do not violate appticah(e o[diaances, nile s ot mgula4ons of the CiTy of e:
WheatRidge ac covcaaats, eucmeats oi mstrictioat of cecotd; thzt all meuuzemeats e: , ,
showa, and allegations made aze acc~tatc; thatI have road end pgLee to abidc by all x:
oonditions printed oa this application andtha! I aasume full iesponsi6ilityfor wmpGance with the Wheat Ridge Suil g Code B. and all oncer applicabLe 31:
WhcatRidgcOcdiaances,focworkuad pe ~
! X
(owNSR)(corrrxACrox): szG~tm
qXL ~ G? c 1G
Descriprion: c.
(c C>' c-, `F 1x Xq •C r d C~ o_
BUILDING DEPAI2TMENT USE ONLY
ctl(C "qCC SIC: Sq.Ft.:
ZONING CoMMENTS: npproval: 1 iviC
zaning: (Z. ~
BUlLO1NG CoMMENTS:
Appzoval:
PUBLIG WORKS COMMENTS:
Approval:
Walls: Roof: Stories: ResidenriatUnits:
Occupancy:
Plumbin License No: Machanical License No:
Electrical License No: g Company:
Company: Compaay:
Expiration Date; Expiration Date: Expirarion Date:
ppproval:
Annroval: Appioval:
(j) Tius pe[mit was issued in aceotdance'/rth ~he pcovisio¢s set focth in Youc applicafi`oa and is rubject W the laws of the State of Colo[ado and to the Zoning
Regulafio¢n a¢d Buildiag Codes of Wheat Ridgc, Colocado or auy ocher applicable didan from uueLdate or (8) the Luitding authorized is .su%pended or
(2) 'IIiis permit shall ezp¢e if (A) the work authorized is eot commeaced wiNi¢ sizty (60) Ys
a6audoned for a paciod of 120 days.
(y~ s pamit expiru, a ¢ew permit may be acquu'ed foc a fee of one-haff f1u amount ¢ormally mQutred, pcovided ao ehaugef have beea or wi11 he made in
Uti
the original plans and %Pecifiudom end aay sissp<nsmnoc abandonmenthn no(:zceededone (1) yeaz. If changes havebeeu or ff auspeavionoc abandoemmt
ezceed9 oae (I) yeaz, (vl1 fees shall ba paid fot a new pe.cmit-
(4) Dioworkofaaymameczhall6edouetha[owi~~-foi¢(2A)houcsinadvm<efocillin.roetioaeandshall~ceit'ewritte¢appcavalonmspettlon<azdbefare
(S) Conhacrocshalluotfytl+eBuildiuS~sP° .
proceedi¢g wi<h su«rssive pSazu of the job.
aporoval of d~awinge ~ad specifi<afions shill not be <oosC~+ed to Se a pe~mit foq nar an approval of, aay vtiolatioa o e
(5) Tye (yznznce af a pesmit or th:
acrh~. huildia¢ coda ot anY othet ocdin~neq law, ~ule oc tegulatloa . .
Inspector
U~
~
~
t,
t ?C~ Iil
~
~ Xo-
NA
C,
~.Y'~
7500 WEST 29tn AvENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-6944 EXT. 255 P.o. eox s3e BUILDING INSPECTION DIVISION ~91//3295
CITY OF WHEAT RIDGE, COLO. PERMIT N0. pdggggggq~
PERMIT VAUD ONLY WHEN SIGNED BY THE CN;EF BUiIDING iNSPECTOR AND RECEIPTED BELOW.
JOBADDRESS 11(995 V.~Q ~ Zv T'viv rvrt miZ>l,tLLANEOUS PERMIT, CONTRACTOR ' I//f oidG OWNER lPOw A 9A1D -/I'
ADDRESS f2 ~I ~ .E.(.,//J tI j ADDRESS VIO6 Lil~l, ,?,el ,y '4V/
CITY D'6.ff~(, /'04~ ZIP CODE 2l PHONE ZIP CODE
PHONE CONTRACTPRICE$// a, l~OC~OO
LICENSE NO. y~ DATE B~/✓ '<f/
SIGNS
FENCES
OTHER
1. TVPE Ground❑ Woll❑ Proiettin
2. MATERIAL 90 O}her S a D Face
3. ILLUMINATION Ysa❑ No❑ 7 Totol Squors FNt
Ype .
W__ Eleef Permif No.
4. SET BACK FROM PROPERTY LME N__ 5_ E
(Spetify wAitA ia }ron}) n (1_ m I'--1
I. TYPE Solid More Thon BO% Opan[
MATERIAL
3. SET BACK FROM pROPERTY LINE N__ S_
(Spetify which is iron})
2.
3
Lost Thon 80, INSPECTION TiCKET
a
JOB ~ I
~
'N r~
- ADDRESS \
❑
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,GIVIhu DIS
(SETBACKS OR PROJECTqNS INCLUDED)
PLUMBING PERMIT
STATE UCENSE N0. /'M(f
SUBCONTRACTOR
DATE INSP. REQ. ~ II q
TYPE OF INSP.
INSPECTION MADE
REMARKS 1~1"
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDIN6 TQADJOINING HOUSES,STREETS, AND PR(
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DI5T4Nt;E.
APPLICATION FOR PLUMBING; ELECTRICAL; M
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY U
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WOR
ELECTRICAL PERMIT
STATE LICENSE N0.
IMINUM WIRE UNDER SIZE 8 ILLEG
TEMPORARY METER
NFW SFRVICF _ nuoe
MOTORS B
TRANSFORMERS B REC
ADDITION TO OLD WORK
MOTORS OVER I HP
1 hsreby ocknowledqe thot this opplica-
fion is eorrocf and undeisfond ihot I
eonnof Horl }hie projett until this oppli-
tafion ii opprOVed. I sholl comply wifh
tAe lawf o1 Ihe Sfote ol colwoao and ro
ths Zoninp Requlntions ond Buildinp
Code ofthe Lity o! Wheof Ridpe. Any
violalion of the abovs ferma will cause
immediate revocohon of tnie permii
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~ooPeonh SianaNr.
WASH BOWL
BATH TUB
SHOWER
SINK
GARBAGE DISP
WATER HEATEF
AUTO. WASHER
DISH WASHER
FID(X7 DRAIN
URINAL
SEWERS
OTHER
TOTAL FIXTURE
U ~YNPS~
DATE: BLDG. PERMITM ' 3aaS
PERMITN
BLDG. CONTR.zsa_-
W.R. FORM 619 V -
MECHANICAL PERMIT
ql ~
BTU
BTU
4TH NQ 7CONOITInNildr-am.
BTU
PERMIT FEE
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USE TAX a Y cLe
TOTAL FEE $ d q e-d
APPROVED
DISAPPROVED
CHIEF BUILDIN INSPECTOR,Cityof Wheaf Ridqe
Date Issued
VALIO UNLESS
91 S-'1 (
t$ I6S`I `f
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS