HomeMy WebLinkAbout12565 W 29th Avenuei 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:
Job Address:. L.
Permit Number:
k F;
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call -for re -inspection at 303 -234 -
Date:— Inspector:
1
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
__:�9�(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Y"Y-' CD v'W-
Job Address: v
Permit Number:
LJNo one available for inspection: Time ..�� AM/PM
r �
Re -Inspection required: Yes Nay
When corrections have been made, call for re -inspection at 303-234-5933
Date: \ Inspector
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Roof PERMIT - 201900364
PERMIT NO: 201900364 ISSUED: 03/06/2019
JOB ADDRESS: 12565 W 29th Ave EXPIRES: 03/05/2020
JOB DESCRIPTION: Homeowner re -roof using Tamco asphalt shingles. Squares: 30; Pitch: 4/12
*** CONTACTS ***
OWNER (303)238-5668 PETTERA KEITH R
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,680.00
FEES
Total Valuation 0.00
Use Tax 161.28
Permit Fee 172.60
** TOTAL ** 333.88
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75% 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% 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Homeowner Roof PERMIT - 201900364
201900364
12565 W 29th Ave
ISSUED: 03/06/2019
EXPIRES: 03/05/2020
Homeowner re -roof using Tamco asphalt shingles. Squares: 30; Pitch: 4/12
signature, do hereby attest that the work to be performed shall comply
se building codes, and all applicable municipal codes, policies and pro(
)al owner of the property and am authorized to obtain this permit an
rt. I fu er attest I am leggally authorized to include all p�enntities ai
d that 411 worth bwoertormed is disclosed in this docLknent nd/
with all accompanying approved plans and specifications,
edures, and that I am the legal owner or have been authorized
erform the work described and approved in conjunction with
ned within this document as parties to the work to be
it its' accompanying approved plans and specifications.
1
Sig%ature of OWNER or CONTRACTOR (Circle one) ate
1, This permit was issued based on the information provided in the pe application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable tatutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardl ss 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 shalt 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. Tsuance or gr ng of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
a abl code or ordinance or regulation of this jurisdiction. Approval of work is subject to held inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat j,d
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 291 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
Date: SAA / / C7
l
Plan/Permit #
1
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: /aJS fes), `' vt) /,//(?A�/Y� N e o' poav_�—
Property Owner (please print):hl,) A Y ttc 4Q Phone:
Property Owner Email: /(% _1k)
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Eng 1 neer E-mail:
Contractor Name:
City of Wheat Ridge License #:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
Phone:
Phone:
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
X/ec."i '/'Oo-f 411A
a�
Sq. FULF
BTUs
Gallons
Amps Squares 3D For Solar: KIN # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ ✓ r Q Q(9
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. I, the applicant for this building permit application, warrant the
truthfulness of the informaion provided on the application.
CIRCLE ONE:(OWNER) (CONT TOR) or (AU
.= ORI REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and las o roe): DATE: Z G —1 l
Printed Name: e
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
BUILDING DEPARTMENT COMMENTS: - bo � S
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation: 1(2
-` City of
Wh6atI�sl1e
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s):1
Project Property: /
Project Type:
Notarized signature of Applicant
State of Colorado }
County of } ss
kT ala e S/02)-5—
The ongoing i trument was acknowledged by me this day of ck , 20L° by
FTAARA D ODEAN
TARY PUBLICE OF COLORADO
RY ID 20164015481
QN EXPIRES APRIL 22, 2020
My Commission Expires t ao2,20a0
Notary Public
♦ i CITY OF WHEAT RIDGE
P Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
PC
Inspection Type: fJt
Job Address: f~65 (A)r "Of"' Ave,
Permit Number: _D? l71
❑ No one available for inspection: Time ?VO AM PM
Re-Inspection required: Yes Vo
*When corrections have been made, calf for re-inspecCdoo~n at 303-2, 34-5933
Date: -t~ Inspector: a . V
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
fr Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
ge)? r 14.,,V7- ry 9A IM":u, r"° AAAk r
❑ No one available for inspection:' Time AM/PM
Re-Inspection required: (es~ No
"When corrections have been made, call for re-inspection at 303-2345933
Date: Z,9Z Inspector: ~
DO NOT REMOVE THIS NOTICE
Inspection Type: Job Address: ?.95''a5 rr~. Pam cif
Permit Number:
i;
4' CITY � CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: r,.w
Job Address /Permit Number: I'L�5 to. ;?f?�;
t
6P6� ./P trlaker t5�i� 6S1G9 �," �
turn �i.�rr'd',} n � .G"'•ur, {�
�nA tvr f.[ !off 7,T N . t,l( -
❑ No one available for inspection: Time pS.�?<? AM/ M
Re- Inspection required: 'Yes N
E,
When corrections have been made, call for re- inspection a 303- 234 -5933
` Date: Inspector: , � { i
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
_
Residential Roofing PERMIT - 092179
PERMIT NO: 092179'. ISSUED: 09/10/2009
JOB ADDRESS: 12565 W 29TH AVE EXPIRES: 03/09/2010
DESCRIPTION:. T /o: Install 18 sqs w/ 30 yr dimensionals
* ** CONTACTS * **
owner 303/238-5668 Keith Pettera
go 720/341 -2308 Paul Sandoval 09-0243 Sandoval Roofing LLC
* *: PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0705 BLOCK /LOT #: 0./
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: '::6,000.00
FEES
Permit Fee :162.90
Total Valuation .00
Use Tax .108.00
* *TOTAL * *' 270.90
Conditions:
6 nail installation `& mid roof inspection required. Board sheathing spaced more
than 'a 1/2 of an inch apart '. requires plywood overlay on entire roof. Ice and
water shield required from -eave edge to 2'' inside :exterior walls.':
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
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection
of contractor /owner -(
permit was issued in accordance with the provisions-
of Colorado and to the Zoning Regulations and Builc
Lures of the City.,
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 10795
. BUILDING INSPECTION LINE - 303-234-5933
' CITY OF WHEAT RIDGE Date : 7/5/2000
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 12565 W. 29TH AVE
Phone : 303-238-1075
Contractor License No. : 18638
Company : Williams 8 Sons Electric
Phone : 762 9484
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : $960.00
I hereby certity that the setback distances proposed by this permit appliwtion are accurete,
Peffilit FBe : $38.75
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
Plan Review Fee : $0.00
made are accurate; that 1 have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building
US8 T8X : $14.40
Code (U.B.C.) and all other applicable Whe Ridge on inances r ro c nder this permit.
~
~
Total ~ $53.15
E
(OWNER)(CONTRACTOR) SIGNED
Use:
Description : RELOCATE METER, RAISE MAST THROUGH THE ROOF
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This permit was issued in accortlance with the proviaions set foM in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ritlge, Colo2do or any other appllcaGle oMinances of the Ciry.
(2) This permit shall expi2 if (A) the work auMOnzed is not commencetl wtthin sizly (60) tlays trom isaue date or (B) the building authorized is suspentletl or
abantlonetl tor a period of 120 days.
(3) If ihis pertnit expires, a new permit may be acquired for a tee of one-half the amaunt nortnally required, provided no changes have been or will be made in the
on9inal plans antl spec~Fica6ons and any suspension or abandonment has not exceetleA one (t) year. If changes are matle or it suspension or abandonment
exceede one ry) year, full tces shall be paid for a new permit.
(4) No work of any manner shall be tlone Uat will change the natu2l flow of water causing a tlreinage problem.
(5) Contractor shall notify the Bulltling Inspector twenty-four (24) hours In atlvance tor all inspections and shall receive writlen approval on inspecUon card before
proceediing with succeasive Dhases of ihe1'ob.
(6) The issuance of a pertnil or the approval of drawings antl specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any oNer ordinance, law, rule or regula6on.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Buiiding Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE Date :
WHEAT RIDGE, CO 80215 AppLICATIo N
Property Owner
Property Address
Contrector License No.
Company:
K i eY-tf ~ I reo
1~- 56,~-- 61
S" b'3
Phone:,~3s,-/U 75
Phone:'~~(~
O T
OWNER/CONTRACTOR SIGNATURE OF
e_r~
AGREEMENT
I hereby certify that the setback disianees pioposed 6y this pertnit applieation are accurate,
and do not violate applicable ordinances, rules or regulations a/ the Ciry of Wheat Ridge or
covenants, easements or restnctions of recartl: that all measurements shown, antl allegations-
made are accurete: that I have read and agree to abide by all contlitions printed on this
application, and that'I assume full responsibility for compliance with the Wheat RiEge Building
Cotle (U.B.C.) and all other appliwble Wheat . idge 091nances,,,jor wV untler this pertnd.
(OWNER)(CONTRACTOR)
Use Tax:
Total:
l- - - / f '7~ r ~`i U52:
Description : RG(P C"'-Ve -
hi R„-_
U
BUILDING DEPARTMENT USE ONLY
om . m ,
- -==:;~,a,,.d,.~,...,
Approval:
Zoning :
w
Approvai:
Ku61_ _
Approval:
Occupancy : Walls
Electrical License No :
Company:
Expiration Date :
Approval:
Construction Value : C0 -
Permit Fee :
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Plumbing License No : Mechanical License No
Company: Company:
Expiration Date : Expiretion Date :
Approval:
Approval:
(1) ThIS permit wyy ysuetl in aaweanp wiyi the P~owpn~ W ~ in o ur apo~otian aM ia we
(Z) The Ce~nH gulatmnf Lantlull Bui expWing Catle W Whei~ Ritlga. Cobntlo or airy o It_ applicapy qyi~~y ~ yh m,~a ~s m the Shte of CobraOO antl to tlfe Zp~mp
aDanCOnetl for a penpp of 720 Eaya.
in d (A) the work "prumd u npt commenee0 within sixry (BO) tlaYS hom iesue tlate ar (B) the Cuiltling aulhonzetl is suspen0etl or
(7) If this permit ezoim, a n" pemit may ps acpuireC fpr a fee p/ onNUl! the amount nomyly reQUiroC. provitleC no rAangee nave peen or will Oe matle in Na
anginal plans and apecirynppna anC arry euapenaipn pr apanpeommt has not ezceeEey ona (7) Year. If Umyes aro matle or if suspenson w a0antlonment
«ceeas one (t) year. tun tea ehan be witl tar a naw pemmt
(d) No work at airy manner anail Oe ucne Cwt will Ghange Me nawrai Ilow W water nusing a Eninaqe proWem.
(5) ConVactar shall nofiy the Buiitling Inapeqpr pveriy-fouir (24) hpWy in aCvanu for all inspecGOns anC sha4 rcceh•e wnryen aPprpval on insOKiwn aN Cefora
7mCeetliing witlf wpbyjye Pnaaef ot Ihe " 0.
(fi) The issuan 9W a pertntt ~ tne a~ a~~nN~ a~ ntlons ehall not De wnstrueC ro ba a pertntt br. nor an aPP~al of. any vioyUOn W me qovieqm
at the builtlin cotles a ~ pp~~y
Chief Building Inspector
7500 WEST 29th AVENUE
237-6944 EXT. 255 P.O. BOX 638
i PERMIT VAI.ID ONLY WHEN SIGNED BY
JOB ADDRESS
CONTRACTOR
ADDRESS.L=
CITY
PHONE ~
SIGNS
DEPARTMENT OF GOMMUNITY OEVELAFMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
TFiE CHIEF BUIIDING INSPELTOR GND RECEIPTED BEL'JW.
J`f✓C'•OWNER
7 ADDRESS
PHONE ~
_ ZIP CODE CONTRACT PRICE $
LICENSE NO. DATE
H~ipM
ERiAL
FZon~__ App.w~d.Zon~ In~D~cta
BACN FROM PROPERTY LINE N_ 5E_'M piaaDO~oved
(Spscity whiaA ie tront) ~ o ~;OVCdnc
pRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIViHG DISTANCESFFgM PROPERTY LINES.
(SETBAGKS OR PROJECTpNS INCLUDED) REAR PROPERTY LINE
i ~
W J
2
¢ SPECIFV NORTH
O
w FX ig
~ ~'e ~ FROM
MAIN STREET NAME 2-q * S p S AINCEN TO S PROPERT ~Y L~NES, NOTDIMAXIMUM OR IA ERAGEEDISTANCE.S' AND PROPERTY lINES; ON IRREGULAR IATS, SHd~M LEAST
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 DAVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITMECHANICAL PERMIT
ELECTRICAL PERMIT PLUMBING PERMIT
STATE LICENSE N0. STATE LICENSE N0. .TU E~
_ un FlEL:CimJeOn6Gniqlpo7a~.
8
:TER
v p
MOTORS 9
TO
9
1 hareby acknowledqe thot this aDGlica-
fion ie torrecf and undentandthot 1
connot Starr tnis vroidct until tnis ovvli-
cation is apOraved. I shall comply with
the lowe of the S1a1e ol Colorodo and 10
the ZoninQ ReOulations and Buildinp
Code of tAe City of Whear RidQe. AnY
violotio ol the above terme will couse
immedi te evoc tion f lhis Dermif
G"✓/~~
FIDOR DRAIN
URINAL
SEWERS
OTHER
TOTAL FIXTURES
PERMIT FEE
USE TAX
TOTA
APP EOVR D
cHiE c
ZIP CODE
Woll❑ Proieolinp❑ Other >Of v f°`•
I. TYPE GrounA ❑ TOlal S9wre F"t
2. MATERIAL EIK}, permit No.
3. IILUMINAT10N Yes❑ No❑ TYDa
E_ yy 2ons__ Apprwod,2one InspOeta
4. SET BACK FROM PROPERTY LME N_- S~ ❑ ❑ p~y~~q,ed
(SOetily which is fronl) ❑
TVPE SolidO More Thon 80% OD~,C] Len Thon 80% OMn
PERMIT N0. M921k17944
('J I
U 3. o-e)
/ ;7
$ 4 6N, 30
,City of Wheat Ridge
Date Issu ~
ed-
12!t 7(I U ~
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
1 `
Sv(t ~
~L
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~eaJ er--.5%4
4 eKj S
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-2i~ /
7500 WEST 29th AVENUE
237-8944 EXT. 255 P.O. BOX 638
JOB ADDRESS
CONTRACTOR
VALID ONLY WHEN
ADDRESS
CITY
DEPARTMENT OF COMMUNITY DEVELOPMENT pERMIT N0 M921k17945
BUII.DING INSPECTION DIVISION
CITY OF WHEAT RIDGE, C0L0.
BY THE CHIEF
ZIPCODE
LICENSE NO.
TOR AND RECEIPTED BELOw, .
;ELLAN MIT
OWNER
ADDRESS
PHONE ~ 33 _G/ ZIP CODE CONTRACT PRICE $
?!~)a -
DATE
PHONE ~J "If I - - D Fec~
Wall❑ Proiectinp❑ Olh*r S a
I. TYPE Ground ❑ Tolol SQum~ F~d
2. MATERIAL E~a}. pvmit No.
TSIGNS 3. ILWMINATION Ya❑ No❑ TYDa
Zon~__ Apprw~d,ZOn~ In~p~ctor
CK K FROM PROPERTY LINE N_- S._- DisaDWa'ed
4. SET BA
rc...,.H~rhiel~isfrOnt) ❑ ~ ~ ~
, 5 li Mor~ Tnan 80% OpenO
FENCES
I. TYPE o
MATERIAL
3. SET BACK FROM PROPERTY LINE
(Soecifv which is 1roM)
1.
OTHER Z
3.
"osa
DR(SETBACKS OR PRO ECTIONS NCLUDED)E,SIGN,OR OTHER
eceo oor
PLUMBING PERMIT
~
SPECIFY NORTH
~
~
97'' /1
STREET NAME
D;ON IRREGULAR LOTS, SHOW LEAST
SHOSA1NCE N TO SPROPERTY LN SBNOTDIMAX MUMJOR OINIA ERAGE DISTANI:E S~pND PROPERTY LINES
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION ERMIT WIOLMEXPIRE MBO DAYS FROM THE DATE OF SSUANCE~IF WORK IS NOT STARTED WITHIN THAT TIME PECTION DIVISION.
-------r-- MECHANICAL PERMIT
ELECTRICAL PERMIT
STATE I.ICENSE NO
jMINUAI `MRE UNDER SIZE 8 ILLEGAL
TEMPORARY METER
NEW SERVICE - AMPS _
CHANGE SERVICE-QMPS
LIGHTING
HEATING
pOWER SU9-GFCUITS
UTIU7Y(RANGE,DISPOSER,ETC.)
FI%TUPES
WIRING MOTORS d CONTROLS _
SIGNS
TRANSFORMERS 9 RECTFiERS
.~nrinv To OLD WORK .
i hereby ocknowledqe thot this apDIICa"
ti0n if torroGt ond undersfand that I
c9nnot siart thie projrci until this opDli-
wtion ia oDGroved. i shau comDly witn
the laws of 1he Slote ol Colorado and to
the ZoninQ Repulations and Bwldinp
Code ofth e City of Wheai Ridqe. Any
c
)A,01(,,,n,,O,f the above terma will ause
e~o ho 01 t0is permil
..m~~•
STpTE UCENSE N0.
-ORCED Ain -
i0T WATER -
STEAM -
pIp CONDITIONII,
DISH
DISP
DRAIN
PERMIT fEE
USE TAX
TOTAL FEE
AP
CHIEF BUILDIr
GIVIM1G DISTANCES FROM PROPERTY LINES.
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City of Wheat Ridqe
z-
Date Issu ^
less Thon 80% OMn
HoiQht
~ Zme DD~ orn,+ I~ ta
"l n DieaPDroved C.C , ` ~7'
)T VAUO UNLES4 REGEIP7Cu
l Yilo
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
INSPECTION TICKET
-7
JOB ~r ADDRESS J~ S~ S GJ o2 `ZVw~~
A1
DATE: ~BLDG. PERMITk 16
PERMITX
BLDG. CONTR. Ulfl~
SUBCONTRACTOR
DATE INSP. REQ.
~
~
TYPE OF INSP.Q
INSPECTION MADE
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REMARKS O
6U1~"'~
W.R. FORM 619
DEPARTMENT Of COMMUNITY DEVEIAPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M911116934
237-6944 ExT. 255 P.O. BoX Bae CITY OF WHEAT RIDGE, COLO.
7uIs vFeuuT V4uD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW )
PPLI ATIOPd FOR MISC
~~e
ELLANEOUS PERMIT
1
~I
.
OWNER
108 ADDRESS
ac)
„e:
CONTRACTOR
J-e
ADDRESS
J
~
ZIP CODE ~
4DDRESS
PHONE
O_
ONTFACT PRICE
~DO
GTY
ZIP CODE
PHONE
IICENSE NO.
1. TYPE Ground ❑ Woll❑
Proieetinp❑
Othor
S a D Face
2. MATERIAL
Total Squon Feet
N
SIGNS
3. iLIUMINATION Ys+❑ No❑ TYVe
Eleet. Permif
o.
SET BACK FROM PROPERTY LINE N- S_ E
4
_ W
Zono_
_ ADVrmb, Zone Inspklor
,
❑
ed
o
i
(Spxifywhichiafront) ❑ ❑
❑
wppr
v
D
1. TYPE Solid❑ More TMn 80% OpsnO
Lest Thon 80% Open
MATERIAL
Hebht
FENCES
3 SET BACK FROM PROPERTY LINE N_ S_ E
W
Zons
_ ApprwW,Zone Iropecfw
❑
ovad
Di
(Sps ity wtiith iafront) ❑
❑
sappr
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OTHER
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3.
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DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVING DISTANCES FROM PR/OPE_RTV LINES.
(SETBACNS OR PROJEC1pN5 INCLUDED)
PV7 li~er
VALID
SPECffV NORTM
S?REET NAME
SHOW DISTANCES FROM T11E MAIN BUILDIN6 TQADJOINING MOUSES, STREETS, AND PROPERTY LINES; ON IRREGUTAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
WIBTHW THAT T~ INSPECTION DINSION.
THIS APPLICATION WILL M 60 DAYS FROM DATE E OF ~ ISSUANCE ~ WORK Y IS NO VALIDATION
RMIT WILL E
PE
MECHANICAL PERMIT
PLUMBING PERMIT
ELECTRICAL PERMIT
STATE LICENSE N0.
STATE LICENSE NO.
FLOOR BSM IST 2ND 3RD 4TH
NO FUELCkcbOnsGaip~R~» EleeSolor
ALUMINUwAWIREUNOERSIZE8ILLEGAL
FORCEO AIR ~ BTU
WATER CIASET
HpT WATER - BTU
TEMPORARY METER
WASH BOWL
_
STEAM BTU
NEW SERVICE AMPS
BATH TUB
AIR CONDITIONING-BTU
CHAN6E SERVICE-AMPS
SHOWER
OTHER
LIGHTINCa
SINK
REFRIGERATION SYSTEM
HEATING
GARBAGE DIS?
Refri sroM fxap
pOWER SUB-CIFCUITS
WATER HEATER
Poundf C1wr e
C.)
UTILITY (RANGE, OISPOSER, ET
WASHER
AUTO.
AUTOMATIC SPRINNLER SYSTEM
FI%TURES
WASHER
OISH
ELEVATOR
WIRING MOTOFtS 9 CONTROLS
FLD6R DFAIN
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
S
MOTORS OVER I HP
TOTAL FIXTURE
I hsreDy ocknowladqa thot thia opplica-
tion it emrect and understond thaf I
tannot tfurt this Drolecf untit thia oppli-
eation if oDDroved. I ahall comOlY wifh
the lawf of the State of Colorado and fo
ths Zoninq ReQulations and Buildinp
Code of the City af Wheaf Ridpe. Any
violafion) of fhe above terms will couse
immedi~le nvocq;ion Qf thia permit.
PERMIT FEE
USE TAX
TOTAL FEE
APPROVEI
DISAPPROVEI
CHIEF BUILD
$ S. CnCf
of Wheat Ridqe
Date Issued q/
5~~~
(-//-9/
16&9
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
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JFr-FEr~50it/ eOUNTY
790
S' E6MT.
LC:P-r 9
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WES i 09 T`~ /4 ✓e,v Uc
COLUMBINE SURVEYING, INC.
972-8000
e--0T
19/2555
NO TH
0
scale
I -I° --~2,)
. IMPROVEMENT LOCATION CERTIFICATE r-~-i
I heraby eertity that lhis improvement loeatlon eertilicate was prepared lor
CAPITOL FEDERAL SAVINGS & LOAN
that It le not a land survey plat or improvement survey plat, and that it is not to be relied upon for the estahlishment of fence, building, or other
futurs improvement lines.
I lurther certify that ihe Improvements on the above dascribed parcel, exeept utility connections, are entirely within the boundaries ot the parcel, except
as shown, that there are no encroaehmenta upon the described premises by improvamenls on any adjoining premises, ezcept as Indicaled, and that
there ia no apparent avidance or sipn ol any eesement crossing or burdening any part ol said pareel, azcapt as noted.
NOTICE: AtteFGing Io Cobietlo lew you mml commanw eny laanl ecnon bnaM
YPOn !py Cebcl in IM1b Impuovemenl lotalian cemliceN vdlhin Ihrae yeen eM1er you
Orp tlbeOVaiW mch Oebcl. In ne .wnl, msy my ecllon CUW upon any tlalacl In
Nif Impup.menl bcellon cenillcNS W eommmnE mW, IMn tm yv. hom Ib
dal. d pu CIutlilic.b Mown LIUOn.
Buyer : PETTERA
Address : 12565 W. 29TH AVE.
Title Co :
Case No :
Order .
1128-0005
Subject property DOES NOT lie within a Ilood area, per CIIY OF WHEATRIDGE,
Map Number 0005-C, Da1ed 2-4-88
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