HomeMy WebLinkAbout6810 W 29th AvenuePERMIT:;0/2 O aDDRESS: ((7 SIGH ��OB CODE:
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.
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 runs a ion the following business day
PERMIT: I U -,a_
kDDRESS: b0 o C/ ' OB 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
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
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
Rough Plumbing Commercial
F153
S howerr Pan
=� -k i=uk F�uGITiON�il iNSPE:_ .O.
1-1
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: L/ D 9 - r", -1 a )
Job Address: L,131 0 W -�q 9 '`-il
Permit Number: 'D 0 17 o a 3 b 3
M
❑ No one available for inspection: Time 0013M
Re -Inspection required: Yes CN -o
When corrections have been made; call for re -inspection at 303-234-5933
Date: i As
Inspector: 7-7S
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
R �
Residential Roofing PERMIT - 201702362
PERMIT N0: 201702362 ISSUED: 06/22/2017
JOB ADDRESS: 6810 W 29th AVE EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install Gaf Timberline Dimensional asphalt shingles
- 26 sq.
Ago
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 permit. I further attest that I am legally authorized tonclude 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.
Si nature of OWNER or L&NTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying )laps 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.
1. 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, feesand rocedures 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. Appr, work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
3 4 City of Wheat Ridge
Residential Roofing PERMIT - 201702362
PERMIT NO: 201702362 ISSUED: 06/22/2017
JOB ADDRESS: 6810 W 29th AVE EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install Gaf Timberline Dimensional asphalt shingles
- 26 sq.
*** CONTACTS ***
OWNER (303)238-7296 LARSON LYNDA L
SUB (303)296-8551 Production 019898 AVI, 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: 6,168.00
FEES
Total Valuation 0.00
Use Tax 129.53
Permit Fee 156.75
** TOTAL ** 286.28
*** 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) 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 jN-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.wheat ridge.co.us
Sent: Monday, June 12, 2017 2:23 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
6810 w 29th
Lynda Larson
303-238-7296
na
Yes
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
avi inc
Contractor's License
19898
Number (for the City of
Wheat Ridge)
Contractor Phone
303-296-8551
Number
Contractor Email Address
production@aviroofing.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
production@aviroofing.com
Address
DESCRIPTION OF WORK
Is this application for a
Yes
new permit for a
residential roof?
Are you re -decking the
Yes
roof?
Description of Roofing,
Material
� �' � ' � �G�ln�n
l
4a
Select Type of Material:
Other (specify below)
If "Other" is selected Field not completed. ` 2
above, describe here:
�l
How many squares of the 24
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
i
TOTAL SQUARES of all 24
roofing material for this
project
Provide additional detail pitch 1
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract &4-7_g ( 16 y
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 cara meyer
Email not displaying correctly? View it in your browser.
3
2290 E, Seth Avenue
PROPOSAL AND AGREEMENT t3"Wr. CO sous
E-mail: oflica@aviraofing.com
PHONE: 303-296.8551 WWW.av)roofi.e.corn
FAX: 30-296-8557
Name:
Lynda tarsen CELL 0
Horne Phone: 303.239-7296 Email: naraanQth-lighf!nvaoerlcy.:Om
BIgNg Address: G0T0 W YVF.Mat Rid CO Bo033 29P,Ave Wheal Rid CO :0033
Job Address: 0210 VV 291h Ave
AVI Rwlma, Inc. {'Centranorl agrees, s,bjw to rhe Addkional Terms and Conditions on the ra,crse side or this proposal & Agcce-ent, to Wrelsh ati materMt,Wbcr and equipment ne<cuatY!ar Iht Wo
srl¢dR,d below 1 --(rd at the: +sdreas stated b_
DE5CRIPTIDN OF WORK TO BE PERFORMED AND MATERIALS TO BE SUPPLIED:
24.00 sits
?spiv tlaftaee COLOR p.ar-se Ex 7P
Sha ,b Tdarndetlsxuacd fxtd! a.+rr- bundks NIP AND RIDGE
Ridge Type ,_
Manufacturem WnWAY
1tl yaa> REC,ISTERLYNEN {08 L5 COMylET"e0
years,.:.,,�..,..,......_....._..... __..._
AVI Wwj1mnst4p 4VarrantY _..................__.. _
1 � lams
Tear off cif1t!ng roof laye+a -d
Inu:Rbasetelt
— _
Remove and mplacc plurebina Razhines
3 mtr.
7 Tach DIiRAFI0 VJp 50
Maaq agn¢w:mf ,rots
0 roes OC VENTURE RIDGE
install rldare ycn!aatar.
�....,.�..._.....__.. _..._... ______------------'"'-
raps 90L
..�..,....._.
!nst2q rapt^[ material
Instep ka Guard on Eaves
(cite MES
iast@itsa,W. _rrtalon Valley,-
t rdfs Yrs
fnst-Il ka Gvotd on Penelmsiona
D roe+ INCUIDED
so teat Whimlml.h
2 X 2sake Rasidna
'3b feet Whim
MSWR 2 X 9 tha'e Ihshing
- -
0 btmdios axe toter
Imtdl aLeP cashing
cvch AX, Cokr
I-seaR And«ail maim
O ..__...•^^•.--_..•�>..
0 tvcn KIT Calm
SKYLJWS
each KIT Calor
SWAMP COOtER
KIT Cobr
CMMNEMS
0 each
Misc
p sad. 0.00
MISC ....._....___._— _._
-
6cath0.00
------"----____.
N16c
Peradt fumidmd by
AN
sP>c�Al trisrRucrrf�lvs:
this contract vdthh172 hour, of the date signed on
this contract.
2 The Home owner has a 3 day right
of recision to Cancel
The job should take at total of days.
2 The approximate work start date is
—. .
a The price on this contract does not
include Lead Mitigation.
if material is deeer(oated AVI will remove and replace
it with your approval at an addltcnal
4 Decking will be i"Pectad after the
"'Of's 'or" v(f and
STA.gp LAWN FURNITURE
CONTRACT PRICING:
RE -ROOF PRICE:
EPOM
METAL
REPAIR
TILE
5- GUTTERS:
TOTAL CONTRACT PRIDE:
lobe frodo osfath+ws:50%fs due upon dclhory a/matcrkis The balance
hdue upon comPtatbn olwark.
payments
to the job 1!stkrg "o O- "'Id M a srParA2¢ nrcnsov noel the 1 -his
at leu! 5l1%rnmldeto,
Ali moot,
cdhxted oriar
i/paymMt h mode by cndff mrd a S%servicer harp- I,HI appl y.
�� erl xe net hc4rkN a W +rs be rnxXea ar an Mr+ vn a Ihne aed nNadal bath
RepYRmmt of detnlet—d decHn,. Iarcia laeards. root Nnicz, rrNaah+n, Uro", w cIM'r nuteaa'.s rwaea i+lrrwim Aalc+l m thit PreM+.N 6larr-m
Owntr la respenWb la•.cnoral e1 a!lovsd»r tulnllurc, aw,dnp, er efher wtdew ihfine+ "Or to the Nan of let Wert, OMncr IO pine and pMm an, ItNacets Mad end I w metal. TIt he <rmuidx thin not be fearf,ed Irl Perto'm ww:
6acitnf¢rirelYrlaar¢litiW biph-np teU).Dame, Wel bi rCiPM+igCr¢rlhe addK!vNicwldremayal rxro+trO remaH Nfmitl5'nK mAedal In Lne eY-nt RX iAtle ifin!th-1 and tintim QNe befOr. tmRlail eM¢d
r Ix ly she! sine brunkss Use eaitratkn der a eaftndad b Wad -,by be
s°ntratt¢r and u+is Plopaui & K1es*nent is tlseresirr a�cP h t
In ten ItW d.sa rn o, dale o -less astnted in W4lier, w4h»
eVInton dale. Ahm SAM 10 drys r— I i 4W, W- Cor" utrY n -r—1 0" ri,at to mlrc its vrkc 1-arrrnlar.[e w!el mos It rtfra ar chat tlrre. Ak-:-P¢uk arc orders to anNov^ o!Ce.trx�ni s !nenaRm°y
e satisfactory and ate hereby accepted. AVI Roofing, hu. is authadted to do the work as specified.
The above prices, apedFlcatlans and renditions ar
ACCEPTANCE OF PROPOSAL:
1m+ aseeAme moan m:,. ---A_- clot
M WIN tKK ag!t<menl f nate read ane under+Wnd mi Md:'.'Anai :amt aM Comhllan+xe pxtaf [htt rrnoc�'19.naleemina.
Oon OcFSn
X17 ,1
We
a,huu
wra
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: A t 0
Job Address: & 1- y V" Z 1 t4 !r'r—�,
Permit Number: 2ul7 U Z _36-2-
71
3G�71 Pit c)V )��n
❑ No one available for inspection: Time d CM/PM
Re -Inspection required: Yes 6)
When corrections have been made, call for re -inspection at 303-234-5933
1,(Date: 11LO11T Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancy/Type
'INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
i
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS.
DATE
INSPECTOR
'INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Rough Electric
Weatherproof / French Drain
Rough Plumbing
Sewer Service Lines
Gas Piping -
Water Service Lines
Rough Mechanical
CONCRETE SLAB FLOOR -
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
- Building : Final
Rough Plumbing
Fire Department
Gas Piping -
R.O.W & Drainage
Rough Mechanical
Parking & Landscaping
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
.FINALS
Electrical
Plumbing
Mechanical
Roof
- Building : Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
'SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"NOTE; ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, . BUILDING AND PUBLIC WORKS BEFORE A
- .CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING. DIVISION DOES NOT CONSTITUTE AUTHORIZATION
' OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
f1
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
❑ No one available for inspection: Time �: ' A /P_
Re- Inspection required : Yes No
When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: Inspector:
DO NOT REMOVE THI NOTICE
SPECTION NOTICE
Inspection Type: � fi 0
Job Address: 6R/6 lr% cg R y
Permit Number:
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -6933 Inspection line
(303) 235 -2855 Office • (303) -237 -8929 Fax
INECTION NOTICE
Inspection Type: CDI�
Job Address: ,9/
Permit Number: 0q;?q 5
I
❑ No one available for insp tion: Time 1�)° A PM
Re- Inspection required: Yes No
* When corrections have been made, call for re
-ins action at $ 03-24 , 4-5933
Date: Inspector: c ct` -e, t rOA ,'
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: , ie~svL 4el 111r j`"
Job Address:
S/® cry ~4`f~/
Permit Number: a9?9S~
I
i
I
i
❑ No one available for inspection: Time ~a_(apm
Re-Inspection required: Yes "No
"When corrections have been made, call for re-inspection at 303-234-59331
Date: Sze) Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call Ze msp c ' n at 303-234-5933
p`
Date& Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION NOTICE,
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
r (303) 234-5933 Inspection line -
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: , IC) _ to -9 4 U
Permit Number: a~3 , f
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, calf for re-in ection at 303-234-5933
Date;/,2 0 Inspector:
DO NOT REMOVE THIS NOTICE
I
6 A City of Wheat Ridge
~
Residential Roofing PERMIT - 092957
r4ooor
PERMIT NO: 092957 'ISSUED: 10/02/2009
JOB ADDRESS::. 6810 W'29TH AVE EXPIRES: 0.3/31/2010
DESCRIPTION:' Reroof r23 sqs
**CONTACTS
OWNER 303/455-1012 Linda Larson
sub 303/296-8551 01-9898 AVI,Inc.
PARCEL INFO
s ZONE :CODE: UA 'USE: UA
' SUBDIVISION: 0596: `BLOCK/LOT#: 0/.
` FEE SUMMARY ESTIMATED PROJECT VALUATION: 4.,507.00
FEES
Permit Fee 144.70 Q,
Total Valuation .00 Use Tax 81.13
TOTAL 225.83 - -
Conditions:
6 nail installation & mid roof inspection required. Board sheathing spaced more
thana 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
- -
>nditions printed on this
1(I:B.C) and all other
>ject to the laws of thee.
>y .'other applicable
i prior to expiration
!quired, provided no
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees :shall
be paid for a. new permit:-.
Y' 4. No work of anymanner shall be done that will change the `natural flow of water causing a`drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job....
6 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, any violation of the provisions of the building codes or any :other ordinance, law, rule or regulation.
All plan review subject to field` inspections.
1
Signature of Building Official date
L
INSPECT SON EQUEST LINE: (303)234-5933 BUILDING: OFFICE: (303)235-2855
11 REQUES~ MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING: BUSINESS DAY.
d:
::uwJF'.....:. N.. .r. ~...r m:
~ CEty of Wheat Ridge Building Division ..,...n'_.;. .......:oBs
7500 W. 29th Ave., Wheat Ridge, CO, 80033
Office: 303=235-2855 " Fax: 303-235-2857 Plan #
Inspection Line: 303-2345933 permit#:
Building Permit Application
Property Address: a) yjn 2 (/e
Property owner (please prin3: blfl o -rte c_bt ysckn Phone: 3-4SY lDl02
Mailing Address: (if different than property address)
Address:
City, State, Zp: SdD3 3
Contractor: ~4 C,Contractor License /q F -q 4 Phone: r36)3 a•-( (0 -?s
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp, Date: Exp. Date: Exp. Date:
Approval: ~j Approval: Approval:
Use of space (description): R-e-YDD:r= Constructlan Value: $
Description of work: (ascirulcedpermaeundin9 a)uationvateanset)
Plan Review (due at time of submittal): $
sq. FtJL.Ft added: Squares o;t 3 BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the eetback 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 printhd on this application and that 1 assume full
responsibility for compliance with the wheat Ridge Eullding Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit Plana subject to field Inspection.
C(RLCEOIVE: (OWNER) (CONTRACTOR) or PERSONAL REPRRSENTATIVE of (OWNER) NTRA R)
PRINT NAME: nl rvl t (,XY SIGNATURE: Date;EO •o 'dC
ZONING COMMENTS:
zoning:
Reviewat:
PUBLIC WORKS COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer:
FIRE DEPARTMENT:: ❑ approvad w) comments ❑ disapproved ❑ no review required Bldg Valuation: $
1.00/LOOf~j 9NI9008 IOV L99896ZE08 XVJ 90101. 6002/ZO/OL
CITY OF WHEAT RIDGE - MEMORANDUM
L S /d GU.~9E -k
To Accounting Dept. From Agnes Thoma
Subjecc Refund oace October 26, 1995
Approved
Date
Please refund $22.93 to McFadden Mechanical, 1904 S. Cape Way, Lakewood,
CO. 80227.
They applied for a permit (as attached) but the customer.changed her mind
and had another contractor do the work. The breakdown is as follows:
850 of permit fee = $14.45
Use tax = g;qg
TOTAL 22.93
Copies of both permits are attached. Thanks.
t` W'r.. ;,M ~.nVW ,,DEPARTMENT OF F'>LAMN4NG AI
BUIfMINGi 1MSRECTION' dlVl
. nz4ftf A6 U1/IJGAT C
CQ
:VELOPMENT Building Permit Number : 95-1999
- 2:35-2855
Date :10/5/95
Property Owrrer : LARSON LYNDA L
PrapeKy Address : 6810 29TH AV Phone : 455-1012
Contractorifcenss No. : 18562
Company : Speciakies SuPPiy Ca Inc. Phone : 2688496
OVNkER/CONTRACTOR SICiNATURE OF UNDERSTANDING AND AGREEMENT
Conshucdon Velue :
$1,936.00
PermR Fee :
$45.00
Plan Review Fee :
$0.00
Uee Tax i
$29.04
Totai :
$74.04
BUILDING DEPARTMENT USE ONLY I
Appwval ;
Zoning :
Approval: .
APProval :
pccupancy : Walls : Roof : Stories : Residerttlal Uniis :
Eiecfrical License No : Plumbing License No : MechaMcal Liaenas No :
Gompany : Company : Company :
i
Exphatiort Date Expiration Date : Expiration Date:
?+PProval Mproval : MProval :
si> mieaenrowur.uwin ~ewn,msv~saa~rora,u,yovur ■pqkwonanai:.up~ a~awsaassmuaca«xw.wroe»zon~q
~py~~yp~µan~t~y~~yy~ Cotl~~~dYNroalp~~ Cdon~tloaa~7'dhx~pp~~~hI~wElmnaaoflheGb, .
(2) T R ~s plmYt NiIY ~ S(A1 MY6 wTpk eWlw~GzeO Is nof ~rwed wlMln tixly (!0) dM fian hw~ CNe a(B) Me bWMNO autliothW b aqipwWetl ot
d d 770
(8y abantlaMdlora MAO
. tltl~aPMmII~W~eMVI rneYbeacWmdlorafeeotansMMMeartauntnOMsXYnlWW. p~p~q~
Nchanpasasno d=Vw w ebeen a WHI beameft minathent
wiqbW py~g atYd g MEI inY W9peI~8qn of eb9ndonfllMt hW not el(WOdM One(1) Yaer_ . .
esafs0! Ohe (1) kew. d+B fee6 ~fdkbo Pdtl .for a rww Cem~. .
4 IbMrkMe~YfilanVWSMNEldoi»1MtwWdlenpejMnaWrelllowofwaWausl~qaArelrwpsPm~m.~g~ .~~~y~d~a twsnty•tour (u) fwuis M Ww~e tor a~l inapectlonesM aM9 receive wrilbn ~provaF on Mapeetlon aeM before
. a~P~~ ~MN~~ m,~ru/e a repWe'PB '~~.a" ahad na w aonaaued ro oe a v~ rorrpt an avprove~ ofanv~omHon a ma ~rov~etone
(tlfef Building Inspector
f~ THIS PEFtMIT VALID ONLIf WHEN SIGNED BYTHE CHIEFSWLDINt31NSPECTOR
CALI: 234-6933 24 HOURB PRIOR TO IN8PECTION
Desqiption : GAS STOVE-VENT AND GASLINE
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
Property Owner : Lj-~>> A C er0o N
Property Address : Ggio 2~¢h 4v E
Contractor License No. :
Company: ~-s ~,cu c .
Phone :
Phone :
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit appliwtion are accurate.
and do not violate appliwble ordinances, rules or regulations of the Ciry of Wheat Ridge or
covenants. easements or restrietions of record: that all measurements shown. and allegations
made are accurate; that 1 hava read and agree to abide by all conditions pnntetl on this
application. and that I assuma tull responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other appliwble WIh~ [ Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ~ 1\~•-•--- 'r- I"'~ DATE 10 S-~S
DesCriptiOn: L6*2-C Dov2Z_ )AS S~vc,, D,-2s-4✓4„t-i'~ [7v3aCK / vr..r f1'4~ yns C/-i 7,.isy,^.~l
BUILDING DEPARTMENT USE ONLY
~
Approval:
Zoning :
WA
Approval :
P~IpIfE'- TilmamomYinls:!
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 :
Approval : Approval : Approval :
_3 Plans:Requiced,'.'„`) 3 PfBns Required I I ; P11!1105R$quirs3~~„1
(1) This permit was issuetl m accortlance with the provisions set forth in yopur aDPlimBOn antl is sublect to the laws of the State of Coloratlo and to lhe Zoning
12egulations and Builtling Cotle of Wheat RiEge, Coloratlo or any other apPlicable ortlinances of the City.
(2) This permit shall explre 1f (A) the work authonzetl is not commencetl wrthin sizry (60) tlays hom issue tlate or (B) Ihe Duiltling authorizetl is suspentled or
abantlonetl Por a penotl of 120 tlays.
(3) If this permit e:pires, a new permit may be acquired (or a fee of one-half the amount normalry reQUtred, pmviEetl no changes nave been or wlll be made in the
onginal plans and specifcations and any suspenslon or abantlonment has not exceetletl one (1) yeac If chanqes are ma0e or if suspension or abantlonment
exceetls one (1) year, full fees shall be paitl Por a new permR.
(a) No work of any manner shall be tlone that will change the naNrel flow ol water causing a oramage pmhlem.
(5) Conlrecror shall notiy Ine Building Inspector twenry-tour (24) hours in atlvance for all inspec4ons and shall recerve written approval on inspeclion cartl bePore
proceediing with successive phases of ihe lob.
16) The issuance of a permit or Ihe approval of drawings and specifications shail not be construetl [o be a permit for, nor an appmval of. any nolation of Ihe provisions
of Ihe butltling co0es or any other or0inance , law. rule or regulation.
Chief Building Inspector
For Mayor
Construction Value : / a3ca, oo
Permit Fee :
Use Tax:
Total :
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
, _ - n'fA ~o,~ t;YAvN,4 . . r....t a , •F'_si+ r+a'<s7;uq,, 5~!'•';~,aff?t"~"~i*~S. , . + .
~ pOI0.RTMENT QF PLANNING AND DEVELOPMENT Building Permit Number : 95-1901
BUILDING INSPECTION DIVISION - 235-2855 Date :9/19/95
CITY OF WHEAT RIDGE
7500 WEST 28TH AVENUE
WHEAT RIDGE, CO 80215
Properly Owner :
' Property Address :
ConUactor License No. :
Company :
6810 29TH AVE
18532
MC FADDEN MECHANICAL LLC
OWINEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I herepy cett~ttlattl~esetbedc distances proposed by thia permit epplicatbn are exurete,
and d0 Pro6Vip te appikebb ortiManoea, rulea or regulations of Ne C'Ry of Wheat Ridge or
. apyeqayb, ebemeMaor restridWns ot record; thet all measumments sbown, and albgations
. mack qa aCa7raft; fhet I havm readand ag~pre~Ip~~ery~ lo ebide pby all conditbns Wprihneted on this for
Build Ct~Me (w9.C:and ~ el! oMer applkN~ble~Wheet RidgaoMina ces, fo wo* undarRhis pe ~fn9
OYVNE01COMRACTOR) SI(3NED ~ATE
Phone : 455-1012
Phone : 985-3435
( S
Qesddption : FREE STANDING GAS STOVE
Approval :
Zotiing :
Approval:
Appraval:
QcCUpancy : Walls
Company :
No:
ExpiMtion flate :
Apprcsrral :
0"~~
(z)
, Ti~~ isho
. (9)
dMl
(4)
C'tofBit
QOn
MA
~
y
EW
:
.
"
W
.
ai
UR bti1
M
BUILDING DEPARTMENT USE ONLY
Roof : Stories
Plumbing License No :
Company :
Expiretion Date :
Approval :
■ r~
Residential Units :
Mechanical License No :
Company :
Expiration D
Approval : WZ
a
n aecordance wiM tha provieions set forth in Yopur ePWk"m aM Is sub~xt to tlre lewa d the Stete W Cabrado emf lo the Zoning
Cotle of V1R~t~ 9e, Cdorado a anY otlror epplkable oMinancea of tl~e CNy.
~(A) Yie won~ a Azea ia irot eanmencetl within sixlY(80) dap ftw" itaue daM or (B) tha builtlinp autlwdzetl is suapendetl or
o720deys.
:"11 w P~~ meYyony a~M Teea shall l be Oone ewyi,q vatphehaespeps ofMa
N a~ulaUOntions ahall not be construed W he e permit fw. mr an appmval 04 efry vbletlon of ttie
eny "jrd~nan provisbns
qphif Building lnspector SIGNED
THE THIS PERMIT ALLD O 34-5 33 24 HOURS RIOR TOHNSPECTION BUILDING INSPECTOR
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date:9-/9- 95
Property Owner i l7 o a. CL r5 0~
Property Address O w a 9_rA A-0 e n uf_ Phone _7_
Contractor License No.
company:/neFadd" /NChani
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances propased by this permit application are accurete,
antl 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. antl allegations
matle are accurete; that I have read and agree to abide by all conditions printetl on this
application, and that 1 assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinar)pes, for work under this permit.
(OWNER)(CONTRACTOR)
Description :40 //154'a-jf
LLG Phone: 9'.~
~ooa,C70 ~Oaa7
Construction Value :
Permit Fee : 1~• ~ ~
Use Tax :
TOtal
DATE 7'/ 7 "7J f ~
Go/i'1 TO/"~G 77"e~5 ~R~? ~~/Iy ~QS
BUILDING DEPARTMENT USE ONLY
i1
Approvai
Occupancy :
Electncal License No
Company : uompany :
No'.
A/~,~f~~ _
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
I Pffilins R~&quired Pftlns Rdquired PAns
(1) This permit was issued In accortlance with the prowsions set forth in yopur apphwtion antl is sublecll to the laws of the State of Coloratlo antl to the Zoning
Regulations antl BuilGing Code of Wheat Ridge, Coloratlo or any other applicable ortlinances of the Ciry.
(y) This pefmit Shall eXplre d(A) Ih2 work authollzetl i5 nOt Commencetl Within Sixly t60) tl3y5 from i55u8 tlate Or (B) the builtlin9 au[hoflZetl i5 SUSpended or
abanEOnetl for a perioC of 120 days.
(3) If IhiS permR eapires, a new permrt may be acquireC for a fee of one-nalf the amount normally requiretl. provitleC no changes have been or will be matle in the
original plans antl spedfications antl any suspension or abantlonment has not eaceeded one (1) yeac If changes are matle or R suspension or abantlonment
exceetls one (1) year, full fees shall be paitl for a new permit.
(a) No work of any manner shall be tlone that will chanqe the natural flow of water causing a tlrainage problem.
(5) COnV2Ctof Shall notify IhC Builtling In5p2Clof CNenty-fouf (24) houl5 in atlvante bt all in5peC0on5 and Shall reCeive written approval on inspecbon GarU before
proceetliing With SuCCe551Ve phases of the jOb.
(6) The issuance of a permit or the approval ot tlrawmgs antl specifications snall not be construetl to be a permit for. nor an approval of, any violation of the provisions
of the budding co0es or any other ortlinance. law, ruie or regulation.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
/
7500 WEST29th AVENUE
234-5933 P.O.BOX638
PFRMIT VAL.ID ONIY WHE
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF wHEAT RIDGE, COLO.
BY TFiE CHVEF BUILDING
PERMIT N0. M,Eq3~# SS~y
,/l O Nrr
JOB ADDRESS v n~~ W. ~R 7 4 v-OWNER R
CONTRACTOR IP~TR E ~RI C CGMPAN`1 ADDRESS
ADDRESS 5~0 v~Y St ~ UN)7 ~ PHONE ~4 It
CITY V~~ct ZIP CODE '900 0 ~ CONTRACT PRICE $
l~ I~) LICENSE NO. DATE
PHONE
d 12-ZIP CODEgG a
OU
I. TYPE Ground❑ Woll❑ Proieclinp❑ Othsr SaDPoae
2. MATERIAL Tofal $~u4S Ffst -
$IGN$ 3 ILLUMINATION Yea❑ No❑ TYOe
4. SET BACH FROM PROPERTY LINE N__ 5- E- W_
(soeeitv whicn is fron+) ❑ ❑ ~ INSPECTION TICKET
-ro j0 f,4 A-1
B AM
Date 1 =(o-- Time PM
WHILE YOIJ WERE OUT
o
Phone
Area Code Number Extension
TELEPHONED PLEASECALL
CALLEDTOSEEYOU WILLCALLAGAIN
WANTS TO SEE YOD URGENT
RETURNEDYOURCAIL
Messa e p °~.Q-~ ~'n~Po
~iG
Operatar ~
OFFICIALO
009000
AND RECEIPTED BELOW.
'k"
,u TI
Joa
C
- ADDRESS
- W'
_ DATE: ~-BLDG. PERMITN ES
- PERMITM
i, GIVi
BLDG. CONTR.~
SUBCONTRACTOR
DATE INSP. REQ.1~
~
~
i
~
~
fS,Alk
TYPE OF INSP. ~""L-
INSPECTION MAD / 0 -7,~ 7 ~
REMARKS
W.p.FORM &19
IICQ
ORK (
,NCElrvvunnurvuiaia.nituwimirvinni uMt.
!
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE UCENSE N0. lC),L4L-1 .
STATE UCENSE N0.
FLOOR BSM I5T 2ND 3RD 4TH
NQ FUEL;CkcMOM GniaIA'opa» E Sda
ALUMINUM WIRE UNDERSIZE B ILLEGAL
BTU
FORCED AIR
NO
WATER CLOSET
=
HOT WATER BTU
TEMPORARY METER
WASH BOWL
STEAM - BTU
NEW SERVICE - AMPS
BATH TUB
AIR CONDITIONING-BTU
CHANGE SERVICE - AMPS
SHOWER
OTHER
LIGHTING
SINK
REFHIGERATqN SYSTEM
HEATING
GARBAGE DISP
rouO
Rel~i sranf G
POWER SUB-GFCUITS
WATER HEATER
ppy~~ CMr e
UTILITY (RANGE, DISPOSER, ETC.)
AUTO. WASHER
pUTOMpTIC SPRINKLER SYSTEM
FIXTURES
DISH WASHER
ELEVATOR
WIRING MOTOF25 6 CONTROLS
FLOOR DRAIN
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
{r ~ k C Wtl'D~~ .6, Z~-dl"e
: ~
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500wES729thnvENUE BUILDING INSPECTION DIVISION PERMIT N0 Me93#5574
234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
TMIS PERMIT VALID ONLY WHEN SIGNED BY THE CHfEF BUILDING INSPECTOR AND RECEIPTED BELOW.
APPLICATION FOR MIS
JOB ADDRESS ~10 1~~• ~TN P114-_.
CONTRACTOR PI PtI~ C ELF-C I PIC,. A
ADDRESS p~CcC'~ 3Fl`{ Si- I1nJ1Tlt
CITY n~ YRDA ZIP CODE
PHONE yaa- 9a ICI _ LICENSE NO. I9b`~
OWNER
ADDRESS IcElCl 11) A/k
PHONE 455-iora ZIPCODE aiN
CONTRACT PRICE $ ~ ~~.CX)
DATE
1. TYPE Ground❑
Wall❑
Proiectiny❑
OtMr
SaDFacit
2. MATERIAL
Tofal Spuon FNt
SIGNS
3. ILLUMINATION Yae❑ No❑
Type
ElW. Psrmit No.
4 SET BACK FROM PROPERTY LINE N
(Spscify whith ia fronl )
_
❑
S_ E
❑
_ W
❑ ❑
Zon*_
ApprwM, 2one Inspeotor
Disopprwad
I. TYPE Solido More 7hon 80
% ODSn❑
Lest Thon 80% Open
MATERIAI
Me{aM
FENCES
3. SET BACK FROM PROPERTY LINE N
(Specify which ie front)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
Apprwed,Zom IntOeeta
Diaapprovsd
4.
2
OTHER
3.
DRAW SKETCH OR SHOW BELOW,?HE FENCE, SIGN, OR O1HER STRUCTURE,GIVING DISTANCES FROM PROPERTY LINES.
(SETBACNS OR PROJECTpNS INCLUDED)
~
SPECIFV NORTH
STREET NAME
SNOW DISTANCES FROM THE MAIN BUILDING T6ADJOINING MOUSES, STREETS, ANO CROPERTY LINES;ON IRREGULAR lATS, SMOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THISAPPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION OIVISION.
PERMIT WILI EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THATTIME.
EL.ECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
S7ATE LICENSE NO
MECHANICAL PERMIT
ALUMINUMWIREUNDERSIZE8ILLEGAL
FLOOR
BSM
IST
2ND
3R0
4TH
N0.
FlJE4CircLOnoG"041PFOpdr EI Sda
N0.
WATER CLOSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS 15
SHOWER
AIR CONDITIONING-BTU
LIGHTIN6
SINK
OTMER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri eront Group
UTILIT'Y(RANGE,DISPOSER,ETC.)
AUTO.WASHER
PourMs Char •
F17CTURES
DISH WASMER
AUTOMATIC SPRINKIER SYSTEM
WIRING MOTORS 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORN
OTMER
MOTORS OVER I HP
TOTAL FI%TURES
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wESr29thAVENUE BUILDWG INSPECTION DIVISION PERMIT N0. MP93#3461
234-5933 P.O. eOX63e CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RELEI PTEDBEL9W.
JOB ADDRESS
CONTRACTOR ~
ADDRESS
CITY . ZIP CODE _e
PHONE LICENSE NO.
OWNER /
~ ADDRESS / " ~ ~
PHONE ~J ~
Z-~ CONTRACT PRI/CE $
v33~? DATE ~
1. TVPE Ground❑ Woll❑ rroi
2. MATERIAL
SIGNS 3 ILLUMINATION Yes❑ No❑ TYCe -
4 SET BACK FROM PROPERTY LINE N_ 5__ E_
2
ZIP CODE
p1Mr 5 a D FocS
INSPECTION TICKET
~
(speeifywnicniatront) u u u Jpg
I. TYPE Solid❑ More Than 80% ODanD L. ADDRESS
MATERIAL
FENCES 3 SET BACK FROM PROPERTY I.INE N_ S__ E_
(Spscitywhicl+bfront) ❑ ❑ ❑ ~ l~
DATE: ~ BLDG. PERMIT#
i.
OTHEf2 2, PERMITA
BLDG. CONTR.,~~C2°-e~
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE
(SETBACKS OR PROJELTqNS INCLUDED) SUBCONTRACTOR
STREE? NAME
SNOW DISTANCES FROM THE M41N BUILDING TPADJOINING HOUSES, STREEI
DISTANCE TO PHOPERTY lINES, NOT MAXIMUM OR pVERAGE DISTANCE
DATE INSP. REQ. V ~
TYPE OF INSP.~~~~"~ -
INSPECTION MADE ~3 e-3
REMARKS ✓ 1
~
W.R.FOHM G19
/
APPLICATION FOR PLUMBING; ELECTR__.._, .
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY l1PON VALIDATION BY THE BUILDiNG INSPECTION DIVISION.
CoKnIr um i cvoiaF ian nAVS FPOM THE DATE OF ISSUANCE IF WORK IS NOT $TARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
PLUMBING PERMIT/ /
MECHANICAL PERMIT
STATE LICENSE N0.
STATE LICENSE N0. ~ ;~j
ALUMINUM WIRE UNDER SIZE B ILIEGAL
BSM
IST
2ND
3RD
4TH
NQ
FUELCirUeQr Gof dlPrapaM E Sdar
~,~p -
SET
FORCED AIR - BTU
TEMPORARY METER
L
2
HOT WATER - BTU
B
NEW SERVICE - AMPS
8ATHTUB
TU
STEAM -
CHANGE SERVI CE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTNER
HEATING
GARBA~E DISP
REFRIGERATION SYSTEM
POWER SUB-GFLUITS
WATER HEATER
Re1ri eront Grw
UTILITY ( RANGE, DISPo5ER, ETC )
AUTO. WASHER
Pounds CMr e
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
FIXTURES
WIRING MOTOF2S d CONTROLS
FIDOR DRAIN
ELEVATOR
$IGNS
URINAL
TRANSFORMERS 6 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
i
n