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Home My WebLink About11256 W. 38th AvenueFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Residential Accessory Structure (Garage, Shed over 120 sq ft, Gazebo) Date: Monday, February 7, 2022 3:07:15 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Residential Accessory Structure (Garage, Shed over 120 sq ft, Gazebo) THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address 11256 West 38th Avenue Property Owner Name Don M & Becky Osborne Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) 3032505499 Property Owner Email beck.osborne@gmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business N/A Name Wheat Ridge 00 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 000-000-0000 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address for Questions/Comments beck.osborne@gmail.com Retype Contractor beck.osborne@gmail.com Email Address DESCRIPTION OF WORK Detailed Scope of Work - Example: Detached Garage with Electrical; Unconditioned shed build a 36'x 40' Horse barn Square Footage of 1,440 Accessory Structure Engineering Letters Variance Aooroval Form - WA-22-01.odf and Other Letter Size Attachments Construction Plans Combined plans ndf scanned on 11"x17" or larger Project Value (contract 22,000 Valuation adjusted value or cost of ALL Shed 21.50 x 1440 materials and labor) sq ft = 30,960 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. Person Applying for Becky Osborne Pe rm it 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. Email not displaying correctly? View it in your browser. TO Get Paris Suldent: R. our. mr. sheriff red MIT NPALICATION concon to Existing ail ing age cadrests pbouse 9, 2022 12 43 56 AM Prow or Sumusson Got 2 22 on CAUTION The ema aoriginated from outside of the organization Do notmG link or open attachments unless von recognizethe sender and know the content is safe report any suspicious actividestoothe IT Division. Hi Kallak, Attached is the Homeowner form and also the Proof of Submission form as completed by Consolidated Mutual. I am guessing He Homeowner Statement will need to be included on both He permit applications, the horse barn and the addition. I really appreciate your help and guidance Please let me proves if need to provide any additional inforram on. Thank you, Becky Osborne OnWed, Feb 9, 2022 at 938 AM CommDev Permiis<EeazzlitiwFeaMdge Qehns wrote You can email it directly to me for He fastestresultl ButFd email me back on both ofthose applications as I may accidentally forget one and not He other. Thank you, Kallak Heiner Permit Technician Building Division 4W City of Ln�� %(;OMAIUNIN DEVELOPMENT- ww [lull From: Becky Osborne <beck.osborne4gmail.com> Sent: Wednesday, February 9, 2022 9:30 AM To: CommDev Permits <Permitsnci.wheatridge.co.us> Subject: Re: Online Form Submittal: PERMIT APPLICATION Addition to Existing Building CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. Hi Kallah, Sorry, I was not sure about that one. I will get it filled out and notarized. Can I email directly to you or do I need to upload it with our application? Thank you, Becky On Wed, Feb 9, 2022 at 9:07 AM CommDev Permits <Permitsnci.wheatridge.co.us> wrote: Becky, I see the attachments from the water/sanitation district and these will do great! Though we will also need that homeowner notarized document for this one too if you plan to do it yourselves. Thank you, Hoped, Heiner Permit Technician Building Division It 94, City of WheatF�dge . . Mg Colml uN,tt Devewvntenr area From: ,UeselyaL Abearvdge Qeus <ES reselyao mhearvidge Qeus Scott: Tuesday, February 8, 20221093 AM To: CommDev Permits <Pemits@ci wheatridxe no Subject: Ondine Form Submittal. PERMIT APPLICATION Addition to Existing Building CAUTION Tr,,,,1 mlend,dmm road, core, R,n,a,,, D, mt did, Unk, a PERMIT APPLICATION Addition to Existing Building THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is His Residential or Residential-uploadProof of Submission to Sanitation District Commercial? and Water District Upload Proof of I 1256PnnfnIC mwnn eld[ Submission to Sanitation Department Upload Proof of 11256Poof of Submission off Submission to Water Department PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD* Is VISTI-AYMM 191-11 IT-MMIM Don and Becky Osborne 3032505499 beck. osborne()amail.com APPLICANT INFORMATION Applicant Name Becky E Osborne What is your role in the Property Owner project? Contact Phone Number (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Comments 3032505499 Retype Contact Email beck osborneQamail_com Address DESCRIPTION OF WORK Detailed Scope of Work - Adding 230 square feet to living and dining room areas. Adding Provide use of addition required electrical outlets and moving hot water heat radiators. (i.e. master bedroom with No plumbing involved. master bathroom); Indicate mechanical, electrical, plumbing scopes Location of Work Addition to Living and Dining Room. Square Footage of 232 Addition Asbestos Report 0621-09 11256 W 38th Ave Osborne, Beck Environmental Engineering Letters, Field not completed. Energy Calcs and Other Letter Size Attachments Construction Plans Addition plan 2.822_ndf scanned on 11"x17" or larger Provide Passcode for Field not completed. Plans if locked Project Value (contract 23000 value or cost of ALL Valuation adjusted 232 sq ft X materials and labor) R3 VB 150.87 = 35,001.84 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. Yes Yes Person Applying for Becky E Osborne Permit I attest that everything stated in this application is true and correct and that falsifying information in this application is an act of Yes fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. wheatndae co us To: cnmmo o Mi subje: QNneF"mw Iltdl: A2ato5AbMmw:1 ei(C: moN y. NW mWr 8.20211: ):51 W Asbestos Abatement This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. 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. Is this application for Yes residential asbestos abatement? Provide copy of M'ke Becky Osbome Reoubl'c Moe'ot odf CDPHE Stale Permit or Stamped Approved CDPHE Stale Permit Application PROPERTY INFORMATION Property Address 11256 West 38th Avenue Property Owner Name ton M & Rebecca E Osbome Property Owner Phone 3032505499 Number (enter WITH dashes, ag 303-123- 4567) Property Owner Email beck.osbome@NmaiLoom Address Attach City of Wheat Ridge Electronic Payment Form - "'DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Homeowner Name Wheat Ridge 00000 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3032505499 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email beck.osbome®gmail.com Address Retype Contractor beck.osbom9@gma1l.com Email Address DESCRIPTION OF WORK State Permit No. or Co Application Approval Date with Initials of CDPHE Employee approving application. Location of Abatement Bath room wall joint compound! and file mastic Square Footage Area 20 square feet of Abatement Has the abatement No been completed If abatement has been Field not completed. completed, upload the clearance report. Project Value (contract 300 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. Person Applying for Becky E ostorne Permit 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. Email not displayiN comactly? From: no-repl):Qci whentridg rg„n as <nu-mplynci whe_atridgeco itss> Sent: Wednesday, August 4, 2021 11:25 AM To: CommDev Permits <PrmiU wheanidge,co assem Subject: Online Form Submittal: Residential Interior Remodel Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Peri[ 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. PROPERTY INFORMATION Property Address 11256 West 38th Ave. Property Owner Name Turner TmWRebecm Osbome Property Owner Phone 3032505499 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email beckosbornermamaii rom Address Attach City of Wheat Electronio_Payinent-Form no Ridge Electronic Payment Form - ••DO NOT ATTACH A PICTURE OF A CREDIT CARD" APPLICANT INFORMATION Applicant Name Becky E Osborne What is your role in the Property Owner project? Are you performing the Yes work yourself, live in the home and will be living in the home 1 year after completion? Attach Notarized Notiodt Homeowner Authorization Form Contact Phone Number 3032505499 (enter WITH dashes, eg 303-123-4567) Contact Email Address berk.oshnrnerma aioL` for Plan Review Comments Retype Contractor Email Address DESCRIPTION OF WORK Detailed Scope of Work - In the space below (not as an attachment), Provide a detailed description of work including mechanical, electrical, plumbing work occurring, addinginemoving walls, etc Removing partial walls in kitchen, changing kitchen and laundry cabinets and appliances, remodel powder room, installing kitchen windows. Removing walls to make 2 bedrooms into master bedroom, closet and bath. I, the applicant, I have entered a detailed scope of work. understand my application will be rejected if I do not include a Detailed Scope of Work. Location of Work Kitchen, powder room, master room and batch Square Footage Area of 435 Work Being Performed Asbestos Report 11256 W 38th Avern Beck Environmental Report - Asbestos Rencvabon pdf Upload letter size Field not completed. documents here Construction Plans scanned on 11"x1T' or larger Project Value (contract $30,000 Valuation adjusted: major kitchen value or cost of ALL remodel +2 -bathroom remodels + 3 - materials and labor) windows = $51,000 si Eel .Ill Ol d Mill 111 C 1017:RI 110 119112 M 210ECel d 77 L 17.11 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. 1 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. Person Applying for REBECCA E OSBOME Permit 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. Email not displaying corredlt? View it In wnir browser 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:, -2d/ S- 00,:� gADDRESS: //2 f, / = 1- 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 Undergroiind 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 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT.--��- ADDRESS: I� Z S-(,t�-t�'JOB 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 Commerciai 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 Residential Sewer Repair PERMIT - 201800297 PERMIT NO: 201800297 ISSUED: 01/30/2018 JOB ADDRESS: 11256 W 38th AVE EXPIRES: 01/30/2019 JOB DESCRIPTION: Repair damaged sewer line (70') in yard. Replace with PVC. *** CONTACTS *** OWNER (303)642-6669 TURNER JERRY B *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,838.00 FEES Total Valuation 0.00 Use Tax 206.60 Permit Fee 204.30 ** TOTAL ** 410.90 *** 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.** 0�0 774)1_0111_ PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Sewer Repair PERMIT - 201800297 201800297 ISSUED: 01/30/2018 11256 W 38th AVE EXPIRES: 01/30/2019 Repair damaged sewer line (70') in yard. Replace with PVC. I, by m 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 fu her attest that.l _am legally authorized to include all entities named within this document as parties to the work to be performed a at alt work to be er ormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatur 'of R or CONTRACTOR (Circle one) Date I. This permit was issued basecfon 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 an manner shall be performed that shall results in a changeof 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 pe it shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable ,co e od ny o,_ inanc or regulation of this jurisdiction. Approval of work is subject to f any 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 Wheatldge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits (@ ci.wheatridge.co.us I FOR OFFICE USE ONLY Date: /' -�'o J Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **" Property Address: 112_5Le vi Sg` 4ye Owner Property Owner Email: Mailing Address: (if different than property address) Address: Citv. State. ZiD: Architect/Engineer: Architect/Engineer E-mail: Contractor: GaS ZL5r.(,._ Contractors City License #: Phone: 3cS (ree&`) Phone: Phone: 0Ll1,�/-%0acp Contractor E-mail Address: e nz2S • �� , For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: O�j 7'Jee-gacq CONTACT EMAIL(p/ease print): re�Zt'�S Ycc,� Sub Contractors: Electrical: W.R. City License # Plumbing: W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please 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.) �a�� Gtae vd 5 < < C 700) ® I �` Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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 information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Zp / ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 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:, -2d/ S- 00,:� gADDRESS: //2 f, / = 1- 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 Undergroiind 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 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT.--��- ADDRESS: I� Z S-(,t�-t�'JOB 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 Commerciai 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. 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: Job Address:�� Permit Number: t ❑ No one available for inspection: Time Z .:` a AM/PM. Re -Inspection required: Yes : No r When corrections have been made, call for re -inspection at 303-234-5933 r Date: /. --f I - )F Inspector: DO NOT REMOVE THIS NOTICE k City of Wheat Ridge Residential Roofing PERMIT - 201705370 PERMIT NO: 201705370 ISSUED: 08/03/2017 JOB ADDRESS: 11256 W 38th AVE EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Laminate asphalt shingles with 38.5 sq. *** CONTACTS *** OWNER (303)642-6669 TURNER JERRY B SUB (303)825-1979 Dane McGill 170343 Catastrophe Consultants Group *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00 FEES Total Valuation 0.00 Use Tax 315.00 Permit Fee 283.55 ** TOTAL ** 598.55 *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. Occupancy/Type V] INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 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 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof I Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building 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 from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued 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 INSPECTION NOTICE Inspection Type: 'tel Job Address: Permit Number: „z ❑ No one available for inspection: Time ? -< i /; Re -Inspection required: Yes 1116� When corrections have been made, call for re -inspection at 303 -234 - Date:— 03-234-Date:j �S Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE 7� �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION_ NOTICE Inspection Type:'—;C' Job Address: 41 /,I .3 l r Permit Number: „1` 'p 5 -20 ❑ No one available for inspection: Time 'j '�.' _._5A-M/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 7 / /' Inspector: -, DO NOT REMOVE THIS NOTICE Certificate of Completion Building •Division 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 Permit#:20120528 Issued; 10/29/2015 Stipulations: Construct 12 x 20 shem This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Owner: TURNER JERRY B TURNER LGUISE F 11256 W 38TH AVE WHEAT RIDGE CO 80033-3908 Contractor: Tony Studer 13280 W 43RD DR GOLDEN CO 80403-7236 For the Following Purpose: Res. Accessory Struc Code Editions NO change shall be made in the USE of 2012 ICC/2014 NEC this building without prior notice FZ0016 ICC/2011 NEC and a new Certificate Of Completion 2'006 ICC/20, 5 NEC from the City of Wheat Ridge. Other V C ie 1 1, Ins tor —fo—n-lng �Administrator CER FICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Offim 303-235-2855 * Fax 303-237-8929 Inspection Request Line: 303-234-5933 Building Permit Application (Complete all highlighted areas) Property Address cc) Property Owner (piease pnnt)� Phone� _6 LO I - 7 IM/ J e Vvy Mailing Addrosw (if duff erent thari property address) Address'. art (Fully describe work to be performed - Attach additional sheet if necessary) Review fee z4 10w, a u a r e s ......... BTU - s Gaflons nips Sq Ff, ONN N ER,; ON RA " Sl(;NATVRE OF Wls: 0m offlic C it N Cat twx RiJ& ol i.'S I% tV, of rvcwd khat A! 1 onkj im\ C rc> ld ,md ro ahidv hx Al �:ondilim Vrivlc,i on 0; , appticarwtl anki lb o I tor sIb ,qlp�4:olhtc Cot" of e1w, ! Wdgkz vokk mW ordinwix l oo %s ,ork m"'6or an± permi� i' ,ucd ha ,cd olr lhx, I am flit, o"po or hwc 1x "m mwbori, 4�, 11Fv 1A:n,!Zd o%✓twf of Jsg 41V"V' to pvrtonn 11w dk, Naork JM1 .Ml ,0SO W0106AX1 h , Shc 4n_ om ncr M aw, cnwY mctudcxl ofl 0 i aj,apfic,,i6on lo ti,i tfim,� k:wil\ on 0 iN <, INCLE 0,\ E (of# \1-,`H,m (CONIR ICT(Mi or f I I f0if N'tR) f( 0\7R It 'I Oftj DEPARTMENT USi ONLY Ire C() zitnMq ye" 0 C �x 9 �P � eel BURDNG DEPARTMENI PUSUC VVORKS C04W.ENIS OCCUPANCY Revwwea t Nsapprow,',cj V0rf?WeVVreQUMed FB1d9Va1U3tj0n City, Ucense # City License # City License # 5 + N) r �- 61 Address: zoning: Property in the flood plain? a . Lot Size: ,Lr tlot Width: 0 Maximum Lot Coverage: % - 7 - 3 f So, ft Proposed huprovements: Existing hriprovernent(s): ffouse� sq. ft House � sq, ft. Addition to House: sq, ft. Stied: sq, fl. Shed: 0 scl ft, Detached Garage, sq, Detached Garage: sq. ft. Otlier: ---------- - sq. Proposed Lot Coverage.' ('I"otal) % Required Setbacks FR 5 S 5 S 5' R Provided Setbacks: FR, S _5 S > p, > Maximum Height: ft. Proposed Height: ft. Maximurn Size: sq, ft., proposed Size: ...... __ sq, fl, Access Notes For one and two-finnily dwellings, the first 25' of driveway area from the existing edge of pavernent into the site shall be surfaced Nvith concrete, asphalt, brick pavers or similar materials. For all uses other than one and two farnily dwellings, no vehicle entrances or exits may be closer than 25' to any CII property line, except when used as joint access for tW`0 Or More 101s, In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width, One and two- family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured ftorn the interior edges. For all uses, ore access point per property is perrnitle& LandscaLAny Notes For one-and two- family{ dwellings, one tree for every 70 feet of street fiontage is required, 100% of the front yard and 2 of the emirs: of most be landscaped prior to issuance of CO. Street trees required: Street trees provided, Minimum maximum Height M Maximum Building Coverage Minimum Lot Area Minimum cat Width (a) Minimum Front Yard Minimum Side Yard Setback Rear Yard Setback Setback b (d) (d) dwelling Multifamily 12, 00 sf (31more dwelling Group home government and quasi- government buildings, golf courses, small 25'(e) day care center, and nursing, elderly and congregate care homes Accessory 5' if 10' Buildings 00 sf (per in height; heig All a ther Uses Property appraisal system Page I of I GENERAL INFORMATION Schedule: 049234 Parcel ID: 39-282-05-030 E—rffiUie-!2 Status: Active Property Type: Residential Property Address: 11256 W 38TH AVE Owner Namejs) WHEAT RIDGE CO 80033 TURNER JERRY B Mailing Address: SAME ADDRESS AS PROPERTY TURNER LOUISE F Neighborhood: 2403 - APPLEWOOD VILLAGES, PROSPECT VALLEY AREAS PROPERTY DESCRIPTION S-ubdhtisionN - BROOKSIDE Assessor Parcel Maps AssociatW with Schedule d Ll aE421—AP41CO(Z-1MA2 Maaguest Location i?1-39 of f = _-2_ 2. PROPERTYINVENTORY Property Type RESID Year Built: 1964 Adjusted Year Built: 1964 Desigm Ranch Improvement Number: SALE HISTORY M .N. ".. Treasurer Information 11AX"101frilas — 1 ant X "10001 M""I 1.1 3107-3111M.N." htip:Ltl/jeffco.us/ats`/displaygeneral.do'?sch=049234&offset=2 5/11/2012 1100 MIL 1w. W, 1111=13-1032=10, SALE HISTORY M .N. ".. Treasurer Information 11AX"101frilas — 1 ant X "10001 M""I 1.1 3107-3111M.N." htip:Ltl/jeffco.us/ats`/displaygeneral.do'?sch=049234&offset=2 5/11/2012 TYPICAL 46' OS8 ROOF DECKING 235 LB. 3—TAB SHINGLES err I FLOOR FRAMING PLAN M 11 I I * WIN 4 w; ... _,_-- R I QJ SWPSON HTT4 OR EOUAL FROM PL47E WIN (18) 10dxlYz NAILS AND % BOLT THRU WALL AND STRAP - Ty 1221.11 44 1 99XVIV, 411 STABILIZED CROSS DRIW ANCHOR BY 77E DOW ENG, DESIGN LIVE LOADS NME Zra a Remits 40 pof Scott " 31or - 1 & nwi .......... ............................... 40 Ice C. Nod-- 125 tyO (3 w gW), opcoxv V d, SC Do* CvtWy 8 L v tz 9 Ridge Building Department APPROVED Subject to Field Inspections IECC, & 2005 NEC, SIDE ELETA Scam: r-o TYRCAL AT FLOOR, 314 A•A RATED, EXPOSURE 1, SHEATHING FRAME EXTEFRIOR WALLS ARE TO BE 2x4 0 24 aa W1 7116' APA RATED SHEATHING UNLESS N07ED OTHERMSE ♦ 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: X69r Job Address: 11.7,5'6 w Y'F7i 41;vZ Permit Number: o9yYv.5 a'gi f A1Qa J ❑ No one available for inspection: Time !/L� A M Re- Inspection required: Yes No *When corrections have been made, call for re-inspection at 303- 234 -5933 Date: 22� F��i 9 Inspector: DO NOT REMOVE THIS NOTICE ♦ 4' CITY OF WHEAT RIDGE 1�9r B uilding Inspection Division (303) Inspection line ( 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f (ft�_r Job Address: 11P'7� W 7r Permit Number: rq ❑ No one available for inspection: Time AMjrM Re-Inspection required: Yes / 0) * When corrections have been made, call for re-in ec a( " 303-234-5933 Date: Inspec 1�z 6T - Wt17 4 LI, 1 DO NOT REMOVE THIS NOTICE INSPECTION 'RECORD o ccupancy /Type (ZINSPECTION 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 JOB FOUNDATPECTIONS DATE NSPECTOR - INITIALS COMMENTS: Footings /s' Electrical Service Rough Electric Stemwall Concrete Encased :Rough Plumbing Roof Gas Piping' Reinforcinnolithic M Rough Mechanical Weatherpnch Drain R.O W & Drainage Sewer Sees INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping Water Sers .`POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) +Heating (Underground) Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED .`ROUGHS 'Sheathing Electrical Lath /Wall tie Mid Roof ) fl� Electrical Service Rough Electric :Rough Plumbing Roof Gas Piping' Rough Mechanical ew I ING :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 BUfLDINGDIVISION DOES NOT CONSTTUTEAUTHORIZATION OF A CERTIFICATE OF OCCUPANCY 'NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER Dec 10 09 02:39p A-1 Roofing {0Y WHF~T~ City of Wheat Ridge Building Division w ? a 7500 W. 29th Ave_, Wheat Ridge, GO 80033 Office: 303-235-2855' Fax: 303-235-2857 otoaAOO O Inspection Line: 303-234-5933 Building Permit Application Date: Plan Permit* Property Address: 11.754, P. 38 l-) AyProperty. Owner (please print): f I_Wi5e- 7U9A 6V- Phone: 3111,?t - 513`1 Mailing Address: (f different than property address) Address: 50M e- City, State, Zip: Contractor 4_1 R00A 6 Contractor License Z~ 7 ~ Phone: 303- -/J l a -72-7 Sub Contractors: Electrical City License M Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): JiA104i 'rRlt. 4 k!RLiV6 ConstructionVeitfe: S /2f 29`f- Description of work: ras carcutatednertne Bulldln9VatuaOOn Z sheet) & - Roof' Plan Review fdue at fine otsubmittai): $ 6V*F1EZ4 AYA- Sq. Ft./L. Ft added: Squares BTUs Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the Setback distances proposed by this permg 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; Nat ad measurements shown, and allegations made are accurate; that I have read and agree to abide by all coTMitions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Budding Code (LB.C) and ati other applicable Wheat Ridge Ordinances, for work undarthis permit. Plans subject to field Inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRE ATiVE of(OWNER) (CONTRATOR) PRINT NAME: a4:2m SIGNATURE Oal DEPARTMENT USE ONLY ZONING COMMENTS. Zoning: Reviewer. PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS OCCUPANCY: ~T Reviewer. FIRE DEPARTMENT:: 0 approved vrl comments 13 disapproved 3 no review required Bldg Valuation:$ 719375-8079 p.6 DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NOM93#18676 234.5933 P.O. BOX 838 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS ✓ / °J J 5° ul rr:ff, (4) CONTRACTOR /~Cc.yNS_/~. ADDRESS C' CITY ZIPCODE nom! Q - 201, le- PHONE - LICENSE NO. _111 OWNER , e/ ~ / ADDRESS ZZ-A PHONE ye-+' ZIP CODEg~ CONTRACT PRICE $ DATE 1. TYPE Ground❑ Wall[-] Proiecting❑ Other Sor D Face 2. MATERIAL Total Square Feet SIGNS 3. ILLUMINATION Yes[] No❑ Type Elect. Permit No. 4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approved,Zone Inspector (Specify which is front) ❑ ❑ ❑ ❑ Disapproved 1. TYPE Solid❑ More Than 80% Open❑ Less Than 80% Open FENCES 1 MATERIAL 3. SET BACK FROM PROPERTY LINE (Specify which is front) N_S_E_W Height Zone_ Approved,Zons Inspector I. OTHER 2 13, DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVING (SETBACKS OR PROJECTIONS INCLUDED) INSPECTION TICKET I JOB ADDRESS ~/a S~ W 19 15~6 -76 DATE:BLDG. PERMIT# PERMIT# BLDG. CONTR./'- SUBCONTRACTOR STREET NAME 4d cS z DATE INSP. e_~d SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND F TYPE OF INSP. DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; INSPECTION MADE_ THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONL1 PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF W( REMARKS ELECTRICAL PERMIT STATE LICENSE NO. PLUMBING PERMIT - STATE LICENSE N0. ALUMINUM WIRE UNDERSIZE B ILLEGAL FLOOR BSM IST 2ND NO. WATER CLOSET W.R. FORM 619 TEMPORARY METER WASH BOWL / NEW SERVICE - AMPS BATH TUB J CHANGE SERVICE-AMPS SHOWER LIGHTING SINK HEATING GARBAGE DISP rtcrrtroCttNlnJly s POWER SUB-CIRCUITS WATER HEATER Refrigerant Group UTILITY (RANGE, DISPOSER, ETC.) AUTO. WASHER Pounds Charge FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS B CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I hereby acknowledge that this applica- tion is Correct and understand that I cannot start this project until this appli- cation is approved. I shall comply with the laws of the State of Colorado and to the Zoning Regulations and Building Code of the City of Wheat Ridge. Any violation of the above terms will cause immediate revocation of this permit PERMIT FEE / O-el USE TAX C9_~ TOTAL FEE / $ d-PJ ADD ~ira"L/~7 rfu CHIEF BUILDI INSPECTOR,Cityof Wheat Ridge Date Issued '3 -ate 5~,5 s XE~ (~Ls~~joZl~~ CALL 2345933 24 HOURS IN ADVANCE FOR INSPECTIONS 40Vlieanlr 9ienalur~ DEPARTMENT OF COMMUNITY DEVELOPMENT 75DO WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO. M91#17182 237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. _ APPLICATION FOR MISC z S 3 O ELLANEOUS PERMIT ~ j OWNER .J i B ADDRESS :ONTRACTOR ADDRESS ce-) - 4DDRESS PHONE 3y ZIPCODE OD Z CITY T Z& ZIP CODE PHONE //C LICENSE NO CONTRACT PRICE $ DATE ~LCT 9~ . TYPE Ground❑ Wall[] Proiecting❑ Other Sor D Face 1 SIGNS . 2. MATERIAL Total Square Feet ILLUMINATION Yes[] No❑ Type Elect. Permit No. 3 i . 4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approved, Zone Inspector (Specify which is front) ❑ ❑ ❑ ❑ Disapproved 1. TYPE Solid❑ More Than 80% Open❑ Lees Than 80% Open 2. MATERIAL Height FENCES 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approved,Zons Inspector (Specify which is front) ❑ ❑ ❑ ❑ Disapproved l f 1 . 2 OTHER . 3 . i DRAW SKETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTURE, GIVING DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) STREET NAME 3 'Q U G z J ~iY 4 Y SPECIFY NORTH 8 Vi SHOW DISTANCES FROM THE MAIN BUILDING TO-ADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LOTS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. 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 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE NO. PLUMBING PERMIT STATE LICENSE NO. MECHANICAL PERMIT ALUMINUM WIRE UNDER SIZE 8 ILLEGAL NO, FLOOR WATER CLOSET SSM I ST 2ND 3RD 4TH NO. FUEL--ChcioOne Gos Oll Propane Cod Elec Solor FORCED AIR - BTU TEMPORARY METER NEW SERVICE - AMPS WASH BOWL BATH TUB HOT WATER - BTU STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIRCUITS UTILITY (RANGE, DISPOSER, ETC.) WATER HEATER AUTO.WASHER Refrigerant Group Pounds Charge FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS B CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES PERMIT FEE acknowledge that this applica- I hereb y - 0 tion is correct and understand that I til thi o li- i USE TAX 7 7 pp s s project un cannot start th D G cation is approved. I shall comply with d t d TOTAL FEE 14 $ o an o the laws of the Stole of Colora the Zoning Regulations and Building APPROVE Code of the City of Wheat Ridge. Any DIS D violation of the above terms will cause CHIEF BUILDIN INSPECTOR,Cityof Wheat Ridge immediate revocation of this permit Date Issued NOT VALID UN ESS RECEII CALL 237-6944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS