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Home My WebLink About6760 W. 45th Avenuei CITY OF WHEAT RIDGE Building Inspection Division • (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:�- Job Address: J V f7, Permit Number: T O/O (% ❑ No one available for inspection: Time (0 Z ej Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: �' ,�� Inspect�/./� DO NOT REMOVE THIS NOTICE A City of Wheat Ridge Residential Roofing PERMIT - 201705900 PERMIT NO: 201705900 ISSUED: 08/10/2017 JOB ADDRESS: 6760 W 45th AVE EXPIRES: 08/10/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 29 sq (23 sq pitched / 6 sq flat) 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 author' ed to include all entities named within this document as parties to the work to be performed and that a work to performed is losed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRAe'OR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any g2jicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official ` Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Roofing PERMIT - 201705900 g PERMIT NO: 201705900 ISSUED: 08/10/2017 JOB ADDRESS: 6760 W 45th AVE EXPIRES: 08/10/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 29 sq (23 sq pitched / 6 sq flat) *** CONTACTS *** OWNER (303)803-0675 ZIELINSKI IGOT SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,453.00 FEES Total Valuation 0.00 Use Tax 156.51 6 Permit Fee 172.60 ** TOTAL ** 329.11 *** 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. Oid A;feso tr.ceRAx rsxsurrPem Top 1% of roofing contractors uaxwxwn. war anus yn I ""�"` , PNRXC:f903)OBA 2fi.S PAX;{30trOf nbRat �;X Y�� p �FS ��!y(y�Y(./B WArt: ltGM1AxfiIGM1bN'M,tt4Ul4 . i iP/iM}'it/� ' Y wWW.tFDNA&GI�nRFt0.utRM � .£ gY Aji. (J Customer Name Igo Zielinski Address 6760 west 45th Avenue Wheat ridge CO Phone 3038030675 Aft, Phone Email i orziel ahoo,coin Insurance Company State farm Claim # Ins.Policy # Monarch Constru tion & Roofing, LLG will be referred to in this contract as Mtoncirch. The scope of work and materials identified below aro the scope of work recommended by Monarch Construction & Roofing; Monarch is not obligated to perform any pert of the scope of work that isnot approved by the Insurance company unless you authorize the work and agree to pay for this additional work. Harbor Blue y nm !e an ref: T - — _ X : i� iF' tic Cobr . 4 X Tear off all existing layers (L -layers) ,:J To 3# one Iayer 9( wstvd shake shingles T install Reeking (7r16' 036) sncots of OSB ere iroltlded. eecia addltooal sheet will be $65 }ar sheet _X Install New Undedayment _ 301b. _Synth. X Install Pre -Painted metals to Bode Brown Cher;oal Tan Grey White UtherVlhite _ _ _Int,` . X Valley(s) will be closed with ice & water shield a Valleys) will be open Ridge (s) to be color -coordinated with shingle Ridge(s) to be High -Profile and color -coordinated with shingle X Install now pipe jacks Replace vents as needed Rehash chimney(s) and all wall atdment as needed Install Ridge Void __..LF install Ice & Wetpr shied per pole, as wall as all vents and skylights V Install 4-6 nails per shmgie as required by city/county codes Satellite/ Dish Alignment (each customer will need to v)nipCt the p(evid; r' tp re�allgn dish after roof installation) int, Final Inspections will be completed ys gitytnounties snows, I home reed the $ack of ;Wmat # 23 14-- X ,- X6tyear w4rkmar.Shlp varrartty on roof . g, ali other 4o ;sin t cn tfodes will receive a 1 yr. workmanship warranty �Aendsd Warranty Per $q. „ . Cirple: Nang C,lirning Pla}inum 04F Other X Mzan arch Constrgctipn 4 Rppfing ,vhl pripiriA geroral liaF lay; t+ qo k"ig E f $°,C2Q},Q(fC€ general aagratgalr . Perfonn magnatic awoep of dfiveway and yard for ran:)val . nrly t)44 M Remove all trash and debris from, wort listed (�j Ors _ ___ LF Izq ti Ipch or Irw t Cg -P _ ing4ran e furidpyQ �. In lC ag based gn dar The approximate cost of the Serice;: n v� f U 'u Sa Este Aa tr ages kno rt at the time fhs Gurt.3C$ is ee ed i_ �is.wrnt;nIId by _ insurapre. Monarch will paifonn the scope of work apPtoy&� §'y the mSureB9& � rip:, 3y tAvna n fid( supplenr�if For !isms priced k_tEy, not included or items needed to Pea4 Gikyi9quPtY codfis. which may increase initial dollar amount that insvartD i`z paying put $u,FJleiticntai Gf�ims bdlR, by Mollarrh that aye appiQy£d by the iitsuranco company for additional work fir increaser w costs become a part of this contract, The final scope and prig agreed pn Wtweagot. 4Irstrcann,e canpany and Monarch shall become the final contrast once for the 89flUranGe approved scope customer will be miiponst)lo to pay for any upgrades! daduci tri€, nsn ratio rgra#Io deprecation or Additional work authorized by the oustomor that the insurance eompeny determines is not coyared within the scope of coverage provided by your insurance policy, Approximate Elates of Service: tiRte }f,r'r _ _ -._ thapa datftQ 4f iSrviee ars 20abjeot to ehiinge due to unu§ual dafuyA in tiansportotion of meter;els. payment delays, insurance iiordinary wzetf sr delays, r r by any Ether cause€ beyond tompriobht control of Ef oper4?i• Mynafch will prevrds 9oinhhuniGaii4t? W r uar)41Sr to show torit2iive dates, Notice: If the property owner pians to use prootri of a propwry and casualty insurenee policy issued pursuant to part t of aftiole 4.1a, G.R.5., to pay for the roofing work, pursuant to sad on theQnfinB ctinfrapt4r canne4 pay, waive, rE4IIte, or promiys to pay. woi . gr rubdW all or pod of oay irjoq,anr a dodgetiWis opvfiQab!o to the ir2i,i!aace clo in for pey: @g t or, tho mviiinfri residential propedy. kwe) hereby authorise 4 irct vci the insurenco (:ompony 8, len holds tr a du it th4nqrng pf t 1opwoh %crab rd on 6 Rocifrng UQ As uo pbyee on any suhsyaueei loss Omsk ^r ghpgk€ ager todays late 08 indiGate1 Otiovo- I (we) authorize 4AY loyal raltrrfia .[�,?G'tr a wu, .�yc.n �f Mynafpi E:en;LrUCilfit4 to 4t7ta4, infl:ri7la�pa OECCSaary t0 uCn;pl+?tr; c ,¢ k-adog pr .;rear miative to the cl§int number refel'angdd above. I (we) further authpnc`.9 Mbanareh la piC* bL i pePson any kE ,6 draR� or checks on AYJCpr t,ehaU and tYhdif of Munalch. j'ft ' m un : S D initiaic h4v,pruh C;c.%,gU0p dPoang LL Oai!hydvi trust Any pay;nentiru!p thUngparty agff w1., :�..��C._. ,, amu.:K+�u a i:.,nr". lear�pa*Ofiq pt Itt_tpla! pfibG�dy, .v" ht ,i*:Si lA g in;Ma of Ike t Qr1fins w!,rk;,n pia ptcp-m 1(YYe) do foe, by #icdning ttbiz,#2 to H11 thecon€rant uonditi ns, wflr RO t arO b0c, iii iat� of t .+tt �tA ea h n�ark%dnrLtiyV �e;1Q i lF#fSi#:a Dan Schultz 7,0170s X00 From: no-reply@ci.wheatridge.co.us Sent: Monday, August 7, 2017 12:48 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 6760 w 45th ave igot zielinski 3038030675 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business monarch construction Name Contractor's License 100243 Number (for the City of Wheat Ridge) Contractor Phone 3039811265 Number Contractor Email Address permits@monarchroofs.com Retype Contractor Email permits@monarchroofs.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing owens corning Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 23 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 6 on the flat roof? TOTAL SQUARES 29 (pitched + flat) of all a roofing material for this project Provide additional detail house and shed here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 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 lowrie Email not displaying correctly? View it in your browser. 3 2 (� 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: /2 Job Address: C� 76 t) 1 -' �r✓ Permit Number: 2 617 U T901) ❑ No one available for inspection: Time ? ) �1 A �:e-Inspection required: Yep No / When corrections have been made, call for re -inspection at 303-234-5933 1"1 a Date: ` ` % Inspector:Kh. 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: /17VT Tl_�> Job Address: `''%- (.-) ` ` Permit Number: a%' CSI i !2yrJ� ❑ No one available for inspection: Time (�O/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: -< Inspector:�_ 1- hl DO NOT REMOVE THIS NOTICE City of _jdge CO~Nrry DtivaoPMENT S 11 PENN SO= Address City, State, Zip: Electrical: Plumbing Mechanical: ' City License # City License # City License # OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distance proposed by this permit application are accurate and do not violate applicable ordinances, 1 rules or regulations of the City of Wheat Ridge or covenants, casements 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. CIRCI.EONE (OWNEI) (CM �4C'TC?R) gr (AUTHORIZED REPRESENT 4T1i)Ej of (O" ER) (CONTRACTOR) i ERM, NAM "St"Awn: DATE: - wail (s 6u!ueap- JlaS'j:)ug an!1:)ej;aa'u!g4sy'waisAs 6w14611- (se3 'waISAS 6u!ueap- JlaS'3Du8 an!1:)ea;aa'u!gysy'wals SS 6u!1461TASe3 S3Nnitl33 IVNowaaV s3uniV33IVNOIlIOOv •ulbZ yida4 •ul tZ yida(j u! SZ 41p!M •ul bZ 41p!M u! S£ ly6!aH •u! S£ i46!aH ql OZ£ 14 ql b9£ 1461am algenouaa al}}eg algenowaa awes leo»e4D JoloD laals ssalu!elS ao 0 ID 9 az!s an13 .9 :az!s and j pooh 4:)u! - 9 t Ian j pooh you! 9l lan j inowsnlg 009'Lb lndino leaH anoy / sme 009'Lti indino leaH %£9 buaq)P llelano %£9 Aaua!a1JJ3 I]eJano J4/6 9•£ aie8 uOlsslw3 J4/ 9•£ ales uo!ss!w3 'sauas Dlssep mo u! al (ls hu!ls!p pue anblun a se Mann se suo!lesuas ;o plionn e pu0 Illm 'u iue6ala pue an!leJoaap'a!ssep Maas 04nn asoyl osr� �ISSV�� •anblun pue lueseald aaow a ;p ajew legl sasuas as041 sa!pogwa pue'sasuas uelllodowso:) pue legolb aaow o1 sleadde y:)!y%'ub!sap Ja!puaii pue aaploq 'nnau a s! slyi >•<OI.JI OSS 11�IdS �MM:_IM)S -LI``11dS AioPej s,e:)so8 ie Algwasse 'slaued �: 1MOIldO 4 aF wHE4r~ m City of Wheat Ridge C~CORAO~ Residential Roofing PERMIT - 070099 PERMIT NO: 070099 ISSUED: 02/09/2007 JOB ADDRESS: 6760 45TH AV EXPIRES: 08/08/2007 DESCRIPTION: t/o 2 layers, repl. 7 sq. torch down/1 sq. 25 year. CONTACTS gc. 303/425-.7531 Carol Dukhouse 01-9983 J& K Roofing Inc. owner 303/423-7697 Bob Kachinski * * PAE2CEL INFO * * ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROSECT VALUATION: 2,515.85 FEES Permit Fee 108.30 Total Valuation .00 l Use Tax 45.29 ~ a3p3S'_ TOTAL 153.59 Comments: THIS PERMIT APPLIES ONLY TO THE BACK PORCH 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 appli~cabj Wheat Aidge Ordinances, for work under this pesmit. Plans subject to field inspection. Ziqnature of contractor/owner d te 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit espires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications.and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid £or a new pesmit. a. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Huilding 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, a~ vijla-j'~~on of t ovisions of the building codes or any other ordinance, law, rule or regulation. All lan ievifA~ sub'e.~yto ld Tections. Signature date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Documents from the manufeoffutsr, which sPecffy fhat roofing rnaterlads Mave been installOd to 11teet 9oo ►71PY+ #11 ffi Winaf 9uSte abs)11 be onsrre fornnas moPrn icn. ° ►SC TAMKOO Elite Glass-SP.AI" PRODUCT DATA T6S6S-iAB ASP6Ai1r SBING68S Manufactured in Phillipsburg, KS. TAMKO9 ELITE GLASS-SEALO self-sealing 3-tab shingles are made with a tough TAMKO fiberglass mat coated on both sides with a thick layer of weathering-grade asphalt and surtaced with ceramic granules. For application to roof decks with inclines of not less than 2 inches per foot. For slopes behveen 2 inches and 4 inches per foot, refer to wrapper instructions. • 25-year limited warranty, 3-year FULL START, limited transferability, winds up to 60 MPH. • Superior fire resistance compared to organic shingles. Listed by UL for: Tested in compliance with: Class A Fire Rating UL 790/ASTM D 3018, Type I; ASTM E 108, Class A Wind Resistance UL 997/ASTM D 3161, Type I, Class F(110 mph) UL 2390/ASTM D 6381, Class H(150 mph) ASTM D 3462 ASTM D 7158, Class H(150 mph) ICGES ESR4501 Fad. Spec.: Exceeds SS-S-001534, . Class A, Type I • White • Weathered Wood • Rustic Brown • Tile Red 81end • Rustic Cedar • Sand Pebble • Pastel Green • Empire Green Blend • Antique Slate • Pastel Red • Grey Blend • Rustic Black ~ • Tweed Blend Shingle size 12" X 36" Exposure 5" Shingles per square 80 Bundles per square 3 Nail Zone 'All values stated as nominal vz, CAUTION: The National Institute for Occupational Safery and Health (NIOSH) has i concluded that fumes of heated asphalt are a potential occupational carcinogen. ~i Do not heat or burn this product. Fd Nlwmatlon repaWeq a capy of TAMKO's IlmfteC warteny, cmled your bwl TAMKO represeMatlre, vM us aJkro at TAMKO ~ Central Distrid 220 West 4th St, Joplln, MO 64801 800-641-4697 golLmWC attoonc*s Northeast DisUict 4500Tamko Dr., Fredenck, MD 21701 800-368-2055 . Southeast District 2300 351h St., Tuscaloosa, AL 35401 800-228-2656 TAMKOLOgo,Rmleringo.EIlleGlacc-Seal' SOWIWBSIDISVICI 7970S.CentralExp., D8II85,TX 75216 BOO-443-78$4 aM TAMKO° are registerod Vatlamarks d \I~I~jBfll DIStfICI Denver CA 5300 East 43rd Ave 80276 800-530-8868 TAMKO' Rwling Protlucle. Inc . , DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 wESr 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. MM91#3716 237-6944 EXT. 255 P.O. eox 63e CITV OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIP D BEL'JW. / PPUC OR MISCELLAN U M ~ JOB ADDRES l~ OWNER ' CONTR O 424 ADDRESS ADD E~ ~ D PHONE 777 _ ZIP CODE` G c~ CIT ZIP CODE CONTRAC P I~E $ PHONE UCENSE NO. DATE 1. TYPE Ground❑ Woll❑ Proieetinp❑Otnsr SorDFOCe 2. MATERIAL Tofal Squara Faaf SIGNS 3. ILLUMINATION Yea❑ No❑ 7ype Elx}. Permit No. 4 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Apprwsd,2onelnapsetor (Specity whieh ie front ) ❑ ❑ ❑ - ❑ DisapDroved I. TYPE SolidO More Than 80% ODenO Len Thon 80% Open FENCES MATERIAL Hsiyht 3. SET BACN FROM PROPER7Y LINE N_ 5_ E_ W za,e_ avvrwed,Zone Inspeeta (Speci}y whieh ietronf) ❑ ❑ ❑ ❑ DisaDDrovsd . I. OTHER Z 13. . , . ~a INSPECTION TICKET J06 DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,GI! ADDRESS (SETBACKS OR PROJECTIONS INCIUDED) ~O 112An k ! DATE: BLDG. PERMITR /~i PERMITN BLDG. CONTR. ~ lJ \ 61~ , SUBCONTRACTOR SHOW DISTANCES FROM THE MAINBUILDING TUADJOININ6 HOUSES, STREETS, OISTANCE TO PROPERTY LINES, NOT MA%IMUM OR nv°°^^:: DISTANCE. APPLICATION FOR PLUMBING; ELECTRI( THISAPPLICATION WILL BECOMEA PERMITTO PERFORM THE INDICATED WOR . PENMIT WILL EXPIRE 780 DAYS FHOM THE DATE OF ISSUANC DATE INSP. REQ. TYPE OF INSP. INSPECTION MA E 2' r/ REMARKS n ELECTRICAL PERMIT STATE LICENSE NO. PLUMBING PER STATE LICENSE N0. ~ - W.R. FORM 679 ALUMINUM WIRE UNDERSRE 81LLEGAI F1.00R BSM IST dar NO. WATER CIASET . . TEMPORARY METER _ WASH BOWL NEW SERVICE AMPS BATH TUB . CHANGE SERVICE-AMPS SHOWER LIGHTING SINK OTHER HEATING GARBAGE DISP REfRIGERAT10N SYSTEM POWER SUB-CIFCUITS WATER HEATER Refri erant Group UTILITY(RANGE,DISPO5ER,ETC.) AUTO. WASHER Pounda CAar e FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS & CONTROIS FLDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I Aereby acknowledpe thot ihis applico- tion is Corroct and understand thot I Cannof stort this project until fhia appli- eation ie opOroveA. I shall comply with the lowa of the Stafe o1 Colorado and fo the 2oninq ReQUlationa ond Buildinp Code ot the City of Wheat Ridpe. Any violation of the above terme will couse imrDedi,afe revocafion of th_s permif AOOfieanh SiOnalur• PERMIT FEE 0 NO7 VAUD UNLESS RECEIPT_E~ Co~e.F£ USE TAX TOTAL FEE $ DI APPrsdPPR6b'Efl edl CHIEF BUILDING PECTOR,City of Wheat Ridqe CALL 237-8944 EXT. 255 ` 24 HOUFS IN ADVANCE DO}e ISSUed FOR INSPECTIONS STREET NAME