HomeMy WebLinkAbout6250 W 47th Avenue►1 t6/) .
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/ �F/W&J-5 FF
Job Address: 6J15-0 14/ V dG�
Permit Number: ?-0/ s D O OY(6
❑ No one available for inspecti Time)% AM/PM
Re -Inspection required: Yes 6for
When corrections have been made, cire-inspection at 303-234-5933
Date:fy' j / l �J Inspector: / -
DO NOT REMOVE THIS NOTICE
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: $t°:'�='�t ADDRESS: &P -Sb Com' f ''` i e -JOB CODE: /Q -F,
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
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERM IT:,40/x00»1 ADDRESS: 62� dtiJOB CODE: k&,
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
o"7 - C6 ' / $
Tt
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
o"7 - C6 ' / $
Tt
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
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: eg-
Job Address: ro -9 5-0 k/ Ll -7+h
Permit Number: 0 I -7 o t,-3 t S'
❑ No one available for inspection: Time " a l AM PM
Re -Inspection required: Yeses
When correctionshave been made, call for re -inspection at 303-234-5933
Date: '0 g /10 Inspector: ) c
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: 310 IN �o3 reAV
Job Address: 69;0 Li/ 'i 7 Ale-
Permit
le,Permit Number: `,do /60 o o q 8
to one available for ins ection: Time l %T AM/PM
R'e-Inspection required Yes No
When corre tions ave been made, call for re -inspection at 303-234-5933
Date: � � � � 6 Inspector
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: q193 F F h
Job Address: Li ® L4/ . 71" Ale
Permit Number: 2016Q00,16
No one available for inc ion: Time ��! ` ' I AM/PM
Re -Inspection required-Gez No
When corrections have been made, cal1
1 fforjre-inspecti at 303-234-5933
Date: Inspector - _-M
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Electric PERMIT - 201800048
PERMIT NO: 201800048 ISSUED: 01/05/2018
JOB ADDRESS: 6250 W 47th AVE EXPIRES: 01/05/2019
JOB DESCRIPTION: Electrical service upgrade, 200 AMPS
*** CONTACTS ***
OWNER (303)944-0313 MORAN JACKI
SUB (303)422-9219 J. David Doherty 018046 Piper Electric Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,100.00
FEES
Total Valuation 0.00
Use Tax 23.10
Permit Fee 46.90
** TOTAL ** 70.00
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work 0e 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 t e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the wok described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfrmre'd and that all wort be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
S' nature of O ER '—o -r --'CONTRACTOR (Circle one ate
1 This permit was issued based on the information provided i the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original ermit 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
applicable code,or any ordmance.or regulatipn 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
W heat Ijdge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 1 j t�; /' .9
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: K72. S-0 1 '-ej -�' 41 7#" eve
Property Owner (please print):
�� Phone:
Property Owner Email:_/%T
Mailing Address: (if different than property address)
Architect/Engineer E-mail: �G1
Contractor: ?, xo " L /c c�ifc
Phone:
Contractors City License #: Phone: 3
Contractor E-mail Address: �t ,bj �7�`� jQZ , f,- el,
For Plan Review Questions & Comments (please print): V/_�'
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors:
Electrical:
W.R. City License # kGo
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
/2Zg2/,
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL XRESIDENTIAL
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.)
Sq. Ft./LF
Btu's
Amps Z O!J Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ /,/O49c 490
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 cation.
CIRCLE ONE: (OWNER) 9 LONTCTOR) or AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
C
mature
(first and last name): DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
WA
i ,_.r-' C1TY OF WKE'AT�RjDGE
BW Ing Inspection 1vision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 0 L - X11 , j
Job Address: Lr P s -Z w '-! -7 +� 14,E
Permit Number: 2 0 1 -7 C 3 1 S—
❑ No one available for inspection: Time -3 - 3-3 AM f'M
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: ( / jInspector: ``Fb
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: --,s1) L - M • C+
Job Address: 6, a w 1-1 7 A
Permit Number: -,;� o r7 O & -3 ) -T—
f I f, d - IIS o cp d V o4- Q�_� F-0 W__ C
A) -p re j1 d d ,,, , 1,
u
a --D 1✓
I )) f/
] _K1
Gil C (/ i1 C�P� GLt,1 il���,-4
❑ No one available for inspection: Time %= I AM' N
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: l 3 ) 8 Inspector:
DO NOT REMOVE THIS NOTICE
A 41 City of Wheat Ridge
.. r
Residential Roofing PERMIT - 201706315
PERMIT NO: 201706315 ISSUED: 08/18/2017
JOB ADDRESS: 6250 W 47th AVE EXPIRES: 08/18/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 18 sq
*** CONTACTS ***
OWNER (703)798-7877 TURNER DENNIS L
SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00
FEES
Total Valuation 0.00 PAID
Use Tax 115.50
Permit Fee 140.90
** TOTAL ** 256.40
*** 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 manufacturez 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.
City of Wheat Ridge
w�Residential Roofing PERMIT - 201706315
PERMIT NO: 201706315 ISSUED: 08/18/2017
JOB ADDRESS: 6250 W 47th AVE
JOB DESCRIPTION: Residential Re -roof to install asphaltEXPIRESshingles - 1808818/2018
I, by my signature, do hereby attest that the work to. be performed shall comply with all accom an ing a
applicable building codes , and all applicable municipal codes, policies and procedures, and
thapI m thelegal o nernor 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 to include all entities named within this document as parties to the work to be
performed and that ll work to formed iS 'sclosed in this document and/ r it acc mpanying approved plans and specifications.
17
Signature of O R or CONTRACTOR (Circle one) D to
1. This permit was issued based on the information provided in the permit application and accompanying .lans and specifications and is
subject to the compliance with those documents, and all a licabl pp
2. This permit shall expire 365 days after the date of issuancepregardless of activity. Requestfortexten sonlcmu t be mradeanrwriting 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable, code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, August 16, 2017 4:13 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received 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
N/
Property Address 6250 W 47th ave
Property Owner Name dennis turner
Property Owner Phone 703-798-7877
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address
1-1-)oo
37
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed 7464 con.JPG
Contract
CONTRACTOR INFORMATION
Contractor Business
advanced exteriors
Name
Contractor's License
090134
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
3037254502
2200 S VALLEY HIGHWAY
Contractor Email Address freddygreen@advancedexteriors.net
Retype Contractor Email freddygreen@advancedexteriors.net
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 18
the entire scope of work:
Project Value (contract 5500
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
38
Does the scope of the
Project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
Part of the pitched roof?
Describe the roofing
materials for the pitched
roof.
Type of material for the
Pitched roof.
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
Pitch? Etc)
Yes
18
shingles
Asphalt
4/12
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
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
Yes
Yes
Yes
Yes
39
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Freddy Green
Email not displaying correctly? View it in your browser.
40
Advanced
•Extiatiors, Inc.
d9cking
0 trisro3t ciecorag
Install lee and water Shield can €it. i
instant i 5 Weft Q lrtsttal!t7
install WOa-ttLM sYntnehc doz* grc brt �!"
o)�`t
dt ttTlt starter cOurse of shMi0k,-s-entire pedmetar
instrali 04p edge perimeter dR ring - Wcrt
install reinforcerrentin vcat�y� lslrua iLLi=L�;
las V'OIIE s Q {open vca[teys
POPiace step tita to Ort s&cfewatLS, c "
install 6 sl 5 hkr ney arta skAghts
poe st rte! ttareat hour field orreca a ,�
Roofing product Jim
��tY2z� . � dot' %
P ftraa Ca�tdsr
M anufu surer
lnstU-tions/AdIdtondt
m
Standard ridge [ FiRp profile ridge —
install ridge vent
instal€ turrte ventsi vents
Q nstclll
install pile lack flashings {T Install tunace caps
Paint jacksrstacks tach roofing color
De' ach and reset .s�af r ' ."' "•vs' 'r -
ReMove and cover
install 690uty course of ridge sh.Ingles on heodwalls
€ietach sand resr, t scatenile remove satellite,
Clean up &c res nave trash Sweep wfth mcign lic roller
Cle an out 9 rs n Provide building permit
RegWor C Manufacturer worrmiy
Advanced boemrs, Inc. Five Year Rcaoflng Lcaba Warranty
C vc?nc ed Fxter'OrS, Inc, S2,000,000 Lioba Y insurance
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ornate �rte(aj of Service: j
PcYrni Terms:
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delay ar deir& of an Fns€Prarace claim. in tale or
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°tel d" r j r�uPat yes ar ia, I)CAlats
becOr -'C ^gY (I P+'�!i]rt 4on of st OW)Oge This i 71E'n4" , r , �; hJ vJr+rie wt3h H' ' ®'l�tlrL � C�31�7€1Cs �'t]tP! file 4Lib � :�
nIO Ih errs and this axrl �urtt a aulcepto-f + cormarcv t cac rvcarnpca ry aanii ate: to -fore -'e L tmac the ttr t pry K ey r ve.ttre e br art t t r),nt y ti �o c
wratc ror r axi to Cutnarvr P1Gi tcx wcark Ir hcasteci. The
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e iia ft Own for Clrt t �
Hca r R/OfTl rlh 5l uN txt 4 tsfnE�t$g31i t 7ttY c >I yr 9 hr3 rcxa rt; rr 7tv Ca x11 POPely car WVQ COMPOM hos
rs Signingaoftt right to betowi ) agree to all con#►brctco"dMOns
lir nn Dont and bark of this ag, rnent, cndhave n
s of both 1n t+nating and orptty. Provided
A-eptan.c:e Date
Com""y Pa*114 —Iu9cr sgnatme
2200 S. Malley Hvtry.
Denver, CO 80222 WWW.AdvancedExteriors.com 303-756-ROOF(7663) office
FUR OFFICE USE ONLY
City
Date:
^ ° 5
OMMUN "two` DEvELoPN7i
1, PEN T�g
PJanlP rr t#
Building & Inspection Services Division
Z
7500 W. 29th Ave., Wheat Ridge, CO00 Plan Review
Office. 303-235-2855 '' Fax: 303-237®8929
Inspection kine: 303-234-5933
Building er ' it Application
Please clete all highlighted s on both sides of this form, Incomplete applications may not be processed.
Property Address. iz I w
Property Owner Email:
ail ng Address: (if different than property address)
Address.
City, State, i
rchit tlErig er E-mail:
Phone.
Contrasctor: - 8. g
Contractors City License M
Pfloft: Z IS 2
Contract E-mail Address: ;
Sub Contractors.;
Electrical: Plumbing:
Mechanical:
W.R. City License # W.R. City License #
W.R. City license #
Other City Licensed Sub:
tither City Licensed Sub.
City License ##
City License ##
Complete all information on BOTH sides of this farms
�.: s y • wx� � r y w w.s i.�..
! � y IR • }; pp f1 y M � P ! y
• A ♦ lP 1! y :ASN IM �. Mt � • ■ y
)unt of mauls to be ed, etc.)
r m
a»
Sq. FtJLF Btu's Gallons
Amps Squares Other
ProValue* )Contract value or the cost of &if materials and labor Included inthe 2DIlre project)
OWNERICONTRACTORSIGNATURE,UNDERSTANDING AGREEMENT
describedI hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,, rule-, 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 ky all conditions printed on this application and that I assume full tosimnsibility for omirpfiance
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
entity included on this application to list tbat entity on this application,
aiding DivisionValuation:
FOR OFFICE USE ONLY
City of Date: ,
6
COMMUNITY ' LLOPIVPENT Ptawper it #
Building & inspection Services Division � ' a 0
7500 W. 29h Ave., Wheat Ridge, CO 80033 Plan Review
Office: 303-235-2555 * Fax: 303-237-8929
Inspection Line; 303-234-5933
Building it Application
*
P10,206 0amplate all highlightedartas can both sides of this form. Ineomplets applications may not be processed.
Property Address-.
perty Owner (please print): A;,,, � Phone:
Property Owner Email.
nil n Address: (if different than ;property address)
Address:
City, State, Zip:
Arch teal n it r E-mail. � Phone
Contractor;
Contractors City License Phone.
Contractor E-mail Address: �� , ;b e �.
Sub Contractors.-
Electrical:
ontr + torsElectrical: Plumbing: Mecham
W.R. City License # W.l . City License # W.R. City License
Other City Licensed Sub: Other; City Licensed uta.
City License # City License #
Complete all information on BOTS sues of this form
0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL AD! • RESIDENTIAL ROOFING
RESDENTIAL ADDITION i REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE •-'• •-
MECHANICAL
SYSTEM/APPLIANCE +► err; ' r M REPLACEMENT
. w �..
PLUMBI
SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL
a err,, REPAIR or REPLACEMENT
OTHER
room or matenais to oe usea, etc.) *
Sq. FULL Btu's Gallons
Ps Squares Other
Building Permit Application
(Complete Ali highlightod aroes)
Property Addr :- S76 /X S
Property Owner (please print), — )) P 1�o w 7 - 746 4, - t�,8,35
� n �, r , � � �— —_
MMM2ME3ME=
Address:
City, State, Zip:
Contractors City Liceitse #: 01761 Z
Emus=
am=
Loins=
115033MM
2jjqdggRMqLW2rL (Fully describe work to be performed - Attach additional sheet If necessary)
k�op "" a:- I-VS14.11 A. atf necassa d
/4-P-1WA Contract Value of all work:
♦ /,3r,/J- /"j P'CAZU) S14e<x'- 0 97? 6 6
6x al 4'
Review WFee (due at time of submfttal
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I any the legal owner or have been authorized by the legal owner of the property to perforce the described work
and am also authorized by the legal awner of any entity included on this application to list that entity on this application.
CIRCLE ONE. (OWNER) (CONTRACTOR) p (AUTHORLZEDREPRESENTAHVE) of (OWNER) (CONTRACTOR)
PUBLIC WORKS COMMENTS: OCCUPANCY:.
Reviewer
Bldg Valuation:
FORM(F) 414-02-5197 7 XcelEnergy° N2 100300
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ARION TAKEN
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❑ A Pl1ANCE OFF
OWNER ❑ TENANT ❑ AGENT ❑ TOfHER ❑
❑ BOTM APPL 8 MEfER OFF
❑ METER SHUT OFF
- WARNING -
TME CONDfIION FOUND, AS SHC%MJ BEILM( IS NOf IN COMPIll1N(F W1Il7 QIRRBJRY PLMIim
PILYllffS AND PROCEWR6 PND
COUID QiHQE A IWMD. CORREC710N5 SMOUID BE AMDE BY A QlYY1Flm CONfRK10R CONfALT K%1R IDCAL BUIIDING DEAVlf-
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FORM (F) 414-02-5147
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C115=MER~~~RINn ~
OWNER ❑ TENANT
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❑ I Of11ER ❑
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I CIXRD OtHUE A HqZMD. CORRECfipryS 5170ULD EIN COMVIIMKF W1111 QIRRINRY AC~IED PRqnKESIW D P
. MINf FOR CODE AND PERMR RC~UIREMENIS PPoOR TO PERfORMi~RERUR WC]R~ C~NNCf 1S%1R LDCN BUI~ DEAVif-
7
N° 100301
ilOp1 1V! NO.
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ACTON iAKEN NO SHl1~ OFF y{APPLIANCE OFF ~
❑ BOTN APPL 8 METER OFF '
❑ METER SHUT OFF ~
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PERMIT N0. M921i18167
DEPARTMEN7 0F COMMUNITY DEVELOPMEN
750p WEST 29tn AvENUE BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
237-6944 EXT. 255 P.O. BOX 638 \
III ~ ONI.Y WHEN SIfiNED BY TH PP`ICATIOFI'FOR MISCELLANEOUS PERMITW S US ~
THIS PERMIT VAU ~
~OWNEF Tv.
~I I I ADDRESS ZIP CODE
JOB ADDRESS HONE O C:Ll
CONTRACTOR . n
;ONTRAGT PRICE
ADDRESS $ t'
\ y,~' G ZIP CODE SM 6
. ~ S pr D Fecs---~'
CITY r 65z~LICENSE NO ~
Totol Squora Faat
1. erouna
Elac1. Parmit No.
RIAL
No❑
Yo❑
TYDe
one_
- ppDr°va4'Z~a Inspactw
INATION
BACK FROM PROPERTY UNE N
~
E
a W❑
p~y~~~vsd
+
(SDkity which ie front )
O
Lesa T~on BO% OW^
More TMn BO% ODSn
SolidO
HeiOht
t
Z~e_
a
_ A~p~W,Zon6 InsDSC
ERIAL
BACK FROM PROPERTY LINE N
5~
❑
W
C3
DiaaDDrovsd
ra~.niv whie~ isfrontl
❑
. .
. ~~n ~
OTHER
2.
RTY LINES.
pRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GNING DISTANGES FROM PR~
(SETBAGKS OR PROJECTIONS 'D`
~J
r
$PECIFV NORTH LEW
STREET NAME
~~NTY MNES,NOTDIMA%MUMJOR'AVERAGE DISTANCES'AND PROFERTY LINES~ ON IRREGULAR lAT5, SH0'M
DISTANCE TOSPROPER ELECTRICAL; MECHANICAL PERMIT
~N~~TION DIVISION.
UMBING; LIppTIpN BV THE BUlLD'
~1ppLICA710N FOR PL ~
THIS APPIiCATION WILL BECOME A PERMIT TO PERFORM THE INDICATED `MORK ~Y ~ IS NOT STARTED WITHW TMAT TIfAE•
MECHANICAI PERMIT
~,r~pplq WiLL EXPIRE 60 DAYS FROM ~'TE~UMBING PERMOTK
ELECTRICAL PERMIT
STATE LICENSE N0.
HP
I herebY acknowled9e that this applica-
tion is correct ond understand thaf I
cannot start this Drolect uniil thia 0p011-
cotiqn is aDOroved. I shall complY with
the lows ot Ihe State o} Colorodo and to
tha ZoninO Requletionn ond Buildinp
Gode of the City of Wheat Ridpe. Any
yi0iation of the above terms will couse
immediote revocotion R this permlt.
STATE LICENSE N0.
PERMIT FEE
USE T
TOTA
APPROVED
DISAPPROVED_
CHIEF BUILDING
$ S
City of Wheat Rid9e
NOT VALID UNLtaa ncvu"
a ~i a
~ 3 7,7
CALL 237-8944 EXT. 25!
24 HOURS IN ADVANCE
FOR INSPECTIONS
Date Issuad
\OVlieanU 9i0naN.