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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 �3 'r,CZ ornate �rte(aj of Service: j PcYrni Terms: t �runrecSkxterror arc,-, is nor P@SiX3ft51L3fa kN 9 P 'P",y t e Wliy hzsitrarcce c0mrrfe�rsw7 � delay ar deir& of an Fns€Prarace claim. in tale or Jerk cc rrRr�i lr OCCcxdOrU-e with these 5 GcWP--ns rtar ar vaKarl c Wit, $ " °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 o ''� �ckarrrti�rrrt��rtt tor'ttr�i't~ar�b�. �w�lntfec. C -U "ef � 6 r'KJt Ej r'�'0 rY� MM -It ft -n t1 ;E? iP r r"E? . atter, pi.rr'"nt to � € , L7fy ZZ,e f'Tq' Kai Q [ j Ct xR ly 1P r F ill { 0 i l�s s it xir awn - . lto a cord fo moll r i rt r v �< ra oat p� q s rrY 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 AO F55 / 1 ~ lv,.~ ~ Cltt iGWN 00. WMY `..J+i f100R APf. NO. C~J [n rvun[ (vait+~ -J~ JAJ k 3 3 ~J ARION TAKEN _ _ t ❑ 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- MfM FOR CAOE AND PERMR REQUIRBMENR PRIOR 70 PER(ORMINL REPNR Kl7RK J NANCAMDrvVEOf f ~ 2 f - ^ / f 4 c«+omon ro eF coqn[crto X 46 9014 'f TIO ,i FOR FURTT1Ek INFORMATION, PMONE 7 n ~ 6 wn CUMMER/OC~tl[~MSIGfUNPE J / V ~CJ R TL~ ON~SXIP OCNMNiIOCIlSTOMER ...a.ava...v~a..m..<uv...ia.........ecn., emcuur..a,... .iv..-w'.4ue~~...wz.a.,6~.n. ...u.._...ti a__.e.~... FORM (F) 414-02-5147 woacn C115=MER~~~RINn ~ OWNER ❑ TENANT L xceiEnegy- .7 r U -~qyNp ! ❑ I Of11ER ❑ ' w TME CAryDlilOry FqJND, p5 pqyy~~ B AKIrING - 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. ~ ACTON iAKEN NO SHl1~ OFF y{APPLIANCE OFF ~ ❑ BOTN APPL 8 METER OFF ' ❑ METER SHUT OFF ~ i O~ h ' yi I r 3 ~ D~ I j 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.