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Home My WebLink About10560 W. 46th AvenueC-1 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:C Job Address: i �l { c7 1.�1 4 (,7tl-\ Permit Number: `'I (,LA _.- ❑ No one available for inspection: Time1Q , (.v I epm Re -Inspection required: Ye No When corrections have been made, call for re-"nspection at 303-234-5933 Date: ► Inspector: c. DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201709642 PERMIT NO: 201709642 ISSUED: 12/18/2017 JOB ADDRESS: 10560 W 46th AVE EXPIRES: 12/18/2018 JOB DESCRIPTION: Residential re -roof remove and install owens corning asphalt shingles with 20 squares. Pitch=12/12. 3rd Party Inspector required. *** CONTACTS *** OWNER (303)875-7566 WILSON JOYCE L SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,140.00 FEES Total Valuation 0.00 Use Tax 107.94 Permit Fee 140.90 ** TOTAL ** 248.84 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. City of Wheat Ridge Residential Roofing PERMIT - 201709642 PERMIT NO: 201709642 ISSUED: 12/18/2017 JOB ADDRESS: 10560 W 46th AVE EXPIRES: 12/18/2018 JOB DESCRIPTION: Residential re -roof remove and install owens corning asphalt shingles with 20 squares. Pitch=12/12. 3rd Party Inspector required. 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 o tain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to nclude all entities named within this document as parties to the work to be performed d that all wor to be pertormed is disclose in this document and/or its' accompanying approved plans and specifications. ,2 Signature of OWNER or CO TRACTO cle on Date I . This permit was issued based on the in f ion provided in the permit application and accompanying plans and specifications and is subject to the compliance with those dol ents, 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 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 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, any 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. 40 MON 'V Customer tame Top 1% of roofing contractors BSS Address :1Z eo XM33 phone An PhW* Email '04 insurance Company _.._ W 1, �f--72T ciao If 2, Ins Policy 0 Monarch Construction & Roofing, LLC*11 be referred to m this COW& -t as Monarch The scope of win and makinais Weritified berowr are the scope of *06 Tommf4ed by Monwo COMitrUC1100 & RD05% Monarch is not opirgallau to peearri any W of the Scope Of work that 4 not approved by the insurance Company unim you authorize ft work arril 391" 10 Pay for this addinn" work Tear 0Tear off one layer of wood shake shingles Install DeCktrhg (7It6' QST sheets of OSS are Induded, each additional Sheet will be $65 per sheet Install 151b — 301b X Synth Install Pre -Painted metals to code Brown(E�D Charcoal Tan Gray While Ifill. Valley(s) will be closed with ice & water shield E) Valleyl(s) wrIl be open Ridge (s) to be color -coordinated with shingle Rd*s) to be High -Profile and color -coordinated with shingle Face ll new pipe jacks vents as needed ash ormiley(s) and all "I abutment as needed Install Ridge vent _LF Install Ice &Waler shield per code, as well as ay vents am skylights 7 Install 4-6 nails per shingle as required by city1county codes xL Satellite DO Alignment (each customer will need to contact the provider to re4ign dish after rod installation) int_ Final Inspections Wil be completed as Wcounties allows, I have read the back of contract If 23 lftL___ 5 -year workmanship warranty on roofing. all Other construction trades will receive a 1 yr workmanship warranty Extended Warramy Per Sq $_ Circle: Owens Coming Platinum OAF Other: Monarch Construction & Roofing will provide general liability insurance coverage of $2,000,000 general aggregate .Z Perform magnetic sweep of driveway and yard for removal Of any nails ,Remove all farsh and debris from work listed 'Z(Sutjlers +VZ_ZU.X—LF Size 5-vich or 6 -inch Color _ bit_ Replace Gutter Screens Type, Insurance funds fridude Mortgage Company —Yes —No (It yes please complete the third party authorization ffarirInt. special Instructions _,"r f; Tne apptaxanate o" of the services basad on damages known at the Ina flus contractis entered a 23 435. 7 datemmo by T �surenve mornan;h " mien the scope of work approved by the fturmc$ Company MOnatCh will Supplement fol 4MM priced IOW not Wluded or items offeced to pass ClIpooun# 1:ocift 0ich nuh, increast V"i, dwx Wrount ON Insurance is MiN OIA SuPPIM"Onbil CLAM Wed by Monarch that Am approved by it* inSurame ounipany for Wdrino" work or ,xitam c "tris become a W of Vn cqnbad The trial scoot aid price allited on betweitin the murnince Company and 100rurrO shaff be=" me final contract once for me insurance awo.ed scope Customer will be nisporesiblir to pay for any uWad"; dirifircifiblo, nontacowrsbN deprecation or *dd*olW work authorcied by the custonerr that the mrsurame Company distermim" Is not iwininiid within the scope of Coverage provided by your insurance policy. Moss dam of service sit subject to Change due to unusual delays in transportation ofmatorials, Masud drilays, miruratim approval, Ordinary weather dislays, or by any othat causes beyond reasonable control of Monarch, Monarch will provide communication to customer to show tildswo de", kowt It tte Property Owner Via" to use propeads, of a property and moalry Nurance policy issued pursuant to pan I of arlide 4 10, C R,S, 10 pay for the rooling work, pursuant to section R-22- 1,3!r fire rootinf; comwOt cannot pay. wane. rebate Or promriie to pay. *awe, or rebate 41 or W of any assurance deducuble applioalrd to the munince dain, W payrrent m' the CQ~ rewerw Property ariri'hefeCy suthaUt & AWfW fine W&S'ance ""V811Y 4 leen holders 10 Wkdft me name Of MOMM11 C4KVW0P & Roof rr; LLC as co -pay" an any subsequent lass unaft w d*As After Way 5 ditee as Wic"ed atiove (Wej riumorge any "al ep tseMMatiwe and'or agent of MC440 c0shrobon 10 obtain 94offnalron, ixroer;sary to Complete any fundo; process tftauveto the cram nwroesteriewrred above I rare] Monarch lopickup in person airy WAdrafts ordwhson myiourb"I'Stid babas otMonarch Deposnit Arn"Ot'. 9.597 '70 D.. Ron, Initials W,� Al&MAWIW, &P'Yq-N L'.- b°4if k 0 vay'rkw vw' #* Kovrr OWW T'W uwurryo,"slKW & FltiN.Lr ftA C101WW ledlq 1,uW.4h, a lr*Ae,&%40 ppowfv WA y pas parson w3 4 mWor of 04 '41% *'*� x ffA V -W, well agree by signing below to aft the contract condrtions both front and oaic* of this agreement c Or 12-12-17 CRN Dina Kemp C t 7 From: no-reply@ci.wheatridge.co.us Sent: Monday, December 18, 2017 10:14 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dina 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 10560 w 46th ave Property Owner Name joyce wilson Property Owner Phone 3038757566 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address 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 Legal contract.pdf Contract CONTRACTOR INFORMATION Contractor Business monarch construction Name Contractor's License 100243 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3039811265 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 5300 BROADWAY (Primary address of your business) Contractor Email Address permits@monarchroofs.com Retype Contractor Email permits@monarchroofs.com Address DESCRIPTION OF WORK TOTAL SQUARES of 20 the entire scope of work: Project Value (contract 50 value or cost of ALL materials and labo �= Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 both? (check all that apply) What is the specific pitch 12/12 of the PITCHED roof? How many squares are 20 part of the PITCHED roof? Describe the roofing owens corning materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof. Provide any additional roof detail here on the description of work. (Is this for a house or garage? Etc) 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 3 owner of the property to submit this application 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 jon lowrie Email not displaying correctly? View it in your browser. "4' City of Wheat Ridge a Residential Roofing PERMIT - 100370 I PERMIT NO: 100370 ISSUED: 02/05/2010 I JOB. ADDRESS: 10560W 46TH: AVE EXPIRES.: -'08/04/2010 ` ^h DESCRIPTION: Reroof31 sqs wA CONTACTS - owner 303/940-8996 Jerry Wilson 4 * PARCEL INFO * ZONE CODE: UA USE: UA SUBDIVISION:. 0141 BLOCK/LOT#; 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,487.00 FEES A Permit Fee 162.90 Total Valuation .00 Use Tax 98.77 TOTAL 261.67 Conditions: 6.nail installation & mid-roof. inspection. required.' Board: sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2'inside -exterior walls. ***Contractor or Property owner shall provide' ladder(s)"secured in place for inpsections. It T is ...the responsibility ,of -the person/firm requesting the inspection to insure, roofs are clear for inspection. Scheduled inspections that cannot be performed due to inclement weather must be cancelled. prior to 8:30 a.m. on the day of ..inspection or a re-inspection fee of $61.00 will be assessed.. 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 applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to. field. inspection. Signa re of contractor/owner date 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 a date.' An extension may be granted at the discretion of the Building Official: 3. If this permit expires, 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 W exceeded one (1) year. If changes have been or if suspension or. abandonment exceeds one (1) year, full fees shall be paid for a new permit. ? 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. j 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive:' y 'written approval on inspection. card before proceeding with ,successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or. regulation. m All plan rev' w ' subject to field inspections. Signature o Chi Building Official date x¢ INSPEC ON `REQUEST LIKE: (303)234-5933 'BUILDING OFFICE: (303)235-2855. REQUESTS: MUST BE MADE. BY-3PM:ANY'BUSINESS 'DAY' FOR INSPECTION' THE FOLLOWING BUSINESS DAY. r2 i W Date: Plan Permit l D Building Permit Application Property Address: 105&o W . 46-r14 n rE Property Owner (please print): Ell rcy wILSa J Phone: 3o 3 940 &99ty Mailing Address: (if different than property address) Address: ioS&C, W, ~„E City, State, Zip: V q).4 epa Tz r 1 L olZaoo Scw33 Contractor: Contractor License Phone- Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: s Description of work- f (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): b Sq. Ft./L.Ft added: Squares )J 1 BTU's Gallons Amps OWNEWCONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. _Plans_subject to field inspection. CIRLCE ON (OWNER) (¢ONTRACTOR) or PERSONAL REPR ER) (CONTRATOR) PRINT NAME:= - a W Il""t SIGNATURE: STV Date: 2' S' 1 City of Wheat Ridge Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Bldg Valuation: DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14940 BUILDING INSPECTION LINE - 303-234-5933 Date : 12/16/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: JERRY WILSON Property Address : 10560 W 46TH AVE Phone : 359-8417 Contractor License No. : Company : Phone : OWNER/CONTRACl'OR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Construction Value : $3,000.00 I hereby certify that the setback distances proposed by this permit application are accurate, and POfmit Fee : .$8325 do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or p~an Review Fee : $0.00 covenants, easements or restrictions of record; that all measurements shown, and allegations made are acwrate; that I have read and agree to abide by all conditions printed on this US@ T8X : $60.00 application, and that I assume full responsibility for compliance with the Wheat Ridge Building . Code (U.B.C.) and all other applicable Wheaoidge ordinances, for work under this permit. TOt81 : $143.25 7 ~ 'd ~Pi ~-`-DATE IS (OWNER)(CONTRACTOR) SIGNED ' `J'r""'" US8 : Description : WROUGHT IRON FENCE W/ STONE COLUMNS BUILDING DEPARTMENT USE ONLY t'~ • , ~~1~~~;~~,,t SIC : Sq. Ft. : Approval : MP GATE MUST SWING IN TOWARDS PROPERTY. 12116102. Zoning: R-2 pipageNote: ~m /~~~ris~onsibleforlocaUnS ProPerh' 12/16/02 lines and consWMing improvemer.ts according to the Approval : DM approved plan and required developme: t standards. The City is not responsible fbr ina;;eur,:te information submitted within the plan set anu .y cer.struction Approval : errors resulting from inaccuratc: `r:'iorr:eation. Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval : Expiration Date : Approval : Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur appliration and is subject to the laws of ihe State of Colorado and to the Zoning Regulations and Buiiding Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) ihe work authorized is not commenced within sixfy (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit eupires, 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 are made or if suspension or abandonment exceeds one (1) year, full tees shall be paid for a new permit. (4) No work of any manner shall be done that will change ihe natural Flow of water causing a drainage pmblem. (5) Contractor shall notify ihe Building Inspedor hventy-four (24) hours in advance for all inspections and shali receive written approval on inspection card betore pr eediing with successive phases of the job. (6) he ssua c permit or the approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the pr isio o building codes or any other ordinance, law, mle or regulatiort Chief Builcl(ng Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT °f W~EqrP BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVE1ViTE WHEAT RIDGE, CO 80215 - (303-235-2855) C~CORP00 ~~PO"TIO~h ~ Y Building Pemut NutnUer: Date: Property Owner. cle✓-P y A111115° i PropertyAddress: `GS'-eO Contractor License No.: Phone : 3 6 3 ".3~ Company: Phone: OWIVER/CONTRACTOR SIGNATORE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback dis[ances proposed by this permi[ application are accurate and do not viola[e applicable ordinances, rules or regula[ions of the City of Wheat Ridge o covenants, easements orreshictions oFrecord; that all measurements shown, and allega4on made are accurate; [hat I have read and agree to abide by all conditions prin[ed on thi application and tUat I assume full responsibiliTy for compliance with the Wheat Ridg Building Code (O.B.C) and all other applicable Wheat Ridge Ordinances, for work und this permit. y (OWNER)(WNTRACTOR):SIGNED s4~ ~+TE Construction Value: ~ Permit Fee:$ ~ s Plan Review Fee:$ Use Tas:$ TOt&1: $ 6 DESCRIPTION: z,c4 BUILDING DEPARTMENT USE ONLY i I SI 20NINGCOMMENTS: C0.2~°L 1 Approval: ~ Zoning: BUILDING COMMENTS: Approval: ~ i1j .J~ .?a PUBLIC WORKS COMMENTS: \ :l Approval: Occupancy: Walls: Roof: Stories: Resi n Elechical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expirarion Date: Expirarion Date: Expiration Date: Approval: Approval: Approval: (1) This pertnit waz issued in accordance with the provisions set fonh in your application and is subjec[ to cfie Iaws of the State of Colorzdo and ro the Zoning Regulaeons and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of tLe City. (2) This pennit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permi[ expims, a new permit may be acquired for a fee of one-half the amount nonhally required, provided no changes have been or will be made in the original plavs and specifications and any suspension or abandonment has not exceeded one (1) yeac If changes have been or if suspensiou or abaudoument exceeds one (1) year, full fees shall be paid for a new pelmit. (4) No work of any manner shaR be done that will change ffie namrzl flow of water causing a dminage problem. (5) Contracwr shall notity the Building Inspector hventy-fovr (24) hours in advance for all inspections and sliall receive wrmen approval on inspectiou card befom proceeding with successive phases of thejob. (6) The issuance of a perznit or the approval of drawings and specificatlons shail mt be consWed co be a permit foy nor an approval of, any violation of die provisions of the building codes or any other ordinance, law, mle or regulatlon. Chief Building Inspector 3n0 rii~~ M .095e! Nv*id 3s%S C I v°1 ~ I 2-~ ~3?ltund~ a4V2lbt a39auo6d ' ff46 MnX ~ , . ~ FivC~ ~/GFu.(0 791~G.7~.'~ 3n H Fu °I ~i M V { VS 3J-V9 91 ~ , r „ ; 1No~~ 3~Id3~ 3N~9 ~i~dC~a+G~ G~ ol, ol l . DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14855 BUILDING INSPECTION LINE - 303-234-5933 Date : 11/27/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: JERRY WILSON Property Address : 10560 W 46TH AVE Phone : 940-8996 Contractor License No. : Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $2,300.00 I hereby certify that the setback distances proposed by this permit application are accurate, and Permit Fee : $$325 do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or plan Review Fee : $0.00 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 US2 TaX : $46.00 application, and that I assume full responsibility for compliance with the Wheat Ridge 8uilding Code (U.B.C.) and all other applicable Wh at Ridge ordina./ncres, for work under this permit. TOtal : $129.25 (OWNER)(CONTRACTOR) SIGNED DATE,1:227 US0 : n I1~ Description : INSTAIL BOILER TO HEAT RADIENT FLOOR HEATING SYSTEM Electrical License No : Company: Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval : Expiration Date : Approval : Expiration Date : Approval: (1) This permit was issued in accordance with the pmvisions set fodh in yopur application and is subjec[ to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This pertnit shall expire if (A) the work authorized is not commenced wiihin sixty (60) days from issue date or (B) the building authonzed is suspentled or . abandoned for a penod of 120 days. (3) If this pertnit expires, a new pertnit may-0e acquired for a fee of one-half the amounf normally required( provided no changes have been or will be made in ihe original plans and specifcafions and any suspension or abandonment has not ezceeded one (7) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit . (4) No work of any manner sha0 be done thatwi0 change lhe natural Flow of water causing a drainage problem. (5) Contractor shall notiy the Building Inspector lweny-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card tiefore proceedi wifh successive phases of the job. - (6) The is an e of or the approval of drawings and specifcations shall not be construed to be a permit tor, nor an approval of, any violation of the w prov on f d' 9 codes or any other ordinance, law, rule or regulation. Chief Building I pei5 ctor DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pemrit Number: oe w"Ear ; P BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE U m 7500 WEST 29TH AVEN UE WHEAT RIDGE, CO 80215 - (3/0~3,-235-2855) ~~j CaCOftAO~ 21~PU~i ~$~~/4 V PropertyOwner: ~~-~-y ~1i/s~ Property Address: Phone :;?a 3`~1 f'° 89 9 y Con4actor License No.: Company: Phone: OWNER/CONIRACTOR SIGNATURE OF UPiDERSTANDING AND AGREEMENT I hereby cer[ify that the setback disiances proposed by this pemtit applicarion are accurate, and do notviolate applicable ordinances, rules or regulaAOns of the CiTy of 4Vheat Ridge or covenants, easements orrestrictions ofrecord; thatall measuretttents shovm, and allegations made aze accunte; that I have read and agee to abide by a]] conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable V✓heat Ridge Ordinances, for work under this pemtit. / (OWNER)(WNTRACTOR): SIGNED DATE ConstructionValue:$ 2-36o°° Permit Fee:$ Plan Review Fee:$ Use Tax:$ TOt21:$ DESCRIPTION: -a BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: 20NING COMMENTS: ApprovaL Zoning: BUILOING COMMENTS: Approval: PUBLIC WORKS COMMENTS ApprovaL Occupancy: Walls: Roo£ Stories: ResidentialUnits: Elech-ical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Eacpirarion Date: Expirarion Date: Expiration Date: Approval• Approval: Approval: (l) 1Lis pecmit wu issued in accordance with fhe provisious set forth in your application aud is subject ro the laws of ihe Sqte of Coloado aud W the Zoning Regulafious and Building Codes oF Wheat Ridge, Coloado or any other appGCable ordinances of the Ciry. (2) 1his penmit sLall expire if (A) tLe work authorized is not commenced witLin sixty (60) days &om issue dak or (B) the building authorized is suspevded or abandoned for a pedod of 120 days. (3) If this pennit exprtes, a new permit may be acquired for a fee of one-half the amount no}melly roqu'ved, provided no chavges have beeu or will be made in ihe od@nal plavs and specificadoas and any suspensiov or abandonment has not exceeded oue (I) year. If changes have been or if suspension or abandonment exceeds one (1) yeaz, full fees shall be paid for a new peemit (4) No work of any mmner shall be done that will cha¢ge the natural flow of water causing a drainage problem. (5) Conhacror shall mtlfy the Building InsPecmz hventy-four (24) hours in advance for all inspecfims and shall receive writtea approval ou inspecfiov card before proceeding vrith successive phasu of thejob. (6) The issuance of a permit or the approval of dcawings and speci5ca¢o¢s shall ¢ot be coashued to be a permit foy nor an approvat of, any violation oF the ptovisions of the building codes or any other ordinancq Iaw, rvle or wgulafion. Chief Building Inspector BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correctio Votice Job Located at f~~,5_6 6) I have this day inspected this structure and these premises and have found the foilowing violations of City and/or State laws gov- erning same: You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date DO NOT R Inspector for Building Dept THIS TAG FORM WR6-22 BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE Correction Notice Job Located at `l~~a 60 > 4/4° I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: You are hereby notified to correct the foregoing violations. When corrections have been made, call !pf inspection. r ~ Date DO NOT REMOVE for Buflding Dept. FORM WR6-22 BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice ~ y Job Located at / ~ 0 5 6~ L w' ` 1 have this day inspected this structure and these premises and have found the foliowing violations of City and/or State laws gov- erning same: You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date - IWSpeaor for 9uNding Dept. DO NOT REMOVE THIS TAG . FORM WH6-22 BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at ,~d~~ U Z'_' A You are hefebjrnotified to correct the foregoing violations. When corrections have been made, call for inspection. Date Building Dept. DO NOT REMOVE THIg TAG FORM WR6-22 I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: BUILDING DEPARTMENT ~ (303) 235-2855 CITY OF WHEAT RIDGE Correction Notice Job Located at 10 'g lG ~f~' f I have this day inspected this structure and these premises and ' ' have found the foliowing violations of City and/or State laws gow ` erning same: A /I d. /c n s 6 1'U0r'+s7~ YPl,.sl~ ~ov /~s~~~,Oc~~af You are hereby notified to correct the foregoing violations. ' When corrections have been made, call for inspection. Date _ . ~ . . ~ . . _ ~ . ~ . mspecior ~ FORM DO NOT REMOVE THIS TAG ~ WR6?2 1 Buildingbept. BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date >1y1d ~ Inspector for Building Dept. DO NOT REMOVEUfHIS TAG FORM WRfi•Y2 1 have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: r,.. ..3 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13226 BUILDING INSPECTION LINE - 303-234-5933 Date : 12/7/01 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: JERRY WILSON Property Address: 10560 W 46TH AVE Phone: 940-8996 Contractor License No. : 20785 Company : Joshua Wilson Phone : 940-8996 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accurate, and do not violate applicable ordinances, rules or regulations of the Ciry 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 responsibilityJ~ r compliance with the Wheat Ridge Building Code (U.B.CJ and alfother applicable Wheat I~fdge ordipances„for work under this permit. (OWNER)(CONTRACTOR) SIGNED fi441--- DATE /Z-7-0/ Construction Value : $4,000.00 Permit Fee : $9725 Plan Review Fee : $0.00 Use Tax : $60.00 Total: $157.25 Use: Description : MOTHER IN LAW APT. 1 BEDROOM, KITCHENETTE & LIVING ROOM wm Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (1) This permit was issued in accordance with the provisions se[ Forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulationsand Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commencetl within siaty (60) tlays from issue date or (B) Ihe building authorized is suspended or abantlonetl for a period of 120 tlaya (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be matle in the . original plans antl specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or iF suspension or abantlonment exceetls one (1) year, full fees shall 6e paid for a new permit. (4) No work of any manner shall be done that will change Ihe naNral Flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in atlvance For all inspections and shall receive written approval on inspection card before proceetliing with successive phases of thejob. - (6) The is ce of~a perJRt or the approval of tlrawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the preon of.~`codes or any other ordinance, law, rule or regulation. Chief Buildinga spector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: oF WHEqT P BiJII.DING INSPECTION LINE - 303-234-5933 Date: CITY OF WAEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) C~CORh~~ ~~PIJCATF dON Properiy Owner: "Je✓'rix /'~//So~✓ ProperryAddress: /oS 6oPhone: Contractor License No.: 2 0 7y S' Company: c/c,--1-7 Gi/; Phone: owrrExicorrrxncrox sicNnTURE AND AGREEMENT I Lereby certify that the setback distances proposed by.this petmit application aze accurazq and do not violate applicable ordi¢ances, mles or zegulaflons of the City of Wheat Ridge or covenants, easements or restrictions of recocd; that ali measucemeats shown, and allegations made aze accurate; that I have read and agree to abide by all conditioas printed oa ttus application and that I usume futl responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. (OR'NER)(CONTRACTOR): SIGNED DATE ConstrucYion Va1ue: 74~f') o D Pernut Fee: ~ Plan Review Fee: Use Tax: TOt31: DescriPtion: ,~i p'~acd ~-cZ~~'f . //~~P~iz~r~✓ /~L~~' g o~~~ ~ 20NING COMMENTS: Approval: S1 a zoning: R BUILDING COMMENTS: Approval: /S. G- PUBLIC WORKS COMMENTS: Approval: BUII.DING DEPARTMENT USE ONLY Occupancy: VJalls: Roof: Stories: r ~ Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Exp'aation Date: Expiration Date: Approval: Approval: Approval: (1) This pelmit was issued in accordance with the provisions set foRh in your application and is subjec[ to the Iaws of the State of Colorado and to the Zoning Regulations and Huilding Codes of Wheat Ridge, Colorado oi a¢Y otha applicable ord'wa¢ces ofthe CiTy. (2) 'P,:is per.ai[ s6aL expir if (A) fhe work autliorimd is ¢ot commenced within sixry (60) days from issue date or (B) ihz building authorized is suspendzd or abando¢ed for a pedod of 120 days. (3) Ifthispumitexpues,anewpermitmaybeacqauedforafeeofone-halftheamowtnormallyrequired,pmvidednochangeshavebeenorwill bemadein the originalplaus andspecifications and a¢ysuspwsim or abandonmenthunotexceeded oue (1) yeaz. Ifcha¢ges havebeen or ifsnspension or abendoument exceeds one (1) yeaz, full fees shall 6e paid for a new permiL (4) No work of any mmnn shall be done that wil] change the natwal flow of wa[er causing a dcainage problem. (5) ConhacwrshallnotifyWeBuildiqa,Tnspectorhventy-four(24)hou¢inadvanceforall iuspectiousandshallreceivewdttenapprovaloninspecRo¢cazdbefore proceeding wiffi successive phases of thejob. (6) , Tlie issuance of a peimit or the approval of dcawi2v,s and speci5cafims shall aot be conshued to be a permit for, nor an approval of, any violadon of the provisions of the btilding codes or any ofher ordina¢ce, law, nile or regulafion. - ~ ChiefBuildig Inspector 3!~ ` Q m .s- z D M a t~9oy43C~ ~ ~ o a rS07aji~~ ~ yonQ 2r0~ 89 °S ,8°ISZ ;s ~9 ~s~ ~~a 'P QD N ~ y a ~ o U y ~ LAJ N > G O - o ~ ~ 0] b. 1^ O_ O i U { e f -a ~ ( ~ } ~ i 1~ X3 ~d ~ ~ ,,e • a ~ •^s- O ~ 4! Qo p ~ T ~ ~ U ~ x Y ~ J ~ lp ,I A v L W Q~ ~ ~ ~ ~ F ? o ° ~ ? ~ ° ~ 7 p J N V Z Z~.' o N~ C ( l v, v e W v. ~ P 2 ~ - "w ef s N ~ ~j y ~ o ~,g \ tr;.. 0 ~u ~ , •>s el ~ ~ - a. ~~P~ ~I FCRMIT TRACKING r=ORM ADDRE55 1~~~hlJ ~IV • y(i7i~v\ t'~\3<-- DATE SUBMITTED'T 00 PERMIT NUM6ER~ IYPE OF PERMIT RCCS CONTRACTOR WWSCj9V PHONE OWNER 32RRV W,LSO1v PHONE TYPE OF REQUEST f~,~L REQUIRED CONDITIONS MEf PRIOR TO PERMIT APPLICATION ? YES NO N/A CONDITIONS OF DATE IN DA7E OUT f~ 15UILDIN6 DEPARTMENT 541(I PLANNING DEPARTMENT `I -20 -CX) °C'tSC~Sb~ t C~C~AA~l1 D~~e . ? ❑ - FIRE DEPARTMENT ❑ CITY ARBORIST ❑ POLICE DEPARTMENT ❑ SEWER DISTRIGT ❑ WATER DISTRICT ` . C DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12909 BUILDING INSPECTION LINE - 303-234-5933 Date : 10/8101 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 10560 W 46TH AVE Contractor License No. : 20785 Phone : 940-8996 Company : Joshua Wilson Phone : 940-8996 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 abtde by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat idge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED n tz DATE D'- "o Description : DETACHED GARAGE 25' X 35' Construction Value : $$,500.00 Permit Fee : $167.25 Plan Review Fee : $0.00 Use Tax : $127.50 Total: $294.75 U se : BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : mwwffiffi~ Approval : MLC COMPLIES WI R-2 REGS. GRAVEL DRIVEWAY WILL BE EXTENDED Zoning : R-2 Plaae Noh: i ' v 10/8101 0*1111 0011110111dw Is re9pon$ible for locating prpperty Approval : BG 11qp and conshuctinB improvements according W the aPProYed plan and required development standards, ? ` The City is not responsible for inaccuratc informatio Approval : n subatitted within the plan set and any construction lls : W crrors resulting~~~~i{Bformation. Roof : Stones : a Occupancy : Electrical License No : Company: Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval : (7) This permi[ was issuetl in accordance wi[h the provisions set forfh in yopur applica6on and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Coloratlo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, 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 specifcations and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abandonment ezceeds one (1) year, full fees shall be paid for a new pertnit. (4) No work of any manner shall be tlone that will change the natural Flow of water causing a drainage problem. (5) Contrector shall notify the euiltling Inspector hvenry-four (24) hours in advance for all inspeciions and shall receive written approval on inspection card beFOre proceediing with successive phases of the job. (6) T Fs uanc of rmit or the approval of drawings and specifrations shall not be constmed to be a permitfor, nor an approval of, any violation of the ovi on ilding cotles or any other ordinance, law, rule or regulation. /i Chief Buildi Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Peimit Number: BUII,DING INSPECTION LINE - 303-234-5933 Date: ~ T GTTY OF R'HEAT RIDGE 7500 R'EST 29TTi AVENIIE WHEAT RIDGE, CO 80215 - (303-23p5-2855) pA 7~~ C~C ORPO~ PP~~.ll ~Td V Property Owner: Je 1^ ry 1 L S a iv Property Address: !o S~ dPhona : Contractor License PIo.: Z 6 Sf Company: Phone: OW[YER/CONTRACLOR SIGNATORE OF UNDERSTALIDING AND AGREEhIMNT I hereby certify that fhe setback dista¢ces proposed by tlils pcimR applica[ioa ue accutate, md do ¢ot violate appLicahle ordinances, niles ot reguLafions of the City of Wheaz Ridge or covenaats, easemeats oi restrictions of recotd; that aU meazucements shown, md allegatiovs made a{e accucate; that I have zead md agcee tn abide 6y a11 conditions priated o¢ this applicatio¢ andthaY I assumc &ll responsibility for wmptiauce wiN the Wheat Ridge Buildiag Code (UB.G) md ail othec applicable WheatRidgeOrdiaanees,focworkunder 'g pecmit (OWNER)(CONIRACTOR)_ SIGNID L LDA~ f~-a Descript'ton: 25 a' 3 S Construction Value: ?'S 0 C - PermitFee: Plan Review Fee: Use Tax: ) 2;7. 5O Total: , qFi: 7 s" BUII.DING DEPARTMENT USE ONLY ~UISL ~ ZONING COMMENTS L~(R_a s SIC: 7~'F~ pyICV2.: B Zo~g: 6UfLOiNG COMMENTS: Approval: lOl~~% PUBLIG WORKS COMMENTS: (~y ApprovaL• Occupancy: GValls: Roof: Stories: ResidenrialUnits: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: ExpirationDate; Expirat'tonDate: ' ExpirationDate: Approval: Approval: Appioval: (1) Tlus peimit was issued in accocdance wah the pmvisions set fo[th in your applicafion md is subjec[to the laws oFthe Scaee of Colomdo and to the Zozing RegulaGOw md Building Codes of WheaeRidgq Coloxado or any other applica6le ordiaances of che City. (2) 11us pcemit sda11 espue if (A) the wo[k authorized is not commenced wititin sixty (60) days from issue date ot (B) the huitding authodzed is suspended or 'aSaudoaed for a period of 120 days. (3) Tf tlile peemit ezpu's, a¢ew peemit may 6e acqvu'ed foc a fee of one-hatf the amount aocmally required, pcovided no changes have 6ee¢ or Will be made ia rlie originalplabs md specificadons and any smpensionox abandoomenthaz notezcecdedone (1) yeaz. If changes havebee¢ oc ifsuspeasioaor abandonmeu< exceeds we (1) yeaz, Eill Eees shaLL 6e paid foc a aew pecmit. (4) tSo work of any mamer shall Se done tGat wiU chaage Qta nanual flow oFwater causiug a drainage pcoblem. (5) Conhactorshallno¢SytheBuildin;7nspectortwenty-fou (24)houcsinadvancefocallinsoectobeand:hallnceivewatt<uapocovelonmspectoncazdbefore praceedi¢g with successive phazes of the job. (6) The issttance of a pe:mit or the aporoval of dcawings md specincafions shzll nof be cons4ued to Se a pecmit;oq uor an appcoval of, aay vtiolation of the pcovissons of cLe building codes or any otiver ocdinaace, Law, euile or regulaCOa. . Chief B ' g Inspector k' 410~ a vE - - ~~~a,. , . ....__.4' . ~ - 10 'ro 2nq9 ~ ~ W1 ~ ----7 ~ I _ i ~20Pzo1'Qs~ No u s ~ I P . ~ PROpo6EO ~ ! ~jAR44f ~ V°4 J~ no S%TE PL.ArJ IoSLOC 'N ~ _ / AvE SCAwE y2 . ._.._0...._ r ' sis7 Building Guide Colorado Chapter of the International Conference of Building Officials At least three completed documents must be provided to apply for a building permit: 1 Complete this Buiiding Guide by filling in the blanks on page two and three, and indicating which construction details will be used. 2 Provide a Floor Plan (site plan) showing dimensions of your project or addition and its relationship to existing buildings or structures on the property and the distance to eJCisting property lines. 3 Fill out a huilding permit application. The majority of permit applications are processed with little delay. The submitted documents will help determine if the project is in compliance with building safety codes, zoning ordinances and other applicable laws. The Colorado Chapter of the International Conference of Building Officials is a professional organization seeking to promote the public health, safety and welfaze relative to building construction. We appreciate your feedback and suggestions. To obtain a master copy of this Building Guide, please write to Colorado Chapter of the International Conference of Building Officials, P.O. Box 961, Arvada, CO 80001. This handout was developed by the Colorado Chapter ot the International Conference of Building Officials as a basic plan submittal under the 1994 Uniform Codes. It is not intended to cover all circumstances. Check with your Building Department for additional requirements. How to Use this Guide 6197 2. Indicate in the check boxes on page 3 which detail from page 4 will be used. Directions 1. Fill in the blanks on pages 2 and 3 with d'unensions and materials which will be used to build the structure. Please.print legibly. . This-handout was developed by the Colorado Chapter of the . Iniemational Conference of Building Officials as a basic plan submittal . under the 1994 Uniform Codes. It is not intended to cover all circumstances. Check with your Building Department for additional requiremenis. 6A NOTE: Roof not to exceed 24 foot span ~0 2x41 rafters s aced 14- " C Sheathing 19 32 0S $ p (example: 2x 10 Raffers Spacetl24° O.C.) iumx Ir? ridge board r example: 1 x 12) Roof 'M Provide solid 2x blocking between rafters or trusses Note: Pre-engineered roof trusses w/truss clips and hardened nails may be used in lieu of roof structure shown. Diagonal wind bracing or plywood shear panels @ corners and each 25' of wall. Underlayment 300 RonF T-Wr (example: 2lsyers 15H lelf) Fl iCll I I ~SOX /~Sr' ~JI. MATL 2x_ceiling joists @ _O.C. (examp/e: 2x a @ 24' O.C.) Double 2x (o top plate (exemple:2x4) Span b7 ~•~s Ga l2 ~s (erample: 23'S) Ceiling height 9 .5 ' (example: B') siaing NwoiEa.Aeo, L,P - (exarnple:lap orT-717) Wall sheathing6s6 ~ A ❑ Foundation Detail A ~'Fou ntlatio'ti'Detail 8 ( (seepage4) B r~ ~aX ~ stua~c O.C. _ ' (example: 2x 4 0 24 O.C.) F~t ra~D Cont. 2x tn sill plate (ezample: 2 x 4) ~ SdE ENCyu✓6EREo ~ . / t~RAw~aE~S \ Footing size x lv (example: e'x76') This handout was developed by the Colorado Chapier of the Intemational Conference of Building Officials as a basic plan submittal under the 1994 Uniform Codes. It is not intended to cover all circumstances. Check wiih your Buiiding Deparfment for additional requirements. 71 sW Lap siding over foundation a minimum of 1 Finished grade Note: Check with local building department for swelling soils. Caissons may be required. '/z" diameter steel anchor bolts 6-0" O.C. max., 7" min, penetration max. 12" from corner and,12" from each end of plate. Bottom plate shall be treated wood or Foundation redwood 3 Yz Minimum Concrete Slab C~~. • y • 3" Lap siding over foundation a minimum of 1 Finished grade To below frost line Note: Check with local building department for swelling soils. Caissons may be required. r;Ll t. #4 rebar min. cont. top & bottom '/z" diameter steel anchor bolts 6'-0" O.C. max., 7" min. penetration max.12" from corner and 12" from each end of plate. Bottom plate shall be treated wood or Foundation redwood f 3 Vi' Minimum concrete slab Fiberboard expansion joint Provide #4 rebar vert. @ 4'-0" O.C. insert rebar into concrete footing or key way 3" #4 rebar min. continuous top of stemwall & at footing This handoui was developed by the Coloredo Chapter of the Intemational Conference of Building Officials as a basic plan submittal under the 7994 Uniform Codes. li is not intended to cover all circumstances. Check with your Building Department for additional requirements. X` - ,y . v . = _ C _1 ' , . ~ . . ~ t5 A'' "*t.. k ~ i- . . . .L. . . .i~E. . . o ~ a e cx~ v n a~3 or vli z- 't v+o 6-4 D 4 _ cs.: . - . . . . . . . . . . . ~ a Q _ . ~ i na ty + N ~ ~ ~ 1 Qyx ~ . . . i1•' ~ 6 • ~ ,y . {j~' . ~1 4 A 4 . . . . . . . . . . . . . . . S . . `.Y . . , . . _ , ~ . ~ > 0 . . . . . C ~ ~ . ~ c~ ~..r nm~ . . ~ . . . . . ~ to ; t~ ~ . ~ • ~ _ - Q ~ ~to ~ 7c nn Z z c L~ m 96 O t] Cs hl 3' Ch : `a- 'r = i e L~j ~ , ~ I ~ ~ w ; ~ d La . ~ o N N v .i > 4 , S„ C. s ~ 9 ~ t 0 0 0 3 ~ d (C pJ o n ~ 3 ° S N ~ ~ y a o ~ 0 k\ y Oo ~ n a ~ N d 7 ~ ~ ~ ~ ~ ~ x O 3 3 s~ m ~ 0 a F~ TC ' C S S p: c N aa ~ N J Q c a 5 F, 0 a 0 ~ 0 m a ~ ~ N .Z M m m 0 T 0 A -i x m m O r O ~ z G) -u C Z7 ~ O C/) m m G) D r 0 m N n ~ v ~ O Z ~ ~ O a rn ~ ~ O 0 A m Co U) ~ ~ a„ ~ Z mQ~ Q Qa=; fD mw c ~ m w v c 'O oT d N m 33 ^ maS m E, c N j' p a ~ o m ~ 6 ~ y m .d. c A ~ ~ a m v C. O a 3 s ~ f7 C O ~ d J m°a 7~00 o p ~ TC ~ nN2 m°, o~D m E5 a m aa m o a ~ N y N ~p ~ 6 y d C N ~ < d N ~ 3 ~D m p1 m m N N - O C~ 3 ~D ~v C a N C N N Q ."0 O m ~ l 1 ~ ~ H Y~1 ITI H^ l 1 l ~ O III O l 1 ~ ~ z^ y Date: 2L~1(' I A Certificate of Occupancy or Completion has been requested for: PURPOSE OP STRUCiURE: r-/~ Building Department Approval: Remarks: Zoning Approval: l?-C a 1 Remarks: . - 11 Public Works ApprovaL•(X w,~,,_ ol Remarks: Fire Marshall Approval: (If Applicable) Remarks: Sanitation Disuict Ap (if Applicable) Remarks: Water District Approl (If Applicable) Remarks: BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at I have this day inspected this structure and these premises and have found the foltowing violations of City and/or State laws gov- erning same: , J r)_~ Ga ~Y.4 IS ✓h S'....f a R ~3) u c CS ~t n s J G.7f :~rw~~li'.A ~ S~G~fL ha~ ~^.7crtsfJ TE'e~ . . ~i) ok I k, 1p)~ ~i~PiS nG7`d005~{.a~~ You; are hereby notified to correct the foregoing violations. When corrections havQ been mide call for inspectio . ~r) u/;ncP~,4. ouc~r d~bsvhoS ~P ~Pyr?~erP~ . . . . . n . . . Date DO NOT REMOVE THIS TAG FORM WR6-22 ' . . . C€3 Nuilding':Dept. . BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice Job Located at iU E I fiave this day inspected this structure and these premises and ` have found the following viofations of City aod/or Statelaws gov- ' erning same: So (AA-~ - ~:~JfC~ v~I~ i~? iA S.O ~.U✓i~.3~c-./~iS o~5 N W Z Cl) ~ O W N V m 0 N W J Z W ~ m ~ 0 W Z ~ 0 0 ~ zo ~ J IW- ~ 2r N W cn a v N( O Z M Cl) a v ~ Z = _ r ~ M a} U U) ~ a 0 M C) N ° ` M Q O ~ a M ~ ~O3 o (.A J W O ~ o ~ U ~ ~ 0% W C) ~ W ucW In= a a~ W ~ N ~ LLI CD 40 ti Z 0 ~ W 3 o. ~ ~ ~ ~ 0 0 J 3 F ~ ~ O T ~ ¢ W w a ~ ~ z ¢ m d w z ° m o Q O ~ z U ~ ~ ~ w ~ 0 ~ ~ ~ Z w Z J ~ a 0 v. ~ ¢ LL Y a ~ ~ ¢ O U w a m -z o - U, , _ F 0 0 Z z ~ cr W a ~ W W a Q 0 ~ o o J ~ J Q w z c? CO ~ I- • Cf) Q ~ ~ cr 0 W cn O U Z L F w ' o ~ ~ m Z ~ - C O `p O N C O N y C 2 . J ~ N O t o a v~ `c m N ti U CC ~ 0 W Z 0 U) z w W m ~ a 2 W 'o m Q F- Z Z) W W cc U Z O O Z cc M a ~ C` ~ ~ y 'Y ~ `p Y O LL a a ~ M C C "O ~ o 'o ~ O d ~ D) U U m c ' d C U a~i ~ ~ w S ~ M o 4 ('(J N ~ a C m; c m 'o_ otl U ~ d m N ~ ~ N w a T _ N m m i a1 ¢ ¢ < [L° ~l 4 ~ g r s ~ t71 A a o~ d ro C m C N ~ m C J o) C ~ LL o 0 N = c N3 o C O ¢ m m N ¢ m C N w G IL ro 'C N w ' ~ a C d x N (C Li ~f O a[ a ID. ~ ii ets ~ ltl d LL W V LL ~ _ ~ J W Z N H M N ~ 0 ~ ~ W t,s. ~z~ Qy V oc a a c~j = F C) 0 W z ~ 0 V a Z ~a ~ 0 . ° ' • May 22, ,2Opi dosh Wifson 10580 W. 46fh Avenue Whest Ridpe, CO 80033 Sub}ect: ~ObBO W. 48'rm A10EFI1l8 ~ At your requesi, I h8ve reviewed holes in TJr joists used in ifi 3 referenced constructi0n. Thg cflndificxts are shQwn an ttie encEased sheec thax you faxed to us. hlC one from 7rus Jo(sf has verified that tMis irtformation 'rs corr4ct 1. The jaist with the e" 'h' raund noie 1' 8" from the cerrter bea+ ing is acceptahie. 2. The joist wiih the 3" x 2 Ya" hoie 2' 8" from the center bsering is accsptabf e. 3. The joist with thY x 5" hol8 3' 7° frpm flte gnd is wGCBpiebie. 4. i'he Joistwith the 2'h" round hore 1"irom tha end sFould be haadered ta the adjaomlt singte jwets foltowing our UetBil N2A. PlQase !et us krtaw if 4here are any yuestiCns on this. Sincerely, Paut T. NiCholas, Regforta9 Enginel Enclosure cc: Brian AncCOrmiCk ~ %iC•Stekt t+gina a 59>5 Sk~owaed Piero emltrtr'. Su;tc A:L 4 5:r,r9;0 CulNcdo ;:1 11 a 9n .u?73 '7?.c267 w(er 303 7)0.6384 05-,22-tii1 14 1so1 - F~`dOM : JW1LITiJJw bb''d2-Y1 SH:b;! L'i FFlX htd. : 303948E~396 iD= I ~~[9 soaha iYOn~ Autaiaf~ ot rYA ko consr~, ii 3"Z~:.-~-a ii N i 13'0 13' ~ ,apiwbe.RVbw g,o6► - taik I 1V! .o 10 1 f'~r~ i , 0 11 zik ot; 1 x"*' I To aommsiq Ato Fua~t~ES 144wz 7o &4 'F-om (4 ~LACES) (4 .ier~l seiMe tJYPRO ~ bsvtln' 2 tqjs " OR MiHIR~p~eln~ u ~ LNMiMe siY IIIMM/ AOdrvM1r Maii. 22 2801 I1:17pM Pi PB2s pg "W ~isk i~.~ ~ . ~ , ~ 04S7'anrcE s+ 40p, at07'r'Efis-Jpr- Ji ; ~ • aw+ wir ao~~~ Coew; .~Z1S1i` 16 L4404 s~e~r tM~►!s '$<A►M~ ; A*bftn I qLaai i3 i r«=.O; 343 A*& 12-9~L r~c ~.3 ~9•4e~3~9_ ~„~1~,~ ~.r.+ II, ~ ~ l6wet of 05-'W°2-01 10:53 ID~ , r Bui,Vm FA7F GdVER 5HEE7 TO:~ Aft- 91 COMPANY:_ FAX: FRCM: Is"Ni Pages Including cover page: OATE: PHONE: `~y• 31~ • O Hard copy to follow Via US Mail P01/03 This hacslMle msy cnrrtain confidential irrforma{lOn thtit is not intended for disnidution to uny ona other Uran Hfe lntended reciplent tisted eftove. !n the event the intanded reaplent or an emptoyee respnnsibte Por de6verrng this fecsimtTe to the intended recoienf is anavailable, plesse dn not dis06ute fhis facsi+nife, rrotir'y os immediataly by telephont, and tetum this facsimife 6y mail. 7hank you. Message: Mid-States Region 5995 Greenwood Plaza BNd., Suite 100 Greonwood Vlllage, CO 80911 Phone: (303) 770-6262 + Fax: (303) 770-6324 800,433-6947 Leading the woNd's Engineered Lumber lndusfry with product exce6fence, , unsurpassed eusfor»er service, and genuine cnncern for our customers' needs . ~n Li ~ s E N ~ ~ ,r c N Q . Z ~ ¢ J ~ 0. ~ rs K Vy N ~i ~ ~ ~ . Ti'.. . _ Q ~ ~ 0'. DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 11139 9/8/2000 Property Owner : Property Address : 10580 W 46th Ave Contractor License No. : 20785 Company : Joshua Wilson OK 9/7100 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiry 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTR4CTOR) SIGNED DATE Use: Description : PROPOSED HOUSE ACCORDING TO PRINTS AT 10560 W 46TH AVE. LOT # 35 CLIMIE SUBDNISION BUILDING DEPARTMENT USE ONLY M sM Approval : DM Zoning : R-2 Approval: DM Approval : MJG Occupancy : Walls Phone: 940-8996 Phone: 940-8996 SIC : Sq. Ft. : OK 917100 SEE REVIEW SHEET FOR COMMENTS Roof : Stories : Residential Units : Electrical License No : Plumbing License No :18651 Mechanical License No : Company : Company : B& P Plumbing Company : Expiration Date : 12/18/2001 Expiration Date : Approval : OK/KS Expiration Date : Approval : Approval : (1) This permit was issued in accordance with the provisions set Forth in yopur application and is subjec[ to the laws of the State of Coloredo and to the Zoning RegWations and Building Cotle of Wheat Ridge, Cobrado or any oiher applira6le ordinances of the City. (2) This permit shall expire if (A) the work au[horized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 720 days. (3) If [his permit expires, a new pertnit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be matle in the original plans and specifcations antl any suspension or abandonment has not exceetletl one (i) year. If changes are made or iFSUSpension or abandonment exceeds one (i) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done ihat will change the naturel Flow of water causing a drainage problem. (5) Contractor shall notiry the Builtling Inspector twenty-four (24) hours in advance for all inspec[ions and shall receive written approval on inspection card before proceediing with successive phases of thejob. (6) Theugnce of a permihor the approval of drawings and specifcations shall not be wnstruetl to be a pertnit for, nor an approval of, any violation of [he provisions oft buPtling6q_d%4ranyotherordinance,law,mleorregulation. Construction Value : $93,337.00 Permit Fee : $95175 Plan Review Fee : $618.64 Use Tax : $1,400.06 Total: $2,970.45 DEPARTMENT OF PLANNING AND DEUELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number Date 11139 9/8/2000 Property Owner : Property Address : 10580 W 46th Ave Contractor License No. : 20785 Company : Joshua Wilson Phone : 940-8996 Phone : 940-8996 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measure ents shown, and allegations made are accurate; that I have read and agree to abide by all c ditions printed on this application, and that I assume full respo sibili for complianc ith the Wheat Ridge Building Code (U.B.C.) and all other applicable 1/~heat~idge ordi~an , for work under this permit. (OWNER)(CONTRACTOR) TE q`$•Oo Construction Value : $93,337.00 Permit Fee : $951.75 Plan Review Fee : $618.64 Use Tax : $1,400.06 Total: $2,970.45 Use: Description : PROPOSE HOUSE ACCORDING TO PRINTS AT 10560 W 46TH AVE. LOT # 35 CLIMIE SUBDIVISI N BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : DM Zoning : R-2 Approval: DM Approval : MJG Occupancy : Walls OK 9/7/00 OK 917100 SEE REVIEW SHEET FOR COMMENTS Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval : Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur applicalion and is subject to the laws of the State of Coloretlo antl [o fhe Zoning Regulatlons and Building Code of Whea[ Ridge, Colo2do or any other applicable ordinances of fhe Ciry. (2) This pertnit shall expire if (A) the work authorized is not commenced within sizty (60) days from issue date or (B) the building authorized is suspended or abantloned for a penod of 720 days. (3) If this pertnit expires, a new permrt may be arquiredfor a fee of one-half the amount normally required, provided no changes have 6een or will be matle in the original plans and specifcations and any suspension or abandonmen[ has not exceeded one (1) year. If changes are made or if suspension or abandonment exceetls one (1) year, full fees shall be paid for a new permit (4) No work of any manner shall be done that will change the natu2l Flow of water rausing a drainage problem. (5) Contractor shall notify the Builtling Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspeciion card before proceediing wifh successive phases of thejob. (6) The issuance of a permit or the approval of tlrawings and specifralions shall not be cons[rued to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. :Ad i ' d' For Mayor THIS PER VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION AEPARTMENT OF PLANNING AND DFVELOPMENT Building Permit Number : BUILDING INSPECTION LINE - 303-234-5933 1 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE. CO 80215 - (303-235-2855) Property Owner: J C Rg-y WlLSoN Property Address : 1054po Phone : 303 -94o -QG~9b Contractor License No. : Company: Phone: OWNER/CUNTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : 93 ~137, Uo I hereby certiTy that the setback distances proposed by this permit application are accurate, P2fmit FEe : and do not violate applicable ordinances, rules or regulations of the City of VJheat Ridge or enants th ll t t i ti f d t t h d ll i Z PP F- - P'p ' cov , easemen recor measuremen s orres r c ons o ; a a s s ons. own, an a egat made are accurate; that I have read and agree to abide by all conditions printed on this . , USe T8X : application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable W eat Ridge ordinanc , for work under this permit. Total : ~ (OWNER)(CONTRACTOR)SIGNED DATE 1''g" -V c~ Use: , Description: P2ovosEq v Ftoosc t'v PR\nITS ~2~' 105(e0 `1~ock1 a•~~ ~acr~2D~^~6 BUILDING DEPARTMENT USE ONLY Approval: Zoning : SMUKF. Approval: ~n ~ Approv2l: Occupancy : Walls : Roof: ' Stories : Electrical License No : Company : Plumbing License No : Company : Expiration Date : Approval: Expiration Date : Approval: SIC : cc-0 Residential Units : Mechanical License No : Company: Expiration Date : Approval: (1) This permit was issuetl in accortlance wiN the provisions set forih in yopur application and is subject to the laws of the State of Colorado antl to the.Zoning Regula4ons and Builtling Code ot VJheat Ritlge, Coloratlo or any other applicable ortlinances of the City. - (2) This pertnit shall expire if (A) the work auNonzed is not commenced within sixty (60) days from issue date or (e) the builtling authonzetl is suspentled or abandoned !or a periotl of 120 days (3) If this permit expires, a new permit may be acquireG for a fee of one-half the amount normally require4 proviaetl 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 chan9es are matle or if suspension or a6an0onment exceetls one (1) year, full tees shall be paid for a new pertnit. (4) No work of any manner shall be done that will change the natural flow of waler causing a drainage problem. - (5) ConUaMOr shall notify the 8uiltling Inspector twenly-four (24) hours in advance for all inspections antl shall receive written approval on inspection card before proceediing with successive phases of fhejob. (6) The issuance of a pertn Ihe approval of tlrawings and specifications shall not be construed to be a pertnit for, nor an approval of, any violation of the provisions of the 6uilding codes any ih ,;Ince, law, rule or regula6on. . ,pW Chief LETTER OF NOTIFICATION FOR PUBLIC IMPROVEMENTS RESTORATION DATED q~ o v ADDRESS Dear Contractor: /oSGO /cf• 4&TH ,4v.EN4,6 In conjunction with the approval of the building permit application for the above referenced address, this letter is to inform you that all existing public improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as determined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative will conduct an onsite inspection to determine the existing condition(s) of the public improvements at this address. If you have any questions, please contact me at 303-235-2868. Sincerely, C'~~(4 4-~~- Michael Garcia, Development Review Engineer cc: File Files an Enginent\Developmen} Review/Forms & form letfers\Nofifcation of PI Restoraiion Rev 05/00 oF W~r DEPARTMENT OF PUBLIC WORKS BU1LD/NG PERM/T APPLICATION REVIEW ~o °°LORPo Date: ~ 7 oa Location: /oSG o 14/ TN 4veiv4lE Attention: Buiiding Department I have reviewed the attached materials submitted in application for approval of a.Si.~~~ ~Ati~~/ at the above referenced address. Please note the summary comments below. 1. Boundary Closure: Not OK; refer to stipulations. 2. ~ Drainage: a. Drainage plan and report needed _ b. Drainage plan not needed c. Lot dramage/grading to be reviewed by Building Division _ d. Site drainage/grading provi~ns have been reviewed and are: ✓ OK Not OK; refer to stipulations. 3. c/ NPDES Permit Required: _ Yes No 4. ✓ Public Improvements: a. street paving needed: Yes ~ No b. curb and gutter needed: Yes r~ No c. sidewalk needed: Yes L,- No d. street lights needed: Yes v No e. storm sewer needed: Yes v No f. letter of credit required: Yes ~ No If a letter of credit is required, for what improvements? _ Amount of letter of credit: ' 5. ✓ Subdivision Agreement required: _ Yes ~ No 6. ~l Development Covenant required: _ Yes ~ No 7, ~ 8. ✓ 9. ✓ 10. ✓ 11. ✓ 12. _ 13. If Yes, for Traffic nnpact analysis and report required: State Highway Access Permit needed: New roadway or alley R.O.W. dedication recommended: If yes, what is recommended? All existing dedicated roadways/alleys meet the standard If no, which do not and what is requested: APPROVAL: The Public Works Department has reviewed this request and hereby gives its approv , subject to t above and/ar attached stipulatioE-2 /a o Sig z ture ic el Garcia Date NO APPROVAL: ThePublic Works Department has reviewed this request and does i:ot give its approval for the reasons stated: Signature Michael Garcia Stipulations attached: _ Yes --"No 14. Suimnary Comments: . ~s~cT oFTUif CoN: 7'o G,Ty STqNO.a.eOS [.E77E,e rS ~9t~~.tco Files on Enginent\Forms\Bldprmt3.frm ~KVabf %o %KE,ExrfnNh fcvBC,c ~^*!'ROVe..iF..~TS AS A i5 T. BE ifA547v~.c.ZO %rFE /'E2.~~r r9/TUC.aMr 7tj C•o. /SSUAnlcE-. L{ TO GO• JSSvi4NGE. Rev O$/00 Yes ~ No Yes ✓ No Yes v No es PUBLIC WORKS REVIEW FEE STRUCTURE FOR BUILDING PERMIT APPLICATIONS Date C, /d Applicant~C )05-Hi.ciq W!Lc,010 Phone#~ 940•-9996 LocationofConstruction iOS6o K/• 47N AveevwE Purpose of Construction 5>1NL1ErArV't.Y 2ESin~c~ Building Permit Value Single Family L~ Commercial _ Multi-Family _ DEVELOPMENT REVIEW FEES Development Review Processing Fee• 50.00 $~o . o a (for document processing) Single Family Residential Review Fee: $25.00 $ ZS. D o (for review of applicable technical docum Commerciai/Multi-Family Review Fee: $50.00 fee (for review of existing technical documents), $500.00 fee (for review of technical documents for construction in right-of-way, final drainage report and erosion control plan). $ Subdivision Improvement Agreement Fee: $125.00 (for document processing and recording) Development Covenant Fee: $125.00 (for document processing and recording) CDOT Access Permit Fee: $100.00 (for document application and processing) Traffic Impact Study Review Fee: $100.00 (for document review and processing) Flood Plain Variance Review Fee: Class I=$100.00 Class II =$150.00 (for document review and processing) TOTAL REVIEW FEES: (due at time of building permit issuance) oc.:- PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE ADDITIONAL IICENSING AND PERMITTING FEES pEQUIRED FOR CONSTRUCTION OF IMPROVEMENTS WITFiIN PUBLIC RIGHT-OF-WAY. 1 Signature of Applicant " V Date C)8oc) Of WHEqT ~ ~ ti p G~ APPL/CAT/ON FOR M/NOR DUMP/NG/LANDF/LL PERM/T " m . ' COCORP00 APPLICANTS NAME: w r 4G-A~- PIu6lE APPLICANT'S ADDRESS: (USS° t4~ Ilnclude City, State, Zipl ADDRESS OF FILL: COSbo q6ru plrE (•t'i-IEATiDqE C'_J Pjcb"33 DATE OF APPLICATION: 5~p-r S r1„00D All permits shall be applied for through the Public Works Department. An approved permit is effective for a period of one (1) year from date of issue and may be renewed. All fees shall be in accordance with those fees estabiished by the Uniform Building Code or other applicable City adopted Resolutions or Ordinances. Nofe: Al/ public improvements, when constructed, sha// be maintained (by the respective individual(s) and/ar company respansib/e for ihe consiruciion of that pub/ic and/or privafe improvemenf in the respective deve%pment) an a dai/y basis, or as needed, such that they are fiee of mud and othei construction debris fracking fiom the sife. Fai/uie ta comp/y with fhis requiiement wi!/ resu/t in the enforcement of Aiticle Specified Nuisances, Secfion 15-21 (3) of the City of Wheat Ridge Code of Laws. MINOR EXCAVATION AND FILL PERMITS 1. 1-50 Cubic Yards: No permit is required for dumping or excavation of earth aterials, which do not exceed 50 cubic yards, provided, however, that any fill deposited is on natural terrain of less than three (3) horizontal to one (1) vertical slope, or such fill is less than three (3) feet in depth and is not intended to support permanent structures, and in addition, such fill or excavation does not obstruct or otherwise adversely affect any drainageway. Should any of the above standards be exceeded, or a drainage way be affected, a permit shall be required under the guidelines for No. 2. 2. 51-500 Cubic Yards: Dumping or excavation of earth materials not exceeding 500 cubic yards may be allowed with a permit approved by the City Engineer. All applications are to be submitted on the appropriate completed application form and shall be accompanied by the appropriate fee and sketch plan indicating the following information before the permit will be issued. A Location and dimensions of all property boundaries and structures on the site. B Location and extent of areas to be filled and/or excavated. C. Location of existing and proposed drainageways, irrigation ditches, etc., and indication of how and where historic run-off will be maintained on and through the site. D. Cross section area to be filled and/or excavated indicating original slope, new slope and depth of fill. E. Statement which indicates the proposed use or purpose for said fill or excavation. F. Relative elevation of adjacent properties. G. Erosion control plan showing placement of control devices such as hay bales, etc.. Files on Enginen[\Form\Fill Permit.wpo l , Rev. 03/00 3. 501-20,000 Cubic Yards: Operations in which earth material fill or excavation exceeds 500 cubic yards but does not exceed 20,000 cubic yards may be allowed by a permit issued by the City Engineer after review of an application and supporting information. The following information shall be submitted with the required application form: A. A site plan, prepared and signed by a Colorado registered professional engineer, at a scale of no less than 1 inch to twenty feet (1:20) which illustrates the following: 1. Location an dimensions of all property boundaries and structures on the site. 2. Location and extent of areas to be filled and/or excavated. 3. Location of existing waterways and drainage courses indicating any changes. (for a site containing an established irrigation ditch, a letter of approval from the appropriate ditch company shall be required). 4. Location of existing and proposed points of ingress. 5. Location and extent of existing vegetation, proposed changes in such vegetation and methods of rehabilitation on site vegetation after earthwork operations are complete. 6. Erosion control plan. 7. Grading plan with existing (dashed lines) and proposed (solid lines) ground contours with contour intervals of 2 feet and spot elevations. 8. At least two cross sections (east to west and north to south) through the site showing depth of fill andlor excavation. 9. A drainage report may be required if site runoff characteristics are changed. 10. Relative elevations of adjacent properties and structures. 11. Statement of purpose of intended fill and/or excavation. 4. Performance Standards: The following provisions shall apply to all Minor Excavation and Fill Permits: A. Rehabilitation: Within thirty(30) days after cessation of filling and/or excavation, rehabilitation for the site shall have been completed in accordance with the approved plans. Rehabilitation shall consist of leveling, grading, landscaping or any combination thereof to minimize potential erosion and be acceptable to the City Engineer. B. Debris: Debris and/or contaminants shall not be used except with the approval of the City Engineer. "For the purpose of this Section, the term debris shall have the same meaning as the terms "garbage, trash or junk" as defined in the Wheat Ridge Code of Laws, Section 20- 21 In no case shall debris or contaminates identified or classified as hazardous waste by local, siate or federal agencies be used as fill in any fill areas within the City of Wheat Ridge. Files on Enginent\Form\fill Permit.wpd 2 Rev. 03/00 C. Excavation and/or fill areas shall be greded to facilitate weed control until final grades are set and site rehabilitation and use occur (must be leveled with side slopes not to exceed 3 to 1). 5. Permit Fees* 50 cubic yards or less 51 to 100 cubic yards 101to 1000 cubic yards for the first 100 cy plus for each additional 100 cy or fracTion thereof 1001 to 10,000 cubic yards for the first 1000 cubic yards plus, for each additional 1000 cy or fraction thereof 10,000 cubic yards or over $10.00 $15.00 $1 5.00 $5.00 $60.00 $4.45 $100.00 TOTAL $ *Wheat Ridge Code of Laws Section 5-76. All permits shall be applied for prior to fill deposition or excavation operations begin. Any permit applied for after cutting or filling operations on site are in progress shall be subject to a double fee and other penalties as prescribed by Wheat Ridge Code of Laws, Appendix A, Section 24.9. Any fill requested under this permit within the 10Q.year flood zone MUST COMPLY WITH WHEAT RIDGE CODE OF LAWS, SECTION 26-201, FLOOD PLAIN ZONING ORDINANCE. 1 HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT AND UNDERSTAND THAT I CANNOT START THIS PROJECT UNTIL THIS APPLICATION IS APPROVED. I SHALL COMPLY WITH THE LAWS OF THE STATE OF COLORADO AND WITH 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 AND COMMENCEMENT OF ENFORCEMENT PROCEEDINGSSYTHE CITY OF WHEAT RIDGE. THIS APPROVED PERMIT WILL BE KEPT IN MY POSSESSION OR PERMANENfiLY ON THE JOB SITE. APPLICANT: ~ 'CITY OF WHEAT ~ ~ ~ , Appli t's Signature City E gine Ow 's ignature (if different than above) Appr*al D te Files on Enginen[\Form\Fill Pertnit.wpd 3 Rev. 03/00 Code Correction List August 14, 2000 Owner: Wilson Builder: Owner Address: 10560 W. 46" Place Description: New SFD ~ r; i 1- Provide a soils report for review. 2. Provide a site plan with finish floor elevation shown, along with spot elevations or contours of existing and proposed site grading to verify drainage. . 3. Label all tempered glazing on plans. ✓ 4. Show basement egress window and window wells on foundation plan. ,f 5. Provide smoke deEectors per UBC requirements. ✓ 6. Fireplace where shown is venting to close to an openable window. Label all kitchen counter GFCI outiets and locate per NEC requirements. ~ Foundation plan shows an attached garage and site plan shows a detached „ garage? ~ Please make these additions or corrections to the submittal and resubmit for review, if you have any questions or comments please feel free to contact me at 235-2853. Sincerely, Darin Mor Codes Ad inistrator . FROM : JWJWJWJW FRX hd0. : 3039408996 Sep. 07 2000 02:54PM P2 CAS'FLE ROCH DESIGN GROUP, INC. ('.8078CKHIGAL SSRUCIUAAL COp9ULTAKY3 ppyNDAT[ON 3 SLYAG ST4T8M fl[816l15 Josh W~7son 10580 West 4b'" Ave. Wheatridge CO 80033 101 aw~ sw . voa w. c,Rx 1046 co w104 ree.rna ci" c"ssi Date: September 6, 2000 Iob No.: 10-2372a Subjeec: lncrease footmg si2e in basement (Our foundasion pffin dob no. 10.2373, detcd 07/02J00). As requested, we review the subject foundation plen aad recammend 40 inch square by 12 icch deep ia place of 36 inch squere by 10 inch deep• . 1e i00 Cwsa.$ Aocrc DESrcre GytOUP, ING FROM : JWJWJWJIJ FAX N0. : 3039408996 Sep. 07 2000 02:54PM P1 ' , (~t n Mof . ar Code Correction List September 1, 2000 Owner: -'~Scs~:* Wilson Builder: S~CZRN wlLSOK Address: 10560 W. 46"' Place - Second Review Descripfion: New SFD The 36x36 pads shown on foundation plan in basement appear to exceed the 1000 psf soii bearing capacity stated in the soils report. Have engineer provide calculations or increase pad sizes as needed. Please make these additions or corrections to the submittal and resubmit for review, if you have any questions or comments please feel free to contact me at 235-2853. Sincerely, ~ Darin M 1rmniinistrator Codes City of Wheat Ridge Planning and Development Deparhnent Memorandum DATE• 7 August 2000 The building permit application and site plan has been reviewed for compliance with the City's Code of Laws. Based on that review, I have the following comments: 1. General comments A. The submitted plans should include a detailed landscape plan, complete with location of living and non living landscaping material. The detail should also include a table with percentage of living and non living landscaping in proportion to total overall lot area. Please revise the plans accordingly. If you have any questions, don't hesitate to give me a call. I can be reached at (303) 235-2849. Th u, Trauis Crane MEMORANDUM T0: Dain Morgan, Chief Building Official CC: John Mc6uire, City 5urveyor 6reg KnudSOn, City Er,gineer FIZOM: Michael Garcia, Development Review Engineer A DA i c: AuguSt 16, 2000 l:E: 10560 W. 46' 1'lace - 5ing1e Family ReSidence l . (~0 ~ Darin, per our di5cu55ion ye5terday, there were concern5 regarding the legal description for the con5truction of this Sr=R. Concern5 were regarding the locatior of thie re5idence and if a con5olidation plat would be reauired by the Planning Department. Alan White 5tated that a con5olidation plat would be reauired for thi5 new re5idence due to the lot de5cription on the Warranty Deed. I'lea5e let me know if you need any information from the Public WorkS Department. The con5olidation plat 5hall be reviewed by the City 5urveyor prior to the building permit being i55ued. 10560w46_SFR.mem CASTLE ROCK DESIGN GROUP, INC. GEOTECHNICAL6iSTRUCTURALCONSULTANTS FOUNDATION 6a SEPTIC SYST6M DESIGNS PREPARED FOR JOSH WILSON 10580 WEST 46THAVENUE WHEAT RIDGE, CO 80033 101 Briscce Stteet -Unit ACastle Rock, CO 80104 Phone/Fax (303) 688-5I51 SUBSURFACEINVESTIGATION OF lO$HO WEST 46"' AVENUE WHEAT RIDGE JEFFERSON COUNTY,COLORADO REPORT NO.OO-2160 JUNE 20, 2000 SCOPE This report presents the results of data obtained during the subsoil investigation of 10580 West Avenue, Wheat Ridge, Jefferson County, Colorado. This investigation was made to determine the type of foundation required, allowable bearing capacity, ground water conditions and any problems that may be encountered during and after construction. SITE CONDITIONS The site currently occupied by existing house. It is our understanding that an addition is planned to be built on this site. FOUNDATION REOUIREMENTS A satisfactory type of foundation system will be continuous concrete footings. Footing foundations should bear on the undisturbed natural clays or sands. All loose and disturbed soil shall be removed before pouring the concrete for the footings. These footings should be designed for a maximum soil bearing pressure of 1_,000 pounds per square foot, dead load plus one-half live load. Refer to foundation design for footing size verification. All continuous footings supporting perimeter concrete foundation walls should be at least 16 inches wide. Foundation walls should be well reinforced, a minimum of two No. 4, grade 60, top and bottom. We recommend reinforcement sufficient to span an unsupported distance of at least 10 feet. The exterior footings shall be a minimum of 3 Feet below final grade for frost protection. Some settlement may occur with this type of foundation system. LATERAL LOADS Below grade walls must be designed for lateral loads. We recommend the walls be designed for an equivalent fluid pressure of 45 pound per cubic foot (pcfl. The recommended design pressure does not include surchuge or hydrostatic loads. To reduce the risk of development of hydrostatic pressure, we recommend installation of an exterior or interior foundation drain as indicated on Figure 4. SUBSURFACE DRAINAGE The installation of a foundation drainage system is required for any habitable space below grade leveL See Perimeter Drain Detail, Figure 4, for a suggested method of installing this system FIELD AND LABORATORY INVESTIGATION One (1) exploratory test hole was drilled on June 12, 2000, at the site shown on the Location Map, Figure 1. This test hole was drilled with a 4-inch diameter auger. At specific intervals, the drilling tools were removed from the test holes and soil samples were taken. A description of the soils encountered is shown on the Logs of Test Holes, Figure 2, and the Summary of Laboratory Testing, Table 1. 1 Ail soil samples were careFully inspected in the field during the drilling operation. These samples were classified in the laboratory through visual inspection and testing to determine the pertinent properties. The natural moisture content was obtained from relatively undisturbed drive samples of typical soils. The subsurface conditions encountered in the borings consisted of silty with large gravel sand to the depth of boring, 3 feet. Very wet sand was encountered in the borings at the time oFdrilling. The sieve analysis and swell-consolidation test presented on Figure 3. DESIGN AND DETAILS FOR SLAB ON GRADE CONSTRUCTION The natural soils appear suitable for the support of exterior and interior concrete slabs. It is very important for the moisture to stay constant during the construction process. When sandy soils have an increase in moisture content, they may consolidate and settle, potentially lowering and cracking the concrete slab. When clayey soils are exposed to an increase in moisture content, they can increase in volume resulting in movement and possible cracking of the concrete slab. Experience with similar soil conditions has shown that the following details help prevent damage to a concrete slab. Experience with similar soil conditions has shown that the following details help prevent damage to a concrete slab: 1. The slab must be placed directly on undisturbed natura( soils, or on recompacted soiL Do not place a gravel layer beneath the concrete slab. 2. The floating slab must be separated from the foundation or utility lines to allow for independent movement of the slab. A positive slip joint must be provided at the junction between the slab and foundation walls. 3. Controljoints must be provided in the slab to confine cracks to the joints and not in the visible are of the slab. Control joints must be one-third the thickriess of the slab. The maximum slab area shall be 200 square feet. A maximum dimension of 16 feet in any direction is permitted. 4. A minimum void of 1'/z inches shall be provided at the bottom of all non- bearing partitions. Drywall or paneling shail not be placed within 2 inches of the top surface of the slab, allowing space for upward movement of the slab. 5. If a hot water heating system is used, the piping should not be placed beneath the concrete floor slab. If a forced air furnace is used, a 2-inch flexible connection should be instailed between the furnace and the duct. 6. The soils that will support the concrete slabs should be kept moist, but not wet, during construction. 7. If the builder or future owner provides decorative gravel or bark around the building, see Foundation Grading Detail, Figure 5, for an acceptable method of installation. This method will prevent ponding of water near the foundation and provide for proper drainage away from the building. 2 SURFACE DRAINAGE The backfill soil around the building should be kept moist and well compacted to prevent future settling. Controlled puddling of the backfill soils is not allowed. For proper drainage, a slope of 10% (6 inches in first 5 feet) away from the foundation in all directions is required. This slope must be maintained for a minimum distance of 5 feet. The future owners are advised to immediately fill in any settled area near the building to eliminate containment of water. Down spouts must discharge onto four-foot long concrete splash blocks or into metal gutter extensions to direct water away from the house. The future owners should be cautioned regarding the installation of a lawn adjacent to the foundation walls. Lawn inigation can not be permitted within 5 feet of the foundation walls. Any watering adjacent to the foundation should be by hand and kept to a minimum. LIMITATIONS In any soil investigation it is necessary to assume that the subsurface soil conditions do not vary greatly from the conditions encountered in our field and laboratory testing. Our experience has been that at times soil conditions do change and variations do occur and may become apparent at the time of excavation for the foundation system. If soil conditions are encountered which appear different from the test borings as presented in this report, it is requested that an engineer from this office be called to inspect the open excavation. This inspection service is not a part of this report. Our professional services were performed using that degree of care and skill ordinarily exercised, under similar circumstances, by reputable geotechnical engineers practicing in this or similar localities. No warranty, expressed or implied, is made. We prepared the report as an aid in design of the proposed project. Should you have any questions or if we may be further assistance in this matter, we aze at your service. CASTLE ROCK DESIGN GROUP, INC. C*,T J~/~ ~obert S. Park, J Il~ V- P.E. Soil and Foundation Eng///Jineer 0 0 N zs- West 46th Avenue ~ v EXISTING ~ HOUSE TH #1 Q SOIL TEST HOLE FOR BUIIDING ❑ SOIL PROFlLE HOLE FOR ABSORPTION BED O PERCOLAiION 7EST HOLE LOCATION MAP DATE: 6113100 Cmiswltting Engi~eeeri~eg JOB N0. 00-2160 CASTLE ROCK DESIGN CROUP INC. 9~ `p^^°~°"°^ ~•°~°n"°"°^ • FIC. No. i s.pno svt•~• n.,tP. N~ Pro P. orne o o 0 <o M ~ \ ~ I o O N F W CS N ~ S~R 41 C •OC ~ o N ~ O ~ ~ ~ N O W ~ ? ~ ~ ~ > yy u~ - a C ti ci ~ O r ^ V~ C y L ~ . N °z ~ O 0. p N ~ V I ~ ~ q w U O a w F ~ V a J ~ M ~ (n H J ~ ~ L L .3 I I I I I I O N N M 133J NI H1d34 O O ~ ~ N O ~ 0 h y fy u ~ ~ Q U y ~ ~ O ~ u ~ U w A U O C N I ~ F U ~ a ~ > 0 rn o a~ v + n v o U N N S y.. o ~ (n - . N 0 Q N ~ N 0 ~ ~ C I ~ O 3 V N > rn ~ C , H N ~ ~ ~ d 0 N N L ~ 3 p ~ ~ o I = I o ~ a 0 d ~ ~ 0 0 co ~ U ~ry a ~ ih ~ w p ~ O Z S = H WELL SLOPED 12' PER 10 FEEf • • BRACE WALLS TOP AND BOTfOM PRIOR TO BACKFlWNG ~ CONCRE7E GRADE BEAM ~ IXPANSION JOINT FLOOR SLAB ~ • • S S 151 BUILDING FELT DO NOT DIKE WRH SOD OR EDGING TOP 12' OF COMPACTED DAMP PROOFlNG COMPACTED BACKFlLL POLYEiHYLENE GLUED TO WALL AND ~ 3/4" TO 1-1/2°--/ IXTENDED ALONG THE BOTTOAI OF CLFiW GRAVEL 4" DN. PERFORATED PIPE THE EXCAVATION SLOPE DRAIN PIPE 1/8' PER FOOT TO DAYLIGHT OR TO A SUMP PIT BACKFlLL AItOUND THE FOUNDATION SHOUID BE MOISTENED AND COMPACTED AND 1HE FlNAL GRADE SHOULD BE WELL SLOPED TO PRECLUDE PONDING OF RAINFALL, IRRIGA710N WATER AND SNOW MELT AOJACENT TO FOUNDATION WALLS. CAU110N: DO NOT DIKE OR IMPEDE THE FLOW OF WATER AWAY FROM POLNYEf Y~ENE~DOW SN POIR~` ANDINSILL COCKS ~SHOULD DISCHN GE INTO SPLASH BLOCKS OR LONG IXTENSIONS. DRAIN SYSTEM BELOW GRADE & BACKFILL DETAILS DATE: 6120100 Consulting Engtineering JOB N0. 00-2160 - CASTLE ROCK DESICN GROUP INC. sat a r.,awoeran r..e, sauna,ei,n : s.pm sy,enn a..yn FIC. N0. 4 PROVIDE A MINIMUM SLOPE OF 12" IN THE FIRST 10 Ff. OUT FROM THE STRUCTURE ROOF GUTfER DOWNSPOUT AND EXTENSION SHOULD EXTEND BEYOND THE GRAVEL OR BARK AREA DRAINAGE AROUND FOUNDATION WALL DATE: 6113100 Consultting Engineeri-r+,g JOB N0. 00-2160 ^ CASTLE ROCK DESICN GROUP INC. saU s r.mownon n.R +'oundafl^^ & FIC. N0. 5 3epNa SyoGm D-ipn IMPROVEiVIENT LOCATION CERTIFICATE 170.75 ONE S'fORV FRAI.IE GARACE 1 f 35 g,~~~ C~ 3 24.2 UN~6uN9~g••~:;: ' x i • I///1!I ~ ~ /li~i/! ' I • ////!I///i/// ~ / o ~ ~ ~ c~l ONE S7URY FfiAME FtFS, 10580 NE97 46lh AWNUE ' • ; o ~ . i r....ii..... i..iri.i. ~ENee vo sE 7`aE"a a~wd r~ r77 .ri~•i ~ Iii~/IIII 170.75 FWND N0.4 REBAR YATH YELIOW IRON . PLASTIC CAp PLS N0. 2735- ""E WEST 46th AVFI,;UE AT SE COR. 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"t ' $ `saa3 • ._o -6anaart _ 'oN uocldaaag oN WIF3 3ed ' 'xoog ryl f uc pap.cooai 6lnp pue'-N )JaoID,o 3E~-6I~ ;oSQp s141 aai;,}o.cw ul paoaaz xo; [Ea1i; sem 3uawnalsui siy1 3ey3 83i3.xaD 6qaaay I ;o B3unoo •ss F bQV2I0'IOo 30 S,LV,LS os a21HQ XJNVHHVnn •oN ~ ~ CITY OF WHEAT RIDGE CERTIFICATE OF WATER AND SEWER SERVICE AVAILABILITY Note to Applicant: A building pemut will not be issued without this Certificate signed by the District or Agency supplying services. This Certificate expires one vear from date of approval bv authorizine aizent. W ~ Job Address Date Legal Description S \NG l,rc - Fi~C(\\\._~I Use of~$uilding ~11 LSml~ Owner _ Address Telephone 'a C Name of District: SEWER Individual Septic Pernut ( ) Sewer Service Available Sewer Service No[ Available Comments or Conditions: I hereby certify that availability of service is as indicated above. Signature of Authorized Agent 7efferson Counry Health Department (IF SEPTIC) Au[horized Signature WATER Name of Distric[: _VP\LL.Q Colorado Well Permit No. ( ) Water Service Available Commenu or Water Secvice Not Available Date Date I hereby certify that availability of service is as indicated above. aignarure ot .vuthonzed Agent Jefferson Counry Heaith Department (IF WELL) Date Authorized Signature Date FIP OfficeJet Personal Printer/Faic/Copier Fa1c Log Report for DEVREVFAX 303 235 2857 Ju1-21-00 07:06 AM identification 93034242280 Rexult Paees LEM Date Time Duration Diagnostic OK O1 Sent Jul-21 07:O5A OOi00:54 002184230020 za.a aro'e ZZ00£0989Z00 0£=00:00 VTi:LO TZ-Iitf 1M5 IO XO ~qsoimu!u uoqcinQ awiy a;eQ a~'~ s~ed ;~nsag 8Z80bZb£0£6 u014eDyiluapi L1iV ZFLO 00-iZ-Inf LS8Z S£Z £0£ XV3Aa'dAff(I ao; uodag 307. xeil i2tdoa/se3/i2)uud teuoszad ;afaaw0 dH