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HomeMy WebLinkAbout8705-8715 W 46th AvenueCity of Wheat Ridge Residential Roofing PERMIT - 201700971 PERMIT NO: 201700971 ISSUED: 05/30/2017 JOB ADDRESS: 8705 W 46th AVE EXPIRES: 05/30/2018 JOB DESCRIPTION: Tear off one layer of shingles; apply Owens Corning Oakridge shingles ; house and 2 sheds - 30 squares *** CONTACTS *** OWNER (303)995-9213 M & G RENTALS LLC SUB (303)377-8679 Tom Black 060113 Tom Black Roofing Co-Manke Con *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,710.00 FEES Total Valuation 0.00 Use Tax 138.78 Permit Fee 172.60 ** TOTAL ** 311.38 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A1/2 -inch exists. 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&4Fms 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&#39;s 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 - 201700971 PERMIT NO: 201700971 ISSUED: 05/30/2017 JOB ADDRESS: 8705 W 46th AVE EXPIRES: 05/30/2018 JOB DESCRIPTION: Tear off one layer of shingles; apply Owens Corning Oakridge shingles house and 2 sheds - 30 squares I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thispennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its` accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I, This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This, permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit 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 Official Chief Building Ocial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or gra" of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ' applicable code or an, d inance or do f t ''s 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. < City of Wh6atlk � /COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-23778929 Inspection Line: 303-234-5933 Email: permitsancimheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 6 /`-` /' Property Owner (please print): 61 r/ (—, 0 �,,!� T'(:5- L -S Phone: 3 v3 '- 9 9' S 7 -_2� Property Owner Email: Mailing Address: (if different than property address) Address: L %e o ..S d City, State, Zip: Architect/Engineer E-mail: Phone: Contractor: j o j2- dl- Lir' 1) 9 - o `f ,19 Contractors City License #: Phone: 3 z - S --;s -- /C/ / S`. Contractor E-mail Address: a /_ 1_1� C/L Lg) b G % �q 0 � --, " C- r Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE eElOMMERCIAL ROOFING COMMERCIAL ADDITION ESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) mea o h t Lo,y Cor /h q C, Cy�� r Sq. Ft./LF c C7 Btu's Amps Squares Al G✓ Q Q / (-)—J Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance ' with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE. (OWNE CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Tc;, Ian! C� fL SIGNATURE: �� DATE: P7 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS; Reviewer: PUBLIC WORKS COMMENTS. Reviewer: PROOF OF SUBMISSION FORMS Fire Department �❑Received ElNot Required Water District [I Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ A 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: _X4 , Job Address: I Permit Number: J l ❑ No one available for inspection: Time `� moi' AM, /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 ilrl%� Date: �' Inspector: DO NOT REMOVE THIS NOTICE A 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M Job Address: LADS UJ LI GTH A\) Permit Number: ZO)') 0 09 % f ❑ No one available for inspection: Time 'i�A /PM Re -Inspection required: Ye No *When corrections have been made, call for e -inspection at 03-234-5933 Date: ' / -z 1 Inspector: V DO NOT REMOVE THIS NOTICE INSPEC. CION RECORD o ccupancylFVpe "VINSPECTiON LINE: (303) 234 -5933 U, r "> r. Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. 47 1T) 1�'I_ `Ilrrt -) !U 7 ) �jV') (-Ind INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS jOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground - Reinforcing or Monolithic Weatherproof /French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) "'NOTE; ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OF A CERTIFICA TE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid - Roof: Electrical Service Rough Electric Rough Plumbing Gas P iping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation - Drywall Screw 'FINALS Electrical - - Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping - '. "'NOTE; ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION OF A CERTIFICA TE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE f Building Inspection Division r (303) 234 -5933 Inspection line ( 303) 235 -2855 Office • (303) 235 -2857 Fax 1 INSPECTION NOTICE Inspection Type: �Co i tim, Job Address: LJ3 '7 W 4<, AU Permit Number: 09 / ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No "When corrections have been made, call foY -ins / ion at 303- 234 -5933 � f Date: Inspector._ / r w . DO NOT REMOVE THIS NOTICE Xcel Energy" -- 1 ^ 2 1 ;ORM (F) 414 -02 -5147 CIry -TOWN OR CAUNTY FLOOR APT, NO. hDSRE55� SLO k5 /l..p ` . Syy"+fSJ� ✓e ACTION TAKEN � Nfin Rirvn / El NO SHUT OFF pp� Id rG. [I APPLIANCE OFF VVV 44% SPECIFY BOTH APPL. & METER OFF OWNER ❑ .TENANT '' ®. AGENT F OTHER ❑ „ A � EFER SHUT OFF _ WARNING - ?T THE CONDITION FOUND, AS SHOWN BELOW, IS NOT IN COMPLIANCE WITH CURRE Y C P C AN f COULD CREATE A HAZARD. CORRECTIONS SHOULD BE MADE BY A QUALIFIED CONTRA R CONTACT YOUR LOCAL BUILDING DEPT MENT FOR CODE AND PERMIT REQUIREMENTS PRIORTO PERFORMING REPAIR WORK NAMEANDWPEOF PLIA COND ON.tt1fAW F,9d �d�"'.'L°.c'l•'y• t E FOR FURTHER INFORMATION, PHON 2 JJ g`',.u. [uSfQ __ ,yVg,v V C 4 1/ MER /OCC�NpI � �i TIM�� Vi/ D j �� ✓^fir (M1414 -02 -1123 XCEL ENERGY 40360 t Ap➢�1E55. o CITY - TOWN OR GOUgr{yT°Y� flOOfl r APT NO CU TO - GAME (PRINT) I r,� /" /� ACTION TAKEN ❑. NO SHUT OFF B ,a I OWNER TENANT AGENT OTHER I❑ SPECIFY ❑ APPLIANCE OFF METE SHUT OFF. ER� ET H ®E CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN IMME HAZARD.TH UWMENT.M S NOT BE U AD IN AND ATHOROUGH INSPECTION HAVE BEEN MADE BY A QUALIFIED CONTRACTOR CONTACTYOUR LOCAL SERVICE UNTIL REPAIRS BUILDING DEPARTMENT FOR CODE AND PERMIT REQUIREMENTS. PRIOR TO PERFORMING REPAIR WORK. NAME AND:TYP OF AP �P B LIAN Ep+ T .y,. A G 9 s I „_ p CON gITIO TO BE CO�R•RE TED,�e�. g^'^ L�.✓p # } �° J' Yf / mow C®'"c� .G�' °�" FOR FURTHER INFORMATION, PHON TAGGED TIN�Eq DAT 'ST ER%QCEUPANT I +PTf�.� TIME R TIONSHIP OF GO NTTO CUSTOMER a B /• n. , 1, ;.;;, c... ., ::. ,.wr,:rrm+.mn- iwad..r...:: �: ,. • :.. .nvrw.m�rm- ,+ii:.....m.+...ai?. ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: 719S r Job Address: sZ70.%' tw >-W rt Permit Number: r�)Zdr!Z® ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes Fo When corrections have been made, call for re-inspection at 303 - 234 -5933 Date: 9/?.Z1o9 Inspector e S DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE `-.011111111110 Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: ,gr ,r1 Alwl Job Address: g71 ,)s , <" 4 1,4:7-w 4vF Permit Number: r�?1S fir, ❑ No one available for inspection: Time a s : 30 AM /PM Re- Inspection required: Yes No `When corrections have been made, tail for re- inspection at 303 -234 -5933 Date: d Inspector r DO NOT REMOVE THIS NOTICE " ' City of "Wheat Ridge Residential Mechanic PERMIT - 091570 PERMIT NO: 091570- ISSUED: 08/24/2009 JOB.: ADDRESS: 8705 W.46TH AVE EXPIRES: 02/20/2010 DESCRIPTION:.. Gas pressure test ***CONTACTS owner 303/995-9213 Marjoe Bendimere PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:'. 0215 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED. PROJECT.` VALUATION: .00 FEES Permit Fee 30.55 T Total Valuation - .oo Use :.Tax .00 TOTAL 30.55 Conditions: Subject to field inspections. 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. Ridgerinances, f r work under this permit. Plans subject to field inspection. . 7zg- Signat 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 `date. An extension maybe 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 exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora'new permit. 4. No.. work of any manner shall be done that will change the natural flow of*water causing a drainage. problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceedingwith successive phases of the job. 6. The issuance. of a permit or the approval ofdrawings and specifications .:shall . not be construed to be a permit for, nor an approval of, a violation of the provisions of the 'building codes or any other ordinance, .law;. rule or regulation.:. ..All plan.. v' w subject to field. inspections. Signature o Chi Building Official date INSPEC ON REQUEST LINE: (303)234-5933 BUILDING OFFICE.: (303)235-2855... REQUESTS MUST BE MADE BY 3PM ANY.: BUSINESS: DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY..: ~oF"'"E"T~o City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 c~<ORA~~ ~ Inspection Line: 303-234-5933 Building Permit Application Date: Plan A Permit Property Address:; 7 Q 1`r 1y2 s ~6 f~ ~,r c Property Owner (please print): r bJ ✓ e Phone: 3 - 9`I Mailing Address: (if different than property address) Address: Y City, State, Zip: s v>// i yr s 7 e 61 ®D / Contractor: O g ,sl e,y, .E. p C fd„ ~y G Z Contractor License Phone: 7D3r Sub Contractors: Electrical City License Company: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Description-of wQKk: (as calculated per the Building Valuation Data sheet) z ® le qt, an Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with 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 ONE,::: /(O~SWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAMR,'~` i,ZdvwO -ALGNATURE: , a If Alp; ,Date: Z' Bldg Valuation: $ ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Ali ( o {ax)Job Address: q-70 w 44, w- &V Permit Number: 0!~! 1 6-7Z ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No *When corrections have been made, call for ~ 7ection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE City of `Wheat Ridge Residential Roofing PERMIT - 091571 PERMIT NO: " 091571` ISSUED: •08/24/200.9 JOB ADDRESS: 8705 W.46TH AVE EXPIRES: 02/.20/2010 DESCRIPTION: T/o: Install 16 sqs roofing CONTACTS owner 303/995-9213 Marjoe Bandimere PARCEL INFO ZONE`.. CODE: UA USE: UA SUBDIVISION: 0215 ..BLOCK/LOT#: 0:/ **FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,000.00 FEES Permit Fee 108.30 Total Valuation 00 Use Tax 54.00 .TOTAL.** 162.30 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 21 inside exterior walls.:.- : Subject to field inspection. 15 i 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 Ordi ances, for work under this permit. [PPlans subject to field inspection. -Signature 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 y state of Colorado and to the Zoning Regulations and Building Codes of What Ridge, Colorado or any. other applicable ' ordinances of the City.;. 2. This permit shall expire 180 days from the issue date. Re quests for an extension moat be received prior to expiration 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 ofone-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 L(1) year.'.. If changes have been or if suspension or (abandonment exceeds one (1) year, full :fees.. shall q^ be paid for a. new permit. V' 4. No work of any manner shall be done that will. change the natural flow of water causing a drainage. problem. 5. Contractor shall notify.,the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive ' written approval on inspection card before.. proceeding with successive phases of the job. 6. The. issuance of a permit'. or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or. regulation. All plan r ie s subject to field inspections. f~ Signature f C ref Building official `date v INSPEC ION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855.. REQUESTS MUST BE MADE BY 3PM ANY. BUSINESS ..'.DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. e i pY~ 4 F""E?TR City of Wheat Ridge Building Division m 7500 W. 29t1i Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 . Fax: 303-237-8929 oocoRPOO Inspection Line: 303-234-5933 Building Permit Application PropertyAddress> y f~P ~fluC Property Owner (please print): jt/jer 1°,9 c ~~ut ey" Phone:,J~j7 j- /9Z/~; J Mailing Address: (if different than property address) Address: Ei / .5 ~ Cuur Gf/ City, State, Zip: LIKZ4 7e Contractor: ~2a'12 { ~s C®~ y~~z9c Tiles C Contractor License Phone: 3- "7 Sub Coritractoi Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Y© 0a Dkscrlpt!bh of work's \ (as calculated per the Building Valuation Data sheet) p L Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: J vSquares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with 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 ONE:: (OWNER) (COACTOR~R) or PERSONAL REPRESENTATIVE of (OW ER) (CO TRATOR) PRINT NAME: Ay.f/i6'e 1L<'/G7)/,,'4oeeSIGNATUR Az~ e: Lz Q Date: Plan Permit e;;~ Bldg Valuation: $ DEPARTMENT OF GOMMUNITY DEVELOPMENT M911117655 7500 wEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. 237-6944 Ex7. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VAUD ONLY WHEN SiGNED BY THE CHIEF BU4DING INSPECTOR AND RECEIPTED BEL)W. C APPUC TIQN FOR MISCELLANEOUS PERMIT JOBADDRESS X~v~ - 071 6 W'f~ f/~ OWNER ° 7~0-----~-~~t ~~,-7, CONTRACTOR ONl N-e✓ ADDRESS ZIP CODE C2= ADDRESS 57, PHONE -7 CITY K ~ ~ ZIP CODE CONTRArt7 awi[:F $ UCENSE NO. DATE PHONE I. TYPE Ground❑ Woll❑ PraeCtinp❑ Olh,r SorDFOCS MATERIAL 2 Tofal Square Fset . ILLUMINATION Yes❑ No❑ Type SIGNS 3 El~ct. P*r mil . . E 5 W Zono_ _ A7Drmed. ZO^s Inspootor 4 SE7 BACK FROM PROPERTY LINE _ N_ ❑ ❑ _ 0 11 DiaaDDrwed (Specify whiah ia froM ) lidO More S Than 800% Opsn[J 1oss Thon 8 0% Open o I, TYPE HoipM MATERIAL FENCES . E S M' Zms_ ADVrwed,2one Imp*eta 3, SET BACN FROM PROPERTY LINE _ N_ ❑ ❑ _ ❑ ❑ Diea07roved fSeecifv whiehi~froni) I. OTHER Z E. pRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTNER STRUCTURE,GI\ (SETBACKS OR 7ROJECTIONS MCLUQED) STREET NAME S $HpAINCE N TO S PROPERTV LINESBNOD' MA.XMUM J OR I AERAGE EDISTARNCE. APPLICATION FOR PLUMBING; ELECTRIC THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEDWORI PERMIT WILL EXPIRE 780 DAYS FROM THE DATE OF ISSUANC ELECTRICAL PERMIT I PLUMBING PERI STATE LICENSE N0. _ I S7ATE LICENSE N0. METER WASH : AMPS ~ BATH ncv-GMPS SHO`h DISH WASHER Bi CONTROLS FLOOR DRAIN URINAL iMERS B RECTFIERS TO OLD WORK 1VFR I HP i hsreby acknowledpe that this apDItca' tion ie correct and understand that I pennof sfert fhie Orojbtt until thie o001i- cotion is aPOroved. I shall comply wifh fhe lowf of the State o1 Colorado and to fhe ZOninQ Repulations ond Buildinp Code of1he Ci1y of Wheoi Ridpe. Any violation of tne above terme will couse immediote revocation of tnis permil 5 INSPECTION TICKET JOB ADDRESS 8-~dS ~ 7 ~ ~ 611(6 /""Y, DATE: BLDG. PERMITB 1'76 S-S PERMITB ~ ~4 BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE REMARKS FyP ' />CvZ D 9 9- T 12 _ Im W.R. FOAM 679 ✓ R--W: y 5D3c-t CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FOFlINSPECTIONS