HomeMy WebLinkAbout12651 W. 42nd AvenueDEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PE ME91114749
237-6944 ExT. 255 P.O. eox eae CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED 8Y THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
APPLICATION FOR MISCELLANEOUS PERMIT
JOB ADDRESS I Z~iS, I W, 9'Z~ A UIZ OWNER ~FS"RO W Pf'i'f~.WPY1.Ef2 .~-G ~tS i
CONTRACTOR ,4U~./S~V--'1.. 9LQ- M~IL (2-c> ADORESS ef- ¢SC> Yvde k_-'
ADDRESS S• PHONE ~G~ ZIP CODE
CITY Zia rnnG S~C~u~ CONTRACT PRICE $ v/ rpo OQ
PHONE'"S~'I! LICENSE N0.~~9~Z
. I. TYPE GroundLJ WoIIU ProieetinpLl Othn SwDFooe
2. MATERIAL Tofal Squoro Fset
SIGNS 3. ILIUMINATION Yea❑ No❑ Typs Eleet. Permif No:
4 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_Apprwad,ZOna Inapeelor
(Soecitv whioh iefront) ❑ ❑ ❑ ❑ DlaaoDroved I. TYPE SolidLl Mon Than 80% OpenL,J Losc 7hon 80% Opon
FENCES MATERIAL HeIpht
3. SET BACK FROM PROPER7Y LINE N_ S_ E_ W 2aro_ Apprwed,Zons Inepeeta
(Soecifv whieh is }ronU ❑ ❑ ❑ Dieaooroved
I.
OTHER 2
13.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRU(
(SETBACKS OR PROJECTIONS INCLUDEO)
STREET NAME
SHOW DISTANCES FROM THE MAIN BUIIDING TOADJOtNING HOUSES, 51
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DIST
APPLICATION FOR PLUPABING, EL!
THIS APPIICATION WILL BECOME A PERMfT TO PERFORM THE INDICAT
PERMIT WILL EXPIRE 60 DAtlS FROM DATE OF ISSUI
. ~
INSPECTION TICKET
JOB ~-r-e-
ADDRESS
DATE: BLDG. PERMIT# V-Z~ ►
PERM ITN
BLDG. CONTR. ITH
SUBCONTFACTOR
DATE INSP. REQ. / / TYPE OF INSP. ~
INSPECTION MADE ~
REMARKS
An~ >IVISIoN.
ELECTRICAL PERMIT
STATE LICENSE N0. Z
PLUMBit
STATE LtCEN5E NI
W.R. FORM 679 /
_31
RLUMINUTA WIRE UNDER SIZE B ILLEGAL
FLOOR
/ d Elee Solar
BSM
Np.
WATER CLASET
~
(j ~
~
TEMPORARY METER
WASH BOWI
~
.
NEW SERVICE AMPS ~
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
'
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRICaERAT10N SYSTEM
POWER SUB-CIRCUITS
WATER HEATER
qefri eront Group
UTILITY (RANGE, DISPOSER, ETC.)
AUTO.WASHER
Pounds Chor e
FI%TURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS d CONTROLS
FLDOR DRAIN
ELEVATOR
SIGNS
URINAL
TFANSFORMERS 9 RECTFIERS .
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER 1 HP
TOTAL FIXTURES
REMARKS 7?ISL F7P- uwV3 Mfz:~415-r'
I hereby acknowledqe iho} this opPlico-
Iion is oorrect and understand thot I
cannof afnrf tAis projecf until thia oppli-
eation is apDroved. I ehali comply with
the lowa o} fhe Stote o1 Colorodo aed to
ths Zoninq Requlotione ond Buildinq
Code of the Cify of W eat Rid. Any
violnfim~ o[ thelabo a w I couse
PERNIIT FEE
USE TAX
UNLESS RECEIPTED
tz' 4 1 4 2 y
I TOTAL FEE 1$ /S-, 6d I
City of Wheat Ridge
Oate Issued Z 9~
66-`7-q I 11
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS