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City of Wheat Ridge
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Residential Mechanic pERMIT - 081118
..081118 ISSUED: 09/25/2008
S;: 12163 PL EXPIRES: 03/24/2009
eplace hot water heate~
tbtf`PPiCTS
;~3l~~3:/233-7424 Duane Luebke
01-7152 Precise Plumbing
~p,3~534-0881 Gary Ken£ield
F"' 1~C R,' INFO * *
USE: UA
UA
BLOCK/LOT#: 0/
0714
: F`mT .Tr~r~ - T . .
T(~~ 1'* .
Tn'~ , FEES
~t 1e4e'.~ 50.40
j4luation .00
. *050.40
Cfythat the setback dis'tances proposed by this permi[ application aze accuiate and ~e ro- vio'_ate1appa-~LuSl~'
~..ea or Yegula[ione of the City oE Wheat Ridge or mvenants, eaaements or restr t ons of r.cerd;
shoYm, and allegations made are accurate; that I have zead and agree to abide by s:l ecrdi '.o- pr r ed or thia
(~d tihat I assnme fnll reepbnsibility for cospliance w_ Ih [}ie Wheat Rit3ge euilcling Cntle 5.<- .i aL'. other
CAC' Ridge Oidinances, for work unde[ this pecmit Plar.9 sub7ect to field inspeeti.oc-
3ece
fantractor/owrer
t: aas iesued in accoxdance with the provieione set Eorih '_u you- apPlicatien and ie sub]e.t co [he ~s oE r__i.-
nlorado and Co the Zobiog Regulatiooe aod Huilaiag Cocee oE wheae Rdge Co.ozado or anv thes appl .blc
o£ Che City. '
t ghall expire 180 days From the iesue date. Request5 for ao exteneion muet be received prior to expirataon
extenSion may be gsanted ac ihe discrz:ion of L'ie BuiJ.ding OCEiccal. ided no
~.[mit expires, a new permit may be acquired for a Tee cl onehalf [ne amount normally reouired, prpv
Webeen or wiil be made _o the original plane and specifications and any euspe[teion ox absnaon'Eees sha17c
>t~e(1) year. If cnanges have been or if suspeneion c,- aba~tlonmenC exceede one ~1) y
ir a new permic.
;3{iy manner snall be dooe that wi11 chaoge the natural flow of maeer caueing a drainags 2'oblem.
E ehall mtlfy the 5ui'_ding InspeCtor twenty fouz '.24, touie 11 alvance for al- inepections ana er~11 recc:ve
3proval on in .ct:oo cerd beEOre proceediog tn sit i P anasee c,f Lhe jon
.
. ~ . . i, . a ~nh rJ_ , i
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il of, any viclarzon oC the provieione oT the nulld.. ~g ce- an• )t Er ord n.. Iu.e cz -.-'e'eview is sybjc{Jt~to _ield inspections.
ulio
T LINE: (303)234-5933 SUILDING OFFICE: (303)235-2855
~Dg gy SIl S DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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City of Wheat Ridge
Residential Mechanic PERMIT - 081118
081118
: 12163 W 30TH PL
: Replace hot water heater
ISSUED: 09/25/2008
EXPIRES: 03/24/2009
CONTACTS
vF
0`~~r 303/233-7424 Duane Luebke
~ 303/534-0881 Gary Kenfield 01-7152 Precise Plumbing
P$A3~CEd+ INFO
GODE: UA USE: UA
ZVjSIpN: 0714 BLOCK/LOT#: 0/
,u
..yw,l~~. sU~~y ESTIMATED PROJECT VALUATION: 650.00
r~x FEES
lYte z'IUit,Fee 50.40
.00
";¢:ftal Valuation
~ W';$"ITQT}1L 50.40 .
f~t..
Ji+*zdby CEFtify that Che setbaCk distances proposed by this permit app'_ication are accurate, and do mt violate applicable
p~RaTtcee;rulea or regulations of the Cicy cf wheat xidge ox' covenancs, easements or restrictions of record; that all
+j4b1lrCmehYe shown, and allegations made are accurate; thac I have read and agree to abide by all cor.dieions printed on this
*,&iCd410n and that I assume full responsibili[y :oz comp_iance with Uiz Wheat Ridge 2u=lding Code ;I.B.C) and all o[her
; p~~:4r4,plkWheat Ridge Ordinances, for work under this permit. F_ans subject to Eield inspection.
~
,
SC}uce of contractor/owner aate
]'.j Th18 peimit wae issued in accordance w:th the prov:sions se[ Eorth in your aopiication and is subject to the laws of the
~~.6C6Ce of Colorado and to the Zoning Regulations and 9uilding Ccdes of 'a.heat Ridge, Colorado or any other applicable
t oTdinancee of the City.
,1_A TCYxq t ehall expire 180 days from the issue date. Requesos for an extension must be received pri.oc to expiration
e
•]'date.-An exteneion maY be gcanted at the discretion of the euilding oEficia . zovided no
3. >S:t 2his permit expires, a new permit may be acquired for a fee of one-half Uie amount normally required, p has ^fiCqanges.have been oz wi11 be made in the original plans and specifications and any suspension or abfullnfees shallot
?.;RxC9eP~lfl one (1) year. If changes have been or if suspenaion or abandonment exceeds one (1) year,
a be'pazd for a new permit.
4.':;NO Wofk oE any manner ehall be done that wi11 change the natural flcw of water causing a drainage problem.
%ConCYaCtor shall notify the Building Inspector tweaty-four 1.24? hours in advance for all ~ispections and shall receive
ar'+ ''wYitten approval on inspection card before pioceeding wich successive phases of the job.
6,,rdri ThB.iB dppioval 9uanCe of a pexmit or the approval of drawings and specificati.ons shall noL be construed to be a permit for, nor
' an violation of the psovisior.s o= Che building coces or any other orninance, 1aw, nle or regclaCion.
^ .7 of, y
.CA,11 plan review is subje t to field inspections.
Omt{tYe oY Chief ?JE Official date
A~'~'iCTFON LINE: (303)234-5933 BUILDING
~~g~~ M(J ~ gE MADE BY 3PM AN OFFICE: (303)235-2855
Y BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: Q!) I p
BUILDING INSPECTION LINE - 303-234-5933 Date: •~1~
CITY OF WHEAT RIDGE
7500 WE5T 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
~~01Y
Properry Owner: )1i9^ e
Property Address: /a /G 3 cv'.
Phone:
Contractor License No.: / 17 / s' 2,
Company: P..,- c i s r v-?n c Phone ✓ 3~i! o rS'
O WNER/CONIRqCTOR SIGNpTUI2E OF UND&R3'('pryING AND AGR&&M&NT
I hearby certify that the satback distancat proposed by ihie peimit appliontion ere
accwate, and do not violata applicabla otdinancas, tvlea ot tegulations of the City
of Wheat Ridge or cavenanh, easameNs or rmtcictioiu of record; Nnt elI
measurwnonts shown, end aftegationa made are itccurrte; that I heve read end
agree to abide by all conditiom ptintod on Uils tppliotliow end thet I assume full
responsibility for complia¢u with $a Whert RidQe Buildioy Code (U,B,C) and
xI I other applicable Wheat Ridge Ozdinmom, for work u¢der ihu pesmit,
COIIStrUCt10II udlue: Ei S0 -
Permit Fee; S'o yo
Plan Review Fee:
TicP Tq.. -';'r,,l s ~,-v :y
Total: Sp, yO
(OwNERxCONIRACfOR): S10NSD.CfI5~,~~ATB
Description:
!/,O G ¢ Ki A L/-.^ 04 1(+/"
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expirarion Date: Expuation Date;
Approval: Approval: Approval:
(I) 'I7us pumit wu wued in aeeordance wifh the piWjijons tat foct6 in your applia4M uad is eubjeet b Ne Iaws of Ihe Shte of ColanAo and to Ne Zonin3
RegWatiau and Buildia; Code ot Wheet Aidyq Colocado or any oNu applioable wdimoss of the Ciry.
(2) Tnis petmit sfull axpup j( (A) Ute work Nlho[iied 'u nol caxnenctA wltyin 3jxty (60) drys fran usue date ot (B) the building auNonzed i> >uspendcd or
ahmdanad for a pedod of 120 dryi.
(3) 1( thu pevnit expum, 4 aew pmnit may be uqu'ved fw a fee of ono-lvif the mount aomWly mquired, prwided no chm¢u hrva bew or will be maAe in
the miQioal pluis md syxit[uUau ud ury "peyiort or abmdotwant Iw rwt excuded otw (1) Yeu. If chao7u Nve been oi i{ s~yp=ion ar ebendonment
axceeda one (1) yeu, fuR fw sIWI be pud for o nsw peppit
(a) Na work ot ury nwinou thW be done that will clwnye Ihe sutunl llow otwatu ominQ a drainage pro6lem
(5) ContacWr.ilW I mliCy tya Building Wpecto[ twenty-four (24) houn in advmce [or a11 wpxtiau md ilull rxeive wntten apprwil on irapection cazd bcforc
proceedioywithaucceuiwplua of4ujo6.
(6) 7Le isswnce of a pmni0 p[ ihp ipplpvd of MWinyf md fpeciGeaUau ilull not be cwutued W 6e e pemut fw, mr m apptaval of, eny viola4on of Ihc
provisiwu of the btildina codm or ury othv otdinarieq law, tWe w rogulaLLon.
Chief Building Inspector
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City of Wheat Ridge
°oto l, Residential Fence PERMIT - 070641
PERMIT NO:. 070641 SSSUED: 06/27/2007
JOB ADARESS: 12163 W 30TH PL EXPIRES: 12/24/2007
DESCRIPTIRN: Remove broken encloeure; 4-4x4posts; use existing wood panel
.xr CONTAC'£3
owner Duane Lubke
gc . 303/467-2171 David.Murphy 02-2296 Home Owner Maintenance Enhance
PARCBLTNFO . . . . . . .
20NE CODE; r-1 USE: r-3. . ..SUBDIVI3ION: 0714 .BLOCK/LOT#: 0/ . . FE& SUMMARY ESTIMATfiD PROJECT VALUATION: 25~0~.00
~ . . . . . FEES ~ . . . ~
Permit Fee~ . . . 30-.55 plempeh,~ . . . ~ .
Total Valuation ~OI •00 pwner /conhaotorisresponsibleforlocatinSProPerty
Use Tax 4.50 lines and consuucting improvemeaw according W the
ToTAL 35.05 aPProved plan and requued development standazds.
.
. ~ . ~ . ~ . . . i.cw;.0 ; 75. 60 ~ ..t,.no...:~ * inanr,iaratr in},'Ot[II41011
Comment s:. 111o.05 submitted within the pian scc auN+ 'y M,".._..
errocs resulting from inaccuralc infOnnation.
KS: Fence.cannot.exceed S'.in height. . .
I hereby cesti€y t1+at thesetback dietances proposed by thie permit applicatlon are accurate, attddonot violate applicable
ordinaracee, zulee at.zegulaClondof the City of Nheat Aidge or.covenante, easemente or rastrieCionaof record; that all
meaeuremanK4.ehovm, and.allegatione madeare accurate; that I have read and agree to aDide by aIl eonditione printed on thie
applicatlonasid that I'aeeume tull.reeponei6ility for compliance with the Wheat [tidge Buildiag CoCa (I.B.C) and all other
applicablb t,Pl+eat Atdgc~Ordinnnces, for work under thie permit. Plane euhject to Yield inepecEiort.
iS-.?7-o7
SSgnatureoE contractor/ownez.. o' . .
1. Th1e permik waa iaeued in accoxdence with the provieione eet forth in your applicapion And 1o aUUject to the lawa of the
State of Cblorado and to the ZoningRegulatione and Building Codee of Wneat Ridge, Colorado or any other applicahle
ordinancee of the City. ' 2. This pexmiC ehall pxryite 160 Qay@from the ieeue date. Requeete for an extenaion muet be recelva3 BTSOr to expi[ation
date. An.extEne,i,on cay be granted at thediecietion of the euilding Official. . 3. If thie pexmit eacpitee, a new pemit may Le acquired for a fee of one-half the amountnocmally raqVited, providad no
changea have beEn.oz w111 be ~aade in the original plane and epecificatione and any euepeneioa ot ebandonment hae not
exceeded~ane (1) ytar: If'changee have been or 3f euepeneion or abandonment exceeda one (ll year,.fuYl fees ehall
be paid foz a naw permit.
a.No wrk oE any manner ehall be donethat wlll change the natural flow of water cauainq a dtainege ymY+lem.
5. Con[ractoz ehaYlnoCiLy.the Bullding inepector twenty-four (24) houre in advance for all SnapecE3ons and ehall recelve
' written apprwal aninspecCion card bafose proceeding with eucceseive phaeee of the job.. 6. The Se e of a.,~sesmit ot-the approval oF drawin9e and epecificatione ehall not be conetrued to be.afpermitfor, nor
an a 1 of, a v latlon of theprovieiona of the building codee or any other ordinance, lav, xule or segulation.
A1 lview ct Eo Eie16 inepectione. Signature bf Chief Building Ofticial . date =pgpgCTlpN-RS¢pi$1' LINBt (303)234-5933 BUILDING OFFZCS: (303)235-2855 REQUESTSMUST 88MADE BY 3PM ANYBUSINESS DAY FOR INSPECTION THE FOLLOWiNG BUSINSSS DAY.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
oF w"E^r~, BUILDING INSPECTION LINE - 303-234-5933 Date:
~ o CITY OF WHEAT RIDGE
° 7500 WEST 29TH AVENUE PLAN #
WHEAT RIDGE, CO 80033 - (303-235-2855)
~o~oRao~ MrNOR ApPLIcATraN
Property Owner: Z7ypw6"" G Lsd.cr
Property Address: 12 16 3 u' rol"N A44G 6C Phone:
Contrac[or License No.:
Company: No~S ZAC Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT guildina Dept. Valuation Figure: $
I hereby certify that the setback distances proposed by this permit application are
accurete, and do not violate applicable ordinances, rules or regulations of the City of
W heat 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 thal I assume full responsibility for
compliance with the W heat Ridge Building Code (I.B.C) and all other applica6le W heat
Ridge Ordinances, for work under lhis permit Plans subject to field Inspectlon.
(OWNER)(CONTRACTOR):SIGNED D~ q.c. //'~DATE b".77-G-I
(OWNER)(CONTRACTOR):PRINTED 04~t0 qG~1sJ 414Aen~,+DATE 6-27-A7
Value:$ 2
Permit Fee:$
Plan Review Fee:$
Use Tax:
TOC2l: $
J
Use of Space (description): /le,nauc .C~ico~,..> >"^~'0~~ ~~<:c15~a.Ca' p~✓o Q~rp~~.« L/- yY~ S4➢PN~
Description ofwork: P0S1"s K!C RYTA4R ~ ussono~ dvcz0
Sq. Ft. added '1-17'
Expiration Date: Expiration Date: Expiration Date:
ApprovaP ApprovaC Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of Ihe State of
Colorado and lo Ihe Zoning Regulafions and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shalf 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 180 days.
(3) If lhis permit expires, a new permit may be acquired for a fee of one-half the amounl normalty required, provided no changes
have been or will be made in the oriqinal plans and specifcations 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 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.
(5) Contractor shall notify the Buiiding Inspector lwenty-four (24) hours in advance for all inspections and shall receive wrillen
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 pmvisions of the building codes or any other ordinance, law, rule or regulation. All plan review
is subject to field inspections.
Building Official
Electrical license No: Plumbing License No: Mechanical License No:
Company: Company: Company:
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~ bmr~'s ° t r~~ 9uirrr~°mCats fO~~g
e~~ G pn ~e prble od ~~coPat~s~t~~g~~~~ ~~Q
no" frorn~~c~d~~e it~a~
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~ tNSTACL ntc-w vKU Peszs "a i2e~pcs c<asr<.n~2 i=cuca.lc (y) paszs
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, .~1x~Ear~^.~;:w~.+';tk~,7~+?w~;c~„:ar+`"~:~..a..~^:c~~z~^Rtw,:AC~t4•i~!#"XSZ~'R"~~,~?~";~, -.a~'^*:`~+~'kar ,..:.,.~4a~.. .
ERARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 2454
9'
~ BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 1/3/96
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : LUEBKE HAROLD DUANE
Property Address : 12163 30TH PL
Contractor License No. : 17859
Company : Silver Quarter Acres
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify Nat the aetbadc distances proposed by this permit application aro accurete,
and do not vblete applicabb oMinances, rules or rogulations of the City of Wheat RMge or
covenaMs, easemenES or reetnCions ofrecorcl; Mat all measurements shown, and allegaNOns
mado aro accurate; that 1 have read andag roe to abWe by all ~ndkbns priMed on this
applicatfon, and that I assume tuA reaponsibN Por Ilance with the Wheat Ridge Building
Code (U.B.C.) and ail other applicebla Wheat~w9e o~nances, mr worc under mia Permn.
(OWNER)(CONTRACTOR)SI6NEDngpp~~,PATEJ -3ti6
Description: reroof
Phone :
Phone : 279 6896
Construction Value :
$7,450.00
Permit Fee :
$99•00
Plan Review Fee :
$0.00
Use Tax :
$111.75
Total:
$210.75
BUiLDING DEPARTMENT USE ONLY
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walls : Roof : Stories : ResidenUal Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiretion Date :
Approval : Approval : Approval :
a m 0
(1) Thls pennit was ptuad in accaddfce wXh tlro Drovisions aet kM In yopur ePWkatlon and ie iublecl b IM laws d Me Sfate W CobraOO and to Ure ZoMnp
ReBulHtlon6 uM BulqM~ Cotle of WAeat Ridpe, Cdaatlo ar airy other aVWkabb ortlMe~es d tha CRy.
(2) Thie pertntt sMll s~cpH R(A) tlhe wak euMOnzed ie rrot comrtbncetl wMhM abcN 4aYs hom iseue Oem a(9) the OuiWinp eWwrized b auspxWed a
abandoned for a period ot 120 days.
(3) fl thia ert
Dnft epire" a Mwpertnd maY be aW uked far e he of aisheH tlro amouM ncmialb reQuhed, orovWetl no dWpN haw Eeen orwiY 08 made M tlia
eaednnwnc ana am a p sbn a aDentlonmeM hes not axceedetl ona (1) Yeer. 1f ehenpas are mads or M suapenNon or abendonmeM
exceetla on. (t) r~. NN reae aneq be pawu'far a newp8mix.
oripinei qans and
(4) No wak d my man~x 6haN be tlone ~het wXl Charpe Ule naWral flow of wa0er cewMq e 0relr~ape probbm.
(5) Contrae(w sMM mdry Ms &d~dirq In~pecto~iweny'hwr (24) ~oun in advat~ce far afl (nspecliona entl shall receive wrlCen approval on inepectlon eard beMre
hpwNASUCCeaetve 01VroIoD
(s) ~r ""~eeuance a a permn «.~a~ppara o(~rewinpa and WedficaUOns shdl nM ba consWed to be a pertnR /or. nor an approvd of. my videtlon M ~he pmNebns
_ ol tlla bLtOn0 cotlen or anY Mher ortlinance. IswniR or reBUletlon.
Iding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
~4 ~r
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
PropertyOwner: J~i.1yvc LUtBKG
Property Address : Iaj 6 3 o-t ^ Pt,
Contractor License No.
Company
t'~tSSy
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed 6y this pertnit application are accurate,
and do not violale applicable ortlinances, rules or regulations of the Ciry of Wheat Ridge or
covenants, easements or restrietions of recortl; that all measurements shown. and allegatlons
matle are accurete: that I have read and agree to abide by all conditions pnnted on this
application, and that 1 assuma full responsibility for compliance with the Wheat Ridge Building
Code (U.B.CJ and all other appliwble Wheat Ridge ordlnanees, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED In.u.' S~ • ~1,i',a,,,,,,..,. ,1.. DATE
Description : ~ e. '~_d U v
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning
Approval :
i
EgLy
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No Plumbing License No Mechanical License No :
Company :
Expiration Date :
Approval :
~ PCans R§qatred
Company :
Expiration Date :
Approval:
3 Pllhs Required
Phone: )33.744.V
Phone: a7q 68i~,
Construction Value :*j 45'D
Permit Fee :
Use Tax:
Total :
Company.
Expiration Date :
Approval :
(1) This permit was issuetl in accortlance wiM [he provisions set forth in yopur appbcabon and is subjec[ to the laws of the State of Colo2tlo antl to Ihe Zoning
RegulabOns and Building Cotle a( Wheat Ridge, Cotoratlo or any other appliwble ortlinances ot Ihe Ciry.
(2) This permlt shall expire if (A) ihe work authonied is not commencetl within sixry (60) tlays from issue tlate or (B) the bmltling authorized is suspanded or
abantlonetl tor a penoE of 120 Gays.
(3) If this permit eapires, a new pertnit may be acquired for a fee o/ one-half the amount normallv repuired, providetl no changes have been or will be matle in tha
original plans and specifirations and any suspension or abantlonment has not exceetletl one 11) yeac If changes are matle or if suspension or ahanEanment
exceetls one (1) year, full fees shall be paid tor a new oermR.
(4) No work of any manner shall be tlone tnat wtll cnange Ine naNral Flow of water causing a tlrana9e Oroblem.
(5) Contractor shall notity the Builtling Inspector M1venry-IOUr (24) hours in aavance for all inspecnons and shall recerve written approval on inspection rartl Oefore
proCeetliinq with SuCCessrve phases ot the job.
(6) The i55uance Of a pefmit or Ihe approval O( dfawing5 and specifcatiOns snall not be ConStruea t0 be a Dermit for. nof an approval of, any violati0n of IhE provisions
ofthe bWltling cotles or any otherortlinanCe.law.rule orregulation.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
7500 WEST 29th AVENUE
237-8944 EXT. 255 P.O. BOX 638
DEPARTMcNT OP COMMUNI I Y DEVELOPMENT PERMIT N0. MP93#S`s~~
BUILDING INSPECTION DIVISION ' ~.y~
CITY OF WHEAT RIDGE, COLO.
TNIS PERMIT VAL1D ONLY WHEN SIGNED BY THE CHiEF BWLDING INSPECTOR AND RtGtlri cu ocL.:...
APPL I ATION FOR MISCELLANEOUS ERMIT
JOB ADDRESS OWNER n
Rnti Cn . ADDRES..
CONTRACTOR - cJ ZIp CODE
255 Wyandot St. PHONE
ADDRESS
$0223 ~ONTRAGT PRICE $
CITY Denver CO ZiP CODE 1 3
PHONE 777-4W_270Z) LICENSE NO.
ound ❑
G
'
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01har SaDFocs
r
YPE
1. l
Total Squ
ars FsH
2, MpTERIAL
❑ No❑
Y
'
Type
Flxt. Per
.
mit No.
a
LLUMINATION
SIGNS 3. I
E
-
W
Zuns_
a'elnspector
D
D
4. SET BACK FROM PROPERTY LINE
N_
❑
5 Q
Q
a
~
~oD ~ed
D
(SOseity which is front)
'fYPE Solido Mora Thon 80% Ope^O
1
Lost TAOn 80% OM^
.
Heipht
FENCES S. MATERIAI
N
E
5
_ yy
Zons_
APWaW,Zone InsPeetw
3. SET BACK FROM PROPERTY LINE
_
❑
Q
_
❑
❑
DisaOProved
(Soscifv whieh istront)
_
I.
OTHER
13.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE, 6
(SETBALKS OR PROJFf.TiONS INCLUDED)
FLDOR
JOB
ADDRESS I a- ~ ~ w ` 0 (?x
f4l P%3
DATE: BLDG. PERMITM
PERMITN
BLDG. CONTR. 9""" '
SUBCONTRACTOR
STREET NAME
SHOWTANCE N TO SPRFROM O ERTHV ~INESBNOTDIMAXIMUMJOR fAVERA EEDISTANI:E.s
APPLICATION FOR PLUMBING; ELECTRI(
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED W01
PERMIT ;NILI EXPIRE 60 DAYS FROM DATE OF ISSUANCE 11
ELECTRICAL PERMIT PLUMBING PE
.
STATE L_ICENSE N0 STATE LICENSE N0
. -
7777~~ 517E8 1LLEGAL FLOOR BSM IST
METER
- F
JIf.F -C
DISF
TO
9
d
1 hsreby acknowledqe thot ihis aDGI~e°- I
tion is Correct ond understand thot I
cannot tfort this Drolect until this apPli'
cotion it approved. I aholl oomply witn
the luws of Ihe State o1 Colorado ond to
the Zoninp Requlations ond Buildinq
Code of the City of WI+ea1 Ridqe. AnY
violation of the above terme will cause
immediote revocation of lhis vermit
~
^tul•
SEWERS
_
~
INSPECTION TICKET
/D 3D
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE~ -3
REMARKS/P" 0 ~
W.R. FORM 6-19
NO VALID UNLGbO ncIur I
~ '-r_+ S$z.i ~F
PERMIT FEE
~
( O v3
usE Tax '
TOTAL FEE $,2 14 ~'i3
~
APPROVED ~
DISAPPROVED_
CHIEF BUILDING SPECTOR,City of Wheat Ridqe CALL 237-8944 exT. zss
24 HOURS IN ADVANCE
3 FOR INSPECTIONS
Date Issued