HomeMy WebLinkAbout17843 W CR6DEPARTMENT OF COMMUNITY DEVELOPMENT M911117565
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALIO ONLY WHEN SiGNED BY THE CHVEF BUILDING INSPECTOR ANC RECEIPTED BEIOW.
APPLICATION FOR MISC
ELLANEOUS PER IT5_ I
OWNER ~'r'^'7 -
IOBADDRESS
e~D/d?o C124/J
mc
JONTRACTOR r"~ ,
ADDRESS
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ADDRESS ~~~5'5~.3 l~~ ~ /T
PHONE ZIPCODE
CITY r- tc~'~fQ ~ ZIP CODE Q~ ~0 ~
NE ~o ~1--~y3 LICENSENO
PH
CONTRACT PRICE $
DATE
.
O
TYPE GrounO❑ Woll❑ Proisatina❑ OrMr SaDFOCe
1
.
MATERIAL Total SQUOn Feal
SIGNS
2.
Pvmit No
e ElKt
❑ 7
ILLUMINATION Y
❑ N
7
.
yp
.
ea
o
,
4. SET BACK FROM PROPERTV LINE N_ 5- E_ W Zons- l+pprwM, Zons Inapeefor
(Spetify whicn is front ) ❑ ❑ ❑ ❑ Diaapprwed
1. TYPE Soiid❑ Mort TAan 80% Open❑ Less Thon BO% Open
MATERIAL HeiOhf
fENCES
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W 2om_ Apprwed,2one lnspacta
(Spacify whien ii froM) ❑ ❑ ❑ ❑ Disopproved
~ o ~4-
:OTHER]
a.
DRAW SKETCH OR SHOW BELOW, T4 FENCE,SIGN, OR OT41F! STRUCTUI2E, GIVING D15T4NCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
i
J 4
Y
F-
2
SPECIFY NORTN
~
N
STREET Nl+ME
SNOW DISTANCES F170M TME MAIN BUILDING TpADJ01NING HOUSES, STREETS, AND PROPERTY LINES;ON IRREfiULAR IATS,SNOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR ^il'°": DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE UCENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREUNDERS12E81LLEGAI
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FUEI: CircieUwGaiqlPropons EI Solm
Np,
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE ° AMPS
BATH TL1B
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONINC-BTU
LIGHTING
SINN
OTHER
HEATING
GARBAGE DISP
REFRIGERATqN SYSTEM
POWER SUB-CIFCUI7S
UTILITY(RANGE,DISPOSER,ETC)
FIXTURES
WATER MEATER
AUTO.WA511ER
DISH WASHER
Refri eront Group
Poundt Chor e
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTOF2S d CONTROLS
FLOOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
1 hsroby acknowledQe that thie app)iw-
fion u corrocf and undersfond inai I
cannof ftort tAie projecf until thia aDpli-
Cotion is aDCroved. I Shall comply with
the lowf of the Sfote ol Colorado ond fo
the ZoninQ ReQulafiona ond Bwldinq
Lode ofthe City of Wneaf Ridqe. Any
violalion of tne above lerme will couse
immediate revocohon of this Oermit
PERMIT FEE
USE TAX
TOTAL FEE
APPROVED
DISAPPROVED_
CHIEF BUILDING
NOT VALID UNLESS
3CC
' I
,City of Wheat Ridqe
Date Issued rt ~
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
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