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HomeMy WebLinkAbout5220 W 28th Avenue5_220 Go • - INSPECTION RECORD LCA- INSPECTION REQUEST LINE: (303) 234-5933 occu ancy/1 ype Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Date Inspector Comments oundation Inspections Initials 'ier 'oncrete Encased Ground (CEG) -oundation / P.E. Letter Iroyal Of The Above Inspections Do Not Pour Concrete Prior To App Inspector Comments Underground/Slab Inspections Date Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To A royal Of The Above ns Dater Comments Rough Inspections Initials Wall Sheathing Mid -Roof 3 �� Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Date Inspector Final Inspections Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire inspection / Fire Protection Dist. Ficial Electrical Final Plumbing Final Mechanical Roof Final Window/Doors M I Comments Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Final Building NOTE: All items must be completed he Final Build g inspection does notconstitute aurks, Fire �orizationBuilingbefore Certificate of occupancy. of Occupancy is issued. Approval of t *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window —Please email [ CSS e oe h emailS. �me window l�s based on theOnspector's outep oft e inspection with the property address in the subject occupancy Is Not Permitted Until A CertificateofOccupancy Is Issued Protect This Card From The We City of Wheat Ridge Residential Roofing PERMIT - 201700771 PERMIT NO: 201700771 JOB ADDRESS: JOB DESCRIPTION: 5220 W 28th AVE Redeck - 14 squares; Reroof ISSUED: - 28 squares; GAF 05/22/2017 sequoia5/22/2018 shingles; 30 years; �-Uiv1AU 6 *** OWNER (720)203-1846 ORNELAS ARTEMIO *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,375.89 Total Valuation FEES Use Tax 0.00 Permit Fee 168.77 ** TOTAL ** 204.30 373.07 *** COMMENTS *** --WNUiTiONS *** 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 A;¢ -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&€'s 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'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 inspection. on site at the time of final I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Residential Roofing PERMIT - 201700771 PERMIT NO: 201700771 ISSUED: 05/22/2017 JOB ADDRESS: 5220 W 28th AVE EXPIRES: 05/22/2018 JOB DESCRIPTION: Redeck - 14 squares; Reroof - 28 squares; GAF sequoia shingles; 30 years; *** CONTACTS *** OWNER (720)203-1846 ORNELAS ARTEMIO *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,375.89 FEES Total Valuation 0.00 Use Tax 168.77 Permit Fee 204.30 ** TOTAL ** 373.07 *** 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 k/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 manufacturera€ms 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'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. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. PERMIT N0: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201700771 201700771 5220 W 28th Redeck - 14 AVE ISSUED: 05/22/2017 EXPIRES: 05/22/2018 squares; Reroof - 28 squares; GAF sequoia shingles; 30 years; I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am t1�e 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 this ermit. I further attest that I am le ally 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 1. This permit was issued based on the information provided in the permit 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 androcedures 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 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 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. _4141h a eva eta �.�. 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 __;;�ro0r_Wheat"jge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY Date: PlanlPennit # M !lIJJJ" 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:C% Property Owner (please print): A- /,4�; ,�) (�y�2�/lam S' Phone: Property Owner Emai Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Arch itectlEngineer E-mail: Contractor_ 0w4 Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # L Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form fvi;2o fi ntn wtt rth I h D r CA -7 1 — i/ i s 'i tU w y► Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESIDENTIAL 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.) ,o c5cA Sq. FULF Amps Btu's 50 ll CV /f 5� � f-,0A&d(,- Gallons Squares 2 41� S 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 1 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: (OWNER) (CONTRACTOR) or(AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Y�CiI7i SIGNATURE: T,-,6 rz iii / � DATE: S"Z-— ZONING COMMMENTS Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS. Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ `s `1 l TY OF WHEAT RIDGE Building Inspection Division Il / (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 5H E Job Address: -4 _j �1 C Permit Number: O 17 r et, &0 ❑ No one available for inspection: Time 0 AM/PM Re -Inspection required Yes) No *When corrections have been made, call for re -inspection at 303-234-5933 Date Inspector: DO NOT REMOVE THIS NOTICE k `p 1 CITY OF WHEAT RIDGE F Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:t- Job Address: S a a �- g -N u t Permit Number: c I 0 V I PpRbur/9 S) PT v S r o N, )2 E ❑ No one available for inspection: Time,/ 0 M/PM Re -Inspection required: Yes No * When corrections have been made, call for re�ipspection at 303-234-5933 Date: Inspector: DO NOT REMOVE HIS NOTICE �= t Iv 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: Job Address: 'A Permit Number: D C) 1 7C--) U 7 7 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Ala Date: Inspector: DO NOT REMOVE THIS NOTICE 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: M n Job Address: 5220 Q 28 Avk' Permit Number: 201-700 7-7) ❑ No one available for inspection: Time 16 .*ZIS &M Re -Inspection required: Yes When corrections have been made, call for re -inspections at 303-234-5933 Date: 51311/-7 Inspector: DO NOT REMOVE THIS NOTICE 1,911, m I Ll FOR OFFICE USE ONLY s # II II III • i » Address: City, State, Zip: 44,1 111 5i #= k E�Suyy; Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # WR City License i Other City Licensed Sub: Other City Licensed sub: City License # City License r +It I tra : , s i i 9pR iF IIF R NI 1 :W � MM :. 4 R unt of materials to be used, etc.) - p r— az Vi t - /'X VVAY 12 1 2 (Contract value or the cost of materials and labor included in the 9911—rt p i is Y. i y... i r ':f •'. i # i pi F { i iF . ws ,g .R• : Building Division Valuation: ddp �� �✓ RESIDENTIAL Rev, 06/2014 �" -evi coir eel .Address. Zoning: Lot Size: q. LotWidth: � f. Property in the flood plain? o Ifyes, add surveying eertitiora FLD. Type of p t(applicable survey conditions in parenthesis): Accessory ISP, ILC or site plan none man= ZCJAddition TLC and site plan if Win 2' ofsetback or in floodlaixt ifiso f oodp p f in floodplain Z: I Cl New TIBC and site plan yes ( f Win .2' of setback ifn fl d fain Maximum t Coverage: t. % � s. , Existing prov eats: Proposed House: Improvements: s . ouse/additi n. q. ff. Sipe q Detachedgarage: sq, ft etch Garage: Other: sq. ft. Other: q. sq. . I., Total Existing sq. Proposed -Existing ' Lot Coverage % q. c>t coverage °� ft Required Setbacks. Fly S : 2 S Provided Setbacks. FR S :For additions or new construction, is the structure °within 2 Feet ofminimum setbacks? yes, add Sur ey�zz ccsz�ditian MaximumHeight: f . { i Size. sq & Proposed Height:ft. Proposed Size: sq. . Parkland: If the permit is for new construction, have Parkland dedication fees been paid? If no, add condition PFF:F, notify owner, and notify addingdivision. Streetscape: Does the permit result in any of the followingconditions? Construction of new roads IJ Platting of new lots New development Q Additions that increase :Boor area by 0% or more (see formula) {proposed floor area _ existing floor area } I existing floor area -- If any box is checked.. SF/DUPLEX—Is there existing rb Q Gutter 5 -foot sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required, MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required, Fees -in -lien of dedication or construction are due at the time the permit is issued Direcuous p pg� g g . � !! '«': i • t.. 9' �..:. v ire. w s •• •,- •, • • w • • x o* aw, Building Section . Provide roof if -4 �dtiwhs and solid H MIt M, rim blocking between rafters • p a ' Note- Pre-engineered roof trusses Mruss clips and hardened nails may be structure • k.. w # in Wu ofi6of shown. Diagonal wind bracing or plywood shear panels u� �� t 1�� I. A111111�iA �i comers and each 25'of wall. � IIS r,lh+ e. P r ♦ to A # , sill plate •: a r a � �Y°S Y�St yy. wi ii °s� �wY Wall Insulation Check sue i F t 0� i."fM� ^ ' u Ex pia Site Man .' Now detached1 feet garage * *, "+ ` IX k .x . Jfd yi driveway to�k Ow a be ped + A * ur k 8 feet + * s w * a *"4 980 sq It, t + s k +F (existing) xk 11.11 `� 150.00 feet scale _ A. tai mum 1x12 dd beard SempleElevation 2x1(7 r r speed et 24" o.c. 1/2" exterior pltwood sheathing Class A 3 tab shingles 1 layer415 fel 12 R 8 Insulation I 3 2x6 ceiling joists t at 24" o.c. t 7-711 siding l tDouble E 24 top plate 1/211 exterior j l plywoodl # N 6 studs l rr- at 24" o.c, R-19 fiberglass !AP ` � baits insulation � � Wheat RAg M sill plate. a j ... m 94 11 I I I V17" LL 03 I � Soo -51 I I V17" LL 03 I � m r33.0o ft, VV W PvN C-0 AA I 0 A P Wthf.-"at Rill,,,IEI� iEL,�c D a 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 : 95-788 Date :4/24/95 Property Owner : Property Address : 5220 28 AVE Contractor License No. : 17745 Company : Lepore Roofing Phone: 237-5334 Phone: 233 9060 OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity that the setback distances proposed by this permit application are accurete, 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 respons~'bdity for comPlian tit,the Wheat Ridge Building Code (U.B.C.) and all other applicable VyK~at Ridge o/dma es, fqvwork under this permrt. (OWNER)(CONTRACTOR) Description : REROOF Construction Value : $1,679.00 Permit Fee : $39.00 Plan Review Fee : $0.00 Use Tax : $25.19 - Total: $64.18 Electrical License No : Company: Expiration Date : Approval: a ~ . . Plumbing License No : Company: Expiration Date : Approval: m Mechanical License No : Company : Expiration Date : Approval : 0 (1) This permit was issuetl in accortlance with the provisions set forth in yopur application antl is sub'ed to ihe laws of the State oF Colorado and to Ihe Zoning Regulations and Buildin8 Code o( Wheat Ridge, Colorodo or any other applicaEle ortlinances of t~e City. (2) This permit shall expire it (A) the work authonzed is not commenced within sixty (60) days from issue date or (B) the building authorized is suspentled or abantlone0 for a periotl ot 120 tlays. (3) If this permit expires, a new permit may be acquired tor a Fee of one-half the amount normally requiretl, provitletl no chan9e5 have been or will be made in the original plans and specifcations and any suspension or abantlonment has not exceeded one (i) year. I( 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 chan9e the naNrel flow of water causing a tlrainage problem. (5) Contraclor shall notify the Building Inspector twenry-four (24) hours in advance tor all inspecGOns and shall receive written approval on inspection card before proceediing with 5uccessive pha5e5 of the job. (6) The issuance of a permit or the approval of drewings and specifications shall not be construed to be a permit tor, nor an approval of, any violation oF the provisions of the builtling cotles or any other ordinance, law, rule or regulation. Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPEMENT Application Number' BUILDING INSPECTION DIVISION - 235-2855 Date : CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner :1j/plna S N11a(e drdncJ` Phone :.~37'-533 Property Address : I)e- Contractor License No. : / 7?46$ Company: ~pare ~Qoo-~iPhone: ~33-~/DoO -T OWNERfCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback tlistances proposed by thls permit application are accurete. and tlo not violate applicable ordinances, rules or regulations of the City of Wheat Ritlge or covenants, easements or restnctions of record-, that all measurements shown, and allegadons made are accurate; that I have read and agree to abide by all conditions printed on this appliwlion, and that I assume full responsibiliry for complia wilh the Wheat Ridge Building Code (U.B.C.) and all other applicable V~at Ridge~din ~ ec s, for work untler this permit. (OWNER)(CONTRACTOR) SIGNE Description : Approval : Zoning : .h e~ n- Approval : P.,aRc o,,~rks`,CoMf1Xehts; Approval : BUILDING DEPARTMENT USE ONLY ConstructionValue: //0,7900 Permit Fee : Use Tax: Total : Occupancy : Walls : Roof : Stories : Residential Units : Electrical ;_.cense No : Plumbing License No : Mechanical License No : Company Company : Company : Expiretion Date : Approval . Expiration Date : Approval : Expiration Date : Approval: ~ ~Ia~1s:Required:~ Plaas°,Rgpui[ed":;;4d~ (1) Thls permn was issued in accortlance wnh the provisans set forth in yopur application anE is sublect lo the law5 0( the SUIe of CUaaEO and W the Zwi^9 Regulatwns an0 Bui1Em9 Code of Wheal Ritlge, Colorado or any other applicable ordinances of the Ciry. (2) This permit shall e:pire d (A) the work amnonzetl is not commencea wilhin sizry (6O) davs from issue tlate or (B) llie bulMing authorizeE is suspendeE w aDarWOnetl ta a peno0 0l 120 aays. (3) lonq nai~p ans aoa specif[atio 5 a'nd ny s sacquired pens o0 or abandonment has not ezceetleC one (r1 ~ye a if cha ge a e matle or~ f su bs~pension ofDabarMOnmeal ceeas one Jt) yeaG lull fees shall be paitl for a new permrt. (4) ex No work ol any manflef Shall be done that wtll cnange the naiural llow of water rau5ing a drainage problem- . (5) ConVaclof Shall nolify the Bwlding InspeCtor twenry-iotir (747 hours in advance for all m5peclions ana shall receive written aDproVal On inspeclion rartl Deb/e procee0imq wiN successne ?nases of the lob. (6) The issunnr.e o( a permn or the approval ol drawing5 and speCifica4on5 shall nol be r.onslruea to be a permit lor, nof an approv2l of, any violatlOn O( th2 PMVi5wn5 ot me oudaing co0es or any other oromance, iaw, mie or re9uiation. Chief Bullding Inspector For Mayor THIS PERMIT VALID ONLY ALL W 345933 24 HOURS PRIOR TO~INSPEC ION ECTOR AND MAYOR 7500 WEST29th AVENUE 234-5933 P.O. BOX 838 THiS PERMIT VALID ONLY WHEN SiG J08 qDDRESS - Qp a O W CONTRACTOR . I U\ , N I -)-J CITY / 9J/ PHONE GI DEPARTMENT OF GOMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. BY THE CNiEF BUILDING INSPECTOR ANC RECEIP7ED BELOw wvo d 5 ZIP CODE OOO LICENSE NO. 3'7'I~ OWNER 10 ADDRESS `J a PHONE CONTRACT PRICE $ _ DATE PERMIT NO.ME94#5867 w. ~g * ) ~IY P 3 O v O ZIP CODE _ - aa- y L c,ouna❑ woii❑ MATC RIAL Proiectingo O}her SaDFoce 2. SIGNS 3 ILLUMINA710N 710N Yas❑ No❑ Typa 4. SET BACK FROM pROPERTY LINE N__ 5__ E__ y INSPECTION TICKET ~ (Spstity wAitA is honf ) ❑ ❑ ~ 1. TYPE Solid~ Morl TAOn 80°a 0 sn JOB MATERIAL P ❑ Lnt ADDRESS Q FENCES " 3. SET BACK FROM pROPERTY LINE N_ SE__ V (Spetify whicA it front) ❑ ❑ ❑ DATE: ~~=_BLDG. PERMI N' OTHER z 3' PERMITk DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,pR OTHER STRUCTURE,( BLDG. CONTR A. (SET84CKS OR PROJECTqNS INCIUDED) SU 8r.nuTO n rr..., SHOW OISTANCES FROM THE MAIN BUILDINfi TOADJOINING MOUSES, STREET DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DI5T4NCE. / APPLICATION FOR PLUMBING; ELECTRI....... THIS APPLICATION WILL BECOME A PERMIT 70 PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION OIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICA=PERMIT PLUMBING PERMIT MECHANICAL PERMIT STATE LICENSE N0. STATE LICENSE N0. iMINUMT _RE UNDEp SIZE B ILLEGAL FLOOR acu i mci~n CE ° AMPS RVICE-AMPS ~ WASH BOWL BATH TUB SHOWER SINK N GARBAGE D ISP B-CIFCUITS WATER HEATER NGE,DISPO5ER,ETC) AUTOWASHER _ DISH WASHER R ORS B CONTROlS FlD(X2 DRAIN SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS 4DDITION TO OLD WORN OTMER NOTORS OVER I HP rnrei nvn ioc 1 hareby ocknowledqe tnot tnia oppiico- PERMIT FEE qcs tion it correct and undentond that I USE TAX eannot sforl inie projbcf until thia oDVli- ~ Cation is opproved. I sha11 comply with TOTAL FEE fhO lowe oi fhe State ol Colorado ond to }he ZoninQ Repulationa ond Buildin7 Code of the Lity o! 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