HomeMy WebLinkAbout1995 & prior - Bus Stop AdvertisingDEPARTMENT OF COMMUNITY DEVELOPMENT M94#19131
7500 WEST29th AVENUE BUILOING INSPECTION DIVISION PERMIT N0.
234~5933 P.O. BoXS38 CITY OF WHEAT RIDGE, COLO.
, THIS PERMIT VAUD ONLY WHEN SIGNED BY TME CHIE.F BUILDING INSPECTOR AND RECELPTED BELOW.
. _ . . _ _
JOBADDRESS ,IOL~~t 621 V~SOWNER .
CONTRACTOR ADDRESS
ADDRESS
CITY ZIP CODE -
PHONE LICENSE NO.
PHONE _
CONTRACT PRICE $ DATE
21P CODE 2~2.;;Z
1. TYPE Graund ❑ Wall❑ Proieciinq❑ Otnsr _QYS bS or D Feee
2. MATERIAL ~=L^ A77~tCl4CrL~ C4 S:t Tofal Squore Feat
SIGN$
3. ILLUMINATION Yas❑ No❑ 7ype Eleet
Psrmif No.
.
4 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approvad, 2Me Inspoda
(SDecity which is f ront ) ❑ ❑ ❑ ❑ DisapDrwed
FENCES
1. TYPE SolidE3 More Than BO% Open❑ Lest Thon 80% Open
MATERIAL HoiQht
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W 2ms_ Apprwsd,Zons InsDeeta
(Speeity whieh is tront) ❑ ❑ El ❑ Diso Droved
.
I ~ l c
~
.
2 ~ `w ~
OTHER
a
.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVIhG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR VROJECTIONS INCLUDEA)
~
SPECIFY NORTH
STREET NAME
SHOW DISTAtJCES FROM TME MAIN BUILDING TaADJ01NING HOUSES, STREETS, ANO PROPERTY I.INES;ON IRREGULAR IATS, SHOW LEAST
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECFiANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BYTHE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE If WORK ISNOTSTARTED WITHIN THATTIME.
ELECTRICAL PERMIT
STATE LICENSE NO,
~ PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREUNDERSIZE8ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
Fl1EUC'acbOnaGWqlRoponeCoplElxSolw
N0.
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - 8TU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-8TU
LIGHTING
SINK
OTHER
HEATING
GARBAGE OISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri eront Grap
UTILITY(RANGE,DISPoSER,ETC)
AUTO. WASHER
Pounds CMr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLDOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 8 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
REMARKS
I hereby acknowledpe ihat this aDPlica-
tion is eonect ond understond thot I
cOnnot storf }his projact until this appli-
cation is approved. I sholl comply wifh
the lows of 1he Sfota of Colorodo and to
}he Zoninp Requlations nd Buildinq
Code o he Ci of he t Ridqe. Any
vioiafio f e bov te me will couse
irryn~di t re fion of~this permit
PERMIT FEE
v-v I ri, ao .6-r)
NOT VALID UNLESS REC IPTED
~6at~
CALL2345933
24 HOURS IN ADVANCE FOR INSPECTIONS
USE TAX
I TOTAL FEE 1$ JO a6. D-d I
CHIEF BUILDING
Wheat Ridqe
Date Issued P ~ 3 1r94/
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST29thAVENUE BUILDING INSPECTION DIVISION PERMIT NOt,q93#18851
234-5933 P.O. BoX 638 CITY OF INHEAT RIDGE, COLO.
THIS PERMIT VAUD ONIY WHEN SIGNED BY TtiE CNIEF BUILDING WSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS
CONTRACTOR
ADDRESS _
CITY
PHONE _
ZIP CODE _
OWNER -1-~ >
ADDRESSX ~
PHONE ~
CONTflACT PRICE
DATE
1. TYPE Ground ❑ Woll❑ Proiectina❑ 01hsr S or D Faas
2. MATERIAL Tofal Square Feaf
SIGNS
3. ILLUMINATION Yee❑ No❑ 7ype Elxt. Psrmit No.
4. SET BACK FROM PROPERTY LINE N- S- E_ W Zons_ ADDroved,Zona Inspsetor
(SDnifY which ie f ronl ) ❑ ❑ ❑ ❑ DisopDrwed
I. TYPE Solid❑ More Than 80% OpsnCl Laes Thon 80% Open
? MATERIAL Hsiphf
FENCES
3. SET BACN FROM PROPERTY LINE N_ S_ E_ W Zane_ Apprwed,Zone lnspeetw
(Specify whioA ie tront) ❑ ❑ ❑ ❑ DisoOProved
I. 17'u S'~Cob'~ AlFa o -ro aa3 1z-
z 'S' ~AWX' C, 3ZN~- 2K164 -
OTHER
+
3 .3b o\J akF% 6-t) L
3014 -26Qauk7 t'tg
DRAW SKETCH Oli SHaW BELOW, THE FENCE,SIGN,OR OTHER SYRUCTURE,GIVINo DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDED)
w ~
z
J
Y
H
K
SPECIFY NORTM
ig
N
LICENSE NO.
STREET NAME
SHOW OISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LOTS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHAPdICAL PERMIT
THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BYTHE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PI.UMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREUNDERSIZEBILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FUE4CircieOneCwpolPropaneCoolEixSolar
Np.
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT.WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WA7ER HEATER
Refri eront Group
UTILITY(RANGE,DISPO5ER,ETC)
AUTO. WASHER
poundf CMr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOFtS d CONTROLS
FIJJIX2 DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
REMARKS
I hereby acknowledQe thot this apvlica- PERMIT FEE' ~ Z,~
tion ie eorrect ond understand that I USE TAX
eannof stoit this projeet until thie oppli-
cotion ie approveC. i shall comply with TOTAL FEE
ths lawa oi the State ol Colorodo and to ~
thsZonina Requlations and Buildinq AppROVED
Code of the City oT Wneot Ridqe. Any %eno ~
violation of the above terme will cause CHIEF BUILDIN NSPECTOR,City of Wheat Ridqe
immediate ievocation ot fhis permit
VALIO
I CALL 234•5933
24 HOURS IN ADVANCE
° Dafe IsSUed ~ 2 FOR INSPECTIONS
p an Si0na1 e
ZIP CODE
V.
~ir22rja
Parmi: a f_? Ciiia ot t'the3tt-idga
Plum Addrass C€ass £#aee$ TIF Cret #arerfiser
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CIrv aF WHEl-1T rznGE
7500 W 29TFi AvF.y P.O. Box c„a
WHEA"f RTDGE, CC!LDF:AI}0 80034
DATC PAID: SUN 2=1., 1993
RECEIVF_D FRGNI; RUS STOP ADtJERTISING
D_r-:ar:F:IPT:ONe LjLPG 1=•ERIhS"t'
ANiOIJPdT CF-IECt::; !610ia~i,i~ C:HE~_k: I~IOt 1153
[:ASFI,: kiteC~r.-~ -
i=HAF:riEo $cia0p
t'ICII'dEv 0RDLF': $0,00
AMQUNT I?CCEIVED: $100„00
(JF'r' IDe AMW F'F_CETF'T PdOe 55931
DEPARTaiENT OF COMMUNI i Y DEVELOPMENT
7500 WEST zstn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M92#18578
237-6944 ExT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTED BEIQW.
. .
JOB ADDRESS LU~I(=~ D~ L
CONTRACTOR
ADDRESS _
CITY
ZIP CODE -
LICENSE NO
OWNER
ADDRESS jZZ ~G S. Sf~~7z/ D~N 1~t V 0
PHONE G _IT7J,57OAI 97,3-i~ZaLiP cooe Stji-3
CONTRACT PRICE $
1. TVPE Ground❑
Wali❑
Proieetinp❑
Other~,SaDFOCa
2. MATERIAL ~T7~HF
= D G/S ~
Total Squaro Feet
SIGNS
3. ILLUMINATION Yaa❑ No❑
Type
Elae}. Parmif No.
4 SET BACK FROM PROPERTY LINE N
_ S_ E
_ W
Zona- Approved, 2one Inspactor
(Sp6tify which ia tront)
❑ ❑
❑ ❑
DiaapDroved
1. TYPE SolidO More Than 80% ODanrl
Latt Than 80% Open
? ' MATERIAL
Heipht
fENCES
3. SET BACK FROM PROPERTY LINE N
_ 5_ E
_ W
Zons_ Apprwed,Zona Inepeciw
(SpeCi}y whieh ie }rOnt)
❑ ❑
❑ ❑
DisaDDroved
OTHER I2
a.
ORAW SKETCH OR SHOW BELOW,.THE FENCE,SIGN,OR OTHER STRUCTURE,GIVihG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
REAR PROPERTY LINE
~ ~~~~~r~ c ~ s~
)
f
K
W
a
0
o:
a
w
N
FRONT PROPERTY LINE
Z
J
>
F-
K
=j
ZE
~
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TPAOJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR lATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
O.PPLICATION FOR PLUMBING; EI.ECTRICAL; MECNANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIY WILL E%PIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHlN THAT YIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUeRINUAAWIREUNDERSIZE0ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FLELzChchOneGapqlProponeCoolEteeSoloi
N0.
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE OISP
REFRIGERATION SYSTEM
POWER SUB-CIRCUITS
WATER HEATER
qe}ri eront G,oup
UTILiTY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
Poundf Char e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKIER SYSTEM
WIRING MOTORS B CONTROLS
FtDOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS .
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAI FIXTURES
I hereby acknowiedpe thol this applica-
fion ia Correcf and understond fhot I
eannof afarf this projsef until this oppli-
cation ie apOroved. I shall comply wifh
the lawa of the Sfafe ot Colorado and to
the Zoninp Requlationn and Buildinq
Code of the City oi Wheot Ridqe. Any
violafion of the obove terma will couse
immediate /qevocation ot /ih' permit.
,1/ / a l~~
PERMIT FEE p ~
USE TAX
TOTAL FEE $1 Q~ ~
V
DIS PP ED
CHIEF BUILDING INSPECTOR,Cityof heaf Ridge
Date Issued .1,2 ' z ~ 22
CAIL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
ap61ie6nh-sionotun
. CERTIFICATE OF INSURANCE
American Family Mutual Insurance Company
3099 East Washington Avenue
Madison, Wisconsin 53783-0001
Agent's Name and Address
Anson M. McDaniel Agency This certificate is issued as a matter of information
8500 W. Bowles Ave #206 only and confers no rights upon the Certificate Holder.
Littleton, Colorado 80123
This certificate does not amend, extend or alter the
. . coverage afforded by the policies listed below.
Insured's Name and Address . . . .
Bus Stop Advertising 6840 S. Sheridan Blvd . . . Littleton, Colorado 80123 , COVERAGE$
This is to certify that policies of insurancelisted below have been issuedto the insared named above for the policy.
period indicated, notwithstandingany requirement, termor condition of any contractor other document with respect
to which this certificate may be issued or may.pertain,:the insurance afforded by the policies described herein is
subject to all the terms, exclusions, antl conditibns of suchpolicies.
TYPE OF POLICY
INSURANCE NUMBER
POLICY DATE
EFFECTIVE IXPIRATION
(MO DAY YR) (MO DAY YR)
LIMITS OF
LIABILITY
NORKERS COMPENSATION
Statutory
Each Accident
Disease-Each Employee
$
$
,000
,000
~0
EMPLOYERS LIABILITY+
.
Disease-Policy Limit
$
,000
GENERAL LIABIIITY
.
General Aggregate
$500
,000
[X] Commercial General Pending
12/15/92 12/15/93 .
Products-Completed Operations
$500
000
Liability
Aggregate
Personal and Advertising Injury
$500
,
,000
(occurrence)
Each Occurrence
$500
,000
Fire Damage (Any One Fire)
$50
,000
Medical Expense (Any One Person)
$5
,000
C 7
BUSINESSOWNERS LIABILITY
Each Occurrence
$
,000
Commercial General
[ 7
Aggregate
$
,
000
Liability
AUTOMOBILE LIABILITY
Bodily Injury - Each Person
$
,000
Owned Autos
(Basic Form)
Owned Autos
Bodily Injury - Each Accident
$
,000
(Comprehensive Form)
[ 7 Hired Autos
[ ] Non-owned Autos
Property Damage
$
,000
[ 7 Garage Liability
Bodily Injury and
Propertv Damaae Combined
$
.000
IXCE$$ LIABILITY
[ ] Commercial Umbrella
Each Occurrence/Aggregate
$
,000
C ]
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTION$/SPECIAL ITEMS
Certificate holders, officers and
employeesare additional insureds .
The individuaTor partners shown as Insureds C]
Have C 7Have
not
+
..elected. to -becovered..as employees under this policy.
. . ++Products-Completed Operations aggregate is equal
to each occurrence
CERTIFICATE HOLDER'S NAME AND ADDRES$ CANCELATION . .
City Of Wheatridge . . . Should=any of the above describedpolicies be canceled
before~the expiration date-thereof, the undersigned
company will,endeavor to maiL.`( days) written notice to
the Certificate Holder named to the left, but failure to
mail such notice shall impose no obligation or liability of
any kind upon the company, its agents or representatives.
* 10 days unless different number of
da s shown.
DATE ISSUED 72/75/92 AUTHORIZED R~ EPRE~TA~~'Q-,~
UBL-11787 Ed. 11/90
1 21r~3/92 Permit List City of Wheatridge 1
Num
Address
Cross Street
T/F
Crn
029th
W07580 WadsWOrth
EB
SE
Wheatridge
01
032nd
W05781 Fenton
VVB
Wheatridge
032nd
W05915 Gray
m
M/\I
Wheatridge
03
032nd
W06020 Ingalis
EB
Wheatridge
02
032nd
W06420 Lamar
EB
Wheatridge
032nd
W07100 Salsbury
EB
gW
Wheatridge
032nd
W07580 Wadsworth
EB
SE
Wheatridge
os
032nd
W07605 Wadsworth
WB
Wheatritlge
os
032nd
W08290 Balsom
EB
Wheatridge
032nd
W08720 Dudley
EB
SW
Wheatridge
07
032nd
W10405 Miller
VVB
`Nheatritlge
032nd
W10800 Oak
EB
pAn/
Wheatridge
032nd
W11195 Quail
Wg
NN
wnaavmya
oa
032nd;
W11779 Tabor
WB
Wheatridge
032nd
W12495 Wrighi
E13
gW
Wheatridge
038th
W05550 Depew
EB
$E
Wheatridge
09
038th
W05990 Harlan
EB
Wheatridge
038th
W06300 Kendal
Wg
N,n/
Wheatridge
10
038th
W06301 Kendall
WB
Wheatridge
038th
W06501 M2fSh811
WB
NN
Wheatridge
038th
W06560 Newland
B
SE
Wheatridge
1 1
038th
W06790 Pierce
EB
Wheatridge
12
038th
W06829 Pieroe
WB
Wheatridge
038th
W07000 High Ct.
EB
$w
Wheatridge
13
038th
W07611 WadsWOrth
WB
Wheatridge
03 8t h
W 08900
EB
weaavidge
15
038th
W10010 Kipling
EB
wneatridye
14
038th
W10011 Kipling
Wg
wneatrid9a ,
16
038th
W10451 MoOf2
W6
wheatridge '
17
038th
W10460 MII12f
EB
I
Wheatridge
038th
W10580 NeISOn
EB
$E
Wheatridge I
038th
W10615 Nelson
WB
P1VV
wnaavmya I
18
038ih
W10926 Parfet
EB
Wheatridge
038th .
W71000 Parfet
WB
W
wnaavia9a
038th
W11500 ROUtf
EB
$W
Wheatridge
038th
W11500 Routi
EB
$W
Wheatridge
19
044Sh
W05575 DepeW
WB
Wheatridge
12i'13/92 Permit List City of Wheatridge 2
Num
Address
Cross Street
T/F
Crn
20
044th
W05980 Harlan
EB
Wheatridge
21
044th
W06101 Ingalis
VVB
Wheatridge
22
044th
W06390 Lamar
EB
wnaao-mea
Z'
044th
W06789 Pierce
WB
Wheatridge
24
044th
W06790 Pierce
EB
Wheatridge
25
044th
W07110 SaulsbUfy
EB
Wheatridge
26
044th
W07415 V8nC8
WB
Wheatridge
27
044Sh
W07605 WBdsWOrth
WB
Wheatridge
ZB
044ih
W07815 YaffOW
WB
Wheatridge
044th
W08100 Ammons
EB
g
Wheatridge
044th
W08720 Dudley
EB
sw
Wheatridge
29
044th
W08990 Field
EB
Wheatridge
ao
044th
W09005 Field
WB
Wheatridge
31
044th
W09192 Garrison
WB
wnaavmee
32
044th
W09225 Garrison
EB
wneavmee
33
044th
W09544 Hoyt
EB
Wheatridge
34
044th
W097011ndependence
I/If8
Wheatridge
35
044th
W09980 Kipling
EB
Wheatridge
36
044Sh
W10055 Klpling
EB
Wheatridge
044th
W10385 Miller
Wg
NE
Wheatridge
044Sh
W10780 Oak
EB
,S`w
Wheatridge
044th
W10900 OWBfIS
NI$
NN
Wheatridge
37
044th
W11219 Plefson
WE3
Wheatridge
39
044th
W11400 Robb
E3B
Wheatrid9e
3e
044th
W11405 Robb
Wg
Wheatridge
044th
W11780 Tabof
EB
$E
Wheatridge
40
044th
W11995 TfUCk Stop
WB
Wheatridge
42
044th
W12310 Ward Road
EB
Wheatridge
41
044th
W12605 Ward Road
WB
"g'aa"'a9e
43
Klpling
N03804 38th
NB
Wheatridge
44
Kipling
N03805 38th
SB
Wheatridge
45
Klpling
N04110 41SS
NB
Wheatridge
47
Klpling
N04395 44ih
SB
Wheatridge
68
Kipling
N04495 44th
NB
wneaviaya
so
Klpling
N04901 49th
SB
Wheatridge
49
Klpling
N04910 49th
NB
Wheatridge
Sheridan
N03775 38th
SB
SW
Wheatridge
1 2/23/92
Num Address
Permit List City of Wheatridge
Cross Street T/F Crn
3
57 Wads worth N04410 NB wnaamaee
52 Wadsworth N03195 SB wneauia9a
53 Wadsworth N03210 32nd NB Wheatridge
sa Wadsworth N04110 n$ Wheatridge
55 Wadsworth
N04115
SB
wnaatriaae
5s Wadsworth
N04355
SB
wnaaidaaa
58 Wadsworth
N04535 45th PI
SB
Wheatritlge
59 Wadsworth
N04580 45th PI
P8
wnaavmaa
I
CERTIFICATE OF INSURANCE
American Family Mutual Insurance Canpany
3099 East Washington Avenue
Madison, Wisconsin 53783-0007
Agent's Name and Address
Anson M. McDaniel Agency
This certificate is issued as a matter of informat
ion
8500 W. Bowles Ave #206
only and confers no rights upon the Certificate Holder.
Littleton, Colorado 80123
. This certificate does not amend, extend or alter the
coverage afforded by the policies listed belov.
Insured's Name and Address
. .
8us Stop Advertising
6840 S. Sheridan Blvd
.
Littleton, Colorado 80123
COVERAGES
This is to certify that policies of insurence listed below have.beenissued to..t6e insured named above for the
policy
period indicated, notwithstanding any
requirement, term or conditionof"any contractor other document with res
pect
to which this certificate may be issued or may pertain, the insuranceafforded by the palicies described herein
is
subject to all the terms, exclusions,
and conditions of such poticies.
TYPE OF POLICY
POLICY DATE LIHITS OF
INSURANCE NUMBER
EFFECTIVE IXPIRATION LIABILITY
(MO DAY YR) (Fq DAY YR)
Statutory
MORKERS COMPENSATION
Each Accident $
,000
AND
Disease-Each Employee $
,000
EMPLOYERS LIABILITY+
Disease-Policy Limit $
,000
GENERAL LIABILITY
.
General Aggregate $500
,000
[X] Lommercial General Pending
12/15/92 12/15/93 Products-Completed Operations
Liability
Aggregate $500
,000
(occurrence)
Personal and Advertising Injury $500
1000
Each Occurrence 500
,000
Fire Damage (Any One Fire) 50
,000
Medical Expense (Any One Person) $5
,000
C 7
BUSINESSOWNER$ LIABILITY
[ 7 Cortenercial General
Each Occurrence
$
,000
Liability
Aggregate
$
,000
AUTOHOBILE LIABILITY
C 7 Owned Autos
8odily Injury - Each Person
$
,000
(Basic Form)
C 7 Owned Autos
Bodily Injury - Each Accident
$
1000
(Comprehensive Form)
[ ] Hired Autos
[ ] Non-owned Autos
Property Damage
$
,000
[ ] Garage Liability
[ ]
Bodily Injury and
( ] Commercial Umbrella
Each Occurrence/Aggregate $ .000
C]
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS .
Certificate holders, officers and employees are additional insureds .
+The individual or partnersshown as Insureds [ ]Have C 7Have not
elected to be covered as employees under.this policy.
++Products-Completed Operations aggregate is equal to each occurrence
LtKIlYll.Alt f7ULUCK'3 IYHI'IC AIYU AUUKC]] . IJUYI.CLA11Um City Of Wheatridge Should. anyof -theabovedescribed policies be canceled
. before the expiration..date.thereof, the undersigned
company. willendeavorto.mail'*( days) written notice to
. the Certificate Holder named to the left, but failure to
mail such notice shall impose no obligation or liability of
- any kind upon the company, its agents or representatives.
. * 10 days unless different number of
davs shown. DATE ISSUED 12/15/92 AUTHORIZED REPRESENTATIVE
UBL-77781 Ed. 17/90
'OjAA,~dw~48 2096
WES BLATTER
p,0. Box 620921 • Littleton, CO 80162
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST 29th AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M92#17801
237-6944 ExT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALIO ONLY WHEN SIGNED BY TIiE CHIEF BUIIDING INSPECTOR AND RECEIPTED BE.L'JW.
APPLICATION FOR MISC
ELLANEOUS PERMIT
OWNER &~S ST'~P AUJ~ZT1S1~1C~
IOBADDRESS
:ONTRACTOR
ADDRESS
ADDRESS
PHONE ZIPCODE
CITY ZIP CODE
LICENSE NO
CONTRACT PRICE $ .
DATE
.
PHONE
Wall❑ Proieofinp❑ Other l 7 N~'SorOFeea
-
TYPE Gro
und❑
I
SiGNS
n-
/
.
2. MATERIAL 7~~ ~5 I mry - Total Squaro Fest
~
ILLUMINATION Yas❑ No IJ 7ype Elaef. Psrmit No.
3
.
4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approvsd,2one Inspsctor
(Speaily which ia front ) ❑ ❑ ❑ ❑ DisapDrwed
.
i, TYPE Solid[:] More Thon 80% OpenO Len Than 80% Open
MATERIAL 'Hoiphf
?
.
FENCES
,
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zme_ Apprwed,Zons Inspeeta
(Specify whiehisfront) ❑ ❑ ❑ ❑ Disapproved
,_'"~u "~c~c.NCS G c" W~ar 2Vx-:IE-
z 0,0caPq
aaG
OTHER
3
.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
REAR PROPERTY LINE
~iE~ I.aS ~ Ac~C~caaE7
W W
Z =
J J
1- ~
W
a ~
a
w ~
VI N
FRONT PROPERTV LINE
~
SPECIFY NORTH
. STREET NAME
SNOW DISTANCES FROM THE MAIN BUILDING Ta ADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LOTS, SHOW LEAST
DISTANCE TO PROPERTY LINES,NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THISAPPLICATION WILL BECOMEA PERMIT TO PERFORM THE INDICATEDWORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
. PERMIT WIIL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WOflK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUAI WIRE UNOERSIZE B ILLEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FIJEL:CircleOne GoS dI Propane Cod Elee Solor
ryp,
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATEH - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTIN6
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SU9-CIFCUITS
WATER HEA7ER
Refri erant Group
5TILITY(RANGE,DISPO5ER,E7C.)
AUTO.WASHER .
Pounda Char e
fIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOFtS d CONTROLS
FLOOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I Aereby ncknowledQe fhot ihis applico-
tion ia eorrect ond understand that I
connot atarf ihie project unfil this appli-
eation ie apDroved. I sholl comply with
tAS lawa of the Slafe of Colorado and to
the Zoninp Repulations ond Buildinq
Code of the City of Wheaf Ridpe. Any
Violation ol the abOVe ferms will tause
immediale revocation of tnis permil
PERMIT FEE
USE TAX
TOTAL FEE $ / GzQ a{J
PP ~
DIS OVED
CHIEF BUILDING INSPECTOR,City of eat Ridqe
I Date Issued .1 ' I ~J - { a -
40p1i<anh 9i0nalan
NOT VALID UNLES
.e .FF
/V-9a
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
~
Num Bus Stop Address
City Note Cross Street T/F Dir Advertiser
oa 32 Av 7441 W Vance WB No Bench
os 32 Av 8290 W Balsom EB No Bench
Whealritlge
07 32nd Av 10405 W Miller WB No Bench
Wheatridge
oe 32nd Av 11779 W Tabor WB No Bench
oi 32nd Av 5701 W Fenton NB
Wheattidge
os 32nd Av 6020 W Ingalls EB No Bench
02 32nd Av 6420 W Lamar
EB No Bench
os 32nd Av 7605 W Wadsworth WB Laser Canyon
W heairidBe
,a 38th Av 10010 W Kipling EB Alternative ~
Wheatritlge
38th Av 10011 W Kipling WB Laser Canyon
i
Wheatddge i
+7 38th Av 10390 W Miller EB Hopkins ~
is 38th Av 10451 W Moore WB NoBench
Wheatridge
18 38th Av 10926 W Parfet EB Cave of Winds
Num Bus Stop Address
City Note Cross Street T/F Dir Advertiser
os 38th Av 5990 W Harlan EB Cave of Winds
Wheatritlge
10 38th Av 6301 W Kendall NB No Bench
38th Av 6790 W Pierce EB Hopkins
Wheatritlge
+z 38th Av 6829 W Pierce NB Hopkins
Wheatritlge
13 38th Av 7611 W Wadsworth NB Hopkins
36 44th 10055 W Kipling 13B Hopkins
Wheatritlge
37 44th 11219 W Pierson WB Hopkins
39 44th 11400 W Robb 13B Hopkins
3e 44th 11405 W Robb WB Hopkins
ao 44th 11995 W Truck Stop WB Pro Rodeo
Wheatritlge
az 44th 12310 W Ward Road BB Hopkins
41 44th 12605 W Ward Road WB Alternative
19 44th 5575 W Depew WB No Bench
Wheatridge
Num Bus Stop Address
City Note Cross Street T/F Dir Advertiser
zo 44th 5900 W Harlan EB Alternative
Wheatridge
z+ 44th 6100 W Ingalis WB Hopkins
22 44th 6390 W Lamar EB Hopkins
23 44th 6789 W Pierce NB Hopkins
za 44th 6800 W Pierce EB Bench Ad
Wheatridge
zs 44th 7110 W Saulsbury 13B Cave of Winds
zs 44th 7400 W Vance WB Cave of Winds
Wheatridge
27 44th 7605 W Wadsworth NB Hopkins
Wheatridge
za 44th 7800 W Yarrow WB Alternative
29 44th 8990 W Field EB Alternative
30 44th 9005 W Field WB Cave of Winds
ai 44th 9192 W Garrison NB Hopkins
Wheatridge
32 44th 9225 W Garrison EB Hopkins
Wheatridge
Num Bus Stop Address
City Note Cross Street
33 44th 9544 W Hoyt
sa 44th 9701 W Independence
T/F Dir Advertiser
83 Hopkins
Vd6 Grandparents
ss 44th 9900 W Kipling EB Hopkins
Wheatritlge
43 Kipling 3804 at 38th NB Hopkins
44 Kipling 3805 at 38th SB Bench Ad
Wheavidge
as Kipling 4110 at 41st NB Hopkins
Wheatridge
47 Kipling 4395 at 44th SB Hopkins
as
Kipling
4410
at 44th
NB
No Stop
Wheatritlge
ae
Kipling
4495
at 44th
NB
Pro Rodeo
Wheatridge
50
Kipling
4901
at 49th
SB
Hopkins
Wheatridge
ae
Kipling
4910
at 49th
NB
Hopkins
Wheatritlge
si Sheridan Blvd 3511 SB NoBench
Wheatritlge
sz Wadsworth 3195 SB No Bench
W heatridge
Num Bus Stop Address
City Note Cross Street T/F Dir Advertiser
53 Wadsworth 3210 at 32nd NB No Bench
Wheatritlge
sa Wadsworth 4110 NB Cave of Winds
Wheatridge
ss Wadsworth 4115 SB Reflexology
Wheatritlge
as Wadsworth 4355 SB Grandparents
57 Wadsworth 4410
NB Reflexology
Wheatritlge
se Wadsworth 4535 at 45th PI SB Alternative
69 Wadsworth 4580 at 45th PI NB Alternative
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