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Home My WebLink About4220 Balsam StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work Date: Friday, May 27, 2022 10:38:39 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for No electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4220 BALSAM ST Property Owner Name MARGIE MEYERS Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 3035642101 Electronic -Payment -Form WHEAT RIDGE - Coov.odf CONTRACTOR INFORMATION Contractor Business The Cooler Company Name Contractor's License 021365 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3034225308 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email coolerco@aol.com Address Retype Contractor coolerco@aol.com Email Address DESCRIPTION OF WORK Scope of Work Add dedicated circuit to cooler Location of work from roof to electrical panel (garage, house, etc) Provide additional Add dedicated circuit to cooler details, if needed. Project Value (contract 250 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Morgan Adams Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler Date: Tuesday, May 24, 2022 10:40:49 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Air Conditioner/Evaporative Cooler This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or replacement for an existing AC unit? Is this Residential or Commercial? New Unit Installation Residential Property Address 4220 BALSAM ST Property Owner Name MARGIE MEYERS Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 3035642101 MAR G I E M EY E RS@G MA I L. CO M CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address The Cooler Company [0li[cI:Y: 3034225308 morgan@thecoolercompany.com Retype Contractor morgan@thecoolercompany.com Email Address DESCRIPTION OF WORK What type of Evaporative Cooler replacement unit are you installing? How many tons is the unit? For AC - what is the SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located (for example, rooftop, backyard on ground etc)? 0 1018181 BACKSIDE OF ROOFTOP Is electrical needed for Yes re -hook? Provide Electrical 021365 Contractor's Wheat Ridge License No. Project Value (contract 7500 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Steve Brandt Pe rm it Email not displaying correctly? View it in your browser. } City of Wheat Ridge Residential Roofing PERMIT - 201703241 PERMIT NO: 201703291 JOB ADDRESS: 4220 Balsam ST ISSUED: 07/05/2017 JOB DESCRIPTION:Residential Re -roof to install Owens CorningSDuratio07asphalt 8shingles witn 33 sq. *** CONTACTS *** OWNER (303)564-2101 KOKKLER SARAH SUB (720)891-5362 Dmitriy Tsybulski y 160141 Colorado Roofers, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: UA / Unassigned 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,216.77 otai V_a1,1at FEES — 1O„ n 00 Use Tax .55 235 Permit Fee 235.00 * * TOTAL 471.55 *** COMMENTS *** ** CONDITIONS *** Effective December 1., 2014, ac,phalt shingle instal-idtions require an approved midroof nsDecti.on, co:iducted wiit;n. 25-75 n,ezcent of the roof coverirnq i.s instal 7 < j, prior to final aper �i_. of r sof ti;2athing ,new or �verlayj r,,- _i_ras an approved prion too .i_rlstallation of ANY roof coverings and r,, requir.F on the entire roofowthenpspaceci or board sheathing with ANY gap exceeding one half inch exists. Asphalt slirglcs ae 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 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 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 filial inspection. occupancyn vne INSPECTION RECORD , INSPECTION ONLINE Fp - ORM: htt ://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Date Inspector Comments Foundation Inspections Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Inspector Underground/Slab Inspections Date Initials Electrical _ Sewer Service Plumbing Do Not Cover Unde Rough Inspections Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rougn Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections roval Of The Above Ins round or Below/In-Slab Work Prior To Date Inspector Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Date I Inspector Initials Comments ons Of The Above Inspections Comments Comments Inspections from these entities should be requested one week in advance. For landscaping a'16 pay ki ig 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 and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax :r INSPECTION NOTICE Inspection Type: Job Address: 5N( Permit Number: 01762 ❑ No one available for inspection: Time 'M /PM Re -Inspection required: Yes "N' When corrections have been made, call for re -inspection /at 303-234-5933 Date: -7/////7 Inspector: C7 /w - DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:. Z o 910, S-1 Permit Number: ( U171, 1 [ / j, ❑ No one available for inspection: Time � �YI I/PM Re -Inspection required: Yes Nq° When corrections have been made, call for re -inspection at 303 -234 - Date:— �>M/M Inspector: / DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE -:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: floF Job Address: cl z 0 A Q I 1 ni^-+ -V Permit Number: �2 ,.(? e32- 1 1 LlNo one available for inspection: Time i mal, jl'I/PM �e-Inspection required: Ye No _ When corrections have been made, call for re -inspection at 303-234- Date:3/ Inspector: IfA DO NOT REMOVE THIS NOTICE A r City of Wheat Ridge Residential Roofing PERMIT - 201703291 PERMIT NO: 201703291 ISSUED: 07/05/2017 JOB ADDRESS: 4220 Balsam ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 33 sq. *** CONTACTS *** OWNER (303)564-2101 KOKKLER SARAH SUB (720)891-5362 Dmitriy Tsybulskiy 160141 Colorado Roofers, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,216.77 FEES Total Valuation 0.006 Use Tax 235.55 Permit Fee 236.00 f ** TOTAL ** 471.55 i *** 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 one half 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 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 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. City of Wheat Ridge Residential Roofing PERMIT - 201703291 PERMIT NO: 201703291 ISSUED: 07/05/2017 JOB ADDRESS: 4220 Balsam ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 33 sq. 1, by m si >nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable uilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this pen -nit and perform the work described and approved in conjunction with this p rt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performe that all work to be perfo s disclosed in this document and/or it§' accompanying approved plans and specifications. 7 Signature of OWNER or CONTRACTOR (Circle one) Date f 1. This permit was issued based on the information provided in the permit application and accompanying flans 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 regwired to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures 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 changeof the natural flow of water without prior and specific approval. 5. T'he 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 i24�1 g of a ermit sh Inot be construed to be a permit for, or an approval of, an violation of any provision of any appli ce o tg lation of this jurisdiction. Approval of work is subject to fyeld inspection. 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. Kimberl Cook c ` Q J From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 22, 2017 5:11 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? vj/� wpv VeQ- -7 How many dwelling units Single Family Home L Z: &47 6;;',p 6124L t I are on the property? Li c E� p, 713111: -- PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4220 balsam sarah kokkler 303-564-2101 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name colorado roofers Contractor's License 160141 Number (for the City of Wheat Ridge) Contractor Phone 720-891-5362 Number Contractor Email Address tsybulskiy@gmail.com Retype Contractor Email tsybulskiy@gmail.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Owens corning - duration Asphalt Field not completed. 33 No , j Field not completed. TOTAL SQUARES of all 33 roofing material for this project i Provide additional detail house - 6:12 pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contrast 11,216.77 value or cost of ALL \ materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Dima Tsybulskiy Email not displaying correctly? View it in your browser. 3 Fully Insured -owl' BBB. Fully Licensed APA D10OFER5 aWf(i1 Ot#tifift4TgdRTff+lnr t7rinrnrnw 2600 S. Parker Rd. Bid. 3 #237 Aurora, CO 80014 Office: 720-891-5362 1 info( a�coroofers.corn Service Agreement Property Owner: Sarah Kokkler Address: 4220 Balsam St. Wheatridge, Co Email: Insurance: Liberty Mutual Phone#: Claim#: 035531467-01 ROOFING INSTALLATION ADDITIONS / EXCLUSIONS TO SCOPE OF WORK ❑ Remove all layers of roofing: Strip to deck ❑ Included: the entire scope, except exclusion ❑ Replace Roofing: Owens Corning Duration ❑ Color: (� ki Rc C� Exclusion: STORM DOOR — Homeowner receives $261.69 T ❑ ❑ Manufacturer Warranty: Limited Lifetime ❑ Install New Underlayment: Synthetic felt ❑ New Valleys: Ice/water shield Payment Terms ❑ Replace: Ridge and Hips CONTRACT TOTAL: $ 13,322.76 Homeowner is responsible for deductible $ 2,201.00_ due ❑ Replace Vents: Per Insurance upon material delivery on to the job site. ❑ Replace Plumbing Jacks: Per Insurance Completion of Work ❑ Install Drip Edge Metal; Color: Completion shall mean that work completed functions to its intended purpose and moisture is not entering the property due ❑ Protect Landscaping to the workmanship of the company. ❑ Remove and haul away all roofing debris Acceptance of Work Upon completion of work, company will notify the property ❑ Roll Property With Magnetic Roller owner. Company's work is deemed accepted and satisfactory unless the property owner gives written notification within five ❑ Furnish Permit Included (3) days of completion of such work, specifying any and all deficiencies. All claims not made in writing by such time shall be ❑ Decking repairs: $1.16 per Sq Foot deemed waived and released by property owner. By signing this agreement the property owner authorizes COLORADO ROOFERS, LLC to provide labor and material in accordance with this Agreement and the specifications set out herein and on the reverse side hereof. Accepted by Property Owner: Date: j // ' �� BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at L -Z� have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: r. You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date FORM WR6-22 .-, v Inspector for Building Dept DO NOT REMOVE THIS TAG BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at %4�27� I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erning same: Date FORM WR6 -22 DO NOT REMOVE Inspector for Building Dept. '.. TAG You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. nEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Building Permit Number 12361 Date : 6/21/2001 Property Owner: Property Address: 4220 N BALSAM Phone : 424 -0903 Contractor License No.: 21042 Company: Allways Ken's Heating & A/C Phone: 934 -7112 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 I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE ,0 f� . Construction Value: $600.00 Permit Fee : $26.55 Plan Review Fee: $0.00 Use Tax: $9.00 Total: $35.55 Use: Description : INSTALLATION OF 3 NEW HEAT RUNS IN NEW ADDITION mm Electrical License No : Plumbing License No: Mechanical License No : 21042 Company: Company: Company: Allways Ken's Heating & A/C Expiration Date : Expiration Date Expiration Date : 6/21/2002 Approval : Approval : Approval: OK/KS (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall 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 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made 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 Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance f 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 provisions oft e b in code or other ordinance, law, rule or regulation. o � Chief Building In ector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION LINE - 303 -234 -5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303 - 235 -2355) - APPLICA T' ®N Property Owner: 00 GXI 5 vkUe R Property Address: Z v?/ R19C In rig. �f /f G g�3 024 JJ'7 Phone Contractor License No.: A/—Z pl, AyS /�'c, j ✓7L� T �/(� ompahp: C.Y�I" - ,� Phone: �� 2- OWNruXONIRACTOR SIGNATURE OF UNDERSTANDING AND AGRII&MENT I Nearby 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 n^ree to ohida hv ;dl , ndmuo, nrntod nn 1 11;1 tnd Port I resume Iid1 responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. (OWNER)(CONTRACTOR): SIGNED DATE Construction Value: 6�D Permit Fee: Plan Review Fee: I Too To,. Total: �rj� �c w �T 166dN5 1/ Description: 77G �� > //Jl � f/TOYV 9/d./ T1 b ro 4/C a. Electrical License No Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This pertnit was issued in accordance with the urovis i an, set loch in your application sad is subject to the laws of the State of Cc lerado and to the Zoning Re6mlations and Building Code of Wheat Ridge, Colorado or any other applicable .1inmeas of the City - (2) This permit .shall expire if (.A) the work authorized is act aommenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandonuf for a period of 120 days. - - (3) If this permit expires, a new permit may be acquired for a lee'at one-half the amount normally ... oned, provided no changes Nava been or will be made in the o,, iV.l plans and specifteations and any suspension or abandonment has notexceeded one (I) year Ii change have heart or if suspension or abandonment caaoeds one (I) year full kus shat l be paid kor n new permit. (4) No work of any mane, shall be done that will change the natural Ile, .feaster causing a drainage problem (;) Contractor shall nosily the Brilding Inspector oventy-four (24) hours inadvance for all inspections and shall receive aittenapproval on inspection card before proceeding with successive phases of the job. (6) The issuance of m permit or the approval of drarvings and specifications shall not be construed to be a permit for, nor an approval of, any violation ofthe provisions . of the building codes or any other ordinance, late, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: 4220 BALSAM ST Contractor License No. : Phone: 548 -1530 Company: Phone : 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 I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this per it. (OWNER)(CONTRACTOR) SIGNED DATE G Z Description : ADDITION OF MASTER BEDROOM WITH BATH Building Permit Number: 12055 Date: 4/24/2001 Construction Value: $18,000.00 Permit Fee : $293.25 Plan Review Fee: $0.00 Use Tax: $450.00 Total: $743.25 use: f 6__/&et,�I BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : Approval: MLC Zoning: R -2 ffi9TIE�i �y, Approval: BG Approval : Occupancy: Walls COMPLIES W/ R -2 REGS 4/23/01 Roof Stories: Residential Units : Electrical License No Company: Expiration Date Approval: Plumbing License No: Company: Expiration Date:, Approval: Mechanical License No Company: Expiration Date Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall 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 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made 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 Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before promeclun with successive phases of the job. (6) The is a. a of a pe or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions =oil any other ordinance, law, rule or regulation. n Chief Building Vspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234 - 593324 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Building Permit Number: Date: L1110 je, Property Owner: Daniel V. & Heidi C. LaFaver Property Address: 4220 Balsam Street Contractor License No. : Company: UVVNEH/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 I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED — DATE - )`V - O Phone: X13 _ 303 — E3 — IS30 Phone Construction Value . �1$�000 Permit Fee Use Tax Total Use J �t� /9 Description: �11 -40rn 01- MpSf e_r 1 tl BUILDING DEPARTMENT SIC s DEPARTMENT USE ONLY tR Ca N� nt �SLS 'c71SlQC�q (off P s . : Approval Zoning Please Note:'o/^� 8t�7ifd,MR e, Owneancon responsible for locating C o Approval °/ /�31oy approved I g di , plan and required rd The City is not responsible for inaccent Stan submitted within the plan set and a informat t" Approval : errors resulting from inacc Y cons , cti0n Occupancy: Walls : uratemf znation, Roof : Stone Res tt t nt�a Electrical License No: 5 1 �'2. Plumbing License No: Mechanical License No : Company . �Dcr� t"LGtn Company: P Y Company Expiration Date : Expiration Date.__. Expiration Date Approval: Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur applirabon and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge. Colorado or any other applicable ordinances of the 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 suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required. provided no changes have been or will be made in the Origin one and Specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment (4) No work of any )r full be do that will f o r chang p ermit y ear, anne he natural Bow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before Proceeding with successive phases of the job. (6) The issuance of a pe it or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building es r any other ordinance, law, rule or regulation. Chief Building pector R Minimum lx1 ridge board (example. 1 x 12) .�Wi 3 lab Note: Attic ventilation and access maybe required — Provide solid 2x blocking between rafters or trusses Note: Pre - engineered roof trusses w /truss clips and hardened nails may be used in lieu of roof structure shown. Diagonal wind bracing or plywood shear panels @ corners and each 25' of wall. Note: Pre - engineered floor systems may be used and should be installed according to the manufacturers installation instructions. i 18" minimumfrom the interior grade level to the bottom of the floor joists. Engineered Design: Cassions may be required if your site has swelling soils. A foundation designed : A by a Colorado licensed architect or engineer may be required. i ❑ Foundation: Engineered Design Se Foundation: Detail A Property Address: a S7} '• „eG• Permit #: This handout was developed by the Colorado Chapter of the International Conference of Building Officials as a basic plan submittal under the 1997 Uniform Codes. It is not intended to cover all circumstances. Check with your Building Department for additional requirements. Ceiling Insulation • 12- 3o (examp /e: R-30) Wall Insulation (example R -13 Fibeplass Batts) 2x —Lceiling joists @ O.C. (example. 2 x 6 B 24'0.C.) Double 2xtop plate (examp /e:2x4J Span 17 (example. 23'57 Ceiling (example: 6) (example: lap or F 111) Wall sheathing I (example.' /z' exre/iorp'yw ) 2x-�--studs @ R O.C. (example. 2x a 0 24'0.C) Cont. 2x SiMbtdtde (aXAP 'Qlp&AW 4) 2x/� joists @ -IL( O.C. (example: 2x 10 ON - O.C) width X " Footing size —L "x" (example: 8'X 16') 1 J10. 2x10rafters spaced" O.C. or NOTE: Roof not to exceed 24 foot span Manufactured Trusses spaced_" O.C. Sheathin t�I ( example :2x 10 Ratters Spaceb24.O.C.) (example:'k- exrenorplpwoob) � ::r 2� �-e a( -RhGd D S (Y16'��' I 0 0 ° / � l • t I I t � � "Il2c? /contV ctor is retsponN6 /e for locating T r �� 'indr g Prove meni _ecardi g to es e9oued d r n � is urnYS„d k'itbinesi6le far rn c�.�_e`r st- ndards,. ' errors resulting f; m c� � G �Y` c r "'na[ a t t / � a YY y zw �, C9 tA A �o CA* J0 -� t � 0 � ::r 2� �-e a( -RhGd D S (Y16'��' I 0 0 ° / � l • t I I t � � "Il2c? /contV ctor is retsponN6 /e for locating T r �� 'indr g Prove meni _ecardi g to es e9oued d r n � is urnYS„d k'itbinesi6le far rn c�.�_e`r st- ndards,. ' errors resulting f; m c� � G �Y` c r "'na[ a t t / � a YY y zw �, :s 0 �o r O e N P V V �x3 J 2 I �� i C� r � � 9 0 Q q 2 2 N� V �x3 J 2 I �� F _ Iof I 1 i 4 fag ' o' I , PDVWD c d is =N a G � ),4 I I 31 k rl C J �flP it'mJJC4f J)$0 �. 1 1 P;3 I - PwJa 9 dNnP rdo�aaa ul8ummaJaZ PPw —Pue adwdaug¢JOl qW Sa�J O i mj f9rNadw B!?!a F _ Iof I 1 i 4 fag ' o' I , PDVWD c d o a DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 4968 BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date 4/28/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address : 4220 BALSAM ST Phone : 940 -1178 Contractor License No.: 18054 Company Sharp Electric Phone: 289 6847 .OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1 I hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee: $45.00 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 Plan Review Fee: $0. 00 `made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the. Wheat Ridge Building Use Tax: $12. Code (U.B. C.) and all other applicable Wheat Ridge . ordinances; for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE I Total ' $57.00 Description : 100 AMP SERVICE BUILDING DEPARTMENT USE ONLY rra.T� SIC Sq. Ft.: - Approval Zoning RN W Approval Approval Occupancy: Walls: Roof: Stories : Residential Units Electrical License No : Plumbing License No Mechanical License No Company: Company: Company: Expiration bate : Expiration Date : Expiration Date Approval.` Approval: Approval: "' t ART (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning. Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City (2) This (permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or aabandoned for aperiod of 120 days. -: (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora 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 Building Inspector twenty-four (24). hours in advance for all inspections and shall receive written approval on inspection card before proceednng�vrt successive phases of the lob (6) The issua�Ca - f 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 provisions of the buI din coe�y oth r ordinance law, rule or regulation Chi uilding Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234- 5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date: uj AO7 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: JjnNi- Property Address: �a AP v " I � SAL—_+ Al �AAJ I �/ � e3 cl Vf) -,J - fig Contractor License No.: Company: ��a/Zj' /- z-'tFL r� Phone: 91�6MS4 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 I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this / permit . . (OWNER)(CONTRACTOR) SIGNED DATE Description: Construction Value Permit Fee: Plan Review Fee: Use Tax: Total : BUILDING DEPARTMENT USE ONLY Z pmmen SIC: Sq. Ft.: Approval: Zoning Buifdin 1Comme to s Approval: Publi�IlVbF_ me_,_-'9 Approval: Occupancy: Walls: Roof: Stories : Residential Units Electrical License No: Plumbing License No : Mechanical License No Company: Sy1<I PIP �� %� � Company: Company: Expiration Date : 2 2 $ - /'� Expiration Date : Expiration Date Approval: Approval: Approval: BPiaan e , re �pl�hsge�Cltd a e� (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall 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 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made In the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made 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 musing a drainage problem. 5) Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases o/ 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 provisions of the building codes or any other ordinance, law, rule or regulation. 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 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 3350 BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date: 6/26/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: STONE DIANNE C Property Address : 4220 BALSAM ST Phone: 940 -1178 Contractor License No.: 17174 Company: Bell Plumbing & Heating Phone: 757 -5661 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. '..(OWNER)(CONTRACTOR) SIGNED - DATE Construction Value : $700.00 Permit Fee: $19.00 Plan Review Fee: $0.00 Use Tax: $8.40 Total: $27.40 Description : FURNISH AND INSTALL SPRINKLER VACUUM BREAKER Approval: Occupancy: Walls: Roof : Stories : Residential Units Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations. and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall 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 120 Gays (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made 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 Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before ,proceediing with successive phases of the lob. (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 provisions of the building codes or any or ance, law, rule or regulation. Chief Building I' nsp tce or THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Application Number: Date : Property Owner: / , / A A!A!E 5 — O JO Property Address : ZI22C� 3j,¢ 1- M Contractor License No.: / 7> 7 y Company : .,� / ( PLIBG Phone : 940 - //79 Phone : 7,5 '7—,56 (, 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 alleoations made are accurate: that I have read and agree to abide by all conditions printed on this application, and that I aswme full responsibility for compliance Ith the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ri ordmancei or work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE! (VA 'S` Description : Construction Value : 70092 Permit Fee: Y Use Tax: y� Total: M 3 A k' r e BUILDING DEPARTMENT USE ONLY Zdhing lCbmmeitil Approval : Zoning: BtYfl n9s ft Approval : Public WcrKs C omments: Approval Occupancy: Walls : Roof: Stories : Residential Units: Electrical License No : Plumbing_ License No : Mechanical License No: Company: Expiration Date : Approval : {P,IdnsRegl Company: Company: Expiration Date : Expiration Date : Approval: Approval: Plans Required I Pn7Q (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall 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 pehod of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made 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 mat will change the natumi flow of water causing a drainage problem. (5) Contractor shall noBdy the Building Inspector twenty-four (24) hours to advance for all inspections and shall receive written approval on inspection card before proceed"ng with suasive phases of the job. (6) The issuance of a permit or the approval of drawmas and specifications shall not be construed to be a permit for. nor an approval of, any violation of the provisions of the building codes ,pr any other ordinance. law. rule or regutacon. Tief Building inspe tor For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION j City of Wheat Ridge 1r9r Residential Plumbing PERMIT - 090786 PERMIT NO: 090786 ISSUED: 07/06/2009- - JOB.ADDRESS: .4220...BALSAM ST. EXPIRES: 01/02/2010 DESCRIPTION:` Install new gasi. line for outdoor 'lighting fixture CONTACTS owner 303/564 7336 Sarah Kokkeler PARCEL INFO ZONE CODE: UA USE: UA' SUBDIVISION:.' 0325.. -,BLOCK/LOT#: -.0/ *FEE SUMMARY ESTIMATED PROJECT. VALUATION[. 500.00 FEES Permit Fee - 30.55 Plan. Review Fee 19.86 Total Valuation .00 Use :Tax 9.00 ~CQ10~7J, TOTAL 59.41 - Conditions: Must-comply.. with. 2003 IFGC and 2003;IRC Subject to field inspections 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, ?nd allegations made are accurate; thati have read and agree to abide by all conditions printed on this application and thy~'' I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheaatt4idge Ordinances, for work under this permit. Plans subject to field inspection. Signature ofkCn /owner date 1. Thiipefmit was issued in accordance with the provisions set forth in your application and is subject to the laws of the :State of Colorado andto.the-Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City: 2. This permit shall expire.. 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may. be. granted at the discretion. of the Building Official. 3. If this permit. expires, a new permit may be acquired for a fee of. one-half the amount normally required, provided no changes :have been -or-..will be made in the original plans and specifications 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 Building Inspector twenty-four (24):hours in advance for all inspections and. shall. receive written. approval onr inspection card. before proceeding with successive phases of. thejob. - 6...The issuance of apermit or the approval of drawings` and specifications shall not be construed to be a permit for, nor an approval of, any violation o the provisions of the building: codes or any other ordinance, law, rule or regulation. All.. plan review is'. sub' c o ld inspections. Signature of Chief Build; g0 cial date INSPECTION. REQUE. LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS.. MUST BE.. MADE BY. 3PM ANY. BUSINESS DAY: FOR INSPECTION THE FOLLOWING BUSINESS DAY. 7500 W. 29th Ave., Wheat Ridge, CO 80033 flu I Office: 303-235-2855 * Fax: 303-235-2857 Plan Inspection Line: 303-234-5933 Permit Q Building Permit Application Property Address: .Zz ghis w S Property Owner (p/ease print): I k~pl~--V-T- Phone: 3C3 9;; - -73A, Mailing Address: (if different than property address) Address: City, State, Zip: L13,lgV-k- Contractor: Contractor License Sub Contractors: Electrical City License Company: Phone: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ SM • DID Description of work: (as calculated per the Building Valuation Data sheet) I'VS' (15Wtk, T~ e C,&,S L-tvj C 5 NXT wae- Plan Review (due at time of submittal): $ 6qT(AeC- L~ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps 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 conditionsS,, printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and allAher applicable Wheat Ridge Ordinances, for work under this permit Plans. subject to field inspection. CIRLCE ONE(OWNER~i (CONTRACTOR) or PERSONAL E'RESE ATI V of (OWNER) (CONTRATOR) PRINTNAME. E OW L\ CO<A:f Li SIGNATU = / Date: t.+ cb-