HomeMy WebLinkAbout4659 Independence StreetInspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 pm. to receive an inspection the following business day,
Inspector Must Sign ALL Spaces pertinent to this project
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Final Building / Frarrie
Landscaping & Pariking / Planning
ROW & Or� I Public Works Dept
inspections call 303-235-2861. For fire inspections
Fire Inspection I Fire Protection Dist. contact the Fire Protection District for your project.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
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INSPECTION REQUEST LINE: (303) 234-5933 1
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
Foundation Inspections Comments
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Mechanical
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City nf W,� a,t, R
11 4
03 1
: CUB
80 r,,ercept s
Inspector AMOUNT
Date BPSP 46519 Independove ST 9148
Initials APP PERM NO:
NYMEN1 RECEIVED ANN,
VS 1 8509 48
AUTH CODE: 938686
TOTAL 4.
Inspections from these entities should be requests(
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.
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Occupancy Is Not Permitted Until A -,- C - ertificate of Occupancy Is Issued
Protect This Card From The Weather
Date:
(qty cit
Building & Inspection Services Division
7500 W, 29th Ave., , Wheat Ridge„ CO 80033 Fran Regrew Fuer
Office: 303-235-2855 * Fax: 3013-237-3929
Inspection Line, 303-234-5933
Building Permit Application
Please complete all highlighted areasboth sides of this ford. incomplete applications may not be processed,
Property Address: 4659 Indewendence St
Prot rrr . Liest hone; 303-424-0243
6064 Oi�r Email: plippott@gmaii.com
Mailing Address. -i r n than property eddies)
Addrew 6380 W, 47th P1.
fit , Ott, �i 't�sr t3 3333
r
Architect/EngineerE-mail: one:
Contractor. Staley Heating t
Contractors i Lig a 019412 one: 303-233-2919
ContractorE-mailAddress:
staleyco@staleyheating.com
Sub Contractors:
Electricat Rumbing: Mechanical:
R City Ucene # WR City License# R City License #
Other City Licensed Sub: Other City Licensed Sub;
City License # City License #
Complete t all information on BOTHof this fog
Dgesq_p 9f)6%!k (Check all that apply)
Installation of 80% single stage furnace,
Sq, FVLF Btu's Gallons
Amps Squares Other
OWN ERX,'ONTRACTOR 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 (if the City of Wheat Ridge, or covenants, misements or restrictions ofrecord,, that all measurements -shorvo and allegations 111ade are,
accuoxte, that I have read and agree to abide by all conditions printed on this application and that I assume full respons,,ibility (breompliance
with applicable City of Wheat Ridge codes and ordinances for work under any pennit issued Nvsed on this application, that I tan the legal owner
or have been authorized by the legal owner of the property to perform the described work and an also authorized 1)), the legal owner ofany
entity included on this application to list that entity on this application.
CIRCLEO.NE: (ORNER) (C01VTX4CT0R) gr (A UTHOR17EDREPRESEAI
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DEPARTMENT USE 0�1
ZONfNG COMMMENT&
BUILDING DEPARTMENT COMMENTS�
PUBLIC WORKS COMMENTS:
of (OWNER) (CON'TZAC, TR) -I
OCCUPANCY CLASSIFICATIOW
water uttanct u Ke(,eiveo U Not Kequaeu LB.0ding Division Valuation$
Sanitation District [] Received [] Not, Required