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Home My WebLink About3875 Depew Street1* � � i City of Wheat Ridge Residential Electric PERMIT - 202101357 PERMIT NO: 202101357 ISSUED: 06/24/2021 JOB ADDRESS: 3875 Depew St EXPIRES: 06/24/2022 JOB DESCRIPTION: Upgrade main service panel in the back of the house to 150A *** CONTACTS *** OWNER (303) 519-7877 TILLEY JESSE SUB (720)281-0842 DELANE LUNDGREN 210145 LUNDGREN ELECTRIC LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31500.00 FEES Total Valuation 0.00 Use Tax 73.50 Permit Fee 109.20 ** TOTAL ** 182.70 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2018 IRC & 2020 NEC . Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building 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 thispermit and perform the work described and approved in conjunction with this�permrt. I further attest that I am legally authorized to include alI 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 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 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 requ�ired 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, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 06/24/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Wednesday, June 23, 20217:18:20 PM Electrical Service Change/Upgrade/Electrical Work Permit Application 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 Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3875 Depew St. Property Owner Name Jesse Tilley 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" 580-467-4261 CONTRACTOR INFORMATION Contractor Business LUNDGREN ELECTRIC LLC Name Contractor's License 210145 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-281-0842 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email delane@Iundgrenelectric.cc Address Retype Contractor delane@Iundgrenelectric.cc Email Address DESCRIPTION OF WORK Is this an electrical Change service upgrade or change? Number of Amps 150 Location of work back of house (garage, house, etc) Provide additional n/a details, if needed. Project Value (contract 3500.00 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 Delane Lundgren Permit Email not displaying correctly? View it in your browser. j� S ee� 2"° I-1 o) -�13 0 INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 OccupancyiTNpe 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 Date Inspector Comments Initials Pier Floodplain Inspection (if applicable) Concrete Encased Ground (CEG) Final Electrical Foundation / P.E. Letter Final Plumbing Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Landscaping & Parking / Planning Dept. Initials Electrical Floodplain Inspection (if applicable) Sewer Service Final Electrical Plumbing Final Plumbing Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. 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. ROW &Drainage /Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof r1-7 Final Window/Doors 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. ..r.__ r�_._ _a —.J .1�..4..:...1 1..........14...... "For low voltage permits — Please be sure that rough inspections are compieiev uvm uie rile UlEiulct al u elu,, 1Ical IUP vvl,ayc by the Building Division. "For Inspection Time Window— Please email insptimerequest@ci.wheatridge.Co.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 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: )� ® F _ Job Address: -3 Permit Number: 17 ® / 7 0 ❑ No one available for inspection: Time ' V 4 AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: b " / _ t Inspector: IeT 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: �'� 1 1�) Job Address: `% � 5 r' r Permit Number: / -7 -To '0 V 9) ;1 ❑ No one available for inspection: Time 2 i AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 f Date: Inspector: •`` DO NOT REMOVE THIS NOTICE Y ❑ No one available for inspection: Time 2 i AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 f Date: Inspector: •`` DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201701730 PERMIT NO: 201701730 ISSUED: 06/08/2017 JOB ADDRESS: 3875 Depew ST EXPIRES: 06/08/2018 JOB DESCRIPTION: Permit for residential reroof: remove old roof material and install Malarkey Windsor IR, 29 Squares, 9/12 pitch, 1 and 2 story ice and water on eaves. *** CONTACTS *** OWNER (303)519-7877 MOLEN DONALD S SUB (303)781-8185 Corey Largen 017636 A to Z Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,000.00 FEES Total Valuation 0.00 Use Tax 273.00 Permit Fee 251.85 ** TOTAL ** 524.85 *** 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. 01 City of Wheat Ridge Residential Roofing PERMIT - 201701730 PERMIT NO: 201701730 ISSUED: 06/08/2017 JOB ADDRESS: 3875 Depew ST EXPIRES: 06/08/2018 JOB DESCRIPTION: Permit for residential reroof: remove old roof material and install Malarkey Windsor IR, 29 Squares, 9/12 pitch, 1 and 2 story ice and water on eaves. I by n' do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building 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 permit and perform the work described and approved in conjunction with this permit. I further attest that 1 am legally 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 originalpermit 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 changeof 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field 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. Antoinette Kulick Zc), 10) -1 --�> 0 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 7, 2017 12:50 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application (2) Residential Roofing Permit Application (2) Address This application is exclusively for new permits for residential roofs and for licensed �i 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 0_3 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 24-48 hours, 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. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address 3875 Depew St Property Owner Name Donald Molen Property Owner Phone 303-519-7877 Number Property Owner Email markmolen@gmail.com Address �i 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 A to Z Roofing Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number 017636 303-781-8185 Contractor Email Address info@denverroofers.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Malarkey Windsor IR Material How many squares of 29 material? Provide additional detail 9/12, 1 and 2 story, ice and water on eaves here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 13,000 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 PJ 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 D. Corey Largen Email not displaying correctly? View it in your browser. COLORADO Rttorrn-u ASSOCIATION APARTMENT ASSOCIATION Natches Ct. Unit K, Englewood, CO 80110 ne: 303-781-8185 Fax: 303-781-4875 nverroofers.com info@denverroofers.com ■EXISTING TYPE OF ROOF: woo a 5 he IC e I SPECIAL INSTRUCTIONS 0INSTALL OR REPLACE WITH: njI 1.._ ._1/ o. . i _ t .. _ OF SHINGLE: ■MANUFACTURER'S LIMITED WARRANTY: L/ '/{'yl S%�/ l Q Lf ■EXISTING NUMBER OF LAYERS: / TEAR OFF: N ■ROOF PITCH: ig ; / 2 - ,SECTIONS ■SECTIONS LESS THAN 4/12: ■INSTALL DECKING: 7/16" OSB PLYWOOD ■INSTALL FELT: 15# 30# ■INSTALL ICE & WATER SHIELD: YES NO SQ FT METAL EDGE: 2X2 RAKES 2X4 (120°) EAVES COLOR: ■ VALLEY TYPE: OPEN CLOSED ■REPLACE PLUMBING JACKS: YES NO #: ■ VENTS RIDNT (LF): ■ In YEAR GUARANTEE ON LABOR ■ GALVANIZED NAILS, 6 PER SHINGLE ■ GUTTERS CLEANED OF ROOFING DEBRIS ■A TO Z ROOFING TO FURNISH ALL MATERIAL AND LABOR ■ CLEAN UP AND HAUL OFF ALL TRASH FROM ROOF ■PROTECT LANDSCAPE WHERE NEEDED ■ROLL YARD WITH MAGNETIC ROLLER ■PERMIT FURNISHED BY A TO Z ROOFING ■INSURANCE PAPERS PROVIDED: rYES ) NO Under the terms ofthis contract the workmanship warranty is not effective until payment is made in full. Any Material Warranty is non -transferable unless otherwise stated by the manufacturer. UBC building code requires that fasteners (nails or staples) MUST penetrate decking''/." or thickness of sheeting. A to Z Roofing is not responsible for exposed eaves that nails penetrate. e— PREFERRED • CONTRACTOR MWerlifie Contractor s 2,3-/> C-0 O A to Z Roofing is not responsible for driveways or sidewalks that are damaged from vehicles used in normal roofing procedure. An access fee can be paid by customer to insure heavy vehicles will not drive on concrete. A to Z Roofing is not responsible for mold or mildew. Replacement of deteriorated or space decking, fascia boards, ventilators, flashing or other materials, unless otherwise stated in this contract, are not included and will be charged as an extra on a time and material basis. We Propose to furnish all materials and labor completed in accordance with the specifications below for the initial•.sum of: REPLACEMENT COST: $ J 6 per insurance proceeds plus any supplements that may apply to your claim. Upon approval of your claim, A TO Z ROOIANG will file for any and all supplements which may include building code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per your policy provisions and will become part of this contract as if contained herein. A TO Z ROOFING will negotiate a fair and equitable settlement agreeable by both your insurance company and A TO Z ROOFING based on competitive market rates for labor & materials with no additional cost to you, except for your deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full roof replacement, you will not be obligated to this contract and may enter into an acceptable repair agreement with A TO Z ROOFING. ACCEPTANCE OF PROPOSAL — This proposal becomes a legal binding contract 72 hours from date of acceptance. I ''/: per month interest will be added on to all accounts 30 days past due. In addition, costs and reasonable attorney's fee for collections may be charged on any account past due over 30 days. Payment will be made as outlined above. Failure to pay can constitute a mechanics lien filed against property. Cancellation of the contract may be achieved by paying a cancellation fee in the amount of 5 % of the contract price. All returned checks are subject to a returned check charge fee. Customer is responsible for payment as outlined in this contract and payment to A to Z Roofing is not contingent upon government inspection and / or payment from his or her insurance company. A TO Z ROOFING is owned and operated by 2 HAIL INC., a registered Colorado Corporation. All proposals are subject to approval by Management. Cust a agrees that he she has read, understood and agreed to all t a s et forth on the back of this c ract A p ov at Note: This proposal may be withdrawn by us if not accepted within days A to Z Representative pproval Date C�e A to Z Roofing Management Approval Date CITY OF WHEAT RIDGE ;17 Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 office * (303) 237 -8929 Fax INSPECTION NOTICE ❑ No one available for inspection: Time A /�'M ,1 Re- Inspection required: Yes No> when corrections have been made, call f r rg-ins action at 303- 234 -5933 Date: ,'lf "r Inspector: ; DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge Residential Mechanic PERMIT - 110906 PERMIT NO: 110906 ISSUED: 08/02/2011 JOB ADDRESS: 3875 DEPEW ST EXPIRES: 08/01/2012 DESCRIPTION: Replace 120,000 btu furnace * ** CONTACTS * ** owner 303/431 -6276 Donald Molen sub 720/236 -1330 Steve Byers 10 -0232 Energy Logic Solutions Inc. ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0435 USE: UA BLOCK /LOT #: 0/ Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building 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 permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally 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 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 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 provisicla of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fiel i tion. Sign a e Chief Building Offical Date INS ECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. INSPECTION RECORD o ccupancy /Type IV - INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. 1 noit l , 71Vnn/1.0 INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR NITIALS COMMENTS: - Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic. Weatherproof/ French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) ROUGHS Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical FINALS Electrical Plumbing Mechan Roof Building Final CITY OF WHEAT RIDGE 081021 8:13 Atli edbb Carlos A Espinoza RECEIPT NO:CD0006480 HPSP Replace 120 btu 110906 PeTr t Fee Use Tax AMOUNT 68.80 40.00 28.80 PAYMENT RECEIVED kC 9164 Auth Cade: 091415 TOTAL AMOUNT 6L80 68.80 Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. " * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY ISISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONST ITUTEAUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER NO CONCRETE 08/02/2011 TUF. 7:56 FAX 04/28/2011 THU 13:55 FAx 303 237 8929 Best 'Way U001/001 D02/002 ` City. of Wheatl d e pate: CommuNlTy DEVELOPMENT Permit #: Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303- 237 -8929 Inspection Line: 303- 234 -5933 Facsimile Building Permit Application Rr At, ,S Y7-� Pt' Property Owner (please prin Mailing Address; (if different than property address) Address: State, Cont%acYo�; #. '/ Phone. V:-)/) - �f V 1 7 — Sitis:GOnti aefois;: Company Name: License #: Expiration Date: Trade /Profession: Approval: Use eFip of Sppace (description): t Plew (due at time of submittal): $ Sq. Ft, /L.Ft added: Squares BTU's Gallons Amps OWNEWCONTRACTOR SIGNATURE.OF'UNDERSTANDING AND AGREEMENT 1 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 (I.-BA) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to -field inspection. CIRLCEONE:: (OWNER) l CON TRACTOR) r PERSONAL_ REPRESENTATIVE I OWNER) .. ONTRATOR) PRtNTNAME: �.��,n ! l .�,,�, SIGNATURE: Date: Bldg Valuation:. Credit Card Print name: credit card listed on file, �� Signature: y