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HomeMy WebLinkAbout3501 Sheridan Boulevardi CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: n? Chi `�'"YCc i� 1 Job Address: Permit Number:_O�'��""] ❑ No one available for inspection: Time G� ,=`iM/M Re -Inspection required: Ye%luedule o When corrections have been madfor re -inspection online at: http✓/www.ci. wheatridge.co. us4nspection Date:—(,- Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Sewer/Waterline Repair PERMIT - 202000037 PERMIT NO: 202000037 ISSUED: 01/06/2020 JOB ADDRESS: 3501 Sheridan Blvd EXPIRES: 01/05/2021 JOB DESCRIPTION: Sewer line repair in back yard, 3 feet with clean outs. *** CONTACTS *** OWNER (404)409-2118 DALY CELIA SUB (720)319-4501 IAN BROWN 180100 SEWER LINES ONLY *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Total Valuation 0.00 Use Tax 31.50 Permit Fee 60.50 ** TOTAL ** 92.00 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. City of Wheat Ridge E -Res. Sewer/Waterline Repair PERMIT - 202000037 PERMIT NO: 202000037 ISSUED: 01/06/2020 JOB ADDRESS: 3501 Sheridan Blvd EXPIRES: 01/05/2021 JOB DESCRIPTION: Sewer line repair in back yard, 3 feet with clean outs. 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 al( 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 I. 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 grag of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any apble code or 4jordinance 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. City nf Wheat RidOe O1/06/2O2U 11:3O C88022JO9 BPSP 3581 Sheridan B "R .11 K0� PAYMENT RECEIVED PP / 2?75 AUTH CODE: 69269 orNMAHM0O Dina Kemp From: no-reply@ci.wheatri dge.co.us Sent: Monday, January 6, 2020 9:34 AM To: CommDev Permits Subject: Online Form Submittal: Residential Sewer or Water Line Repair Permit Application Categories: Dina Residential Sewer or Water Line Repair Permit Application This application is exclusively for RESIDENTIAL SEWER OR WATER LINE REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK. 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 residential sewer line or water line repair - in yard only? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS 3501 Sheridan Blvd Celia Daly 404-409-2118 celia.c.daly@gmail.com Credit Card Authorization Form .pdf CONTRACTOR INFORMATION 1 Contractor Business Sewer Lines only Name Contractor's License 180100 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-562-9800 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address info@sewerlinesonly.com Retype Contractor Email info@sewerlinesonly.com Address DESCRIPTION OF WORK Is this a sewer line or water line repair? Length of repair Location of repair (backyard, frontyard, etc) Provide additional details including installation of clean -outs. Sewer Line 3' Backyard Clean -outs will be installed Project Value (contract 1500 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 2 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. 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 Lisa Miller Permit Email not displaying correctly? View it in your browser. The City of Wheat Ridge Third Party " Form Check L5'q Property Address Permit Number 6) Permit issiled Date Prope,rty Owner Information Property Owner Address 10E22gtot ,in rrmnation Inspection Company �'' , Inspector Marne Inspector Contact info, Inopeator �$Uteme�nt and Acknowledge!,ptnt I hearby acknowledge th e roof I am inspecting is 6/12 or over. All roofs that are under 6,11.2 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenc'ed building has been inspected and found to be in compliance with the minimum requirements of the 2012 [RC and 2012 SC as well as all City of W:heat Ridge Policies and Procedure and Manufacturer's recomunendation-jan_ p 'I C f�r,opeLbj Owner Statement of AEknowledgement *'I hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection company to perform my roof inspection in lieu of the City of Wheat ;Ridge Buil ivision inspection. Propery Owneq�t�t: Date: This original document and permit card, as well as the roofing check list, must be submitted tc the Chief Building Official within seven days of the final inspection, &Drop off in person Permit counter 2nd floor 77 '-. ,r nn kt,, Wheat Ridge CO 8,0033, L d RE 6ZY The -City of Wheat Ridge Inspection Check .List notes Mid -Roof Roof In�eoti�n NIA Pass Fail FVJ N/A Pass ❑ Fall Structural roof components N/A Pass Q Fail Verify that no more than 2 lagers of shingles exist {NIA Pass ❑ Fail Flashing far roof and walls f ❑ Pass Q Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) I N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See. Policy & Procedures) N/A ❑ Pass ❑ Fail Crickets and saddles whefe needed ❑ N/A K Pass }=I Fait Verify B vent must have Boot same gauge as pipe ❑ N/A N pass [J Fail Verify vent caps ❑ N/A X Pass ❑ Fail Verify no flashings are damaged or rusted rg NfA ❑ pass ❑ Fall Step flashing shall be min. of 4x4 piece per shingle XN/A 0 Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A ZPass EJ Fait Ice and water shield 2' in heated wall spaces ❑. N/A lW Pass Q Fail Underlayments must follow 2912 IRC 12012 IBC O N/A Pass ❑ Fail Verify roof slope for proper drainage F1 N/A Pass ❑ Fait Dripedge shall have min of 2" overlap ❑ NIA Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ NJA pass El Fail Dripedge shall be rnechanicaly fastened 12" CSC N/A © Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of NIA ❑ Pass ❑ Fait Modified Bitumen, EPDM, TPO min slope 114:12 slope [P N/A ❑ Pass. El Fait Above roof insulation R-25 X WA ❑ pass ❑ Fail Below roof residential R-36 P9 N/A ❑ Pass 0 Fall Below roof commercial R-32 P(fq/A ElPass ❑ Fail Modified Bitumen, EPDM, TPO min slope 114:12 slope must be installed in accordance with the manufa6turers specifications- Must have .manufactures letter of warra6ty with the address on the letter for final inspection Metal Roof Shingles Recruirements XN/A ❑ Pass ❑ Fait Metal reef shingles shall net be installed on slope less 3:'12 PTNJA ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof NIA Q Pass Q Fait Metal valley flashing shall extend a min of 8" from the centerline with a min. of 314 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile l 22to �irements 1" "N/A El El t=ail CIay and concrete the shall have a rain. 2-112:12 slope / Slopes 4.12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Names Inspector 'lgnaturen 1 c Date of Inspection: li r T he City of Wheat Ridge ln�pection Check List notes Final Roof Roof Ins B etion { N/A ❑ Pass ❑ Fail ❑ NIA Pass ❑ Fail Structural roof components [-j N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist ]� NIA j Pass ❑ Fail Flashing for roof and walls ❑ Pass ❑ Fail If neve sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) Grr} N/A ❑ Pass ❑ Fail Ve.ritt sheathing nail patttem (See Policy & Procedures) / NIA ❑ Pass ❑ Fait Crickets and saddles where needed ❑ .N/A Pass ❑ Faii Verify B vent must have boot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent Gaps ❑ N/A Pass ❑ Fait Verify n© flashings are damaged far rusted 6� N/A ❑ Pass ❑ Fail Step flashing shall be rain. of 4x4 piece per shingle [, NIA ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ Iii/A X Pass ❑ Fail Ice and water shield 2., in heated wail spaces [� N/A ❑ Pass ❑ Fail Underlayments must follow 2012 IRG A 2012 IBC ❑ N/A Pass ❑ Fail Verify root slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall Dave -min of 2" overlap ❑ N/A 1 'd Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OG WNX Pass ❑ Fail 90 LB Fall roofing shall not be applied to roof slopes less than 2,12 slope, Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass []Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 NIA ❑ Pass ❑ Fail Modified Bitumen, E'FID lel, TPO min slope 1/4:12 slope must be installed in accordance with the rrl.anufacturees specifications - Must have manufacturer's leiter of warranty with the address on the letter for final inspection Metal Rauf Shingles Requirements JVTNfA ❑ Pas5 ❑ Fail beta./ root' shingles ailaii not be lr%StajjeA on slope fess 8:12 XNIA ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof E N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 314 " high splash diverter rib built-in at the flow dine with sections overlapping a a min. of 4" Tile Roofs Renuirements 1 N/A ❑ Pass ❑ Fa;i. Clay and concrete file shall have a rain. 2-1/2:12 slope Slopes 4:42 and under- require double underlayment The City of Wheat Ridge Inspection Check List notes Notes company Name. Inspector signature: ovt Date of Inspection= 1 / S' City of Wheat Ridge Residential Roofing PERMIT - 201902325 PERMIT NO: 201902325 ISSUED: 11/04/2019 JOB ADDRESS: 3501 Sheridan Blvd EXPIRES: 11/03/2020 JOB DESCRIPTION: Reroof with OC Oakridge asphalt shingles, 6/12 pitch, 24 squares total *** CONTACTS *** OWNER (303)981-3800 YUREK JEREMY SUB (970)797-1145 JERAMIAH LARSEN 170325 ANCHOR ROOFING 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: 6,168.00 FEES Total Valuation 0.00 Use Tay, 129.53 Permit Fee 156.75 ** TOTAL ** 286.28 *** COMMENTS *** *** CONDITIONS *** ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH. FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with Building Division Policy BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions, whichever is more stringent. MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an approved mid -roof inspection, conducted when 25-750 of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-750 of the mid -roof may be complete. 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. LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. COMMERCIAL ROOFS: 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 - 201902325 PERMIT NO: 201902325 ISSUED: 11/04/2019 JOB ADDRESS: 3501 Sheridan Blvd EXPIRES: 11/03/2020 JOB DESCRIPTION: Reroof with OC Oakridge asphalt shingles, 6/12 pitch, 24 squares total 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 ermrt. 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 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 aordinance or rfgulation 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. Ci����t��e 11/O4/2O19 15:30 C»BBI Rem��tt-�, OCO�ri CD8O22009 — 286,2U BpEp SLI-ler-i'd3r, APPL/PERMlT NU: 201YO2325 UK LIC -CLE- T0TAL FEE PAI0 CONTRACTOR NO; 170325 AMUUNT pAyMENT KECEIVED PP / 3837 361.28 AUTH CODE: 66464388 361.28 TOTAL____________________ __ Kimberly Cook From: Sent: To: Subject: Categories: no-reply@ci.wheatridge.co.us Monday, November 4, 2019 1:06 PM CommDev Permits Online Form Submittal: Residential Roofing Permit Application Kim Residential Roofing Permit Application This application is exclusively for new RESIDENTIAL roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. 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. The Building Division permit counter is open from 7:30 am to 3:30 pm, 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 RESIDENTIAL reroof permit? How many dwelling units are on the property? Yes Single Family Home PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 3501 Sheridan Jeremy Yureki (303) 981-3800 jamieyurek@hotmail.com Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business Anchor Roofing LLC Name Contractor's License 170325 Number Contractor Phone 970-666-0321 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address sarah.anchorroofing@gmail.com Retype Contractor Email sarah.anchorroofing@gmail.com Address REQUIRED: Credit Card Wheat Ridge CC Auth Form.pdf Authorization Form DESCRIPTION OF WORK TOTAL SQUARES of 24 Square of Owens Corning Oakridge the entire scope of work: Project Value (contract 5 0 value or cost of ALL pa -n materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific pitch 6:12 of the PITCHED roof? How many squares are 24 part of the PITCHED roof? Describe the roofing aspahlt materials for the PITCHED roof - 2 Type of material for the Asphalt PITCHED roof. Provide any additional Reroof; tear down to decking on a one story house and replace detail here on the shingles with 24 sq of Owens Corning Oakridge description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full 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 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything 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. Yes Yes Yes Yes Yes 3 Person Applying for Jeramiah Larsen Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge E -Res. A/C Replacement PERMIT - 201801456 PERMIT NO: 201801456 ISSUED: 05/21/2018 JOB ADDRESS: 3501 Sheridan BLVD EXPIRES: 05/21/2019 JOB DESCRIPTION: Remove existing AC unit and install new 3Ton,16 SEER AC unit. *** CONTACTS *** OWNER (843)230-6623 YUREK JEREMY SUB (720)870-1580 Dean Peterson 022447 Summit Heating & A/C Inc. SUB (719)632-1750 Brian Vossen 160082 Vossen Electric of CO, Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,630.00 FEES A/C Replacement 60.00 Total Valuation 0.00 Use Tax 139.23 ** TOTAL ** 199.23 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le 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 attes{ 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 andlor 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 thepermit 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 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 issu granting of ermit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicabl e or ny ordi ce 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. City 0, Wheat�e MUNITY ©EVROPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits@Dd.wheatridge.co.us FOR OFFICE USE ONLY Date: 5T2,1 //F Plan/Permit #�C l /} /41 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: �, -� �(n I �C4'&t 21vo` Owner Property Owner Email: .12 Mailing Address: (if different than property address) Address: City, State, Zip: ArchitectlEngineer: Architect/Engineer E-mail: Phone: Contractor: WAV -060 V Contractors City License #: CJ a @ J�1 f', Phone: `7a(J - -7G - ( � Contractor E-mail Address: C7� Sub Contractors: Electrical:. 05 C, i2A E-IeC)Ci ` Plumbing: Mechanical: W.R. City License # j tJ1C)()✓ W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) U NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) 2ESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT [] ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) ,--�Plpo,e /� 56�---k Sq. FtJLF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OW NEWCONTRACTOR 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE, (OffNEt) (CONTRACTOR (AUTIIORIZEDREPRESE•.VTATItE) of (OifNER) (CONTRACTOR) Electronic Signature (first and last name): ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY DATE: A OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of wh6atf'4% idge COMMUNPTY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM ►, at►1►►,caiu1n inusi i►c+kueti by each sub -contractor confirming tht same - Project Address:. � t IV(A Permit #�Iql General Contractor: Electrical Contractor - Wheat Ridge License # Company Name: Phone State License #: c , t��:�, y < � � Master #: -�E Signature of A[tthorized Agent Date Plumbing Contractor - Wheat Ridge License # Company Name: State License #: Signature of Authorized Agent Phone #: Master #: Date Mechanical Contractor - Vb'heat Ridge License Company Name:. iAl� Phone:' Signature of Authorized Agent Date *This application must be signed by each sub -contractor confirming the same. ► '-1_ „ _' A _ n1 (� I 1 1'\— I i 1 -I 'n. i J -` I JI IG 1 ► cAu I �'�(� c>4 V[ W U I— It "'Occupancy/Type kri �ki�� INSPECTION ECORD INSPECTION REQUEST LINE: (303) 234-5933 Inspector Comments Initials 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 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. Concrete Encased Ground (CEG) Foundation / P.E. Letter Fire Inspection / Fire Protection Dist. Do Not Pour Concrete Prior To Anoroval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing 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. rin KIM r_nvnr 1 Inriprrnrn►inri nr Rpinwlln-5lah Wnrl( Prior 10 Approval UT 1 ne ADove I1`15AeGUvnb Rough Inspections Date Inspector Initials Comments Wall Sheathing 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. Mid -Roof Fire Inspection / Fire Protection Dist. Lath / Wall Tie Final Electrical Rough Electric ' Final Plumbing Rough Plumbing/Gas Line Final Mechanical 2 d Rough Mechanical Roof Rough Framing Final Window/Doors Insulation Final Building Drywall Screw/ Nail NOTE: All items must be completed and approve 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. 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. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical 2 d y Roof Final Window/Doors Final Building NOTE: All items must be completed and approve 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 compietea Tram Tne rire visuici e11U CicUU IUCI UW vvneyc by the Building Division. **For Inspection Time Window Requests - Please email insptimerequest(o)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather '9-1-1- -1-1- i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M 'r-- l Job Address: She K �) A ;•• _ _ 3 / V JS Permit Number: O/ L o ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: G - /6 i+', Inspector: DO NOT REMOVE THl3 NOTICE A.( City of Wheat Ridge � r Residential Mechanic PERMIT - 201601996 PERMIT NO: 201601996 ISSUED: 12/15/2016 JOB ADDRESS: 3501 Sheridan BLVD EXPIRES: 12/15/2017 JOB DESCRIPTION: Replace 80K BTU furnace with electrical rebook; 80% *** CONTACTS *** OWNER (919)332-1969 DANA JONES GC (303)564-0024 Kevin Sutton 140053 Compass Mechanical *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,800.00 FEES PAI" Furnace Replacement 94.00 Total Valuation 0.00 Use Tax 32.40 ** TOTAL ** 126.40 *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections. 1, 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 authorir_ed to obtain this permit and perform the work described and approved in conjunction with this pernit. I fur I r attest that I am legally authorized to include all entities named within this document as parties to the work to be performed an� tiatl work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. /d//(' Signattfe"ot OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in thepermit 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 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 provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. cx>46 A )511 Signature of Chief Building Official Date i REQUESTS MUST HE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFFICE USE ONLY Date: Plan/Permit # Civ' (,bI cq / Plan Review Fee: Building Permit Application — Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.'*' Property Address: 0( S h ,R :i 8 '' Property Owner (please print): ii)Ar),— "J otic 5 Phone: V/6i- 39'1 - JV It'/ Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: Co w,-,,, O/U C L{a�, <<( Contractors City License #: Phone: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. Ft./LF Amps Btu's Squares �O, G=. cJ Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: �(OWABR) CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: (L`-/ <" t'T-o--. ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer. PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS SIGNATURE: DATE: Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 3�0! Jhern�� ��l�o `��� RECORD INSPECTION p INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspector Initials 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 Mid -Roof Concrete Encased Ground (CEG) Foundation / P.E. Letter Lath / Wall Tie nn Nnt Pnur Cnncrete Prior To ADDroval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service % Plumbing nn Nnt (_near I Indprnrnund nr Relowlln-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Insulation Drywall Screw / Nail 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. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 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. *For low voltage permits - Please be sure that rough inspections are completed from the rire uistnct anu eiecu Cal low voltage by the Building Division. **For Inspection Time Window Requests - Please email insptimereguest(cDci wheatridge co us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 1* � 4 i CITY OF WHEAT RIDGE Vr Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: S [ i ; :_ , i ) -� (� /v Permit Number: c o ) � U �1_ ❑ No one available for inspection: Time S 0 Avlpm Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: I ,, - ) Z- �! Inspector: -Z� DO NOT REMOVE THIS NOTICE *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Plumbing PERMIT - 201601942 PERMIT NO: 201601942 ISSUED: 12/08/2016 JOB ADDRESS: 3501 Sheridan BLVD EXPIRES: 12/08/2017 JOB DESCRIPTION: Replace 5 if of sewer line in yard only. *** CONTACTS *** OWNER (919)332-1969 DANA JONES SUB (303)433-0598 Will Bowen 018974 WILL BOWEN INC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 800.00 FEES Total Valuation 0.00 Use Tax Permit Fee 14.40 36.70 ** TOTAL ** 51.10 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Plumbing PERMIT - 201601942 PERMIT NO: 201601942 ISSUED: 12/08/2016 JOB ADDRESS: 3501 Sheridan BLVD EXPIRES: 12/08/2017 JOB DESCRIPTION: Replace 5 if of sewer line in yard only. 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 authorzed by �r;cd elgal owner ofthe propertyand am authorized to obtain thisin conjunction with thiermit.[furtherattestthat I amle ayauthorized tonclude al[ entities named within this document as parties to the workto be perand that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offcial 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, an violation of any provision of any a ph ab code or any ordma a or regulation of this jurisdiction. Approval of work is subject to field inspection. AAV 1 4 1 J Signature of Chief Building Official Date REQUESTS MOST BE MADE BY 11:59PM ANY B NESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat ,ogle COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 1 FOR OFFICE USE ONLY J Date: Plan/Permit # 1, 0 ( � 0 ( q -11 Plan Review Fee: Building Permit Application *— Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "` Property Address: Property Owner (please print): Zjp, Iy A 77�b �, e5 Phone:--r/F- 3 -, -, 6� Property Owner Email: Mailing Address: (if different than property address) Address: City State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: W I L4 �vc� Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 303 -133 -v5� Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) 6 C5, We (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) r Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: _ Y r/*V 15 j3A ri)&4 SIGNATURE: a � DATE: J 1 -0 B -f6 ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION. Building Division Valuation: $ City of 'rWb.e-atF?%,jic] YIC-Nl t A L I iNTUY 1) F, V F, I 011NIEN'T M [AMWITH INIZI I i Property Address: 3501 Sheridan Blvd Wheat Ridge, CO 80212 FOR OFFICE USE ONLY Date: Plan Review Fee: Property Owner (please prinfl, Mark Ferry Phone- 267-934-7302 Address: Same as Above Contractor: Thd at Home Services, Inc MIMM Contractor E-mail Address: copermits@gmaii.com Electrical: Plumbing: Phone: -- Phone: 1-855-712-8899 -1 Complete all information on BOTH sides of this form 0 NEW COMMERCIAL +►E 0 ELECTRICAL [I NEW RESIDENTIAL STRUCTURE 0 COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING El RESDENTIAL ADDITION D O REPLACEMENT EICOMMERCIAL ACCESSORY STRUCTURE r !M shed, deck, RESIDENTIAL ACCESSORY STRUCTURE , shed, deck, etc,) MECHa x aww. rx:• f REPLACEMENT .... • x PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL xr• REPAIR REPLACEMENT w•x. 0 OTHER (Describe) (For ALL projects, please f • •`. a detailed • ,.. ! is • of • to be performed,# • current use of areas, efficieriL*i,44*yAw,0- .2mount of a o be Replace ( I ) window, like for like in existing openings. U -value = .32 S% FtAFBtu's Amps _.,._..—_..__--------------- Squares dither m I 41 I m C� C� C� Irl ji cc w EnNEREM a ■ a w w Fri1A, (A CL Ski CL eas- .•a Address: City, State, lea. cant tor: ` A Contractors City License M Phone Electrical: Plumbing: City License # City License City License # SC n *(Fully describe work to rfo d - Attach additional shoot Ifnecessary) t Contract Vsiva of all 1 Review Foe {due at time of submittal)- BTU's Gallons .etas q Ft. rye n (ca ERA (C OR) g NUMORr D rr E AVVE) of (OWNER) (CO O m