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Home My WebLink About3255 Moore StreetINSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: ADDRESS: - JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext, 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground o Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof o 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ADDRESS: JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. 0 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: 4 y3 -F 1Z v Job Address: -37 ilii: Permit Number: Q`:-) j X—C) -,<y -7_ f ❑ No one available for inspection: ime / A ? /PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date: l / 17 Inspecto �ac< 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: 3 `_> (o " ) Z) Job Address: _ a �:T S X02 - Permit Number: c~j i'� V ❑ No one available for inspection: Time /,'0 o AM/' Re -Inspection required: Yes /1 I�q When corrections have been made, call for re -inspection at 303 -234 - Date: ! !a inspector: DO NOT REMOVE THIS NOTICE )13 City of Wheat Ridge Residential Roofing PERMIT - 201708473 PERMIT NO: 201708473 ISSUED: 10/20/2017 JOB ADDRESS: 3255 Moore ST EXPIRES: 10/20/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 44 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)238-7702 KORB DANICE C SUB (303)425-1083 Matthew Rock 017908 Rock's Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,308.00 FEES Total Valuation 0.00 Use Tax 237.47 Permit Fee 236.00 ** TOTAL ** 473.47 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 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 IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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) 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 25-75 percent 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. 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 - 201708473 PERMIT NO: 201708473 ISSUED: 10/20/2017 JOB ADDRESS: 3255 Moore ST EXPIRES: 10/20/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 44 sq Pitch = 5/12 I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationsz 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 fiarthe ttest that I am leggally authorized to include all entities named wi in this document as parties to the work to be performed and all wc�rle.b�performedasclo"sed in this document and/or its' acompan}�ing 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, po Flans 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 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. Signature of Chief Building Offi3305 DateU REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. r � Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Thursday, October 19, 2017 2:19 PM To: CommDev Permits C� Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 and due to the volume of requests, time to process varies and is subject to change. 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. 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? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION r., Property Address 3255 Moore St., Wheat Ridge, CO Property Owner Name Danice Korb Property Owner Phone 303-238-7702 Number (enter WITH dashes, eg 303-123-4567) �q 3 -,, 1�� Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Sign Contract Danice Korb.pdf Contract CONTRACTOR INFORMATION Contractor Business Rock's Roofing Inc Name Contractor's License 017908 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3034251083 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 3820 QUAY STREET (Primary address of your business) Contractor Email Address rocksroofinginc@hotmail.com Retype Contractor Email rocksroofinginc@hotmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 44 the entire scope of work: Project Value (contract 5575 value or cost of ALL 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 z both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 5/12 44 Owens Corning Duration Asphalt Remove existing layer(S) Install Duration Owens Corning roofing system 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 9 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. Name of Applicant Matthew Rock Email not displaying correctly? View it in your browser. _ OCWS ROOFING INC. 3820 Quay Street Wheat Ridge, Colorado 80033 www.RocksRoofinginc.com Rocksroofinginc@hotmail.com TO STREET -3,2,5 t> r, ,rL e30 r Co CITY, STATE AND ZIP CODE 4.*.,* oRtf ROOFING EXPERTS OF COMMERCIAL AND RESIDENTIAL SINCE 1968 New Shingle Color_ t' 7.iL Ar' Initials' ; �. Tear OffDX �(; ,"y e . ; � r , J 4` Base Felting Type Install Ice Shield r yelo Install Shingle Shingle Manufacturer_(Yi-,.) f r, 3 �� b p• `' . Ridge Venting V' ,� Roof Height Paint Roof Stac sk " 5G� a Roof Slope J r1> ,^� ��— Venting Type rt�Metal Edging i� C Replace Plumbing Jacks 1.5" 2" 3" l Counterflashing ` e_5 Stepflashing (-', _01 Warranty�:.ri r"4 l Replace gutters (L. F.) Replace down spouts (L.F.) Gutter Color �ik 11 -�, gxnf� Initials Protect all Landscaping ®l` Clean up and haul off trash EA/ Roll yard with magnetic roller[]` Install six nails per shingled/" _ Additional Work Performed 06 -1 303-425-1 083 Fax 303-940-9358 PHONE DATE ,?_3�) NAME / EMAIL JOB LOCATION This estimate does not obligate the homeowner or Rock's Roofing Inc. in any way unless it is approved by the insurance company and accepted by Rock's Roofing Inc. By signing this agreement the homeowner authorizes Rock's Roofing Inc. to pursue the insurance company at the homeowner's best interest for a roof replacement or repair at a price that is agreeable to the insurance company and to Rock's Roofing Inc. with no additional cost to the homeowner except for their deductible. When the insurance company and Rock's Roofing Inc. agree upon a price, that price will become the final contract price and Rock's Roofing Inc. will receive all insurance proceeds for the work completed by Rock's Roofing Inc. We propose to complete the work in accordance with the above specifications and subject to conditions found on this proposal. Initials ACCEPTANCE OF PROPOSAL -This proposal becomes a legal and binding contract within 72 hours from date of acceptance. 1 1/2% per month interest will be added to all accounts 30 days past due. In addition, cost and reasonable attorneys fees for collections may be charged on any account past due over 30 days. Payment is to be made at time of completion. Failure to pay can constitute a mechanics lien filed against the property. All materials guaranteed to be as specified. All work to be completed in a workmanship manner to standard practices. All damages to buildings are excluded 30 days after completion date and the owner is notified that any damage to contents will be the responsibility of the owner and his insurance company. All damages to the building, which occurred while roofing was in progress, will be covered by the contractor. All agreements are contingent upon strikes, accidents, or delays beyond our control. Scheduling will be done based upon date signed but limited to availability for materials, crews, and weather conditions. This proposal expires thrity (30) days after the date stated above if not earlier accepted, revised, or withdrawn. WE HEREBY PROPOSE to furnish labor and materials in accordance with the above specifications for the sum of: 'ft��'� �' Gf`Cl' C"; -� .',"t dollars ($�� Payable Upon Completion Of Work - Visa & MasterCard Accepted. Financing Available. l ' CONTRACTOR SIGNATURj� `� ttr CUSTOMER SIGNATUR INSURANCE COMPANY DATE OF ACCEPTANCE CLAIM # 7 2y ADJUSTER PHONE # 4®r2-- A i CITY OF WHEAT RIDGE ��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 41< Permit Number: aL71 (=�O S ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No *When corrections have been made caN for re -inspection at 303-234-5933 Date: 11 144116Inspect DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201601551 PERMIT NO: 201601551 ISSUED: 10/05/2016 JOB ADDRESS: 3255 Moore ST EXPIRES: 10/05/2017 JOB DESCRIPTION: Remove existing shake shingles. Install synthetic roof underlayment ice & water shield at eaves, valleys & chimney. Install OC duration roofing system. 5/12 slope *** CONTACTS *** OWNER (303)238-7702 KORB DANICE C GC (303)425-1083 Matthew Rock 017908 Rock's Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,380.00 FEES Total Valuation 0.00 PJAMID Use Tax 294.84 Permit Fee 315.25 * * TOTAL * * 610.09 CO- -b-0 *** 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 A/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€-s 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. City of Wheat Ridge Residential Roofing PERMIT - 201601551 PERMIT NO: 201601551 ISSUED: 10/05/2016 JOB ADDRESS: 3255 Moore ST EXPIRES: 10/05/2017 JOB DESCRIPTION: Remove existing shake shingles. Install synthetic roof underlayment ice & water shield at eaves, valleys & chimney. Install OC duration roofing system. 5/12 slope I, by mi',ature do heeby attest thattheworktobe performed shall comply with all accompanyingg approvedplansand specifications, applicae uilding codes, and all applicable municipal codes, policies and procedures, and that I am tl�e legal owner or have beenauthorized ythelgal owner of the property and am authorized to obtain this permit and performthe work desribed and approved inconjunctionwith thisperit. 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 ppdans 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, an violation of any provision of any applicablef) or any ordi nce or egulation of this jurisdiction. Approval of work is subject to f any inspection. 10J5/l Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. -3)'S5 -rC St _* `)JJ l � 0 15 S ^�INSPECTIO RECORD Occupancy/Tme Y017i �� S`� INSPECTION REQUEST LINE: (303) 234-5933 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 Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date inspector Initials F'MI11rNI RLUL.-1- Us / 8151 610.09 Wall Sheathing Initials AUTH CODE: 715032 610.09 TOTAL ------- --------------------------------- Mid -Roof Final Plumbing Lath /Wall Tie Final Mechanical Rough Electric Roof Rough Plumbing/Gas Line Final Window / Doors Rough Mechanical Final Building Rough Framing Landscaping & Parking / Planning Dept. Insulation Drywall Screw/ Nail ROW & Drainage / Public Works Dept. City of Wheat Ridge 10/05/2016 16:23 CDBB Remove existing shale CDBO13780 AMOUNT BPSP 3255 Moore RFPL/PERMIT�610.09 NO: 201601551 AbnilkIT Final Inspections Date Inspector F'MI11rNI RLUL.-1- Us / 8151 610.09 Initials AUTH CODE: 715032 610.09 TOTAL ------- --------------------------------- Final Electrical Final Plumbing Final Mechanical Roof Final Window / Doors Final Building 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 ROW & Drainage / Public Works Dept. inspections call 303-235-2861. For fire inspections Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project. MOTE: 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 compieteo Trom tnu f 11C UIJII a 1.. �,. �v. �•• •�'•�� by the Building Division. "For Inspection Time Window Requests — Please email insptimerequest(o)ci.wheatri4cLe.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 `, ,V City of ��Wh6-at I idleMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855' Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 10I � I Plan/Permit # 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: 3 CR S 5 'rnGOr '.._ st I wKe-c'A 24'-'e co S 3 3 Property Owner (please print): IDnA I Cie— K o v' b Phone: 303- aZ 8- 7-76 a Property Owner Email: Mailing Address: (if different than property address) Address: City State Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: ( vOC4ly\_q , . )�G C L Contractors City License #: I'% 10 g Phone: 3 0 3- y 2 S -- 1 C S3 Contractor E-mail Address: r c C_�_S e r p CIL S rco f k nC, (VAC' C 0 - ►1 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 ❑ COMMERCIAL 9 RESIDENTIAL 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) (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.) uv�derl��w.e�+ A TCe R t15a4-er sh��1c� G eves ��lle�s ctltm�e�, Glns�all QC Durciic x rcOAly\,� Sys f 51(Z Slope, Sq. Ft./LF Amps Btu's Gallons Squares -q Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ t b. 3 ?So — 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 Wlrcat Ridge or covenants, casements 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 1 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) ONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OKWER) (CONTRACTOR) Electronic Signature (first and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ r' Property Address: Property wner (please print): D e- K 6 Phone: � Property Owner Email Mailing Address (if different than property address) Address: {amity, State, Zip. Complete all information on BOTH sides of this fart S q. Ft.ttll Stu's Gallons {p Squares Other OW'NERlC ONTRAC "TOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that. the setback distances proposed by this pen it 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 l 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 l 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, (OWNER) (CONTRACTOR) �Lr JOAUT'H'ORIZ Building Division Valuation: $