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Home My WebLink About3076 Fenton StreetT2Structural Engineering MiOffice Bi x=. ILnelund. ColVm,kl Xa$;I OPrte:(9401 M1M1}M1U16 October 27, 2021 Hartwood Homes 3080 Fenton Street Denver, CO 80214 Footing Observation The 3076 proton (3207) 3076 Fenton Street 567400 Olinger Gardens Subdivision Wheat Ridge, CO Project Number: 21-099-31 Dear Mr. Metz: On October 26, 2021 a representative of this office visited the site referenced above to observe the footing form widths, depths, and reinforcement. The continuous and isolated footing widths and depths were in general compliance with the foundation drawing by V Structural Engineering, project number: 21-099, dated July 16, 2021. The dowel reinforcement was on site and the spacing will be confirmed with the foundation wall observation. Protect freshly placed concrete from temperatures that will compromise the design strength of the concrete. Concrete placement and reinforcement is to be installed in accordance with ACI 318 and IRC. Please contact this office if there are questions, or if additional information is required. Thank you for the opportunity to work with you on this project. Sincerely, a d'ji6@ 06Susan Tagg, P.E. xyi Enclosures �dg, arm ` 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: No one available for inspection: Time _ Re -Inspection required: Yes No AM/PM When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE TH/S NOT/CE 1* � � i City of Wheat Ridge �� Residential Demolition PERMIT - 202002541 PERMIT NO: 202002541 ISSUED: 12/08/2020 JOB ADDRESS: 3076 Fenton St EXPIRES: 12/08/2021 JOB DESCRIPTION: Demolition of entire structure - 940 sq ft total *** CONTACTS *** OWNER (563) 542-5068 FERLIC DAVID G SUB (303)427-1201 RALPH MENDOZA 022230 MENDOZA DEMOLITION SERVICES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 71000.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 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 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. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: General Permit Application Date: Tuesday, December 8, 2020 10:50:07 AM General Permit Application This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Residential or Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION Residential 3076 Fenton St David & Patricia Ferlic 563-542-5068 n/a wh Submitting General Mendoza Demolition Services, Inc Contractor or Architect Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) 022230 Contract Phone Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address Retype Contact Email Address DESCRIPTION OF WORK Detailed Scope of Work - Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. 303-427-1201 mendozaservices@msn.com mendozaservices@msn.com Complete demolition of the residence Square footage of 940 scope of work Location of work the hole house (backyard, on roof, etc) Project Value (contract value or cost of ALL materials and labor) Upload Engineer letter, other documents on 8 1/2" x 11 " Upload Asbestos Report if triggler level is met per CDPHE regulation. Upload Drawings 11" x 17" or larger 7.000.00 Field not completed. 3076 Fenton St State oermit.odf Field not completed. 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 Phil Mendoza Permit Email not displaying correctly? View it in your browser. yx 4anYN a: awUtp Nme: monfrtabia A°" that has a hlgn a or hes bxmme DEMOLITION NOTIFICATION APPLICATION FORML / / on operations regal APPLICATION FEE MUST ACCOMPANY THIS FORM ¢ s""""1e"'INCOMPLETE W demoliflar., APPLICATIONS WILL BE RETURNED Crmk DlirenoTado� t (Notice will be mailed to the demolition contractor unless s ecified �DBpamnea D otherwise) daaB.l6io-FpUbRCHaeltl9 ronmeo Fee: $50 + $5 per tODO ft of arca to be demolished = 365 0th""¢andPay o2n(see 37 Instruction€1 on reverseside) dao.m mmg ""^'-4@r 4anYN a: awUtp Nme: monfrtabia A°" that has a hlgn a or hes bxmme APPROVED / / on operations regal Swan leotaea fPotpmia p,vapn U assay to baaanGahee moatt be be properry W demoliflar., By SEK at 1:38 pm, Dec 03, 2020 L Code ebe� se L .. 37 Fu 0 . (✓/� a=. O Cm'. row,�r n9Coae: O tC� I I �� ` P r e ' Pmposey$tad as Pmmspo CpTpt"- 1 el- 0 E _ IZII(e. it IMe]hA ns ar Cemogaon: Tandy atba CerBMggsbssim guilders lnspea�has lnfUtned me Eoesm WremainbY asMsbaanhiMte mMeAabd ba dUlybbe Q Q EfWred.Mp ❑ Bumn9tl ❑ MPimon ❑ Moving OOihr, speW.. ams: ABJmias I.andal n9Debds I irts c wA (9¢9) 692]lre antlaSk ua Is Me W eekd NaO Bumin Petma C¢wanater M Br� ft.ftaYx dmorer unees.14 G gd Aha1¢mOnlCgNacWr(G4C) c y COPHE AAbe5d9 Peumtl9 Trial QuaMy MAabe;laa Removed Sln:atAl � 5 O Gate vel plahvtl �q Telephmre Y'9 /n G e C np r,,,,A. YPWeIIXMbeebeCereas¢WkNl Remwtl: $ m I Corl ame', Tal p With my signature below, I certify that I'possess current AHERA accaeditabon and state of Colorado cerfiflcabon as an Asbestos Building Inspector. I also Certify that I have thoroughly inspected bre facility to be demolished, as listed in the Demolition Site block above, sampled all suspect materials; had all samples analyzed for the presence of Is. asbestos by a NVIAP-aaxedbed laboratory, and have determined that no Regulated ACM axisfs anywhere in the cis facility.• I also certify that I have informed the ownenloperator of the facility or the demolition contractor that any o a° asbestos -containing material allowed to stay in the facility must remain non -friable during demolltlon. Specify typa(s) or of ACM remaining; below. (check appropriate bo)(es)): G ad m Vinyl asbestos poor file (VA ❑ VAT mastic E] Tar/asphalt impregnated roofing ❑ Asphaltic pipe coatings U S ra -a lied tar coatin s ❑ Caulkin E Glazin ❑ Otnis specify; E I91Ydls neWe mk 5,u s. rnNtl Name: HoWundC.Na)Irx�vn/Sr, U r 1 24 Wim. °o2$g 2)2OI1I Teramnne/ GY PhoneP (' Ig) - O7 O� mitly that a0 refrigerants from air drondidDrikitiftedfirigerawn app ences have been property recovered in accordance enth AQCC Ra,ula0on No. 15 (for Information on CFC requirements uN 6923100). 1 further very that all luminous sell signs (contaming redlomfive material) have bear vdisposed of In acxtdmm w s CCR 10D7-1 subpart 3.6.4.3 (or Herrington on luminous sedt sign requirements call303-6923320). m p CHECK THE APPROPRIATE Oak- `o —1 133guide o.s: GI GnU°Mr I El oN9r Dalx'. Z Z .— U si Fd I Name: ar L _ THIS Box 1s Fog CDPHE Use ONbr. ' mnark or Mand OdNerybare: 12/2/20 Approved By a PPR0vE0 Coda: EI Inlual-310 ❑ transfar-3B0 e,:,:1` 1111 ----... ..: :T. oFP 157131260-$55 Pe %- eymenla R: Imll!Record# Cate Issued mmg ""^'-4@r stet nal become fLM. (c) ACM be a monfrtabia A°" that has a hlgn a or hes bxmme APPROVED matIn tie course Of on operations regal moatt be be properry W demoliflar., By SEK at 1:38 pm, Dec 03, 2020 INSPECTION RECORD Inspection online form: http://www.ci.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 inspect' n the following business day PERMIT:, L, 1 1 ADDRESS:j(/f ` ^ JOB CODE: OF r 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 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 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:,�(�/7L)0 ! ADDRESS: . �CJOB 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 401 Gasline 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 l 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. VETERAN ROOFING 5039 South Federal Blvd, Suite 6 / Englewood CO 80110 / Phone 303-945-4426 To City of Wheat Ridge Building Inspectors, This letter is regarding the modified bitumen portion of the roof at 3076 Fenton St., permit #201700786. The material used on the low slope portions of the roof is the Certainteed Flintlastic SA(Self-Adhering) System, consisting of both a base sheet and a cap sheet. Veteran Roofing certifies that this system has been installed consistently with all manufacturers specifications, and offers a 10 year workmanship warranty on all installations. 0 Z��) Jason Biondot Owner- Veteran Roofing Scanned with CamScanner 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: L� 0 q - JobAddress: 3o7& r- -C 4 - Permit Number: --c) 0 r -7 0 0 7 1, -i-c C N l4 c-, 0 , o, f c n a u.l , -L � ccmfl%�� 0 0-P ❑ No one available for inspection: Time li5 = C; AMMPM Re -Inspection required: Yes I& When corrections have been made; call for re -inspection at 303-234-5933 Date: yIz-1 / -0 Inspector: TL DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 5 Not / r? JP Job Address: 30-76 FtnTaw, 5T Permit Number: Z ®I7C'o-7.?(0 ❑ No one available for inspection: Time %Z_/ A /PM Re -Inspection required: YOCD When corrections have been made, call for -inspection at 303-234-5933 Date: /---? Inspector: hi��Iz DO NOT REMOVE THIS NOTICE _ o ��-- ❑ No one available for inspection: Time %Z_/ A /PM Re -Inspection required: YOCD When corrections have been made, call for -inspection at 303-234-5933 Date: /---? Inspector: hi��Iz DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201700786 PERMIT NO.: 201700786 ISSUED: 05/23/2017 JOB ADDRESS: 3076 Fenton ST EXPIRES: 05/23/2018 JOB DESCRIPTION: Redeck & Reroof with GAF Timberline HD 40 year - 18 squares *** CONTACTS *** OWNER (303)237-4432 FERLIC DAVID G SUB (720)373-0590 Jason Brondolillo 170192 Veteran 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: 6,562.93 FEES f Total Valuation 0.00 ,? Use Tax 118.13 Permit Fee 156.75con * * TOTAL * * 274.88 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201700786 PERMIT NO: 201700786 ISSUED: 05/23/2017 JOB ADDRESS: 3076 Fenton ST EXPIRES: 05/23/2018 JOB DESCRIPTION: Redeck & Reroof with GAF Timberline HD 40 year - 18 squares 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 le ally authorized to include alI entities named within this document as parties to the work to be perfonned and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWtR or CONTRACTOR (Circle one) Date t 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,griting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable Codd o6a,,,ordinance .4Y-,, laf oil o. 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 insptimerequestgci.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 Pj,,dgo COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm itsCcDci.wheatridge.co.us FOR OFFICE USE ONLY Date: 1 r 1 3 lt� Plan/Permit # N 1 � m Ka 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: S 0 -7 C.e "�_z yj o v`- Property Owner (please print): ` r. f i L� �a fes` ► G PhoneC302 Property Owner Email: AIJ i J��tr Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Eng 1 neer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: V'U' {. Tt r- Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 73_v �5 Other City Licensed Sub= City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL X RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITIONRESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION f] 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.) 4 1 kA D Sq. Ft./LF Amps �'r-, - - 17,P-, C, �- Btu's Gallons Squares _ I � 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 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 arc 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 perforin 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: (OWNER) (CONTRACTOR) or (AUT ► / ZED REPRE ISE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: 4t ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ FOR OFFICE USE ONLY City of Wh6atRAe Per # CoMMUNny DEVELOPMENT Plan1pennitit # Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: F 21 �24 Ze p Property Owner Address: ArchitettlEngineer E-mail: Contractor: Contractors City License 1,_q' c, 1 *3 Phone:, 2 3 _-7fR — - Contractor E-mail Address: 00 0, Sub Contractors'. Electrical: Plumbing: Mechanical: W,R� City License VV,R. City License W,P, City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License Complete all information on BOTH sides of this form •- amount cit materials t used; etc.)f ; ` - �� s t " `ice $ to . M Sq, FULF w_�.A....,.,. �. Btu's Amps Square _. _. Dqvof Fe r 1/-<- (1076 F",.. fo~ J03-"Z..?7-'t<fsL. h<.>>n€. P 1,-,,,, h~''j j;; h ( C 4'jJ rCl I:f !JOOU 1- -r"uk Q U?'-Cj1/t' bl-;! ;Jrv ole 11-1 II ",-., J)/~ [J Y"-,fV,.IA. 5 C 'y,-"ch.,., bl<>M'.1 c..i~ 0'-17 f' L l /""'" f,>-vL be,,,.s,, . h'( fOO / ",-,,-f?. /"''''''1<,- PI;Jp.,1M} - ("if 8 0 = \0-11 - Fo-b""H1 \1;\Q,\r /)/, I ~ e'-O f)" rr,'V\ r -/0<> [ 14 e c. <.< II f~.v, (J1,. r~ vJ, '- lA-' ~,,~ .L heu>/ ..;"" d<.e-l; """'- 5/1-3. K-Vho/5 J- S4b41c1", 't hCiv~ l;/uv; ),'5 c-~/c<,~t c' I C/ I( b",f J oIld"1'f!< '1i)~ " ~<<- 6u Ih"", ),..,<.. 15 h~ hqc'/ 0- /vVJI.:>rh.. 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