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Home My WebLink About4320 Lamar StreetCity �¢ R • ISSUED: 07/06/2017 PERMIT NO: 201703359 ST EXPIRES: 07/06/2018 with ROOF JOB ADDRESS: 4320 Lamar Residential Re -roof to install IKO Cambridge asphalt shingles JOB DESCRIPTION: DECKING - 22 sq. *** CONTACTS *** (303)455-8954 SANCHEZ LORRAINE 022322 B & L Roofing Inc. OWNER (303)985-8536 Bobby Floor 11 SUB UA / Unassigned *** PARCEL INFO *** UA / Unassigned USE: BLOCK/LOT#: 0 / 7,ONE CODE: WHEAT 2405 / BARTHS, COULEHAN GRANGE, SUBDIVISION CODE: ESTIMATED PROJECT VALUATION: 7,372.75 *** FEE SUMMARY *** FEES 0.00 Total Valuation 154.83 Use Tax Permit Fee 172.60 r 327.43 7 L7 ** TOTAL ** *** COMMENTS *** *** CONDITIONS *** 2014, asphalt shingle installations require an approvedmdr�offinai Effective December 1, tshin le the roof covering is installed, Prior inspection, conducted when 25-75 percentnew or overlay) requires an approved inspection approval. Installation of roof sheathing ( uire on the entire roof when spaced prior to installation of ANY roof coveringsand inch exists. Asphalt shingles are or board sheathing with ANY gap exceeding nd required to be fastened to theroofeekke withetal asmrequired. A ladder pextendinge3 feetabove water shield is required. Eave and r lace is required to be provided for all roof inspections. the roof eave and secured e p with applicable codes and/or manufacturer rer inspection Roof ventilation is required to comply Pp whichever is more stringent. In order to p royal from the final installation instructions, roof coverings, a letter of inspection and app ro the of elastom.eric or similar typeapplication of the roof at (p J manufacturer technical representative stating that "the dance with the installation instruction for (roof address) has been applied in accor is required to be on site at the time of final material brand name) roof covering" inspection. -1O/ 7 62 � 35q INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci-wheat-idge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Oc�,wan, Type Inspections will not be performed unless this card is posted on the project site. "Request an inspection before 11:59 P.M. (midnight) to receive an inspection the following businessda day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Pier Initials Comments Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Underground/Slab Inspections Date Inspector rot Electrical Initials Sewer Service Plumbing Do Not Cover Unde Rough Inspections Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw I Of The Above Inspections Comments and or Below/ln-Slab Work Prior To DateInspector Initials lf� oval Of The Above Inspection: Comments r 'Z•17 4i-�p"qt-b I� A Final Inspections Date Inspector Landscaping & Parking / Planning Dept. Initials Comments ROW &Drainage / Public Works Dept. Inspections from these entities should be requested Floodplain Inspection (if applicable) one week in advance. For landscaping and parking inspections call 303-235-2846. Fire Inspection / Fire Protection Dist. For ROW and drainage inspections call 303-235-2861. For fire inspections Final Electrical contact the Fire Protection District for your project. Final Plumbing `- Final Mechanical -- - --- Roof -- -- Final Window/Doors Final Building NOTE: All items must be completed and a - N Occupancy is issued. A approved by Planning, Public Works, Fire and Building before a Certificate Approval of the Final Building inspection For low voltage permits -Please be sure that rough does not constitute authorization of occupancy. inspections are completed from the Fire District and electrical low volta e 9 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: moi= Job Address: 412-c) L.k�,M 6,,Q �- Permit Number: 'ZO j-jO Z_.) S1 ❑ No one available for inspection: Time '"� ' l.t AM/PM Re -Inspection required: Yes ; No When corrections have been made, can fe-inspection at 303-234-5933 Date: 'Inspector:�I j c 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: M 1 P Job Address: 452D (.6N(4s,1L BI - Permit Number: '20110335 (i IZ, I: 12 CSL � rz_ LJNo 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 ),_1 t�V` .,. i 1 Date: l� ' ( I Inspector: /l/1 � DO NOT REMOVE THIS NOTICE _ i CITY OFWHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line i��O(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M11 i? Job Address: ";;6 L.-AM":5;7r. Permit Number:-7ZFI765 10 ymF D MAIN ❑ No one available for inspection: Time /_ 'Q �1' AM1 Re -Inspection required: Yes No When corrections have been ma e, call for re spection at 30 -234-5933 Date:'I I Inspector: Com. DO NOT REMOVE THIS NOTICE City of Wheat Ridge �Residential Roofing PERMIT - 201703359 PERMIT NO: 201703359 ISSUED: 07/06/2017 JOB ADDRESS: 4320 Lamar ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles with ROOF DECKING - 22 sq. *** CONTACTS *** OWNER (303)455-8954 SANCHEZ LORRAINE SUB (303)985-8536 Bobby Floor 11 022322 B & L Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,372.75 FEES Total Valuation 0.00 rwr-Au. AM I Iry Use Tax 154.83 Permit Fee 172.60 ** TOTAL ** 327.43 *** 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 one half 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 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 - 201703359 PERMIT NO: 201703359 ISSUED: 07/06/2017 JOB ADDRESS: 4320 Lamar ST EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re—roof to install IKO Cambridge asphalt shingles with ROOF DECKING — 22 sq. I, by my signature, do hereby attest that the work to be perfonned 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 pen -nit and perform the work described and approved in conjunction with this permit. I further attest that I amle ally authorized to include all entities named within this document as parties to the work to be perfdrn�ed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNTER 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 ori.ginal permrt 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 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, any violation of any provision of any c ' applica6 or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. T__ ,f Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Kimberly Cook 2,017 () � S� From: no- rep ly@ci.wheatri dge.co.us Sent: Friday, June 23, 2017 9:52 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application 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. 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. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. 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 Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4320 Lamar Street Lorraine Sanchez 303-455-8954 Field not completed. 4_vo.�Y3 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. 10 5 161,11 Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number B&L Roofing Inc -�T_-3ml-2-- OZ7 22 303-985-8536 Contractor Email Address billing@bandlroofinginc.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material: If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? billing@bandlroofinginc.com Yes IKO Cambridge Asphalt Field not completed. 22 No Field not completed TOTAL SQUARES of all 22 / roofing material for this proj ect N Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House only - pitch 4/12 �3�Z,75 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 submit this application and to perform the work described above. Name of Applicant Bobby Floor Email not displaying correctly? View it in your browser. 3 :lox* SPECIFICATIONS Corporate Headquarters 9500 W. 14th Ave. Lakewood, CO 80215 Bob F.1,s r �f7 - 20) 314-6198 _ Levi Andii , (720) 298-3449 Office &Fax,:s (303) 985-8536 Ievi@,BadL nll� *fInginc.conn A69tEMENT VSJEC7�VO INSURANCE COA ,WEPLACEALL BOOTJACK$ 5L8FELT — JOE &WATER 8HELO-X%-' EMOVE ROOFTRASH fROM R", GUTTERS &YARD OTECT LANDSCAPM WHERE NIMOEO jkb L L YARD w rrm MAGNETIC ROLLER PAYMENTSCHEDULE Sn&WhbTmt ISSUANCE OF WARRANTY CERTIFICATE 8� LIEN WAIVER WILL FOLLOW AFTER FINAL PAYMENT, YOU MAY HOLD 5% OF CONTRACTED PRICE AS RETAINAGE UNTIL FINAL INSPECTION WITH THE CITY /COUNTY IS COMPLETED (IF REQUIRED BY LOCAL=E). aAINU Kt#'LAU1--MtNT— UL ROOFING WRESFISITATNE, W1.1kJ111— kKSPRIO RTA STORM: dHERE—Af L-7- Sk Roofing's Comm ercia abwyen ca er WSby IP EDGE AMOUNT-W.�11*141 COLOR 1 -.2 PA a yet eaVoyAodges, rece ter's MaIv price subject to irlwrence: TERMS: This AGREEMENT DOES NOT OBLIGATE THE CUSTOM = , ER OR S&L ROOFING IN ANY WAY UNLESS PAYMENT AGES Is APPROVED BY THE INSURANCE COMPANY AND ACCEPTED BY B&L ROOFING. CustoMer authorizes B&L Rooling to Wain labor and materials in accordance with the work specified above (Ihe'Worle) with NO ADDITIONAL COST TO THE CUSTOMER EXCEPT FOR THE DEDUCTIBLE.* The final price of the work is subject to change upon owner andlor insurance company approval, but shall, not exc*ad Price Agreeable, In exchange for B&L Roofing's agreement to perform thet forth herein, Customer 'rarefy makes a limited assignment to S&L Rooling of contractual rights available to Customer under "Icy Issued byA=(hereinafter the "Assignment"). This Assignment is not limited to arnounIs duo to Customer under any particular policy covmpe, but this Assignment Is limited In the amount designated as the Price Agreeable. If however, the property Insurer remits all or some portion of the Price Agreeable to someone other than S&L Roofing, then S&L Roofing retains the right to obtain collection from the Customer and to place a lion on the premises In aid of collection as may be necessary. In the evet'dof any dispute over the terms or performance of this agreement, the prevailing party shall be entitled to recover their costs, including reasonable attorneys fees. *Terms applicable to replacement cost coverage policies only, If you have non-recoverable depreciation you agree to pay those amounts to S&L Roofing.'*If decking latNuired,but not covered by your policy, you agree to pay S&L Roofing $2.50 per square foot repaired for Cm dooking and $6.50 per linear toot If repaired for plank decking. —Customer hereby authofizes S&L Roofing, or Its assignees, to access consumer credit bureau as B&L Roofing deems necessary and to report to any credit bureau of B&L Roofing's choice of any delinquency of payments due hereunder. **'*Customer is responsible for any code upgrades, not covered by Insurance company. Any damage from existing skylights that are 'removed and replaced shall not be covered under B&L Roofings warranty. S&L Roofing disclaims all warranties, express or Implied, Including the implied warranty of merchantability or fitness for a Particular pU-rp0Ak1k--9Xq#J*—as, spec)f loally, 0 Xpressed on the Oaq,4, of thipai;lroe me nt. S&L Roofing does not honor any verbal agreements. All change orders must be submitted In writing for approval. Please make all checks payable to S&L Roofing. Customer assumes all liability for checks not made payable to S&L Roofing. Cash is not accepted, All payments from the Customer or Insurer shall be hold In trust by S&L Roofing until such time as S&L Roofing has dativoed roofing materials to the property or has performed a majority of the work. Customer has read and agrees to all terms and conditions on the back of this Agreement. 1 (We) hereby authorize & Instruct the Insurance company and all lion holders to include the narne of S&L ROOFING, Inc. as Coy Payee on any subsequent loss draft or checks after today's date as indicated below, I (We) also authodZe arty lecal rsOMSentative and or anent of B&L r' I i ~ A .....~ ~ r CITY OF WHEAT RIDGE :r'r~ Building Inspection Division JV' (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: h'>I/AL MoF Job Address/Permit Number: '/J;/.t? / A/HItJ!. ';To o~/3 A;Jf;LivlO o No one available for inspection: Time //: ;Zs AM/PM Re-Inspection required: Yes (~O_ * When corrections have been made, call for re-inspection at 303-234-5933 Date: t:15~ IL5'F;- Inspector: .z::"" / DO NOT REMOVE THIS NOTICE ~~A.( ~ City of Wheat Ridge Residential Roofing PERMIT - 080613 PERMIT NO: JOB ADDRESS: DESCRIPTION: 080613 4320 LAMAR ST Rmve existing roof system to deck. ISSUED: EXPIRES: install 30 06/10/2008 12/07/2008 yr compo *** CONTACTS *** owner 303/455-8954 gc 303/371-2977 Lorraine Sanchez Maiko Williams 08-0002 Over the Top, Inc. ** PARCEL INFO ZONE CODE: SUBDIVISION: ** UA 0397 USE: BLOCK/LOT#: UA 0/ Permi t Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION: FEES 126.50 .00 57.35 183.85 3,186.00 ** FEE SUMMARY ** 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor/owner date 1. This permit was issued in accordance with the provisions set forth In your application and is subject to the laws of the State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, a v. tion of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan revi ject to field inspections. Signature of Ch. date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ~ ~ A... Y, City of Wheat Ridge Residential Roofing PERMIT - 080613 PERMIT NO, JOB ADDRESS, DESCRIPTION, 080613 4320 LAMAR ST Rmve existing roof system to deck. ISSUED, EXPIRES: install 30 06/10/2008 12/07/2008 yr compo *** CONTACTS *** owner 303/455-8954 gc 303/371-2977 Lorraine Sanchez Maiko Williams 08-0002 Over the Top, Inc. ** PARCEL INFO ZONE CODE: SUBDIVISION: ** UA 0397 USE: BLOCK/LOT#: UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED FEES 126.50 .00 57.35 183.85 PROJECT VALUATION: 3,186.00 ** FEE SUMMARY ** J~~ ,~?1:. ,-_J L,~: . _:;': I hel-eby certify that the setback distances p:::-oposed by this permit application are accurate, ond do not v:;.olate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shovm, and allegation:3 !:lade are accurate; that I have read and agree to abide by all conditions prin::ed on this application and that I assume full responsibility for compliance with the Wl1eat Ridge Building Code (I.B.C) and all other ap licable Wheat Ridge Ordinances, for work under this permit Plans subject to field lnspection , C\.cO 'd ((J \ I, ~~E)'n 1. This permit was issued in accordance witl1 the provisions set forth In your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be gran~ed at the discretion of the Building Official. 3. If this permit expires, a new p'2rmit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (L year. If chan<)es have been or if suspension or abandonment exceeds one (1) year, full fees shal:L be pa~d for a new permit. 4. No work of allY manner shall be dO:le that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance tor all inspections and shall recelve written approval on inspection~ard before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, ;py .)'lation of the provisior.s of the building codes or any other ordinance, law, rule or regulation. All plan re;:}~ Ject to fleld inspectlons. 'j Signature of ~~ief date INSPECTION REQUEST LINE: REQUESTS MUST BE MADE BY (303)234-5933 3PM ANY BUSINESS BUILDING OFFICE: (303)235~2855 DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 8~"'. H!'A >,~, ;::"'"()Gl i} ',',"; rn ---<~;; .,;, C'Ot OR ,..00 City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 . Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: Plan#: Permit #: Building Permit Application Property Address 1132.0 I () \'r\(l( S-\- Property Owner (P/ea~ print) lo~ ;~.:-;; f 'S~~d\ Cl. Mailing Address: (if different than property address) Address: Phone 3~'5S . '099-1 City, State. Zip: Contractor License #: Phone: -2 11 Contractor: Sub Contractors: Electrical City License #: Company: Plumbing City License #: Company Mechanical City License #: Company: Exp. Date: Approval: Exp. Date: Approval: Exp. Date: Approval: Use of space (description): Description of work: lZe\"YI00(. e)l.\"jn ~ '(aX 5'f'5teM t" de.d:. \I1?-\otl new OlPel\'''' Cor"\v\~ ?D '{Y. CofYIp. Squares 10 BTU's Construction Value: $ (88 ClIleul.ted per the Building Valuation Data sheet) 7/11/7 .~ Plan Review (due lit time of submittal): $ Sq. Ft./L.Ft added: Gallons Amps OWNERlCONTRACTOR 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 \M1eat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the VVheat Ridge Building Code (I.B.C) and all other applicable VVheat Ridge Ordinances, for \NOrk under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Revtewer: pUBliC V\K)RKS COMMENTS: Revie'N8r: BUILDING DEPARTMENT COMMENTS: Reviewer: OCCUPANCY FIRE DEPARTMENT:: 0 approved wi COmT'l&nts 0 disapproved 0 no review required I Bldg Valuation: S