HomeMy WebLinkAbout3885 Ammons StreetA . City of Wheat Ridge
Residential Roofing PERMIT - 201705211
PERMIT NO: 201705211 ISSUED: 08/02/2017
JOB ADDRESS: 3885 Ammons ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 38.8 sq
(29.22 sq pitched / 9.58 sq flat)
*** CONTACTS ***
OWNER (303)467-2474 ARP MAX H
SUB (719)591-4947 McIntyre Corporation DBA 170141 Total Roofing
** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,419.30
FEES
Total Valuation 0.00
Use Tax 428.81
Permit Fee 378.65
** TOTAL ** 807.46
*** 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) 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
ao �7osa l/
3rFrt' INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/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 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
Comments
Sewer Service
Plumbing
Do Not over Under round or Below/In-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
Rough Grading
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.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof I-
q- /q
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 Fire District ana eiecincai iow vonaye
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A i CITY OF WHEAT RIDGE
�'(303)
B�rilding Inspection,Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: C/ a q - F, n <. 1
Job Address: 3 S S sr- 11 1) ! 4
Permit Number: 'a o r -7 o S -0-1 J J
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:_1 q //,g Inspector: _T --b
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: F1l . j
Job Address: 3 res $ 4�_ rn ft s S�
Permit Number: -off 0 1'7 0 sa t I
❑ No one available for inspection: Time 1 a = c13 AM/ I tV
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-
Date:- `& /-a S Inspector: `r b
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201705211
PERMIT NO: 201705211 ISSUED: 08/02/2017
JOB ADDRESS: 3885 Ammons ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 38.8 sq
(29.22 sq pitched / 9.58 sq flat)
*** CONTACTS ***
OWNER (303)467-2474 ARP MAX H
SUB (719)591-4947 McIntyre Corporation DBA 170141 Total Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,419.30
FEES
Total Valuation 0.00
Use Tax 428.81
Permit Fee 378.65
** TOTAL ** 807.46
*** 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) 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A 41 City of Wheat Ridge
Residential Roofing PERMIT - 201705211
PERMIT NO: 201705211 ISSUED: 08/02/2017
JOB ADDRESS: 3885 Ammons ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 38.8 sq
(29.22 sq pitched / 9.58 sq flat)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/ori ts' accompanying approved plans and specifications
.
gna of WNER or C CTOR (Circle one) Da e
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 maybe 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 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
�
applicabl or any^ordinance Or regulati n of this jurisdiction. Approval of work is subject to field inspection.
60� e
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz q6 �X 5- -2, L i
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 24, 2017 3:56 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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
Property Address 3885 Ammons St. Wheat Ridge, CO 80033
Property Owner Name Arp, Max
Property Owner Phone 303-467-2474
Number
Property Owner Email Field not completed.
Address
$tic7,'fE
113
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business McIntyre Corp D.B. Total Roofin� ��
Name
Contractor's License 170141
Number (for the City of
Wheat Ridge)
Contractor Phone 719-591-4947
Number
Contractor Email Address raul.g@totalroofingco.com
Retype Contractor Email raul.g@totalroofingco.com
Address
DESCRIPTION OF WORK
Are you re -decking the No�
roof?
Description of Roofing Remove and replace 29.22 squares of asphalt Comp Remove
Material and replace 9.58 Squares of rolled roofing
Select Type of Material: Asphalt, Rolled
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 30 asphalt 10 Mod Bit ( rolled roofing )
material selected above?
Does any portion of the ej
property include a flat _
roof? If S
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 39 squares
(pitched + flat) of all
roofing material for this
project
2
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
(: 20,419.30
Project Value (contract
value or cost of ALL
materials and labor)
House only. 1/12 to 5/12
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 Jimmy Teegardin / Lyle Carpenter
Email not displaying correctly? View it in your browser.
3
APARTMENT
ASSOCIATION
rcea�nunrownmo
Hn 1G
r_r nm9s� i
Pinnacol Assurance # 4110754
Berkley Regional Specialty # CGL0009114-25
Roofing Lic # 17172
303-242-x250
PROPOSAL SUBMITTED TO F
<
vf
STREET
CITY, STATE AND ZIP CODE
BBB.
as
�: CO1T1Tr1Uoil
ri l}
-7kl -714
PHONE
/\ it -
INSURANCE CO.
ADJUSTER y CLAIM #
Total Roofing shall hold in trust any payment received from you until Total Roofing has delivered
roofing materials at the site or has performed a majority of the roofing work on your property.
ii All Materials to be delivered 24-48 hours prior to installation date.
Approximate Start Date. p
We hereby submit specifications and estimates for: A.•' Install ft. of Ice Guard. P' csi —ii
_ Remove_layers of shingles and recycle. t__'`' Install ' drip edge. Color_ INTL:� k r
Installer. ib. felt paper. Le" Clean up and haul off roofing debris. ,
r' Type and color ' ` or like kind) INTL € , Run magnet roller over yard. (95% Pick Up Rate)
Pipe Jacks 1-2, 3-4 Guttertl 1 s " _ 4't Protect Landscaping
1
Install air vents. J Downspouts LF,+' Plywood damage (if needed) at extra cost of $per sheet.
'r =� 5 Yr Workmanship Warranty.
Special Instructions:
i...^ i"
—"r 4
All Additional trades to be scheduled after roof replacement.
Property owner is / is not intending to make payment from
insurance proceeds of a property and casualty insurance policy.
Total Roofing is not responsible for satellite disruption. Please call your provider prior to roof replacement
PAYMENT TO BE MADE UPON COMPLETION OF EACH TRADE:
INITIAL:
THIS CONTRACT IS CONTINGENT UPON
$
INSURANCE APPROVING THE WORK STATED ABOVE.
Aprox. Total
The Insurance adjustment will become part of this
Homeowner only responsible for deductible and upgrades. McIntyre
contract as scope of work.
Corporation dba Total Roofing reserves the right to file for
Deposit $
p
supplemental insurance claims if insurance adjuster measurements
-
are used and prove to be incorrect. At no additional cost to the
Deductible $
RCV stands for "Replacement Cost Value."
customer, McIntyre Corporation dba Total Roofing reserves the
ACV stands for "Actual Cost Value."
right to file supplemental insurance claims due to material and labor
price increases due to storm environment. If applicable 20% will be
Date
billed to insurance separately for overhead and profit.
(Homeowner responsible for deductible.)
Balance $
INITIAL:
AG=REEMENT:
All material guaranteed to be specified and above work to be'performed in accordance with specifications submitted for above work and
completed in a substantial workmanlike manner with payments to be made upon completion and not after Regional Building Department
inspection. All warranties void if payment is not made when due. Any alteration or deviation from above specifications involving extra cost
will be executed upon written or verbal orders and will become an extra charge over and above estimate. All agreements contingent upon
strikes, accidents, weather or delays that are beyond McIntyre Corporation dba Total Roofing control. Owner to carry fire, tornado
and other necessary insurance upon above work. Workers Compensation and General Liability Insurance shall be carried by McIntyre
Corporation dba Total Roofing. McIntyre Corporation dba Total Roofing is not liable for interior damage due to normal construction
vibration and extreme weight load changes. All materials are the property of McIntyre Corporation dba Total Roofing. Skylights are not
warranted unless McIntyre Corporation dba Total Roofing replaces them. Warranties are transferable upon request. Labor warranties
are void if roof.has been tampered with by anyone other then McIntyre Corporation dba Total Roofing.
NOTE: By signing this contract you agree to the terms on the back.
All Payments must be made payable to 'Total Roofing', and not any other subcontractor, salesmen, or any other entity.
PURCHASER'S SIGNATURE: COMPANY'S SIGNATURE:
(DATE) (DATE)
3570 E. 12th Avenue, Denver, Colorado 80206
Phone: (303) 242-5250
TERMS AND CONDF1 IONS
The ptirohaser hereby Upidersiand's acid agrees that,1-
(a) The equity in the property where the work is performed shall be considered security for perforrnance of this
contract:
(b) This contract is theentire agreement between the purchaser and the contractor. and can only be modified
with another written agreement signed by both parties:
(c) This agreement shall inure to tine benefit of, and shall be binding on, the parties to this agreement and their
respective heirs, devisees, successors and assigns.
(d Buyer may cancel this contract by certified mail to the seller at any time prior to 72 hours after the time of this
transaction. Buyer may use this contract as that notice by writing, 1 hereby cancel" at the bottom and adding
buyer's name and address. After 72 hours, there will be a 15% cancellation.
(e'Y McIntyre Corporation dba Total Roofing is not responsible for any cracked or broken driveways. Verbal
understanding and agreements with representative shall not be binding. All understanding and agreements
must be set forth in writing on this contract. Purchaser agrees to rernove breakables from outside walls of home
during installation of work.
if; The contractor shall riot be liable -for either delay in or failure of performance hereunder due to labor
controversies, strike--,, fire, weather, other, acts of God, war, governmental actions, or inability to obtain materials
from usual sources or any other circumstances beyond the control of the contractor, whether of a similar or
dissimilar nature.
The contractor is not responsible for any damages below the roof dtie to leaks by wind, ice, hail, or poor
building structure during the period of the warranty, Purchaser"s) are responsible for
cornp!ying with their homeowners association and architectural control reqWrements. Coritractor will not be
responsible for unapproved materials
(h) For purpose of this agreement, in the event that the work to be prow-ded hereunder requires a final and
approval by a local building authority, the viork to be performed here-iUrider by the contractor shall be considered
cornpleted when the contractor notifies any such local building authority that the work is ready for such final
insoection. The contractor shall correct any deficiencies following such inspection that is required by the Local
building authority in order for the work to pass final inspection, The con.firactof- is not responsible for any delay in
final inspection by any local build -Ing authority after the contractor notifies the applicable local building authority
the work is finished and ready for final inspection. Accordingly, any such delays in final inspection shall not be
the basis fcsr delay in any payment by the purchaser to the contractor as required herein.
(I) All bills shall be paid when rendered. Unpaid bills after '110 days shall accrue Interest
at 1-314% per month permitted by law. In the event an attorney is to tine used by the contractor,
owner agrees to pay these bills. eroof fobs to be paid upon completion.
BUYER'S RIGHT TO CANCEL
'You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering
the contract. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing
work, you may r scind thic-� contract within -10' hot trs after you receive writ -Len notice frorn the cjror)ertv and
-, na -1 contact 1 9 _1. i after � I I
casualty insurer that your claim has been denied in whole or 'parl.However, Mcintyre Corporation dba Total
Roofing is entilted to retain payments or deposits to con-ilpensate McIntyre Corporation dba Total Roofing for
roofing work actually performed in a workmanlike manner consistent with standard roofinq industry practices.
McIntyre Corporation dba Total Roofing cannot pay, waive, rebate, or promise to Pay, waive or rebate all or part
ice claim for payment for roofing work on yrWr property.
of array insurance deductible applicable to tie nsran'. u
P1 EASE NOTE:
This proposal may be withdrawn by us if not accepted
within 30 days.
IIIIWIITI=Nj���
Plumbing City License #: Mechanical City License
Company Company:
WK4 g 9 q' .", �
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number: 15911
Date: 7/22/2003
Property Owner: MAX ARP
Property Address: 3885 AMMONS ST
Contractor License No, : 20146
Company: Champion Windows of Denver
Phone: 467-2474
Phone: 303-375-0745
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$10,000,00
$235,70
$0,00
$120,00
$355,70
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
WINDOWS, REPLACE WITH VINYL WINDOWS, SOME SIZE OPEING, NO STRUCTURAL
CHANGES,
BUILDING DEPARTMENT USE ONLY
5 &./2-
g~c\nritg Comments:
Approval:
Zoning:
B\!!l~frig' Commenff:!!
Approval: BG
F,iul)licWor~s cO!niUig(~:
Approval:
Occupancy: Walls:
SIC:
Sq, Ft.:
7/21/03, OK.
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned fOf a period of 120 days.
(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 are made 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
procee ." 9 with succe sive phases of the job.
(6) The i ua ce o~ it or the approval of drawings and speCifications shall not be construed to be a permit for, nor an approval of, any violation of the
p ;0 oft iI~.OXOlhO'O'd;oaoco.law, ",10 0"09ulal;00_
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
S, ,t B,' CHAMPION WINDOW DENVER;
303 375 1 065 ;
Jul-21-03 1:29PM;
Page 1/2
Q
~, ~-28S7
COMMUNITY DEVELoI'MENTDItPARTIIO:NT
BUILDING INSPECTION' U!~E - 303-23....59:13
CITY oF WJmAT RIDGE
'5DO WEST nTH A~E
WHEAT RIDGE, CO 1OZ15. (30l-aS-JeSS)
APPUCAntJN
BuildilllPcnmtNllIDber:
011.:
I'ropCl'l)'OwnC/': f\1A-X ItIlP
I'topCl:1YAdllrest: lJ8t~ ~ MlhtlN S~e.+
COll~lo:r Li_ No,: ~, Ll"
Company:
/'hOlle, l../b1 z cnt/
PboAe:
n\'SCIl1CO~CTo. SIC.~ATt!UO' l'Jl{PUSTA!CJ)ING A..'~D"'~t
1 here}))' C1:ftlf,)' lNl flIe Jetbad: d1NDcM JWOpMId by !his: Pemll1Ifl,1IC1IJOfI...:! amnlc
...0 do not viOllk,ppUCSl\llc .~inlDeel. NItI Dr rcp..dOlNi of the Cityof'WbalRidtt ~
CO"';"I"".. IUllI"Il!II'Its -renwtIOltIO(recGr4: "'11"mcu~UIhoWl'1. Inti AllqlUDrU
made ue ace......\&: thall haw: RId ...., ..... 10 .bid~ by aI. COfIdilion. prin... .. l'bi,
...Ho... llIld IhoI I ...... r.11 ....""'~~Iy !'or _Ii",- .;,. \he ........ a;qe
nuildins C'Odo (U.B.C) ."...11 oct.er ' I~ Whoa, ltidp: OrCIilllncw. r.. work ..Mer
this pmnil.
ConSlrucl On Value:S /D,OQ:)-
ennit Fec:S 2 '35'. ?O
Plan R view Fee:S,' ,
Use Tax:S
.OC
Total:S 556. 9V
04T1~
(O....'SEP..Ncm..~IQ:PlJNTSD c..,.!~
DESCRIPTION: /()~ I ~ ~
~~ ~J IUJ
10''1CE1l11eot..'TRACTO'^SI.~ED
~,
.~~.
ZoN,,", C...._T.:
App.-Onl:
Zonin8:
SIC:
BUILDII'IG DE' ARTMENT tlSE ONLY
....UIlNO co.".......:
Appro..I: e1',k. 7/..JO:3 ~?
PuBUC w....... c_.....:
Appronl:
Occupancy:
W.lls:
Roof;
Stories:
EI~ Lie..... No:
Company.
PllIDIbill8 License No:
Co...,any.
&piration DIle:
aI:
Expirllioa Dele:
^ CQl:
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Page 2/2
CHAMPION WINDOWS of DENVER
10000 E. 45th Ave.
DENVER, CO, 802311
(303) 375-0745 I ~
-"D..: ,,-""':>~~ .Jill_II.: n", ..
Older ea18:7 ~I ' 0" IVorlliod BY: /11 .Ail I<.
, ,
.
Alp, Max
3885 Ammon Sll'eot
Wheat Ridll8. CO 9IlO~
CONTRACT: $ll.e35,OO
COO: $8,835,00
Dan A1Jn"~ I Wln-'
Recillcoment Wln_ Ian
CUST #: 9592
6/1412003
Phone: (303)487-2474
DEPOSIT: $1,000.00
FINANCED:
AMT APPVO:
15
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