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Home My WebLink About3250 Garrison Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: q1U r—j(lo t ! I-/, ndo t./ Job Address: 3 z-,50 olow,'kn 3,_-, Permit Number: 70110 Z 6 --r ❑ No one available for inspection: Time '_ A 10 Re -Inspection required: Yes 6N When corrections have been made, call for re -inspection at 303-234-5933 Date: I V// -z 6/I Inspector: bale Lyv t� DO NOT REMOVE THIS NOTICE City of Wheat Ridge �- E-Res. Window Replacement PERMIT - 201802658 PERMIT NO: 201802658 ISSUED: 10/01/2018 JOB ADDRESS: 3250 Garrison St EXPIRES: 10/01/2019 JOB DESCRIPTION: Remove 8 existing windows and install 8 new Alside vinyl windows in basement. Like for like, no structural changes and a Ufactor .30. *** CONTACTS *** OWNER (303)232-9434 WILKINS JOHN M SUB (303)421-7100 Ted Roland 018516 K&H Windows & Exteriors *** 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: 4,592.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 96.43 ** TOTAL ** 146.43 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, app Hca le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further 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 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 original permit fee. 3. If this permit expires, a new permit may be required to t 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 aIl 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 grantinof a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicaAcode or any crr�inance or regulation of this jurisdiction. Approval of work is subject to f eld inspection. Signature of ChieAuilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge, 10/91/2018 11:1r CDEE Remove 8 existing wi CH019981 AlhOUNT EPSP 32:;0 GarTison St 146.43 APPL/PERMIT NO: 291802658 PAYMENT RECEIVED AMOUNT VS / 5828 145.43 RUTH CODE: 089396 TOTAL 145.43 Lagenia Reimer -ZZ t1�C) From: no-reply@ci.wheatridge.co.us Sent: Monday, October 1, 2018 10:40 AM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Categories: Gina Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 3250 Garrison St John Wilkins 303-232-9434 Field not completed. cc form.pdf CONTRACTOR INFORMATION I t43 Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) K&H Windows and Exteriors 018516 720-420-1724 5805 w 56th ave arvada co 80002 Contractor Email Address sgeorge@khwindows.com Retype Contractor Email Address DESCRIPTION OF WORK Number of window and/or doors being replaced sgeorge@khwindows.com Replace 8 windows with Alside vinyl windows. Location of basement window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the 0.30 window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of 1221 001.pdf window/door cut sheets showing sizes and u -value Project Value (contract 4592.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for N W 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 been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Shawn George Permit Email not displaying correctly? View it in your browser. S"�,��t�, �1 :aweN rawoasrr� :mea x�eu daw"eg cn F.5•)< roNq-f 1554S ain ea w 20 ?OFM7 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 � a 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 inspeetion)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 Lath / Wall Tie Do Not Pour Concrete Prior To Approval Of The AbIn Underground/Slab Inspections Date Inspector Comments Initials Electrical 1*0�heathing Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments 1*0�heathing 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 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 and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201705397 PERMIT NO: 201705397 ISSUED: 08/03/2017 JOB ADDRESS: 3250 Garrison ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 21 sq *** CONTACTS *** OWNER (303)232-9434 WILKINS JOHN M SUB (720)325-9020 RICHARD NIETO 170265 DENVER PRO *** 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: 9,620.00 FEES Total Valuation 0.00 Use Tax 202.02 Permit Fee 204.30 ** TOTAL ** 406.32 *** 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 41City of Wheat Ridge Residential Roofing PERMIT - 201705397 PERMIT NO: 201705397 ISSUED: 08/03/2017 JOB ADDRESS: 3250 Garrison ST EXPIRES: 08/03/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 21 sq 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 thepro rty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I furthe ttest th I am legally authorized to include all entities named within this document as parties to the work to be perfo ed and th 1 work be ei ormed is disclosed in this document and/or its' accy mpanying approved plans and specifications. ,4 Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 applica e c . or any ordt� or re nla 'on 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. I> Decking: WSJ I> Starter Course: I> Ice & Water Shield: I> Underlayment: ^ j I> Drip Edge: Cyj 4 I> Valleys: open/closed t> Step r;iasaing: (,a3 _ I> Furnace & Vent Caps: I> Pipe Jack Flashings: I> Hip & Ridge: 5 I> Satellite Dish: I> Manufacturer Warranty: 303 S. Broadway, Ste. 200-708 Denver, CO 80209 720-325.9020 We will remote all trash, sweep for nails with a magnetic roller, provide a building permit, and register applicable warranties. ! iD neer - Vro des j 5 yea roofing lel wa arty, andfF1,000,0 Liability insurance. Y,3 Install Date(s): 2 �&1 i — Df 3t,LZ Payment Work as specified above to be completed for the amount of: Contingency Agreement )'his agreement authohzes Denver PRO)to represent the llomeowner for restoration of storm damage. Neither the Homeouiter nor Denver PRO is obligated to pertbrm hereunder unless payment is approved by the insurance company and accepted by Denver PRO}. Upon approval from the insurance company, Denver PRO will complete restoration work tirr thee agreed upon amount. 'there is no cost to the Homeowner except for the deductible. Denver PRO will receive all in urancr proceeds for work completed by Denver PRO. ]-he Homeowner is I( /is not _ intending to make payment from the proceeds of a property- and casualty insurance policy- Pursuant to C.R.S. § 6-3'_-103(l )(z), Denver PRO (roofing contractor) cannot pay, waive, rebate or promise to pay-. i=aive or rebate all or pari ol'ariv insurance deductible applicable to the insurance claim for pa}ment for work, on the. covered property. Deaver PRO shall hold in trust any payment received from the Homeowner until the delivery of roofing materials or when Denver PRO has performed n majority of the work contracted by (tee fiunteowncr. tYlease rr d - Inmpartrtnr lernis and c ondidons etre included on hath sidev of thins confrac•t) Homeowner or t Signature Denver PRO Representatives Signature etc:: Date: Bill Scholten From: Thresa Phipps <thresa@denverprocc.com> Sent: Friday, August 4, 2017 9:52 AM To: 'Bill Scholten' Subject: FW: 3250 Garrison Street; 4255 Newland Street Threw Phipps 303 S. Broadway, Ste 200-708 Denver, CO 80209 Phone: (720) 352-5239 Fax: (720) 367-524_2_ DenverProCC.com 110 From: Dan Schultz[mailto:dschultz@ci.wheatridge.co.us] Sent: Friday, August 4, 2017 9:25 AM To: thresa@denverprocc.com Subject: 3250 Garrison Street; 4255 Newland Street Regarding overi partyp. i required, the 3 d party inspectiontet! be at Eo pe ction wil.- not be completed. The permit(s) for the address(es) above are ready for pick-up. Please arrive at the assigned date and time listed below and bring all required items for pick-up. If you miss your time window you may come any day after your assigned day, during the same assigned hours. Permit pick-up: Today, Friday, August 4th between the hours of 11:00 am --1:00 pm Location: Wheat Ridge City Hall, 7500 W. 291h Avenue, 2nd Floor Required items for pick-up: • Fee for permit: $406.32; $323.80 • Photo ID • Bring in a Copy of signed roofing contract — We will be keeping the copy, do not bring your original Please do not email or fax required information — You must bring a copy of required items. Building is unable to make copies. 1 NOTES: • Permit card must be picked up and posted on site before work begins. • Credit cards (Visa and Mastercard) are accepted up to $2500. • You may PRINT a credit card authorization form and bring it with you in person when you come to pick up your permit. Do not submit this form via email or fax. • Checks are required for any amounts exceeding $2500. • The person who picks up this permit must be authorized in our system to pull permits. If you are unsure or to add someone, bring an authorization letter on company letterhead and signed by the owner. • All dumpsters associated with building permits must be located on private property (not in the street). Dan Schultz Plans Examiner, Building Inspector; Permit Technician 7500 W. 29th Avenue Wheat Ridge, Colorado 80033 Office Phone: 303-235-2876 Fax: 303-237-8929 www.ci.wheatridge.co. us w lh atQ t 't a if i 14',- pf Vi l t 91Mf rw r CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any network to which your computer is connected. Thank you. i CITY OF WHEAT RIDGE _:�9�Building* Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Cur— Job Address:�lD Q444 ice-- i G-QfaP7_ Permit Number: 201-1 Q 559 2 ❑ No one available for inspection:. -Time I AIPM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 . Date: ' f 1 17 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTE Type: Inspection T e: p Job Address: 32 L) C) q,JLC Permit Number: (,` 7 L f 3 `r ? x ❑ No one available for inspection: Time `J% fI/PM Re -Inspection required: YesI� When corrections have been made, call, for re -inspection at 303-234-5933 Date:— �� 7 Inspector: L 'f" DO NOT REMOVE THIS NOTICE INSPECTION ` RECORD Occupancy/Type °'INSPECTION LINE (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. 5�71� rry l INSPECTOR UST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic ��3 �o Ar— Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) - DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof ��3 �o Ar— Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONST/TUTEAUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ A 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 Job Address J 57.c 57 Permit Number d® t:273 o: R e .14 Igo one available for inspection: Time � � .!rV AM &_) - Inspection required: Yes (D o No e: Inspector NOT REMOVE THIS NOTICE " ' City of Wheat Ridge Residential Roofing PERMIT - 102093 PERMIT NO: 102093 ISSUED: 09/02/2010 JOB ADDRESS: 3250 GARRISON ST EXPIRES: 09/02/2011 DESCRIPTION: Reroof 18 sqs with OC Weatherguard shingles * ** CONTACTS * ** owner 303/232 -9434 John Wilkins sub 303/360 -0708 Curtis Boyd 01 -7261 Academy Roofing, Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0606 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,825.00 FEES Permit Fee 172.60 r Total Valuation .00 Use Tax 140.85 C �r ** TOTAL ** 313.45 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Midroof inspection is not required on permits purchased after 4/18/10. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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 a lira e Wheat Ridge Ordinances, for work under this pe rt. Tans subject to field inspection. "c I. 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 p roblem. S. 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, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review iW!Uibject to field inspections. Signature of y/Bu ilding Official date INSPECT N 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. )4C - �L nor W "� City of Wheat Ridge Building Division ° m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303- 235 - 2855 * Fax: 303 -235 -2857 9 o Inspection Line: 303 -234 -5933 O CORAO Building Permit, Application Date: Plan #: Permit A 6 4' [4w 1l 1� % r c t Property Owner (please print): 3 0 k" t , I y I y\ S Phone: Z- Q try 3� q Mailing Address: (if different than property address) Address: 5.2s---o 121S City, State, Zip: I'1PCt �— Z cv t C,D Contractor License #: , (p ( Phone: 3 - b Q-0 Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp: Date: Approval: A Approval: (� Use of s ace descri tion): ICS. -- \U -Q9QT� Construction Value: $ . (as calculated per the Building valuation Data sheet) _T c7 \ �, X \ �J �j 1" 1 (� t KI S Plan Review (due at time of submittal): $ --\ ns\-Ca, l 1 90 & so Z MSl -r,VI do Cz3�G 1n��2�ct�ccYLct \ C tz 1 VT Sq. Ft. /L.Ft added: Squares BTU's Gallons Amps 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 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. CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONAL EPR TCCATIIVEpof((OWNN!ERr)) (CONTRATOR) // PRINT NAME: SIGNATU ,urLf P. '�' 7 Y C�-4LQ Date: /� /!U