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Home My WebLink About4559, 4561, 4563, 4565, 4567, 4569 Everett CourtCity of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201900099 PERMIT NO: 201900099 ISSUED: 01/17/2019 JOB ADDRESS: 4546 Everett Ct EXPIRES: 01/17/2020 JOB DESCRIPTION: Gas Furnace replacement, 60BTUs/80 percent efficient located in crawlspace. *** CONTACTS *** OWNER (720)201-6550 EVERETT APTS LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 101 / BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 52.50 ** TOTAL ** 92.50 *** 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, applicable wilding 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 perms I further attes that 1 am legally authorized to include alI entities named within this document as parties to the work to be perform s that ail k� be performed is disclosed in this document and/or its' accompanyin approved plans and specifications. nature of 7cflwa Jr CONTRACTOR (Circle one) Date This pe it w issued based on the information provided in the permit application and accompanying plans and specifications and is subjeceto the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 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. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 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. 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 applicable�e or any ordipance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Bitilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 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 inspection the following business day PERMIT: ,a1 763 ADDRESS:�� JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground 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 PERM IT:/9�6 '%q603ADDRESS: �� - JOB CODE: AV 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 Z -11S -11Q 2)Y' I!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. L 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: q04 — Fi ra I R 00f Job Address: rv�t' 6 Permit Number: 201707163 l 9M -P ❑ No one available for inspection: Time V/56I/PM Re -Inspection required: Yes if When corrections have been made, call for re -inspection attl3303-234-5933 Date: -2/2/10 Inspector: �►re- Lov E (' DO NOT REMOVE THIS NOTICE M A i CITY OF WHEAT RIDGE Buildincj'lns'pection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1-1 C -7 - s? of / Job Address: x -15 -Sc) `iiia , e C -� Permit Number: 7 b? 9 3 1. '10, l N o -i! - A oc,,,o 1, 6, t- oL nIU e c S e+ o,r1 GS l, e d T- o H ss40g . lU0 of- e,-;i,,zc 1 ;��.� � rr! ❑ No one available for inspection: Time l a- = 79 Am CPWJ Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: ;:� /1,9 Inspector: DO NOT REMOVE THIS NOTICE 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: M 10 V—DO1r' Job Address: _ 4559,456/9 i C`r Permit Number: SOVI D -1cl I0 3 ❑ No one available for inspection: Time 15SS AMM Re -Inspection required: Yes No When corrections have been made, call f e -inspection at 303-234-5933 Date: r q- 11511-1 inspector: 4) `' 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 5) zc)C)F- Job Address: 4n59 ej = Permit Number: ❑ No one available for inspection: Time WM Re-Inspection required: Yes No when corrections have been made, call f re inspection at 303-234-5933 Date: 2 4 1 -1 Inspector: DO NOT REMOVE THIS NOTICE ► ' . City of Wheat Ridge Residential Roofing PERMIT - 201.707963 PERMIT NO: 201707963 ISSUED: 10/03/2017 JOB ADDRESS: 4559 Everett CT EXPIRES: 10/03/2018 JOB DESCRIPTION: Residential Re -roof at 4559 and 4569 Everett Ct. to install asphalt shingles - 25 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)902-8965 WILLIAM G COPLEY & GERALDINE B SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,425.00 FEES Total Valuation 0.00 Use Tax 134.93 Permit Fee 156.75 ** TOTAL ** 291.68 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201707963 PERMIT NO: 201707963 ISSUED: 10/03/2017 JOB ADDRESS: 4559 Everett CT EXPIRES: 10/03/2018 JOB DESCRIPTION: Residential Re -roof at 4559 and 4569 Everett Ct. to install asphalt shingles - 25 sq Pitch = 4/12 I, by Rsi'naturedo hereby attesthat thework tbe perfomed shapplile uilding codes, and all apicable municipalcodes,poliby thgal 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 b� form O.,s disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OW�R 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 originalpermit fee. 3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The is s 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 applic e c e�otr,'ay orse or gul tion 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. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Friday, September 29, 2017 12:45 PM C To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application' This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Duplex are on the property? PROPERTY INFORMATION Property Address 4559-4569 Everett ct Property Owner Name william copley Property Owner Phone 303-902-8965 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email freddygreen@advancedexteriors.net Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed WR.JPG Contract CONTRACTOR INFORMATION Contractor Business advanced exteriors Name Contractor's License 090134 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3037254502 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 2200 S VALLEY HIGHWAY (Primary address of your business) Contractor Email Address freddygreen@advancedexteriors.net Retype Contractor Email freddygreen@advancedexteriors.net Address DESCRIPTION OF WORK TOTAL SQUARES of 25 the entire scope of work: Project Value (contract 6300-- 300'value valueor cost of ALL l E materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 74 both? (check all that apply) What is the specific pitch 4/12 of the PITCHED roof? How many squares are 25 part of the PITCHED roof? Describe the roofing shingles materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional duplex detail here on the description of work. (Is this for a house or garage? Etc) 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 75 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Freddy Green Email not displaying correctly? View it in your browser. 76 F-71 U-MAdvanced Ext riors, Inc.Erzroas ..�.�� PropertyiCustomer Proposal gate o Property Address Primary Phone SM City Sates JJFF't}{J/ ''i Secondary Phone •-, .y 4..x'4 -5 y 4 Insurance Camps y Llai # Email Address f c? Te ff Off ( bMS) of corm &_layer(sj of nspect decking [I Install decking Q'`jnstall toe and water shield on �_ wEr S ❑ Install 1.5 # felt ❑ Instal! 30 # felt ❑' Install premium synthetic deck protection R:nstali starter course of shingles -entire perimeter Install drip edge perimeter flashing - color Q install reinforcement in valleys using ee. - isA """Closed valleys ❑ Open valleys [ Replace step flashing on sidewalls, chimney and skylights [a- Install b nails per shingle throughout field area [Z Roofing productr�f'.y, t ❑ Roofing color ❑- Manufacturer Warranty --i jz,. Standard ridge Eg-*High profile ridge Install ridge vent a? Ar t a Install turtle vents ❑ install vents 'Install pipe jack flashings D- stall furnace caps -Paint jacks/stacks to match roofing color Detach and reset Remove and cover ` r xa . S' Install beauty course of ridge shingles on headwalls Detach and reset satellite ❑ Remove satellite Clean up & remove trash ❑-Sweep with magnetic roller Clean out gutters Q` Provide building permit Register - ; , Manufacturer Warranty Advanced °Exfedo s, Inc. Five year Roofing Labor Warranty Advancers Exteriors, Inc. $2,000,000 Liability Insurance Pa , Approximate %)atelsl of Service: ff �;`Payment Terms: (Advanced Exteriors, Inc. is not responsible for any property arra casualty insurance carrier's delay or denial of on Insurance claim, in whole or in part), spec c,,a i. ns for the price or; $1 =„ I x r I $ 7. Fes' dC��T D__Ihe prOjvty crvner(s) ("Customer") czrithprizes Aduanceoi Exteriors; Inc, (*Company') to K1 tv.thth�thele ksurance camel to obtain the full scope of repairs necessary for restoration of storm dcnmaW. This =Agreement" is rpt binding upon C(w-tomer or Company until the irwance carrier approves Customer's claim and this amount is accepted by Company. LkpOn o cceptorr,; by Company, the amount approved by the insurame carrier will beccxne the contract price and Cornpca zy w t receive the krsurance prncpegs for work if has completed, The Company Will complete spec=ified wale for no cosftoCustamer beyond the cttdreed r..(arn r our t e eptfa the insurance deductlUe, Customer not ❑ intent rg o make payrr ens f€om the proceeds of a Orr perry and casuplty Insurance policy, If Customers Payment is from an insurer c fihen puPalanf to C;alorada taw Company (rooting corrhactor) "shall not advefte or promise to pay, waive, (x rebate all or part of any insurance deduchbte apps cable ted tl e claim f6i jxryr rrertt for ropfng' work vii 1tr covered residential property," CAS § 6-22-105. The Company shall paid in crust any parr norm receii tram Cush unfit Comprxry has deli rered itis roofing materials to Customers property or when Company has performed a rrtajar3�yC)f the loafing Workon Ctrstorrrers property'• By signing below notice of the nigh agree to all contract conditions on front and back of this agreement, and have been provided In writing and orally. C m - arry Project Ma ` - or Signature 2200 S. Valle Hwy. WW Denver, CO 80222 W.AdvancedExteriorscom. /V Accepter a Data iI, jj'�a 1 i ; i CITY OF WHEAT RIDGE Building Inspection Division, (303)234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Cf 9 l J Inspection Type: a _ Job Address Permit Number: /�✓� r ❑ No one available for inspection: 'me AM/PM Re- Inspection required: Yes "When corrections have been mad calf r - inspection at 303- 234- 5933 Date: 41 111) Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miscella PERMIT - 101998 PERMIT NO: 101998 ISSUED: 08/19/2010 JOB ADDRESS: 4559 -69 Everett Ct EXPIRES: 08/19/2011 DESCRIPTION: Replace 40 windows * ** CONTACTS * ** owner 303/424 -5027 Gorden Copley sub 303/424 -2244 Leland Moore 10 -0261 Leland Moore General Contrac. ** PARCEL INFO ** ZONE CODE: 8/2/0 USE: UA SUBDIVISION: 0217 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 13,028.00 FEES Permit Fee 50.00 Total Valuation .00 ��2�,,� Use Tax 234.50 0 J xc� ** TOTAL ** 284.50 `- „,�_._. Conditions: Subject to field inspections. Tempered glazing is required within 24 inches of doors, in tub enclosures, and as required by code. Replacement windows shall have a U- factor of .35 or less. Inspection prior to covering is required. 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, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. Signatu ief Building Official date INS CTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQ ESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. w p / y Plan 9 Building & inspection Services Division 7500 W. 29" Ave., Wheat (ridge, CO 80033 Office: 303 - 235 - 2855' Fax: 303- 237 -8929 Inspection Line: 303- 234 -5933 9 Building Perruit Application Property Address X155 �I S69` t„/ GY� G� Property Owner (please print): G�i�r �o Phone: L f Z 6 pZ7 - -- Mailing Address: (if different than property address) Address: " Z4y City, State, zip: W/2er / ✓l�-Cp &O. Contractor: L,� /n,n /1/p.oeiv. (�en•e�w.( C- O/7;'7 — .�.._______._= _, Contractors City License #: l L) U � Phone: *3 X 24 Zz , y Sub �oniractorsi', - Electrical: Plumbing: Mechanical: City License # City License # City License #, Descripti ark -i yv 1In�YrV' /'•G��w•G+rw1j(. contract Val e: ' 00 11A. s /3oZr"w eview Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner . or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. - CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) p. PRINTNAME: L-s.1,11 t wyy - t,.,_ SIGNATURE: t"�i�' I�C 4fte- DATE: I�vd d��'ARTtyfEN�" >US�I��IL`7 -� s Re�aW�`r , r✓ t t / � r n/ � � r S h ✓ � r t � ra. � � .� � x: a i ap � G ✓r ✓ � r� � C BUILbING OE}'yg7;7IdENT 2G7vIJiENS ` ✓ ✓ �r a %'✓ z � a t t �QyIeViQr � m � � 1 e: ✓ i � ° p " r ✓ � �✓ �C� k� G a l ' r t � r ,.t '` £F ,% .w r �✓ .✓r ;.g ��. �.l'c * a ' ✓a? file, T .3 � N PUBLIC WOR�S�COAiU1�NTS ' y� -� is � - .r ✓ t - OiicUPA2,iGY ` FIREfJBPAf{TMENT Dappmved wl colnrhents S3 disappro�ted L3- review tegptred Bidg Valuation $ -