HomeMy WebLinkAbout11239 W 27th Avenuei CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: d~?/LJf
Job Address: / am%9 4,./ /F
Permit Number: _tf~0~33
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
"When corrections have been made, call for re-inspection at 303-2345933
Date: M71119 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge Building Division bate:
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-235-2857 Plan
Inspection Line: 303-234-5933 Permit#: CbC~?
Building` Permit Application
aP'a ~2 -2T " hys
Property Owner (please print): 4~)6 ~ G06-gL. qt,3 Phone:
i
Mailing Address:'(if different than property address)
Address: C
City, State, Zip:
Noma: O'COa00A Ot7I`JN6
Contractor License #a 0IF-C)o3L4 Phone:-3,02 - q (D2 - :~,?y5
Plumbing City License Mechanical City License
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of a ace descri tioh): Construction Value: $ 1 ~r /J9Jrj 0
1 1110111111211 X10 JTjOr~H Zotr~ f6 (as calculated per the Buflding Valuatfon Oat, sheet)
17a rst 11`' CfOLLG-V Prep t y GL-u^ Ci'Fe &A0t> %4Ase Plan Review (due at time of submittal):
eL-r
Sq. Ft./L.Ft added: _ Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I Hereby cerlf y that the setback distances proposed by this permit application are accurate, and doanot 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 l have read and agree to abide by. all. conditions panted on this. application and that I assume full
responsibility for compliance. with the Wheat Ridge Ruilding Code (LB.C) and all other applicable at Ridge OMinances, for work
under this permit plan, subjeet to field inspection.
C/RLCE ONE:: OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINTNAME:'<®IV--t;/' OiC-RKai-) SIGNATURE: '°y~.✓fi./ Date: ~d 2 -2010
USE ONLY
COMMENTS:
OCCUPANCY:
Bldg Valuation: $