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HomeMy WebLinkAbout12540 W 31st Avenue1* ► � i City of Wheat Ridge -.A Residential Mechanical PERMIT - 202100364 PERMIT NO: 202100364 ISSUED: 02/24/2021 JOB ADDRESS: 12540 W 31st Ave EXPIRES: 02/24/2022 JOB DESCRIPTION: Install new minisplit heating and cooling system; l outdoor unit and 4 indoor heads *** CONTACTS *** OWNER (303) 807-5968 FRYE MARVIN H & LIZ SUB (303)443-9762 DAVE LAWLER 020519 SAVE HOME HEAT, INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 91908.00 FEES Total Valuation 0.00 Use Tax 208.07 Permit Fee 204.30 ** TOTAL ** 412.37 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. I by m si nature do hereby attest that the work to be performed shall comply with all accompanyin approved plans and specifications applica le uilding codes, and all applicable municipal codes, policies and procedures, and that I am t e legal owner or have been authorized by the legal owner of theproperty and am authorize to obtain this ermit and perform the work described and approved in conjunction with this,permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be per ormed and that all work to be per ormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER 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 original permit 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 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 requ�ired 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, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 02/24/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: General Permit Application Date: Wednesday, February 24, 2021 1:23:14 PM General Permit Application This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Residential Residential or Commercial? Property Address 12540 W 31st Ave Property Owner Name Liz Frye Property Owner Phone 303-807-5968 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed. Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION Submitting General save Home Heat Co Contractor or Architect Contractor's License 20519 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contract Phone 303-443-9762 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address permits@savehomeheat.net Retype Contact Email permits@savehomeheat.net Address 01:K161CiI91 ffl0N]&TO(6]N:/ Detailed Scope of Install new minisplit heating and cooling system. 1 outdoor unit Work - Provide a and 4 indoor heads. detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. Square footage of 3020 scope of work Location of work Backyard and inside house. (backyard, on roof, etc) Project Value (contract 9908 value or cost of ALL materials and labor) Upload Engineer letter, Field not completed. other documents on 8 1/2" x 11 " Upload Asbestos Field not completed. Report if triggler level is met per CDPHE regulation. Upload Drawings 11,, X Field not completed. 17" or larger 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been 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 Corie Paul Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge E -Res. Window Replacement PERMIT - 202000542 PERMIT NO: 202000542 ISSUED: 03/10/2020 JOB ADDRESS: 12540 W 31st Ave EXPIRES: 03/10/2021 JOB DESCRIPTION: Replacing 6 windows. U -value .30 *** CONTACTS *** OWNER (303)807-5968 FRYE ELIZABETH G SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,666.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 244.99 ** TOTAL ** 294.99 *** 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. Smoke alarms shall comply with 2012 IRC Section 134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES City ufWheat Ridge 03/10/2020 1O;07 C0BB CDB022679 AMOUNT 8PSP 12540 W 31»t Ave 294.99 APPL/PERHIT H0! 202000542 PAYMENT RECEIVED AMOUNT PP / 3381 294.99 AUTH CODE; 72491169 TOTAL 294.99 ----- --------------------- A City of Wheat Ridge E -Res. Window Replacement PERMIT - 202000542 PERMIT NO: 202000542 ISSUED: 03/10/2020 JOB ADDRESS: 12540 W 31st Ave EXPIRES: 03/10/2021 JOB DESCRIPTION: Replacing 6 windows. U -value .30 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable buildingcodesanall 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 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, 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. 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 gnting of a permit shall not be construed to be aper -mit for, or an approval of, any violation of any provision of any 015 cable code or7y ordinance or regulation 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. Dina Kemp 1l2 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, March 10, 2020 6:52 AM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application 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 12540 W 31 st Ave Property Owner Name Liz Frye Property Owner Phone 303-807-5968 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address **REQUIRED** Attach cc auth frve.pdf Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** CONTRACTOR INFORMATION Contractor Business seiler construction Name I Contractor's License 180220 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-945-1519 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address mbeaudoin@renewalcolorado.com Retype Contractor Email mbeaudoin@renewalcolorado.com Address DESCRIPTION OF WORK Number of window 6 windows and/or doors being replaced Location of 2 master, 2 bed, 1 master, 1 office window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the .30 or better window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of free specs.pdf window/door cut sheets showing sizes and u -value Project Value (contract 11666 value or cost of ALL materials and labor) 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 PJ 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 Mackenzie Beaudoin Permit Email not displaying correctly? View it in your browser. ✓_ 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: N Job Address: a L'k (") w a Permit Number: c, l -� U ❑ No one available for inspection: Time Wb AM/PM Re -Inspection required: Yes /No/ When corrections have been made, call for re -inspection at 303-234- Date:- 1-� i C� Inspector: 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: Job Address: C) Permit Number: )6 111 1 0 ❑ No one available for inspection: Time AM/PM Re -Inspection required: hes No When corrections have been made, call for re -inspection at 303-234-5933 Date: , ,' I � Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 201901259 PERMIT NO: 201901259 ISSUED: 06/18/2019 JOB ADDRESS: 12540 W 31st Ave EXPIRES: 06/17/2020 JOB DESCRIPTION: Replace 50 gallon, 50K BTUs gas water heater in basement *** CONTACTS *** OWNER (303)475-5349 FRYE ELIZABETH G & MARVIN SUB (303)659-3400 GEORGE DONALDSON 180142 FIX -IT 24/7 HOME SERVICES, INC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,618.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 75.98 ** TOTAL ** 115.98 *** 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 building codesanall applicable municipal codes, policies and procedures, and that I am the legal owner or have been authonzed 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 perrnrt. 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 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 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 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building IF Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly Cook ao (q0j �G From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 18, 2019 8:44 AM To: CommDev Permits Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application Categories: Kim Residential Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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 a Yes replacement water heater 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 (Leave blank if not known) Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 12540 W. 31stAve Marvin Frye 303-475-5349 Field not completed. AUTHORIZATION. CONTRACTOR INFORMATION Contractor Business Fix -It 24/7 Name Contractor's License 180142 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3036593400 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address gfruendt@fixmyhome.com Retype Contractor Email Address DESCRIPTION OF WORK Number of gallons Is the water heater GAS or ELECTRIC? If GAS, enter # of BTUs If electric, enter n/a Where is the water heater located (for example, basement, crawlspace, etc)? gfruendt@fixmyhome.com 50 gas 50000 basement Project Value (contract 3618 value or cost of ALL materials and labor) 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 work Yes may not begin on this property until a permit 2 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 Gayle Fruendt Permit Email not displaying correctly? View it in your browser. INSPECTION ONLINE FORM: �ttp://www.ci.wheatridge.co.us/inspection �� INSPECTION REQUEST LINE: (303) 234-5933 anc lations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type Pq Inspections will not be performed unless this card is posted on the project site. 7 **Request an inspection before 11:59 v.m. (midnight) to receive nn impert,nn the fnlln.vin.. 1---, a,.., ** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Wall Sheath Concrete Encased Ground (CEG) Foundation / P.E. Letter n_-- Mid -Roof Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing r%_ wI..a - 111---'-----------' - .. — . --- - — - — - Rough Inspections Date ---- - ----- -- Inspector Initials ---- . .— . _ ..F- .---- — ...� Comments Wall Sheath Mid -Roof I, e 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: A/I 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. *Fnr Inw vniiann normifa_ Plo�oo h., �•.., L.,.a ..,...,. .:._-.-_-u_-_ • ---- -- -• -- •� y• •,•ter .• a a VlIINiaicv nvui LIIV nie vI,LnGi anu elecincal 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 -201706485 PERMIT NO: 201706485 ISSUED: 08/23/2017 JOB ADDRESS: 12540 W 31st AVE EXPIRES: 08/23/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 26.3 sq *** CONTACTS *** OWNER (303)808-8660 BOHKS JASON SUB (720)838-8341 Clinton D. Camp 140192 Talon Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,813.79 FEES Total Valuation 0.00 Use Tax 185.09 Permit Fee 188.45 ** TOTAL ** 373.54 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201706485 PERMIT NO: 201706485 ISSUED: 08/23/2017 JOB ADDRESS: 12540 W 31st AVE EXPIRES: 08/23/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 26.3 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica 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 farther 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 perfortned.is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. 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, po plans 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 Offial 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 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date tu_- REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. CLIENT/ CUSTOMER INFORMATION ALON Owner: KaTtbLJs Address: Z ri 14d L4 at 12354 E. Caley Ave. Unit 105 Centennial, Co8o1u City, State, Zip: Tel: 303.808 -8660E -Pax: Phone/ Email: :R6Z L1?S-a3 ZCJ www.TalonRE.com It is understood that Talon Restoration and property owner(s) are entering into an agreement that authorizes Talon Restoration to represent owner(s) and pursue insurance carrier to recover property damages storm related or otherwise. Talon Restoration represents and warrants all work will be completed to approved insurance company specifications and to local city, county and state codes. owner(s) is financially responsible for labor and materials for code items not covered by ordinance and law endorsements on policy unless otherwise stated in additional provisions below on this contract. Any upgrades in materials or accessories will be addressed in the additional provisions section of the contract and will require owner(s) intials for approved increase in price if applicable. Agreed upon price will become the final contract price and Talon Restoration will receive all insurance proceeds for work completed by Talon Restoration. Owner(s) further understand and agree to pay any supplements approved by insurance company arrising during construction or not initially known or covered by insurance company at intitial inspection. Owner(s) agree to pay policy deductible per Part 1 Article 4 of title pursuant to section 6-22-105 and warrants Talon Restoration has not offered to pay, waive, or -rebate any portion of the deductible applicable to claim. Any insurance p eart razed for work not completed by Talon Restoration wi a retained by owner(s). If insurance company denies co yeq f r/ so , this contract will terminate and neither Talon Restoration nor owner(s) will be obligated to one another. Initia i Additional Provisions: / �a OX 4-4 f�--s 6 Remove ( layer roof material Product 7/16" OSB (if required by code) Color _ dw w Underlayment 151b Felt over 7/12 301b Valleys closed FHA Open Leak Barrier (if required by co e Clean out gutters Replace gutters Gable/Eave Drip edge metal '�1 Maghetic sweep of nails/metal debris New plumbing jacks as required Remove all debris from site New roof vents as required Pull and clear permit with city Re -flash wall/ chimney transitions 2 year workmanship warranty Owner and/or agent represents and warrants that any defect or weakness in the premises, structure, sub -structure, super -structure or points of attachment that might affect performance by contractor has been specifically and fully disclosed to contractor, Talon Restoration only guarantees work provided by it. Any pre-existing defects or other condition discovered by Talon Restoration in the course of performing its work, which may affect the performance of Talon Restoration, will be promptly disclosed to Owner and/or agent with repair recommendations and estimate of additional costs. As with any construction work, it is impossible to estimate everything that may be damaged, especially in areas we cannot see before beginning work. If anywhere along our progress unforeseen work needs to be done, we will communicate up front and wait for your approval before continuing work. Payment Schedule:"The initial payment will be due upon material delivery and the final payment will be due upon completion of construction. Talon Restoration will require payment of the ACV amount prior to start of construction. Any payments received from the customer before materials have been delivered will be in held in trust. INITIAL PAYMENT $'R!'J `dr/+��C i11`� V9 fJLfl�°�pprox Start Date: .NPI 26) If 7 FINAL PAYMENT $�J ��`� -�x'"� �nn Completion Date: 201 i TOTAL PROJECT PRICErA Insurance Company Lf 6�t �J M Claim# �i3S'yg�loy� a/ Mortgage Company Loan he a r' n toration to speak with mortgage company pertaining to claim processing only. If this line is not signed, authorization is not accepted. ACCEPTANCE CF OSAI PVspecifications and conditions are satisfactory and hereby accepted. Owner Signat Talon Restorati Date: 1 Date: 2 Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Monday, August 21, 2017 2:01 PM 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 Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 12540 West 31 st Avenue, Denver, CO, United States Jason Bohks 3038088660 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract info@talonre.com Yes Bohks Siqned Contract.pdf CONTRACTOR INFORMATION 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) Talon Restoration 140192 3038088660 12540 West 31 st Avenue, Denver, CO, United States Contractor Email Address andrea@talonre.com Retype Contractor Email andrea@talonre.com Address DESCRIPTION OF WORK TOTAL SQUARES of 26.3 the entire scope of work: Project Value (contract 5256 value or cost of ALL materials and labor) Are you re -decking the Yes roof? 2 Does the scope of the No project include a flat roof (less than 2:12 pitch)? Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 26.3 part of the pitched roof? Describe the roofing Architectural Shingle materials for the pitched roof: Type of material for the Asphalt pitched roof: Provide any additional 4:12 pitch detail here on the description of work. (Is this for a house or garage? What is the roof pitch? 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. 3 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. Name of Applicant Andrea Landaverry Email not displaying correctly? View it in your browser. City of Wheat Ridge Residential Electric PERMIT - 201708432 PERMIT NO: 201708432 ISSUED: 10/18/2017 JOB ADDRESS: 12540 W 31st AVE EXPIRES: 10/18/2018 JOB DESCRIPTION: Permit to remove and replace meter from 150 amp to 200 amp. Meter was damaged by branch. Adding grounding and panel. *** CONTACTS *** OWNER (303)808-8660 BOHKS JASON SUB (303)234-0460 Daniel McCord 020345 Colorado Concept Lighting *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 93.35 ** TOTAL ** 156.35 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, appltca 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 he property and am authorized to obtain this permit and perform the work described and approved in conjunction with this e t I furt er at t that I a le all authorized to include all entities ne within this document as art�es to the work to be perforrd a 1 t at wo to beds disclosed_„ in this document arrpdr s' accompanxing approved plans and specifications. Signaturk of TOW'�;&R"jor" CONWR #CTOR (Circle f Date ( l 1. This permit was i§sudd based ok1the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with t ose 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 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. 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 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 code or any ordinance o ulation of tris'risdic ion. pproval 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. City of WheatPj, COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(-Zi-)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: PlanlPee�nnit # Liv` -Ac,) '�q-� Plan Review Fee: Building Permit Application / ",3 *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: / 2�;rVZ) J� Property Owner (please print): �!. ��; Phone: k-)57 Property Owner Email: ft Mailing Address: (if different than property address) FA Address: J City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: Phone: Contractors City License #: Lye&5�7J �f Phone: Vg Cnntractnr F -mail Aeldrpcc- Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL YRESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ,ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FULF Amps Btu's Squares Gallons Other IProject Value: (Contract value or the cost of all materials and labor included in the entire project) I 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE. (OWNER (CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax ITRECTION NOTIC Inspection Type: �FLE_CT• 2 K. Job Address: w 3 -ar. Permit Number: -2,01-70 8:�J� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, `all fo re -inspection at 303-45933 J Date: U/ (�' Inspector: i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: INSPECTION NOTA/CE 0 ❑ No one available for inspection: Time Re -Inspection required: Yes IN When /corrections have been made, call for re-inspectio at 303-234-5933 or: Date! A� / Inspec � lit 1 DO NOT REMOVE THIS NOTICE 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: ' Job Address: / ` `.�'�' (� ! ( `' 'A Permit Number: ❑ No one available for inspection: Time �� `� AM/PMI Re -Inspection required: Yes (4Q,-"" When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE 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. Sheathing - INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Electrical Service Stemwall / (CEG) Concrete Encased Ground Rough Electric Reinforcing or Monolithic Rough .Plumbing Weatherproof I French Dram -: Gas Piping. Sewer Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD. BE CALLED .ATLEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Mechanical Water Service Lines - "'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 CONSTITUTEAUTHORIZATION !. OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED. CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) - - eating (Underground) ROUGHS - ,..... Sheathing - Lath I Wall tie Mid -Roof Electrical Service Rough Electric Rough .Plumbing Gas Piping. INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD. BE CALLED .ATLEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Mechanical "'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 CONSTITUTEAUTHORIZATION !. OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. FINALS Electrical - Plumbing Mechanical - Roof..' Building Final Fire. Department R.O.W. & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD. BE CALLED .ATLEAST 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 CONSTITUTEAUTHORIZATION !. OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OFt OCCUPANCY .IS ISSUED PROTECT THIS CARD FROM THE WEATHER o ! s CITY OF WHEAT RIDGE ® Building Inspection Division (303) 234-5933 Inspection line (303) 235 -2855 office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: FiuyL 427f Job Address: Permit Number: /6a73G ❑ No one available for inspection: Time / ; 3a AM i QM Re- Inspection required: Yes No When corrections have been made, call for re inspection at 303 Date: w Inspector: �d r° DO NOT REMOVE THIS NOTICE L ♦ 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: 1,253 w 345T Aries Permit Number: — IC�Z�73G ___ ��ianv• Tzf� s�t/f a���ila? �z 1�l�t`�.evC�Fc "� �ra+✓ ❑ No one available for inspection: Time _ - ✓.' /S AMC t Re- Inspection required: ie No When corrections have been made, call for re at 303 - 234 - 5933 r Date: t! 49 Inspector: /� r DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line f (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NQTICE Inspection Type: Job Address: a2 al- Permit Number: - El No one available for inspection: -Time / . "--2 _ IPM Re-Inspection required: Yes.,e When corrections have been made, call for re-inspection at 303-234-5933 Date: $ 0 Inspector: `VI DO NOT REMOVE THIS NyTICE i ♦ i CITY OF WHEAT RIDGE Building Inspection Division f (303) 234 -5933 Inspection line ( 303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE , Inspection Type: r r Job Address: f�H -5 ` O t/) f s 7 Permit Number: /,9C) ° Y df�FB si ,P - x J ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No "When corrections have been made, calf for re- inspection at 303- 234 - 5933 / / f Date: 0I le Inspector ' L�O NOT REMOVE THIS NOTICE e i CITY OF WHEAT RIDGE /V, Building Inspection Division l (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: cJ C ~J f 17- Permit Number: ❑ No 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 Date: ! f~' Inspector: DO NOT REMOVE THIS NOTICE ERMIT NO: ' 100736 ISSUED: { OB .ADDRESS:. 12540 W 31ST AVE `EXPIRES: `C ESCRIPTION: Reroof 29 sqs.with 30..yr GAF shingles 303./475-2320 Jason Bohks 303/756-4400 Arik Connell RCEL INFO bumruKY * ESTIMATED "PROJECT - FEES t Fee 326.70 Valuation 00 ax 259..20 PAL 585.90 ions: Y I O V /23/2010 /19/2010 52 Connell's Custom Exterior Inc UA )T#: 0/ ~LUATION: 14,400.00 heathing spaced more ire roof. Ice-:and.. walls. ***Contractor for inpsections. It pection to insure e clear for inspection. Scheduled inspections that cannot be performed nclement weather must be cancelled prior to 8:30 a.m. on the day of on or a re-inspection fee of $61.00 will be assessed. `rtifyr. that the setback distances proposed by this permit application. are accurate, and do not violate applicable rules or regulations of the city of Wheat Ridge or covenants, easements or restrictions of record; ..that all .s shown and allegations made are accurate; that I have read and agree to abide: by all conditions printed on this :2 tD, I nssum l responsibility for compliance with the Wheat Ridge Building Code (I.H C) and`all other: a~ N astute f hie / Building Official date 3PECToN REQUEST LINE: (303)234-5933 BUILDING OFFICE;: (303)235-2855 ~++Y •+++?i~ +•+~+o oc vuwci nipJ CVI H1VSaDVJ11VGJJ.`LH Y P VAC :.d 1V J... 1`1 VLV.... r....... i'UJ11V6bb LAY.:` 03/23/2010 10:35 6514382901 CONNELLS CUSTOM EXTE PAGE 01/01 Fw ~r City of Wheat Ridge Building Division Date: e .`~°m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan M a Inspection Line: 303-234-5933 o[oecPO O Permit#: Building Permit Application Property Address: j 5wo W- r) H- d ixorly-u Property owner (please print): Phone: ,313-4'7s-- Z32-0 Mailing Address: (tf different than property address) Address; City, State, Zi Contractor: Contractor License 1-723G Phone: 30- 7Sb -ygoo sub Contrao.WFS; Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space {description): (JLI-/~.(9-A Construction Value: $ 14 Descripti In of work: (as calculated per the Building Valuation Data shoot) 9 $ -f1> °n• , y_y /fir 7 ~ 7 s- Plan Review (duo at time of submittal): r "1141-V Sq, Flt.//LF~tdde : S cares 29 BTU's f'-Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 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 or 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 (t,B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit, Plans subject to field inspection. CIRLCEONE:: PERSONAL REPRESENTATIVE01-(OWNNEyR)~(C~O~NT~RATOR) PRINT NAME; AZORACTOR) ar SIGNATURE J//A&n Kill M? llM? Ti N.( CX~ Date: ' Ib lD ZONWG COMMENTS ~ ttg: ' Rie,Yl~wer: BUBLIB. WoRKS'COMMENT5: Re,4ewer, RAI 9UIL"QINP40EP..i~!Tfv},.EN,T.,'eCO.,.MN1Ettl'('S.`.•'"'~:r~.';:`:'S ~'.i.::,. . J Bldg Valuation; $