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Home My WebLink About3860 Reed StreetCity of Wheat Ridge E -Res. Siding Replacement PERMIT - 201801737 PERMIT NO: 201801737 ISSUED: 06/15/2018 JOB ADDRESS: 3860 Reed ST EXPIRES: 06/15/2019 JOB DESCRIPTION: Remove and Install 26 squares of triple 6 inch solid core vinyl siding. *** CONTACTS *** OWNER (303)422-2694 GLADYS LEONARDI TRUST SUB (303)375-0745 Paul Bonow 020146 Champion Windows of Denver *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,282.00 FEES Total Valuation 0.00 Use Tax 320.92 Permit Fee 299.40 ** TOTAL ** 620.32 *** 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 & 2014 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 codes, and all applicable municipal codes, policies and procedures, and that l am the legal owner or have been authorized by the legal owner of the property an�amauth0r,ze dtoobtain thisthis permit.1furtherattest that Iam lallyauthorizdtoinclude alperormed and that allwork tobeperrmed 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 ermit 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 granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any appt'le code or an Ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chef Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. �tief City of WheatMidge COMMUNITY DEVELOPMENT 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 Email: Perm itsCa)ci.wheatrid4e.co.us FOR OFFICE USE ONLY P/an/Permit # Plan Review Fee: Building Permit Application **` Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. — Property Address: 3860 Reed St Wheat Ridge, CO 80033 Property Owner (please print): Gladys Leonardi Phone: 720-390-9661 Property Owner Email: gladysleonardi@q.com Mailing Address: (if different than property address) Address: 3860 Reed St City, State, Zip: Wheat Ridge, CO 80033 ArchitectlEngineer E-mail: Phone: Contractor: Champion Windows Contractors City License #: 20146 Contractor E-mail Address: shemans@getchampion.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: 303-375-0745 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION Q 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) Residental vinyl siding (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.) Install 26 squares of triple 6" solid core vinyl siding Sq. FULF 2600 Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 15,282.00 OWNERICONTRACTOR 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED RE PR ENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and fast name): Steve HemanS DATM: 6/14/18 01 understand that checking this box, that I acknowledge that this constitutes a legal signature. ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ CHAMPION SOLID CORE Champion Solid Core Siding is engineered to significantly reduce outside sounds, improve your home's energy efficiency, and protect your home from extreme weather conditions year-round. With greater impact resistance and moisture management than non -insulated siding, Champion Solid Core Siding resists winds up to 160 mph and features the clean look of hand - milled cedar. High quality, no maintenance, and available in your choice of vibrant colors— Champion Solid Core Siding is the ideal fit for a wide variety of home styles. We have been pioneering the latest advancements in home siding for over 60 years, providing a beautiful look that lasts as long as your home. Here is what you can expect when you upgrade to Champion siding systems: • Worry -free, easy -to -clean, and maintenance -free • No chipping, cracking or peeling; so no more repairing, painting or caulking • Noise reduction of 45% • Improved energy efficiency in your energy bills Protected —. Edge • Best -in -class Limited Lifetime Warranty, covering your siding for the life of the home, including future owners • ColorLife'" Fade Defense, keeping colors true for the life of the home • Impact resistant, withstanding winds of up to 160 mph • 6" and 7" wider profiles • SmartTrack" moisture management system, preventing condensation and expensive damage • Available in an array of vibrant colors and stunning designs that give the look of authentic wood • Proudly made in the USA • Life of the Home Limited Warranty Solid core with _ foam backer - Slip lock 8 —Water - Management system on back of foam 7 PERMIT: ADDRESS: INSPECTION RECORD JOB CODE: Inspection online form: http://www.cl.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 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 uo not your concrete mor 10 Approval Ut 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 1t'_L + uo not cover underground or t3elow / 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 1t'_L + 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 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 1-7 Final Inspections Date Inspector Initials Comments 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 1-7 410 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 —r I 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. r_ LT7 7�- q ► ' City of Wheat Ridge Residential Roofing PERMIT - 201707373 PERMIT NO: 201707373 ISSUED: 09/18/2017 JOB ADDRESS: 3860 Reed ST EXPIRES: 09/18/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 14 sq Pitch = 8/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)422-2694 LEONARDI LAWRENCE B SUB (303)364-3647 Sanara Ramos/Cristian Ramos/Ef 170362 American West Roofing, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,357.07 FEES Total Valuation 0.00 Use Tax 154.50 Permit Fee 172.60 - ----- - ** TOTAL ** 327.10 _. *** 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. 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. k City of Wheat Ridge Residential Roofing PERMIT - 201707373 PERMIT NO: 201707373 ISSUED: 09/18/2017 JOB ADDRESS: 3860 Reed ST EXPIRES: 09/18/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 14 sq Pitch = 8/12 (3rd party inspector required) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst applicable building codes, and all applicable munici�aIcode s,policbyhe lgal ownerofthe propertyand amauthorizetoobtainthisthis ermrt.IfurtherattestthatIam legallyauthorizd toinclude alperformed and that all work to be performed is disclsed 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, po Flans 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 originalermit 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 an 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 Chi Building Offi alDate REQUESTS Y 11 Y B 5 ,SINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 2 0 � 7 7__�' / `� From: no-reply@ci.wheatridge.co.us Sent: Wednesday, September 13, 2017 11:44 AM 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 3860 Reed St Property Owner Name Gladys Leonardi Property Owner Phone 303-422-2694 Number (enter WITH dashes, eg 303-123-4567) 3� 7 D 93 Property Owner Email Field not completed. 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 Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business American West Roofing Inc Name Contractor's License 170362 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) 303-364-3647 14400 Smith Road Aurora, CO 80011 Contractor Email Address sramos@awestroofs.com Retype Contractor Email Address DESCRIPTION OF WORK sramos@awestroofs.com TOTAL SQUARES of 14 the entire scope of work: Project Value (contract 7,357.0 value or cost of ALL materials and labor) Are you re -decking the No roof? 94 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) Yes 1 8/12 14 GAF Asphalt Remove 14 squares of Asphalt shingles and replace with Tamko Barkwood. SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes Wi 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 Sandra Ramos Email not displaying correctly? View it in your browser. 96 GENERAL CONTRACTOR SERVICE AGREEMENT Home Phone: --aev �y Insurance Co: Claim No:. ^d% 2= Adjuster: Tear-Offul and Dispose of Shingles Asphalt Wood Shake Other_ SQ Add Layer of Shingles, Remove and Dispose SQ Roofing Felt — 15 Ib._ 30 lb.�< Other SQ Starter Shingles SQ Shingles BrandE Type: SQ Ridge Cap Low Profile _ High Profile —X— LF Dnp Edge 2x2_ 2x4 _X Color: LF Flashing — Pipe Jack Each Furnace Vent Cap and Storm Collar 5"_ 6 8"_ Roof Vent — Turtle Type T Turbine Exhaust Cap — Through Roof Chimney Flashing — Small_ Average_ Large_ Skylight Flashing Additional Charge for High Roof (>2 Stories) Additional Charge for Steep Roof (7/12 to 9/12 Slope) Ice & Water Shield Satellite Dish — Detach & Reset Install Sheathing — 7/16° OSB or Other: Swamp/Evaporative Cooler — Flashing - Detach & Reset Ridge Vent Each Tear -Off, Haul and Dispose Roll Roofing SQ Roll Roofing — Self -Adhering SQ l • �io Dn P Ed e 2x4LF Remove Gutter / Downspout LF Install Gutter — Aluminum up to 5"X_ 6"_ LF r r' 1� Install Downspout — 2" x 3°X 3°x4°_ LF �O Remove and Replace Soffit SF Each Each Each Each SQ SQ 13, SF 3257 - Each SF Each Remove and Replace Fascia LF Remove and Replace Siding SF Remove and Replace Trim LF Shed: Tear -off & Install Shingles SQ Garage: Tear -off & Install Shingles SQ Permit (TBD — Will be added as supplement) ue(L W s fu " hall materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST $ (insurance proceeds) plus any supplements that may apply to your claim. Upon approval of your claim, American West Ext ors for any and allsupplements, which may include building code items, unforeseen items and missed or omitted items on the insurance suet to you by your insurance company. Those items will be paid per your policy provisions and will become pari 'of thin contract as if conla�jted, herein. American West Exteriors; as your General Contractor, requests a fair and equitable settlement agreeable by both your insurance co � , "=American West Exteriors based on competitive market rates for labor 8`materialswith no additional cost to you', except for your $ a• deductible and arty upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a iuN roof replacement, you will not be obligated to this contract and. may enter into an acceptable repaid agreem American West Exteriors. All work is installed per the manufacturer s installation instructions & the local building codes. ent with • I hereby authorize and/or instruct the insurance company and all lien holde s to include the name American West Exteriors as Co -Payee on any subsequent loss draft or checks after today's date as indicated below. _j • I hereby authorize and/or instruct any representative and/or third party agent of Aerican West Exteriors to obtain any and all information necessary to complete the funding process relative to the claim number listed above. n _ • I hereby authorize and/or instruct American West Exteriors to Act as my General Contractor for the above mentioned claim number and instruct my insurance company to release the customary 10% overhead & 10% profit for scheduling and coordinating any and all trades Xneeded. 14 • I understan this contract may be cancelled within 3 bus'ness ays from the date listed below. The cancellation had to be submitted to American West Exteriors by midnight on the third business day. This contract is subject to American West Exteriors management review & approval. I accept the above terms of this contract and authorize American West Exteriors to proceed. kOwner Signature: A90-�� (j� , Representative Signature: *4f&n Owner Name: GL .4 n VS LSQ AlIV t)- Company Representative:w Acceptance Date: Management Approval: American West Exteriors 114400 Smith Road, Aurora. CO 80011 1 3n33RA sR47 i P.— znZ 4A4 4 C94 0M 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: 7243G c S� Permit Number: `Q ® i -7 o -7 3 -7 3 ❑ No one available for inspection: Time -Q� AMO Re -Inspection required: Yes (9 When corrections have been made, call for re -inspection at 303-234-5933 Date: 1 I 1 S- f -7 Inspector: -7-,` DO NOT REMOVE THIS NOTICE i - CITY OF WHEAT RIDGE �_.a6uildin�Jnspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3D 6 / ke-4i /Irt Job Address: Ob &gj Permit Number: `720/7b�7_3%-3 ❑ No one available for inspection: Time-AM7P�, M ,� Re -Inspection required: YesNo When corrections have been made, cafffor re -inspection at 303-234-5933 Date: /0 , 6 - / _7 Inspector: _) -- DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY City of Da te: Wh6at'N 0 gc odviuNiDEVELOPMENT Plan/Perrnit # 2x tL Building & Inspection .services Division 7500 W. 2Wh Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan Review mer Inspection gine: 303-234-5933 Email:ppLmits@ciwheatridqe.cous . Building er itApplication Please complete all highlighted are" on both sees of this form. Inoomp4te apoicattons may, not be Processed. Property Address: :� Property Owner (please print): phon: Property Owner Email: Mailing Address: (if different than property address Address; City, Mate, i Architect/Engineer Enialk !? honor Contractor: Contractors City License #. phone. e Contractor F ail Acldllass: Stab Contras t s. Electri l: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License ## Other City Licensed Sub: Other City Licensed Sub: City License #1 City License # Complete all information on BOTH sides of this farm C] COMMERCIAL ORE IDENTIAL mss• i M d 91Y YM` � M d • i! MM d M � y r. ! X 1F MM p ar. � • • 4 r p d ®w i .w w; r� • as" d rwou t of materials to be used, etc.) 1 t W " � ,4� 4al Sq, FULF Btu's Gallons Amps SquaresOther ♦ i CITY OF WHEAT RIDGE / Building Inspection Division I (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: O� f Job Address %e6 Permit Number: r i` ❑ No one available for inspection: Time iG,�_ AM /PM Re- Inspection required: Yes No f When corrections have been me e, call for re - inspection at 303 - 234 -5933 Date: !� 1 /�� Inspector: 00 NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division '4000 00r_ (303)234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: p �Z)I Job Address: 7,< ea) 2 Permit Number: f lo( 0 q;, ❑ No one available for inspection: Time AM Re- Inspection required: Fes o * When corrections have been made, call for re4ris7dotion at 303 - 2345933 Date: 5 7- f L Inspector: DO NOT REMOVE THIS NOTICE } City of ]Vheatl~igge 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 Permit Application ~{operty Address Property Owner (please prio: Mailing Address: (if different tl Address: Lo cc City, State, Zip: 96nfrac~tor: Contractors Electrical: City License # address) l~ ( "C, Plumbing: City License # sC[ On Squares bz~ BTU's Gallons Amps Sq Ft. Date: Plan # Permit # Phone: 2&q4 Mechanical: City License Contract Value: $ Review Fee (due at time of submittal) 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 fist that entity on this application. CIRCLEONE: 10,WJVER) (CONTPACTOR)f (AOZHORTZEDJWPRESFJVTATTVE) of (OWNER) (CONTRACTOR) PRINT NAME: License Bldg Valuation: $ ti ll 0. O O N h N 0 0 0~ n n~ O N~ rvi ric .:oa y, I~i Phh ( N(11 N N b w .~i mmq M y~ m m~ n ti~ O ry~ d 19 w 1y~ i LL i li um. LL LL LL IL LL li W r. .n A 0~- -Sojvtq O K Q C W~ U W