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HomeMy WebLinkAbout4500 Newland StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application Date: Thursday, September 23, 2021 1:55:52 PM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - 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 residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4500 Newland St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Deborah Vinnola 303-898-1744 Field not completed. CONTRACTOR INFORMATION Contractor Business Lakeside Heating & AC 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 Rebecca Buras Permit Email not displaying correctly? View it in your browser. Name Contractor's License 017865 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-421-3572 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email becky.b@lakesideheating.com Address Retype Contractor becky.b@lakesideheating.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 60000 What is the efficiency 98 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 8000.00 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 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: `y",E _ Job Address: L -t `� L V f, C , \ ("` Gk 1�1- Permit Number: D L�\ C� b U Ci U \x ❑ No one available for inspection: Time 1'.� AM/PM Re -Inspection required: Yes NC s When corrections have been made, call for re -inspection at 303-234-5933 Date: `�5 ` ° 1 C� Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:° Permit Number: Ll No No one available for inspection: Ti MI M Re -Inspection required: Yes, ' 0 When corrections have been made; callect' . n -at 303-234-5933 � .- Date: "` Inspec-�-_. t_(0 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: n^ c c1-. Job Address: L- - Civ ('*,, C �_Xj\ C!: `a ?- Permit Number: ;) U \ r" V V G; u 13'No one available for inspection: Time AM/PM Re -Inspection required: Y6 No L"') When corrections have been made, call for re -inspection at 303-234-5933 Date:`---, - Vi Inspector: DO NOT REMOVE THIS NOTICE H 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: t Job Address: C Permit Number: f C) MMMIMEA _ - ��► Al "■1: E rf1J ❑ No one available for inspection: Tim X71/PM Re -Inspection required: Yes No When corrections have been made, c J for re -inspection a - 34-5933 Dat — Inspecr. _ a DO NOT RE E THIS NOTICE City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201900966 _3 PERMIT NO: 201900966 ISSUED: 05/13/2019 JOB ADDRESS: 4500 Newland St EXPIRES: 05/12/2020 JOB DESCRIPTION: Replace 98% efficiency, 60K BTUs furnace in basement; Replace 40 gallon, 38K BTUs water heater in basement; Replace 2.5 ton, 18 SEER AC in backyard; Rehook AC to existing 220 v circuit with GFCI outlet *** CONTACTS *** OWNER (303)898-1744 VINNOLA DEBORAH L SUB (303)421-3572 WILLIAM BURAS 017865 LAKESIDE HEATING & A/C SUB (303)979-1641 JOHN J. MCGRATH 019585 OVER-ALL ELECTRIC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,550.00 FEES Total Valuation 0.00 Use Tax 242.55 Permit Fee 236.00 ** TOTAL ** 478.55 *** 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. City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201900966 PERMIT NO: 201900966 ISSUED: 05/13/2019 JOB ADDRESS: 4500 Newland St EXPIRES: 05/12/2020 JOB DESCRIPTION: Replace 98°s efficiency, 60K BTUs furnace in basement; Replace 40 gallon, 38K BTUs water heater in basement; Replace 2.5 ton, 18 SEER AC in backyard; Rehook AC to existing 220 v circuit with GFCI outlet I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. 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 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, any violation of any provision of any applicable code or any ordip ance 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 �n(qooq From: no-reply@ci.wheatridge.co.us Sent: Monday, May 13, 2019 7:33 AM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Categories: Dina Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - 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 residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS 4500 Newland St. Deborah Vinnola 303-898-1744 Field not completed. Cred it -Card -Authorization- Form. Pdf CONTRACTOR INFORMATION Contractor Business Lakeside Heating & A/C Name 1 Contractor's License 017865 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-421-3572 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address becky.b@lakesideheating.com Retype Contractor Email becky.b@lakesideheating.com Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs 60000 What is the efficiency 98 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 5000.00 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 i 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 Rebecca Buras Permit Email not displaying correctly? View it in your browser. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Monday, May 13, 2019 7:39 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 Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 4500 Newland St. Deborah Vinnola 303-898-1744 Field not completed. Cred it -Card -Authorization- Form. Ddf CONTRACTOR INFORMATION Contractor Business Lakeside Heating & A/C Name 1 Contractor's License 017865 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-421-3572 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address becky.b@lakesideheating.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)? Project Value (contract value or cost of ALL materials and labor) becky.b@lakesideheating.com 40 gas 38000 basement 1300.00 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 work may not begin on this property until a permit has been issued and posted on the property. Yes Yes 0� 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 Rebecca Buras Permit Email not displaying correctly? View it in your browser. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Monday, May 13, 2019 7:37 AM To: CommDev Permits Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler Permit Application Categories: Kim Residential Replacement Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT AIR CONDITIONER OR EVAPORATIVE COOLER - 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 residential replacement AC or Evaporative Cooler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** 4500 Newland St Deborah Vinnola 303-898-1744 Field not completed. Credit-Ca rd -Authorization- Form. pdf CONTRACTOR INFORMATION 4 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) Lakeside Heating & A/C 017865 303-421-3572 Contractor Email Address becky.b@lakesideheating.com Retype Contractor Email becky.b@lakesideheating.com Address DESCRIPTION OF WORK What type of replacement Replacement Air Conditioner unit are you installing? How many tons is the unit? For AC - what is the SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located (for example, rooftop, backyard on ground etc)? 2.5 18 backyard on ground Is electrical needed for re- Yes hook? If electrical work is being 19585 rehook ac to existing 220V circuit w/gfi outlet performed, you must provide electrical contractor's Wheat Ridge license no. and scope of work. Project Value (contract 5250.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT 5 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 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 Rebecca Buras Permit Email not displaying correctly? View it in your browser. ��765 X53 4soo Nee�i,� SX. INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Anoroval Of The Ahovp Incnar-finnc Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of Thp Ahnva Incnar finnc Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof qlly It) 44, Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. fef-__ F -Of rvw wrtaye permits — nease ee sure that rough inspections are completed trom the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather N* 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: OF Job Address: N 600 Permit Number: /e 7/ 70 q1, f, ❑ 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 - Date:— Inspector: DO NOT REMOVE THIS NOTICE ,r City of Wheat Ridge Residential Roofing PERMIT - 201705253 PERMIT NO: 201705253 ISSUED: 08/02/2017 JOB ADDRESS: 4500 Newland ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark asphalt shingles - 32 sq *** CONTACTS *** OWNER (303)898-1744 VINNOLA DEBORAH L SUB (303)426-7370 Kirk Tiley 021395 Tiley 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: 9,627.00 FEES Total Valuation 0.00 Use Tax 202.17 PAID Permit Fee 204.30 ** TOTAL ** 406.47 r___ —"I *** 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 - 201705253 PERMIT NO: 201705253 ISSUED: 08/02/2017 JOB ADDRESS: 4500 Newland ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re—roof to install CertainTeed Landmark asphalt shingles — 32 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I further ttest that f am Nally authorized to include all entities named within this document as parties to the work to be performed an ha 11 a perfg ed 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, regula ions, po icies 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 required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services ce 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chib BdAtlfAMMcial9 %& Date REQUESTS MUST BE MADE BY 11:59PM ANY BUS SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz 'U,f 70552 ) From: no-reply@ci.wheatridge.co.us 1. Sent: Tuesday, July 25, 2017 8:26 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane G 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 4500 Newland St. Wheat Ridge, CO 80033 Property Owner Name Deborah Vinnola Property Owner Phone 303-898-1744 Number Property Owner Email dlvinnola@me.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Business Tiley Roofing Inc. Name %�� �+� Contractor's License Number (for the City of Wheat Ridge) Contractor Phone 3034267370 Number Contractor Email Address mglenn@tileyroofing.com Retype Contractor Email mglenn@tileyroofing.com Address DESCRIPTION OF WORK / Are you re -decking the No roof? Description of Roofing Certainteed Landmark I/R Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 28 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 4 on the flat roof? TOTAL SQUARES 32 (pitched + flat) of all roofing material for this project N Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 9627 Home, 1 Layer, 8/12 -Flat Project Value (contract 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 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 submit this application and to perform the work described above. Name of Applicant Michael Glenn Email not displaying correctly? View it in your browser. 3 r l _ glow R full-service residential and commercial ROOFING and gaffer contractor. f.1it1}[_ihatl �V}t'4kONieYRGOitliG i a�•yry. I S03-426.7370fa) .303-42&0372 tit.1 5399 federal 61vd:,. Denver C080221 I.email filev ROOFING 50WINEORMATION _. Submitted To; Deborah Vinnola Proposal Date: 06/16/17 lobsileAddress: 4500 Newland St. Wheat Ridge, COB(X}33 Client Email: dlvinnolo@?me.com CRentPhone: 303-898-1744. Est€mater: Tony Miller 303-2498151 tony@rgeyrootfng.com Root Area (sq. it.): _W Roof Pitch: 8/12 -Flat Removal Layers: i There are multiple pages to this proposal. At Tiley Rooting welike to provide ourclients.Ath several alternatives taensure:you ore getting the root that best fits your needs_ Below is a choice of a "Belief" and , Best' package, several shingle product choices; and add an options to accommodate those needs. Roof Hyperlink Photos; tt sl./apycotnpanycam.comfaaiteries/uYW02t-Xenon (SCOPE OF WORK: AND MATERIALS Existing Roof Condition: Hail damaged throughout Existing Leaks wlih Location: None reported. Demolition: Removal and disposal of existing layers (roof coveting) specified above and I lover root underloyment. Additional hidden layers may be difficult to determine until demolition process. Charges for these hidden layers may apply. Better : Standard Roof package ilnderlaymehl: I layer ofsynthatic.underloyment.vAh'1 or 2 tows Ice andwateron eaves installed per local building code (eave overhan 0 dependent). I row at crickets; -chimneys and skylights (if they ekist). Flashing; 26.gduge factoryfinish bron e.(ddrk brbWn)cbbr ddjp edge; rake edge fleshing, hegdwatl, and step flashiniiq. Repktcement'of ail rooting jacks Which'will be pointed to match shingles. Surface -mounted vill.ble flashing may be: reau€red at roof to wall ince rsections, Venting Factory finish pointed small animal proof roof vents. Notting: 6 nails pershingle. Shingles: See choices below. Hip/Rtdget To match shingles. Warranip Five - Year Workmanship through Tiley Roofing. OR Best - upgraded Root Package Undodayrnent: i layer of synthetic unde&yment with Ice and Water at eovesi valleys; crickets, chimney and skylights. 1`1001119: 26 gouge factory finish color Inyourchoice of white, charcoal gray, bronze, or brown ddpedge,.roke edge flashing, headwal 1, and stepflashing. Replacement of oil roofing jacks which will be painted to match shingles. Surface mounted. visible flashing may be required at roof to wail Intersections.. Venting: Ridge Venl. Nailing: 6 nails per shingle. Shingles: See choices below Htp/Ridge Raised Hip/Ridge to match shingles. Warranty: Five to Twenty Five -Year Workmanship through the manufacturer. Please: call for details. Specific Job Notes and Details Price Includes main house and garage. Please add :desired options to root package% of your choice for total project cost. Please let rhe know It you need assistance with your insurance claim (it applicable), would like to visit our showroom.. have samples delivered to your home, or have any additional questions orconcerns, Cdution will be used with The Exposed Soffits and fasteners so as to not penetrate the decking. Clarifications Prior 16 Contract Test for hidden layers, I rioted. Colors and'options. Satellite Mh - detach 8 reset (excludes receptianT. Counterand chimney'flash€ng:- Schedute/Access. Page 1 of 3 Below are hyperlinks to connect you to the particular product you may be Interest In, jusTcitck.ond go. There is also a general picture at the product, r..nb�rr:n�" t�nsvral 51, u.1n,.-� Na.ir"vr� Shii.gtra vvlvv u.,J l.vllavnluii�u in u ..vrulul ur.,r,J:ain,\v look, Vnluee,nl Ixrlvernvr.e. f.i v 4v .wnewaM�wFvkabew- IMPACT RESISTANTDIMENSIOI «xe M'�41��on,wswu Nalvrq �M4^Prpt�f • fAaY � t •� PnN In certe„n MILS !AMINATES -, Mlddle rade Weather Resistant Dimensiai3dl`S '. SHINGLETYPB BETTER JBIEST RCAF Armarshield II: I $13.334 $15,094 "Owens Com!na Quratfon QRM• $13,263 $15,023 add on Leaf Proof: I .Flycn. meat r.1i,hief” Uluil N.'f`0 K,u,I,nti YDW bell 4YVYil(M1�M1I ter en NIIrAtli,Mnabvfvl M'eotl+s'MaN� MeN. DESCRIPTION OF AVAILABLE OPTIONS GultersJDownspouts; 26 gouge pre -painted 5' K -style gutters and 2'i0 corrugated downspouts. The some gutter configuration will be used unless otherwise instructed. auHer Screen: Metal gutter screen to reduce debris build-up in the gutters, Gutter screen still requires some maintenance and may cause additional icicle formation. LeQI Proof: Install solid advanced gutter protection system with solid cover to reduce debris butid-up in the gutters: Gutter cover still requires some maintenance and may cause additionai Icicle formation. Available in T2slandard colors. Rain Borrel: Install (1) 50 Gal. Rain Barrel, inctudes brass spigot (Whiskey barrel style) with black stand and downspout eiverier'KI. Av citable In 4 stock colors; excludes hoses or any at her accessories not mentioned. also excludes landscaping alterations. Solar Powered fan: Furnish and install roof mounted 500 CFM (800 sq. ft) solar powered fan center backside of roof deck - Modified on flat Root: Furnish and Install perimeter flashing, base sheet and modified bitumen an flat roof. Below are hyperlinks to conriect you to, the particular product you maybe interest in, just click and go, Pledse note.fhis is fora general product descilptlon. Specific product can Vary in appearance based on manufacturer.. OPTIONS : COST (add 60's1 OPTIONCOLOR: SELECTION .. 13311T1ryf3t55itt# r. Colo Gu terSc.een: $429 add on Leaf Proof: '§2;252 add on Color Rain Barrel. $496 add on per unit Color Sotor Powered Fan $304 add on per unit Bt}od(fi�iao"l�s�it}Ttr3i3f Color. Pape 2 of 3 EXECUTE'THE'ICONTRACT Client to fill out Contract Amount: TBD based upon root package'- d options Customer Stgna}ure: Date: 1 tW 5hingieType: Shingle Coloir Options: We must have all these items In order to schedule your project, vGortfirm your selection with your HOA If oppifcable, _Please highlight the Roof Package ond.Opifons and Write In the colorsolect(ons: _,Please return a signed copy also confirrmyou Bove read the terms,conditions. and Tnforriiaffon page, _We must have color and option selecilons to acGurofely schedule your Job, _Pleose confirm all of your Insurance claim documentation is complete (if applicable). ■ AccaroiTro wsitress - TERMS. CONDITIONS, AND ADDITIONAL INFORMATION Pricelsgood ler. 30 days. ._ - _... .. Access: Prier is based an driectroof ti—esswith odumpslernextto the house (for safety, easeaf access) and conveyor truck .loading, ,moteoiols. Paym¢n'Terms: We mus} have a signed copy to schedule work, SO% payment ofthe contract amount isdue upon mol000loniva490%fsdueupon substantial rromplolion, ip% cacti bo withheld untilinspecfionjpunch list is complete. Contract becomes binding upon written acceptance or commencement of work. interest on all overdue amounts shall be added at the rale of 18% per annum. Owner agrees to pay for costs and fees that may be incurred by conlracler to enforce the leans of This contract. Price is based on cash or check, Credit cold purchases are accepted. It IfleyRoofing Inc and owner of the above-mentioned property need to go info millgotlon, homeowner agrees to :over casts assoclated with toilfgallon. Master Agreement Amendment Our proposolshswld bean amendment to any mosterogreoment, The following condiflons also apply. Pive days swill be altoited to dispute any pay application olhenvlse lhe:poy appficoh6n will be considered fo be atcepted. If 30 days terms are not met late fees may applyce wertas stoppnge of work.willi a five day nofificatioh. Addiftoriatlntotsnallon: PI into call and ask about possible upgrades, extended woimrtlles, and differerol types of shingles that ore available. Please note bronze counterllosh?ng maybe used armor to wall Intersection it not able to Install undersiding. If common for granules to be dispersednew downspouts after anew InstoTQRon and raining. Inclusions:' fasteners, sealants. permit (raroof only), sales law workere compensation, liability Insuronce and landscape protection (retool only). Note for insurance claim projects we w113ypptemenlollybill your insure nco provider for the permit, Price is based on direct roof access will) a clumpsternext to the house and.conveyor truck loading. Exclusions: Roof. deck replacement. Roof deck replacement Is ;60.00 pet sfieel and done only upon noll ying the customer. 5idtng repair tr am installation of flashing may be addjfronbL Drivewoydaniage,careclfonotstrvcfural Imperfections; and addifionol hidden royals ofmofingwil!cosl extra upon notifying The customer. Leaks and Icicles created by snow, once damming. Unwanted anirisal entry, tree at vegetation damage In the roof covering of acts of God. Satalrite Dis b adjusiment or minslallaflon. Electrical mast dlsoonrlection or connection. Drywalt texture of pafnfing. Additional work other than specifically mentioned (HVAC, elecirico 1, woodwork, painHngl at any other home repaitsor replacement. Looks caused be re -using exis(ingskylights aro excluded due to the process necessaryand distvrboace that could cause the fairing of existing skylights that may nor hopepioviausryleoked. If an esfimole for a new skylight has not been provided please request one from your estimator, Pie ase call for any addi8analctaification,Excludes englneedng orcorreclion of slnictwal Impedeclions Owens responsible for ottcolor choices. Snow or Ice damage as result of weather to shingles or gutters is excluded Or well as Engineered snow retention.. unless otherwise Indicated, Ventilation design or envxommrlol engineering is excluded• please ca if regarding consulting with structural engineeror net freeven llationrecommendations, Now conslmc8on lrifeooallont Snow removal or work to severe condi8ons is excluded. Trip ctiafges mayapplyif prolecf is nofTeadyfor our smpe of work. Please contact 7Rl prior to commencement of work at to nocessaryprepamoory, measures needing to be complete): Project R bused an accessibility with acommyorloodingfruck. Temporary warerproohng for new construction projects. Permit to be provided by Contractor (except Denver) unless specifically mentioned otherwise. Solely: )gay Roofing may cho site fo lnstalfpermanent anchots on your roof. these anchors should not ba used by anyone other Than 7fiey Roofing Employees. Colorado Lawf All provision of CRS 18.13.13.1195'Abuso Of Property Jnsuronce"58;38_(senate bil1381 Concerning measures to protect consumeawho engage a roofing conhoclo: to perform roof services on residenflal ptoperly oro included, attached in Initial brochurejpackef (insurance provider Information including workers compensation; automobile and general liability Insurance), Incorporated in job infommllon, scope at woo, or additionallnformalion wording and are to be considered part of this contract in compliance with Colorado Revised.Slafufes. AdditionalsGpulolionsara as follows: upon acceptance of contract Initial job cast, terms and co ndilions, property ownerhas the right to rescind contract within 72 hours, cancel all conditions and receive refund of anydeposil fit applicable). Typical time frame for Job completion. upon acceptance, maierial avolloblgty. work land, pending weather (acts of GodJ delays and work commencement are -as follows. Tile roof installations 2-4 weeks, sh!ng!e tootinslallotions 1.2 weeks, small reports 1.3 days. forgerepaks 4-10 days. Confroalor cannof pay or wotve all or pool of o properly owners Insurance deductible, provide any, reboling direcliy at Indirecily to compensate, elintinale or offset ownamobligations (o pay deductible. Please Coll ar email for clarifications, explanations or any additional Informot!on regarding Consumer Protection 5838 Comlionce. Lead: For houses built prior to 1978 these 1, a high probab0ly lead may havebeen used to point the exterior. We are requited to use certain techniques to ensure the load is correellyromoved when the amount disturbed exceeds Twenty square lee), Typically the amount of paint disturbed is negggibl cif just the root is being replaced out almost always the.cosaitgutlers or siding are being removed.. Ifiey Roofing iia lead certified renovation firm a0owting w to perform ill is procedure. Prior to contracting please let us know if your housewos bulli pdor to 1978. It Iha house is pro -1978 woswillpedornn a lead test, If the rest is positive for lead we willossess a Tee In addition to the above costs. Generally this fee rarities tram;50010;)Dog. Risunnee�Cloims: Owner Is responsible to verify insurancesetllemenl payment Is sufficient to cover contract amount. Owner ls.responslble.for any difference. Ownerli resporbible for any Non Rocieverable Depreciation, Owner: Is responsible for deduclible payment. Pursuonf Colorado Sfolutes oll Insurance claim payments must bean The form of check only, Ovmerls ie{ponsible for any Code compliance orrordihonceof law poymerist difference with AcfuallCi1s11 Value Policies, please call for more details.lf any addiifonaldomago cr costs are identified, forwhfch you belleveyour insureristesponslbte for, they must be approved by a representative of your insurance proAderpr(orlo having the additional work done, tryout have any questions please contact your Tiley Roofuigesgmalor. Page 3 of 3 i CITY OF WHEAT RIDGE Vr _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M I n Job Address: 9 5OZ C V Permit Number: T ❑ No one available for i :Time )�_ AM/PM Re -Inspection required. Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: i� Inspector:M 7— 14 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: Permit Number: z©1 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yesto When corrections have been made, call for re -inspection at 303-234-5933 Date: / Inspector: MT b' DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type t=om A-) w: - Job Address 1 /6. oL7 14wP- s7°` Permit Number Ile.?O'S6 A- T'fsls.x/�sa^arsa� Ei No one available for inspection: Time AMkM Re- Inspection required: s No When corrections have been made, can for r e-inspection at 303 - 2345933 Date: F ;Z /f Inspector: DO NOT REMOVE THIS NOTICE U [_ i3 le>° 5'h« L,e---e� T`C' d '' ' // " {{ Gf i�� ♦�a41 V CITY OF WHEAT RIDGE �r* Inspection Division 400 Building (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address Permit Number U [_ i3 le>° 5'h« L,e---e� T`C' d '' ' // " {{ Gf i�� " 1 City of Wheat Ridge � Residential Roofing PERMIT - 110856 PERMIT NO: 110856 ISSUED: 07/21/2011 JOB ADDRESS: 4500 NEWLAND ST EXPIRES: 07/20/2012 DESCRIPTION: Reroof 30 sqs with 30 yr Tamkoshingles * ** CONTACTS * ** owner 303/898 -1744 Deborah Vinnola sub 303/296 -8551 01 -9898 AVI, Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0377 BLOCK /LOT #: 0/ Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of 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 OWMgR 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 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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. & Ak Signature §QQW Building Offical Date �N�REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I} A " " City of Wheat Ridge BuHd/ng vision Date: a , <•n 75,00 VU,29 Ave., Wheat Ridge „CO 80033. Office: 303- 235 -2855 ” Fax' 301235 -2857 ,e lan #: oioRro° Inspection Line: 303 - 234 -5933 �9 Building Permit Application a nE 1 r Property Owner (please 'print) Ve ra ; yl''VI yin [,(A Phone: 3 �� a t �y i, Mailing Address: (if differi;nt than property address) Address: I City, State, Zip: OWNERICONTRACTOR SIGNATURE OF UNDERSTA Thereby certify that the setba6k distances proposed by <" '! rules or regulations of the City of Wheat Ridge or cove allegations made are accurate; that I have read and ag #Saxon. MIT— t n L ' responsibility for compliance th the Wheat Ridge Buil under this permit. Plans si t to field inspection. t { , Contractor License #: Phone: "c�J > , CIRLCE ONE.: (OWNER) S NTRACTOR) or PEI c7lJ3'�(p PRINTNAME. ✓ x Electrical City License #:'' i Plumbinc, City (License #: Mechanical City License #: ' S`f Cbinpany: Companjt Company: ' Exp. Date: i Exp: Date: Exp. Date: p ' Approval. Approval" Approval: ti Use of space 6 Construction Value: $ i I CJ@Q` m i (descnption)i N jA (as calculaled per the Building Valuation Data sheet) r Plan Review (due at time of submittal): $ Sq.Ft /L Ft added: -: (Squares Sri BTU's Gallons Amps r OWNERICONTRACTOR SIGNATURE OF UNDERSTA Thereby certify that the setba6k distances proposed by <" '! rules or regulations of the City of Wheat Ridge or cove allegations made are accurate; that I have read and ag Itr ' responsibility for compliance th the Wheat Ridge Buil under this permit. Plans si t to field inspection. t { , > , CIRLCE ONE.: (OWNER) S NTRACTOR) or PEI y PRINTNAME. ✓ x a )AGREEMENT application are accurate, and do not violate applicable ordinances, ments or restrictions of record; that all measurements shown, and by all conditions printed on this application and that I assume full (I.B.C) and all other applicable Wheat Ridge Ordinances, for work EPRE E TATIV�of(OWNER) ( NT TO E: II/iln. t .litA .a Dat a" Bldg Valuation: rr 1, INSPECT RECORD Occupancy /TVpe r (Y LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. got l� Y e 7 ` INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE '. INSPECTOR ` INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG)iConcrete Encased Ground '. Reinforcing or Monolithic Weatherproof I French Drain Sewer Service Lines Water Service Lines INSPECTIONS' FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED:: Ew r- ` OCCUPANCY NOT PEF P CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) FINALS Electrical (1 Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS' FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY; IS ISSUED. '- FINAL INSPECTION By THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. ECT THIS CARD FROM THE WEATHER I i CITY OF WHEAT RIDGE I/ Building Inspection Division (303) 234 -5933 Inspection line��� (303) 235 -2855 Office • (303)237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: �� I-)gAd, 4. �0 5;;'�— . Permit Number: 1,50 / /a g No one available for inspe ion: Re- Inspection required: Yes7W "When corrections have been made, call Date: �A�, 0 Inspector: _ DO NOT REMOVE t E.. "� City of Wheat Ridge Debra Vinnola 1 =' sub `. 303/935-5495 Beverly Gorshern Residential Electric PERMIT - 101769 w ** PARCEL INFO ** PERMIT NO: 101769 ISSUED: 07/15/2010 JOB ADDRESS: 4500 NEWLAND ST EXPIRES: 01/11/2011 DESCRIPTION: 150 amp overhead service . change ' * ** CONTACTS * ** owner 303 -1744 Debra Vinnola =' sub `. 303/935-5495 Beverly Gorshern 01-9569 Candlelight Electric w ** PARCEL INFO ** ZONE CODE: UA 'USE: UA SUBDIVISION:% 0377 ''BLOCK /:LOT #: 0/ a> ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 6,816.00 FEES Permit Fee 181.10 Total Valuation ' Use Tax 122.69 �� ** TOTAL * *- 303.79 Conditions: Must >comply w/ 2003 IRC & 2005 . NEC.'. t� Subject to field inspections. ^dinances or work under this permit. Plans ":subject to field inspection. '7 -Ito _6 t� iwner date Inspection Line: 303 - 234 -byJJJ 3/ 2 S-1- 6'1 f-7 ocriTi�o Building Permit Application PiopC'T:ytAd, ress.: SOD hiCt) u S Property Owner (please prfnt)_ Mailing Address: (if different than property address) Address: permit #: 10 1 I W Phone: Y Contractor License #: Phone: `W`,.� t��xale t5 Y ? s Electrical City License #: Company: Plumbing City License #: Mechanical City License #: Company Company: Exp. Date: Exp_ Date: Exp_ Dale: Approval: Approval: Approval: Use of space Ldescription): Construction Value: S (2 t •�� ,_,,.,,�, (a5 calculated aer ftrn Building Valuation Data sheet) 4,P �,9,i'K? �rik Q tie 11 {a[Q� l 5 D 0. w' � Plan Review (due of tiros ofsubmi11oI)c $ Sq. Ft.IL.Ftadded; Squares .BTU's Gallons. Amps OWNERICONTRAcTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT end do not violate a krablo ordinances, I hereby Certify that the setback distances proposed by this permit application are accurate, ' PP rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record that all measurement$ shown, and allegations made are accurate: that I have road and 'agree to abide by all condltlons printed on this eppllcation and that I assume full responsibility for compliance with the Wheat Ridge Building Cede (I.B.C) and all other applicable Wheal Ridge Ordinances, for work under this permit Plans subject to field mspoction. CIRLCE ONE:: (OWNER) NTRACT ) or PERSONAL REPRESEN7A WNER) (CONTRATOR) PRINT NAME Date: 9��y /U 1001100 d [lSIS£6£0£ HA) 4gb1J atpueD OD :90 (nHl)O102 -S1 lnf ,