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Home My WebLink About3595 Moore StreetINSPECTION 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 ADaroval Of The Above Insnections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not over Underground or Below/In-Slab Work Prior To ADaroval Of The Above Insnections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof's 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 i - f 7 TT 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. -For low voltage permits — Please be sure that rough inspections are completed from 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 IL City of Wheat Ridge . Residential Roofing PERMIT - 201706867 PERMIT NO: 201706867 ISSUED: 09/03/2017 JOB ADDRESS: 3595 Moore ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 38 sq. Pitch = 4/12 *** CONTACTS *** OWNER (303)423-2028 KUBASTA KEVIN J SUB (303)659-8088 Mike Aberle 021956 A&H Roofing, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,640.00 FEES Total Valuation 0.00 Use Tax 223.44 Permit Fee 220.15 ** TOTAL ** 443.59 *** 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 OVER 6/12 PITCH: 3rd party inspection will ;)e required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201706867 PERMIT NO: 201706867 ISSUED: 09/03/2017 JOB ADDRESS: 3595 Moore ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 38 sq. Pitch = 4/12 *** CONTACTS *** OWNER (303)423-2028 KUBASTA KEVIN J SUB (303)659-8088 Mike Aberle 021956 A&H Roofing, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,640.00 FEES Total Valuation 0.00 Use Tax 223.44 Permit Fee 220.15 ** TOTAL ** 443.59 *** 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 OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201706867 PERMIT NO: 201706867 ISSUED: 09/03/2017 JOB ADDRESS: 3595 Moore ST EXPIRES: 09/03//2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with 38 sq. Pitch = 4/12 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 thispermit. 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 thai,41 work to be perfonned is disclosed in this document and/or its' accompanying approved plans and specifications. r / -�, — Signature of O'W_546R 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 ordbnan-.e 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. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 30, 2017 8:21 AMPPermit 7D 367? D To: CommDev Permits Subject: Online Form Submittal: Residential Rooplication "(j C� Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed n 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 3595 Moore Street Property Owner Name Kevin Kubasta Property Owner Phone 303-423-2028 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address t 4 4-Z-1:: -71? 7 161 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 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) Yes 3595 Moore St Contract.pdf A&H Roofing, LLC 021956 303-659-8088 12988 County Road 4 Brighton, Co. 80603 Contractor Email Address crystal@ahroofing.com Retype Contractor Email crystal@ahroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 38 ✓ the entire scope of work: Project Value (contrac 10640.00 value or cost of ALL materials and labor) Are you re -decking the No ✓ roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? 162 Does the scope of the project include a pitched roof (2:12 or greater pitch)? Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No Remove existing roof. Install felt. Install Owens Corning. 4:12 roof pitch 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. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything stated in this application is true and correct and that falsifying information in this application is an act of Yes Yes Yes Yes Yes 163 fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Crystal Herman Email not displaying correctly? View it in your browser. 164 A & H ROOFING, LLC. 12988 CR #4 Brighton, CO 80603 (303) 659-8088 Off (303) 659-1254 Fax www.ahroofin-g.com .'Member Customer: Kevin Kubasta Date: 8-24-17 Address: 3595 Moore St. City: Wheatridge State: CO Zip: Building ermit will be additional or supplement to insurance Home Phone: (303) 423-2028 Business Phone: Job Location: Tear Off 1 layer, & install New felt paper complete Ltd. Lifetime mf . warranty Replace Pipe Flashing, & paint all pipg flashings 6 -Nail entire roof for high wind protection Replace other flashing as needed Install new Pre -Painted 2x3 metal ed in inutters Install new vanes Z Clean ptters Dtuation Storm shingles to be installed Clean & haul all trash & magnet roll work area R&R all attic vents Building ermit will be additional or supplement to insurance REMARKS: To accept, please sign and send one copy back to A & H Roofing, LLC. All woodwork is an extra charge: Sheathing = 550.00/sheet, Plank Decking = S5.50 In/ft. unless otherwise stated in the proposal. A & H Roofing, LLC. carries General Liability & Workers Compensation Insurance on all projects. We hereby propose to furnish materials and labor, complete, And in accordance with the above specifications, for the sum of $13,500.00 All prices reflect a 2% cash/check discount. Credit card transactions are not eligible for this discount. PAYMENT IN FULL DUE UPON COMPLETION OF JOB Contractor shall hold in trust any payment from the property owner until the contractor has delivered roofing materials to the 'ob site or has performed a majority of the roofin work on the proDertv. Unless otherwise specified in this proposal, full payment is due seven (7) days from job completion. An interest charge of 24% annually) will be added daily plus a Late Fee of up to $300.00 if not paid within thirty 30 days from job completion. Proposal made by: Mike Aberle Date: _ Z,A -4"V Proposal accepted by: Date: This is a contract subject to the specifications above and the terms on both pages (1&2). Estimated start date not to exceed 90 days from the time A&H Roofing, LLC. Receives the signed contract. OwnerlAgent has a 72 hour right of rescission. Contract price is good for 30 -Days. Page 1 of 2 AI CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Ll 09 - P r ,,f-- i Job Address: 59 S 0] e in nP S 4 - Permit Number: -,? 0 1-7 n b 43 C, -7 �- "Ila � -,2� V-0 Vo- ' f ❑ No one available for inspection: Time - ! A PM Re -Inspection required: Yes lJ When corrections have been made, call for re -inspection at 303-234-5933 Date: / 11 &Inspector: __F_6 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: L/ D 9 - fz�, 'A a I Job Address: 3 S 9 S cc -e S4 Permit Number: a o 1-7 o 4sle -7 J l?'! -'F - i -k U P r) T. 14 --Ch r.1 ( t -L1 ❑ No one available for inspection: Time = _39' M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: 1 a c /1 '7 Inspector: Tb DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M l ,� Job Address: 05,95 �T Permit Number: 02-0 V1 'C) (0 ?p ❑ No one available for inspection: Time � 4 AM,& Re -Inspection required: Yes Io When corrections have been made, call f e -inspection at 303-234-5933 Dated -b Ia -i Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r4000' (303) 234-5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Woe: MI's -ufip(_ Job Address: Permit Number: Ci dr j ❑ No one available for inspection: Time / M Re- Inspection required: Yes No When corrections have been made, call for re-inspection at 303303 -2 Date: 1 2 - 17 - N Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �-j Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 fax INSPECT NOTICE Inspection Type: 64 P6 i tnt � Job Address: .5q� A IiInt. X11 Permit Number: Cm El>'? r f i El AM No one available for inspection: Time PM Re- Inspection required: Yes No *When corrections have been made, call for - inspection a 303 -234 -5933 Date: 121' a Inspector: (r DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE � B u In B spection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: it n4'r Job Address: b •'VV Permit Number: j ❑ No one available for inspection: Time "? AM/ Re- Inspection required: Yes to of to * When corrections have been made, call for re spection at 3Q3 -23 5933 Date: - jl� Inspector: P/' DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE ]�;Ir Building Inspection Division (303) 234 -5933 Inspection line ( 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: r i i Job Address: r ✓(r r� �� Permit Number: ❑ No one available for inspection: Time /. i /1 AM /C:M Re- Inspection required: Yes No "When corrections have been made, call f or re- inspection at 303 - 234 -5933 Date: f a loo �/ Inspector: W t r DO NOT REMOVE THIS NOTICE INSPECTION RECORD OccupancYfTYp INSPECTION 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. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS: INITIALS Footings /Caissons Stemwall / (CEG) Concrete - Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Serv Lines CONCRETE SLAB FLOOR Electrical (Underground) Heating DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED kPiping ,g all tie f Service ectric umbing g Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing - Insulation --- Drywall Screw -- FINALS Electrical — Plumbing Mechanical Roof Building Final Fife Department - R.0 W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping I SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "NOTE: ALL ITEMS MUST SE 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 OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. ! s CITY OF WHEAT RIDGE Building Inspection Division 1 r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 9FZ - iA ov,.v oyS Job Address: 0 �Sg� i1��za6L S T Permit Number: r99'YVY7 AP6�1ov�� ❑ No one available for inspection: Time 1.:2 1 1.5' M Re- Inspection required: When corrections have been made, calf for re- inspection at 303 - 234 -5933 Date: S / /9/jQ Inspecto DO NOT REMOVE THIS NOTICE oFw"T~ City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 o Inspection Line: 303-234-5933 OlD A4_ Building Permit Application Property Address: 3 5 'I ' r 1 Q (/`e ~~c/`C t . 1 7 c I Property Owner (please print): r~,E V (tn i Mailing Address: (if different than property address) Address: City, State, Zip: Date: Plan Permit#: Phone: ~3 Q 3 qa 3-35 y Contractor: Contractor License Phone: Sub' Contractors: Electrical City License Company: Exp. Date: Use of space (description): W~ICA Plumbing City License Mechanical City License Company Company: Exp. Date: - Exp. Date: Approval: Approval: p - _ Construction Value: - R6 , 7 Description of work: -,ct5 L, }pie 4~0. - Li K-e Sq. Ft./L.Ft added: Squares BTU's Data sheet) I Plan Review (due at time of submittal): $ 1 Gallons Amps 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, miss or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.S.C) and all other applicable Wheat Ridge Ordinances, for work under thispermit. Plans subject to field inspection. Z61RLCE ONE:: (OWNER) (CONT~R/ACTOR))( or PERSONAL REP,RE~SEN ATIV of(OWNER) (CONTRATOR) PRINT NAME: 1) FtJt)V /1Ubg5~G SIGNATURE: Date: DEPARTMENT USE ONLY ZONING COMMENTS. Zoning Reviewer: PUBLIC WORKS: COMMENTS' Reviewer: i BUILDING DEPARTMENT COMMENTS. OCCUPANCY: Reviewer. FIRE DEPARTMENT:: O approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $ C ,Z/ o =O Xca w N N N A n o~ ~ nA ni G AA K G m mx o N P =N S w 'A r m 2 w N CL i r' G ' m O 3 p o A N H m m m GA A 4 w O X V +N O Sx a 7 m W CL O O 3 N N N W ? N O! ~1 N N M o 2.0 °o w nn o m n m a m a CAC P x v ex o s V1 O A ~ tJ LS m 7 m w O. 0 O_ f0 O A W N N A N N N C AO °o o N N N m m n rnW m~ A: wX V P = N W ~ A N. S m a i S m a J£~ N N' J =ro =ate oco " ' 0 5=~ ~ A 'M r CA o ° ° m m ~ u i N ' ~ ~.0 0 R1 3 o W W - -m in o n c A N ~ CC A G X O W t0 C 0 m N ~ N N 3 x+~ m m ~ S m a ~ m ' d m N Co V C41 O l N 3 o p c o a c _ m o r m F n m N a a ~ ~c ff > J o . J O dj N o m O' N ~ _N d ~ Ntp D n.. y 3 ~ G N . N d Q m v W p v ~ u ~ m r O o m n A N . m co 3 u a o' R a N A V iT W N V N w N m IO X 15 To 0 0 j N N ) ~ N !I II W m i i_ tom, A N ~ m N N C x? r d I x w ' d 0 y m w m m .fin. N W A s 2.0 0 m- i I m m )1 3 rnm A 7 ? % V f iN p N_ ~ tU 2? m ~ a m 1 O O O 0 3 s V OS V V V E 1 - s I ~ cm °o o 0 K m > m m II m m A ) N ~2 w % y ) s N q N ~ N j x A y x a L ~ a O O 0 3 L~ CA o v i N N 1 m m !I ! m m t~ A % ~ A ~ s N N s N A - x y a m C3 to 0 O 0 3 i i V ~ O ) d i V V i V V i O O f V V to o ; = v) !m N m ~ F(U m dr i N N 1 ~ Q it II I rnm A N 9 i' A x a Z N ra O 3 4 iI v i V a n c o` 3 ov,c! f. 7 ur mo N [1 ik 1 3_. m e N w < j N ( p O o r r (D D o m^ n ~ 0 W N D O a C > > m'~ w m N 6 ~ n m mNm o m ~ ( D < m 0 N CL - z m c O i m N G p n z _ m 17 7 rlo d < ~ N m ~ ~ -O O N A T K N O A O n n A ~ w 3 3' ~ N w C CD Q O 3 w CD CD O 0 r C; n ° m ° O C \ ~ A ~ e ~ h tD~ W O o O ~ \ °'i N im g _s m m Y e < m m: ? fCD ro v. ^O s N LA N rv ° It 11 I w N A V % O ~ O = r N I Ga A p~j y a m 3 3 rr ..1 ..1 O ip Vt tail c ;u c a. O I N N I ~ m n w I N' 1 A I s ~ O • yx c O 1 = -4 IV I ~ m = N N c N 3 m i O N J i N 3 ° c 0CO K ~ mo S ~ ° ~t~'. d .G W < o m Nm n m N 0 m V co ' N N O m p o S m a v 0 T m ~ y 3-D Dm O o o• ° = c m O' N N (D m w o O O. z O m w N a < p G N m > > p N 1!v X 0 A ~5 ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303),234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M,C/'tlCo _ Job Address: ' 9Q f5 Wroe Permit Number: ()14/ 3 ~ ~i"t Fff~ l.F~ F/L`~Ilf 1'7 ~I r` f4 ❑ No one available for inspection: Time { AM// Re-Inspection required: Yes No 'When corrections have been made, can for re-inspection at 303-234-5933 Date: ~tJ C Inspector: oe~,, r ~ a DO NOT REMOVE THIS NOTICE W City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Date: Plan Permit A 0 ~ Building Permit Application Property Address: 35-qS ( . Property Owner (please print): Kz yl A Ka (JaI fO- Phone: 30f -#2-3-20Z7 Mailing Address: (if different than property address) Address: S M f City, State, Zip: l -a-TAt`l%,e 6:2 re 0023 t Contractor: M Contractor License Phone: jai - 98D - e Led? Sub Contractors: 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): Jr l~ Description of work. 7- C on Sq. Ft./L. Ft added: Squares 3S BTU's I Construction Value: s 7f fO C-) I (as calculated per the Building Valuadon Data sheet) Review (due at time of submittal): b Gallons Amps 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. _ I CIRLCE ONE:: (O((WNER) ICIC.U4O NTRACTOR) or PERSONAL REI PRINT NAME: 1) rDSL~ 1*0 SIGNATURE: (CONTRATOR) Date: U dpi Bldg Valuation: $ 1