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4624 Simms Street
Iq i CITY OF WHEAT RIDGE Builiiing Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTIQN NOTI5� 1 Inspection Type: `� 0 -7- F- r ru\ I ) u na Job Address: L/ & '--? Li , m ,,, S Permit Number: 'D 0) S 9 0 q 3 ❑ No one available for inspection: Time 9= 0? (,APPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 1 Date: / Lf / 8 Inspector: _T_b DO NOT REMOVE THIS NOTICE A .z City of Wheat Ridge � A r Residential Mechanic PERMIT - 201802092 PERMIT NO: 201802092 ISSUED: 07/25/2018 JOB ADDRESS: .,4624 Simms St EXPIRES: 07/25/2019 JOB_DESCRIPTION: Remove existing AC unit and install'Lennox 1 1/2 Ton/13 SEER AC unit. Electrical hookup installed by Electrical Lighting Contractors. *** CONTACTS *** OWNER (720)276-0782 DAVIS COREY J/STEVE SUNDBY SUB (303)421-2161 Stephen Lanyon 017835 Blue Sky Plumbing SUB (303)359-5885 David.B. O'Berry • 170020 Electrical & Lighting Con. LLC *** PARCEL, INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,210.00 FEES A/C Replacement 60.00 Total Valuation 0.00 Use Tax 67.41 ** TOTAL ** 127.41 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building 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 thispermit 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 a d that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. I L T. baa Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 shal notify the Building and Inspection Services Division in accordance with established policy of all required inspect' ns and shall n roceed or conceal work without written approval of such work from the Building and Inspection Services Divi n 6. The nce r gran ` f mit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ap r 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. City of 1 Wheat Rj,d�e 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: permits@ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # t G v 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: Property Owner Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: City of Wheat Ridge License #: Contractor E-mail Address: M Phone: Phone: e For Plan Review Questions & Comments (please print): CONTACT NAME (please print): S�i[� 6tos Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Whe#t Ridge License No.): Electrical klh��i((3UCI�mbing: W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Mechanical: W.R. City License # COMMERCIAL [RESIDENTIAL Description of work: For ALL projects, 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. lac► �x�� A/c l e x, Commercial Projects Only: Occupancy Type: Construction Type: Sq. FULF Amps BTUs Gallons Squares Project Value: (Contract value or the cost of all materials and labor included in the entire project) $210 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information providedq. application. CIRCLEONE: (OWNER)( NTRACT ) or (AUTH RIZED REPRESENTATIVE) of (OWNER)_ (CONT CTOR) Signature (first and last name): DATE: Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: 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: 4 1") ham, )� 64, Job Address: LI C_ 0 J r- i t -j 5 '�4 Permit Number: cap hta, Q ❑ No one available for inspection: Time "ri >—aPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: '� y 13 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L) D9 F- L, Job Address: (. S M rt 3 Permit Number: -Dc) $ C Of V()�� � , ( f i ! LlNo one available for inspection: Time C� AW M Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Dater) `z Inspector: -j-._ 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: E r� Permit Number: �� ❑ No one available for inspection: Time Re -Inspection required: Yes C ) When corrections have been made, call for re -inspection at 303-234-5933 Date: -15 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201800870 PERMIT NO: 201800870 ISSUED: 03/28/2018 JOB ADDRESS: 4624 Simms ST EXPIRES: 03/28/2019 JOB DESCRIPTION: Residential reroofing permit remove and install rolled modified bitumen and asphalt shingles with 32 total squares, 4.5 squares flat and 27.5 squares pitched. pitch 0/12 and 4/12. Duplex 4624 and 4634 Simms St. *** CONTACTS *** OWNER (303)426-7370 STEVE SUNDBY SUB (303)426-7370 Kirk Tiley 021395 Tiley Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,893.00 FEES Total Valuation 0.00 Use Tax 249.75 Permit Fee 236.00 ** TOTAL ** 485.75 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. 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. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. - City of Wheat Ridge Residential Roofing PERMIT - 201800870 PERMIT NO: 201800870 ISSUED: 03/28/2018 JOB ADDRESS: 4624 Simms ST EXPIRES: 03/28/2019 JOB DESCRIPTION: Residential reroofing permit remove and install rolled modified bitumen and asphalt shingles with 32 total squares, 4.5 squares flat and 27.5 squares pitched. pitch 0/12 and 4/12. Duplex 4624 and 4634 Simms St. I, byy m i nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica e building codes, and all applicable municipal codes, policies and procedur , and that I am the legal owner or have been authorized by the egal owner of the property and am authorized to obtain this permit end per m the work described and approved in conjunction with s p mit. I further attest that I am legally authorized to include all entiti name within this document as parties to the work to be pe o med and that all work to be performed is disclosed in this document d/o its' accompanying approved plans and specifications. Sigilature of OWN R or CONTACTOR (Circle one) Da 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2, This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3, if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a emit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c r a ordtna or re ulation 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. 303:426.7370(0) 1 30 Client/Project: Proposal Date: Jobsite Address: Client Email: Client Phone: Estimator: # of Structures: Roof Pitch: Removal Layers: Roof Hyperlink Photos: Roof Condition: Existing Leaks: Claim # Steve Sundby 03/01/18 4324 and 4634 Simms St, Wheat Ridge Co ssundby.ss@gmail.com 720-276-0782 Tony Miller 303-249-8151 Cony@tileyroofing T 4/12 -Flat 1 naps:uapp.comr)anycam.com/gaIteries/vZs4YL2r) Hail Damaged Throughout None Reported H5MB867 Or Page 1 of 5 S 303:426.7370(0) 1 30 Client/Project: Proposal Date: Jobsite Address: Client Email: Client Phone: Estimator: # of Structures: Roof Pitch: Removal Layers: Roof Hyperlink Photos: Roof Condition: Existing Leaks: Claim # Steve Sundby 03/01/18 4324 and 4634 Simms St, Wheat Ridge Co ssundby.ss@gmail.com 720-276-0782 Tony Miller 303-249-8151 Cony@tileyroofing T 4/12 -Flat 1 naps:uapp.comr)anycam.com/gaIteries/vZs4YL2r) Hail Damaged Throughout None Reported H5MB867 Or Page 1 of 5 3 ... .. ry ..,s_ '*.... .. r. Clickon hyperlinks below_to !earn_:more obout.our products. EXISTING ROOF PACKAGE AND REQUIRED ADD ONS HIGHLIGHTED IN BOLD BELOW Dim EN5tOtdAL _C'arif i far grada dhid'most,econornicat et;'-£r3t3faes''ce3. . .4'sermitt�5i+:a+gfsis �d nnt'fr�s�rrfunc. l.7Ar NaTurai z5naaow:12,484 $15,190; Owens Corning Oakridge.: 1$12,477 15,184.: Certain7ee Can mark; 12;.585. 1$15,292 id uplift resistance and thickness: (.-,Ar [imueriine HU: X12;484,, $15,190 Owens Carning Tru. Defini ion Duration: $12,734 $1S 440 CerfainTeed Landmarit PRO: 18,314 1$16,420.. Page 2 of 5 I 't�ttr /irt7TOr!SntC'ta 11 I;i tStiY $ i 6.5Y5. *wens Corntng Dura 'on STO.Rlvl 13>7:34. t. 6,441 *Gertain7!ged. 4andmwk 1/R ;.:. $:14;A93 Click on hyperlinks belowtolearn more about ouE�>roducts. Gutter Ppckage „_ Page 3of5 Page 4 of 5 Sign .the agreement bel6wcn-dre'fy'myl6-plormoifl indicafing the: packages, opt' ons and colors. Note this:wI I wnecessarF os h e,yq r project.0 ect 1-6fus.know if. you.::would-tike .:to.:.yigit:o 66ow.roorn,.have samples have. 6hy'additional g estions.or concerns Your.. roof selection has:b&en:confifm.e.d with HOA : (if ap licdbje).: We. can help.:. your. Insurance a rn V! -q.. 5 thing is We:mUst have c adjostment/61 i 'd d e-Cdncldrifv:everyt PT.0 .9 Vv- cludedas'raquir6d.lf-d.�cK66 :yo.Vw..1 in e ri=sponsible fior ar y discrepcincy t5etween. your initial here insuranceadiu.stment and, .0' rcogtr1act Apljo h �ffif d u pricei ease. -In e: -e ec ined Clarification of e**K[st1n2: lover's by Tiley-R60A n be: h*idcf Let us kriory if. ou re ulre an than e3in utter -or downs ouf confi oration.' EXISTING ROOF PACKAGE AND REQUIRED ADD ONS HIGHLIGHTED IN BOLD above ALL SIDING, PAINTING AND WINDOWS REPAIRS TO BE DONE BY OTHERS. Summary, of Soo es andCoOs =flied aufi at fu ie of cc?I frac tiri, „ .*.Cert InTeed Latidmark I/R: Colonial Slate. Mdg!E� Vent. lincluded, :$973.07: S60 --V 6,"' HD ehts White Pte -pair te_.cJ (Screened) $572.10 hilodi�red Flat: to atch Shl ;$2,0965F : -nges e Wj 2'x3" DS Hone Whlfe $19,624.25 7.7,. V V, Client Signature: Date: �Z: Schedule- Approximate Schedule to be provided upon acceptance and selections. Page 4 of 5 Laaenia Reimer From: no-reply@ci.wheatridge.co.us Sent: Wednesday, March 28, 2018 2:52 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Flagged Categories: Invalid Contract, Gina 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 Duplex are on the property? PROPERTY INFORMATION Property Address 4324& 4634 Simms St. Wheat Ridge, CO 80033 Property Owner Name Steve Sundby 49-7� Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. 720-276-0782 ssundby.ss@gmail.com Yes Attach Copy of Executed Steve Sundby Roof Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Tiley Roofing Inc. Name Contractor's License 021395 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-426-7370 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 5399 Federal Blvd. Denver, CO 80221 (Primary address of your business) Contractor Email Address mglenn@tileyroofing.com Retype Contractor Email mglenn@tileyroofing.com Address DESCRIPTION OF WORK :� TOTAL SQUARES of 34 -3 - the entire scope of work: Project Value (contract 11893 value or cost of ALL materials and labor) 2 Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) both? (check all that apply) What is the pitch of the 0/12 FLAT roof? How many squares are 4.5 part of the FLAT roof? Describe the roofing modified bitumen material for the FLAT roof: Type of material for the Rolled FLAT roof: What is the specific pitch 4/12 of the PITCHED roof? How many squares are 27.5 part of the PITCHED roof? Describe the roofing shingle materials for the PITCHED roof. Type of material for the Asphalt PITCHED roof: Provide any additional house detail here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit 3 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. 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 Michael Glenn Email not displaying correctly? View it in your browser. ♦ 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: 0e Job Address: a �,'wwe Permit Number: ❑ No one available for inspection Time AM//PM) Re- Inspection required: Yes i No * When corrections have been made, call for r e - -insp ct' t 303 -234 -5933 Date: Inspector: 1i r 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: /�;ir44 A w Job Address: T Permit Number: �c fnJ• �r� T.%df ��sD/� 7`� h/�X! ,s.✓Arls'� ❑ No one available for inspection: Time AM/g Re- Inspection required: Yes o When corrections have been made, call for re-inspection at 303 -234 -5933 Date: 7 /i0 Inspecto 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: A�f° Job Address: 57` Permit Number: s ©1.589 IAI ❑ No one available for inspection: Time if of PM Re- inspection required: Ye No "When corrections have been made, call for re- inspection at 303 -234 -5933 Date: Inspecto DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE f Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237- 8929 Fax INSPECTION NOTICE Inspection Type: Job Address: S7'" Permit Number: Ay 5'11;>'7 t`"&C'rsrdr17 f 'G;T" .�Y.�9t�ih /r ° " a� 8061 1l�iU7 =L d Ted J t sSR c"b D £ ii i ❑ No one available for inspection: Time i2.10 AM M) _ _ . ; Re- Inspection required: es , -No When corrections have been made, call for re inspection at 303 -234 - 5933 f Date: Inspector. DO NOT REMOVE THIS NOTICE �. t C k 4' City of Wheat Riche 451.90 w "rR� City: of Wheat Ridge: Building ` 0 7500 W. 29 Ave., Wheat Ridg Office: 303 - 235- 2855:" Fax: 30 o Inspection Line: 303-234-5933 D<DRAD Building Pe Property Address: Property Owner (please print): Mailing Address: (if different than properly address) Address: I ` �bw 1(l - Z IRA Contractor: Li t i n L 1w Contractor License # .s!. Phone: Sub Contractors: Electrical City License #: Plumbing City Llaer Be # Mechanice I City Licen a #. Company: Company Company: Exp. Date: Exp. Date: Fxp_ Date: Ap proval: Approval: Approval: Use of space (description): Con truction Value: 5 Description of work: �I—nn t C(' 7 tas C tcu/eted perthe Bull din atfon Data sl ;at) ay 6 t Pran eview(due attimeof'sulunr /):5 Sq. Ft.IL tadded: quares BTU's�G Ions Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING At D AG t EEMEJ T I hereby certify that the setback distances proposed by this perm appli ation ar accurate, and do not violate applimble Ord nances, rules or regulations of the City of Wheat Ridge or covenants, eas arriend or rest 'cllons of record; that all measurements sho ort, and allegations made are accurate, drat t have read and agree to abic responsibility for Compliance with the Wheat Ridge Building Cod under this pemlt. Plans subject to field inspection. a by i Q.B. I Condit and all im printed, on this application other applicable Wheat Ridlif and that I as t Ordinances. me full or vmrk CIRLCEONE.': IOWNER) or PERSONALREIP EN VE Of( R] (CONTRA R) v (CONTRACTOR) PRINTNAME: l �Y�r rn LY,('( SIGNATURE: Date: BUILDING DEPARTMENT COMMENTS: DEPARTME T U EON Y ZONING COMMENTS:' r 'Zoning:. Reviewer. - PUBLIC WORKS COMMENTS- Reviewer. BUILDING DEPARTMENT COMMENTS: O UPANCY: Reviewer i FIRE DEPARTMENT .': t] approved W7 Comments O disapproved no re r req Ired Bldg Valuation: S 1'd 9199 £99 siojoeill eupulIN dLVb001ZZ inf